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RAAS in diabetic retinopathy: mechanisms and therapies

Xin Li, Yuhong Fu, Xue‐Wei Tong, Yi‐Tong Zhang, Yongyan Shan, Yuxin Xu, Shengdan Pu, Xin‐Yuan Gao

2024Archives of Endocrinology and Metabolism13 citationsDOIOpen Access PDF

Abstract

Diabetic retinopathy (DR) is a complication of diabetes with a complex pathophysiology and multiple factors involved. Recently, it has been found that the upregulation of the renin-angiotensin-aldosterone system (RAAS) leads to overexpression of angiotensin II (Ang II), which induces oxidative stress, inflammation, and angiogenesis in the retina. Therefore, RAAS may be a promising therapeutic target in DR. Notably, RAAS inhibitors are often used in the treatment of hypertension. Still, the potential role and mechanism of DR must be further studied. In this review, we discuss and summarize the pathology and potential therapeutic goals of RAAS in DR.

Topics & Concepts

MedicineDiabetic retinopathyDiabetes mellitusRetinopathyDownregulation and upregulationOxidative stressInflammationAngiogenesisRenin–angiotensin systemPathophysiologyMechanism (biology)BioinformaticsAngiotensin IIRetinaInternal medicineEndocrinologyNeuroscienceReceptorBlood pressureBiochemistryGenePhilosophyChemistryEpistemologyBiologyRenin-Angiotensin System StudiesHormonal Regulation and HypertensionCardiovascular, Neuropeptides, and Oxidative Stress Research
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