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Updated: Aug 9, 2026

Receptor Autoradiography Protocol for the Localized Visualization of Angiotensin II Receptors
Published on: June 7, 2016
Angiotensin-sympathetic system interactions in cardiovascular and metabolic disease
Giuseppe Mancia1, Raffaella Dell'Oro, Fosca Quarti-Trevano
1Clinica Medica, Dipartimento Universitario di Medicina Clinica, Prevenzione e Biotecnologie Sanitarie, Ospedale S. Gerardo dei Tintori (Monza), Università Milano Bicocca, Milan, Italy. guiseppe.mancia@unimib.it
Insights
The renin-angiotensin axis and sympathetic nervous system interact to regulate blood pressure. Blocking this interaction benefits cardiovascular and metabolic health.
Area of Science:
- Cardiovascular Physiology
- Neuroendocrinology
Background:
- Blood pressure and volume homeostasis are significantly influenced by the renin-angiotensin axis and sympathetic nervous system.
- Complex interactions between these systems are crucial for homeostatic modulation.
Purpose of the Study:
- Review the physiological and pathophysiological relevance of angiotensin-sympathetic crosstalk.
- Examine the clinical significance of these interactions in various diseases.
- Investigate the effects of angiotensin II on adrenergic function as potential therapeutic targets.
Main Methods:
- Literature review of physiological, pathophysiological, and clinical data.
- Analysis of interactions between the renin-angiotensin axis and sympathetic nervous system.
- Examination of therapeutic implications of targeting these pathways.
Main Results:
- Angiotensin-sympathetic crosstalk plays a key role in cardiovascular regulation.
- Interactions are relevant in both cardiovascular and non-cardiovascular diseases.
- Angiotensin II influences adrenergic function, offering therapeutic targets.
Conclusions:
- Blocking the renin-angiotensin system favorably impacts hemodynamic, metabolic, and renal profiles.
- These interventions are important for treating hypertension, heart failure, renal insufficiency, and metabolic syndrome.
Background:
Blood pressure, as well as blood volume homeostasis, depends to a large extent on humoral influences stemming from the renin-angiotensin axis and the sympathetic nervous system. Evidence has been provided that a large part of this homeostatic modulation is effected by the complex interactions between the two systems.
Objectives:
The present review will focus on three major issues. First it will examine the physiological and pathophysiological relevance of angiotensin-sympathetic crosstalk discussing possible sites, mechanisms and effects of the interaction. It will then address the clinical relevance of these inter-relationships by reviewing data collected in cardiovascular and non-cardiovascular diseases. Finally, the influences of angiotensin II on adrenergic function will be examined as possible targets of cardiovascular drug treatment.
Conclusions:
By interrupting the influences of angiotensin II on sympathetic function, therapeutic interventions aimed at blocking the renin-angiotensin system exert favourable effects on the haemodynamic, metabolic and renal profile. This has important implications for the treatment of hypertension, congestive heart failure, renal insufficiency and metabolic syndrome.
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