Mechanistic approach to the pathophysiology of target organ damage in hypertension from studies in a human model with characteristics opposite to hypertension: Bartter鈥檚 and Gitelman鈥檚 syndromes
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  • 作者:L. A. Cal貌 ; G. Maiolino
  • 关键词:Rho kinase ; Nitric oxide ; Angiotensin II signaling ; Gitelman鈥檚 syndrome ; Bartter鈥檚 syndrome ; Hypertension ; Cardiovascular鈥搑enal remodeling
  • 刊名:Journal of Endocrinological Investigation
  • 出版年:2015
  • 出版时间:July 2015
  • 年:2015
  • 卷:38
  • 期:7
  • 页码:711-716
  • 全文大小:
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  • 作者单位:L. A. Cal貌 (1)
    G. Maiolino (1)

    1. Department of Medicine, Nephrology and Hypertension, University of Padova, Via Giustiniani, 2, 35128, Padua, Italy
  • 刊物类别:Medicine/Public Health, general; Endocrinology; Metabolic Diseases;
  • 刊物主题:Medicine/Public Health, general; Endocrinology; Metabolic Diseases;
  • 出版者:Springer International Publishing
  • ISSN:1720-8386
文摘
Introduction Extensive studies using Bartter鈥檚/Gitelman鈥檚 syndrome patients have provided insights into the angiotensin II (Ang II) signaling pathways involved in the regulation of vascular tone and cardiovascular鈥搑enal remodeling. The renin鈥揳ngiotensin鈥揳ldosterone system is activated in these syndromes, however, patients do not develop hypertension and cardiovascular remodeling and clinically manifest conditions opposite to hypertension. The short- and the long-term signaling of Ang II remains an important matter of investigation to shed light on mechanisms responsible for the pathophysiology of hypertension and its long-term complications. The long-term signaling of Ang II is involved in the pathophysiology of cardiovascular鈥搑enal remodeling and inflammatory responses in which the balance between RhoA/Rho kinase pathway and NO system plays a crucial role.

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