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Updated: May 17, 2026

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Published on: June 9, 2023
Angiotensin II type 1 receptor antagonists inhibit cell proliferation and angiogenesis in breast cancer
Xuesong Chen1, Qingwei Meng, Yanbin Zhao
1Department of Internal Medical Oncology, The Third Affiliated Hospital of Harbin Medical University, Harbin 150040, Heilongjiang Province, China.
Abstract:
Angiotensin II type 1 receptor (AT1R) promotes tumor invasion, migration, metastasis and angiogenesis. We explored the potential antitumor effects of AT1R antagonists in breast cancer. We found that angiotensin II promoted cell proliferation and upregulated the expression of vascular endothelial growth factor A (VEGF-A) in MCF-7 cells. Losartan downregulated the expression of VEGF-A in MCF-7 cells treated with angiotensin II. Candesartan downregulated the expression of VEGF-A in mice bearing MCF-7 xenografts and inhibited tumor growth and angiogenesis. AT1R and VEGF-A expression correlated with increased microvascular density in 102 breast cancer patients. Our data suggest that AT1R antagonists might be useful to suppress breast cancer by inhibiting the angiotensin II.
Insights
Angiotensin II type 1 receptor (AT1R) antagonists show potential in breast cancer treatment. These drugs may inhibit tumor growth and angiogenesis by targeting the angiotensin II pathway.
Area of Science:
- Oncology
- Pharmacology
- Cardiovascular Research
Background:
- The angiotensin II type 1 receptor (AT1R) plays a role in tumor progression, including invasion, migration, metastasis, and angiogenesis.
- Understanding the role of AT1R in breast cancer is crucial for developing novel therapeutic strategies.
Purpose of the Study:
- To investigate the potential antitumor effects of AT1R antagonists in breast cancer.
- To explore the impact of AT1R blockade on tumor growth, angiogenesis, and related molecular pathways.
Main Methods:
- In vitro studies using MCF-7 breast cancer cells treated with angiotensin II and AT1R antagonists (losartan).
- In vivo studies using mice bearing MCF-7 xenografts treated with candesartan.
- Analysis of AT1R and vascular endothelial growth factor A (VEGF-A) expression in patient tumor samples and correlation with microvascular density.
Main Results:
- Angiotensin II promoted proliferation and upregulated VEGF-A in MCF-7 cells.
- Losartan and candesartan downregulated VEGF-A expression.
- Candesartan inhibited tumor growth and angiogenesis in a mouse model.
- AT1R and VEGF-A expression positively correlated with microvascular density in breast cancer patients.
Conclusions:
- AT1R antagonists demonstrate antitumor effects in preclinical models of breast cancer.
- Inhibition of the angiotensin II pathway via AT1R antagonists may suppress breast cancer growth and angiogenesis.
- Targeting AT1R represents a potential therapeutic strategy for breast cancer management.
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