Physiological Reports,
Journal Year:
2024,
Volume and Issue:
12(12)
Published: June 1, 2024
The
renin-angiotensin
system
(RAS)-a
classical
blood
pressure
regulator-largely
contributes
to
healthy
organ
development
and
function.
Besides,
RAS
activation
promotes
age-related
changes
age-associated
diseases,
which
are
attenuated/abolished
by
RAS-blockade
in
several
mammalian
species.
RAS-blockers
also
increase
rodent
lifespan.
In
previous
work,
we
discussed
how
downregulates
mTOR
growth
hormone/IGF-1
signaling,
stimulates
AMPK
activity
(together
with
klotho,
sirtuin,
vitamin
D-receptor
upregulation),
proposed
that
at
least
some
of
RAS-blockade's
aging
benefits
mediated
through
regulation
these
intermediaries
their
signaling
mitochondria.
Here,
included
impact
on
other
regulatory
pathways,
is,
TGF-ß,
NF-kB,
PI3K,
MAPK,
PKC,
Notch,
Wnt,
all
affect
No
direct
evidence
is
available
RAS/RAS-blockade-aging
pathway-mitochondria
interactions.
However,
existing
results
allow
conjecture
neutralize
mitochondrial
dysfunction
acting
the
pathways.
reviewed
led
us
propose
foundation
laid
for
conducting
clinical
trials
aimed
testing
whether
angiotensin-converting
enzyme
inhibitors
(ACEi)
or
angiotensin
receptor
blockers
(ARB)-even
subclinical
doses-offer
possibility
live
longer
better
health.
As
ACEi
ARB
low
cost
well-tolerated
anti-hypertension
therapies
use
over
35
years,
investigating
administration
attenuate/prevent
effects
seems
simple
implement.
Frontiers in Pharmacology,
Journal Year:
2023,
Volume and Issue:
14
Published: Dec. 15, 2023
Current
evidence
suggests
that
activation
of
glial
and
immune
cells
leads
to
increased
production
proinflammatory
mediators,
creating
a
neuroinflammatory
state.
Neuroinflammation
has
been
proven
be
fundamental
mechanism
in
the
genesis
acute
pain
its
transition
neuropathic
chronic
pain.
A
noxious
event
stimulates
peripheral
afferent
nerve
fibers
may
also
activate
pronociceptive
receptors
situated
at
dorsal
root
ganglion
horn
spinal
cord,
as
well
cells,
setting
off
so-called
sensitization
spreading
neuroinflammation
brain.
Once
activated,
microglia
produce
cytokines,
chemokines,
neuropeptides
can
increase
sensitivity
firing
properties
second-order
neurons,
upregulating
signaling
nociceptive
information
cerebral
cortex.
This
process,
known
central
sensitization,
is
crucial
for
chronification
Immune-neuronal
interactions
are
implicated
lesser-known
complex
regulatory
relationship
between
opioids.
activated
alter
neuronal
function,
induce,
maintain
pathological
pain,
disrupt
analgesic
effects
opioid
drugs
by
contributing
development
tolerance
dependence,
even
causing
paradoxical
hyperalgesia.
Such
alterations
occur
when
environment
impacted
trauma,
inflammation,
immune-derived
molecules,
or
opioids
induce
activation.
Hence,
understanding
these
intricate
help
managing
efficacy
beyond
classical
pharmacological
approach.
Physiological Reports,
Journal Year:
2024,
Volume and Issue:
12(12)
Published: June 1, 2024
The
renin-angiotensin
system
(RAS)-a
classical
blood
pressure
regulator-largely
contributes
to
healthy
organ
development
and
function.
Besides,
RAS
activation
promotes
age-related
changes
age-associated
diseases,
which
are
attenuated/abolished
by
RAS-blockade
in
several
mammalian
species.
RAS-blockers
also
increase
rodent
lifespan.
In
previous
work,
we
discussed
how
downregulates
mTOR
growth
hormone/IGF-1
signaling,
stimulates
AMPK
activity
(together
with
klotho,
sirtuin,
vitamin
D-receptor
upregulation),
proposed
that
at
least
some
of
RAS-blockade's
aging
benefits
mediated
through
regulation
these
intermediaries
their
signaling
mitochondria.
Here,
included
impact
on
other
regulatory
pathways,
is,
TGF-ß,
NF-kB,
PI3K,
MAPK,
PKC,
Notch,
Wnt,
all
affect
No
direct
evidence
is
available
RAS/RAS-blockade-aging
pathway-mitochondria
interactions.
However,
existing
results
allow
conjecture
neutralize
mitochondrial
dysfunction
acting
the
pathways.
reviewed
led
us
propose
foundation
laid
for
conducting
clinical
trials
aimed
testing
whether
angiotensin-converting
enzyme
inhibitors
(ACEi)
or
angiotensin
receptor
blockers
(ARB)-even
subclinical
doses-offer
possibility
live
longer
better
health.
As
ACEi
ARB
low
cost
well-tolerated
anti-hypertension
therapies
use
over
35
years,
investigating
administration
attenuate/prevent
effects
seems
simple
implement.