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VIII. <strong>Inflammation</strong> specific <strong>signaling</strong> Poster VIII, 29<br />

Angiotensin II Type 1 Receptor as a target for the resolution of disease induced<br />

wounding<br />

Gary R. Smith<br />

Chemistry Department, The Open University, Walton Hall, Milton Keynes MK7 6AA,<br />

UK.<br />

E-mail : gary.smith@persescomms.com<br />

The critical role of inappropriate inflammation is becoming accepted in many diseases,<br />

including cardiovascular diseases, inflammatory <strong>and</strong> autoimmune disorders,<br />

neurodegenerative conditions, infection <strong>and</strong> cancer.<br />

A review of laboratory <strong>and</strong> clinical evidence demonstrates that cancer up-regulates the<br />

angiotensin II type 1 (AT1) receptor through oxidative, hypoxic <strong>and</strong> steer stress mechanisms,<br />

thereby triggering a wound response that remodels surrounding tissue <strong>and</strong> subdues the<br />

immune system.<br />

With regard to cancer being a systemic disease, an examination of supporting evidence for a<br />

systemic role of AT1 in relationship to the wound response is presented as a logical<br />

progression. The evidence suggests that regulation of the mutually antagonistic angiotensin II<br />

receptors (AT1 <strong>and</strong> AT2) is an essential process in the management of ‘chronic’ inflammation<br />

<strong>and</strong> wound recovery, <strong>and</strong> that an imbalance in the expression of these receptors will lead to<br />

progress in disease conditions.<br />

Manipulation of the angiotensin system with existing anti-hypertensive drugs has been found<br />

to have therapeutic effect in clinical studies in type 2 diabetes, arteriosclerosis, renal disease,<br />

sarcoidosis <strong>and</strong> hormone refractory prostate cancer. It is anticipated that in the foreseeable<br />

future Angiotensin Receptor Blockade will provide a new approach to the treatment of many<br />

of the diseases that afflict mankind.<br />

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