Abstract
The Renin-Angiotensin-Aldosterone System (RAAS), which regulates plasma sodium levels, arterial blood pressure, and extracellular volume, is a crucial component of the human body. Angiotensin II is a multifunctional effector peptide hormone that is created when the renin enzyme, which is produced by the kidneys, interacts with angiotensinogen. RAAS activation and the ensuing hypertension, cell proliferation, inflammation, and fibrosis affect every organ. Numerous acute and chronic illnesses can be brought on by an imbalance between renin and angiotensin II. The advancement of kidney disease is correlated with proteinuria and a decline in renal function. RAAS over-activity promotes the emergence of a variety of clinical diseases, including the development of chronic kidney disease (CKD). In order to reduce blood pressure and proteinuria in patients with chronic kidney disease (CKD), reno preventive treatment has long depended on inhibiting the renin-angiotensin-aldosterone system (RAAS). According to research, RAAS inhibitors play a preventive effect in both the early and late stages of kidney disease by preventing proteinuria, kidney fibrosis, and slow decline in renal function. An overview of the RAAS pathway, its function in the kidney, and RAAS pathway blocking techniques for enhancing long-term outcomes in CKD patients are covered in this chapter.
All the work was carried out in the Department of Research, Sir Ganga Ram Hospital, New Delhi.
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Kant, R., Gupta, S., Kumra, T., Rana, R., Ganguly, N.K. (2023). Role of Renin Angiotensin-Aldosterone System in Kidney Homeostasis. In: Bhullar, S.K., Tappia, P.S., Dhalla, N.S. (eds) The Renin Angiotensin System in Cancer, Lung, Liver and Infectious Diseases. Advances in Biochemistry in Health and Disease, vol 25. Springer, Cham. https://doi.org/10.1007/978-3-031-23621-1_13
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