“…ANG II, active peptide within RAS, plays a pathological role in development of osteopenia and osteoporosis through activating osteoclastogenesis and inhibiting osteogenesis by binding to Type 1 receptor (AT1R; Nakai et al, ; Shimizu et al, ). In vivo and in vitro studies showed that the increased activity of skeletal RAS, especially the overactivation of the renin/renin receptor axis and the ACE/ANG II/AT1R signaling, was detrimental to bone tissue during hyperglycemia (Li et al, ; Yamamoto et al, ; Zhang et al, ; Zhang et al, ). Therefore, the RAS inhibitors, including renin inhibitor, ACE inhibitor (ACEI), and ANG II receptor blocker (ARB), exerted beneficial effects on skeletal system in animal studies (Zhang, Wang, Song, et al, ) and clinical studies (Yamamoto et al, ), even though these drugs in clinic are mainly prescribed for treating hypertension.…”