Patzak Andreas, Persson A Erik G
Johannes-Müller-Institute of Physiology, Humboldt-University of Berlin, University Hospital Charité, Berlin, Germany.
Curr Opin Nephrol Hypertens. 2007 Jan;16(1):46-51. doi: 10.1097/MNH.0b013e328011a89b.
PURPOSE OF REVIEW: The balance of angiotensin II and nitric oxide determines the sensitivity of the tubuloglomerular feedback mechanism, renal vascular resistance and filtration rate. Angiotensin II induces nitric oxide release, but the role of angiotensin II receptors here is not fully understood. Further, the angiotensin II-nitric oxide interaction can be modulated by reactive oxygen species. This review focuses on the angiotensin II-nitric oxide interaction and their modulation by reactive oxygen species in the control of renal blood flow. RECENT FINDINGS: Ideas about the role of angiotensin II type 1 and angiotensin II type 2 receptors are extended by the observation of angiotensin II type 1-mediated nitric oxide release with direct effects on vascular tone, tubuloglomerular feedback and sympathetic neurotransmission. Angiotensin receptors elicit disparate effects on intrarenal circulation. Angiotensin II-nitric oxide interactions are modulated by reactive oxygen species, as shown by angiotensin II type 1-mediated activation of superoxide and depression of antioxidant enzymes leading to reduced nitric oxide concentration - mechanisms that may be also important in angiotensin II-dependent hypertension. SUMMARY: Recent studies show that angiotensin II stimulates the nitric oxide system via angiotensin II type 1 and angiotensin II type 2 receptors, whereas receptors exert different effects on renal and medullary flow. The interaction via angiotensin II type 1 is modulated by reactive oxygen species.
综述目的:血管紧张素II与一氧化氮的平衡决定了肾小管-肾小球反馈机制、肾血管阻力和滤过率的敏感性。血管紧张素II可诱导一氧化氮释放,但其受体在此过程中的作用尚未完全明确。此外,血管紧张素II与一氧化氮的相互作用可受活性氧调节。本综述聚焦于血管紧张素II与一氧化氮的相互作用以及它们在肾血流调控中受活性氧的调节。 最新发现:血管紧张素II 1型受体介导一氧化氮释放,对血管张力、肾小管-肾小球反馈和交感神经传递有直接影响,这一发现拓展了对血管紧张素II 1型和2型受体作用的认识。血管紧张素受体对肾内循环有不同影响。血管紧张素II与一氧化氮的相互作用受活性氧调节,如血管紧张素II 1型受体介导超氧化物激活和抗氧化酶抑制,导致一氧化氮浓度降低,这些机制在血管紧张素II依赖性高血压中可能也很重要。 总结:近期研究表明,血管紧张素II通过血管紧张素II 1型和2型受体刺激一氧化氮系统,而这些受体对肾血流和髓质血流有不同影响。血管紧张素II 1型受体介导的相互作用受活性氧调节。
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