The renin-angiotensin system (RAS) is a major physiological regulator of body fluid volume, electrolyte balance, and arterial pressure. Majority of the biological actions of angiotensin II (Ang II), the principal effector peptide of the RAS, are attributed to its action at the type 1 (AT1) Ang II receptor. Until recently the physiologic functions of the angiotensin type 2 (AT2) receptor has been unknown. Date from our laboratory and confirmed by others indicate that the AT2 receptor stimulates vasodilatation by an autocrine cascade including bradykinin, nitric oxide and cyclic GMP. In addition, we demonstrated that part of the blood pressure lowering effect of the AT1 receptor blockade is mediated by the AT2 receptor. While AT1 receptor has been shown to regulate the RAS activity and Ang II production, the contribution of the AT2 receptor to the regulation of this system is unknown, Preliminary data presented in this application suggest that AT2 receptor inhibits renal renin synthesis and decreases renal cellular uptake of Angiotensin II. This proposal will expand on these preliminary studies and confirm the involvement of the AT2 receptor in the regulation of the RAS. ? ? The specific aims for this proposal are:(1) To test the hypothesis that AT2 receptor reduces renal production of Angiotensin II through the inhibition of renin synthesis.(2) To test the hypothesis that nitric oxide and cyclic GMP generated in response to AT2 receptor stimulation inhibit renin synthesis(3) To test the hypothesis that AT2 receptor inhibits renal cellular uptake of Angiotensin II. ? ? Data obtained from this proposal will lead to increased understanding of the pathophysiology of hypertension and development of novel therapies for its management.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL057503-08
Application #
6910866
Study Section
Cardiovascular and Renal Study Section (CVB)
Program Officer
Barouch, Winifred
Project Start
1997-08-01
Project End
2007-06-30
Budget Start
2005-07-01
Budget End
2007-06-30
Support Year
8
Fiscal Year
2005
Total Cost
$333,000
Indirect Cost
Name
University of Virginia
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
065391526
City
Charlottesville
State
VA
Country
United States
Zip Code
22904
Abadir, Peter M; Periasamy, Ammasi; Carey, Robert M et al. (2006) Angiotensin II type 2 receptor-bradykinin B2 receptor functional heterodimerization. Hypertension 48:316-22
Xue, Chun; Siragy, Helmy M (2005) Local renal aldosterone system and its regulation by salt, diabetes, and angiotensin II type 1 receptor. Hypertension 46:584-90
Siragy, Helmy M; Xue, Chun; Abadir, Peter et al. (2005) Angiotensin subtype-2 receptors inhibit renin biosynthesis and angiotensin II formation. Hypertension 45:133-7
Awad, Alaa S; Webb, Randy L; Carey, Robert M et al. (2005) Increased renal production of angiotensin II and thromboxane B2 in conscious diabetic rats. Am J Hypertens 18:544-8
Awad, Alaa S; Webb, Randy L; Carey, Robert M et al. (2004) Renal nitric oxide production is decreased in diabetic rats and improved by AT1 receptor blockade. J Hypertens 22:1571-7
Siragy, Helmy M (2004) AT1 and AT2 receptor in the kidney: role in health and disease. Semin Nephrol 24:93-100
Siragy, Helmy M; Awad, Alaa; Abadir, Peter et al. (2003) The angiotensin II type 1 receptor mediates renal interstitial content of tumor necrosis factor-alpha in diabetic rats. Endocrinology 144:2229-33
Kalantarinia, Kambiz; Awad, Alaa S; Siragy, Helmy M (2003) Urinary and renal interstitial concentrations of TNF-alpha increase prior to the rise in albuminuria in diabetic rats. Kidney Int 64:1208-13
Abadir, Peter M; Carey, Robert M; Siragy, Helmy M (2003) Angiotensin AT2 receptors directly stimulate renal nitric oxide in bradykinin B2-receptor-null mice. Hypertension 42:600-4
Millatt, Lesley J; Whitley, Guy StJ; Li, Dechun et al. (2003) Evidence for dysregulation of dimethylarginine dimethylaminohydrolase I in chronic hypoxia-induced pulmonary hypertension. Circulation 108:1493-8

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