Drugs targeting the renin-angiotensin-aldosterone system

被引:350
作者
Zaman, MA [1 ]
Oparil, S [1 ]
Calhoun, DA [1 ]
机构
[1] Univ Alabama Birmingham, Vasc Biol & Hypertens Program, Div Cardiovasc Dis, Dept Med, Birmingham, AL 35294 USA
关键词
D O I
10.1038/nrd873
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Effective antihypertensive therapy has made a major contribution to the reductions in the morbidity and mortality of cardiovascular disease that have been achieved since the 1960s. However, blood-pressure control with conventional drugs has not succeeded in reducing cardiovascular disease risks to levels seen in normotensive persons. Drugs that inhibit or antagonize components of the renin-angiotensin-aldosterone system are addressing this deficiency by targeting both blood pressure and related structural and functional abnormalities of the heart and blood vessels, thus preventing target-organ damage and related cardiovascular events.
引用
收藏
页码:621 / 636
页数:16
相关论文
共 117 条
[21]   The new oral angiotensin II antagonist olmesartan medoxomil: a concise overview [J].
Brunner, HR .
JOURNAL OF HUMAN HYPERTENSION, 2002, 16 (Suppl 2) :S13-S16
[22]   ESSENTIAL HYPERTENSION - RENIN AND ALDOSTERONE, HEART ATTACK AND STROKE [J].
BRUNNER, HR ;
BUHLER, FR ;
BARD, RH ;
BAER, L ;
GOODWIN, FT ;
NEWTON, MA ;
KRAKOFF, LR ;
LARAGH, JH .
NEW ENGLAND JOURNAL OF MEDICINE, 1972, 286 (09) :441-+
[23]  
BRUNNER HR, 1996, CARDIOVASCULAR DRUG, P690
[24]  
Burgess E., 2002, American Journal of Hypertension, V15, p57A, DOI 10.1016/S0895-7061(02)02421-4
[25]   Angiotensin II receptor antagonists [J].
Burnier, M ;
Brunner, HR .
LANCET, 2000, 355 (9204) :637-645
[26]  
CAHOUN DA, 2002, CURR HYPERTENS REP, V4, P221
[27]   Biological properties of the angiotensin peptides other than angiotensin II: implications for hypertension and cardiovascular diseases [J].
Cesari, M ;
Rossi, GP ;
Pessina, AC .
JOURNAL OF HYPERTENSION, 2002, 20 (05) :793-799
[28]   Angiotensin II-forming activity in a reconstructed ancestral chymase [J].
Chandrasekharan, UM ;
Sanker, S ;
Glynias, MJ ;
Karnik, SS ;
Husain, A .
SCIENCE, 1996, 271 (5248) :502-505
[29]   Angioedema associated with angiotensin II receptor antagonists: Challenging our knowledge of angioedema and its etiology [J].
Chiu, AG ;
Krowiak, EJ ;
Deeb, ZE .
LARYNGOSCOPE, 2001, 111 (10) :1729-1731
[30]  
CLEMENT DL, 2002, MANUAL HYPERTENSION, P359