Erschienen in:
01.06.2017 | Secondary Hypertension: Nervous System Mechanisms (M Wyss, Section Editor)
Protective Angiotensin Type 2 Receptors in the Brain and Hypertension
verfasst von:
Annette D. de Kloet, Ulrike M. Steckelings, Colin Sumners
Erschienen in:
Current Hypertension Reports
|
Ausgabe 6/2017
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Abstract
Purpose of Review
The goal of this review is to assess the evidence that activation of angiotensin type 2 receptors (AT2R) in the brain can lower blood pressure and possibly constitute an endogenous anti-hypertensive mechanism.
Recent Findings
Recent studies that detail the location of AT2R in the brain, particularly within or near cardiovascular control centers, mesh well with findings from pharmacological and gene transfer studies which demonstrate that activation of central AT2R can influence cardiovascular regulation. Collectively, these studies indicate that selective activation of brain AT2R causes moderate decreases in blood pressure in normal animals and more profound anti-hypertensive effects, along with restoration of baroreflex function, in rodent models of neurogenic hypertension.
Summary
These findings have opened the door to studies that can (i) assess the role of specific AT2R neuron populations in depressing blood pressure, (ii) determine the relevance of such mechanisms, and (iii) investigate interactions between AT2R and depressor angiotensin-(1-7)/Mas mechanisms in the brain.