Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany (M.B., N.A.).
DZHK (German Center for Cardiovascular Research), Partner Site Berlin, Germany (M.B., N.A.).
Hypertension. 2024 May;81(5):964-976. doi: 10.1161/HYPERTENSIONAHA.123.21364. Epub 2024 Feb 16.
The renin-angiotensin system is the most important peptide hormone system in the regulation of cardiovascular homeostasis. Its classical arm consists of the enzymes, renin, and angiotensin-converting enzyme, generating angiotensin II from angiotensinogen, which activates its AT receptor, thereby increasing blood pressure, retaining salt and water, and inducing cardiovascular hypertrophy and fibrosis. However, angiotensin II can also activate a second receptor, the AT receptor. Moreover, the removal of the C-terminal phenylalanine from angiotensin II by ACE2 (angiotensin-converting enzyme 2) yields angiotensin-(1-7), and this peptide interacts with its receptor Mas. When the aminoterminal Asp of angiotensin-(1-7) is decarboxylated, alamandine is generated, which activates the Mas-related G-protein-coupled receptor D, MrgD (Mas-related G-protein-coupled receptor type D). Since Mas, MrgD, and the AT receptor have opposing effects to the classical AT receptor, they and the enzymes and peptides activating them are called the alternative or protective arm of the renin-angiotensin system. This review will cover the historical aspects and the current standing of this recent addition to the biology of the renin-angiotensin system.
肾素-血管紧张素系统是调节心血管稳态的最重要的肽激素系统。其经典途径由酶肾素和血管紧张素转换酶组成,从血管紧张素原生成血管紧张素 II,激活其 AT 受体,从而升高血压、保留盐和水,并诱导心血管肥大和纤维化。然而,血管紧张素 II 也可以激活第二受体,即 AT 受体。此外,血管紧张素转换酶 2 (ACE2) 可从血管紧张素 II 中去除 C 末端苯丙氨酸,生成血管紧张素-(1-7),该肽与 Mas 受体相互作用。当血管紧张素-(1-7)的氨基末端 Asp 被脱羧时,生成alamandine,激活 Mas 相关 G 蛋白偶联受体 D,MrgD (Mas 相关 G 蛋白偶联受体型 D)。由于 Mas、MrgD 和 AT 受体对经典 AT 受体具有相反的作用,因此它们和激活它们的酶和肽被称为肾素-血管紧张素系统的替代或保护途径。本文将综述肾素-血管紧张素系统生物学中这一最新补充内容的历史方面和当前地位。