Interventional Cardiology and
Angiology

Prevention of Restenosis - Angiotensin II
receptor blockade
- Initially, Ang II was identified by its physiologic ability to
regulate salt and water metabolism, blood pressure and vascular
tone.
- Ang II also functions as a growth factor that stimulates VSMC
hypertrophy and is involved in VSMC proliferation following
angioplasty.
- Ang II elevates mRNAs enconding PDGF-A, TGF-beta, c-myc, c-fos
and FGF-2
- AT1receptor acts as a classical cytokine receptor such as IL-2
or INF-gamma.
- Activation of MAP-kinases, induction of c-fos expression and
activation of JAK and Stat 113 in VSMC.
- Reduction of Ang II-induced increase of VSMC 02 radicals.
- A double antiproliferative effect of AngII by inhibition of
AT-1 receptor and stimulation of AT2-receptor.
- These data suggest that Ang II plays an important role in
various cardiovascular diseases associated with VSMC growth such
as restenosis following balloon angioplasty.
Universitätsklinikum Charité - Medizinische Fakultät
der Humboldt-Universität zu Berlin, Campus Berlin-Buch
Franz-Volhard-Klinik
Wiltbergstraße 50, D - 13125 Berlin
Tel.: +49 30 9417 2996 - Fax: +49 30 9497 074
Letzte Änderung: 17.11.98 -
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