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Microvascular angiogenesis and the renin-angiotensin system

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Abstract

The renin-angiotensin system is one of the major regulatory mechanisms essential for maintaining cardiovascular homeostasis. Angiotensin II is a multifunctional hormone that plays a key role in regulating this system. The importance of the renin-angiotensin system in controlling sodium homeostasis and vascular resistance is well established, however, in the past decade, much attention has been focused on the importance of angiotensin II as a regulator of microvessel density, acting through the AT1 and AT2 receptors. In this review, we discuss the connections between the renin-angiotensin system and other growth factor pathways known to be involved in pathologic and physiologic angiogenesis and rarefaction.

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References and Recommended Reading

  1. Hernandez I, Greene AS: Hemodynamic and microcirculatory changes during development of renal hypertension. Am J Physiol Heart Circ Physiol 1995, 268:H33-H38.

    CAS  Google Scholar 

  2. Hansen-Smith FM, Morris LW, Greene AS, Lombard JH: Rapid microvessel rarefaction with elevated salt intake and reduced renal mass hypertension in rats. Circ Res 1996, 79:324–330.

    PubMed  CAS  Google Scholar 

  3. Greene AS: Microvascular remodeling in hypertension: A role for the renin-angiotensin-aldosterone system. Curr Concepts Hypertens 1998, 2:5.

    Google Scholar 

  4. Amaral SL, Zorn TMT, Michelini LC: Exercise training normalizes wall-to-lumen ratio of the gracilis muscle arterioles and reduced pressure in spontaneously hypertensive rats. J Hypertens 2000, 18:1563–1572.

    Article  PubMed  CAS  Google Scholar 

  5. Vogt AJ, Schmid-Schonbein GW: Microvascular endothelial cell death and rarefaction in the glucocorticoid-induced hypertensive rat. Microcirculation 2001, 8:129–139.

    Article  PubMed  CAS  Google Scholar 

  6. Antonios TFT, Singer DRJ, Markandu ND, et al.: Rarefaction of skin capillaries in borderline essential hypertension suggest an early structural abnormality. Hypertension 1999, 34:655–658.

    PubMed  CAS  Google Scholar 

  7. Hedman A, Reneland R, Lithell HO: Alterations in skeletal muscle morphology in glucose-tolerant elderly hypertensive men: relationship to development of hypertension and heart rate. J Hypertens 2000, 18:559–565.

    Article  PubMed  CAS  Google Scholar 

  8. Hansen-Smith FM, Greene AS, Cowley AWJr, Lombard JH: Structural changes during microvascular rarefaction in chronic hypertension. Hypertension 1990, 15:922–928.

    PubMed  CAS  Google Scholar 

  9. Dzau VJ: Vascular renin-angiotensin system and vascular protection. J Cardiovasc Pharmacol 1993, 22:S1-S9.

    Article  PubMed  CAS  Google Scholar 

  10. Wang DH, Prewitt RL, Beebe SJ: Regulation of PDGF-A: a possible mechanism for angiotensin II-induced vascular growth. Am J Physiol Heart Circ Physiol 1995, 269:H356-H364.

    CAS  Google Scholar 

  11. Greene AS, Tonellato PJ, Lui J, et al.: Microvascular rarefaction and tissue vascular resistance in hypertension. Am J Physiol Heart Circ Physiol 1989, 256:H126-H131.

    CAS  Google Scholar 

  12. Greene AS, Tonellato PJ, Zhang Z, et al.: Effect of microvascular rarefaction on tissue oxygen delivery in hypertension. Am J Physiol Heart Circ Physiol 1992, 262:H1486-H1493.

    CAS  Google Scholar 

  13. Goodfriend TL: Angiotensins: actions and receptors. In Hypertension Primer. The Essentials of High Blood Pressure. Edited by Izzo JL, Black HR. Dallas: Library of Congress; 2000:11–13.

    Google Scholar 

  14. Munzenmaier DH, Greene AS: Opposing actions of angiotensin II on microvascular growth and arterial blood pressure. Hypertension 1996, 27:760–765.

    PubMed  CAS  Google Scholar 

  15. Greene AS: Life and death in the microcirculation: a role for angiotensin II. Microcirculation 1998, 5:101–107.

    Article  PubMed  CAS  Google Scholar 

  16. Machado RDP, Santos RAS, Andrade SP: Opposing actions of angiotensins on angiogenesis. Life Sci 2000, 66:67–76. Using a combination of techniques, sponge implants, functional, and biochemical parameters, this group was able to confirm in vivo the opposing actions of Ang II and Ang 1-7 on microvascular angiogenesis, previously demonstrated only in vitro.

    Article  PubMed  CAS  Google Scholar 

  17. Machado RDP, Santos RAS, Andrade SP: Mechanisms of angiotensin (1-7)-induced inhibition of angiogenesis. Am J Physiol Regulatory Integrative Comp Physiol 2001, 280:R994-R1000.

    CAS  Google Scholar 

  18. Phillips MI: Tissue renin-angiotensin system. In Hypertension Primer. The Essentials of High Blood Pressure. Edited by Izzo JL, Black HR. Dallas: Library of Congress; 2000:11–13.

    Google Scholar 

  19. Esther CR, Jr., Marino EM, Howard TE, et al.: The critical role of tissue angiotensin-converting enzyme as revealed by gene targeting in mice. J Clin Invest 1997, 99:2375–2385.

    PubMed  CAS  Google Scholar 

  20. Sun Y, Zhang J, Zhang JQ, Ramires FJA: Local angiotensin II and transforming growth factor-b1 in renal fibrorsis of rats. Hypertension 2000, 35:1078–1084.

    PubMed  CAS  Google Scholar 

  21. Nora EH, Munzenmaier DH, Hansen-Smith FM, et al.: Localization of the Ang II type 2 receptor in the microcirculation of skeletal muscle. Am J Physiol 1998, 275:H1395-H1403.

    PubMed  CAS  Google Scholar 

  22. McDougall SJ, Roulston CA, Widdop RE, Lawrence AJ: Characterization of vasopressin V1A, angiotensin AT1 and AT2 receptor distribution and density in normotensive and hypertensive rat brain stem and kidney: effects of restraint stress. Brain Res 2000, 883:148–156.

    Article  PubMed  CAS  Google Scholar 

  23. Allen AM, Zhuo J, Mendelsohn FAO: Localization and function of angiotensin AT1 receptors. Am J Hypertens 2000, 13:31S-38S.

    Article  PubMed  CAS  Google Scholar 

  24. Linderman JR, Greene AS: Distribution of angiotensin II receptor expression in the microcirculation of striated muscle. Microcirculation 2001, 8:275–281.

    Article  PubMed  CAS  Google Scholar 

  25. Dinh DT, Frauman AG, Johnston CI, Fabiani ME: Angiotensin receptors: distribution, signaling and function. Clin Sci 2001, 100:481–492. This paper provides a comprehensive review about distribution, signal transduction mechanisms, and function of angiotensin receptors.

    Article  PubMed  CAS  Google Scholar 

  26. Dzau VJ: Tissue renin angiotensin system in cardiovascular medicine: a paradigm shift? Circulation 1994, 89:493–498.

    PubMed  CAS  Google Scholar 

  27. Paula CA, Sousa MV, Salgado MCO, Oliveira EB: Purification and substrate specificity of an angiotensin converting elastase-2 from the rat mesenteric arterial bed perfusate. Biochimica et Biophysica Acta 1998, 1388:227–238.

    PubMed  CAS  Google Scholar 

  28. Dzau VJ: Tissue angiotensin and pathobiology of vascular disease. A unifying hypothesis. Hypertension 2001, 37:1047–1052.

    PubMed  CAS  Google Scholar 

  29. Amaral SL, Linderman JR, Morse MM, Greene AS: Angiogenesis induced by electrical stimulation is mediated by angiotensin II and VEGF. Microcirculation 2001, 8:57–67. This paper shows that the RAS is involved in physiologic microvascular angiogenesis induced by electrical stimulation in skeletal muscle. Using ACE inhibitors, AT1 receptor blockers, and VEGF neutralizing antibody, the authors suggest that the RAS modulates VEGF expression and angiogenesis as well, and VEGF has a fundamental role on this process.

    Article  PubMed  CAS  Google Scholar 

  30. Amaral SL, Papanek PE, Greene AS: Angiotensin II and VEGF are involved in angiogenesis induced by short-term exercise training. Am J Physiol Heart Circ Physiol 2001, 281:H–1163-H-1169.

    Google Scholar 

  31. Gilbert RE, Kelly DJ, Cox AJ, et al.: Angiotensin converting enzyme inhibition reduced retinal overexpression of vascular endothelial growth factor and hypermeability in experimental diabetes. Diabetologia 2000, 43:1360–1367.

    Article  PubMed  CAS  Google Scholar 

  32. Moravski CJ, Kelly DJ, Cooper ME, et al.: Retinal neovascularization is prevented by blockade of the renin-angiotensin system. Hypertension 2000, 36:1099–1104.

    PubMed  CAS  Google Scholar 

  33. Volpert OV, Ward WF, Linger MW, et al.: Captopril inhibits angiogenesis and slow the growth of experimental tumors in rats. J Clin Invest 1996, 98:671–679.

    Article  PubMed  CAS  Google Scholar 

  34. Yoshiji H, Kuriyama S, Kawata M, et al.: The angiotensin I-converting enzyme inhibitor perindopril suppresses tumor growth and angiogenesis: possible role of the vascular endothelial growth factor. Clin Cancer Res 2001, 7:1073–1078. This study shows that ACE inhibitors, but not AT1 receptor blockers, significantly inhibit the progression of tumor growth and angiogenesis with a concomitant suppression of VEGF gene expression in a murine hepatocellular carcinoma model.

    PubMed  CAS  Google Scholar 

  35. Sadoshima J, Izumo S: Signal transduction pathways of angiotensin II-induced c-fos gene expression in cardiac myocytes in vitro. Roles of phospholipid-derived second messengers. Circ Res 1993, 73:424–438.

    PubMed  CAS  Google Scholar 

  36. Csikos T, Chung O, Unger T: Receptors and their classification: focus on angiotensin II and the AT2 receptor. J Hum Hypertens 1998, 12:311–318.

    Article  PubMed  CAS  Google Scholar 

  37. Ferrara N: Role of vascular endothelial growth factor in regulation of physiological angiogenesis. Am J Physiol Cell Physiol 2001, 280:C1358-C1366.

    PubMed  CAS  Google Scholar 

  38. Williams B: A potential role for angiotensin II-induced vascular endothelial growth factor expression in the pathogenesis of diabetic nephropaty? Miner Electrolyte Metab, 1998, 24:400–405.

    Article  PubMed  CAS  Google Scholar 

  39. Otani A, Takagi H, Suzuma K, Honda Y: Angiotensin II potentiates endothelial growth factor-induced angiogenic activity in retinal microcapillary endothelial cells. Circ Res 1998, 82:619–628.

    PubMed  CAS  Google Scholar 

  40. Chua CC, Hamdy RC, Chua BHL: Upregulation of vascular endothelial growth factor by angiotensin II in rat heart endothelial cells. Biochim Biophys Act 1998, 1401:187–194.

    Article  CAS  Google Scholar 

  41. Fujiyama S, Matsubara H, Nozawa Y, et al.: Angiotensin AT1 and AT2 receptors differentially regulate angiopoietin-2 and vascular endothelial growth factor expression and angiogenesis by modulatin heparin binding-epidermal growth factor (EGF)-nediated EGF receptor transactivation. Circ Res 2001, 88:22–29.

    PubMed  CAS  Google Scholar 

  42. Williams B, Baker AQ, Gallacher B, Lodwick D: Angiotensin II increases vascular permeability factor gene expression by human vascular smooth muscle cells. Hypertension 1995, 25:913–917.

    PubMed  CAS  Google Scholar 

  43. Carmeliet P, Jain RK: Angiogenesis in cancer and other diseases. Nature 2000, 407:249–257.

    Article  PubMed  CAS  Google Scholar 

  44. Yamada H, Akishita M, Ito M, et al.: AT2 receptor and vascular smooth muscle cell differentiation in vascular development. Hypertension 1999, 33:1414–1419.

    PubMed  CAS  Google Scholar 

  45. Amaral SL, Roman RJ, Greene AS: Renin gene transfer restores angiogenesis and vascular endothelial growth factor expression in Dahl S rats. Hypertension 2001, 37:386–390. This study demonstrates for the first time that transfer of a region of chromosome 13 containing the renin gene from Dahl R rats onto Dahl S background restores renin secretory responses and the angiogenic and VEGF responses to electrical stimulation.

    PubMed  CAS  Google Scholar 

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Greene, A.S., Amaral, S.L. Microvascular angiogenesis and the renin-angiotensin system. Current Science Inc 4, 56–62 (2002). https://doi.org/10.1007/s11906-002-0054-x

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