The Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy

Ischemic stroke remains the leading cause of neurologically based morbidity and mortality. Current stroke treatment is limited to two classes of FDA-approved drugs: thrombolytic agents (tissue plasminogen activator (tPA)) and antithrombotic agents (aspirin and heparin), which have a narrow time-wind...

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Autores principales: Mansoureh Barzegar, Karen Y. Stokes, Oleg Chernyshev, Roger E. Kelley, Jonathan S. Alexander
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/06262237e529455088438a3d00021bc2
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spelling oai:doaj.org-article:06262237e529455088438a3d00021bc22021-11-25T16:50:33ZThe Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy10.3390/biomedicines91116672227-9059https://doaj.org/article/06262237e529455088438a3d00021bc22021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9059/9/11/1667https://doaj.org/toc/2227-9059Ischemic stroke remains the leading cause of neurologically based morbidity and mortality. Current stroke treatment is limited to two classes of FDA-approved drugs: thrombolytic agents (tissue plasminogen activator (tPA)) and antithrombotic agents (aspirin and heparin), which have a narrow time-window (<4.5 h) for administration after onset of stroke symptoms. While thrombolytic agents restore perfusion, they carry serious risks for hemorrhage, and do not influence damage responses during reperfusion. Consequently, stroke therapies that can suppress deleterious effects of ischemic injury are desperately needed. Angiotensin converting enzyme-2 (ACE2) has been recently suggested to beneficially influence experimental stroke outcomes by converting the vasoconstrictor Ang II into the vasodilator Ang 1–7. In this review, we extensively discuss the protective functions of ACE2-Ang (1–7)-MasR axis of renin angiotensin system (RAS) in ischemic stroke.Mansoureh BarzegarKaren Y. StokesOleg ChernyshevRoger E. KelleyJonathan S. AlexanderMDPI AGarticleischemic strokeangiotensin converting enzyme-2MasRtherapyBiology (General)QH301-705.5ENBiomedicines, Vol 9, Iss 1667, p 1667 (2021)
institution DOAJ
collection DOAJ
language EN
topic ischemic stroke
angiotensin converting enzyme-2
MasR
therapy
Biology (General)
QH301-705.5
spellingShingle ischemic stroke
angiotensin converting enzyme-2
MasR
therapy
Biology (General)
QH301-705.5
Mansoureh Barzegar
Karen Y. Stokes
Oleg Chernyshev
Roger E. Kelley
Jonathan S. Alexander
The Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy
description Ischemic stroke remains the leading cause of neurologically based morbidity and mortality. Current stroke treatment is limited to two classes of FDA-approved drugs: thrombolytic agents (tissue plasminogen activator (tPA)) and antithrombotic agents (aspirin and heparin), which have a narrow time-window (<4.5 h) for administration after onset of stroke symptoms. While thrombolytic agents restore perfusion, they carry serious risks for hemorrhage, and do not influence damage responses during reperfusion. Consequently, stroke therapies that can suppress deleterious effects of ischemic injury are desperately needed. Angiotensin converting enzyme-2 (ACE2) has been recently suggested to beneficially influence experimental stroke outcomes by converting the vasoconstrictor Ang II into the vasodilator Ang 1–7. In this review, we extensively discuss the protective functions of ACE2-Ang (1–7)-MasR axis of renin angiotensin system (RAS) in ischemic stroke.
format article
author Mansoureh Barzegar
Karen Y. Stokes
Oleg Chernyshev
Roger E. Kelley
Jonathan S. Alexander
author_facet Mansoureh Barzegar
Karen Y. Stokes
Oleg Chernyshev
Roger E. Kelley
Jonathan S. Alexander
author_sort Mansoureh Barzegar
title The Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy
title_short The Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy
title_full The Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy
title_fullStr The Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy
title_full_unstemmed The Role of the ACE2/MasR Axis in Ischemic Stroke: New Insights for Therapy
title_sort role of the ace2/masr axis in ischemic stroke: new insights for therapy
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/06262237e529455088438a3d00021bc2
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