General Information:
Id: | 1,989 (click here to show other Interactions for entry) |
Diseases: |
Cardiovascular disease
Diabetes mellitus, type II - [OMIM] Insulin resistance Myocardial infarction - [OMIM] Nephropathy, diabetic Neuropathy, diabetic Retinopathy, diabetic Stroke, ischemic - [OMIM] |
Mammalia | |
review | |
Reference: | Lardizabal JA and Deedwania PC(2010) The role of renin-angiotensin agents in altering the natural history of type 2 diabetes mellitus Curr Cardiol Rep 12: 464-471 [PMID: 20809236] |
Interaction Information:
Comment | The glycometabolic effects of ACEIs are purported to be modulated by their actions on bradykinin, NO, and angiotensin II (AT II). |
Formal Description Interaction-ID: 15664 |
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Comment | AT II, a powerful vasoconstrictor and growth factor, can interfere with the normal insulin signaling pathway through serine phosphorylation of specific insulin receptors in the muscle cell, contributing to the insulin resistance observed in essential hypertension. |
Formal Description Interaction-ID: 15670 |
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Comment | AT II, a powerful vasoconstrictor and growth factor, can interfere with the normal insulin signaling pathway through serine phosphorylation of specific insulin receptors in the muscle cell, contributing to the insulin resistance observed in essential hypertension. |
Formal Description Interaction-ID: 15671 |
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Comment | AT II is a strong mediator of oxidative stress via the NADPH pathway. |
Formal Description Interaction-ID: 15672 |
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Comment | ACE catalyzes the conversion of angiotensin I to AT II, increasing the levels of circulating AT II. Being biochemically identical to the kininase II enzyme, ACE also promotes the degradation of bradykinin, leading to reductions in both bradykinin and NO levels. Treatment with ACEI agents, by blocking the actions of ACE, causes reduction in the levels of AT II, as well as increase in the levels of bradykinin and NO, which results not only in vasodilatation but also enhanced insulin insensitivity and improved cellular glucose uptake. |
Formal Description Interaction-ID: 15673 |
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Drugbank entries | Show/Hide entries for ACE |
Comment | ACE catalyzes the conversion of angiotensin I to AT II, increasing the levels of circulating AT II. Being biochemically identical to the kininase II enzyme, ACE also promotes the degradation of bradykinin, leading to reductions in both bradykinin and NO levels. Treatment with ACEI agents, by blocking the actions of ACE, causes reduction in the levels of AT II, as well as increase in the levels of bradykinin and NO, which results not only in vasodilatation but also enhanced insulin insensitivity and improved cellular glucose uptake. |
Formal Description Interaction-ID: 15677 |
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Comment | ARBs, conversely, are able to attenuate the negative effects of AT II on cellular insulin signaling by specifically inhibiting the AT II type 1 receptors. The ARB-related improvement in insulin-stimulated glucose uptake has been documented not only in muscle and hepatic cells, but in adipose tissue as well. |
Formal Description Interaction-ID: 15680 |
drug/chemical compound Angiotensin II type 1 receptor blocker decreases_activity of gene/protein |