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[肾素作为动脉高血压直接药理阻断的靶点]

[Renin as a target of direct pharmacological block in arterial hypertension].

作者信息

Mukhin N A, Fomin V V

出版信息

Ter Arkh. 2009;81(8):5-9.

Abstract

Renin is a basic component of renin-angiotensin-aldosteron system which contributes much to the activity of this system. Renin and its precursor prorenin can interact with prorenin receptors thus inducing hypertrophy and fibrogenesis in target tissues. Many variants of arterial hypertension are associated with plasmic renin activation suggesting high efficacy of direct renin inhibitors. Large controlled clinical trials demonstrated that one of such inhibitors, aliskiren, reduces high blood pressure and damage to target organs.

摘要

肾素是肾素-血管紧张素-醛固酮系统的基本组成部分,对该系统的活性起重要作用。肾素及其前体肾素原可与肾素原受体相互作用,从而诱导靶组织肥大和纤维化。许多高血压变体与血浆肾素激活有关,这表明直接肾素抑制剂具有高效性。大型对照临床试验表明,其中一种抑制剂阿利吉仑可降低高血压并减轻对靶器官的损害。

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