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Brain Angiotensin II and Synaptic Transmission

Department of Anesthesiology, Department of Neural and Behavioral Sciences, Pennsylvania State University College of Medicine, hpan{at}psu.edu

The renin-angiotensin system is an enzymatic cascade by which angiotensinogen is cleaved by renin and then by angiotensin-converting enzyme to produce angiotensin II (Ang II) and subsequently other angiotensins. Biochemical and neurophysiological studies have documented the presence of the reninangiotensin system and specific Ang II receptors in the brain. Also, circulating Ang II can exert some of its actions, such as blood pressure control and body fluid homeostasis, through stimulation of Ang II receptors in the circumventricular organs that lack a normal blood-brain barrier. In addition to some of the post-synaptic effects of Ang II, recent studies have revealed that Ang II regulates synaptic transmission in several brain regions, especially the nucleus of the solitary tract, hypothalamic paraventricular nucleus, and hippocampus. This review summarizes emerging new evidence on the effect of brain Ang II on glutamatergic and GABAergic synaptic transmission. This previously unrecognized presynaptic action of Ang II is important for the control of neuronal excitability and many physiological functions including autonomic control, hormone secretion, and memory. Future research on the role of brain-derived Ang II and its receptors in synaptic transmission will further enhance our understanding of the cellular mechanisms of Ang II and the relationship between the renin-angiotensin system and brain functions.

Key Words: Renin-angiotensin system • Hypothalamus • Brain stem • Sympathetic nervous system • GABA • presynaptic modulation

The Neuroscientist, Vol. 10, No. 5, 422-431 (2004)
DOI: 10.1177/1073858404264678


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