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Updated: Jun 20, 2026

Receptor Autoradiography Protocol for the Localized Visualization of Angiotensin II Receptors
Published on: June 7, 2016
Effects of angiotensin II receptor blockers on dementia
Masaki Mogi1, Masatsugu Horiuchi
1Department of Molecular Cardiovascular Biology and Pharmacology, Ehime University, Graduate School of Medicine, Ehime, Japan. mmogi@m.ehime-u.ac.jp
Abstract:
The renin-angiotensin system (RAS) is involved in pathological mechanisms of target organ damage as well as the induction of hypertension; therefore, blockade of the RAS has been expected to prevent cardiovascular and cerebrovascular diseases beyond its antihypertensive effects. In spite of the well-characterized role of angiotensin (Ang) II receptor blockers (ARBs) in preventing the onset and recurrence of stroke, the clinical evidence for an effect of ARBs on dementia has not been definitive. However, preliminary experiments raise the possibility that treatment using ARBs may prevent ischemic brain damage and cognitive impairment. Moreover, recent reports have shown that some ARBs prevent amyloid beta deposition in the brain and attenuate cognitive impairment in Alzheimer disease models. Furthermore, recent cohort studies indicate that lower incidence of Alzheimer disease is observed in elderly individuals treated with ARBs. These results indicate a beneficial role for ARBs in cognitive impairment associated with vascular disease, Alzheimer disease, metabolic syndrome and other neurodegenerative diseases. Here, we review the effects of ARBs on the brain with a focus on dementia and future therapeutic approaches for elderly people suffering from disabilities.
Insights
Angiotensin II receptor blockers (ARBs) show promise in preventing cognitive decline and dementia, particularly Alzheimer disease. Further research is needed to confirm their neuroprotective effects and therapeutic potential in elderly populations.
Area of Science:
- Neuroscience
- Cardiovascular Medicine
- Pharmacology
Background:
- The renin-angiotensin system (RAS) plays a role in hypertension and target organ damage.
- Angiotensin II receptor blockers (ARBs) are known to prevent stroke but their effect on dementia is unclear.
- Emerging evidence suggests ARBs may offer neuroprotection against ischemic brain damage and cognitive impairment.
Purpose of the Study:
- To review the effects of ARBs on the brain, focusing on dementia.
- To explore the potential of ARBs in preventing cognitive impairment and neurodegenerative diseases.
- To discuss future therapeutic strategies using ARBs for elderly individuals with cognitive disabilities.
Main Methods:
- Review of preliminary experimental data on ARBs and brain function.
- Analysis of recent reports on ARBs, amyloid beta deposition, and Alzheimer disease models.
- Examination of cohort studies investigating ARB use and Alzheimer disease incidence.
Main Results:
- ARBs may prevent ischemic brain damage and cognitive impairment.
- Some ARBs have demonstrated the ability to reduce amyloid beta deposition in Alzheimer disease models.
- Cohort studies suggest a lower incidence of Alzheimer disease in elderly patients treated with ARBs.
Conclusions:
- ARBs show a beneficial role in cognitive impairment linked to vascular disease, Alzheimer disease, metabolic syndrome, and other neurodegenerative conditions.
- ARBs represent a potential therapeutic approach for preventing and treating dementia.
- Further investigation into ARBs' neuroprotective mechanisms and clinical efficacy is warranted for elderly populations.
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Dementia l: Introduction
