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ACE2/Angiotensin-(1-7)/Mas Receptor Axis in Human Cancer: Potential Role for Pediatric Tumors
Ana Luiza Ataide Carneiro de Paula Gonzaga1, Vitória Andrade Palmeira2, Thomas Felipe Silva Ribeiro2
1Service of Pediatric Oncology, Clinics Hospital, Universidade Federal de Minas Gerais (UFMG), Brazil.
Background:
Pediatric tumors remain the highest cause of death in developed countries. Research on novel therapeutic strategies with lesser side effects is of utmost importance. In this scenario, the role of Renin-Angiotensin System (RAS) axes, the classical one formed by angiotensinconverting enzyme (ACE), Angiotensin II and AT1 receptor and the alternative axis composed by ACE2, Angiotensin-(1-7) and Mas receptor, have been investigated in cancer.
Objective:
This review aimed to summarize the pathophysiological role of RAS in cancer, evidence for anti-tumor effects of ACE2/Angiotensin-(1-7)/Mas receptor axis and future therapeutic perspectives for pediatric cancer.
Methods:
Pubmed, Scopus and Scielo were searched in regard to RAS molecules in human cancer and pediatric patients. The search terms were "RAS", "ACE", "Angiotensin-(1-7)", "ACE2", "Angiotensin II", "AT1 receptor", "Mas receptor", "Pediatric", "Cancer".
Results:
Experimental studies have shown that Angiotensin-(1-7) inhibits the growth of tumor cells and reduces local inflammation and angiogenesis in several types of cancer. Clinical trials with Angiotensin-( 1-7) or TXA127, a pharmaceutical grade formulation of the naturally occurring peptide, have reported promising findings, but not enough to recommend medical use in human cancer. In regard to pediatric cancer, only three articles that marginally investigated RAS components were found and none of them evaluated molecules of the alternative RAS axis.
Conclusion:
Despite the potential applicability of Angiotensin-(1-7) in pediatric tumors, the role of this molecule was never tested. Further clinical trials are necessary, also including pediatric patients, to confirm safety and efficiency and to define therapeutic targets.
Insights
The Renin-Angiotensin System (RAS) alternative axis, particularly Angiotensin-(1-7), shows anti-tumor potential in various cancers. However, its efficacy in pediatric tumors requires further clinical investigation for safety and therapeutic targeting.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Pediatric tumors are a leading cause of death, necessitating novel, less toxic therapies.
- The Renin-Angiotensin System (RAS), with its classical (ACE/Ang II/AT1R) and alternative (ACE2/Ang-(1-7)/MasR) axes, is implicated in cancer.
- Investigating RAS in pediatric cancer offers potential for new therapeutic strategies.
Purpose of the Study:
- To review the pathophysiological role of RAS in cancer.
- To summarize evidence on the anti-tumor effects of the ACE2/Angiotensin-(1-7)/Mas receptor axis.
- To explore future therapeutic perspectives for pediatric cancer.
Main Methods:
- Comprehensive literature search of PubMed, Scopus, and SciELO databases.
- Inclusion of studies on RAS molecules in human and pediatric cancers.
- Keywords: RAS, ACE, Angiotensin-(1-7), ACE2, Angiotensin II, AT1 receptor, Mas receptor, Pediatric, Cancer.
Main Results:
- Angiotensin-(1-7) demonstrated inhibition of tumor cell growth, inflammation, and angiogenesis in experimental models.
- Clinical trials with Angiotensin-(1-7) (TXA127) showed promise but are insufficient for clinical recommendation.
- Limited research exists on RAS in pediatric cancer, with no studies evaluating the alternative RAS axis.
Conclusions:
- Angiotensin-(1-7) holds potential for pediatric tumor treatment but has not been tested in this population.
- Further clinical trials, including pediatric patients, are essential to establish safety and efficacy.
- Defining specific therapeutic targets for the alternative RAS axis in pediatric cancer is crucial.
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