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大脑肾素-血管紧张素系统:批判性分析

The brain renin-angiotensin system: a critical analysis.

作者信息

Reid I A

出版信息

Fed Proc. 1979 Aug;38(9):2255-9.

PMID:456611
Abstract

The concept of a brain renin-angiotensin system originated with the observation that the components necessary for the formation of angiotensin II are present in the central nervous system. This observation has been confirmed and extended, and it is now frequently assumed that there is a functional brain renin-angiotensin system. However, careful analysis of the available evidence has revealed a number of significant problems. It appears that most of the renin-like activity measured in extracts of brain is due to the acid protease cathepsin D; this is unlikely to function as an angiotensin-forming enzyme in vivo. Experiments involving central administration of renin substrate have not provided convincing evidence for a significant renin-renin substrate interaction in vivo. Attempts to demonstrate the presence of angiotensin in the brain have been plagued with problems of specificity and it is still not clear if the peptide is actually present in the central nervous system. These problems do not rule out the possibility that there is a brain renin-angiotensin system, but more definitive evidence is required before it can be concluded that such a tensin system exists.

摘要

脑肾素-血管紧张素系统的概念源于这样的观察:血管紧张素II形成所需的成分存在于中枢神经系统中。这一观察结果已得到证实和扩展,现在人们常常认为存在一个功能性的脑肾素-血管紧张素系统。然而,对现有证据的仔细分析揭示了一些重大问题。看来,在脑提取物中测得的大多数肾素样活性是由于酸性蛋白酶组织蛋白酶D;这在体内不太可能作为一种血管紧张素形成酶发挥作用。涉及向中枢给予肾素底物的实验尚未为体内显著的肾素-肾素底物相互作用提供令人信服的证据。证明脑中存在血管紧张素的尝试一直受到特异性问题的困扰,目前仍不清楚该肽是否真的存在于中枢神经系统中。这些问题并不排除存在脑肾素-血管紧张素系统的可能性,但在得出这样一个紧张素系统存在的结论之前,还需要更确凿的证据。

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