Abstract
The control of blood pressure is achieved by a complex interplay of several hormonal systems acting either in an endocrine manner or locally in tissues such as brain, vessels, and kidney in a paracrine or autocrine manner. Because of the complexity of the cardiovascular system and its regulation, the study of these processes has been by and large limited to the whole organismic level. Thus, transgenic technology has been of the highest importance in recent years to assist in the discovery of the role of specific gene products in cardiovascular regulation. This review summarizes such findings about peptide systems involved in blood pressure control with a major emphasis on the renin-angiotensin system, which cardiovascularly may be the most relevant system. Also, transgenic animals with targeted genetic alterations in the synthesis or action of kinins, endothelins, natriuretic peptides, as well as adrenomedullin and the calcitonin gene-related peptide (CGRP) are described. For the renin-angiotensin system, all components have been deleted by gene targeting. Whenever angiotensin II synthesis or action was completely blunted, such as by the deletion of renin, angiotensinogen, angiotensin-converting enzyme, or the angiotensin II AT1 receptor, the mice showed very low blood pressure, kidney dysmorphology, and a high mortality. In contrast, most transgenic rat or mouse models overexpressing renin or angiotensinogen became hypertensive. Transgenic rats with reduced angiotensinogen in the brain are hypotensive and accordingly mice with enhanced angiotensin II generation in the central nervous system exhibited increased blood pressure, supporting an important role of the central renin-angiotensin system in cardiovascular control. Mice lacking endothelins or its receptors revealed functions of these peptides going beyond blood pressure regulation and implicating the endothelin system in the development of neural crestderived cells. Novel transgenic technologies such as inducible conditional gene targeting will help to further this knowledge and to design new therapeutic strategies.
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Bader, M. (2004). Renin-Angiotensin System/Blood Pressure Control. In: Offermanns, S., Hein, L. (eds) Transgenic Models in Pharmacology. Handbook of Experimental Pharmacology, vol 159. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18934-0_13
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