Angiotensin receptors
Angiotensin receptors (AT) are present on the surface of target cells.
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Two subtype receptors AT1 and AT2 have been identified.
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Losartan is the specific antagonist for AT1 receptor.
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All the effects of Angiotensin II are mediated through AT1 receptors.
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AT2 receptors have been identified in adrenal medulla and CNS
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AT1 receptor is a G-protein coupled receptor utilizing different transducer mechanism in different tissues.
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Phospholipase C - IP3/DAG and intracellular calcium ions release underlies vascular and visceral smooth muscle contraction by activating myosin light chain kinase.
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Membrane calcium ions are also activated.
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Calcium movement induces aldosterone synthesis release, cardiac inotropy,depolarization of autonomic ganglia, adrenal medulla resulting catecholamine release and sympathetic outflow.
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DAG activates protein kinase C which phosphorylase intracellular proteins and promotes cell growth.
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In liver and kidney Angiotensin II inhibits adenyl cyclase.
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Intrarenal homeostatic mechanism involves prostaglandin and leukotrienes production through activation of phospholipase A2.
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This molecular mechanism has a wide effect on myocardium, vascular smooth muscle, fibroblasts through AT1 receptor where Angiotensin II has sustained effect on cell growth and intracellular matrix synthesis.
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Last modified: Tuesday, 15 May 2012, 10:15 AM