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Published on: June 7, 2016
The renin angiotensin system and the brain: New developments
Ehab Farag1, Daniel I Sessler2, Zeyd Ebrahim3
1Department of Outcomes Research, Anaesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA; Department of General Anaesthesiology, Anaesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: http://www.OR.org/.
The renin-angiotensin system (RAS) regulates blood pressure and fluid balance. New research reveals the RAS significantly impacts the central nervous system (CNS), influencing neuroprotection and cognition.
Area of Science:
- Neuroscience
- Cardiovascular Physiology
- Endocrinology
Background:
- The renin-angiotensin system (RAS) is crucial for sodium homeostasis, fluid volume, and arterial blood pressure regulation.
- Classical RAS involves renin, angiotensinogen, angiotensin I (Ang-I), and angiotensin II (Ang-II) via angiotensin-1 converting enzyme (ACE).
Purpose of the Study:
- To review newly discovered findings on the RAS from 1990-2013.
- To specifically focus on the influence of the RAS on the central nervous system (CNS).
Main Methods:
- Literature search of peer-reviewed articles using PubMed, Google Scholar, and other databases.
- Focus on studies published between 1990 and 2013.
Main Results:
- The classical RAS is only a partial representation; additional RAS pathways exist in the brain and periphery.
- The RAS influences CNS functions including neuroprotection, cognition, and cerebral vasodilation.
- Brain RAS affects various biochemical pathways, offering targets for intervention.
Conclusions:
- The understanding of the RAS's role in the CNS has significantly expanded beyond its classical functions.
- The brain RAS presents potential therapeutic targets for neurological and cardiovascular conditions.
- Interventions may involve traditional pharmacology or gene expression control.
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