AT1 and AT2 receptors in the kidney: role in disease and treatment

HM Siragy - American journal of kidney diseases, 2000 - Elsevier
American journal of kidney diseases, 2000Elsevier
All components of the renin-angiotensin system (RAS) are present in the kidneys and
constitute a functioning renal RAS. Angiotensin II (Ang II) receptor subtypes AT1 and AT2
have been identified in the afferent and efferent arterioles, glomeruli, mesangial cells, and
proximal tubules. AT1 receptors regulate vasoconstriction and sodium and water
reabsorption, as well as promote cell growth, proliferation, and collagen matrix deposition.
Recent animal studies are elucidating the role of the less well understood AT2 receptors …
All components of the renin-angiotensin system (RAS) are present in the kidneys and constitute a functioning renal RAS. Angiotensin II (Ang II) receptor subtypes AT1 and AT2 have been identified in the afferent and efferent arterioles, glomeruli, mesangial cells, and proximal tubules. AT1 receptors regulate vasoconstriction and sodium and water reabsorption, as well as promote cell growth, proliferation, and collagen matrix deposition. Recent animal studies are elucidating the role of the less well understood AT2 receptors. The AT2 receptors appear to counterbalance the AT1 receptors by increasing the production of bradykinin, nitric oxide, and cyclic guanosine monophosphate—mediating vasodilation and by promoting cell differentiation, antiproliferation, and apoptosis. Ang II subtype 1 receptor blockers prevent Ang II activation of the AT1 receptor while leaving the AT2 receptor open to Ang II stimulation.
Elsevier