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Published on: September 8, 2017
Angiotensin II receptor blocker: possibility of antitumor agent for prostate cancer
Hiroji Uemura1, Hitoshi Ishiguro, Yoshinobu Kubota
1Department of Urology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Yokohama 236-0004, Japan. hu0428@med.yokohama-cu.ac.jp
Abstract:
It is known that the renin-angiotensin system (RAS) plays a fundamental role not only as a vasoconstrictor in controlling blood pressure and electrolyte/fluid homeostasis, but also as a mitogenic factor through the Ang-II type-1 (AT1) receptor in smooth muscle cells and cardiac myocytes. Angiotensin II (Ang-II) is indeed thought to be a growth factor, and Ang-II receptor blockers (ARBs), a class of antihypertensive agent, suppress signal transduction pathways mediated by several growth factors or cytokines, through the AT1 receptor. There is increasing evidence that the RAS is implicated in the development of various cancers. We previously demonstrated that ARBs have the potential to inhibit the growth of prostate cancer cells and tumors through the AT1 receptor. This review highlights the possibility of ARBs as novel agents for prostate cancer as well as other cancers, and reviews the literature on this area.
Insights
Angiotensin II receptor blockers (ARBs) may inhibit prostate cancer growth. This review explores ARBs as potential novel agents for treating prostate and other cancers by targeting the renin-angiotensin system.
Area of Science:
- Oncology
- Cardiovascular Pharmacology
Background:
- The renin-angiotensin system (RAS) regulates blood pressure and fluid balance.
- Angiotensin II (Ang-II), a key RAS component, acts as a mitogenic factor via the Ang-II type-1 (AT1) receptor.
- Increasing evidence links the RAS to cancer development.
Purpose of the Study:
- To review the literature on the role of the RAS in cancer.
- To highlight the potential of Ang-II receptor blockers (ARBs) as novel anticancer agents, particularly for prostate cancer.
Main Methods:
- Literature review of studies investigating the RAS and cancer.
- Examination of previous findings on ARBs' effects on prostate cancer cells and tumors.
- Analysis of AT1 receptor-mediated signaling pathways.
Main Results:
- ARBs have demonstrated potential in inhibiting prostate cancer cell and tumor growth.
- The AT1 receptor is a key mediator for Ang-II's mitogenic effects and RAS involvement in cancer.
- ARBs can suppress growth factor and cytokine signaling pathways through the AT1 receptor.
Conclusions:
- The RAS is implicated in various cancers, including prostate cancer.
- ARBs show promise as novel therapeutic agents for prostate cancer and potentially other malignancies.
- Targeting the AT1 receptor with ARBs offers a potential strategy for cancer treatment.
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