Skip to main content
Erschienen in: Current Hypertension Reports 7/2014

01.07.2014 | Hypertension and the Kidney (R Carey, Section Editor)

The Protective Arms of the Renin-Angiontensin System in Stroke

verfasst von: Claudia A. McCarthy, Lachlan J. Facey, Robert E. Widdop

Erschienen in: Current Hypertension Reports | Ausgabe 7/2014

Einloggen, um Zugang zu erhalten

Abstract

It is quite well established that activation of the so-called protective arms of the renin-angiotensin system (RAS), involving both AT2 and Mas receptors, provides a counter-regulatory role to AT1 receptor overactivity that may drive pathological changes in the cardiovascular system. In this brief review, we will focus on recent evidence that identifies at least three different pathways that may be effective in the setting of stroke and may be complementary with AT1 receptor blockade. Such mechanisms include AT2 receptor stimulation, Mas receptor stimulation and insulin-regulated aminopeptidase blockade. This report highlights recent data demonstrating striking neuroprotective effects in preclinical models of stroke targeting each of these pathways, which may pave the way for translational opportunities in this field.
Literatur
2.
Zurück zum Zitat Sutherland BA, Minnerup J, Balami JS, Arba F, Buchan AM, et al. Neuroprotection for ischaemic stroke: translation from the bench to the bedside. Int J Stroke. 2012;7:407–18.PubMedCrossRef Sutherland BA, Minnerup J, Balami JS, Arba F, Buchan AM, et al. Neuroprotection for ischaemic stroke: translation from the bench to the bedside. Int J Stroke. 2012;7:407–18.PubMedCrossRef
3.
Zurück zum Zitat Ferreira AJ, Santos RA, Bradford CN, Mecca AP, Sumners C, et al. Therapeutic implications of the vasoprotective axis of the renin-angiotensin system in cardiovascular diseases. Hypertension. 2010;55:207–13.PubMedCentralPubMedCrossRef Ferreira AJ, Santos RA, Bradford CN, Mecca AP, Sumners C, et al. Therapeutic implications of the vasoprotective axis of the renin-angiotensin system in cardiovascular diseases. Hypertension. 2010;55:207–13.PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Paul M, Poyan Mehr A, Kreutz R. Physiology of local renin-angiotensin systems. Physiol Rev. 2006;86:747–803.PubMedCrossRef Paul M, Poyan Mehr A, Kreutz R. Physiology of local renin-angiotensin systems. Physiol Rev. 2006;86:747–803.PubMedCrossRef
5.
Zurück zum Zitat Dai W, Funk A, Herdegen T, Unger T, Culman J. Blockade of central angiotensin AT1 receptors improves neurological outcome and reduces expression of AP-1 transcription factors after focal brain ischemia in rats. Stroke. 1999;20:2391–9. Dai W, Funk A, Herdegen T, Unger T, Culman J. Blockade of central angiotensin AT1 receptors improves neurological outcome and reduces expression of AP-1 transcription factors after focal brain ischemia in rats. Stroke. 1999;20:2391–9.
6.
Zurück zum Zitat Groth W, Blume A, Golhlke P, Unger T, Culman J. Chronic pretreatment with candersartan improves recovery from focal cerebral ischemia in rats. J Hypertens. 2003;21:2175–82.PubMedCrossRef Groth W, Blume A, Golhlke P, Unger T, Culman J. Chronic pretreatment with candersartan improves recovery from focal cerebral ischemia in rats. J Hypertens. 2003;21:2175–82.PubMedCrossRef
7.
Zurück zum Zitat Ito T, Yamakawa H, Bregonzio C, Terron J, Falcon-Neri A, et al. Protection against ischemia and improvement of cerebral blood flow in genetically hypertensive rats by chronic pretreatment with an angiotensin II AT1 receptor antagonist. Stroke. 2002;33:2297–303. Ito T, Yamakawa H, Bregonzio C, Terron J, Falcon-Neri A, et al. Protection against ischemia and improvement of cerebral blood flow in genetically hypertensive rats by chronic pretreatment with an angiotensin II AT1 receptor antagonist. Stroke. 2002;33:2297–303.
8.
Zurück zum Zitat Li J, Culman J, Hortnagl H, Zhao Y, Gerova N, et al. Angiotensin AT2 receptor protects against cerebral ischemia-induced neuronal Injury. FASEB J. 2005;19:617–9. Li J, Culman J, Hortnagl H, Zhao Y, Gerova N, et al. Angiotensin AT2 receptor protects against cerebral ischemia-induced neuronal Injury. FASEB J. 2005;19:617–9.
9.
Zurück zum Zitat Lu Q, Zhu YZ. Wong PTH Neuroprotective effect of candesartan against cerebral ischemia in spontaneously hypertensive rats. Neuroreport. 2005;16:1963–7.PubMedCrossRef Lu Q, Zhu YZ. Wong PTH Neuroprotective effect of candesartan against cerebral ischemia in spontaneously hypertensive rats. Neuroreport. 2005;16:1963–7.PubMedCrossRef
10.
Zurück zum Zitat Mecca AP, O’Connor TE, Katovich MJ, Sumners C. Candersartan pretreatment is cerebroprotective in a rat model of endothelin-1-induced middle cerebral artery occlusion. Exp Physiol. 2009;94:937–46.PubMedCentralPubMedCrossRef Mecca AP, O’Connor TE, Katovich MJ, Sumners C. Candersartan pretreatment is cerebroprotective in a rat model of endothelin-1-induced middle cerebral artery occlusion. Exp Physiol. 2009;94:937–46.PubMedCentralPubMedCrossRef
11.
Zurück zum Zitat Nishimura Y, Ito T, Saavedra J. Angiotensin II AT1 blockade normalizes cerebrovascular autoregulation and reduces cerebral ischemia in spontaneously hypertensive rats. Stroke. 2000;31:2478–86. Nishimura Y, Ito T, Saavedra J. Angiotensin II AT1 blockade normalizes cerebrovascular autoregulation and reduces cerebral ischemia in spontaneously hypertensive rats. Stroke. 2000;31:2478–86.
12.
Zurück zum Zitat Walther T, Olah L, Harms C, Maul B, Bader M, et al. Ischemic injury in experimental stroke depends on angiotensin II. FASEB J. 2002;16:169–76.PubMedCrossRef Walther T, Olah L, Harms C, Maul B, Bader M, et al. Ischemic injury in experimental stroke depends on angiotensin II. FASEB J. 2002;16:169–76.PubMedCrossRef
13.
Zurück zum Zitat Brdon J, Kaiser S, Hagemann F, Zhao Y, Culman J, et al. Comparison between early and delayed systemic treatment with candesartan of rats after ischemic stroke. J Hypertens. 2007;25:187–96.PubMedCrossRef Brdon J, Kaiser S, Hagemann F, Zhao Y, Culman J, et al. Comparison between early and delayed systemic treatment with candesartan of rats after ischemic stroke. J Hypertens. 2007;25:187–96.PubMedCrossRef
14.
Zurück zum Zitat Engelhorn T, Goerike S, Doerfler A, Okorn C, Forsting M, et al. The angiotensin II type 1-receptor blocker candesartan increases cerebral blood flow, reduces infarct size, and improves neurological outcome after transient cerebral ischemia in rats. J Cereb Blood Flow Metab. 2004;24:467–74.PubMedCrossRef Engelhorn T, Goerike S, Doerfler A, Okorn C, Forsting M, et al. The angiotensin II type 1-receptor blocker candesartan increases cerebral blood flow, reduces infarct size, and improves neurological outcome after transient cerebral ischemia in rats. J Cereb Blood Flow Metab. 2004;24:467–74.PubMedCrossRef
15.
Zurück zum Zitat Dahlof B, Devereux RB, Kjeldsen SE, Julius S, Beevers G, et al. Cardiovascular morbidity and mortality in the losartan intervention for endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol. Lancet. 2002;359:995–1003.PubMedCrossRef Dahlof B, Devereux RB, Kjeldsen SE, Julius S, Beevers G, et al. Cardiovascular morbidity and mortality in the losartan intervention for endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol. Lancet. 2002;359:995–1003.PubMedCrossRef
16.
Zurück zum Zitat Schrader J, Luders S, Kulischewski A. Morbidity and mortality after stroke eprosartan compared with nitrendipine for secondary prevention (MOSES) trial. Stroke. 2005;36:1218–24.PubMedCrossRef Schrader J, Luders S, Kulischewski A. Morbidity and mortality after stroke eprosartan compared with nitrendipine for secondary prevention (MOSES) trial. Stroke. 2005;36:1218–24.PubMedCrossRef
17.
Zurück zum Zitat Phillips MI, Sumners C. Angiotensin II in central nervous system physiology. Regul Pept. 1998;78:1–11.PubMedCrossRef Phillips MI, Sumners C. Angiotensin II in central nervous system physiology. Regul Pept. 1998;78:1–11.PubMedCrossRef
18.
Zurück zum Zitat Achard J, Fournier A, Mazouz H, Caride V, Penar P, et al. Protection against ischemia: a physiological function of the renin-angiotensin system. Biochem Pharmacol. 2001;62:261–71.PubMedCrossRef Achard J, Fournier A, Mazouz H, Caride V, Penar P, et al. Protection against ischemia: a physiological function of the renin-angiotensin system. Biochem Pharmacol. 2001;62:261–71.PubMedCrossRef
19.
Zurück zum Zitat Saavedra JM, Benicky J, Zhou J. Mechanisms of the anti-ischemic effect of angiotensin II AT1 receptor antagonist in the brain. Cell Mole Neurobiol. 2006;26:1099–111. Saavedra JM, Benicky J, Zhou J. Mechanisms of the anti-ischemic effect of angiotensin II AT1 receptor antagonist in the brain. Cell Mole Neurobiol. 2006;26:1099–111.
20.
Zurück zum Zitat Thone-Reineke C, Zimmermann M, Neumann C, Krikov M, Gerova N, et al. Are angiotensin receptor blockers neuroprotective. Curr Hypertens Rep. 2004;6:257–66.PubMedCrossRef Thone-Reineke C, Zimmermann M, Neumann C, Krikov M, Gerova N, et al. Are angiotensin receptor blockers neuroprotective. Curr Hypertens Rep. 2004;6:257–66.PubMedCrossRef
21.
Zurück zum Zitat Widdop R, Jones E, Hannan R, Gaspari T. Angiotensin AT2 receptors: cardiovascular hope or hype? B J Pharmacol. 2003;140:809–24. Widdop R, Jones E, Hannan R, Gaspari T. Angiotensin AT2 receptors: cardiovascular hope or hype? B J Pharmacol. 2003;140:809–24.
22.
Zurück zum Zitat Grady EF, Sechi LA, Griffin CA, Schambelan M, Kalinyak JE. Expression of AT2 receptors in the developing rat fetus. J Clin Invest. 1991;88:921–33. Grady EF, Sechi LA, Griffin CA, Schambelan M, Kalinyak JE. Expression of AT2 receptors in the developing rat fetus. J Clin Invest. 1991;88:921–33.
23.
Zurück zum Zitat Yu L, Zheng M, Wang W, Rozanski GJ, Zucker IH. Developmental changes in AT1 and AT2 receptor-protein expression in rats. J Renin Angiotensin Aldosterone Syst. 2010;11:214–21. Yu L, Zheng M, Wang W, Rozanski GJ, Zucker IH. Developmental changes in AT1 and AT2 receptor-protein expression in rats. J Renin Angiotensin Aldosterone Syst. 2010;11:214–21.
24.
Zurück zum Zitat Chao J, Yang L, Buch S, Gao L. Angiotensin II increased neuronal stem cell proliferation: role of AT2R. PLoS One. 2013;8:63488. Chao J, Yang L, Buch S, Gao L. Angiotensin II increased neuronal stem cell proliferation: role of AT2R. PLoS One. 2013;8:63488.
25.
Zurück zum Zitat Luo CX, Jin X, Cao CC, Zhu MM, Wang B, et al. Bidirectional regulation of neurogenesis by neuronal nitric oxide synthase derived from neurons and neural stem cells. Stem Cells. 2010;28:2041–52.PubMedCrossRef Luo CX, Jin X, Cao CC, Zhu MM, Wang B, et al. Bidirectional regulation of neurogenesis by neuronal nitric oxide synthase derived from neurons and neural stem cells. Stem Cells. 2010;28:2041–52.PubMedCrossRef
26.
Zurück zum Zitat Aimone JB, Wiles J, Gage FH. Potential role for adult neurogenesis in the encoding of time in new memories. Nat Neurosci. 2006;9:723–7.PubMedCrossRef Aimone JB, Wiles J, Gage FH. Potential role for adult neurogenesis in the encoding of time in new memories. Nat Neurosci. 2006;9:723–7.PubMedCrossRef
27.
Zurück zum Zitat Kempermann G, Wiskott L, Gage FH. Functional significance of adult neurogenesis. Curr Opin Neurobiol. 2004;14:186–91.PubMedCrossRef Kempermann G, Wiskott L, Gage FH. Functional significance of adult neurogenesis. Curr Opin Neurobiol. 2004;14:186–91.PubMedCrossRef
28.
Zurück zum Zitat Maul B, von Bohlen und Halbach O, Becker A, Sterner-Kock A, Voigt JP, et al. Impaired spatial memory and altered dendritic spine morphology in angiotensin II type 2 receptor-deficient mice. J Mol Med. 2008;86:563–71.PubMedCrossRef Maul B, von Bohlen und Halbach O, Becker A, Sterner-Kock A, Voigt JP, et al. Impaired spatial memory and altered dendritic spine morphology in angiotensin II type 2 receptor-deficient mice. J Mol Med. 2008;86:563–71.PubMedCrossRef
29.
Zurück zum Zitat Reinecke K, Lucius R, Reinecke A, Rickert U, Herdengen T, et al. Angiotensin II accelerates functional recovery in the rat sciatic nerve in vivo: Role of the AT2 receptor and the transcription factor NF-kB. FASEB J. 2003;17:2094–6. Reinecke K, Lucius R, Reinecke A, Rickert U, Herdengen T, et al. Angiotensin II accelerates functional recovery in the rat sciatic nerve in vivo: Role of the AT2 receptor and the transcription factor NF-kB. FASEB J. 2003;17:2094–6.
30.
Zurück zum Zitat Lucius R, Gallinat S, Rosenstiel P, Unger T, Sievers J. The angiotensin II type 2 receptor promotes axonal regeneration in the optic nerve of adult rats. J Exp Med. 1998;188:661–70.PubMedCentralPubMedCrossRef Lucius R, Gallinat S, Rosenstiel P, Unger T, Sievers J. The angiotensin II type 2 receptor promotes axonal regeneration in the optic nerve of adult rats. J Exp Med. 1998;188:661–70.PubMedCentralPubMedCrossRef
31.••
Zurück zum Zitat Namsolleck P, Boato F, Schwengel K, Paulis L, Matho KS, et al. AT2-receptor stimulation enhances axonal plasticity after spinal cord injury by upregulating BDNF expression. Neurobiol Dis. 2013;51:177–91. First direct evidence that AT 2 R stimulation can evoke the release of neurotrophic factors such as BDNF. Namsolleck P, Boato F, Schwengel K, Paulis L, Matho KS, et al. AT2-receptor stimulation enhances axonal plasticity after spinal cord injury by upregulating BDNF expression. Neurobiol Dis. 2013;51:177–91. First direct evidence that AT 2 R stimulation can evoke the release of neurotrophic factors such as BDNF.
32.
Zurück zum Zitat Namsolleck P, Recarti C, Foulquier S, Steckelings UM, Unger T. AT2 receptor and tissue injury: therapeutic implications. Curr Hypertens Rep. 2014;16:416–26. Namsolleck P, Recarti C, Foulquier S, Steckelings UM, Unger T. AT2 receptor and tissue injury: therapeutic implications. Curr Hypertens Rep. 2014;16:416–26.
33.
Zurück zum Zitat Krikov M, Thone-Reineke C, Muller S, Villringer A, Unger T. Candesartan but not ramipril pretreatment improves outcome after stroke and stimulates neurotrophin BNDF/TrkB system in rats. J Hypertens. 2008;26:544–52.PubMedCrossRef Krikov M, Thone-Reineke C, Muller S, Villringer A, Unger T. Candesartan but not ramipril pretreatment improves outcome after stroke and stimulates neurotrophin BNDF/TrkB system in rats. J Hypertens. 2008;26:544–52.PubMedCrossRef
34.
Zurück zum Zitat Kishi T, Hirooka Y, Sunagawa K. Telmisartan protects against cognitive decline via up-regulation of brain-derived neurotrophic factor/tropomyosin-related kinase B in hippocampus of hypertensive rats. J Cardiol. 2012;60:489–94.PubMedCrossRef Kishi T, Hirooka Y, Sunagawa K. Telmisartan protects against cognitive decline via up-regulation of brain-derived neurotrophic factor/tropomyosin-related kinase B in hippocampus of hypertensive rats. J Cardiol. 2012;60:489–94.PubMedCrossRef
35.
Zurück zum Zitat Li JM, Mogi M, Tsukuda K, Tomochika H, Iwanami J, et al. Angiotensin II induced neural differenciation via angiotensin II type 2 (AT2) receptor- MMS2 cascade involving interaction between AT2 receptor-interacting protein and scr homology 2 domain containing protein tyrosine phosphatase 1. Mole Endocrinol. 2007;21:499–511. Li JM, Mogi M, Tsukuda K, Tomochika H, Iwanami J, et al. Angiotensin II induced neural differenciation via angiotensin II type 2 (AT2) receptor- MMS2 cascade involving interaction between AT2 receptor-interacting protein and scr homology 2 domain containing protein tyrosine phosphatase 1. Mole Endocrinol. 2007;21:499–511.
36.
Zurück zum Zitat Horiuchi M, Mogi M, Iwai M. The angiotensin II type 2 receptor in the brain. J Renin Angiotensin Aldosterone Syst. 2010;11:1–6.PubMedCrossRef Horiuchi M, Mogi M, Iwai M. The angiotensin II type 2 receptor in the brain. J Renin Angiotensin Aldosterone Syst. 2010;11:1–6.PubMedCrossRef
37.
Zurück zum Zitat Iwai M, Liu HW, Chen R, Ide A, Okamoto S, et al. Possible inhibition of focal cerebral ischemia by angiotensin II type 2 receptor stimulation. Circulation. 2004;110:843–8.PubMedCrossRef Iwai M, Liu HW, Chen R, Ide A, Okamoto S, et al. Possible inhibition of focal cerebral ischemia by angiotensin II type 2 receptor stimulation. Circulation. 2004;110:843–8.PubMedCrossRef
38.
Zurück zum Zitat Mogi M, Li MH, Iwanami J, Min LJ, Tsukuda K, et al. Angiotensin II type-2 receptor stimulation prevents neural damage by transcriptional activation of methyl methanesulfonate sensitive 2. Hypertension. 2006;48:141–8.PubMedCrossRef Mogi M, Li MH, Iwanami J, Min LJ, Tsukuda K, et al. Angiotensin II type-2 receptor stimulation prevents neural damage by transcriptional activation of methyl methanesulfonate sensitive 2. Hypertension. 2006;48:141–8.PubMedCrossRef
39.••
Zurück zum Zitat McCarthy CA, Vinh A, Callaway JC, Widdop RE. AT2R stimulation causes neuroprotection in a conscious rat model of stroke. Stroke. 2009;40:1482–9. The first proof of principal study that direct AT 2 R is stroke protective. McCarthy CA, Vinh A, Callaway JC, Widdop RE. AT2R stimulation causes neuroprotection in a conscious rat model of stroke. Stroke. 2009;40:1482–9. The first proof of principal study that direct AT 2 R is stroke protective.
40.•
Zurück zum Zitat McCarthy C, Vinh A, Broughton B, Sobey CG, Callaway J, et al. Angiotensin II type 2 receptor stimulation initiated after stroke causes neuroprotection in conscious rats. Hypertension. 2012;60:1531–7. The first report that direct AT 2 R stimulation after stroke reduces the severity of brain damage. McCarthy C, Vinh A, Broughton B, Sobey CG, Callaway J, et al. Angiotensin II type 2 receptor stimulation initiated after stroke causes neuroprotection in conscious rats. Hypertension. 2012;60:1531–7. The first report that direct AT 2 R stimulation after stroke reduces the severity of brain damage.
41.
Zurück zum Zitat Lee S, Brait VH, Arumugam TV, Evans MA, Kim HA, et al. Neuroprotective effect of an angiotensin receptor type 2 agonist following cerebral ischemia in vitro and in vivo. Exp Transl Stroke Med. 2012;4:16–25.PubMedCentralPubMedCrossRef Lee S, Brait VH, Arumugam TV, Evans MA, Kim HA, et al. Neuroprotective effect of an angiotensin receptor type 2 agonist following cerebral ischemia in vitro and in vivo. Exp Transl Stroke Med. 2012;4:16–25.PubMedCentralPubMedCrossRef
42.
Zurück zum Zitat Rehman A, Leibowitz A, Yamamoto N, Rautureau Y, Paradis P, et al. Angiotensin type 2 receptor agonist compound 21 reduces vascular injury and myocardial fibrosis in stroke-prone spontaneously hypertensive rats. Hypertension. 2012;59:291–9.PubMedCrossRef Rehman A, Leibowitz A, Yamamoto N, Rautureau Y, Paradis P, et al. Angiotensin type 2 receptor agonist compound 21 reduces vascular injury and myocardial fibrosis in stroke-prone spontaneously hypertensive rats. Hypertension. 2012;59:291–9.PubMedCrossRef
43.
Zurück zum Zitat Kaschina E, Grzesiak A, Li J, Foryst-Ludwig A, Timm M, et al. Angiotensin II type 2 receptor stimulation: a novel option of therapeutic interference with the renin-angiotensin system in myocardial infarction? Circulation. 2008;118:2523–32.PubMedCrossRef Kaschina E, Grzesiak A, Li J, Foryst-Ludwig A, Timm M, et al. Angiotensin II type 2 receptor stimulation: a novel option of therapeutic interference with the renin-angiotensin system in myocardial infarction? Circulation. 2008;118:2523–32.PubMedCrossRef
44.••
Zurück zum Zitat Joseph JP, Mecca AP, Regenhardt RW, Bennion DM, Rodriguez V, et al. The angiotensin type 2 receptor agonist Compound 21 elicits cerebroprotection in endothelin-1 induced ischemic stroke. Neuropharmacol. 2014;81:134–41. The first study to demonstrate stroke protection with C21 in normotensive rats.CrossRef Joseph JP, Mecca AP, Regenhardt RW, Bennion DM, Rodriguez V, et al. The angiotensin type 2 receptor agonist Compound 21 elicits cerebroprotection in endothelin-1 induced ischemic stroke. Neuropharmacol. 2014;81:134–41. The first study to demonstrate stroke protection with C21 in normotensive rats.CrossRef
45.••
Zurück zum Zitat McCarthy C, Vinh A, Miller AA, Hallberg A, Alterman M, et al. Direct angiotensin AT2 receptor stimulation using a novel AT2 receptor agonist, Compound 21, evokes neuroprotection in conscious hypertensive rats. PLoS One. 2014;9(4):e95762. First report that treatment with C21, even up to 6 hours after stroke, is protective in conscious hypertensive rats. McCarthy C, Vinh A, Miller AA, Hallberg A, Alterman M, et al. Direct angiotensin AT2 receptor stimulation using a novel AT2 receptor agonist, Compound 21, evokes neuroprotection in conscious hypertensive rats. PLoS One. 2014;9(4):e95762. First report that treatment with C21, even up to 6 hours after stroke, is protective in conscious hypertensive rats.
46.••
Zurück zum Zitat Min LJ, Mogi M, Tsukuda K, Jing F, Ohshima K, et al. Direct Stimulation of Angiotensin II Type 2 Receptor Initiated After Stroke Ameliorates Ischemic Brain Damage. Am J Hypertens. 2014, Feb 26 [Epub ahead of print]. First study to demonstrate stroke protection with C21 in mice. Min LJ, Mogi M, Tsukuda K, Jing F, Ohshima K, et al. Direct Stimulation of Angiotensin II Type 2 Receptor Initiated After Stroke Ameliorates Ischemic Brain Damage. Am J Hypertens. 2014, Feb 26 [Epub ahead of print]. First study to demonstrate stroke protection with C21 in mice.
47.
Zurück zum Zitat Vincent JM, Kwan YW, Chan SL, Perrin-Sarrado C, Atkinson J, et al. Constrictor and dilator effects of angiotensin II on cerebral arterioles. Stroke. 2005;36:2692–5.CrossRef Vincent JM, Kwan YW, Chan SL, Perrin-Sarrado C, Atkinson J, et al. Constrictor and dilator effects of angiotensin II on cerebral arterioles. Stroke. 2005;36:2692–5.CrossRef
48.
Zurück zum Zitat Rompe F, Artuc M, Hallberg A, Alterman M, Stroder K, et al. Direct angiotensin II type 2 receptor stimulation acts anti-inflammatory through epoxyeicosatrienoic acid and inhibition of nuclear factor kappaB. Hypertension. 2010;55:924–31.PubMedCrossRef Rompe F, Artuc M, Hallberg A, Alterman M, Stroder K, et al. Direct angiotensin II type 2 receptor stimulation acts anti-inflammatory through epoxyeicosatrienoic acid and inhibition of nuclear factor kappaB. Hypertension. 2010;55:924–31.PubMedCrossRef
49.
Zurück zum Zitat Zhao Y, Foryst-Ludwig A, Bruemmer D, Culman J, Bader M, et al. Angiotensin II induces peroxisome proliferator-activated receptor gamma in PC12W cells via angiotensin type 2 receptor activation. J Neurochem. 2005;94:1395–401.PubMedCrossRef Zhao Y, Foryst-Ludwig A, Bruemmer D, Culman J, Bader M, et al. Angiotensin II induces peroxisome proliferator-activated receptor gamma in PC12W cells via angiotensin type 2 receptor activation. J Neurochem. 2005;94:1395–401.PubMedCrossRef
50.
Zurück zum Zitat Sumners C, Horiuchi M, Widdop RE, McCarthy C, Unger T, et al. Protective arms of the renin-angiotensin-system in neurological disease. Clin Exp Pharmacol Physiol. 2013;40:580–8.PubMedCrossRef Sumners C, Horiuchi M, Widdop RE, McCarthy C, Unger T, et al. Protective arms of the renin-angiotensin-system in neurological disease. Clin Exp Pharmacol Physiol. 2013;40:580–8.PubMedCrossRef
51.
Zurück zum Zitat Benicky J, Sanchez-Lemus E, Honda M, Pang T, Orecna M, et al. Angiotensin II AT1 receptor blockade ameliorates brain inflammation. Neuropsychopharmacology. 2011;36:857–70. Benicky J, Sanchez-Lemus E, Honda M, Pang T, Orecna M, et al. Angiotensin II AT1 receptor blockade ameliorates brain inflammation. Neuropsychopharmacology. 2011;36:857–70.
52.
Zurück zum Zitat McCarthy CA, Widdop RE, Deliyanti D, Wilkinson-Berka JL. Brain and retinal microglia in health and disease: an unrecognized target of the renin-angiotensin system. Clin Exp Pharmacol Physiol. 2013;40:571–9.PubMedCrossRef McCarthy CA, Widdop RE, Deliyanti D, Wilkinson-Berka JL. Brain and retinal microglia in health and disease: an unrecognized target of the renin-angiotensin system. Clin Exp Pharmacol Physiol. 2013;40:571–9.PubMedCrossRef
53.
Zurück zum Zitat Block ML, Zecca L, Hong JS. Microglia-mediated neurotoxicity: uncovering the molecular mechanisms. Nat Rev Neurosci. 2007;8:57–69.PubMedCrossRef Block ML, Zecca L, Hong JS. Microglia-mediated neurotoxicity: uncovering the molecular mechanisms. Nat Rev Neurosci. 2007;8:57–69.PubMedCrossRef
54.
Zurück zum Zitat Iwanami J, Mogi M, Tsukuda K, Min L, Sakata A. Deletion of angiotensin II type 2 receptor attenuates protective effects of bone marrow stromal cell treatment on ischemia-reperfusion brain injury in mice. Stroke. 2008;39:2554–9.PubMedCrossRef Iwanami J, Mogi M, Tsukuda K, Min L, Sakata A. Deletion of angiotensin II type 2 receptor attenuates protective effects of bone marrow stromal cell treatment on ischemia-reperfusion brain injury in mice. Stroke. 2008;39:2554–9.PubMedCrossRef
55.
Zurück zum Zitat Iwanami J, Mogi M, Tsukuda K, Min L, Sakata A, et al. Effect of angiotensin II type 2 receptor deletion in hematopoietic cells on brain ischemia- reperfusion injury. Hypertension. 2011;58:404–9.PubMedCrossRef Iwanami J, Mogi M, Tsukuda K, Min L, Sakata A, et al. Effect of angiotensin II type 2 receptor deletion in hematopoietic cells on brain ischemia- reperfusion injury. Hypertension. 2011;58:404–9.PubMedCrossRef
56.
Zurück zum Zitat Chen J, Zhao Y, Chen S, Wang J, Xiao X, et al. Neuronal over-expression of ACE2 protects brain from ischemia-induced damage. Neuropharmacology. 2014;79C:550–8.CrossRef Chen J, Zhao Y, Chen S, Wang J, Xiao X, et al. Neuronal over-expression of ACE2 protects brain from ischemia-induced damage. Neuropharmacology. 2014;79C:550–8.CrossRef
57.
Zurück zum Zitat Lu J, Jiang T, Wu L, Gao L, Wang Y, et al. The expression of angiotensin-converting enzyme 2-angiotensin-(1-7)-Mas receptor axis are upregulated after acute cerebral ischemic stroke in rats. Neuropeptides. 2013;47:289–95.PubMedCrossRef Lu J, Jiang T, Wu L, Gao L, Wang Y, et al. The expression of angiotensin-converting enzyme 2-angiotensin-(1-7)-Mas receptor axis are upregulated after acute cerebral ischemic stroke in rats. Neuropeptides. 2013;47:289–95.PubMedCrossRef
58.•
Zurück zum Zitat Mecca AP, Regenhardt RW, O’Connor TE, Joseph JP, Raizada MK, et al. Cerebroprotection by angiotensin-(1-7) in endothelin-1-induced ischaemic stroke. Exp Physiol. 2011;96:1084–96. First report that that Ang 1-7 is beneficial in the context of stroke.PubMedCentralPubMed Mecca AP, Regenhardt RW, O’Connor TE, Joseph JP, Raizada MK, et al. Cerebroprotection by angiotensin-(1-7) in endothelin-1-induced ischaemic stroke. Exp Physiol. 2011;96:1084–96. First report that that Ang 1-7 is beneficial in the context of stroke.PubMedCentralPubMed
59.••
Zurück zum Zitat Regenhardt RW, Mecca AP, Desland F, Ritucci-Chinni PF, Ludin JA, et al. Centrally administered angiotensin-(1-7) increases the survival of stroke-prone spontaneously hypertensive rats. Exp Physiol. 2014;99:442–53. First demonstration that Ang 1-7 is protective in a chronic model of stroke.PubMedCrossRef Regenhardt RW, Mecca AP, Desland F, Ritucci-Chinni PF, Ludin JA, et al. Centrally administered angiotensin-(1-7) increases the survival of stroke-prone spontaneously hypertensive rats. Exp Physiol. 2014;99:442–53. First demonstration that Ang 1-7 is protective in a chronic model of stroke.PubMedCrossRef
60.
Zurück zum Zitat Sampaio WO, Nascimento AA, Santos RA. Systemic and regional hemodynamic effects of angiotensin-(1-7) in rats. Am J Physiol Heart Circ Physiol. 2003;284:H1985–94.PubMed Sampaio WO, Nascimento AA, Santos RA. Systemic and regional hemodynamic effects of angiotensin-(1-7) in rats. Am J Physiol Heart Circ Physiol. 2003;284:H1985–94.PubMed
61.
Zurück zum Zitat Feterik K, Smith L, Katusic ZS. Angiotensin-(1-7) causes endothelium-dependent relaxation in canine middle cerebral artery. Brain Res. 2000;873:75–82.PubMedCrossRef Feterik K, Smith L, Katusic ZS. Angiotensin-(1-7) causes endothelium-dependent relaxation in canine middle cerebral artery. Brain Res. 2000;873:75–82.PubMedCrossRef
62.
Zurück zum Zitat Bosnyak S, Jones ES, Christopoulos A, Aguilar MI, Thomas WG, et al. Relative affinity of angiotensin peptides and novel ligands at AT1 and AT2 receptors. Clin Sci (Lond). 2011;121:297–303. Bosnyak S, Jones ES, Christopoulos A, Aguilar MI, Thomas WG, et al. Relative affinity of angiotensin peptides and novel ligands at AT1 and AT2 receptors. Clin Sci (Lond). 2011;121:297–303.
63.
Zurück zum Zitat Santos RA, Ferreira AJ, Verano-Braga T, Bader M. Angiotensin-converting enzyme 2, angiotensin-(1-7) and Mas: new players of the renin-angiotensin system. J Endocrinol. 2013;216:R1–R17.PubMedCrossRef Santos RA, Ferreira AJ, Verano-Braga T, Bader M. Angiotensin-converting enzyme 2, angiotensin-(1-7) and Mas: new players of the renin-angiotensin system. J Endocrinol. 2013;216:R1–R17.PubMedCrossRef
64.
Zurück zum Zitat Xu P, Sriramula S, Lazartigues E. ACE2/ANG-(1-7)/Mas pathway in the brain: the axis of good. Am J Physiol Regul Integr Comp Physiol. 2011;300:R804–17.PubMedCentralPubMedCrossRef Xu P, Sriramula S, Lazartigues E. ACE2/ANG-(1-7)/Mas pathway in the brain: the axis of good. Am J Physiol Regul Integr Comp Physiol. 2011;300:R804–17.PubMedCentralPubMedCrossRef
65.
Zurück zum Zitat Becker LK, Etelvino GM, Walther T, Santos RA, Campagnole-Santos MJ. Immunofluorescence localization of the receptor Mas in cardiovascular-related areas of the rat brain. Am J Physiol Heart Circ Physiol. 2007;293:H1416–24.PubMedCrossRef Becker LK, Etelvino GM, Walther T, Santos RA, Campagnole-Santos MJ. Immunofluorescence localization of the receptor Mas in cardiovascular-related areas of the rat brain. Am J Physiol Heart Circ Physiol. 2007;293:H1416–24.PubMedCrossRef
66.
Zurück zum Zitat Regenhardt RW, Bennion DM, Sumners C. Cerebroprotective action of angiotensin peptides in stroke. Clin Sci (Lond). 2014;126:195–205.CrossRef Regenhardt RW, Bennion DM, Sumners C. Cerebroprotective action of angiotensin peptides in stroke. Clin Sci (Lond). 2014;126:195–205.CrossRef
67.
Zurück zum Zitat Regenhardt RW, Desland F, Mecca AP, Pioquinto DJ, Afzal A, et al. Anti-inflammatory effects of angiotensin-(1-7) in ischemic stroke. Neuropharmacology. 2013;71:154–63.PubMedCrossRef Regenhardt RW, Desland F, Mecca AP, Pioquinto DJ, Afzal A, et al. Anti-inflammatory effects of angiotensin-(1-7) in ischemic stroke. Neuropharmacology. 2013;71:154–63.PubMedCrossRef
68.
Zurück zum Zitat Jiang T, Gao L, Shi J, Lu J, Wang Y, et al. Angiotensin-(1-7) modulates renin-angiotensin system associated with reducing oxidative stress and attenuating neuronal apoptosis in the brain of hypertensive rats. Pharmacol Res. 2013;67:84–93.PubMedCrossRef Jiang T, Gao L, Shi J, Lu J, Wang Y, et al. Angiotensin-(1-7) modulates renin-angiotensin system associated with reducing oxidative stress and attenuating neuronal apoptosis in the brain of hypertensive rats. Pharmacol Res. 2013;67:84–93.PubMedCrossRef
69.
Zurück zum Zitat Walters PE, Gaspari TA, Widdop RE. Angiotensin-(1-7) acts as a vasodepressor agent via angiotensin II type 2 receptors in conscious rats. Hypertension. 2005;45:960–6.PubMedCrossRef Walters PE, Gaspari TA, Widdop RE. Angiotensin-(1-7) acts as a vasodepressor agent via angiotensin II type 2 receptors in conscious rats. Hypertension. 2005;45:960–6.PubMedCrossRef
70.
Zurück zum Zitat Keller SR, Scott HM, Mastick CC, Aebersold R, Lienhard GE. Cloning and characterization of a novel insulin-regulated membrane aminopeptidase from Glut4 vesicles. J Biol Chem. 1995;270:23612–8.PubMedCrossRef Keller SR, Scott HM, Mastick CC, Aebersold R, Lienhard GE. Cloning and characterization of a novel insulin-regulated membrane aminopeptidase from Glut4 vesicles. J Biol Chem. 1995;270:23612–8.PubMedCrossRef
71.
Zurück zum Zitat Albiston AL, McDowall SG, Matsacos D, Sim P, Clune E, et al. Evidence that the angiotensin IV (AT(4)) receptor is the enzyme insulin-regulated aminopeptidase. J Biol Chem. 2001;276:48623–6.PubMedCrossRef Albiston AL, McDowall SG, Matsacos D, Sim P, Clune E, et al. Evidence that the angiotensin IV (AT(4)) receptor is the enzyme insulin-regulated aminopeptidase. J Biol Chem. 2001;276:48623–6.PubMedCrossRef
72.
Zurück zum Zitat Fernando RN, Albiston AL, Chai SY. The insulin-regulated aminopeptidase IRAP is colocalised with GLUT4 in the mouse hippocampus–potential role in modulation of glucose uptake in neurones? Eur J Neurosci. 2008;28:588–98.PubMedCrossRef Fernando RN, Albiston AL, Chai SY. The insulin-regulated aminopeptidase IRAP is colocalised with GLUT4 in the mouse hippocampus–potential role in modulation of glucose uptake in neurones? Eur J Neurosci. 2008;28:588–98.PubMedCrossRef
73.
Zurück zum Zitat Faure S, Chapot R, Tallet D, Javellaud J, Achard JM, et al. Cerebroprotective effect of angiotensin IV in experimental ischemic stroke in the rat mediated by AT(4) receptors. J Physiol Pharmacol. 2006;57:329–42.PubMed Faure S, Chapot R, Tallet D, Javellaud J, Achard JM, et al. Cerebroprotective effect of angiotensin IV in experimental ischemic stroke in the rat mediated by AT(4) receptors. J Physiol Pharmacol. 2006;57:329–42.PubMed
74.••
Zurück zum Zitat Pham V, Albiston AL, Downes CE, Wong CH, Diwakarla S, et al. Insulin-regulated aminopeptidase deficiency provides protection against ischemic stroke in mice. J Neurotrauma. 2012;29:1243–8. Proof of principal study showing that inhibition of IRAP signalling reduces stroke damage.PubMedCrossRef Pham V, Albiston AL, Downes CE, Wong CH, Diwakarla S, et al. Insulin-regulated aminopeptidase deficiency provides protection against ischemic stroke in mice. J Neurotrauma. 2012;29:1243–8. Proof of principal study showing that inhibition of IRAP signalling reduces stroke damage.PubMedCrossRef
75.
Zurück zum Zitat Andersson H, Hallberg M. Discovery of inhibitors of insulin-regulated aminopeptidase as cognitive enhancers. Int J Hypertens. 2012;789671:18. Andersson H, Hallberg M. Discovery of inhibitors of insulin-regulated aminopeptidase as cognitive enhancers. Int J Hypertens. 2012;789671:18.
Metadaten
Titel
The Protective Arms of the Renin-Angiontensin System in Stroke
verfasst von
Claudia A. McCarthy
Lachlan J. Facey
Robert E. Widdop
Publikationsdatum
01.07.2014
Verlag
Springer US
Erschienen in
Current Hypertension Reports / Ausgabe 7/2014
Print ISSN: 1522-6417
Elektronische ISSN: 1534-3111
DOI
https://doi.org/10.1007/s11906-014-0440-1

Weitere Artikel der Ausgabe 7/2014

Current Hypertension Reports 7/2014 Zur Ausgabe

Hypertension and the Heart (SD Solomon and O Vardeny, Section Editors)

Cardiac Target Organ Damage in Hypertension: Insights from Epidemiology

Antihypertensive Agents: Mechanisms of Drug Action (ME Ernst, Section Editor)

Individualizing Antihypertensive Combination Therapies: Clinical and Hemodynamic Considerations

Secondary Hypertension: Nervous System Mechanisms (J Bisognano, Section Editor)

Diagnosis and Management of Pheochromocytoma: A Practical Guide to Clinicians

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Herzinfarkt mit 85 – trotzdem noch intensive Lipidsenkung?

16.05.2024 Hypercholesterinämie Nachrichten

Profitieren nach einem akuten Myokardinfarkt auch Betroffene über 80 Jahre noch von einer intensiven Lipidsenkung zur Sekundärprävention? Um diese Frage zu beantworten, wurden jetzt Registerdaten aus Frankreich ausgewertet.

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Erstmanifestation eines Diabetes-Typ-1 bei Kindern: Ein Notfall!

16.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Manifestiert sich ein Typ-1-Diabetes bei Kindern, ist das ein Notfall – ebenso wie eine diabetische Ketoazidose. Die Grundsäulen der Therapie bestehen aus Rehydratation, Insulin und Kaliumgabe. Insulin ist das Medikament der Wahl zur Behandlung der Ketoazidose.

CKD bei Diabetes: Neuheiten und Zukunftsaussichten

16.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Jeder Mensch mit Diabetes muss auf eine chronische Nierenerkrankung gescreent werden – diese neue Empfehlung spricht die KDIGO aus. Die Therapie erfolgt individuell und je nach Szenario mit verschiedenen Substanzklassen. Künftig kommt wahrscheinlich, neben RAS-Hemmung, SGLT2-Inhibition und nsMRA, eine vierte Therapiesäule hinzu.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.