SlideShare a Scribd company logo
1 of 25
BRAIN-RENIN
ANGITENSIN SYSTEM
BY-ANKIT AGARWAL
BMB II SEM
15368003
INTRDUCTIN
 Brain-Renin angiotensin system is recently known mechanism of maintaining body fluid volume
and pressure (B.P)
 Is an non-classical RAS.
 Works independently as well as cooperatively with classical RAS and RAAS.
 Brain RAS plays imp.role in memory consolidation
 Plays imp.role in neurodegenerative desease like Alziemers,dementia etc.(provides big room for
molecular research)
HISTORY AND DISCOVRIES
 In 1898,first named as kidney hormone by Tierstedt and Bergman,which then in 1971 was
recognised as renin,in RAAS.
EVIDENCES OF INDEPENDENT BRAIN RAS
 Felix & Phillips, showed ANG II activated neurons in the brain in SFO(subformical region ),and
peptide agonist of ANG II,Saralosin( nonspecific ARA)inhibited ANG II induced activity in those
neurons.
 Immunochemistry analysis shows
ANTIBODY STAINING
Renin-Ab - in hypothalamus,pituitary and pineal glands.
ANG II-Ab - in hypothalamus and CVO’s.
 Actual measurement of Renin & ANG II was done by HPLC & by direct protein
assay showed- Higher ANG levels in brain than circulating level of ANG II,
suggesting independence of two system.
 Then proof of ANG II synthesis in brain is given by Stornetta,he identified glail cell
as the site of synthesis of AGT using insitu hybridization mRNA.
 These findings clear the air regarding controversies over Brain RAS system.
Comparision between circulating and Brain
RAS
Classical RAS
 Systemic RAS.
 ANG acts as classical harmone system.
 Major effector is ANG II.
 Renin produced by kidney and circulates
only in systemic circulation.
 FUNCTIONS
 Cardiovascular regulation,
 Sodium appetite,
 Blood pressure and volume regulation by
RAS & RAAS.
Non-Classical RAS
 Brain RAS.
 ANG acts as Non-classical
neurotransmitter.
 Major effector are ANG II & ANG III as
well.
 Renin produced by neurons of
SFO(subformical region of CVO’)
 FUNCTIONS-
 Perform all classical functions along with-
 Thirst and Vasopressin release,
 Memory consolidation.
Fig.
FORMATION OF ANGIOTENSIN
LIGANDS
 Renin release in response to low B.P cleaves angiotensinogen into
angiotensin 1(10 aa),
 ACE,chymase (serine protese) cleaves his-leu ,dipeptide from the C-
terminus and forms angiotensin II (octapeptide),
 Glutamyl-aminopeptidase AP-A cleaves Asp from the N- teminus made
heptapeptide angiotensin III,
 Further, alanyl aminopeptidase AP-N cleaves Arg from N-terminus makes
angiotensin IV (hexa peptide),
 Carboxypeptidase p & prolyl oligo peptidase cleves phenylalanine from C-
terminus and forms angiotensin(3-7)
RECEPTORS AND INHIBITORS
0F BRAIN RAS
RECEPTORS-
1) AT1 Receptors-
 ligand is ANG I & II(works agonistically)
 AT1 gene located on chromosome 3q,and codes for 40-42
Kda(359 a.a)protein.
 2 types of AT1 receptors
AT1A AT1B
(Involved in central blood pressure control & drinking
response respectively.
2) AT2 Receptor-
 Rsponds to ANG II & III.
 AT2 shares 32-34% homology with AT1 receptors & represents protein of 363 aa
with 7 transmembrane domains.
 AT2 gene is licated on X-chromosome.
 Functions - vasodilation, drinking response,anti-proliferative.
3) AT4 Receptors-
 Known to be identical to insulin regulated aminopeptidase(IRAP).
 Unlike to AT1 & AT2,AT4 does not responds via G-protein,they responds via RTK
(RECEPTOR TYROSINE KINASE) .
 Responds to ANG IV, have role in Memory consolidation.
 IRAP have-
 Type II membrane protein,(N-terminal inside)
 1025 aa(23 aa in T.M,110 in N-terminus near cytosol,883 in extracellular
domain).
4) Mas Receptor-
 A,G-protein coupled receptor,.
 Respond to ANG(1-7),
 Have role in cardiovascular regulation with ACE2 &ANG(1-7),
 Also induces to produces NO (Nitric oxide) 7 prostaglandin,also shows role in
diuresis,vasodilations & natriuresis etc.
INHIBITORS
1) Inhibitors in formation of angiotensin-
a) Glutamyl-aminopeptidase A(AP-A) inhibitor- 3-amino,9-thiobutyl sulphonate,
b) Alanyl-aminopeptidase-N(AP-N) inhibitor- 2-amino pentene,1,5 dithiols.
c) Angiotensinogen converting enzyme(ACE) inhibitors- Captoprils,spiroprils(crosses BBB).
2) Inhibitor of ANG receptors-
 Losartan- AT1-receptor antagonist.
 Saralasin –Non-specific angiotensin receptor antagonist
INHIBITOR ACTION
Non-classical RAS role
Brain RAS have role in-
1) Memory consolidation ,
2) Sexual behaviour & reproduction,
3) Also have role in – cardiovascular regulation,
Sodium appetite,
Drinking/thrist
ROLE ON MEMORY CONSOLIDATION
 Signaling via ANG IV-IRAP, mediated by IP3+DAG activating PKC & Ca2+.
a) Facilitates glucose uptake by prolonging the presence of GLUT4 on the membrane.
So increase glucose uptake in glial cells.
b) Ang IV removes the blockage of D2 & D4 dopamine receptors,so they induce
dopamine & acetylcholine resulting in memory development.
ROLE IN CARDIOVASCULAR
REGULATION
By maintaining-blood pressure & volume,
baroreceptor reflex,
Vasopressin release.
Cardiovascular control by brain RAS by 2 types
Ang II (Octapeptide)
1) Forebrain pathway includes 2) acts on Medulla (AT1-R)
CVO’s,PVN,SON(AT1-R)
Nucleus of solitary tract(NTS)
Induces Vasopressin release
(Acts as nor-epinephrin and activation Baroreptor reflex
of alpha adrenergic receptor on PVN ) Incresed B.P.
 AP-A inhibitor causes loss of vasopressin release while AP-N inhibitors causes increase
vasopressin realese in a dose-dependent manner ,and also AT1-R antagonist
‘Saralasin’,blocks vasopressin release,shows that Ang II & III works via AT1-receptors.
EFFECT ON THIRST REGULATION
 Angiotensins increase the drinking response(i.e thirst).
 Mode of action- Ang II
1) Forebrain pathway 2) Hypothalamus.
CVO’ organs like SFO & OVLT(oragnum vasculosum of lamina terminalis)
Osmodetector Activation of AT1-R by Ang II & III.
(detect plama osmolarity) gives signal to
Insular cortex Drinking response thirst
 Thirst signalling requires Phenyalanine at C-terminus of any
angiotensin,
 Removal of C-terminus Phenylalanine from Ang(1-7)causes
complete loss of drinking response .
 ACE inhibitors(captopril) reduces drinking response which is
induced by Ang I,(inhibit the conversion of Ang I to ANG II).
EFFECT ON SODIUM APPETITE
By two ways-
RAAS system serves Brain RAS on Na+ appetite
sodium in Na+- deficiency Ang II
Renin + Aldosterone OVLT SFO
Ang I Elevates AT1-R in brains. Produces both only water response
water & salt response
Ang II acts on kidney
increased loss of Na+ so appetite
Na+ goes to brain & activates sympthatic
activity of hypothalamus results in B.P (Hypertension).
SIGNALING TYPE
 For water intake - Ang II via GPCR
(IP3 + Ca2+ mediated)
 For saline intake - Ang II acts via P44/42
MAP Kinase cascade.
REFERENCES
 M.Ian phillips,et al; ‘Brain renin angiotensin in diseases’,keck graduate
institute,Springer-verlag(2008).
 John.W.Wright, etal; The brain renin-angiotensin system:a diversity of functions &
implications for CNS diseases’,Springer-verlag (2012).
 O.Von Bohlen und Halbach, et al; ‘The CNS renin-angiotensin system’, Springer-
verlag(2006).
Brain renin        angiotensin system

More Related Content

What's hot

Drugs for Peptic Ulcer
Drugs for Peptic UlcerDrugs for Peptic Ulcer
Drugs for Peptic UlcerDr Vinay Gupta
 
The renin angiotensin aldosterone system.
The renin angiotensin aldosterone system.The renin angiotensin aldosterone system.
The renin angiotensin aldosterone system.Ramachandra Barik
 
Treament of malaria
Treament of malariaTreament of malaria
Treament of malariaRoto Robo
 
Fibrinolytics and anti platelet agents(easy)
Fibrinolytics and anti platelet agents(easy)Fibrinolytics and anti platelet agents(easy)
Fibrinolytics and anti platelet agents(easy)prithvilokesh
 
Antithrombotic drugs
Antithrombotic drugsAntithrombotic drugs
Antithrombotic drugsMostafa Sobhy
 
Renin angiotensin system & drugs
Renin angiotensin system & drugsRenin angiotensin system & drugs
Renin angiotensin system & drugsSurya Prajapat
 
Androgens, Oestrogens, Progestins and Contraceptives - drdhriti
Androgens, Oestrogens, Progestins and Contraceptives - drdhritiAndrogens, Oestrogens, Progestins and Contraceptives - drdhriti
Androgens, Oestrogens, Progestins and Contraceptives - drdhritihttp://neigrihms.gov.in/
 
Oral anti coagulants ppt
Oral anti coagulants pptOral anti coagulants ppt
Oral anti coagulants pptDr Renju Ravi
 
Sympathomimitic drugs (Epinephrine & Nor-epinephrine)
Sympathomimitic drugs (Epinephrine & Nor-epinephrine)Sympathomimitic drugs (Epinephrine & Nor-epinephrine)
Sympathomimitic drugs (Epinephrine & Nor-epinephrine)Naimur Rahman Afid
 
Pharmacology of Anti platelet drugs
Pharmacology of Anti platelet drugsPharmacology of Anti platelet drugs
Pharmacology of Anti platelet drugsDr. Advaitha MV
 
SYMPATHOMIMETIC by Mukesh Gupta
SYMPATHOMIMETIC  by Mukesh GuptaSYMPATHOMIMETIC  by Mukesh Gupta
SYMPATHOMIMETIC by Mukesh GuptaShweta Gupta
 

What's hot (20)

Drugs for Peptic Ulcer
Drugs for Peptic UlcerDrugs for Peptic Ulcer
Drugs for Peptic Ulcer
 
Anticoagulation Pharmacology
Anticoagulation PharmacologyAnticoagulation Pharmacology
Anticoagulation Pharmacology
 
Alpha blockers
Alpha blockersAlpha blockers
Alpha blockers
 
Anticoagulants final
Anticoagulants finalAnticoagulants final
Anticoagulants final
 
Anticoagulation
AnticoagulationAnticoagulation
Anticoagulation
 
The renin angiotensin aldosterone system.
The renin angiotensin aldosterone system.The renin angiotensin aldosterone system.
The renin angiotensin aldosterone system.
 
Sympathomimetics
SympathomimeticsSympathomimetics
Sympathomimetics
 
Treament of malaria
Treament of malariaTreament of malaria
Treament of malaria
 
Fibrinolytics and anti platelet agents(easy)
Fibrinolytics and anti platelet agents(easy)Fibrinolytics and anti platelet agents(easy)
Fibrinolytics and anti platelet agents(easy)
 
Calcitonin
CalcitoninCalcitonin
Calcitonin
 
Antithrombotic drugs
Antithrombotic drugsAntithrombotic drugs
Antithrombotic drugs
 
Drugs for parkinsonism
Drugs for parkinsonismDrugs for parkinsonism
Drugs for parkinsonism
 
Renin angiotensin system & drugs
Renin angiotensin system & drugsRenin angiotensin system & drugs
Renin angiotensin system & drugs
 
Androgens, Oestrogens, Progestins and Contraceptives - drdhriti
Androgens, Oestrogens, Progestins and Contraceptives - drdhritiAndrogens, Oestrogens, Progestins and Contraceptives - drdhriti
Androgens, Oestrogens, Progestins and Contraceptives - drdhriti
 
Oral anti coagulants ppt
Oral anti coagulants pptOral anti coagulants ppt
Oral anti coagulants ppt
 
Sympathomimitic drugs (Epinephrine & Nor-epinephrine)
Sympathomimitic drugs (Epinephrine & Nor-epinephrine)Sympathomimitic drugs (Epinephrine & Nor-epinephrine)
Sympathomimitic drugs (Epinephrine & Nor-epinephrine)
 
Pharmacology of Anti platelet drugs
Pharmacology of Anti platelet drugsPharmacology of Anti platelet drugs
Pharmacology of Anti platelet drugs
 
SYMPATHOMIMETIC by Mukesh Gupta
SYMPATHOMIMETIC  by Mukesh GuptaSYMPATHOMIMETIC  by Mukesh Gupta
SYMPATHOMIMETIC by Mukesh Gupta
 
Pharmacology of Anticoagulants
Pharmacology of AnticoagulantsPharmacology of Anticoagulants
Pharmacology of Anticoagulants
 
Vasopressin PHARMACOLOGY
Vasopressin PHARMACOLOGYVasopressin PHARMACOLOGY
Vasopressin PHARMACOLOGY
 

Viewers also liked

Functions and effects of ras and drugs affecting
Functions and effects of ras and drugs affectingFunctions and effects of ras and drugs affecting
Functions and effects of ras and drugs affectingbubuni7386
 
EFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIME
EFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIMEEFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIME
EFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIMEchiehyin
 
Renin inhibitors
Renin inhibitorsRenin inhibitors
Renin inhibitorsRuy Pantoja
 
Vasodilators and vasoconstrictors
Vasodilators and vasoconstrictorsVasodilators and vasoconstrictors
Vasodilators and vasoconstrictorsGeorge Wild
 
Anti hypertensives
Anti hypertensivesAnti hypertensives
Anti hypertensivesAman Hassan
 
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTIONUPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTIONRamachandra Barik
 
T herapy of hypertension1
T herapy of hypertension1T herapy of hypertension1
T herapy of hypertension1MD Specialclass
 
Cardiac Medications #4 08
Cardiac Medications #4 08Cardiac Medications #4 08
Cardiac Medications #4 08gerlam
 
Antihypertensive drugs
Antihypertensive drugsAntihypertensive drugs
Antihypertensive drugsElmagic Draz
 
Perioperative Use Of RAAS Antagonists
Perioperative Use Of RAAS AntagonistsPerioperative Use Of RAAS Antagonists
Perioperative Use Of RAAS AntagonistsMedPeds Hospitalist
 
Anti hypertensive Drugs
Anti hypertensive DrugsAnti hypertensive Drugs
Anti hypertensive DrugsShelah Lontoc
 
Anti-hypertensive drugs
Anti-hypertensive drugs Anti-hypertensive drugs
Anti-hypertensive drugs Imran al
 
Positive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsPositive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsAndrew Ferguson
 

Viewers also liked (20)

Functions and effects of ras and drugs affecting
Functions and effects of ras and drugs affectingFunctions and effects of ras and drugs affecting
Functions and effects of ras and drugs affecting
 
EFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIME
EFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIMEEFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIME
EFFECTS OF EXCESS SALT DIET ON ANGITENSINOGEN SECRETIONS IN THE KIDNEY OVER TIME
 
Renin inhibitors
Renin inhibitorsRenin inhibitors
Renin inhibitors
 
AntiHypertensive Drugs
AntiHypertensive DrugsAntiHypertensive Drugs
AntiHypertensive Drugs
 
Hrs
HrsHrs
Hrs
 
Vasodilators and vasoconstrictors
Vasodilators and vasoconstrictorsVasodilators and vasoconstrictors
Vasodilators and vasoconstrictors
 
Anti hypertensives
Anti hypertensivesAnti hypertensives
Anti hypertensives
 
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTIONUPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
 
EMPHASIS HF
EMPHASIS HFEMPHASIS HF
EMPHASIS HF
 
T herapy of hypertension1
T herapy of hypertension1T herapy of hypertension1
T herapy of hypertension1
 
Cardiac Medications #4 08
Cardiac Medications #4 08Cardiac Medications #4 08
Cardiac Medications #4 08
 
Antihypertensive drugs
Antihypertensive drugsAntihypertensive drugs
Antihypertensive drugs
 
Anti hypertensives
Anti hypertensives Anti hypertensives
Anti hypertensives
 
Duane phchem ppt
Duane phchem pptDuane phchem ppt
Duane phchem ppt
 
Antihypertensives
AntihypertensivesAntihypertensives
Antihypertensives
 
Perioperative Use Of RAAS Antagonists
Perioperative Use Of RAAS AntagonistsPerioperative Use Of RAAS Antagonists
Perioperative Use Of RAAS Antagonists
 
Anti hypertensive Drugs
Anti hypertensive DrugsAnti hypertensive Drugs
Anti hypertensive Drugs
 
Anti-hypertensive drugs
Anti-hypertensive drugs Anti-hypertensive drugs
Anti-hypertensive drugs
 
Positive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilatorsPositive inotropes, vasopressors, and vasodilators
Positive inotropes, vasopressors, and vasodilators
 
Antihypertensives
AntihypertensivesAntihypertensives
Antihypertensives
 

Similar to Brain renin angiotensin system

Renin angiotensin aldosterone- Updates
Renin angiotensin aldosterone-   UpdatesRenin angiotensin aldosterone-   Updates
Renin angiotensin aldosterone- UpdatesRamachandra Barik
 
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTIONUPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTIONRamachandra Barik
 
Renin Angiotensin Aldosterone System (RAAS).pptx
Renin Angiotensin Aldosterone System (RAAS).pptxRenin Angiotensin Aldosterone System (RAAS).pptx
Renin Angiotensin Aldosterone System (RAAS).pptxAvinashGunjal5
 
Duane phchem word ppt
Duane phchem word pptDuane phchem word ppt
Duane phchem word pptDuane Goodman
 
Function of the renin
Function of the reninFunction of the renin
Function of the reninNEWDAWNCYBER1
 
drugsaffectingrenin-angiotensinsystem-161117183104.pdf
drugsaffectingrenin-angiotensinsystem-161117183104.pdfdrugsaffectingrenin-angiotensinsystem-161117183104.pdf
drugsaffectingrenin-angiotensinsystem-161117183104.pdfKalyanAcharya10
 
Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System
Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System
Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System Monika Bhardwaj
 
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...Jackfrimpong
 
ARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTION
ARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTIONARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTION
ARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTIONManasseh Sallau
 
Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01axix
 
Autonomics & Sympathetics
Autonomics & SympatheticsAutonomics & Sympathetics
Autonomics & SympatheticsMD Specialclass
 
Autonomics & Sympathetics
Autonomics & SympatheticsAutonomics & Sympathetics
Autonomics & SympatheticsMD Specialclass
 
01Introduction to ANS.pptx
01Introduction to ANS.pptx01Introduction to ANS.pptx
01Introduction to ANS.pptxChandra Kala
 
Adrenergic transmission
Adrenergic transmissionAdrenergic transmission
Adrenergic transmissionSatyajit Ghosh
 
ANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHT
ANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHTANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHT
ANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHTANNA UNIVERSITY - CHENNAI
 
Endothelial Dysfunction Y O U S R Y Y Yeasured
Endothelial  Dysfunction   Y O U S R Y Y YeasuredEndothelial  Dysfunction   Y O U S R Y Y Yeasured
Endothelial Dysfunction Y O U S R Y Y YeasuredM.YOUSRY Abdel-Mawla
 

Similar to Brain renin angiotensin system (20)

Renin angiotensin aldosterone- Updates
Renin angiotensin aldosterone-   UpdatesRenin angiotensin aldosterone-   Updates
Renin angiotensin aldosterone- Updates
 
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTIONUPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
UPDATES OF RENIN ANGIOTENSIN SYTEM INTERVENTION
 
Renin Angiotensin Aldosterone System (RAAS).pptx
Renin Angiotensin Aldosterone System (RAAS).pptxRenin Angiotensin Aldosterone System (RAAS).pptx
Renin Angiotensin Aldosterone System (RAAS).pptx
 
Duane phchem word ppt
Duane phchem word pptDuane phchem word ppt
Duane phchem word ppt
 
d1. Angiotensin.pdf
d1. Angiotensin.pdfd1. Angiotensin.pdf
d1. Angiotensin.pdf
 
Function of the renin
Function of the reninFunction of the renin
Function of the renin
 
Drugs affecting renin-angiotensin system
Drugs affecting renin-angiotensin systemDrugs affecting renin-angiotensin system
Drugs affecting renin-angiotensin system
 
drugsaffectingrenin-angiotensinsystem-161117183104.pdf
drugsaffectingrenin-angiotensinsystem-161117183104.pdfdrugsaffectingrenin-angiotensinsystem-161117183104.pdf
drugsaffectingrenin-angiotensinsystem-161117183104.pdf
 
Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System
Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System
Electrophysiology of Heart & Drugs Affecting Renin Angiotensin System
 
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
 
Hypertension PPT.pptx
Hypertension PPT.pptxHypertension PPT.pptx
Hypertension PPT.pptx
 
ARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTION
ARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTIONARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTION
ARBs USE IN MANAGEMENT OF MYORCARDIAL INFARCTION
 
Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01
 
Autonomics & Sympathetics
Autonomics & SympatheticsAutonomics & Sympathetics
Autonomics & Sympathetics
 
Autonomics & Sympathetics
Autonomics & SympatheticsAutonomics & Sympathetics
Autonomics & Sympathetics
 
01Introduction to ANS.pptx
01Introduction to ANS.pptx01Introduction to ANS.pptx
01Introduction to ANS.pptx
 
Adrenergic transmission
Adrenergic transmissionAdrenergic transmission
Adrenergic transmission
 
ANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHT
ANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHTANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHT
ANGIOTENSIN CONVERTING ENZYME INHIBITOR HARISHT
 
Endothelial Dysfunction Y O U S R Y Y Yeasured
Endothelial  Dysfunction   Y O U S R Y Y YeasuredEndothelial  Dysfunction   Y O U S R Y Y Yeasured
Endothelial Dysfunction Y O U S R Y Y Yeasured
 
Adrenergic Drugs - drdhriti
Adrenergic Drugs - drdhritiAdrenergic Drugs - drdhriti
Adrenergic Drugs - drdhriti
 

Recently uploaded

Recombinant DNA technology (Immunological screening)
Recombinant DNA technology (Immunological screening)Recombinant DNA technology (Immunological screening)
Recombinant DNA technology (Immunological screening)PraveenaKalaiselvan1
 
Disentangling the origin of chemical differences using GHOST
Disentangling the origin of chemical differences using GHOSTDisentangling the origin of chemical differences using GHOST
Disentangling the origin of chemical differences using GHOSTSérgio Sacani
 
Grafana in space: Monitoring Japan's SLIM moon lander in real time
Grafana in space: Monitoring Japan's SLIM moon lander  in real timeGrafana in space: Monitoring Japan's SLIM moon lander  in real time
Grafana in space: Monitoring Japan's SLIM moon lander in real timeSatoshi NAKAHIRA
 
Cultivation of KODO MILLET . made by Ghanshyam pptx
Cultivation of KODO MILLET . made by Ghanshyam pptxCultivation of KODO MILLET . made by Ghanshyam pptx
Cultivation of KODO MILLET . made by Ghanshyam pptxpradhanghanshyam7136
 
Artificial Intelligence In Microbiology by Dr. Prince C P
Artificial Intelligence In Microbiology by Dr. Prince C PArtificial Intelligence In Microbiology by Dr. Prince C P
Artificial Intelligence In Microbiology by Dr. Prince C PPRINCE C P
 
SOLUBLE PATTERN RECOGNITION RECEPTORS.pptx
SOLUBLE PATTERN RECOGNITION RECEPTORS.pptxSOLUBLE PATTERN RECOGNITION RECEPTORS.pptx
SOLUBLE PATTERN RECOGNITION RECEPTORS.pptxkessiyaTpeter
 
A relative description on Sonoporation.pdf
A relative description on Sonoporation.pdfA relative description on Sonoporation.pdf
A relative description on Sonoporation.pdfnehabiju2046
 
Spermiogenesis or Spermateleosis or metamorphosis of spermatid
Spermiogenesis or Spermateleosis or metamorphosis of spermatidSpermiogenesis or Spermateleosis or metamorphosis of spermatid
Spermiogenesis or Spermateleosis or metamorphosis of spermatidSarthak Sekhar Mondal
 
Botany krishna series 2nd semester Only Mcq type questions
Botany krishna series 2nd semester Only Mcq type questionsBotany krishna series 2nd semester Only Mcq type questions
Botany krishna series 2nd semester Only Mcq type questionsSumit Kumar yadav
 
Presentation Vikram Lander by Vedansh Gupta.pptx
Presentation Vikram Lander by Vedansh Gupta.pptxPresentation Vikram Lander by Vedansh Gupta.pptx
Presentation Vikram Lander by Vedansh Gupta.pptxgindu3009
 
Chemistry 4th semester series (krishna).pdf
Chemistry 4th semester series (krishna).pdfChemistry 4th semester series (krishna).pdf
Chemistry 4th semester series (krishna).pdfSumit Kumar yadav
 
Isotopic evidence of long-lived volcanism on Io
Isotopic evidence of long-lived volcanism on IoIsotopic evidence of long-lived volcanism on Io
Isotopic evidence of long-lived volcanism on IoSérgio Sacani
 
Raman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral Analysis
Raman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral AnalysisRaman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral Analysis
Raman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral AnalysisDiwakar Mishra
 
Broad bean, Lima Bean, Jack bean, Ullucus.pptx
Broad bean, Lima Bean, Jack bean, Ullucus.pptxBroad bean, Lima Bean, Jack bean, Ullucus.pptx
Broad bean, Lima Bean, Jack bean, Ullucus.pptxjana861314
 
PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...
PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...
PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...Sérgio Sacani
 
Animal Communication- Auditory and Visual.pptx
Animal Communication- Auditory and Visual.pptxAnimal Communication- Auditory and Visual.pptx
Animal Communication- Auditory and Visual.pptxUmerFayaz5
 
Biological Classification BioHack (3).pdf
Biological Classification BioHack (3).pdfBiological Classification BioHack (3).pdf
Biological Classification BioHack (3).pdfmuntazimhurra
 

Recently uploaded (20)

Recombinant DNA technology (Immunological screening)
Recombinant DNA technology (Immunological screening)Recombinant DNA technology (Immunological screening)
Recombinant DNA technology (Immunological screening)
 
Disentangling the origin of chemical differences using GHOST
Disentangling the origin of chemical differences using GHOSTDisentangling the origin of chemical differences using GHOST
Disentangling the origin of chemical differences using GHOST
 
Grafana in space: Monitoring Japan's SLIM moon lander in real time
Grafana in space: Monitoring Japan's SLIM moon lander  in real timeGrafana in space: Monitoring Japan's SLIM moon lander  in real time
Grafana in space: Monitoring Japan's SLIM moon lander in real time
 
Cultivation of KODO MILLET . made by Ghanshyam pptx
Cultivation of KODO MILLET . made by Ghanshyam pptxCultivation of KODO MILLET . made by Ghanshyam pptx
Cultivation of KODO MILLET . made by Ghanshyam pptx
 
Artificial Intelligence In Microbiology by Dr. Prince C P
Artificial Intelligence In Microbiology by Dr. Prince C PArtificial Intelligence In Microbiology by Dr. Prince C P
Artificial Intelligence In Microbiology by Dr. Prince C P
 
The Philosophy of Science
The Philosophy of ScienceThe Philosophy of Science
The Philosophy of Science
 
SOLUBLE PATTERN RECOGNITION RECEPTORS.pptx
SOLUBLE PATTERN RECOGNITION RECEPTORS.pptxSOLUBLE PATTERN RECOGNITION RECEPTORS.pptx
SOLUBLE PATTERN RECOGNITION RECEPTORS.pptx
 
A relative description on Sonoporation.pdf
A relative description on Sonoporation.pdfA relative description on Sonoporation.pdf
A relative description on Sonoporation.pdf
 
Spermiogenesis or Spermateleosis or metamorphosis of spermatid
Spermiogenesis or Spermateleosis or metamorphosis of spermatidSpermiogenesis or Spermateleosis or metamorphosis of spermatid
Spermiogenesis or Spermateleosis or metamorphosis of spermatid
 
Botany krishna series 2nd semester Only Mcq type questions
Botany krishna series 2nd semester Only Mcq type questionsBotany krishna series 2nd semester Only Mcq type questions
Botany krishna series 2nd semester Only Mcq type questions
 
Presentation Vikram Lander by Vedansh Gupta.pptx
Presentation Vikram Lander by Vedansh Gupta.pptxPresentation Vikram Lander by Vedansh Gupta.pptx
Presentation Vikram Lander by Vedansh Gupta.pptx
 
Chemistry 4th semester series (krishna).pdf
Chemistry 4th semester series (krishna).pdfChemistry 4th semester series (krishna).pdf
Chemistry 4th semester series (krishna).pdf
 
9953056974 Young Call Girls In Mahavir enclave Indian Quality Escort service
9953056974 Young Call Girls In Mahavir enclave Indian Quality Escort service9953056974 Young Call Girls In Mahavir enclave Indian Quality Escort service
9953056974 Young Call Girls In Mahavir enclave Indian Quality Escort service
 
Isotopic evidence of long-lived volcanism on Io
Isotopic evidence of long-lived volcanism on IoIsotopic evidence of long-lived volcanism on Io
Isotopic evidence of long-lived volcanism on Io
 
Raman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral Analysis
Raman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral AnalysisRaman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral Analysis
Raman spectroscopy.pptx M Pharm, M Sc, Advanced Spectral Analysis
 
Broad bean, Lima Bean, Jack bean, Ullucus.pptx
Broad bean, Lima Bean, Jack bean, Ullucus.pptxBroad bean, Lima Bean, Jack bean, Ullucus.pptx
Broad bean, Lima Bean, Jack bean, Ullucus.pptx
 
CELL -Structural and Functional unit of life.pdf
CELL -Structural and Functional unit of life.pdfCELL -Structural and Functional unit of life.pdf
CELL -Structural and Functional unit of life.pdf
 
PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...
PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...
PossibleEoarcheanRecordsoftheGeomagneticFieldPreservedintheIsuaSupracrustalBe...
 
Animal Communication- Auditory and Visual.pptx
Animal Communication- Auditory and Visual.pptxAnimal Communication- Auditory and Visual.pptx
Animal Communication- Auditory and Visual.pptx
 
Biological Classification BioHack (3).pdf
Biological Classification BioHack (3).pdfBiological Classification BioHack (3).pdf
Biological Classification BioHack (3).pdf
 

Brain renin angiotensin system

  • 2. INTRDUCTIN  Brain-Renin angiotensin system is recently known mechanism of maintaining body fluid volume and pressure (B.P)  Is an non-classical RAS.  Works independently as well as cooperatively with classical RAS and RAAS.  Brain RAS plays imp.role in memory consolidation  Plays imp.role in neurodegenerative desease like Alziemers,dementia etc.(provides big room for molecular research)
  • 3. HISTORY AND DISCOVRIES  In 1898,first named as kidney hormone by Tierstedt and Bergman,which then in 1971 was recognised as renin,in RAAS. EVIDENCES OF INDEPENDENT BRAIN RAS  Felix & Phillips, showed ANG II activated neurons in the brain in SFO(subformical region ),and peptide agonist of ANG II,Saralosin( nonspecific ARA)inhibited ANG II induced activity in those neurons.  Immunochemistry analysis shows ANTIBODY STAINING Renin-Ab - in hypothalamus,pituitary and pineal glands. ANG II-Ab - in hypothalamus and CVO’s.
  • 4.  Actual measurement of Renin & ANG II was done by HPLC & by direct protein assay showed- Higher ANG levels in brain than circulating level of ANG II, suggesting independence of two system.  Then proof of ANG II synthesis in brain is given by Stornetta,he identified glail cell as the site of synthesis of AGT using insitu hybridization mRNA.  These findings clear the air regarding controversies over Brain RAS system.
  • 5. Comparision between circulating and Brain RAS Classical RAS  Systemic RAS.  ANG acts as classical harmone system.  Major effector is ANG II.  Renin produced by kidney and circulates only in systemic circulation.  FUNCTIONS  Cardiovascular regulation,  Sodium appetite,  Blood pressure and volume regulation by RAS & RAAS. Non-Classical RAS  Brain RAS.  ANG acts as Non-classical neurotransmitter.  Major effector are ANG II & ANG III as well.  Renin produced by neurons of SFO(subformical region of CVO’)  FUNCTIONS-  Perform all classical functions along with-  Thirst and Vasopressin release,  Memory consolidation.
  • 6.
  • 8. FORMATION OF ANGIOTENSIN LIGANDS  Renin release in response to low B.P cleaves angiotensinogen into angiotensin 1(10 aa),  ACE,chymase (serine protese) cleaves his-leu ,dipeptide from the C- terminus and forms angiotensin II (octapeptide),  Glutamyl-aminopeptidase AP-A cleaves Asp from the N- teminus made heptapeptide angiotensin III,  Further, alanyl aminopeptidase AP-N cleaves Arg from N-terminus makes angiotensin IV (hexa peptide),  Carboxypeptidase p & prolyl oligo peptidase cleves phenylalanine from C- terminus and forms angiotensin(3-7)
  • 9.
  • 10.
  • 11. RECEPTORS AND INHIBITORS 0F BRAIN RAS RECEPTORS- 1) AT1 Receptors-  ligand is ANG I & II(works agonistically)  AT1 gene located on chromosome 3q,and codes for 40-42 Kda(359 a.a)protein.  2 types of AT1 receptors AT1A AT1B (Involved in central blood pressure control & drinking response respectively.
  • 12.
  • 13. 2) AT2 Receptor-  Rsponds to ANG II & III.  AT2 shares 32-34% homology with AT1 receptors & represents protein of 363 aa with 7 transmembrane domains.  AT2 gene is licated on X-chromosome.  Functions - vasodilation, drinking response,anti-proliferative.
  • 14. 3) AT4 Receptors-  Known to be identical to insulin regulated aminopeptidase(IRAP).  Unlike to AT1 & AT2,AT4 does not responds via G-protein,they responds via RTK (RECEPTOR TYROSINE KINASE) .  Responds to ANG IV, have role in Memory consolidation.  IRAP have-  Type II membrane protein,(N-terminal inside)  1025 aa(23 aa in T.M,110 in N-terminus near cytosol,883 in extracellular domain).
  • 15.
  • 16. 4) Mas Receptor-  A,G-protein coupled receptor,.  Respond to ANG(1-7),  Have role in cardiovascular regulation with ACE2 &ANG(1-7),  Also induces to produces NO (Nitric oxide) 7 prostaglandin,also shows role in diuresis,vasodilations & natriuresis etc. INHIBITORS 1) Inhibitors in formation of angiotensin- a) Glutamyl-aminopeptidase A(AP-A) inhibitor- 3-amino,9-thiobutyl sulphonate, b) Alanyl-aminopeptidase-N(AP-N) inhibitor- 2-amino pentene,1,5 dithiols. c) Angiotensinogen converting enzyme(ACE) inhibitors- Captoprils,spiroprils(crosses BBB). 2) Inhibitor of ANG receptors-  Losartan- AT1-receptor antagonist.  Saralasin –Non-specific angiotensin receptor antagonist
  • 18. Non-classical RAS role Brain RAS have role in- 1) Memory consolidation , 2) Sexual behaviour & reproduction, 3) Also have role in – cardiovascular regulation, Sodium appetite, Drinking/thrist ROLE ON MEMORY CONSOLIDATION  Signaling via ANG IV-IRAP, mediated by IP3+DAG activating PKC & Ca2+. a) Facilitates glucose uptake by prolonging the presence of GLUT4 on the membrane. So increase glucose uptake in glial cells. b) Ang IV removes the blockage of D2 & D4 dopamine receptors,so they induce dopamine & acetylcholine resulting in memory development.
  • 19. ROLE IN CARDIOVASCULAR REGULATION By maintaining-blood pressure & volume, baroreceptor reflex, Vasopressin release. Cardiovascular control by brain RAS by 2 types Ang II (Octapeptide) 1) Forebrain pathway includes 2) acts on Medulla (AT1-R) CVO’s,PVN,SON(AT1-R) Nucleus of solitary tract(NTS) Induces Vasopressin release (Acts as nor-epinephrin and activation Baroreptor reflex of alpha adrenergic receptor on PVN ) Incresed B.P.
  • 20.  AP-A inhibitor causes loss of vasopressin release while AP-N inhibitors causes increase vasopressin realese in a dose-dependent manner ,and also AT1-R antagonist ‘Saralasin’,blocks vasopressin release,shows that Ang II & III works via AT1-receptors. EFFECT ON THIRST REGULATION  Angiotensins increase the drinking response(i.e thirst).  Mode of action- Ang II 1) Forebrain pathway 2) Hypothalamus. CVO’ organs like SFO & OVLT(oragnum vasculosum of lamina terminalis) Osmodetector Activation of AT1-R by Ang II & III. (detect plama osmolarity) gives signal to Insular cortex Drinking response thirst
  • 21.  Thirst signalling requires Phenyalanine at C-terminus of any angiotensin,  Removal of C-terminus Phenylalanine from Ang(1-7)causes complete loss of drinking response .  ACE inhibitors(captopril) reduces drinking response which is induced by Ang I,(inhibit the conversion of Ang I to ANG II).
  • 22. EFFECT ON SODIUM APPETITE By two ways- RAAS system serves Brain RAS on Na+ appetite sodium in Na+- deficiency Ang II Renin + Aldosterone OVLT SFO Ang I Elevates AT1-R in brains. Produces both only water response water & salt response Ang II acts on kidney increased loss of Na+ so appetite Na+ goes to brain & activates sympthatic activity of hypothalamus results in B.P (Hypertension).
  • 23. SIGNALING TYPE  For water intake - Ang II via GPCR (IP3 + Ca2+ mediated)  For saline intake - Ang II acts via P44/42 MAP Kinase cascade.
  • 24. REFERENCES  M.Ian phillips,et al; ‘Brain renin angiotensin in diseases’,keck graduate institute,Springer-verlag(2008).  John.W.Wright, etal; The brain renin-angiotensin system:a diversity of functions & implications for CNS diseases’,Springer-verlag (2012).  O.Von Bohlen und Halbach, et al; ‘The CNS renin-angiotensin system’, Springer- verlag(2006).