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New pathways of the renin-angiotensin system: the role of ACE2 in cardiovascular pathophysiology and therapy.

机译:肾素-血管紧张素系统的新途径:ACE2在心血管病理生理和治疗中的作用。

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摘要

IMPORTANCE OF THE FIELD: The renin-angiotensin system (RAS) is nowadays an important target in cardiovascular diseases and we are currently on the verge of a new interpretation of its role in cardiovascular homeostasis, mainly due to the identification of the new axis ACE2/angiotensin 1 - 7/Mas receptor. AREAS COVERED IN THIS REVIEW: The main aspects related to ACE2 role in cardiovascular physiology and possible pathological and therapeutic implications are reviewed. WHAT THE READER WILL GAIN: A description of the new view of the RAS, along with the key findings that support it. In the cardiovascular system, the ACE2/angiotensin 1 - 7/Mas axis, mainly through the inhibition of fibrosis, inflammation, thrombosis and cell proliferation, modulates RAS activity with significant pathophysiological implications in clinical conditions such as hypertension, myocardial ischemia and heart failure. A more complete understanding of this axis has significant therapeutic relevance and a major effort is being carried out in order to pursue this objective. TAKE HOME MESSAGE: There is increasing evidence that ACE2/angiotensin 1 - 7/Mas receptor axis has a key role in RAS activity regulation with significant pathophysiological implications in several disease states. A therapeutic intervention at this level may open new doors and change the current approach to RAS targeting.
机译:领域的重要性:肾素-血管紧张素系统(RAS)是当今心血管疾病的重要靶标,我们目前正处于对其在心血管稳态中作用的新解释的边缘,这主要是由于新轴ACE2 /的识别血管紧张素1-7 / Mas受体。这篇综述涵盖的领域:综述了与ACE2在心血管生理中的作用有关的主要方面以及可能的病理和治疗意义。读者的收获:对RAS的新视图的描述以及支持它的主要发现。在心血管系统中,ACE2 /血管紧张素1-7 / Mas轴主要通过抑制纤维化,炎症,血栓形成和细胞增殖来调节RAS活性,在临床状况如高血压,心肌缺血和心力衰竭中具有重要的病理生理意义。对该轴的更完整的理解具有重要的治疗意义,并且为了实现该目标正在付出巨大的努力。回家消息:越来越多的证据表明ACE2 /血管紧张素1-7 / Mas受体轴在RAS活性调节中起关键作用,在某些疾病状态中具有重要的病理生理意义。在这一水平上的治疗干预可能会打开新的大门,并改变当前针对RAS的方法。

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