Renin - Angiotensin Pathways

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Angiotensinogen
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Ang (1-12)
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Ang (1-25)
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ACE
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ACE
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ACE
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ACE
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ACE
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ACE
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ACE
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ACE
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ACE
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ACE
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Chymase
Chymase
Chymase
Chymase
Angiotensin I
Angiotensin I
Angiotensin II
Angiotensin II
Angiotensin III
Renin
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Cathepsin A
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ACE-2
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ACE-2
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Ang (1-9)
Neprilysin
Neprilysin
Neprilysin
Neprilysin
Neprilysin
PREP
PREP
PREP
AP
AP
AP
Ang (2-10)/DAA-I
Ang (2-10)/DAA-I
APN
APN
APN
APN
APN
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Ang (3-10)
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Ang (4-10)
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Ang (5-10)
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Ang (6-10)
DNPEP
APA
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Ang (2-8)/
LNPEP
APO
Ang (3-8)/
Angiotensin IV
Ang (4-8)
Ang (5-8)
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Trypsin
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Kallikrein 1
Kallikrein 2
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Alamandine
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Angiotensin A
Ang (1-4)
Ang (1-3)
Ang (1-2)
PRCP
Ang (1-8)
PsCP
PsCP
Angiotensin (1-7)
EP
Ang (2-7)
Ang (3-7)
Ang (3-4)
Ang (1-5)
CP
Ang (1-4)
Renin - Angiotensin Pathways

Overview of the RAS Pathway

The Renin-Angiotensin System is one arm of the overlapping systems that regulate blood pressure and blood volume homeostasis. In this system, Angiotensinogen/Serpin A8 is cleaved by Renin followed by multiple other proteases (e.g. ACE/CD143 and ACE-2) to generate a multitude of Angiotensin peptides. The receptors AT1R/AGTR1 and AT2R/AGTR2 enable the RAS to regulate vasoconstriction, heart rate and contractility, renal sodium retention, diuresis, glomerular filtration rate, insulin resistance, cellular glucose uptake, inflammation, oxidative stress, adipogenesis, sympathetic nervous system activity, coagulation, and fibrosis. The RAS works in tandem with other vasoactive peptides (e.g. Endothelin, natriuretic peptides (ANP, BNP, CNP), Vasopressin and neuronal-derived molecules (e.g. neurotransmitters, neuropeptides, eicosanoids, histamine). In response to hypertensive signals, it acts more slowly but for a longer duration than neural control of blood pressure. ACE inhibitors are a mainstay of hypertension medication.

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