What do we know about the renin angiotensin system and inflammatory bowel disease?

INTRODUCTION: The renin-angiotensin system (RAS) is an important homeostatic pathway, with emerging evidence for the impact of its components on inflammation and fibrosis in gastrointestinal tissues. This review aims to review current knowledge of the physiological mechanism of RAS in inflammatory bowel disease (IBD), and potential therapeutic implications.

AREAS COVERED: An extensive online literature review including Pubmed, Medline, and Google Scholar was undertaken. Discussion on the components of the RAS, localization, and physiological functions in the gastrointestinal tract, preclinical, and clinical data in IBD, and the relation with SARS-Cov-2 are covered in this review.

EXPERT OPINION: RAS inhibition may have a role as anti-fibrotic adjunct therapy. Targeting the local gastrointestinal RAS with novel modes of delivery may be a target for future therapeutics for IBD, given the widespread availability and safety of current options as utilized in other diseases. Further insight into the mechanism and downstream effects of gastrointestinal ACE2 may lead to a better understanding of the pathogenesis of IBD.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:26

Enthalten in:

Expert opinion on therapeutic targets - 26(2022), 10 vom: 21. Okt., Seite 897-909

Sprache:

Englisch

Beteiligte Personen:

Lo, Sheng Wei [VerfasserIn]
Segal, Jonathan P [VerfasserIn]
Lubel, John S [VerfasserIn]
Garg, Mayur [VerfasserIn]

Links:

Volltext

Themen:

Angiotensin converting enzyme 2
Angiotensin converting enzyme inhibitor
Angiotensin receptor blocker
Gastrointestinal tract
Inflammatory bowel disease
Journal Article
Renin angiotensin system
Review

Anmerkungen:

Date Completed 26.01.2023

Date Revised 02.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14728222.2022.2157261

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM349967288