PMID- 20819950 OWN - NLM STAT- MEDLINE DCOM- 20110404 LR - 20211203 IS - 1755-3245 (Electronic) IS - 0008-6363 (Linking) VI - 89 IP - 1 DP - 2011 Jan 1 TI - Angiotensin II blockade: a strategy to slow ageing by protecting mitochondria? PG - 31-40 LID - 10.1093/cvr/cvq285 [doi] AB - Protein and lipid oxidation-mainly by mitochondrial reactive oxygen species (mtROS)-was proposed as a crucial determinant of health and lifespan. Angiotensin II (Ang II) enhances ROS production by activating NAD(P)H oxidase and uncoupling endothelial nitric oxide synthase (NOS). Ang II also stimulates mtROS production, which depresses mitochondrial energy metabolism. In rodents, renin-angiotensin system blockade (RAS blockade) increases survival and prevents age-associated changes. RAS blockade reduces mtROS and enhances mitochondrial content and function. This suggests that Ang II contributes to the ageing process by prompting mitochondrial dysfunction. Since Ang II is a pleiotropic peptide, the age-protecting effects of RAS blockade are expected to involve a variety of other mechanisms. Caloric restriction (CR)-an age-retarding intervention in humans and animals-and RAS blockade display a number of converging effects, i.e. they delay the manifestations of hypertension, diabetes, nephropathy, cardiovascular disease, and cancer; increase body temperature; reduce body weight, plasma glucose, insulin, and insulin-like growth factor-1; ameliorate insulin sensitivity; lower protein, lipid, and DNA oxidation, and mitochondrial H(2)O(2) production; and increase uncoupling protein-2 and sirtuin expression. A number of these overlapping effects involve changes in mitochondrial function. In CR, peroxisome proliferator-activated receptors (PPARs) seem to contribute to age-retardation partly by regulating mitochondrial function. RAS inhibition up-regulates PPARs; therefore, it is feasible that PPAR modulation is pivotal for mitochondrial protection by RAS blockade during rodent ageing. Other potential mechanisms that may underlie RAS blockade's mitochondrial benefits are TGF-beta down-regulation and up-regulation of Klotho and sirtuins. In conclusion, the available data suggest that RAS blockade deserves further research efforts to establish its role as a potential tool to mitigate the growing problem of age-associated chronic disease. FAU - de Cavanagh, Elena M V AU - de Cavanagh EM AD - Center of Hypertension, Cardiology Department, Austral University Hospital, Derqui, Argentina. FAU - Inserra, Felipe AU - Inserra F FAU - Ferder, Leon AU - Ferder L LA - eng PT - Journal Article PT - Review DEP - 20100906 PL - England TA - Cardiovasc Res JT - Cardiovascular research JID - 0077427 RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Oxidants) RN - 0 (Peroxisome Proliferator-Activated Receptors) RN - 0 (Reactive Oxygen Species) RN - 11128-99-7 (Angiotensin II) RN - EC 3.2.1.31 (Glucuronidase) RN - EC 3.2.1.31 (Klotho Proteins) RN - EC 3.5.1.- (Sirtuins) SB - IM MH - Aging/drug effects/genetics/*metabolism MH - Angiotensin II/*antagonists & inhibitors MH - Angiotensin-Converting Enzyme Inhibitors/pharmacology MH - Animals MH - Caloric Restriction MH - Gene Expression/drug effects MH - Glucuronidase/genetics MH - Humans MH - Klotho Proteins MH - Mitochondria/drug effects/*metabolism MH - Models, Biological MH - Oxidants/metabolism MH - Peroxisome Proliferator-Activated Receptors/metabolism MH - Reactive Oxygen Species/metabolism MH - Renin-Angiotensin System/drug effects/physiology MH - Sirtuins/metabolism EDAT- 2010/09/08 06:00 MHDA- 2011/04/05 06:00 CRDT- 2010/09/08 06:00 PHST- 2010/09/08 06:00 [entrez] PHST- 2010/09/08 06:00 [pubmed] PHST- 2011/04/05 06:00 [medline] AID - cvq285 [pii] AID - 10.1093/cvr/cvq285 [doi] PST - ppublish SO - Cardiovasc Res. 2011 Jan 1;89(1):31-40. doi: 10.1093/cvr/cvq285. Epub 2010 Sep 6.