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Hypertension. 2004;43:1162-1163
Published online before print April 26, 2004, doi: 10.1161/01.HYP.0000128531.39964.c0
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(Hypertension. 2004;43:1162.)
© 2004 American Heart Association, Inc.


Editorial Commentaries

Cardiac Angiotensin AT2 Receptor

What Exactly Does It Do?

George W. Booz

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 {approx}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 . . . [Full Text of this Article]




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