The renin-angiotensin system in central nervous system tumors and degenerative diseases
- PMID: 34590472
- DOI: 10.52586/4972
The renin-angiotensin system in central nervous system tumors and degenerative diseases
Abstract
Despite their differences, central nervous system (CNS) tumors and degenerative diseases share important molecular mechanisms underlying their pathologies, due to their common anatomy. Here we review the role of the renin-angiotensin system (RAS) in CNS tumors and degenerative diseases, to highlight common molecular features and examine the potential merits in repurposing drugs that inhibit the RAS, its bypass loops, and converging signaling pathways. The RAS consists of key components, including angiotensinogen, (pro)renin receptor (PRR), angiotensin-converting enzyme 1 (ACE1), angiotensin-converting enzyme 2 (ACE2), angiotensin I (ATI), angiotensin II (ATII), ATII receptor 1 (AT1R), ATII receptor 2 (AT2R) and the Mas receptor (MasR). The RAS is integral to systemic and cellular pathways that regulate blood pressure and body fluid equilibrium and cellular homeostasis. The main effector of the RAS is ATII which exerts its effect by binding to AT1R and AT2R through two competitive arms: an ACE1/ATII/AT1R axis, which is involved in regulating oxidative stress and neuroinflammation pathways, and an ATII/AT2R and/or ATII/ACE2/Ang(1-7)/MasR axis that potentiates neuroprotection pathways. Alterations of these axes are associated with cellular dysfunction linked to CNS diseases. The generation of ATII is also influenced by proteases that constitute bypass loops of the RAS. These bypass loops include cathepsins B, D and G and chymase and aminopeptidases. The RAS is also influenced by converging pathways such as the Wnt/β-catenin pathway which sits upstream of the RAS via PRR, a key component of the RAS. We also discuss the co-expression of components of the RAS and markers of pluripotency, such as OCT4 and SOX2, in Parkinson's disease and glioblastoma, and their potential influences on transduction pathways involving the Wnt/β-catenin, MAPK/ERK, PI3K/AKT and vacuolar (H+) adenosine triphosphatase (V-ATPase) signaling cascades. Further research investigating modulation of the ACE1/ATII/AT1R and ACE2/Ang(1-7)/MasR axes with RAS inhibitors may lead to novel treatment of CNS tumors and degenerative diseases. The aim of this review article is to discuss and highlight experimental and epidemiological evidence for the role of the RAS, its bypass loops and convergent signaling pathways in the pathogenesis of CNS tumors and degenerative diseases, to direct research that may lead to the development of novel therapy.
Keywords: Central nervous system; Cerebral organoids; Glioblastoma; Parkinson’s disease; Pluripotency; Renin-angiotensin system.
© 2021 The Author(s). Published by BRI.
Similar articles
-
Activation of Angiotensin-converting Enzyme 2 Protects Against Lipopolysaccharide-induced Glial Activation by Modulating Angiotensin-converting Enzyme 2/Angiotensin (1-7)/Mas Receptor Axis.Mol Neurobiol. 2023 Jan;60(1):203-227. doi: 10.1007/s12035-022-03061-5. Epub 2022 Oct 17. Mol Neurobiol. 2023. PMID: 36251234
-
The vasoprotective axes of the renin-angiotensin system: Physiological relevance and therapeutic implications in cardiovascular, hypertensive and kidney diseases.Pharmacol Res. 2017 Nov;125(Pt A):21-38. doi: 10.1016/j.phrs.2017.06.005. Epub 2017 Jun 12. Pharmacol Res. 2017. PMID: 28619367 Free PMC article. Review.
-
Prenatal dexamethasone and postnatal high-fat diet have a synergistic effect of elevating blood pressure through a distinct programming mechanism of systemic and adipose renin-angiotensin systems.Lipids Health Dis. 2018 Mar 14;17(1):50. doi: 10.1186/s12944-018-0701-0. Lipids Health Dis. 2018. PMID: 29540174 Free PMC article.
-
Interplay between the renin angiotensin system and oxidative stress contributes to alcohol addiction by stimulating dopamine accumulation in the mesolimbic pathway.Biochem Pharmacol. 2023 Jun;212:115578. doi: 10.1016/j.bcp.2023.115578. Epub 2023 May 1. Biochem Pharmacol. 2023. PMID: 37137415
-
Role of the renin-angiotensin system in the development of COVID-19-associated neurological manifestations.Front Cell Neurosci. 2022 Sep 16;16:977039. doi: 10.3389/fncel.2022.977039. eCollection 2022. Front Cell Neurosci. 2022. PMID: 36187294 Free PMC article. Review.
Cited by
-
Acupoint catgut embedding attenuates oxidative stress and cognitive impairment in chronic cerebral ischemia by inhibiting the Ang II/AT1R/NOX axis.Pflugers Arch. 2024 Aug;476(8):1249-1261. doi: 10.1007/s00424-024-02981-6. Epub 2024 Jun 28. Pflugers Arch. 2024. PMID: 38940824
-
Extracellular Vesicles and Their Renin-Angiotensin Cargo as a Link between Metabolic Syndrome and Parkinson's Disease.Antioxidants (Basel). 2023 Nov 26;12(12):2045. doi: 10.3390/antiox12122045. Antioxidants (Basel). 2023. PMID: 38136165 Free PMC article.
-
Role of brain renin-angiotensin system in depression: A new perspective.CNS Neurosci Ther. 2024 Apr;30(4):e14525. doi: 10.1111/cns.14525. Epub 2023 Nov 12. CNS Neurosci Ther. 2024. PMID: 37953501 Free PMC article. Review.
-
Natural product-based pharmacological studies for neurological disorders.Front Pharmacol. 2022 Nov 7;13:1011740. doi: 10.3389/fphar.2022.1011740. eCollection 2022. Front Pharmacol. 2022. PMID: 36419628 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Miscellaneous