Vasopressin receptor antagonism--a therapeutic option in heart failure and hypertension.

Abstract:

:The precise role of vasopressin in the pathophysiology of cardiovascular disease is controversial, but this peptide hormone is important for several reasons. Firstly, circulating concentrations of vasopressin are elevated in heart failure and some forms of hypertension. Secondly, there is evidence that vasopressin is synthesized not only in the hypophysial-pituitary axis but also in peripheral tissues including the heart where it acts as a paracrine hormone. Thirdly, vasopressin has vasoconstrictor, mitogenic, hyperplastic and renal fluid retaining properties which, by analogy with angiotensin II, may have deleterious effects when present in chronic excess. Finally, the availability of orally active non-peptide vasopressin receptor antagonists allows vasopressin receptor antagonism to be considered as a therapeutic option in cardiovascular disease.

journal_name

Exp Physiol

journal_title

Experimental physiology

authors

Burrell LM,Risvanis J,Johnston CI,Naitoh M,Balding LC

doi

10.1111/j.1469-445x.2000.tb00031.x

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

259S-265S

eissn

0958-0670

issn

1469-445X

journal_volume

85 Spec No

pub_type

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