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Aldosterone and end-organ damage.

Aldosterone and end-organ damage. Research Abstract Details 

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  • Aldosterone and end-organ damage. Abstract Text:

    annis m marneyAnnis M Marney,nancy j brownNancy J Brown,

    Aldosterone concentrations are inappropriately high in many patients with hypertension, as well as in an increasing number of individuals with metabolic syndrome and sleep apnoea. A growing body of evidence suggests that aldosterone and/or activation of the MR (mineralocorticoid receptor) contributes to cardiovascular remodelling and renal injury in these conditions. In addition to causing sodium retention and increased blood pressure, MR activation induces oxidative stress, endothelial dysfunction, inflammation and subsequent fibrosis. The MR may be activated by aldosterone and cortisol or via transactivation by the AT(1) (angiotenin II type 1) receptor through a mechanism involving the EGFR (epidermal growth factor receptor) and MAPK (mitogen-activated protein kinase) pathway. In addition, aldosterone can generate rapid non-genomic effects in the heart and vasculature. MR antagonism reduces mortality in patients with CHF (congestive heart failure) and following myocardial infarction. MR antagonism improves endothelial function in patients with CHF, reduces circulating biomarkers of cardiac fibrosis in CHF or following myocardial infarction, reduces blood pressure in resistant hypertension and decreases albuminuria in hypertensive and diabetic patients. In contrast, whereas adrenalectomy improves glucose homoeostasis in hyperaldosteronism, MR antagonism may worsen glucose homoeostasis and impairs endothelial function in diabetes, suggesting a possible detrimental effect of aldosterone via non-genomic pathways.

    Aldosterone and end-organ damage. Publishing Authors By Initials

    am marneyAM Marney,nj brownNJ Brown,

    For similar biochemical phenomena, metabolism, and nutrition: metabolism: renin-angiotensin system research abstracts see: biochemical phenomena, metabolism, and nutrition: metabolism: renin-angiotensin system research

    PUBMED ID PMID:

    MEDLINE DATE:

    Aldosterone and end-organ damage. Journal Published:

    PUBLICATION TYPE: Review

    Journal: Clinical science (London, England : 1979)

    VOLUME: 113

    Page Numbers: 267-78

    Journal Abbreviation: Clin. Sci.

    ISSN: 1470-8736

    DAY: 3

    MONTH: Sep

    YEAR: 2007

    Aldosterone and end-organ damage. Information

    Number of References: 130

    LANGUAGE: eng

    NlmUniqueID: 7905731

    Aldosterone and end-organ damage. Keywords Mesh Terms:

    KEYWORDS: Renin-Angiotensin System

    MESH TERMS: physiology

    Chemical & Substance for Abstract: Aldosterone and end-organ damage. Information

    Substance Name: Aldosterone

    Registry Number: 52-39-1

    Grant and Affiliation Information for Aldosterone and end-organ damage.

    AFFILIATION: Division of Clinical Pharmacology, Departments of Medicine and Pharmacology, Vanderbilt University Medical Center, Nashville, TN 37232-6602, USA.

    Country: England

    England Research PublicationEngland Research Publication

    AGENCY: United States NHLBI

    GRANT: HL067308

    ACRONYM: HL

    MEDLINETA: Clin Sci (Lond)

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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