Alternative pathways for angiotensin II generation in the cardiovascular system

The classical renin-angiotensin system (RAS) consists of enzymes and peptides that regulate blood pressure and electrolyte and fluid homeostasis. Angiotensin II (Ang II) is one of the most important and extensively studied components of the RAS. The beneficial effects of angiotensin converting enzym...

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Main Authors: C. Becari, E.B. Oliveira, M.C.O. Salgado
Format: Article
Language:English
Published: Associação Brasileira de Divulgação Científica 2011-09-01
Series:Brazilian Journal of Medical and Biological Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011000900013
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author C. Becari
E.B. Oliveira
M.C.O. Salgado
author_facet C. Becari
E.B. Oliveira
M.C.O. Salgado
author_sort C. Becari
collection DOAJ
description The classical renin-angiotensin system (RAS) consists of enzymes and peptides that regulate blood pressure and electrolyte and fluid homeostasis. Angiotensin II (Ang II) is one of the most important and extensively studied components of the RAS. The beneficial effects of angiotensin converting enzyme (ACE) inhibitors in the treatment of hypertension and heart failure, among other diseases, are well known. However, it has been reported that patients chronically treated with effective doses of these inhibitors do not show suppression of Ang II formation, suggesting the involvement of pathways alternative to ACE in the generation of Ang II. Moreover, the finding that the concentration of Ang II is preserved in the kidney, heart and lungs of mice with an ACE deletion indicates the important role of alternative pathways under basal conditions to maintain the levels of Ang II. Our group has characterized the serine protease elastase-2 as an alternative pathway for Ang II generation from Ang I in rats. A role for elastase-2 in the cardiovascular system was suggested by studies performed in heart and conductance and resistance vessels of normotensive and spontaneously hypertensive rats. This mini-review will highlight the pharmacological aspects of the RAS, emphasizing the role of elastase-2, an alternative pathway for Ang II generation.
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spelling doaj.art-30819b9648b54a4881be3a891abdbda62022-12-21T18:20:27ZengAssociação Brasileira de Divulgação CientíficaBrazilian Journal of Medical and Biological Research0100-879X1414-431X2011-09-01449914919Alternative pathways for angiotensin II generation in the cardiovascular systemC. BecariE.B. OliveiraM.C.O. SalgadoThe classical renin-angiotensin system (RAS) consists of enzymes and peptides that regulate blood pressure and electrolyte and fluid homeostasis. Angiotensin II (Ang II) is one of the most important and extensively studied components of the RAS. The beneficial effects of angiotensin converting enzyme (ACE) inhibitors in the treatment of hypertension and heart failure, among other diseases, are well known. However, it has been reported that patients chronically treated with effective doses of these inhibitors do not show suppression of Ang II formation, suggesting the involvement of pathways alternative to ACE in the generation of Ang II. Moreover, the finding that the concentration of Ang II is preserved in the kidney, heart and lungs of mice with an ACE deletion indicates the important role of alternative pathways under basal conditions to maintain the levels of Ang II. Our group has characterized the serine protease elastase-2 as an alternative pathway for Ang II generation from Ang I in rats. A role for elastase-2 in the cardiovascular system was suggested by studies performed in heart and conductance and resistance vessels of normotensive and spontaneously hypertensive rats. This mini-review will highlight the pharmacological aspects of the RAS, emphasizing the role of elastase-2, an alternative pathway for Ang II generation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011000900013Renin-angiotensin systemAngiotensin IIRat elastase-2Alternative pathwayAngiotensin-converting enzyme
spellingShingle C. Becari
E.B. Oliveira
M.C.O. Salgado
Alternative pathways for angiotensin II generation in the cardiovascular system
Brazilian Journal of Medical and Biological Research
Renin-angiotensin system
Angiotensin II
Rat elastase-2
Alternative pathway
Angiotensin-converting enzyme
title Alternative pathways for angiotensin II generation in the cardiovascular system
title_full Alternative pathways for angiotensin II generation in the cardiovascular system
title_fullStr Alternative pathways for angiotensin II generation in the cardiovascular system
title_full_unstemmed Alternative pathways for angiotensin II generation in the cardiovascular system
title_short Alternative pathways for angiotensin II generation in the cardiovascular system
title_sort alternative pathways for angiotensin ii generation in the cardiovascular system
topic Renin-angiotensin system
Angiotensin II
Rat elastase-2
Alternative pathway
Angiotensin-converting enzyme
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011000900013
work_keys_str_mv AT cbecari alternativepathwaysforangiotensiniigenerationinthecardiovascularsystem
AT eboliveira alternativepathwaysforangiotensiniigenerationinthecardiovascularsystem
AT mcosalgado alternativepathwaysforangiotensiniigenerationinthecardiovascularsystem