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血管紧张素 II 阻断:通过保护线粒体减缓衰老的策略?

Angiotensin II blockade: a strategy to slow ageing by protecting mitochondria?

机构信息

Center of Hypertension, Cardiology Department, Austral University Hospital, Derqui, Argentina.

出版信息

Cardiovasc Res. 2011 Jan 1;89(1):31-40. doi: 10.1093/cvr/cvq285. Epub 2010 Sep 6.

Abstract

Protein and lipid oxidation-mainly by mitochondrial reactive oxygen species (mtROS)-was proposed as a crucial determinant of health and lifespan. Angiotensin II (Ang II) enhances ROS production by activating NAD(P)H oxidase and uncoupling endothelial nitric oxide synthase (NOS). Ang II also stimulates mtROS production, which depresses mitochondrial energy metabolism. In rodents, renin-angiotensin system blockade (RAS blockade) increases survival and prevents age-associated changes. RAS blockade reduces mtROS and enhances mitochondrial content and function. This suggests that Ang II contributes to the ageing process by prompting mitochondrial dysfunction. Since Ang II is a pleiotropic peptide, the age-protecting effects of RAS blockade are expected to involve a variety of other mechanisms. Caloric restriction (CR)-an age-retarding intervention in humans and animals-and RAS blockade display a number of converging effects, i.e. they delay the manifestations of hypertension, diabetes, nephropathy, cardiovascular disease, and cancer; increase body temperature; reduce body weight, plasma glucose, insulin, and insulin-like growth factor-1; ameliorate insulin sensitivity; lower protein, lipid, and DNA oxidation, and mitochondrial H(2)O(2) production; and increase uncoupling protein-2 and sirtuin expression. A number of these overlapping effects involve changes in mitochondrial function. In CR, peroxisome proliferator-activated receptors (PPARs) seem to contribute to age-retardation partly by regulating mitochondrial function. RAS inhibition up-regulates PPARs; therefore, it is feasible that PPAR modulation is pivotal for mitochondrial protection by RAS blockade during rodent ageing. Other potential mechanisms that may underlie RAS blockade's mitochondrial benefits are TGF-β down-regulation and up-regulation of Klotho and sirtuins. In conclusion, the available data suggest that RAS blockade deserves further research efforts to establish its role as a potential tool to mitigate the growing problem of age-associated chronic disease.

摘要

蛋白质和脂质氧化——主要通过线粒体活性氧(mtROS)——被认为是健康和寿命的关键决定因素。血管紧张素 II(Ang II)通过激活 NAD(P)H 氧化酶和分离内皮型一氧化氮合酶(NOS)来增强 ROS 的产生。Ang II 还刺激 mtROS 的产生,从而抑制线粒体能量代谢。在啮齿动物中,肾素-血管紧张素系统阻断(RAS 阻断)可提高存活率并预防与年龄相关的变化。RAS 阻断可减少 mtROS 并增强线粒体含量和功能。这表明 Ang II 通过促使线粒体功能障碍导致衰老过程。由于 Ang II 是一种多效肽,因此 RAS 阻断的抗衰老作用预计涉及多种其他机制。热量限制(CR)——人类和动物延缓衰老的干预措施——和 RAS 阻断显示出许多趋同的作用,即它们延迟高血压、糖尿病、肾病、心血管疾病和癌症的表现;提高体温;降低体重、血浆葡萄糖、胰岛素和胰岛素样生长因子-1;改善胰岛素敏感性;降低蛋白质、脂质和 DNA 氧化以及线粒体 H2O2 的产生;增加解偶联蛋白-2 和 Sirtuin 的表达。这些重叠作用中的许多涉及线粒体功能的变化。在 CR 中,过氧化物酶体增殖物激活受体(PPARs)似乎通过调节线粒体功能部分促进衰老延缓。RAS 抑制上调 PPARs;因此,RAS 阻断通过调节线粒体功能在啮齿动物衰老过程中保护线粒体,这可能是 PPAR 调节的关键。RAS 阻断对线粒体有益的其他潜在机制可能是 TGF-β下调和 Klotho 和 Sirtuin 的上调。总之,现有数据表明,RAS 阻断值得进一步研究,以确定其作为减轻与年龄相关的慢性疾病日益增长问题的潜在工具的作用。

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