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