AI Article Synopsis

  • The renin-angiotensin system (RAS) is a key regulator affecting blood pressure, fluid balance, and metabolic processes at multiple levels within the body.
  • Local RAS in the small intestine plays a crucial role in various functions, including intestinal motility and protective reactions, with its components mainly found in the intestinal epithelium and surrounding tissues.
  • Understanding the interplay between RAS-modulating drugs and their effects on the intestinal mucosa is vital, especially in treating cardiovascular diseases, as this could lead to unintended complications.

Article Abstract

The renin-angiotensin system (RAS) is the universal multiple-factor regulator of many vital processes at the organismal, tissue and cellular levels. Classical (circulating) RAS provides maintenance of arterial pressure, a water and salt balance, lipid and glucose homeostasis. Local tissue RAS are functioning independently and participating in metabolic processes and protective reactions. Local RAS of a small intestine mucosa is presented practically by a complete rangeof the components (renin, angiotensinogen, angiotensin-converting enzymes, angiotensin receptors) localized, mainly, in an intestinal epithehum, lamina propria and muscularis mucosa. Local RAS participates in regulation of the most levels of activity ofa small intestine, influencing on an intestinal motility, secretory-transport processes, adaptation and protective reactions. The experimental data presented in this review are very promising for the detection of possible complications when using drugs that alter the activity of the RAS-related unexplored effects of the interaction of these drugs with their potential targets, localized not only in the blood vessels, but also directly to the niucosa of the gastrointestinal tract. This is especially important in connection with the extensive use of drugs that modulate the activity of the RAS in the practice of the treatment of cardiovascular diseases such as hypertension, atherosclerosis, endothelial dysfunction, and others.

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