pmc logo imageJournal ListSearchpmc logo image
Logo of vhriskmanJournal URL: redirect3.cgi?&&auth=08E7jJRSrxJxl10BY7M9OdI9cq9RsCEHoDOTLS5rP&reftype=publisher&artid=2597759&article-id=2597759&iid=174332&issue-id=174332&jid=391&journal-id=391&FROM=Article|Banner&TO=Publisher|Other|N%2FA&rendering-type=normal&&http://dovepress.com/articles.php?journal_id=69
Vasc Health Risk Manag. 2008 August; 4(4): 787–803.
PMCID: PMC2597759
The renin–angiotensin system and diabetes: An update
Antônio Ribeiro-Oliveira, Jr,1 Anelise Impeliziere Nogueira,1 Regina Maria Pereira,2 Walkiria Wingester Vilas Boas,3 Robson Augusto Souza dos Santos,4 and Ana Cristina Simões e Silva5
1Laboratório de Endocrinologia, Departamento de Clínica Médica
2Departamento de Ciências Biológicas, Centro Universitário de Belo Horizonte, UNIBH, Belo Horizonte, MG, Brazil
3Hospital Life Center, Belo Horizonte, MG, Brazil
4Laboratório de Hipertensão, Departamento de Fisiologia e Biofísica, Instituto de Ciências Biológicas, UFMG, Belo Horizonte, MG, Brazil
5Departamento de Pediatria, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil
Correspondence: Ana Cristina Simões Silva, Avenida Bernardo Monteiro, 1300 apto 1104, Bairro Funcionários, Belo Horizonte, Minas Gerais, Brazil, 30150-281, Tel +55 31 7814 8682, Fax +55 31 3227 5555, Email acssilva/at/hotmail.com, Email: ana/at/medicina.ufmg.br
Abstract
In the past few years the classical concept of the renin–angiotensin system (RAS) has experienced substantial conceptual changes. The identification of the renin/prorenin receptor, the angiotensin converting enzyme homologue ACE2 as an angiotensin peptide processing enzyme, Mas as a receptor for Ang-(1–7) and the possibility of signaling through ACE, have contributed to switch our understanding of the RAS from the classical limited proteolysis linear cascade to a cascade with multiple mediators, multiple receptors, and multi functional enzymes. In this review we will focus on the recent findings related to RAS and, in particular, on its role in diabetes by discussing possible interactions between RAS mediators, endothelium function, and insulin signaling transduction pathways as well as the putative role of ACE2-Ang-(1–7)-Mas axis in disease pathogenesis.
Keywords: renin–angiotensin system, diabetes, angiotensin II, angiotensin-(1-7), insulin, endothelium