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Vol. 52, Issue 4, 639-672, December 2000

Signal Transduction Mechanisms Mediating the Physiological and Pathophysiological Actions of Angiotensin II in Vascular Smooth Muscle Cells

Rhian M. Touyz1 and Ernesto L. Schiffrin

Medical Research Council of Canada Multidisciplinary Research Group on Hypertension, Clinical Research Institute of Montreal, University of Montreal, Quebec, Canada

I. Introduction
II. Physiological Actions of Angiotensin II in Vascular Smooth Muscle Cells
    A. The Renin Angiotensin System---Production of Angiotensin II
    B. Angiotensin Receptors
    C. Vascular Actions of Angiotensin II
    D. Angiotensin II-Dependent Signaling Pathways
    E. Immediate Signaling Events Stimulated by Angiotensin II
        1. Stimulation of Phospholipase C and Phosphatidylinositol Hydrolysis.
        2. Increased Intracellular Free Calcium Concentration.
        3. Activation of Protein Kinase C.
        4. Stimulation of Na+/H+ Exchange.
        5. Angiotensin II Increases Intracellular Free Concentrations of Na+ and Decreases Intracellular Free Concentrations of Mg2+.
        6. Activation of Src Family Kinases.
    F. Early Signaling Events Mediated by Angiotensin II
        1. Activation of Tyrosine Kinases.
            a. Janus family kinases.
            b. Focal adhesion kinase and proline-rich tyrosine kinase 2.
            c. p130Cas.
            d. Phosphatidylinositol 3-kinase.
        2. Mitogen-Activated Protein Kinase Pathways.
            a. Upstream events.
            b. Downstream events.
            c. Angiotensin II and the mitogen-activated protein kinase pathway in cardiovascular cells.
        3. Activation of Phospholipase A2 and Arachidonic Acid Metabolism.
        4. Phospholipase D activation.
        5. Angiotensin II Effects on Cyclic Nucleotides.
    G. Long-Term Effects Mediated by Angiotensin II
        1. Generation of Reactive Oxygen Species.
        2. Angiotensin II-Induced Expression of Proto-Oncogenes and Growth Factors.
    H. Why the Special Role for Angiotensin II Signaling in Vascular Smooth Muscle Cells?
II. Altered Angiotensin II Signaling in Vascular Smooth Muscle Cells in Cardiovascular Diseases---Special Reference to Hypertension
    A. Introduction
    B. Vascular Changes
    C. Vascular Angiotensin Receptors
    D. Short-Term Signaling Events
        1. Angiotensin II Stimulation of the Phospholipase C-IP3-Diacylglycerol Pathway Is Augmented.
        2. Angiotensin II-Stimulated Effects on Vascular [Mg2+]i and [Na+]i.
        3. Vascular Eicosanoids, Angiotensin II, and Hypertension.
        4. Angiotensin II Increases Activity of Phospholipase D.
        5. Cyclic Nucleotides and Angiotensin II.
    E. Long-Term Signaling Events
        1. Angiotensin II-Induced Generation of Reactive Oxygen Species.
        2. Angiotensin II, Tyrosine Kinases, and Hypertension.
        3. Angiotensin II-Mediated Mitogen-Activated Protein Kinase Signaling Is Increased.
        4. Indirect Effects of Angiotensin II on the Vasculature.
    F. Mechanisms Underlying Enhanced Angiotensin II Vascular Responsiveness
IV. Conclusions
Acknowledgment
References

Until recently, the signaling events elicited in vascular smooth muscle cells by angiotensin II (Ang II) were considered to be rapid, short-lived, and divided into separate linear pathways, where intracellular targets of the phospholipase C-diacylglycerol-Ca2+ axis were distinct from those of the tyrosine kinase- and mitogen-activated protein kinase- dependent pathways. However, these major intracellular signaling cascades do not function independently and are actively engaged in cross-talk. Downstream signals from the Ang II-bound receptors converge to elicit complex and multiple responses. The exact adapter proteins or "go-between" molecules that link the multiple intracellular pathways await clarification. Ang II induces a multitude of actions in various tissues, and the signaling events following occupancy and activation of angiotensin receptors are tightly controlled and extremely complex. Alterations of these highly regulated signaling pathways in vascular smooth cells may be pivotal in structural and functional abnormalities that underlie vascular pathological processes in cardiovascular diseases such as hypertension, atherosclerosis, and post-interventional restenosis.


1 Address for correspondence: R. M. Touyz, M.D., Ph.D., Clinical Research Institute of Montreal, 110 Pine Ave. West, Montreal, Quebec H2W 1R7 Canada. E-mail: touyzr{at}ircm.qc.ca


0031-6997/00/5204-0639$03.00/0
PHARMACOLOGICAL REVIEWS
Copyright © 2000 by The American Society for Pharmacology and Experimental Therapeutics



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Am. J. Physiol. Cell Physiol.Home page
H. Ohtsu, P. J. Dempsey, and S. Eguchi
ADAMs as mediators of EGF receptor transactivation by G protein-coupled receptors
Am J Physiol Cell Physiol, July 1, 2006; 291(1): C1 - C10.
[Abstract] [Full Text] [PDF]


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Mol. Endocrinol.Home page
L. Hunyady and K. J. Catt
Pleiotropic AT1 Receptor Signaling Pathways Mediating Physiological and Pathogenic Actions of Angiotensin II
Mol. Endocrinol., May 1, 2006; 20(5): 953 - 970.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. P. Zankov, M. Omatsu-Kanbe, T. Isono, F. Toyoda, W.-G. Ding, H. Matsuura, and M. Horie
Angiotensin II Potentiates the Slow Component of Delayed Rectifier K+ Current via the AT1 Receptor in Guinea Pig Atrial Myocytes
Circulation, March 14, 2006; 113(10): 1278 - 1286.
[Abstract] [Full Text] [PDF]


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Exp. Biol. Med.Home page
N. Ardanaz and P. J. Pagano
Hydrogen peroxide as a paracrine vascular mediator: regulation and signaling leading to dysfunction.
Experimental Biology and Medicine, March 1, 2006; 231(3): 237 - 251.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
Z. Ying, L. Jin, T. Palmer, and R. C. Webb
Angiotensin II Up-Regulates the Leukemia-Associated Rho Guanine Nucleotide Exchange Factor (RhoGEF), a Regulator of G Protein Signaling Domain-Containing RhoGEF, in Vascular Smooth Muscle Cells
Mol. Pharmacol., March 1, 2006; 69(3): 932 - 940.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
K. Benkirane, E. C. Viel, F. Amiri, and E. L. Schiffrin
Peroxisome Proliferator-Activated Receptor {gamma} Regulates Angiotensin II-Stimulated Phosphatidylinositol 3-Kinase and Mitogen-Activated Protein Kinase in Blood Vessels In Vivo
Hypertension, January 1, 2006; 47(1): 102 - 108.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
P. Pladys, F. Sennlaub, S. Brault, D. Checchin, I. Lahaie, N. L. O. Le, K. Bibeau, G. Cambonie, D. Abran, M. Brochu, et al.
Microvascular rarefaction and decreased angiogenesis in rats with fetal programming of hypertension associated with exposure to a low-protein diet in utero
Am J Physiol Regulatory Integrative Comp Physiol, December 1, 2005; 289(6): R1580 - R1588.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
E. A. Woolfolk, S. Eguchi, H. Ohtsu, H. Nakashima, H. Ueno, W. T. Gerthoffer, and E. D. Motley
Angiotensin II-induced activation of p21-activated kinase 1 requires Ca2+ and protein kinase C{delta} in vascular smooth muscle cells
Am J Physiol Cell Physiol, November 1, 2005; 289(5): C1286 - C1294.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
C. De Ciuceis, F. Amiri, P. Brassard, D. H. Endemann, R. M. Touyz, and E. L. Schiffrin
Reduced Vascular Remodeling, Endothelial Dysfunction, and Oxidative Stress in Resistance Arteries of Angiotensin II-Infused Macrophage Colony-Stimulating Factor-Deficient Mice: Evidence for a Role in Inflammation in Angiotensin-Induced Vascular Injury
Arterioscler. Thromb. Vasc. Biol., October 1, 2005; 25(10): 2106 - 2113.
[Abstract] [Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
I. Haulica, W. Bild, and D. N Serban
Review: Angiotensin Peptides and their Pleiotropic Actions
Journal of Renin-Angiotensin-Aldosterone System, September 1, 2005; 6(3): 121 - 131.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
H. Ohtsu, M. Mifune, G. D. Frank, S. Saito, T. Inagami, S. Kim-Mitsuyama, Y. Takuwa, T. Sasaki, J. D. Rothstein, H. Suzuki, et al.
Signal-Crosstalk Between Rho/ROCK and c-Jun NH2-Terminal Kinase Mediates Migration of Vascular Smooth Muscle Cells Stimulated by Angiotensin II
Arterioscler. Thromb. Vasc. Biol., September 1, 2005; 25(9): 1831 - 1836.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
P. Brassard, F. Amiri, and E. L. Schiffrin
Combined Angiotensin II Type 1 and Type 2 Receptor Blockade on Vascular Remodeling and Matrix Metalloproteinases in Resistance Arteries
Hypertension, September 1, 2005; 46(3): 598 - 606.
[Abstract] [Full Text] [PDF]


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Anesth. Analg.Home page
J. Yu, K. Mizumoto, Y. Tokinaga, K. Ogawa, and Y. Hatano
The Inhibitory Effects of Sevoflurane on Angiotensin II- Induced, p44/42 Mitogen-Activated Protein Kinase-Mediated Contraction of Rat Aortic Smooth Muscle
Anesth. Analg., August 1, 2005; 101(2): 315 - 321.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Mifune, H. Ohtsu, H. Suzuki, H. Nakashima, E. Brailoiu, N. J. Dun, G. D. Frank, T. Inagami, S. Higashiyama, W. G. Thomas, et al.
G Protein Coupling and Second Messenger Generation Are Indispensable for Metalloprotease-dependent, Heparin-binding Epidermal Growth Factor Shedding through Angiotensin II Type-1 Receptor
J. Biol. Chem., July 15, 2005; 280(28): 26592 - 26599.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
U. G. B. Haider, T. U. Roos, M. I. Kontaridis, B. G. Neel, D. Sorescu, K. K. Griendling, A. M. Vollmar, and V. M. Dirsch
Resveratrol Inhibits Angiotensin II- and Epidermal Growth Factor-Mediated Akt Activation: Role of Gab1 and Shp2
Mol. Pharmacol., July 1, 2005; 68(1): 41 - 48.
[Abstract] [Full Text] [PDF]


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Exp PhysiolHome page
R. M Touyz
Intracellular mechanisms involved in vascular remodelling of resistance arteries in hypertension: role of angiotensin II
Exp Physiol, July 1, 2005; 90(4): 449 - 455.
[Abstract] [Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
B. Gurzu, M. Costuleanu, S. M. Slatineanu, A. Ciobanu, and G. Petrescu
Are Multiple Angiotensin Receptor Types Involved in Angiotensin (1-7) Actions on Isolated Rat Portal Vein?
Journal of Renin-Angiotensin-Aldosterone System, June 1, 2005; 6(2): 90 - 95.
[Abstract] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
S. Wesseling, D. A. Ishola Jr., J. A. Joles, H. A. Bluyssen, H. A. Koomans, and B. Braam
Resistance to oxidative stress by chronic infusion of angiotensin II in mouse kidney is not mediated by the AT2 receptor
Am J Physiol Renal Physiol, June 1, 2005; 288(6): F1191 - F1200.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
F. A. Yaghini, C. Zhang, J.-H. Parmentier, A. M. Estes, N. Jafari, S. A. Schaefer, and K. U. Malik
Contribution of Arachidonic Acid Metabolites Derived Via Cytochrome P4504A to Angiotensin II-Induced Neointimal Growth
Hypertension, June 1, 2005; 45(6): 1182 - 1187.
[Abstract] [Full Text] [PDF]


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JEMHome page
C. Vecchione, E. Patrucco, G. Marino, L. Barberis, R. Poulet, A. Aretini, A. Maffei, M. T. Gentile, M. Storto, O. Azzolino, et al.
Protection from angiotensin II-mediated vasculotoxic and hypertensive response in mice lacking PI3K{gamma}
J. Exp. Med., April 18, 2005; 201(8): 1217 - 1228.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
D. L. Hunton, W. G. Barnes, J. Kim, X.-R. Ren, J. D. Violin, E. Reiter, G. Milligan, D. D. Patel, and R. J. Lefkowitz
{beta}-Arrestin 2-Dependent Angiotensin II Type 1A Receptor-Mediated Pathway of Chemotaxis
Mol. Pharmacol., April 1, 2005; 67(4): 1229 - 1236.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
Q. Che and P. K. Carmines
Src family kinase involvement in rat preglomerular microvascular contractile and [Ca2+]i responses to ANG II
Am J Physiol Renal Physiol, April 1, 2005; 288(4): F658 - F664.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
W. G. Barnes, E. Reiter, J. D. Violin, X.-R. Ren, G. Milligan, and R. J. Lefkowitz
{beta}-Arrestin 1 and G{alpha}q/11 Coordinately Activate RhoA and Stress Fiber Formation following Receptor Stimulation
J. Biol. Chem., March 4, 2005; 280(9): 8041 - 8050.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
A. Modesti, I. Bertolozzi, T. Gamberi, M. Marchetta, C. Lumachi, M. Coppo, F. Moroni, T. Toscano, G. Lucchese, G. F. Gensini, et al.
Hyperglycemia Activates JAK2 Signaling Pathway in Human Failing Myocytes via Angiotensin II-Mediated Oxidative Stress
Diabetes, February 1, 2005; 54(2): 394 - 401.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
M. Otis, S. Campbell, M. D. Payet, and N. Gallo-Payet
Angiotensin II Stimulates Protein Synthesis and Inhibits Proliferation in Primary Cultures of Rat Adrenal Glomerulosa Cells
Endocrinology, February 1, 2005; 146(2): 633 - 642.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
K.H.S. Arun, C.L. Kaul, and P. Ramarao
AT1 receptors and L-type calcium channels: functional coupling in supersensitivity to angiotensin II in diabetic rats
Cardiovasc Res, February 1, 2005; 65(2): 374 - 386.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
C. S. Wilcox and D. Gutterman
Focus on oxidative stress in the cardiovascular and renal systems
Am J Physiol Heart Circ Physiol, January 1, 2005; 288(1): H3 - H6.
[Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
R. D. Roghair, F. S. Lamb, F. J. Miller Jr., T. D. Scholz, and J. L. Segar
Early gestation dexamethasone programs enhanced postnatal ovine coronary artery vascular reactivity
Am J Physiol Regulatory Integrative Comp Physiol, January 1, 2005; 288(1): R46 - R53.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
R. P. Brandes and J. Kreuzer
Vascular NADPH oxidases: molecular mechanisms of activation
Cardiovasc Res, January 1, 2005; 65(1): 16 - 27.
[Abstract] [Full Text] [PDF]


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Physiol. GenomicsHome page
C. Zeng, H. Sanada, H. Watanabe, G. M. Eisner, R. A. Felder, and P. A. Jose
Functional genomics of the dopaminergic system in hypertension
Physiol Genomics, November 17, 2004; 19(3): 233 - 246.
[Abstract] [Full Text] [PDF]


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J. Appl. Physiol.Home page
P. Li, S. Oparil, W. Feng, and Y.-F. Chen
Hypoxia-responsive growth factors upregulate periostin and osteopontin expression via distinct signaling pathways in rat pulmonary arterial smooth muscle cells
J Appl Physiol, October 1, 2004; 97(4): 1550 - 1558.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
C. M. Filipeanu, F. Zhou, W. C. Claycomb, and G. Wu
Regulation of the Cell Surface Expression and Function of Angiotensin II Type 1 Receptor by Rab1-mediated Endoplasmic Reticulum-to-Golgi Transport in Cardiac Myocytes
J. Biol. Chem., September 24, 2004; 279(39): 41077 - 41084.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
R. M. Melnychuk, D. N. Streblow, P. P. Smith, A. J. Hirsch, D. Pancheva, and J. A. Nelson
Human Cytomegalovirus-Encoded G Protein-Coupled Receptor US28 Mediates Smooth Muscle Cell Migration through G{alpha}12
J. Virol., August 1, 2004; 78(15): 8382 - 8391.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
E. L. Schiffrin and R. M. Touyz
From bedside to bench to bedside: role of renin-angiotensin-aldosterone system in remodeling of resistance arteries in hypertension
Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H435 - H446.
[Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Shimoni and X.-F. Liu
Gender differences in ANG II levels and action on multiple K+ current modulation pathways in diabetic rats
Am J Physiol Heart Circ Physiol, July 1, 2004; 287(1): H311 - H319.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
G. Wang, J. Anrather, J. Huang, R. C. Speth, V. M. Pickel, and C. Iadecola
NADPH Oxidase Contributes to Angiotensin II Signaling in the Nucleus Tractus Solitarius
J. Neurosci., June 16, 2004; 24(24): 5516 - 5524.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
G. H. Goossens, E. E. Blaak, W. H. M. Saris, and M. A. van Baak
Angiotensin II-Induced Effects on Adipose and Skeletal Muscle Tissue Blood Flow and Lipolysis in Normal-Weight and Obese Subjects
J. Clin. Endocrinol. Metab., June 1, 2004; 89(6): 2690 - 2696.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
V. Esteban, O. Lorenzo, M. Ruperez, Y. Suzuki, S. Mezzano, J. Blanco, M. Kretzler, T. Sugaya, J. Egido, and M. Ruiz-Ortega
Angiotensin II, via AT1 and AT2 Receptors and NF-{kappa}B Pathway, Regulates the Inflammatory Response in Unilateral Ureteral Obstruction
J. Am. Soc. Nephrol., June 1, 2004; 15(6): 1514 - 1529.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
P. Zahradka, B. Litchie, B. Storie, and G. Helwer
Transactivation of the Insulin-Like Growth Factor-I Receptor by Angiotensin II Mediates Downstream Signaling from the Angiotensin II Type 1 Receptor to Phosphatidylinositol 3-Kinase
Endocrinology, June 1, 2004; 145(6): 2978 - 2987.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
F. Andreozzi, E. Laratta, A. Sciacqua, F. Perticone, and G. Sesti
Angiotensin II Impairs the Insulin Signaling Pathway Promoting Production of Nitric Oxide by Inducing Phosphorylation of Insulin Receptor Substrate-1 on Ser312 and Ser616 in Human Umbilical Vein Endothelial Cells
Circ. Res., May 14, 2004; 94(9): 1211 - 1218.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
M. E. Mabrouk, Q. N. Diep, K. Benkirane, R. M. Touyz, and E. L. Schiffrin
SAM68: a downstream target of angiotensin II signaling in vascular smooth muscle cells in genetic hypertension
Am J Physiol Heart Circ Physiol, May 1, 2004; 286(5): H1954 - H1962.
[Abstract] [Full Text] [PDF]


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StrokeHome page
M. B. Hussain, S. Singhal, H. S. Markus, and D. R.J. Singer
Abnormal Vasoconstrictor Responses to Angiotensin II and Noradrenaline in Isolated Small Arteries From Patients With Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy (CADASIL)
Stroke, April 1, 2004; 35(4): 853 - 858.
[Abstract] [Full Text] [PDF]




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