Angiotensin AT2Receptor LigandsDo They Have Potential as Future Treatments for Neurological Disease?
作者:
Philip Rosenstiel,
Stefan Gallinat,
Alexander Arlt,
Thomas Unger,
Jobst Sievers,
Ralph Lucius,
期刊:
CNS Drugs
(ADIS Available online 2002)
卷期:
Volume 16,
issue 3
页码: 145-153
ISSN:1172-7047
年代: 2002
出版商: ADIS
关键词: Neurological disorders, treatment
数据来源: ADIS
摘要:
In addition to the systemic renin-angiotensin system (RAS), a local RAS has been identified. Recent research has focused on this latter system and has investigated the effects of locally generated angiotensin II, especially in the kidney, heart and CNS.In the mammalian brain, all components of the RAS are present including angiotensin AT1and AT2receptor subtypes. While the AT1receptor is responsible for the classical effects of angiotensin II, it has been found that the AT2receptor displays totally different signalling mechanisms and this has revealed hitherto unknown functions of angiotensin II. AT2receptors are expressed at low density in many healthy adult tissues, but are up-regulated in pathological circumstances, e.g. stroke or nerve lesion.Evidence has now emerged that the actions of angiotensin II that are exerted via the AT2receptor are directly opposed to those mediated by the AT1receptor. For example, the AT2receptor has antiproliferative properties and therefore opposes the growth-promoting effect linked to AT1receptor stimulation. It has been reported that the AT2receptor regulates several functions of nerve cells, e.g. ionic fluxes, cell differentiation and axonal regeneration, but also modulates programmed cell death.It is possible that a more extensive knowledge of the AT2receptor could contribute to the understanding of the clinically beneficial effects of AT1receptor antagonists, as this treatment may unmask AT2receptor activity. This review presents selected aspects of advances in AT2receptor pharmacology, molecular biology and signal transduction with particular reference to possible novel therapeutic options for CNS diseases.
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