Abstract-Angiotensin II (Ang II) plays an important role in regulating cardiovascular hemodynamics and structure.Multiple lines of evidence have suggested the existence of Ang II receptor subtypes, and at least 2 distinct receptor subtypes have been defined on the basis of their differential pharmacological and biochemical properties and designated as type 1 (AT 1 ) and type 2 (AT 2 ) receptors. To date, most of the known effects of Ang II in adult tissues are attributable to the AT 1 receptor. Recent cloning of the AT 2 receptor contributes to reveal its physiological functions, but many functions of the AT 2 receptor are still an enigma. AT 1 and AT 2 receptors belong to the 7-transmembrane, G protein-coupled receptor family. However, accumulating evidence demonstrates that the function and signaling mechanisms of these receptor subtypes are quite different, and these receptors may exert opposite effects in terms of cell growth and blood pressure regulation. We will review the role of the AT 2 receptor in the cardiovascular system and the molecular and cellular mechanisms of AT 2 receptor action. (Hypertension. 1999;33:613-621.)Key Words: angiotensin II Ⅲ apoptosis Ⅲ blood vessels Ⅲ cell growth Ⅲ heart Ⅲ receptors Ⅲ signaling A ngiotensin II (Ang II) has significant influence on the heart and blood vessels through its effects on systemic hemodynamics and blood volume. Ang II also exerts longterm structural effects through its direct hypertrophic and proliferative growth actions. 1,2 Multiple lines of evidence have suggested the existence of Ang II receptor subtypes, but it was only recently that at least 2 distinct receptor subtypes were defined on the basis of their differential pharmacological and biochemical properties and designated as type 1 (AT 1 ) and type 2 (AT 2 ) receptors. 3,4 Subsequent cloning of these 2 receptors 5-8 fostered renewed interest in the biochemistry, pharmacology, and physiology of Ang II receptors.To date, extensive pharmacological evidence indicates that most of the known effects of Ang II in adult cardiovascular tissues are attributable to the AT 1 receptor, but less is known about the AT 2 receptor. As shown in the Table, accumulating evidence revealed that this receptor acts as an antagonistic receptor against AT 1 receptor, ie, AT 2 receptor exerts antigrowth, antihypertrophic, and proapoptotic effects.
Vascular Effect Vascular DevelopmentIt has been shown that rat and mouse vascular AT 2 receptor mRNA is expressed at very low levels in the aorta during early embryonic development (up to embryonic day 15) but at high levels during the later stages of development (embryonic days 16 to 21) and in the neonate, 9,10 whereas the AT 1 receptor in aorta is expressed at relatively constant levels from the first point tested (embryonic day 10) throughout development and the neonatal period and into the adult stage. After birth, AT 2 receptor levels decline rapidly. Shanmugam et al 11 confirmed this observation using in situ hybridization. The high level of AT 2 receptor mRNA expression ...