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肾素-血管紧张素系统在缺血性卒中中的治疗潜力

Therapeutic potential of the renin angiotensin system in ischaemic stroke.

作者信息

Arroja Mariana Moreira Coutinho, Reid Emma, McCabe Christopher

机构信息

Institute of Neuroscience and Psychology, College of Medical, Veterinary and Life Sciences, University of Glasgow, Garscube Estate, Glasgow, G61 1QH UK.

出版信息

Exp Transl Stroke Med. 2016 Oct 7;8:8. doi: 10.1186/s13231-016-0022-1. eCollection 2016.

Abstract

The renin angiotensin system (RAS) consists of the systemic hormone system, critically involved in regulation and homeostasis of normal physiological functions [i.e. blood pressure (BP), blood volume regulation], and an independent brain RAS, which is involved in the regulation of many functions such as memory, central control of BP and metabolic functions. In general terms, the RAS consists of two opposing axes; the 'classical axis' mediated primarily by Angiotensin II (Ang II), and the 'alternative axis' mediated mainly by Angiotensin-(1-7) (Ang-(1-7)). An imbalance of these two opposing axes is thought to exist between genders and is thought to contribute to the pathology of cardiovascular conditions such as hypertension, a stroke co-morbidity. Ischaemic stroke pathophysiology has been shown to be influenced by components of the RAS with specific RAS receptor antagonists and agonists improving outcome in experimental models of stroke. Manipulation of the two opposing axes following acute ischaemic stroke may provide an opportunity for protection of the neurovascular unit, particularly in the presence of pre-existing co-morbidities where the balance may be shifted. In the present review we will give an overview of the experimental stroke studies that have investigated pharmacological interventions of the RAS.

摘要

肾素-血管紧张素系统(RAS)由全身激素系统和独立的脑RAS组成,全身激素系统对正常生理功能(如血压(BP)、血容量调节)的调节和稳态至关重要,脑RAS则参与记忆、血压中枢控制和代谢功能等多种功能的调节。一般来说,RAS由两个相互对立的轴组成;主要由血管紧张素II(Ang II)介导的“经典轴”和主要由血管紧张素-(1-7)(Ang-(1-7))介导的“替代轴”。这两个相互对立的轴之间的失衡被认为在性别之间存在,并被认为是高血压等心血管疾病病理的一个促成因素,高血压是中风的一种共病。缺血性中风的病理生理学已被证明受RAS成分的影响,特定的RAS受体拮抗剂和激动剂可改善中风实验模型的预后。急性缺血性中风后对这两个相互对立的轴进行调控,可能为保护神经血管单元提供机会,特别是在存在预先存在的共病且平衡可能发生改变的情况下。在本综述中,我们将概述研究RAS药理学干预的实验性中风研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/725f/5054604/2967add5880c/13231_2016_22_Fig1_HTML.jpg

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