[Relationship between the central renin-angiotensin system, stress and hypertension]

The dynamic regulation of neurotransmitters and their receptors is an important component of the process of coping and stress adaptation. Among the central neurochemical systems, CRF and the renin-angiotensin may represent major modulatory systems involved in the adaptation of an organism to chronic stress, balancing the response demands that the stressor places on the central nervous system with the potentially detrimental effects that a sustained stress response may produce. As such, the study of these two systems with respect to their neurotransmitters and receptors will allow us to achieve a better perspective on the mechanisms responsible for effective short-term coping with stress as well as long-term adaptation and restoration in response to chronic or repeated stress. It will then be possible to verify the level of activation of different components of the central pathways involved in the mediation of stress responses in rat strains which develop hypertension following chronic exposure to stress. The primary objective of the present paper is to review some facts on the contribution of the central renin-angiotensin system on the regulatory mechanisms involved in the mediation of physiological responses to stress and on the involvement of these neurons in the CNS adaptation in rat strains that are developing hypertension when chronically exposed to stress. Neurons that are expressing angiotensin-receptors may be important in the short-term adaptation to stress by potentiating sympathoadrenal and/or hypophyseo-pituitary-adrenal responses. These same neurons may also participate in long-term stress-adaptation by altering gene expression of their angiotensin receptors. Moreover, these processes represent potential points of dysregulation in the case of extreme, repeated or prolonged stress, and thus in the development of stress-related pathological states such as hypertension and heart diseases.