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Cited by 435

The DOI matches its Crossref record; 203 of the 203 references it cites were found in a registry or an index.

The vasoprotective axes of the renin-angiotensin system: Physiological relevance and therapeutic implications in cardiovascular, hypertensive and kidney diseases

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Li, Xiao C., Zhang, Jianfeng, Zhuo, Jia L.·2017·Pharmacological Research

Abstract

&NA; The renin‐angiotensin system (RAS) is undisputedly one of the most prominent endocrine (tissue‐to‐tissue), paracrine (cell‐to‐cell) and intracrine (intracellular/nuclear) vasoactive systems in the physiological regulation of neural, cardiovascular, blood pressure, and kidney function. The importance of the RAS in the development and pathogenesis of cardiovascular, hypertensive and kidney diseases has now been firmly established in clinical trials and practice using renin inhibitors, angiotensin‐converting enzyme (ACE) inhibitors, type 1 (AT1) angiotensin II (ANG II) receptor blockers (ARBs), or aldosterone receptor antagonists as major therapeutic drugs. The major mechanisms of actions for these RAS inhibitors or receptor blockers are mediated primarily by blocking the detrimental effects of the classic angiotensinogen/renin/ACE/ANG II/AT1/aldosterone axis. However, the RAS has expanded from this classic axis to include several other complex biochemical and physiological axes, which are derived from the metabolism of this classic axis. Currently, at least five axes of the RAS have been described, with each having its key substrate, enzyme, effector peptide, receptor, and/or downstream signaling pathways. These include the classic angiotensinogen/renin/ACE/ANG II/AT1 receptor, the ANG II/APA/ANG III/AT2/NO/cGMP, the ANG I/ANG II/ACE2/ANG (1–7)/Mas receptor, the prorenin/renin/prorenin receptor (PRR or Atp6ap2)/MAP kinases ERK1/2/V‐ATPase, and the ANG III/APN/ANG IV/IRAP/AT4 receptor axes. Since the roles and therapeutic implications of the classic angiotensinogen/renin/ACE/ANG II/AT1 receptor axis have been extensively reviewed, this article will focus primarily on reviewing the roles and therapeutic implications of the vasoprotective axes of the RAS in cardiovascular, hypertensive and kidney diseases. Graphical abstract Figure. No caption available.

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Metadata

Authors
Li, X. C., Zhang, J., & Zhuo, J. L.
Venue
Pharmacological Research
Publisher
Elsevier BV
Published
2017-11
Volume
125
Issue
Pt A
Pages
21-38
ISSN
1043-6618 (ISSN-L)
OpenAlex
W2625441704
Cited by
435
References
203
FWCI
37.15
Type
journal article
Language
en
Open access
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CoChat. (2026). Citation check: The vasoprotective axes of the renin-angiotensin system: Physiological relevance and therapeutic implications in cardiovascular, hypertensive and kidney diseases. https://app.cochat.ai/papers/10.1016/j.phrs.2017.06.005
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Li, X. C., Zhang, J., & Zhuo, J. L. (2017). The vasoprotective axes of the renin-angiotensin system: Physiological relevance and therapeutic implications in cardiovascular, hypertensive and kidney diseases. Pharmacological Research. https://doi.org/10.1016/j.phrs.2017.06.005

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