Angiotensin-(1-7) Mitigates Progression from Acute Kidney Injury to Chronic Kidney Disease Via Renin-Angiotensin

Minzi Qiu1, Yanxia Chen1, Siyue Huang1

  • 1Department of Nephrology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, No. 1, Minde Road, Donghu District, Nanchang, 330006, Jiangxi Province, P.R. China.

Inflammation
|August 26, 2025
PubMed
Abstract

Insights

Angiotensin-(1-7) peptide shows promise in preventing acute kidney injury (AKI) from progressing to chronic kidney disease (CKD). This peptide therapy modulates the renin-angiotensin system (RAS), reducing fibrosis and inflammation in kidneys.

Area of Science:

  • Nephrology
  • Cardiovascular Research
  • Pharmacology

Background:

  • Acute kidney injury (AKI) frequently advances to chronic kidney disease (CKD), posing a significant clinical challenge.
  • The renin-angiotensin system (RAS), particularly the protective Angiotensin-(1-7) (Ang-(1-7)) pathway, presents a therapeutic target for mitigating AKI progression.
  • This study investigates the renoprotective effects of Ang-(1-7) in a murine model of ischemia-reperfusion (I/R) injury-induced AKI.

Purpose of the Study:

  • To evaluate the therapeutic potential of Angiotensin-(1-7) (Ang-(1-7)) in preventing the progression of acute kidney injury (AKI) to chronic kidney disease (CKD).
  • To investigate the impact of Ang-(1-7) on key biomarkers of kidney injury, fibrosis, and inflammation in a murine I/R model.
  • To explore the modulation of the renin-angiotensin system (RAS) by Ang-(1-7) treatment in the context of AKI.

Main Methods:

  • Induction of bilateral renal ischemia-reperfusion (I/R) injury in adult male Balb/c mice to model AKI.
  • Administration of varying doses of Angiotensin-(1-7) (Ang-(1-7)) to treated mice.
  • Assessment of serum biomarkers (Angiotensin II, TGF-β1, SOD) using ELISA, renal fibrosis markers (Collagen I) via immunohistochemistry, and RAS pathway proteins (ACE2, AT1R) using Western blotting.

Main Results:

  • Angiotensin-(1-7) (Ang-(1-7)) treatment significantly reduced serum Angiotensin II (Ang II) and Transforming Growth Factor-β1 (TGF-β1) levels.
  • A dose-dependent increase in Superoxide Dismutase (SOD) was observed, indicating enhanced antioxidant capacity.
  • Ang-(1-7) administration markedly decreased renal fibrosis markers (Collagen I) and inflammatory cytokines, and modulated RAS components, increasing ACE2 and decreasing AT1R expression.

Conclusions:

  • Angiotensin-(1-7) (Ang-(1-7)) demonstrates significant potential in preventing the progression of acute kidney injury (AKI) to chronic kidney disease (CKD).
  • The renoprotective effects are attributed to the modulation of the renin-angiotensin system (RAS) towards a protective state, reducing fibrosis and inflammation.
  • These findings support further clinical investigation of Ang-(1-7) or Mas receptor agonists for managing kidney diseases.

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