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(Hypertension. 2004;43:1162.)
© 2004 American Heart Association, Inc.
Editorial Commentaries |
From the Cardiovascular Research Institute of the Texas A&M, University System Health Science Center College of Medicine, Scott & White Hospital and Clinic, and the Central Texas Veterans Health Care System, Temple.
Correspondence to George W. Booz, PhD, Texas A&M University System Health Science Center, College of Medicine, Cardiovascular Research Institute, Division of Molecular Cardiology, 1901 South 1st Street, Bldg 205, Temple, TX 76504 E-mail gbooz@medicine.tamu.edu
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
Angiotensin II (Ang II) has multiple actions in the heart that affect cardiac remodeling and contractility, most of which can be attributed to activation of the Ang II type-1 (AT1) receptor.1 This 7-transmembrane-domain, G-protein-coupled receptor activates multiple intracellular signaling pathways that encompass calcium, phospholipids, kinases, and reactive oxygen species. But cardiac cells also express a second major Ang II membrane receptor, namely type-2 (AT2), which despite being cloned more than a decade ago, remains something of an enigma as far as what function it plays in normal or diseased hearts.2 AT1 and AT2 exhibit only
30% primary sequence homology, but both belong to the class A rhodopsin-like family of G-protein-coupled receptors and have similar high affinities for Ang II in the nanomolar range. However, the similarity ends there. The 2 receptors differ in which heterotrimeric G-proteins they preferentially activate, whether they undergo internalization on ligand binding, and the repertoire of signaling events each activates. In contrast to AT1, only 4 major signaling mechanisms have been linked to AT2: activation of protein phosphatases and protein dephosphorylation, regulation of the bradykinin-nitric-oxide-cGMP system, activation of phospholipase A2 (PLA2) and arachidonic acid release, and sphingolipid-derived ceramide formation.1 Which mechanism predominates appears to be cell-type specific.
Because AT2 couples to phosphatase activation whereas AT1 activates various kinases, it is not surprising that in a variety of cell types the 2 receptors appear to be mutually antagonistic. In the early 1990s there were many reports demonstrating that Ang II has growth-promoting
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