Current Hypertension Reports

, Volume 13, Issue 1, pp 86–92

Endothelial Damage and Regeneration: The Role of the Renin-Angiotensin-Aldosterone System

  • Ulrich M. Becher
  • Cathleen Endtmann
  • Vedat Tiyerili
  • Georg Nickenig
  • Nikos Werner
Article

DOI: 10.1007/s11906-010-0171-x

Cite this article as:
Becher, U.M., Endtmann, C., Tiyerili, V. et al. Curr Hypertens Rep (2011) 13: 86. doi:10.1007/s11906-010-0171-x

Abstract

The renin-angiotensin-aldosterone system (RAAS) is part of the blood pressure regulating system. Its main effector peptide is angiotensin II (Ang II). Although it may induce hypertension, the proinflammatory, profibrotic, and prothrombotic effects are mainly mediated by effects of Ang II on the cellular and molecular level that are independent of blood pressure. Therefore, pharmacotherapeutic intervention within the RAAS is an important treatment modality for patients suffering from cardiovascular diseases, even those who are not hypertensive. In addition to the blood pressure lowering and vasculoprotective (pleiotropic) effects of angiotensin II type 1 (AT1) receptor blockers (ARBs), and angiotensin-converting enzyme (ACE) inhibitors, regenerative progenitor cell therapy emerges as an auxiliary therapy to improve regeneration of the vascular endothelium. This review focuses on the growing knowledge about regenerating vascular cells, their response to RAAS effectors, and RAAS-modulating pharmacotherapy in the context of endothelial cell damage and regeneration.

Keywords

Endothelial regenerationEndothelial damageEndothelial progenitor cellsEPCRenin-angiotensin-aldosterone system (RAAS)Endothelial dysfunctionAtherosclerosisAngiotensin IIAng IIAngiotensin II receptor blockerARBAngiotensin-converting enzyme inhibitorACE inhibitorDirect renin inhibitorDRI

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Ulrich M. Becher
    • 1
  • Cathleen Endtmann
    • 1
  • Vedat Tiyerili
    • 1
  • Georg Nickenig
    • 1
  • Nikos Werner
    • 1
  1. 1.Medizinische Klinik und Poliklinik IIUniversitätsklinikum BonnBonnGermany