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Crosstalk between the renin-angiotensin system and the endoplasmic reticulum stress in the cardiovascular system:
Vinicius Sepúlveda-Fragoso1, Beatriz Alexandre-Santos1, Amanda Conceição Pimenta Salles1
1Research Center on Morphology and Metabolism, Biomedical Institute, Fluminense Federal University, Niteroi, RJ, Brazil; Laboratory of Exercise Sciences, Biomedical Institute, Fluminense Federal University, Niteroi, RJ, Brazil.
Abstract:
The renin-angiotensin (Ang) system (RAS) is a complex hormonal system present locally in several tissues such as cardiovascular organs. RAS deregulation through overactivation of the classical arm [Ang-converting enzyme (ACE)/Ang-II/Ang type 1 receptor (AT1R)] has been linked to the development of cardiovascular diseases and activation of endoplasmic reticulum (ER) stress pathways. The ER stress is a condition that, if unresolved, might lead to heart failure, atherosclerosis, hypertension, and endothelial dysfunction. Accumulated evidence has shown that the RAS modulates the UPR activation. Several studies reported increased ER stress markers in response to Ang-II treatment, in both in vivo and in vitro models. Evidence has also pointed that targeting the RAS classical arm through RAS blockers, gene silencing or genetic models leads to lower levels of ER stress markers. Few studies demonstrated protective effects of the counter-regulatory arm (ACE-2/Ang-(1-7)/Mas receptor) over ER stress. However, the crosstalk mechanisms between the arms of the RAS and ER stress remain unclear. In this review, we sought to explore the classical arm of the RAS as a key mechanism in UPR activation and to suggest a possible protective role of the counter-regulatory arm in mitigating ER stress.
Insights
The renin-angiotensin system
Area of Science:
- Cardiovascular Science
- Endocrinology
- Molecular Biology
Background:
- The renin-angiotensin system (RAS) plays a crucial role in cardiovascular homeostasis.
- Overactivation of the classical RAS arm (ACE/Ang-II/AT1R) is linked to cardiovascular diseases and endoplasmic reticulum (ER) stress.
- ER stress can lead to heart failure, atherosclerosis, hypertension, and endothelial dysfunction.
Purpose of the Study:
- To explore the role of the classical RAS arm in activating the unfolded protein response (UPR).
- To investigate the potential protective role of the counter-regulatory RAS arm (ACE-2/Ang-(1-7)/Mas receptor) in mitigating ER stress.
- To clarify the crosstalk mechanisms between RAS arms and ER stress.
Main Methods:
- Review of existing in vivo and in vitro studies.
- Analysis of evidence linking Ang-II treatment to increased ER stress markers.
- Examination of studies on RAS blockers, gene silencing, and genetic models affecting ER stress.
Main Results:
- Ang-II treatment increases ER stress markers.
- Targeting the classical RAS arm reduces ER stress markers.
- Limited evidence suggests protective effects of the counter-regulatory RAS arm against ER stress.
Conclusions:
- The classical RAS arm is a key mechanism in UPR activation.
- The counter-regulatory RAS arm may offer protection against ER stress.
- Further research is needed to elucidate the crosstalk mechanisms between RAS arms and ER stress.
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