Nephrol Dial Transplant (2000) 15: 448-451
© 2000 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Angiotensin II type 2 receptors in the kidney: evidence for endothelial-cell-mediated renal vasodilatation
The Second Department of Internal Medicine, Tohoku University School of Medicine, Sendai, Japan
Correspondence and offprint requests to: Shuji Arima MD, The Second Department of Internal Medicine, Tohoku University School of Medicine, 11 Seiryo-cho, Aoba-ku, Sendai, 9808574, Japan.
Introduction
Angiotensin II (Ang II), the physiologically active component of the reninangiotensin system, plays an important role in the regulation of the cardiovascular and renal systems. Based on their different pharmacological and biochemical properties, two distinct subtypes of Ang II receptor have been defined and designated as type 1 (AT1) and type 2 (AT2) receptors. While both AT1 and AT2 receptors belong to the seven-transmembrane, G-protein-coupled receptor family, the function and signalling mechanism of these receptor subtypes are quite different [1,2]. Extensive pharmacological evidence indicates that most of the well-characterized actions of Ang II (such as vasoconstriction, cell proliferation, and renal salt retention) are now generally considered to result from stimulation of AT1 receptors [1,2], whereas the functional role of AT2 receptor has not been well defined. However, recent studies suggest that the AT2 receptors exert the opposite effects of AT1
AT2-receptor-mediated action of Ang II in the kidney
Vasodilator action of AT2 receptors in renal microvessels
Renal AT2 receptors under pathological conditions, and concluding remarks
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