Angiotensin type 2 receptors: blood pressure regulation and end organ damage.

Angiotensin type 2 receptors: blood pressure regulation and end organ damage.
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DOI:
10.1016/j.coph.2015.01.004
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发表时间:
2015-04
影响因子:
4
通讯作者:
Steckelings, Ulrike Muscha
Steckelings, Ulrike Muscha
中科院分区:
医学3区
文献类型:
--
作者:
Sumners, Colin;de Kloet, Annette D.;Krause, Eric G.;Unger, Thomas;Steckelings, Ulrike Muscha

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In most situations, the angiotensin AT2-receptor (AT2R) mediates physiological actions opposing those mediated by the AT1-receptor (AT1R), including a vasorelaxant effect. Nevertheless, experimental evidence vastly supports that systemic application of AT2R-agonists is blood pressure neutral. However, stimulation of AT2R locally within the brain or the kidney apparently elicits a systemic blood pressure lowering effect. A systemic effect of AT2R stimulation on blood pressure can also be achieved, when the prevailing effect of continuous background AT1R-stimulation is attenuated by low-dose AT1R blockade. Despite a lack of effect on blood pressure, AT2R stimulation still protects from hypertensive end-organ damage. Current data and evidence therefore suggest that AT2R agonists will not be suitable as future anti-hypertensive drugs, but that they may well be useful for end-organ protection in combination with established anti-hypertensives.
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