2016
DOI: 10.2741/s459
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Interaction of the renin angiotensin and cox systems in the kidney

Abstract: Cyclooxygenase-2 (COX-2) plays an important role in mediating actions of the renin-angiotensin system (RAS). This review sheds light on the recent developments regarding the complex interactions between components of RAS and COX-2; and their implications on renal function and disease. COX-2 is believed to counter regulate the effects of RAS activation and therefore counter balance the vasoconstriction effect of Ang II. In kidney, under normal conditions, these systems are essential for maintaining a balance be… Show more

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Cited by 23 publications
(14 citation statements)
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“…Experimental and clinical studies have provided evidence for the inhibition of renin secretion by a high sodium intake [ 16 , 17 ]. Besides, Ang II inhibits renin release directly in a short negative feedback loop by means of the AT1 receptors (AT1R), and indirectly through a suppression of prostanoid synthesis induced by cyclooxygenase-2 (COX-2) [ 18 •]. The role of AVP in the regulation of renin release is more complex as AVP stimulates the release by acting on the V2 receptors (V2R) in the JGA cells.…”
Section: Renin-angiotensin Systemmentioning
confidence: 99%
“…Experimental and clinical studies have provided evidence for the inhibition of renin secretion by a high sodium intake [ 16 , 17 ]. Besides, Ang II inhibits renin release directly in a short negative feedback loop by means of the AT1 receptors (AT1R), and indirectly through a suppression of prostanoid synthesis induced by cyclooxygenase-2 (COX-2) [ 18 •]. The role of AVP in the regulation of renin release is more complex as AVP stimulates the release by acting on the V2 receptors (V2R) in the JGA cells.…”
Section: Renin-angiotensin Systemmentioning
confidence: 99%
“…COX-2 is mainly expressed in both macula densa cells in the cortex and the thick limb of the ascending loop of Henle and medulla. Cortical COX-2 plays a pivotal role in renin release and subsequent pro-hypertensive effects, while COX-2 in the medullary region contributes to salt and water reabsorption ( 71 ). Accumulated evidence has associated the overexpression of COX-2 with the progression of DN, with COX-2 inhibition reducing hyperfiltration and proteinuria, abrogating Ang II-mediated reductions in GFR, and retarding progressive renal injury ( 72 75 ).…”
Section: Discussionmentioning
confidence: 99%
“…Both type 1 and type 2 cyclooxygenase (COX) are identified in renal Af-arts (22,36). Prostaglandins (PGs) generated by the COX have been implicated in modulation of ANG II-induced Af-Art vasoconstriction (30,80). Inhibition or knockout of COX2 augments the pressor effect of ANG II (48,79).…”
Section: Discussionmentioning
confidence: 99%