Mascareno E, Siddiqui M A
Center for Cardiovascular and Muscle Research, Department of Anatomy and Cell Biology, State University of New York Downstate Medical Center, Brooklyn 11203, USA.
Mol Cell Biochem. 2000 Sep;212(1-2):171-5.
The involvement of the Renin Angiotensin System (RAS) and the role of its primary effector, angiotensin II (Ang II), in etiology of myocardial hypertrophy and ischemia is well documented. In several animal models, the RAS is activated in cardiac cell types that express the receptor AT1, and/or AT2, through which the Ang II mediated effects are promoted. In this article, we briefly review recent experimental evidence on the critical role of a prominent signaling pathway, the Jak/STAT pathway in activation and maintenance of the local RAS in cardiac hypertrophy and ischemia. Recent studies in our laboratory document that the promoter of the prohormone angiotensinogen (Ang) gene serves as the target site for STAT proteins, thereby linking the Jak/STAT pathway to activation of heart tissue autocrine Ang II loop. STAT5A and STAT6, are selectively activated when the heart is subjected to ischemic injury, whereas activation of STAT3 and STAT5A is involved in myocardial hypertrophy. Blockage of RAS activation by treatment with specific inhibitor promotes a remarkable recovery in functional hemodynamics of the myocardium. Thus, activation of selective sets of STAT proteins constitutes the primary signaling event in the pathogenesis of myocardial hypertrophy and ischemia.
肾素血管紧张素系统(RAS)及其主要效应物血管紧张素II(Ang II)在心肌肥大和缺血病因中的作用已有充分记录。在几种动物模型中,RAS在表达受体AT1和/或AT2的心脏细胞类型中被激活,通过这些受体促进Ang II介导的效应。在本文中,我们简要回顾了关于一个重要信号通路——Jak/STAT通路在心脏肥大和缺血中局部RAS激活和维持的关键作用的最新实验证据。我们实验室最近的研究表明,激素原血管紧张素原(Ang)基因的启动子是STAT蛋白的靶位点,从而将Jak/STAT通路与心脏组织自分泌Ang II环的激活联系起来。当心脏受到缺血损伤时,STAT5A和STAT6被选择性激活,而STAT3和STAT5A的激活则与心肌肥大有关。用特异性抑制剂治疗阻断RAS激活可促进心肌功能血流动力学的显著恢复。因此,选择性STAT蛋白的激活构成了心肌肥大和缺血发病机制中的主要信号事件。