Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New Hopes

The physiological and pathophysiological relevance of the angiotensin II type 1 (AT<sub>1</sub>) G protein-coupled receptor no longer needs to be proven in the cardiovascular system. The renin–angiotensin system and the AT<sub>1</sub> receptor are the targets of several class...

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Main Authors: Céline Delaitre, Michel Boisbrun, Sandra Lecat, François Dupuis
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/13/6738
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author Céline Delaitre
Michel Boisbrun
Sandra Lecat
François Dupuis
author_facet Céline Delaitre
Michel Boisbrun
Sandra Lecat
François Dupuis
author_sort Céline Delaitre
collection DOAJ
description The physiological and pathophysiological relevance of the angiotensin II type 1 (AT<sub>1</sub>) G protein-coupled receptor no longer needs to be proven in the cardiovascular system. The renin–angiotensin system and the AT<sub>1</sub> receptor are the targets of several classes of therapeutics (such as angiotensin converting enzyme inhibitors or angiotensin receptor blockers, ARBs) used as first-line treatments in cardiovascular diseases. The importance of AT<sub>1</sub> in the regulation of the cerebrovascular system is also acknowledged. However, despite numerous beneficial effects in preclinical experiments, ARBs do not induce satisfactory curative results in clinical stroke studies. A better understanding of AT<sub>1</sub> signaling and the development of biased AT<sub>1</sub> agonists, able to selectively activate the β-arrestin transduction pathway rather than the G<sub>q</sub> pathway, have led to new therapeutic strategies to target detrimental effects of AT<sub>1</sub> activation. In this paper, we review the involvement of AT<sub>1</sub> in cerebrovascular diseases as well as recent advances in the understanding of its molecular dynamics and biased or non-biased signaling. We also describe why these alternative signaling pathways induced by β-arrestin biased AT<sub>1</sub> agonists could be considered as new therapeutic avenues for cerebrovascular diseases.
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spelling doaj.art-a43d1f34e76f4fc5a3847e1d8f5a6c732023-11-22T01:22:51ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-06-012213673810.3390/ijms22136738Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New HopesCéline Delaitre0Michel Boisbrun1Sandra Lecat2François Dupuis3CITHEFOR, Université de Lorraine, F-54000 Nancy, FranceCNRS, L2CM, Université de Lorraine, F-54000 Nancy, FranceBiotechnologie et Signalisation Cellulaire, UMR7242 CNRS/Université de Strasbourg, 300 Boulevard Sébastien Brant, CS 10413, CEDEX, 67412 Illkirch-Graffenstaden, FranceCITHEFOR, Université de Lorraine, F-54000 Nancy, FranceThe physiological and pathophysiological relevance of the angiotensin II type 1 (AT<sub>1</sub>) G protein-coupled receptor no longer needs to be proven in the cardiovascular system. The renin–angiotensin system and the AT<sub>1</sub> receptor are the targets of several classes of therapeutics (such as angiotensin converting enzyme inhibitors or angiotensin receptor blockers, ARBs) used as first-line treatments in cardiovascular diseases. The importance of AT<sub>1</sub> in the regulation of the cerebrovascular system is also acknowledged. However, despite numerous beneficial effects in preclinical experiments, ARBs do not induce satisfactory curative results in clinical stroke studies. A better understanding of AT<sub>1</sub> signaling and the development of biased AT<sub>1</sub> agonists, able to selectively activate the β-arrestin transduction pathway rather than the G<sub>q</sub> pathway, have led to new therapeutic strategies to target detrimental effects of AT<sub>1</sub> activation. In this paper, we review the involvement of AT<sub>1</sub> in cerebrovascular diseases as well as recent advances in the understanding of its molecular dynamics and biased or non-biased signaling. We also describe why these alternative signaling pathways induced by β-arrestin biased AT<sub>1</sub> agonists could be considered as new therapeutic avenues for cerebrovascular diseases.https://www.mdpi.com/1422-0067/22/13/6738AT<sub>1</sub> receptorAngiotensin IIcerebrovascular diseasebiased agonismbeta-arrestinRAS
spellingShingle Céline Delaitre
Michel Boisbrun
Sandra Lecat
François Dupuis
Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New Hopes
International Journal of Molecular Sciences
AT<sub>1</sub> receptor
Angiotensin II
cerebrovascular disease
biased agonism
beta-arrestin
RAS
title Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New Hopes
title_full Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New Hopes
title_fullStr Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New Hopes
title_full_unstemmed Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New Hopes
title_short Targeting the Angiotensin II Type 1 Receptor in Cerebrovascular Diseases: Biased Signaling Raises New Hopes
title_sort targeting the angiotensin ii type 1 receptor in cerebrovascular diseases biased signaling raises new hopes
topic AT<sub>1</sub> receptor
Angiotensin II
cerebrovascular disease
biased agonism
beta-arrestin
RAS
url https://www.mdpi.com/1422-0067/22/13/6738
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