2007
DOI: 10.1111/j.1463-1326.2006.00678.x
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Evidence for functional expression of vascular angiotensin II type 2 receptors in patients with insulin resistance

Abstract: The results suggest the functional expression of AT2 receptors in small vessels that determine the inflection of the digital volume pulse wave in patients with INSR, possibly as an indicator of early vascular damage.

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Cited by 19 publications
(13 citation statements)
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References 25 publications
(37 reference statements)
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“…However, in the present study we show an interaction between AngII and BKB2R, possibly via AT2R activated by infused AngII, in young, AT1R-blocked healthy individuals, i.e., just in a condition associated with the lowest level of AT2R expression (Jones et al, 2008). On the other hand, in animal studies (Tsutsumi et al, 1999;Jones et al, 2008;Yayama and Okamoto, 2008), upregulation of AT2R may result from aging, vascular disease, and chronic AT1R blockade and in human clinical conditions as well, such as diabetes or insulin resistance (Savoia et al, 2007;Brillante et al, 2008;Jones et al, 2008). Thus, participation of BKB2R in the control of BP and UNaV under AT1R blockade, as shown by the limits of our model, may pertain to long-term conditions of elevated AngII, upregulated AT2R, and stimulated BK-NO-cAMP cascade, such as in ARB-treated patients.…”
Section: Discussionsupporting
confidence: 49%
“…However, in the present study we show an interaction between AngII and BKB2R, possibly via AT2R activated by infused AngII, in young, AT1R-blocked healthy individuals, i.e., just in a condition associated with the lowest level of AT2R expression (Jones et al, 2008). On the other hand, in animal studies (Tsutsumi et al, 1999;Jones et al, 2008;Yayama and Okamoto, 2008), upregulation of AT2R may result from aging, vascular disease, and chronic AT1R blockade and in human clinical conditions as well, such as diabetes or insulin resistance (Savoia et al, 2007;Brillante et al, 2008;Jones et al, 2008). Thus, participation of BKB2R in the control of BP and UNaV under AT1R blockade, as shown by the limits of our model, may pertain to long-term conditions of elevated AngII, upregulated AT2R, and stimulated BK-NO-cAMP cascade, such as in ARB-treated patients.…”
Section: Discussionsupporting
confidence: 49%
“…Distinct contributions by both AT 1 and AT 2 receptor subtypes have been demonstrated in hypertensive rats that exhibited AT 1 -mediated changes in blood pressure but AT 2 -mediated SMC hypertrophy (9). Similar observations have been made in normotensive Sprague-Dawley rats, leading to speculation that the activation of both AT 1 and AT 2 receptors is necessary for the trophic and proliferative effects of ANG II (2).…”
mentioning
confidence: 53%
“…As a consequence, many studies of SMCs have not included an analysis of the AT 2 receptor and fewer details of its biological functions have thus been elucidated (25). Although adult aorta express a small but significant population of AT 2 receptors (5), AT 2 receptor expression is also influenced by cardiovascular disease states such as diabetes (1), hypertension (25), and heart failure (9).…”
mentioning
confidence: 99%
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“…52 No signifi cant hemodynamic or arterial stiffness changes were demonstrated after PD123319 infusion, compared with placebo infusion. 53 In contrast, our study on individuals with HOMA-IR Ͼ 2 (a measure of insulin resistance) and age-and sex-matched NCs given the same dose of intravenous PD123319 (10 micrograms/min for 3 minutes), produced a signifi cantly greater increase in RI, or small to medium sized arterial stiffness with a concurrent rise in systemic vascular resistance index in INSR subjects 54 while no change occurred in normal controls (NCs). Interestingly, baseline RI levels were lower in the subjects with early INSR consistent with the hypothesis that increased activity of both AT2 and NO medicated mechanisms lead to a reduction in RI in early INSR.…”
mentioning
confidence: 70%