Vasoactive Peptides View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2018

AUTHORS

Juan Carlos Yugar-Toledo , Ana Paula C. Faria , Heitor Moreno

ABSTRACT

Hypertension develops from a complex interaction of environmental and genetic factors although more than 90% of cases do not have clear etiology. Vasoactive peptide systems are among the major contributing factors to abnormal sustained blood pressure levels together with increased sympathetic nervous system activity, long-term high sodium intake, and inadequate dietary intake of potassium and calcium. For instance, an altered renin secretion related to the elevated activity of the renin-angiotensin aldosterone system (RAAS) leads to the formation of the vasoconstrictor peptide angiotensin II. Both hyperactivity of the angiotensin-converting enzyme (ACE), resulting in overproduction of angiotensin II (Ang II), and deactivation of the vasodilator kallikrein-kinin system (KKS) also alter the vascular tone. Otherwise, reduction of nitric oxide (NO) bioavailability also induces abnormalities in vessel resistance due to vascular inflammation and increased activity of vascular growth factors and metalloproteinases. There is evidence that elevated vasopressin (AVP) and neuropeptide Y (NPY) levels contribute to hypertension in a subset of human subjects by alterations in the corporal water homeostasis and acting centrally as an inhibitor of sympathetic outflow, respectively. Disturbances in the natriuretic peptide system inhibit renin release and sodium reabsorption as well as enhance the central sympathetic outflow, adrenal catecholamine release, and actions of angiotensin II and aldosterone. Although not directly linked to peptidic systems, adipocytokines, oxidative stress, and cells of both the innate and adaptive immune systems will be addressed in this chapter as recent contributions to cardiovascular dysfunction and end-organ damage in hypertension. Thus, taken together, dysregulation in vasoactive peptide systems, adipocyte hormones, redox balance, and cellular immunogenicity compose a current keystone for maintained high blood pressure levels, cardiac remodeling, and vascular stiffness in hypertensive disease. More... »

PAGES

107-126

References to SciGraph publications

Book

TITLE

Disorders of Blood Pressure Regulation

ISBN

978-3-319-59917-5
978-3-319-59918-2

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-59918-2_8

DOI

http://dx.doi.org/10.1007/978-3-319-59918-2_8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1100653511


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