Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular Remodeling

Despite reduction in cardiovascular (CV) events and end-organ damage with the current pharmacologic strategies, CV disease remains the primary cause of death in the world. Pharmacological therapies based on the renin angiotensin system (RAS) blockade are used extensively for the treatment of hyperte...

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Main Authors: María Paz Ocaranza, Jorge E. Jalil
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2012/594361
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author María Paz Ocaranza
Jorge E. Jalil
author_facet María Paz Ocaranza
Jorge E. Jalil
author_sort María Paz Ocaranza
collection DOAJ
description Despite reduction in cardiovascular (CV) events and end-organ damage with the current pharmacologic strategies, CV disease remains the primary cause of death in the world. Pharmacological therapies based on the renin angiotensin system (RAS) blockade are used extensively for the treatment of hypertension, heart failure, and CV remodeling but in spite of their success the prevalence of end-organ damage and residual risk remain still high. Novel approaches must be discovered for a more effective treatment of residual CV remodeling and risk. The ACE2/Ang-(1–9) axis is a new and important target to counterbalance the vasoconstrictive/proliferative RAS axis. Ang-(1–9) is hydrolyzed slower than Ang-(1–7) and is able to bind the Ang II type 2 receptor. We review here the current experimental evidence suggesting that activation of the ACE2/Ang-(1–9) axis protects the heart and vessels (and possibly the kidney) from adverse cardiovascular remodeling in hypertension as well as in heart failure.
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spelling doaj-art-0b54ce7dd7c7412aba39d3c6756018a62025-02-03T01:11:02ZengWileyInternational Journal of Hypertension2090-03842090-03922012-01-01201210.1155/2012/594361594361Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular RemodelingMaría Paz Ocaranza0Jorge E. Jalil1Cardiovascular Diseases Division, School of Medicine, Faculty of Medicine, Pontificia Universidad Catolica de Chile, ChileCardiovascular Diseases Division, School of Medicine, Faculty of Medicine, Pontificia Universidad Catolica de Chile, ChileDespite reduction in cardiovascular (CV) events and end-organ damage with the current pharmacologic strategies, CV disease remains the primary cause of death in the world. Pharmacological therapies based on the renin angiotensin system (RAS) blockade are used extensively for the treatment of hypertension, heart failure, and CV remodeling but in spite of their success the prevalence of end-organ damage and residual risk remain still high. Novel approaches must be discovered for a more effective treatment of residual CV remodeling and risk. The ACE2/Ang-(1–9) axis is a new and important target to counterbalance the vasoconstrictive/proliferative RAS axis. Ang-(1–9) is hydrolyzed slower than Ang-(1–7) and is able to bind the Ang II type 2 receptor. We review here the current experimental evidence suggesting that activation of the ACE2/Ang-(1–9) axis protects the heart and vessels (and possibly the kidney) from adverse cardiovascular remodeling in hypertension as well as in heart failure.http://dx.doi.org/10.1155/2012/594361
spellingShingle María Paz Ocaranza
Jorge E. Jalil
Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular Remodeling
International Journal of Hypertension
title Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular Remodeling
title_full Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular Remodeling
title_fullStr Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular Remodeling
title_full_unstemmed Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular Remodeling
title_short Protective Role of the ACE2/Ang-(1–9) Axis in Cardiovascular Remodeling
title_sort protective role of the ace2 ang 1 9 axis in cardiovascular remodeling
url http://dx.doi.org/10.1155/2012/594361
work_keys_str_mv AT mariapazocaranza protectiveroleoftheace2ang19axisincardiovascularremodeling
AT jorgeejalil protectiveroleoftheace2ang19axisincardiovascularremodeling