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Telmisartan inhibits expression of a receptor for advanced glycation end products (RAGE) in angiotensin-II-exposed endothelial cells and decreases serum levels of soluble RAGE in patients with essential hypertension.

Abstract
There is a growing body of evidence that the advanced glycation end product (AGE)-their receptor (RAGE) system plays a central role in the pathogenesis of diabetic vascular complication. The renin-angiotensin system (RAS) contributes to the development and progression of diabetic angiopathy as well. However, the cross-talk between the AGE-RAGE system and the RAS is not fully understood. In this study, we examined the role of angiotensin II (Ang II) type 1 receptor system for RAGE expression in cultured endothelial cells (ECs) and in patients with essential hypertension. Ang II up-regulated RAGE mRNA levels of microvascular ECs and subsequently increased the soluble form of RAGE (sRAGE) expression in the medium of ECs, both of which were completely blocked by telmisartan, a commercially available Ang II type 1 receptor antagonist. Furthermore, telmisartan was found to decrease serum levels of sRAGE in patients with essential hypertension. These results demonstrate that sRAGE is released from the cell surface of Ang-II-exposed ECs. Our present study indicates that a cross-talk exists between the AGE-RAGE system and the RAS and suggests that serum levels of sRAGE may reflect endothelial RAGE expression.
AuthorsKazuo Nakamura, Sho-Ichi Yamagishi, Yayoi Nakamura, Katsuhiko Takenaka, Takanori Matsui, Yuko Jinnouchi, Tsutomu Imaizumi
JournalMicrovascular research (Microvasc Res) Vol. 70 Issue 3 Pg. 137-41 (Nov 2005) ISSN: 0026-2862 [Print] United States
PMID16271939 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Angiotensin II Type 1 Receptor Blockers
  • Antioxidants
  • Benzimidazoles
  • Benzoates
  • DNA Primers
  • RNA, Messenger
  • Receptor for Advanced Glycation End Products
  • Receptors, Immunologic
  • Angiotensin II
  • Telmisartan
Topics
  • Administration, Oral
  • Age Factors
  • Aged
  • Angiotensin II (metabolism)
  • Angiotensin II Type 1 Receptor Blockers (pharmacology)
  • Antioxidants (metabolism)
  • Benzimidazoles (pharmacology)
  • Benzoates (pharmacology)
  • Blotting, Western
  • Coronary Artery Disease (blood, metabolism)
  • DNA Primers (chemistry)
  • Disease Progression
  • Endothelial Cells (cytology)
  • Endothelium, Vascular (metabolism)
  • Female
  • Humans
  • Hypertension
  • Male
  • Microcirculation
  • Middle Aged
  • Oxidative Stress
  • RNA, Messenger (metabolism)
  • Receptor for Advanced Glycation End Products
  • Receptors, Immunologic (blood, metabolism)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Telmisartan
  • Time Factors
  • Up-Regulation

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