Counter-regulatory renin–angiotensin system in cardiovascular disease

Maria Paz Ocaranza, Jaime A. Riquelme, Lorena García, Jorge E. Jalil, Mario Chiong, Robson A.S. Santos, Sergio Lavandero

Research output: Contribution to journalReview articlepeer-review

424 Citations (Scopus)

Abstract

The renin–angiotensin system is an important component of the cardiovascular system. Mounting evidence suggests that the metabolic products of angiotensin I and II — initially thought to be biologically inactive — have key roles in cardiovascular physiology and pathophysiology. This non-canonical axis of the renin–angiotensin system consists of angiotensin 1–7, angiotensin 1–9, angiotensin-converting enzyme 2, the type 2 angiotensin II receptor (AT2R), the proto-oncogene Mas receptor and the Mas-related G protein-coupled receptor member D. Each of these components has been shown to counteract the effects of the classical renin–angiotensin system. This counter-regulatory renin–angiotensin system has a central role in the pathogenesis and development of various cardiovascular diseases and, therefore, represents a potential therapeutic target. In this Review, we provide the latest insights into the complexity and interplay of the components of the non-canonical renin–angiotensin system, and discuss the function and therapeutic potential of targeting this system to treat cardiovascular disease.

Original languageEnglish
Pages (from-to)116-129
Number of pages14
JournalNature Reviews Cardiology
Volume17
Issue number2
DOIs
Publication statusPublished - Feb 1 2020

Bibliographical note

Publisher Copyright:
© 2019, Springer Nature Limited.

Funding

The authors received funding from Comisión Nacional de Ciencia y Tecnología (CONICYT), Chile (FONDAP 15130011 to M.P.O., J.A.R., L.G., M.C. and S.L.; FONDECYT 1161739 to J.E.J.; FONDECYT 11181000 to J.A.R.; FONDECYT 1140713 to L.G.), Grant Puente Pontificia Universidad Catolica de Chile (P1705/2017 to M.P.O.), Bayer AG (Program Grants4Targets ID 2017-08-2260 to M.P.O., J.E.J., M.C. and S.L.), and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil (310515/2015–7 to R.A.S.S.).

ASJC Scopus Subject Areas

  • Cardiology and Cardiovascular Medicine

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