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1 Dept of Medicine - Div of Cardiology, Emory University, Atlanta, Georgia, United States
* To whom correspondence should be addressed. E-mail: kgriend{at}emory.edu.
The renin-angiotensin system is a central component of the physiological and pathological responses of cardiovascular system. Its primary effector hormone, angiotensin II, mediates not only immediate physiological effects of vasoconstriction and blood pressure regulation, but mounting evidence implicates it in inflammation, endothelial dysfunction, atherosclerosis, hypertension, and congestive heart failure. The myriad effects of angiotensin II depend on time (acute vs. chronic) and on the cells/tissues upon which it acts. In addition to inducing G-protein and non-G protein related signaling pathways, angiotensin II, via AT1 receptors, carries out its functions via MAPK kinases (ERK 1/2, JNK, p38MAPK), receptor tyrosine kinases (PDGF, EGFR, IRS-1), and non-tyrosine receptor kinases (Src, Jak/Stat, FAK). AT1R-mediated NADPH oxidase activation leads to generation of reactive oxygen species, widely implicated in vascular inflammation and fibrosis. Angiotensin II also promotes the association of scaffolding proteins such as paxillin, talin, and p130Cas, leading to focal adhesion and extracellular matrix formation. These signaling cascades lead to contraction, smooth muscle cell growth and hypertrophy, and cell migration, events that contribute to normal vascular function and to disease progression. This review focuses on the structure and function of AT1 receptors and the major signaling mechanisms by which angiotensin influences cardiovascular physiology and pathology. Key Words: vascular smooth muscle, NAD(P)H oxidase, tyrosine and non-tyrosine receptor kinases, endothelial dysfunction, vascular disease.
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