Possible inhibition of focal cerebral ischemia by angiotensin II type 2 receptor stimulation

Masaru Iwai1, Hong-Wei Liu, Rui Chen

  • 1Department of Medical Biochemistry, Ehime University School of Medicine, Shigenobu, Onsen-gun, Ehime 791-0295, Japan.

Circulation
|August 4, 2004
PubMed
Abstract

Insights

Angiotensin II type 2 receptor stimulation protects against ischemic brain lesions by modulating cerebral blood flow and superoxide production. Deficiency in this receptor exacerbates stroke damage.

Area of Science:

  • Neuroscience
  • Cardiovascular Research
  • Pharmacology

Background:

  • Investigating the role of angiotensin II receptor subtypes in focal brain ischemia.
  • Middle cerebral artery (MCA) occlusion is a common model for inducing focal brain ischemia.

Purpose of the Study:

  • To determine the protective role of the angiotensin II type 2 receptor (AT2R) in focal brain ischemia.
  • To elucidate the mechanisms underlying AT2R-mediated protection.

Main Methods:

  • Utilizing wild-type (Agtr2+) and AT2R-deficient (Agtr2-) mice subjected to MCA occlusion.
  • Assessing ischemic area, neurological deficits, cerebral blood flow, and superoxide production.
  • Administering an AT1 receptor blocker (valsartan) to evaluate its effects.

Main Results:

  • AT2R deficiency significantly increased ischemic area, neurological deficit, and reduced cerebral blood flow post-MCA occlusion.
  • Superoxide production and NADPH oxidase activity were elevated in the ischemic brains of Agtr2- mice.
  • Valsartan demonstrated protective effects in wild-type mice, which were diminished in Agtr2- mice.

Conclusions:

  • AT2 receptor stimulation confers a protective effect against ischemic brain lesions.
  • This protection is partly mediated by the modulation of cerebral blood flow and superoxide production.
  • Targeting AT2R may represent a therapeutic strategy for ischemic stroke.

Related Concept Videos

Adrenergic Agonists: Indirect-Acting Agents01:25

Adrenergic Agonists: Indirect-Acting Agents

Indirect-acting adrenergic agonists potentiate the effects of endogenous catecholamines through different mechanisms without directly binding to adrenoceptors.
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral...
2.8K
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
2.7K
Antihypertensive Drugs: Angiotensin II Receptor Blockers01:30

Antihypertensive Drugs: Angiotensin II Receptor Blockers

In the renin-angiotensin-aldosterone system, a hormone called angiotensin II plays a crucial role. It binds to the AT1 receptors in vascular smooth muscles coupled with Gq proteins. The activation of these receptors activates an enzyme called phospholipase C, which releases two molecules: inositol trisphosphate and diacylglycerol. These molecules cause a chain reaction that leads to the phosphorylation of myosin light chains and promotes interaction between actin and myosin, leading to smooth...
2.9K
Antihypertensive Drugs: Direct Renin Inhibitors01:25

Antihypertensive Drugs: Direct Renin Inhibitors

The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
1.9K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
1.9K
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
1.8K