Angiotensin II and progressive renal insufficiency.

Abstract:

:The inhibition of angiotensin II through angiotensin converting enzyme inhibitors or angiotensin receptor blockers has become the foundation of medical treatment of progressive chronic renal disease. Although these drugs provide a significant improvement over earlier treatments, they only slow the progression of renal disease, implying the need for additional drugs that could be combined with antiangiotensin treatment. Potentially valuable novel drug targets include downstream mediators of angiotensin II such as transforming growth factor-b, plasminogen activator inhibitor-1, and endothelin-1. In addition, recent evidence points to aldosterone as a major player in progressive renal disease, indicating that multiple points of the renin-angiotensin-aldosterone system might have to be targeted. This paper reviews the experimental and clinical evidence indicating that targeting these cytokines and hormones could provide additional benefits to antiangiotensin treatment in chronic renal disease.

journal_name

Curr Hypertens Rep

authors

Gaedeke J,Noble NA,Border WA

doi

10.1007/s11906-002-0071-9

keywords:

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

403-7

issue

5

eissn

1522-6417

issn

1534-3111

journal_volume

4

pub_type

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