小肠局部肾素-血管紧张素系统。

T S Zamolodchikova, B B Shoibonov, S M Tolpygo
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引用次数: 0

摘要

肾素-血管紧张素系统(RAS)是机体、组织和细胞水平上许多重要过程的通用多因子调节器。经典(循环)RAS提供维持动脉压力,水和盐平衡,脂质和葡萄糖稳态。局部组织RAS独立发挥作用,参与代谢过程和保护反应。小肠粘膜的局部RAS实际上是由一系列的成分(肾素、血管紧张素原、血管紧张素转换酶、血管紧张素受体)组成的,主要分布在肠上皮、固有层和肌层粘膜。局部RAS参与小肠大部分活动水平的调节,影响肠道运动、分泌-运输过程、适应和保护反应。本综述中提出的实验数据非常有希望用于检测使用药物时可能的并发症,这些药物改变了这些药物与其潜在靶点相互作用的ras相关未探索效应的活性,这些靶点不仅局限于血管,而且直接作用于胃肠道的牛膜。在高血压、动脉粥样硬化、内皮功能障碍等心血管疾病的治疗实践中,广泛使用调节RAS活性的药物,这一点尤为重要。
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LOCAL RENIN-ANGIOTENSIN SYSTEM OF SMALL INTESTINE.

The renin-angiotensin system (RAS) is the universal multiple-factor regulator of many vital processes at the organismal, tissue and cellular levels. Classical (circulating) RAS provides maintenance of arterial pressure, a water and salt balance, lipid and glucose homeostasis. Local tissue RAS are functioning independently and participating in metabolic processes and protective reactions. Local RAS of a small intestine mucosa is presented practically by a complete rangeof the components (renin, angiotensinogen, angiotensin-converting enzymes, angiotensin receptors) localized, mainly, in an intestinal epithehum, lamina propria and muscularis mucosa. Local RAS participates in regulation of the most levels of activity ofa small intestine, influencing on an intestinal motility, secretory-transport processes, adaptation and protective reactions. The experimental data presented in this review are very promising for the detection of possible complications when using drugs that alter the activity of the RAS-related unexplored effects of the interaction of these drugs with their potential targets, localized not only in the blood vessels, but also directly to the niucosa of the gastrointestinal tract. This is especially important in connection with the extensive use of drugs that modulate the activity of the RAS in the practice of the treatment of cardiovascular diseases such as hypertension, atherosclerosis, endothelial dysfunction, and others.

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