Intrarenal Angiotensin-Converting Enzyme: the Old and the New.

Intrarenal Angiotensin-Converting Enzyme: the Old and the New.
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DOI:
10.1007/s11906-017-0778-2
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发表时间:
2017-09-19
影响因子:
5.6
通讯作者:
Siragy HM
Siragy HM
中科院分区:
医学2区
文献类型:
--
作者:
Culver S;Li C;Siragy HM

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肾内肾素-血管紧张素-醛固酮系统(RAS)是一个独立的旁分泌激素系统,在高血压和肾脏疾病中的作用日益突出。该系统的两种酶成分是血管紧张素转换酶(ACE)和最近发现的ACE2。本综述的目的是描述关于肾内血管紧张素转换酶和血管紧张素转换酶2的作用及其相互作用的最新发现。肾小管血管紧张素转换酶参与盐敏感型高血压。此外,肾内血管紧张素转换酶和血管紧张素转换酶2的相对表达和活性在促进或抑制包括肾血管性高血压、糖尿病肾病和肾纤维化在内的不同肾脏病理过程中起着中心作用。肾血管紧张素转换酶和血管紧张素转换酶2代表肾内RAS系统中的两个相反的轴,它们的相互作用决定了几个常见疾病过程的进展。虽然这种关系仍然很复杂,也不完全清楚,但进一步的研究有可能创造出治疗高血压和肾脏疾病的新方法。
The intrarenal renin-angiotensin-aldosterone system (RAS) is an independent paracrine hormonal system with an increasingly prominent role in hypertension and renal disease. Two enzyme components of this system are angiotensin-converting enzyme (ACE) and more recently discovered ACE2. The purpose of this review is to describe recent discoveries regarding the roles of intrarenal ACE and ACE2 and their interaction. Renal tubular ACE contributes to salt-sensitive hypertension. Additionally, the relative expression and activity of intrarenal ACE and ACE2 are central to promoting or inhibiting different renal pathologies including renovascular hypertension, diabetic nephropathy, and renal fibrosis. Renal ACE and ACE2 represent two opposing axes within the intrarenal RAS system whose interaction determines the progression of several common disease processes. While this relationship remains complex and incompletely understood, further investigations hold the potential for creating novel approaches to treating hypertension and kidney disease.
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