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Updated: May 23, 2026

En Face Detection of Nitric Oxide and Superoxide in Endothelial Layer of Intact Arteries
Published on: February 25, 2016
Angiotensin peptides and nitric oxide in cardiovascular disease
Kaushik P Patel1, Harold D Schultz
11 Department of Cellular and Integrative Physiology, University of Nebraska Medical Center , Omaha, Nebraska.
Significance:
The renin-angiotensin system (RAS) plays an important role in the normal control of cardiovascular and renal function in the healthy state and is a contributing factor in the development and progression of various types of cardiovascular diseases (CVD), including hypertension, diabetes, and heart failure.
Recent Advances:
Evidence suggests that a balance between activation of the ACE/Ang II/AT1 receptor axis and the ACE2/Ang-(1-7)/Mas receptor axis is important for the function of the heart, kidney, and autonomic nervous system control of the circulation in the normal healthy state. An imbalance in these opposing pathways toward the ACE/Ang II/AT1 receptor axis is associated with CVD. The key component of this imbalance with respect to neural control of the circulation is the negative interaction between oxidative and NO• mechanisms, which leads to enhanced sympathetic tone and activation in disease conditions such as hypertension and heart failure.
Critical Issues:
The key mechanisms that disrupt normal regulation of Ang II and Ang-(1-7) signaling and promote pathogenesis of CVD at all organ levels remain poorly understood. The reciprocal relation between ACE and ACE2 expression and function suggests they are controlled interdependently at pre- and post-translational levels. Insights from neural studies suggest that an interaction between oxidative and nitrosative pathways may be key.
Future Directions:
The role of redox mechanisms in the control of expression and activity of RAS enzymes and Ang receptors may provide important insight into the function of local tissue RAS in health and disease.
Insights
The renin-angiotensin system (RAS) is crucial for cardiovascular health. Imbalances in RAS pathways, particularly involving oxidative stress, contribute to cardiovascular diseases like hypertension and heart failure.
Area of Science:
- Cardiovascular Physiology
- Renal Function
- Neuroendocrinology
Background:
- The renin-angiotensin system (RAS) is vital for cardiovascular and renal homeostasis.
- A balance between the ACE/Ang II/AT1 receptor and ACE2/Ang-(1-7)/Mas receptor axes is critical for normal function.
- Imbalances favoring the ACE/Ang II/AT1 axis are linked to cardiovascular diseases (CVD).
Purpose of the Study:
- To elucidate the mechanisms disrupting RAS regulation in CVD.
- To understand the role of oxidative and nitrosative pathways in neural control of circulation.
- To investigate the interplay between redox mechanisms and RAS enzyme/receptor activity.
Main Methods:
- Analysis of renin-angiotensin system (RAS) pathways.
- Investigation of ACE and ACE2 expression and function.
- Exploration of neural control mechanisms involving oxidative and NO• pathways.
Main Results:
- Key mechanisms disrupting Ang II and Ang-(1-7) signaling in CVD remain unclear.
- ACE and ACE2 expression and function appear interdependent.
- Oxidative and nitrosative pathway interactions may be central to disease pathogenesis.
Conclusions:
- Understanding redox mechanisms controlling RAS components is key to understanding local tissue RAS in health and disease.
- Imbalances in RAS signaling contribute significantly to cardiovascular disease progression.
- Further research into the interplay of redox and RAS is warranted.
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