Document Information


PMID 17586614  (  )
Title Renin-angiotensin-aldosterone system and oxidative stress in cardiovascular insulin resistance.
Abstract Hypertension commonly occurs in conjunction with insulin resistance and other components of the cardiometabolic syndrome. Insulin resistance plays a significant role in the relationship between hypertension, Type 2 diabetes mellitus, chronic kidney disease, and cardiovascular disease. There is accumulating evidence that insulin resistance occurs in cardiovascular and renal tissue as well as in classical metabolic tissues (i.e., skeletal muscle, liver, and adipose tissue). Activation of the renin-angiotensin-aldosterone system and subsequent elevations in angiotensin II and aldosterone, as seen in cardiometabolic syndrome, contribute to altered insulin/IGF-1 signaling pathways and reactive oxygen species formation to induce endothelial dysfunction and cardiovascular disease. This review examines currently understood mechanisms underlying the development of resistance to the metabolic actions of insulin in cardiovascular as well as skeletal muscle tissue. Medicine, Columbia, Missouri 65212, USA.

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Targets by SciMiner Summary

HUGO ID Symbol Target Name #Occur ActualStr
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)115angiotensin ii | ang ii | ANG |
6081INSinsulin103INS | insulin |
5464IGF1insulin-like growth factor 1 (somatomedin C)45IGF-1 |
391AKT1v-akt murine thymoma viral oncogene homolog 128Akt | PKB |
14874NOX5NADPH oxidase, EF-hand calcium binding domain 518nadph oxidase |
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptide15p110 | phosphatidylinositol 3 kinase | PI3K | PI3-K |
9958RENrenin15renin |
7876NOS3nitric oxide synthase 3 (endothelial cell)14eNOS |
11892TNFtumor necrosis factor (TNF superfamily, member 2)13TNF-alpha | tnf alpha |
6871MAPK1mitogen-activated protein kinase 112p40 | p38 | MAPK | MAP |
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscle11MLC |
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))9SOD | superoxide dismutase |
2367CRPC-reactive protein, pentraxin-related7CRP | c reactive protein |
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)7Rac1 |
670RHODras homolog gene family, member D7Rho |
10618CCL2chemokine (C-C motif) ligand 25mcp 1 | MCP-1 |
11009SLC2A4solute carrier family 2 (facilitated glucose transporter), member 45GLUT4 | glucose transporter 4 |
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)5p47 |
3327ELNelastin (supravalvular aortic stenosis, Williams-Beuren syndrome)4elastin |
990BCL2B-cell CLL/lymphoma 24Bcl-2 | bcl 2 |
1516CATcatalase4catalase |
6018IL6interleukin 6 (interferon, beta 2)4IL-6 | il 6 |
6125IRS1insulin receptor substrate 14IRS-1 |
6091INSRinsulin receptor3insulin receptor |
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)3Nox2 | NOX2 |
6881MAPK8mitogen-activated protein kinase 83JNK |
11362STAT1signal transducer and activator of transcription 1, 91kDa3STAT |
8816PDPK13-phosphoinositide dependent protein kinase-133 phosphoinositide dependent protein kinase 1 | PDK-1 |
4910HIF1Ahypoxia-inducible factor 1, alpha subunit (basic helix-loop-helix transcription factor)3hif 1 | HIF-1 | hypoxia inducible factor 1 |
29826MYLK3myosin light chain kinase 33mlc kinase |
2577CYBAcytochrome b-245, alpha polypeptide3p22 |
17937CUZD1CUB and zona pellucida-like domains 12erg 1 | Erg-1 |
7661NCF2neutrophil cytosolic factor 2 (65kDa, chronic granulomatous disease, autosomal 2)2p67 |
1509CASP8caspase 8, apoptosis-related cysteine peptidase2caspase 8 | caspase-8 |
1876CFLARCASP8 and FADD-like apoptosis regulator2c-FLIP | c flip |
10840SHC1SHC (Src homology 2 domain containing) transforming protein 12Shc |
3796FOSv-fos FBJ murine osteosarcoma viral oncogene homolog2ap 1 | AP-1 |
5992IL1Binterleukin 1, beta2IL-1 | il 1 |
7794NFKB1nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105)2NF-kappaB |
667RHOAras homolog gene family, member A2RhoA |
4566GRB2growth factor receptor-bound protein 22Grb-2 |
11283SRCv-src sarcoma (Schmidt-Ruppin A-2) viral oncogene homolog (avian)2Src |
9588PTENphosphatase and tensin homolog (mutated in multiple advanced cancers 1)1PTEN |
4617GSK3Bglycogen synthase kinase 3 beta1glycogen synthase kinase 3 beta |
8979PIK3R1phosphoinositide-3-kinase, regulatory subunit 1 (alpha)1p85 |
7590MYLKmyosin light chain kinase1MLCK |
992BCL2L1BCL2-like 11bcl xl |
6953CD46CD46 molecule, complement regulatory protein1MCP |
3238EGR1early growth response 11early growth response 1 |
3819FOXO1forkhead box O11FOXO-1 |
4390GNAQguanine nucleotide binding protein (G protein), q polypeptide1g alpha q |
2422CScitrate synthase1citrate synthase |
6080INPPL1inositol polyphosphate phosphatase-like 11SHIP-2 |
2362CRKv-crk sarcoma virus CT10 oncogene homolog (avian)1Crk |
7979NR3C2nuclear receptor subfamily 3, group C, member 21mineralocorticoid receptor |
29869SHC2SHC (Src homology 2 domain containing) transforming protein 21Sck |
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 11angiotensin converting enzyme |
2197COL1A1collagen, type I, alpha 11collagen |
7978NR3C1nuclear receptor subfamily 3, group C, member 1 (glucocorticoid receptor)1glucocorticoid receptor |

 


Targets by SciMiner Full list

HUGO ID Symbol Name ActualStr Score FlankingText
6081INSinsulinINS1.0A vascular effects of insulin (INS)/IGF-1 INS IGF-1 and counteregulatory effects of angiotensin II (ANG ANG II
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2A vascular effects of insulin (INS)/IGF-1 INS IGF-1 and counteregulatory effects of angiotensin II (ANG ANG II type
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6(INS)/IGF-1 INS IGF-1 and counteregulatory effects of angiotensin II (ANG ANG II type 1 receptor (AT AT 1 R and mineralocorticoid
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9through phosphorylation and secondary activation of endothelial NO synthase (eNOS) eNOS
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9availability of NO via the induction of insulin resistance diminishing eNOS mRNA stability and promoting NADPH oxidase-induced ROS production
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Akt PKB GRE glucocorticoid response element G q G alpha q
391AKT1v-akt murine thymoma viral oncogene homolog 1PKB0.8Akt PKB GRE glucocorticoid response element G q G alpha q subunit
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)NOX21.0G q G alpha q subunit IRS insulin receptor substrate NOX2 catalytic subunit of NADPH oxidase p22 p47 p40 and p67
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)p471.3insulin receptor substrate NOX2 catalytic subunit of NADPH oxidase p22 p47 p40 and p67 subunits of NADPH oxidase PH pleckstrin homology
6871MAPK1mitogen-activated protein kinase 1p402.4receptor substrate NOX2 catalytic subunit of NADPH oxidase p22 p47 p40 and p67 subunits of NADPH oxidase PH pleckstrin homology domain
7661NCF2neutrophil cytosolic factor 2 (65kDa, chronic granulomatous disease, autosomal 2)p670.3NOX2 catalytic subunit of NADPH oxidase p22 p47 p40 and p67 subunits of NADPH oxidase PH pleckstrin homology domain PI3-K phosphatidylinositol
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3-K2.3and p67 subunits of NADPH oxidase PH pleckstrin homology domain PI3-K phosphatidylinositol 3-kinase PIP phosphatidylinositol phosphate PIP2 phosphatidylinositol bisphosphate PIP3 phosphatidylinositol
670RHODras homolog gene family, member DRho1.4phosphatidylinositol bisphosphate PIP3 phosphatidylinositol ( 3 4 5 -trisphosphate ROK Rho kinase SOD superoxide dismutase
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))SOD0.9PIP3 phosphatidylinositol ( 3 4 5 -trisphosphate ROK Rho kinase SOD superoxide dismutase
2577CYBAcytochrome b-245, alpha polypeptidep220.3IRS insulin receptor substrate NOX2 catalytic subunit of NADPH oxidase p22 p47 p40 and p67 subunits of NADPH oxidase PH pleckstrin
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6B opposing effects of ANG II and aldosterone (Aldo) Aldo versus insulin/IGF-1 insulin IGF-1 on
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2of ANG II and aldosterone (Aldo) Aldo versus insulin/IGF-1 insulin IGF-1 on vascular smooth muscle cells (VSMCs) VSMCs
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 cause VSMC relaxation whereas ANG II and mineralocorticoids cause contraction
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Insulin and IGF-1 cause VSMC relaxation whereas ANG II and mineralocorticoids cause contraction
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5MBS myosin-bound serine MLC myosin light chain MLCK MLC kinase Na/Ca Na Ca exch
7590MYLKmyosin light chain kinaseMLCK2.5MBS myosin-bound serine MLC myosin light chain MLCK MLC kinase Na/Ca Na Ca exch Na /Ca Ca exchanger
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5MBS myosin-bound serine MLC myosin light chain MLCK MLC kinase Na/Ca Na Ca exch Na /Ca Ca exchanger
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Functional and metabolic effects of insulin and IGF-1 in the heart
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 modulate glucose transport glycogen synthesis lipid metabolism growth contractility and
6871MAPK1mitogen-activated protein kinase 1MAP2.4Upon activation of the mitogen-activated protein (MAP) MAP kinase pathway insulin/IGF-1 insulin IGF-1 and ANG II/aldosterone II aldosterone
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2of the mitogen-activated protein (MAP) MAP kinase pathway insulin/IGF-1 insulin IGF-1 and ANG II/aldosterone II aldosterone signaling may converge to cause
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6mitogen-activated protein (MAP) MAP kinase pathway insulin/IGF-1 insulin IGF-1 and ANG II/aldosterone II aldosterone signaling may converge to cause deleterious effects
3796FOSv-fos FBJ murine osteosarcoma viral oncogene homologAP-11.3AP-1 activating protein-1 Crk protein exhibiting the Src homology 2 (SH2)
2362CRKv-crk sarcoma virus CT10 oncogene homolog (avian)Crk0.3AP-1 activating protein-1 Crk protein exhibiting the Src homology 2 (SH2) SH2 domain Erg-1
11283SRCv-src sarcoma (Schmidt-Ruppin A-2) viral oncogene homolog (avian)Src0.3AP-1 activating protein-1 Crk protein exhibiting the Src homology 2 (SH2) SH2 domain Erg-1 early growth response-1 gene
17937CUZD1CUB and zona pellucida-like domains 1Erg-11.0Crk protein exhibiting the Src homology 2 (SH2) SH2 domain Erg-1 early growth response-1 gene HIF-1 hypoxia-inducible factor-1 Sch phosphotyrosine adaptor
4910HIF1Ahypoxia-inducible factor 1, alpha subunit (basic helix-loop-helix transcription factor)HIF-10.9homology 2 (SH2) SH2 domain Erg-1 early growth response-1 gene HIF-1 hypoxia-inducible factor-1 Sch phosphotyrosine adaptor molecule Sck adaptor protein GLUT4
29869SHC2SHC (Src homology 2 domain containing) transforming protein 2Sck0.9growth response-1 gene HIF-1 hypoxia-inducible factor-1 Sch phosphotyrosine adaptor molecule Sck adaptor protein GLUT4 glucose transporter 4
11009SLC2A4solute carrier family 2 (facilitated glucose transporter), member 4GLUT41.6HIF-1 hypoxia-inducible factor-1 Sch phosphotyrosine adaptor molecule Sck adaptor protein GLUT4 glucose transporter 4
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II and aldosterone/corticosterone aldosterone corticosterone antagonism to metabolic actions of
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2aldosterone/corticosterone aldosterone corticosterone antagonism to metabolic actions of insulin/IGF-1 insulin IGF-1 in skeletal muscle
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8of key tyrosine residues in IRS and reduced activation of Akt
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6overexpresses the renin gene with subsequent elevated tissue levels of ANG II relative to Sprague-Dawley (SD) SD control
3327ELNelastin (supravalvular aortic stenosis, Williams-Beuren syndrome)elastin1.0The green autofluorescence is specific for elastin fibers
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2as seen in cardiometabolic syndrome contribute to altered insulin/IGF-1 insulin IGF-1 signaling pathways and reactive oxygen species formation to induce endothelial
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Both insulin and IGF-1 receptors exist in CV tissue ( 186
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Activation of the insulin receptor (IR) IR and IGF-1 receptor ligand-activated transmembrane receptors with tyrosine kinase activity phosphorylates intracellular
10840SHC1SHC (Src homology 2 domain containing) transforming protein 1Shc0.9intracellular substrates including IR substrate (IRS) IRS family members and Shc which in turn serve as docking proteins for downstream signaling
11283SRCv-src sarcoma (Schmidt-Ruppin A-2) viral oncogene homolog (avian)Src0.3IRS phosphorylation of tyrosine moieties results in the engagement of Src homology 2 (SH2) SH2 domain-binding motifs for SH2 domain signaling
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3motifs for SH2 domain signaling molecules including phosphatidyl 3-kinase (PI3K) PI3K and Grb-2
4566GRB2growth factor receptor-bound protein 2Grb-20.6SH2 domain signaling molecules including phosphatidyl 3-kinase (PI3K) PI3K and Grb-2
8979PIK3R1phosphoinositide-3-kinase, regulatory subunit 1 (alpha)p850.6When SH2 domains of the p85 regulatory subunit bind to tyrosine-phosphorylated motifs on IRS-1 this activates
6125IRS1insulin receptor substrate 1IRS-11.2of the p85 regulatory subunit bind to tyrosine-phosphorylated motifs on IRS-1 this activates the preassociated p110 catalytic subunit to generate phosphatidylinositol
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidep1101.3bind to tyrosine-phosphorylated motifs on IRS-1 this activates the preassociated p110 catalytic subunit to generate phosphatidylinositol 3 4 5-trisphosphate [PI( PI
8816PDPK13-phosphoinositide dependent protein kinase-1PDK-10.6to the pleckstrin homology domain in 3-phosphoinositide-dependent protein kinase-1 (PDK-1), PDK-1 resulting in its phosphorylation and the activation of other downstream
391AKT1v-akt murine thymoma viral oncogene homolog 1PKB0.8phosphorylation and the activation of other downstream serine-threonine kinases including PKB (Akt) Akt and atypical PKC isoforms which mediate a number
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8the activation of other downstream serine-threonine kinases including PKB (Akt) Akt and atypical PKC isoforms which mediate a number of metabolic
11009SLC2A4solute carrier family 2 (facilitated glucose transporter), member 4GLUT41.6a number of metabolic actions including glucose transporter 4 (GLUT4) GLUT4 translocation to the membrane leading to glucose uptake in myocardial
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Growth and remodeling responses to insulin and IGF-1 generally involves both STAT and MAPK signaling pathways
11362STAT1signal transducer and activator of transcription 1, 91kDaSTAT0.3and remodeling responses to insulin and IGF-1 generally involves both STAT and MAPK signaling pathways
6871MAPK1mitogen-activated protein kinase 1MAPK2.4responses to insulin and IGF-1 generally involves both STAT and MAPK signaling pathways
6125IRS1insulin receptor substrate 1IRS-11.2This involves tyrosine-phosphorylated IRS-1 or Shc binding to the SH2 domain of Grb-2 which
10840SHC1SHC (Src homology 2 domain containing) transforming protein 1Shc0.9This involves tyrosine-phosphorylated IRS-1 or Shc binding to the SH2 domain of Grb-2 which results in
4566GRB2growth factor receptor-bound protein 2Grb-20.6tyrosine-phosphorylated IRS-1 or Shc binding to the SH2 domain of Grb-2 which results in the activation of the preassociated GTP exchange
6871MAPK1mitogen-activated protein kinase 1MAPK2.4the GTP-binding protein Ras which phosphorylates/activates phosphorylates activates MEK and MAPK
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6talk from signaling pathways of heterologous receptors such as the ANG II type 1 (AT AT 1 receptor (AT AT 1
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Protein tyrosine phosphatases which dephosphorylate IR and the IGF-1 receptor as well as lipid phosphatases (i.e., i.e. SHIP-2 and
6080INPPL1inositol polyphosphate phosphatase-like 1SHIP-20.3the IGF-1 receptor as well as lipid phosphatases (i.e., i.e. SHIP-2 and PTEN which dephosphorylate PI( PI 3 4 5 P
9588PTENphosphatase and tensin homolog (mutated in multiple advanced cancers 1)PTEN0.3receptor as well as lipid phosphatases (i.e., i.e. SHIP-2 and PTEN which dephosphorylate PI( PI 3 4 5 P 3 are
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.23 are involved in the negative regulation of insulin and IGF-1 signaling pathways ( 220
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Inappropriate activation of these phosphatases may contribute to insulin/IGF-1 insulin IGF-1 resistance in CV tissue as well as liver skeletal muscle
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Vascular Actions of Insulin/IGF-1 Insulin IGF-1
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Vascular relaxation effects of insulin/IGF-1 insulin IGF-1 are mediated in part by endothelial cell production of NO
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2IR/IGF-1 IR IGF-1 receptor mediation of PI3K/PDK-1/Akt PI3K PDK-1 Akt phosphorylation/activation phosphorylation activation
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3IR/IGF-1 IR IGF-1 receptor mediation of PI3K/PDK-1/Akt PI3K PDK-1 Akt phosphorylation/activation phosphorylation activation leads to stimulation of endothelial
8816PDPK13-phosphoinositide dependent protein kinase-1PDK-10.6IR/IGF-1 IR IGF-1 receptor mediation of PI3K/PDK-1/Akt PI3K PDK-1 Akt phosphorylation/activation phosphorylation activation leads to stimulation of endothelial NO
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8IR/IGF-1 IR IGF-1 receptor mediation of PI3K/PDK-1/Akt PI3K PDK-1 Akt phosphorylation/activation phosphorylation activation leads to stimulation of endothelial NO synthase
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9phosphorylation activation leads to stimulation of endothelial NO synthase (eNOS) eNOS enzyme activity to produce NO
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Phosphorylated/activated Phosphorylated activated Akt in turn phosphorylates human eNOS at Ser resulting in enhanced
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9Phosphorylated/activated Phosphorylated activated Akt in turn phosphorylates human eNOS at Ser resulting in enhanced eNOS activity ( 236
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9in turn phosphorylates human eNOS at Ser resulting in enhanced eNOS activity ( 236
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 also increase vascular smooth muscle cell (VSMC) VSMC production of
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Thus insulin and IGF-1 promote vascular relaxation in part via increases in NO bioavailability
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Insulin also promotes vascular relaxation by attenuating agonist (i.e., i.e. ANG II -induced increases in cytosolic calcium Ca and myosin light
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5increases in cytosolic calcium Ca and myosin light chain (MLC) MLC kinase activity ( 13 174 191
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5By enhancing MLC phosphatase activity insulin and IGF-1 reduce MLC kinase activity and
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2By enhancing MLC phosphatase activity insulin and IGF-1 reduce MLC kinase activity and thus Ca -sensitive contraction (
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5By enhancing MLC phosphatase activity insulin and IGF-1 reduce MLC kinase activity and thus Ca -sensitive contraction ( 13 125
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II Actions on the Vasculature
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6There is accumulating evidence that ANG II in addition to its vasoconstriction effects attenuates the CVand
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2attenuates the CVand skeletal muscle metabolic actions of insulin and IGF-1 ( 115 186 190
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6The mechanisms involved in these inhibitory effects of ANG II include the generation of ROS and the activation of
667RHOAras homolog gene family, member ARhoA0.9of ROS and the activation of small-molecular-weight proteins such as RhoA and Rac1 ( 9 66 189 190 ( Figs 1
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac11.6and the activation of small-molecular-weight proteins such as RhoA and Rac1 ( 9 66 189 190 ( Figs 1 and 2
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Indeed there is increasing evidence indicating that ANG II contributes to insulin resistance and other components of CMS
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II exerts inflammatory effects and promotes vascular growth/remodeling, growth remodeling
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF-alpha0.5ROS activate transcription factors such as TNF-alpha monocyte chemoattractant protein (MCP)-1, MCP -1 IL-6 and C-reactive protein
6953CD46CD46 molecule, complement regulatory proteinMCP0.6activate transcription factors such as TNF-alpha monocyte chemoattractant protein (MCP)-1, MCP -1 IL-6 and C-reactive protein (CRP) CRP
6018IL6interleukin 6 (interferon, beta 2)IL-61.3factors such as TNF-alpha monocyte chemoattractant protein (MCP)-1, MCP -1 IL-6 and C-reactive protein (CRP) CRP
2367CRPC-reactive protein, pentraxin-relatedCRP0.6chemoattractant protein (MCP)-1, MCP -1 IL-6 and C-reactive protein (CRP) CRP
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF-alpha0.5TNF-alpha in turn impedes insulin- and IGF-1-mediated eNOS activation as well
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9TNF-alpha in turn impedes insulin- and IGF-1-mediated eNOS activation as well as the antiapoptotic actions of insulin and
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2activation as well as the antiapoptotic actions of insulin and IGF-1 ( 128 186 190
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Animal Model to Investigate the Role of ANG II in Mediating Insulin/IGF-1 Insulin IGF-1 Resistance
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Investigate the Role of ANG II in Mediating Insulin/IGF-1 Insulin IGF-1 Resistance
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6displays an activated tissue renin-angiotensin-aldosterone system (RAAS) RAAS with increased ANG II levels and increased plasma mineralocorticoids to evaluate the role
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6increased plasma mineralocorticoids to evaluate the role of increased tissue ANG II and mineralocorticoids in mediating CVD as well as skeletal
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF-alpha0.5( Fig 4 lipid peroxidation inflammation (increased increased expression of TNF-alpha and CRP and indexes of apoptosis compared with Sprague-Dawley rats
2367CRPC-reactive protein, pentraxin-relatedCRP0.64 lipid peroxidation inflammation (increased increased expression of TNF-alpha and CRP and indexes of apoptosis compared with Sprague-Dawley rats
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8vasculature there was a marked reduction in insulin stimulation of Akt signaling eNOS Ser phosphorylation/activation phosphorylation activation
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9was a marked reduction in insulin stimulation of Akt signaling eNOS Ser phosphorylation/activation phosphorylation activation
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))SOD0.9an AT 1 R blocker or the superoxide dismutase (SOD)/catalase SOD catalase minetic tempol
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2data have suggested that vascular RAAS activation and insulin/IGF-1 insulin IGF-1 resistance perpetuate each other and concordantly contribute to endothelial dysfunction
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Insulin and ANG II in the Heart
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 exert a number of metabolic and functional effects on the
11009SLC2A4solute carrier family 2 (facilitated glucose transporter), member 4GLUT41.6skeletal muscle glucose uptake in cardiomyocytes involves mobilization of insulin-responsive GLUT4 via a PI3K/Akt PI3K Akt signaling pathway ( 2 98
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3in cardiomyocytes involves mobilization of insulin-responsive GLUT4 via a PI3K/Akt PI3K Akt signaling pathway ( 2 98 ( Fig 2
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8cardiomyocytes involves mobilization of insulin-responsive GLUT4 via a PI3K/Akt PI3K Akt signaling pathway ( 2 98 ( Fig 2
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3Furthermore in cardiomyocytes insulin stimulation of the PI3K/Akt PI3K Akt pathway results in the phosphorylation and nuclear exclusion of
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Furthermore in cardiomyocytes insulin stimulation of the PI3K/Akt PI3K Akt pathway results in the phosphorylation and nuclear exclusion of the
3819FOXO1forkhead box O1FOXO-10.3the phosphorylation and nuclear exclusion of the forkhead transcription factor FOXO-1 which further modulates glucose and lipid metabolism ( 125 137
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 normally enhance cardiac contractility ( 22 153 163 -165 186
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3153 163 -165 186 190 via signaling through the PI3K/Akt PI3K Akt pathway
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8163 -165 186 190 via signaling through the PI3K/Akt PI3K Akt pathway
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 also enhance cardiomyocyte myofilament Ca sensitivity ( 42
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3Increases in myocardial NO production through the PI3K/Akt/eNOS PI3K Akt eNOS pathway also appear to contribute to the inotropic
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Increases in myocardial NO production through the PI3K/Akt/eNOS PI3K Akt eNOS pathway also appear to contribute to the inotropic effects
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9Increases in myocardial NO production through the PI3K/Akt/eNOS PI3K Akt eNOS pathway also appear to contribute to the inotropic effects of
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2determinant of myocardial blood flow (MBF), MBF and insulin and IGF-1 enhance MBF and promote capillary recruitment in the heart (
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2between the metabolic and coronary vascular actions of insulin and IGF-1 in the heart with increases in capillary recruitment and MBF-enhancing
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2These actions of insulin and IGF-1 as well as their direct effects on cardiomyocytes also enhance
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 also regulate developmental and physiological growth and remodeling of the
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3The peptides accomplish these effects by signaling through the PI3K/Akt PI3K Akt pathway ( 78 102 223
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8peptides accomplish these effects by signaling through the PI3K/Akt PI3K Akt pathway ( 78 102 223
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Downstream from Akt activation of the mammalian target of rapamycin promotes cardiac growth
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Signaling through the Akt pathway also exerts antiapoptotic effects on the myocardium ( 163
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Indeed one apoptotic signaling system modulated by the Akt pathway involves the phosphorylation and nuclear exclusion of the FOXO
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin and IGF-1 also promote survival by direct phosphorylation/inactivation phosphorylation inactivation of Bad
990BCL2B-cell CLL/lymphoma 2Bcl-21.0direct phosphorylation/inactivation phosphorylation inactivation of Bad a member of the Bcl-2 family which promotes apoptosis by binding to and antagonizing the
990BCL2B-cell CLL/lymphoma 2Bcl-21.0the action of prosurvival members of the family such as Bcl-2 and Bcl-XL
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Insulin/IGF-1 Insulin IGF-1 activation of Akt may also interfere with stress-activated protein kinases
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Insulin/IGF-1 Insulin IGF-1 activation of Akt may also interfere with stress-activated protein kinases such as JNK
6881MAPK8mitogen-activated protein kinase 8JNK0.9Akt may also interfere with stress-activated protein kinases such as JNK p38 and MAPK pathways critically involved in the induction of
6871MAPK1mitogen-activated protein kinase 1p382.4may also interfere with stress-activated protein kinases such as JNK p38 and MAPK pathways critically involved in the induction of apoptosis
6871MAPK1mitogen-activated protein kinase 1MAPK2.4interfere with stress-activated protein kinases such as JNK p38 and MAPK pathways critically involved in the induction of apoptosis following exposure
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Finally Akt activation increases the expression of c-FLIP a caspase-8 homologene that
1876CFLARCASP8 and FADD-like apoptosis regulatorc-FLIP2.5Finally Akt activation increases the expression of c-FLIP a caspase-8 homologene that inhibits TNF receptor family-induced apoptosis (
1509CASP8caspase 8, apoptosis-related cysteine peptidasecaspase-82.0Finally Akt activation increases the expression of c-FLIP a caspase-8 homologene that inhibits TNF receptor family-induced apoptosis ( 142
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF0.8increases the expression of c-FLIP a caspase-8 homologene that inhibits TNF receptor family-induced apoptosis ( 142
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2pathological cardiomyocyte hypertrophy is promoted by interactions of insulin/IGF-1 insulin IGF-1 with growth factors such as ANG II catecholamines endothelin and
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6interactions of insulin/IGF-1 insulin IGF-1 with growth factors such as ANG II catecholamines endothelin and mineralocorticoids to stimulate signaling pathways involving
6871MAPK1mitogen-activated protein kinase 1MAPK2.4II catecholamines endothelin and mineralocorticoids to stimulate signaling pathways involving MAPK p38 MAPK JAK/STAT, JAK STAT and the small-molecular-weight G proteins
6871MAPK1mitogen-activated protein kinase 1p382.4catecholamines endothelin and mineralocorticoids to stimulate signaling pathways involving MAPK p38 MAPK JAK/STAT, JAK STAT and the small-molecular-weight G proteins Rho
6871MAPK1mitogen-activated protein kinase 1MAPK2.4endothelin and mineralocorticoids to stimulate signaling pathways involving MAPK p38 MAPK JAK/STAT, JAK STAT and the small-molecular-weight G proteins Rho and
11362STAT1signal transducer and activator of transcription 1, 91kDaSTAT0.3to stimulate signaling pathways involving MAPK p38 MAPK JAK/STAT, JAK STAT and the small-molecular-weight G proteins Rho and Ras ( 163
670RHODras homolog gene family, member DRho1.4p38 MAPK JAK/STAT, JAK STAT and the small-molecular-weight G proteins Rho and Ras ( 163 180 186 188 190
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3a seminal feature of insulin resistance is impairment in PI3K/Akt PI3K Akt signaling metabolic pathways whereas other insulin signaling growth pathways
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8seminal feature of insulin resistance is impairment in PI3K/Akt PI3K Akt signaling metabolic pathways whereas other insulin signaling growth pathways including
6871MAPK1mitogen-activated protein kinase 1MAPK2.4pathways whereas other insulin signaling growth pathways including RAS/MAPK/JAK/STAT RAS MAPK JAK STAT signaling are not inhibited ( 36 89 150
11362STAT1signal transducer and activator of transcription 1, 91kDaSTAT0.3other insulin signaling growth pathways including RAS/MAPK/JAK/STAT RAS MAPK JAK STAT signaling are not inhibited ( 36 89 150 186 190
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9and oxidative stress ( 83 as well as impaired insulin-stimulated eNOS activity and NO production ( 47
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9cellular tetrohydrobiopterin levels and promote the generation of superoxide by eNOS
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3exert antioxidant and anti-inflammatory effects via signaling through the PI3K/Akt PI3K Akt metabolic pathway ( 186 190
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8antioxidant and anti-inflammatory effects via signaling through the PI3K/Akt PI3K Akt metabolic pathway ( 186 190
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II and mineralocorticoids in contrast cause vasoconstriction and enhance the
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Furthermore ANG II and aldosterone interfere with many of the metabolic signaling
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2with many of the metabolic signaling actions of insulin and IGF-1 in the CV system ( 9 80 85 86 102
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II acting through the AT 1 R increases the generation
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Infusion of ANG II impairs endothelium-dependent vasorelaxation ( 31 and this impairment is
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))SOD0.9( 31 and this impairment is corrected by coadministration of SOD ( 105 indicating the critical role of ROS in ANG
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6SOD ( 105 indicating the critical role of ROS in ANG II-mediated endothelial dysfunction ( 189
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II-stimulated ROS inhibit insulin/IGF-1 insulin IGF-1 signaling through the PI3K/Akt
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2ANG II-stimulated ROS inhibit insulin/IGF-1 insulin IGF-1 signaling through the PI3K/Akt PI3K Akt signaling pathway to activate
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3II-stimulated ROS inhibit insulin/IGF-1 insulin IGF-1 signaling through the PI3K/Akt PI3K Akt signaling pathway to activate eNOS ( 13 125 199
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8ROS inhibit insulin/IGF-1 insulin IGF-1 signaling through the PI3K/Akt PI3K Akt signaling pathway to activate eNOS ( 13 125 199 224
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9signaling through the PI3K/Akt PI3K Akt signaling pathway to activate eNOS ( 13 125 199 224 235 236
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Furthermore ROS generated by ANG II inactivate NO ( 20 120 152 203 and the
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6This creates a cycle of impaired endothelium-derived vasodilation and increased ANG II-mediated vasoconstriction
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II also stimulates RhoA/Rho RhoA Rho kinase activation which decreases
667RHOAras homolog gene family, member ARhoA0.9ANG II also stimulates RhoA/Rho RhoA Rho kinase activation which decreases eNOS expression in part by
670RHODras homolog gene family, member DRho1.4ANG II also stimulates RhoA/Rho RhoA Rho kinase activation which decreases eNOS expression in part by decreasing
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9II also stimulates RhoA/Rho RhoA Rho kinase activation which decreases eNOS expression in part by decreasing eNOS mRNA stability ( 122
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9kinase activation which decreases eNOS expression in part by decreasing eNOS mRNA stability ( 122 200 ( Fig 1 A
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II acting via its AT 1 R increases VSMC contraction
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5R increases VSMC contraction by increasing intracellular Ca and Ca -MLC sensitization ( 129 233 ( Fig 1 B
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Both processes are mediated in part by ANG II-stimulated generation of ROS in endothelial cells and VSMCs (
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II also increases Ca -MLC sensitization by stimulating Rho kinase
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5ANG II also increases Ca -MLC sensitization by stimulating Rho kinase activity in VSMCs whereas insulin
670RHODras homolog gene family, member DRho1.4ANG II also increases Ca -MLC sensitization by stimulating Rho kinase activity in VSMCs whereas insulin and IGF-1 induce relaxation
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2by stimulating Rho kinase activity in VSMCs whereas insulin and IGF-1 induce relaxation by increasing endothelial cell production of NO and
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5increasing endothelial cell production of NO and by reducing Ca -MLC sensitization ( 175
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II decreases the ability of insulin and IGF-1 to decrease
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2ANG II decreases the ability of insulin and IGF-1 to decrease Ca -MLC sensitization by activating Rho kinase which
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5decreases the ability of insulin and IGF-1 to decrease Ca -MLC sensitization by activating Rho kinase which phosphorylates myosin binding protein
670RHODras homolog gene family, member DRho1.4insulin and IGF-1 to decrease Ca -MLC sensitization by activating Rho kinase which phosphorylates myosin binding protein and thereby inhibits the
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5thereby inhibits the ability of these peptides to dephosphorylate Ca -MLC which leads to increased Ca -MLC phosphorylation ( 186 190
29823MYL6Bmyosin, light chain 6B, alkali, smooth muscle and non-muscleMLC1.5peptides to dephosphorylate Ca -MLC which leads to increased Ca -MLC phosphorylation ( 186 190 ( Fig 1 B
670RHODras homolog gene family, member DRho1.4concept is bourne out by the observation that increases in Rho kinas and a decrease in myosin binding protein activity occurs
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6and a decrease in myosin binding protein activity occurs in ANG II-mediated ( 30 and insulin-resistant ( 176 hypertensive rodents
7794NFKB1nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105)NF-kappaB0.3Increased ROS also activate multiple redox signaling pathways including NF-kappaB ( 127
7794NFKB1nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105)NF-kappaB0.3NF-kappaB in turn enhances other ANG II-mediated inflammatory responses by upregulating
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6NF-kappaB in turn enhances other ANG II-mediated inflammatory responses by upregulating other inflammatory molecules such as
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF-alpha0.5II-mediated inflammatory responses by upregulating other inflammatory molecules such as TNF-alpha MCP-1 and CRP ( 72 124
10618CCL2chemokine (C-C motif) ligand 2MCP-11.0inflammatory responses by upregulating other inflammatory molecules such as TNF-alpha MCP-1 and CRP ( 72 124
2367CRPC-reactive protein, pentraxin-relatedCRP0.6by upregulating other inflammatory molecules such as TNF-alpha MCP-1 and CRP ( 72 124
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF-alpha0.5TNF-alpha activates several serine kinases including JNK I kappaK-beta and IL-1
6881MAPK8mitogen-activated protein kinase 8JNK0.9TNF-alpha activates several serine kinases including JNK I kappaK-beta and IL-1 beta receptor-associated kinase ( 91 which
5992IL1Binterleukin 1, betaIL-11.0TNF-alpha activates several serine kinases including JNK I kappaK-beta and IL-1 beta receptor-associated kinase ( 91 which directly or indirectly increase
6125IRS1insulin receptor substrate 1IRS-11.291 which directly or indirectly increase serine phosphorylation of IRS-1/2, IRS-1 2 leading to decreased PI3K/Akt PI3K Akt signaling responses and
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3serine phosphorylation of IRS-1/2, IRS-1 2 leading to decreased PI3K/Akt PI3K Akt signaling responses and subsequent impaired insulin/IGF-1 insulin IGF-1 stimulation
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8phosphorylation of IRS-1/2, IRS-1 2 leading to decreased PI3K/Akt PI3K Akt signaling responses and subsequent impaired insulin/IGF-1 insulin IGF-1 stimulation of
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2PI3K/Akt PI3K Akt signaling responses and subsequent impaired insulin/IGF-1 insulin IGF-1 stimulation of eNOS production of NO and vasodilatation ( 6
7876NOS3nitric oxide synthase 3 (endothelial cell)eNOS2.9signaling responses and subsequent impaired insulin/IGF-1 insulin IGF-1 stimulation of eNOS production of NO and vasodilatation ( 6 51 95 96
11892TNFtumor necrosis factor (TNF superfamily, member 2)TNF-alpha0.5TNF-alpha increases the expression of other inflammatory substance including IL-6 and
6018IL6interleukin 6 (interferon, beta 2)IL-61.3TNF-alpha increases the expression of other inflammatory substance including IL-6 and CRP
2367CRPC-reactive protein, pentraxin-relatedCRP0.6increases the expression of other inflammatory substance including IL-6 and CRP
2367CRPC-reactive protein, pentraxin-relatedCRP0.6CRP in turn appears to attenuate insulin-stimulated NO production in endothelial
6125IRS1insulin receptor substrate 1IRS-11.2insulin-stimulated NO production in endothelial cells by increasing phosphorylation of IRS-1 at Ser and indirectly by enhancing Rho kinase and JNK
670RHODras homolog gene family, member DRho1.4increasing phosphorylation of IRS-1 at Ser and indirectly by enhancing Rho kinase and JNK signaling ( 6 217
6881MAPK8mitogen-activated protein kinase 8JNK0.9IRS-1 at Ser and indirectly by enhancing Rho kinase and JNK signaling ( 6 217
2367CRPC-reactive protein, pentraxin-relatedCRP0.6CRP also upregulates VSMC AT 1 Rs ( 225 and increases
10618CCL2chemokine (C-C motif) ligand 2MCP-11.0225 and increases the expression of VCAM ICAM E-selectin and MCP-1 in endothelial cells ( 144 thus counterbalancing the antiatherosclerotic and
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6In addition to stimulating membrane NADPH oxidase in vascular cells ANG II in conjunction with other cellular stresses may increase endoplasmic
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6be accentuated by Cu/Zn-SOD Cu Zn-SOD deficiency in response to ANG II ( 43 45
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))SOD0.9in Cu/Zn-SOD, Cu Zn-SOD the most abundant of the three SOD isoforms is associated with increases in ROS and vascular dysfunction
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2As previously noted insulin and IGF-1 generally exert beneficial effects on myocardial mechanical-electrical coupling and both
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2Many of these beneficial effects of insulin and IGF-1 are mediated largely by PI3K/Akt PI3K Akt signaling ( 41
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidePI3K2.3effects of insulin and IGF-1 are mediated largely by PI3K/Akt PI3K Akt signaling ( 41 78 94 102 142 188 223
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8of insulin and IGF-1 are mediated largely by PI3K/Akt PI3K Akt signaling ( 41 78 94 102 142 188 223 234
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6( 41 78 94 102 142 188 223 234 and ANG II opposes insulin/IGF-1 insulin IGF-1 mediated signaling through this pathway
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2142 188 223 234 and ANG II opposes insulin/IGF-1 insulin IGF-1 mediated signaling through this pathway ( 18 77 184 192
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2RAAS activation inhibits the beneficial metabolic effects of insulin and IGF-1
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II plays a seminal role in the genesis of cardiac
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II receptors have been characterized in cardiomyocytes and cardiac fibroblasts
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Although both AT 1 Rs and ANG II type 2 (AT AT 2 receptors (AT AT 2
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6and coronary vessel tissue most of the adverse effects of ANG II on hypertrophy fibrosis and left ventricular dysfunction are mediated
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6data suggesting that many of the detrimental effects of both ANG II and aldosterone are triggered by redox cycling of ROS
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6In cardiomyocytes ANG II stimulates phagocytic-type NADPH oxidase which is composed of a
6871MAPK1mitogen-activated protein kinase 1p402.4of a membrane-bound p22 heterodimer and four regulatory subunits (p40 p40 p47 p67 and Nox2 and the small-molecular-weight G protein Rac1
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)p471.3a membrane-bound p22 heterodimer and four regulatory subunits (p40 p40 p47 p67 and Nox2 and the small-molecular-weight G protein Rac1 (
7661NCF2neutrophil cytosolic factor 2 (65kDa, chronic granulomatous disease, autosomal 2)p670.3membrane-bound p22 heterodimer and four regulatory subunits (p40 p40 p47 p67 and Nox2 and the small-molecular-weight G protein Rac1 ( 37
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)Nox21.0heterodimer and four regulatory subunits (p40 p40 p47 p67 and Nox2 and the small-molecular-weight G protein Rac1 ( 37 130 136
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac11.6p40 p47 p67 and Nox2 and the small-molecular-weight G protein Rac1 ( 37 130 136 138
2577CYBAcytochrome b-245, alpha polypeptidep220.0stimulates phagocytic-type NADPH oxidase which is composed of a membrane-bound p22 heterodimer and four regulatory subunits (p40 p40 p47 p67 and
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II activation of the NADPH oxidase enzyme affects cell signaling
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6a recent investigation ( 231 it was hypothesized that chronic ANG II overexpression in the heart was associated with structural and
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))SOD0.9with either an AT 1 R blocker or a SOD/catalase SOD catalase mimetic in a rodent model of chronically elevated tissue
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6in a rodent model of chronically elevated tissue levels of ANG II the transgenic TG(mRen2)27 TG mRen2 27 rat (Ren2) Ren2
2578CYBBcytochrome b-245, beta polypeptide (chronic granulomatous disease)Nox21.0NADPH oxidase activity and immunostaining of NADPH oxidase subunits p22 Nox2 and Rac1 were significantly increased in the Ren2 rat in
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac11.6activity and immunostaining of NADPH oxidase subunits p22 Nox2 and Rac1 were significantly increased in the Ren2 rat in conjunction with
2577CYBAcytochrome b-245, alpha polypeptidep220.1Membrane NADPH oxidase activity and immunostaining of NADPH oxidase subunits p22 Nox2 and Rac1 were significantly increased in the Ren2 rat
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))SOD0.9abrogated by both the AT 1 R blockade and SOD/catalase SOD catalase mimetic highlighting the role of ANG II in the
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6blockade and SOD/catalase SOD catalase mimetic highlighting the role of ANG II in the activation of NADPH oxidase and the importance
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6model previous studies ( 7 109 113 have shown that ANG II increases ROS in cultured myocardial fibroblasts and cardiomyocytes
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Indeed insulin-stimulated Akt phosphorylation/activation phosphorylation activation is significantly suppressed in Ren2 myocardial tissue
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac11.6significantly suppressed in Ren2 myocardial tissue and inversely correlated to Rac1 expression and NADPH oxidase activity ( 231
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8In the heart Akt activation is critical for the proper regulation of proteins responsible
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Akt activity in the heart is regulated by nutritional status insulin
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Optimal Akt signaling while important for physiological growth impedes pathological cardiac hypertrophy
391AKT1v-akt murine thymoma viral oncogene homolog 1Akt0.8Restored Akt activation/phosphorylation, activation phosphorylation along with abrogation of cardiac hypertrophy and
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))SOD0.9treatment with either the AT 1 R blockade or SOD/catalase SOD catalase mimetic
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6oxidative stress and remodeling in the Ren2 model of chronic ANG II overexpression using the novel nonpeptide renin inhibitor aliskiren (Cooper
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Renin is the rate-limiting step in the generation of ANG II ( 148 158 232 thus renin inhibition should reduce
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6( 148 158 232 thus renin inhibition should reduce tissue ANG II levels as well as abrogate any direct renin effects
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Thus the reduction of ANG II levels via direct renin inhibition is of potential therapeutic
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)p471.3activity as evidenced by increased immunostaining for the NADPH subunits p47 and Rac1 as well as 3-nitrotyrosine
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac11.6evidenced by increased immunostaining for the NADPH subunits p47 and Rac1 as well as 3-nitrotyrosine
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac11.6Translocation of the small GTP-binding protein Rac1 and p47 to the cell membrane is necessary for the
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)p471.3Translocation of the small GTP-binding protein Rac1 and p47 to the cell membrane is necessary for the assembly and
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6activation of NADPH oxidase which has been directly implicated in ANG II-induced cardiac hypertrophy ( 3 19 50 3-Nitrotyrosine resulting from
9801RAC1ras-related C3 botulinum toxin substrate 1 (rho family, small GTP binding protein Rac1)Rac11.6of myocardial oxidative stress as evidenced by decreased immunostaining for Rac1 and NADPH subunit p47 as well as 3-nitrotyrosine
7660NCF1neutrophil cytosolic factor 1, (chronic granulomatous disease, autosomal 1)p471.3as evidenced by decreased immunostaining for Rac1 and NADPH subunit p47 as well as 3-nitrotyrosine
3327ELNelastin (supravalvular aortic stenosis, Williams-Beuren syndrome)elastin1.0were evaluated by Verhoeff-van Gieson staining which is specific for elastin collagen connective tissue and nuclei
2197COL1A1collagen, type I, alpha 1collagen0.3evaluated by Verhoeff-van Gieson staining which is specific for elastin collagen connective tissue and nuclei
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6There is accumulating evidence that ANG II and mineralocorticoids have interactive effects on the vasculature (
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Mineralocorticoids upregulate ANG II receptors in VSMCs ( 211 and signaling of ANG
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6ANG II receptors in VSMCs ( 211 and signaling of ANG II is amplified by exposure to mineralocorticoids ( 210 211
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6Both ANG II and aldosterone stimulate vascular growth and remodeling ( 82
6871MAPK1mitogen-activated protein kinase 1MAPK2.4growth and remodeling ( 82 116 121 perhaps mediated through MAPK and ROS signaling ( 116 121 155
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6although the effects of mineralocorticoids alone and in conjunction with ANG II on insulin signaling in vascular tissue remain to be
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ANG0.6R signaling by enhancing the cardiac oxidative stress induced by ANG II ( 90 93 196 238
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2and glucocorticoid receptor antagonism and their impact on insulin and IGF-1 signaling in cardiovascular tissue
5464IGF1insulin-like growth factor 1 (somatomedin C)IGF-11.2summary activation of the RAAS contributes to altered insulin/IGF-1 insulin IGF-1 signaling pathways that lead to ROS formation endothelial dysfunction and
6081INSinsulininsulin1.0a : vascular effects of insulin ins /igf 1 and counteregulatory effects of angiotensin ii ang ii type 1 receptor at 1 r and mineralocorticoid receptor mr activation in endothelial cells.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0a : vascular effects of insulin ins /igf 1 and counteregulatory effects of angiotensin ii ang ii type 1 receptor at 1 r and mineralocorticoid receptor mr activation in endothelial cells.
7979NR3C2nuclear receptor subfamily 3, group C, member 2mineralocorticoid receptor1.0a : vascular effects of insulin ins /igf 1 and counteregulatory effects of angiotensin ii ang ii type 1 receptor at 1 r and mineralocorticoid receptor mr activation in endothelial cells.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)angiotensin ii1.0a : vascular effects of insulin ins /igf 1 and counteregulatory effects of angiotensin ii ang ii type 1 receptor at 1 r and mineralocorticoid receptor mr activation in endothelial cells.
6081INSinsulininsulin1.0insulin actions on the blood vessel are partially mediated by increased production of nitric oxide no through phosphorylation and secondary activation of endothelial no synthase enos .
6081INSinsulininsulin1.0at 1 r activation decreases the availability of no via the induction of insulin resistance diminishing enos mrna stability and promoting nadph oxidase induced ros production.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0at 1 r activation decreases the availability of no via the induction of insulin resistance diminishing enos mrna stability and promoting nadph oxidase induced ros production.
8975PIK3CAphosphoinositide-3-kinase, catalytic, alpha polypeptidephosphatidylinositol 3 kinase1.0d response element; g q g alpha q subunit; irs insulin receptor substrate; nox2 catalytic subunit of nadph oxidase; p22 p47 p40 and p67 subunits of nadph oxidase; ph pleckstrin homology domain; pi3 k phosphatidylinositol 3 kinase; pip phosphatidylinositol phosphate; pip2 phosphatidylinositol bisphosphate; pip3 phosphatidylinositol 3 4 5 trisphosphate; rok rho kinase; sod superoxide dismutase.
6091INSRinsulin receptorinsulin receptor1.0akt pkb; gre glucocorticoid response element; g q g alpha q subunit; irs insulin receptor substrate; nox2 catalytic subunit of nadph oxidase; p22 p47 p40 and p67 subunits of nadph oxidase; ph pleckstrin homology domain; pi3 k phosphatidylinositol 3 kinase; pip phosphatidylinositol phospha
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0akt pkb; gre glucocorticoid response element; g q g alpha q subunit; irs insulin receptor substrate; nox2 catalytic subunit of nadph oxidase; p22 p47 p40 and p67 subunits of nadph oxidase; ph pleckstrin homology domain; pi3 k phosphatidylinositol 3 kinase; pip phosphatidylinositol phosphate; pip2 phosphatidylinositol bisphosphate; pip3 phosphatidylinositol 3 4 5 trisphosphate; rok rho
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))superoxide dismutase1.0in homology domain; pi3 k phosphatidylinositol 3 kinase; pip phosphatidylinositol phosphate; pip2 phosphatidylinositol bisphosphate; pip3 phosphatidylinositol 3 4 5 trisphosphate; rok rho kinase; sod superoxide dismutase.
4390GNAQguanine nucleotide binding protein (G protein), q polypeptideg alpha q1.0akt pkb; gre glucocorticoid response element; g q g alpha q subunit; irs insulin receptor substrate; nox2 catalytic subunit of nadph oxidase; p22 p47 p40 and p67 subunits of nadph oxidase; ph pleckstrin homology domain; pi3 k phosphatidylinositol 3 kinase; pi
6081INSinsulininsulin1.0b : opposing effects of ang ii and aldosterone aldo versus insulin/igf 1 on vascular smooth muscle cells vsmcs .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0b : opposing effects of ang ii and aldosterone aldo versus insulin/igf 1 on vascular smooth muscle cells vsmcs .
6081INSinsulininsulin1.0insulin and igf 1 cause vsmc relaxation whereas ang ii and mineralocorticoids cause contraction.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0insulin and igf 1 cause vsmc relaxation whereas ang ii and mineralocorticoids cause contraction.
29826MYLK3myosin light chain kinase 3mlc kinase1.0mbs myosin bound serine; mlc myosin light chain; mlck mlc kinase; na/ca exch na /ca exchanger.
6081INSinsulininsulin1.0functional and metabolic effects of insulin and igf 1 in the heart.
6081INSinsulininsulin1.0insulin and igf 1 modulate glucose transport glycogen synthesis lipid metabolism growth contractility and apoptosis in cardiomyocytes.
6081INSinsulininsulin1.0upon activation of the mitogen activated protein map kinase pathway insulin/igf 1 and ang ii/aldosterone signaling may converge to cause deleterious effects on cardiovascular tissue.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0upon activation of the mitogen activated protein map kinase pathway insulin/igf 1 and ang ii/aldosterone signaling may converge to cause deleterious effects on cardiovascular tissue.
17937CUZD1CUB and zona pellucida-like domains 1erg 11.0ap 1 activating protein 1; crk protein exhibiting the src homology 2 sh2 domain; erg 1 early growth response 1 gene; hif 1 hypoxia inducible factor 1; sch phosphotyrosine adaptor molecule; sck adaptor protein; glut4 glucose transporter 4.
4910HIF1Ahypoxia-inducible factor 1, alpha subunit (basic helix-loop-helix transcription factor)hypoxia inducible factor 11.0ap 1 activating protein 1; crk protein exhibiting the src homology 2 sh2 domain; erg 1 early growth response 1 gene; hif 1 hypoxia inducible factor 1; sch phosphotyrosine adaptor molecule; sck adaptor protein; glut4 glucose transporter 4.
4910HIF1Ahypoxia-inducible factor 1, alpha subunit (basic helix-loop-helix transcription factor)hif 11.0ap 1 activating protein 1; crk protein exhibiting the src homology 2 sh2 domain; erg 1 early growth response 1 gene; hif 1 hypoxia inducible factor 1; sch phosphotyrosine adaptor molecule; sck adaptor protein; glut4 glucose transporter 4.
3796FOSv-fos FBJ murine osteosarcoma viral oncogene homologap 11.0ap 1 activating protein 1; crk protein exhibiting the src homology 2 sh2 domain; erg 1 early growth response 1 gene; hif 1 hypoxia inducible factor 1; sch phosphotyrosine adaptor molecule; sck adaptor pro
3238EGR1early growth response 1early growth response 11.0ap 1 activating protein 1; crk protein exhibiting the src homology 2 sh2 domain; erg 1 early growth response 1 gene; hif 1 hypoxia inducible factor 1; sch phosphotyrosine adaptor molecule; sck adaptor protein; glut4 glucose transporter 4.
11009SLC2A4solute carrier family 2 (facilitated glucose transporter), member 4glucose transporter 41.0protein 1; crk protein exhibiting the src homology 2 sh2 domain; erg 1 early growth response 1 gene; hif 1 hypoxia inducible factor 1; sch phosphotyrosine adaptor molecule; sck adaptor protein; glut4 glucose transporter 4.
6081INSinsulininsulin1.0ang ii and aldosterone/corticosterone antagonism to metabolic actions of insulin/igf 1 in skeletal muscle.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii and aldosterone/corticosterone antagonism to metabolic actions of insulin/igf 1 in skeletal muscle.
6081INSinsulininsulin1.0at 1 r activation impaired insulin signaling in skeletal muscle with a consequent reduction in glucose uptake.
6091INSRinsulin receptorinsulin receptor1.0possible mechanisms involved in skeletal muscle insulin resistance include inadequate interaction between the insulin receptor and irs serine phosphorylation of irs lack of phosphorylation of key tyrosine residues in irs and reduced activation of akt.
6081INSinsulininsulin1.0through the activation of nadph oxidase aldosterone can increase oxidative stress and impair metabolic insulin signaling.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0through the activation of nadph oxidase aldosterone can increase oxidative stress and impair metabolic insulin signaling.
6081INSinsulininsulin1.0activation of the renin angiotensin aldosterone system induces vascular oxidative stress and insulin resistance.
9958RENreninrenin1.0activation of the renin angiotensin aldosterone system induces vascular oxidative stress and insulin resistance.
6081INSinsulininsulin1.0vascular superoxide generation was detected by dihydroethidium dhe immunostaining in the insulin resistant transgenic tg mren2 27 ren2 rat which overexpresses the renin gene with subsequent elevated tissue levels of ang ii relative to sprague dawley sd control.
9958RENreninrenin1.0vascular superoxide generation was detected by dihydroethidium dhe immunostaining in the insulin resistant transgenic tg mren2 27 ren2 rat which overexpresses the renin gene with subsequent elevated tissue levels of ang ii relative to sprague dawley sd control.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ide generation was detected by dihydroethidium dhe immunostaining in the insulin resistant transgenic tg mren2 27 ren2 rat which overexpresses the renin gene with subsequent elevated tissue levels of ang ii relative to sprague dawley sd control.
3327ELNelastin (supravalvular aortic stenosis, Williams-Beuren syndrome)elastin1.0the green autofluorescence is specific for elastin fibers.
6081INSinsulininsulin1.0micro positron emission tomograph pet and electrocardiographically gated magnetic resonance images mri of sd animals with and without insulin/glucose stimulation.
6081INSinsulininsulin1.0upon insulin/glucose stimulation there was increased myocardial glucose uptake noted by increased brightness compared with the basal state.
6081INSinsulininsulin1.0hypertension commonly occurs in conjunction with insulin resistance and other components of the cardiometabolic syndrome.
6081INSinsulininsulin1.0insulin resistance plays a significant role in the relationship between hypertension type 2 diabetes mellitus chronic kidney disease and cardiovascular disease.
6081INSinsulininsulin1.0there is accumulating evidence that insulin resistance occurs in cardiovascular and renal tissue as well as in classical metabolic tissues i.e. skeletal muscle liver and adipose tissue .
6081INSinsulininsulin1.0activation of the renin angiotensin aldosterone system and subsequent elevations in angiotensin ii and aldosterone as seen in cardiometabolic syndrome contribute to altered insulin/igf 1 signaling pathways and reactive oxygen species formation to induce endothelial dysfunction and cardiovascular disease.
9958RENreninrenin1.0activation of the renin angiotensin aldosterone system and subsequent elevations in angiotensin ii and aldosterone as seen in cardiometabolic syndrome contribute to altered insulin/igf 1 signaling pathways and reactive oxyg
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)angiotensin ii1.0activation of the renin angiotensin aldosterone system and subsequent elevations in angiotensin ii and aldosterone as seen in cardiometabolic syndrome contribute to altered insulin/igf 1 signaling pathways and reactive oxygen species formation to induce endothelial dysfunction and cardiovascular d
6081INSinsulininsulin1.0this review examines currently understood mechanisms underlying the development of resistance to the metabolic actions of insulin in cardiovascular as well as skeletal muscle tissue.
6081INSinsulininsulin1.0hypertension is present in ~30% of the adult united states population and often occurs in conjunction with insulin resistance and other components of the cardiometabolic syndrome cms 29 115 163 186 190 .
6081INSinsulininsulin1.0according to recent data up to 70 million americans have insulin resistance which plays a significant role in the relationship between hypertension type 2 diabetes mellitus chronic kidney disease ckd and cardiovascular cv disease cvd 69 .
6081INSinsulininsulin1.0there is accumulating evidence that insulin resistance occurs in cv and renal tissue as well as in classical metabolic tissues i.e. skeletal muscle liver and adipose tissue 125 186 190 .
6081INSinsulininsulin1.0this review focuses on currently accepted mechanisms underlying the development of resistance to the metabolic actions of insulin in cv tissue see figs 1 and 2 as well as skeletal muscle tissues 27 190 see fig 3 .
6081INSinsulininsulin1.0normal actions of insulin in cv tissue
6081INSinsulininsulin1.0both insulin and igf 1 receptors exist in cv tissue 186 .
6091INSRinsulin receptorinsulin receptor1.0activation of the insulin receptor ir and igf 1 receptor ligand activated transmembrane receptors with tyrosine kinase activity phosphorylates intracellular substrates including ir substrate irs family members and shc which in turn se
8816PDPK13-phosphoinositide dependent protein kinase-13 phosphoinositide dependent protein kinase 11.0this molecule then binds to the pleckstrin homology domain in 3 phosphoinositide dependent protein kinase 1 pdk 1 resulting in its phosphorylation and the activation of other downstream serine threonine kinases including pkb akt and atypical pkc isoforms which mediate a number of metabolic actions includin
11009SLC2A4solute carrier family 2 (facilitated glucose transporter), member 4glucose transporter 41.0dk 1 resulting in its phosphorylation and the activation of other downstream serine threonine kinases including pkb akt and atypical pkc isoforms which mediate a number of metabolic actions including glucose transporter 4 glut4 translocation to the membrane leading to glucose uptake in myocardial tissue and skeletal muscle as well as nitric oxide no production in blood vessels 125 186 190 202 .
6081INSinsulininsulin1.0growth and remodeling responses to insulin and igf 1 generally involves both stat and mapk signaling pathways.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0cross talk from signaling pathways of heterologous receptors such as the ang ii type 1 at 1 receptor at 1 r exert enhancing effects on this growth/remodeling signaling pathways while interfering with the metabolic signaling pathway 186 190 202 .
6081INSinsulininsulin1.0 tyrosine phosphatases which dephosphorylate ir and the igf 1 receptor as well as lipid phosphatases i.e. ship 2 and pten which dephosphorylate pi 3 4 5 p 3 are involved in the negative regulation of insulin and igf 1 signaling pathways 220 .
6081INSinsulininsulin1.0inappropriate activation of these phosphatases may contribute to insulin/igf 1 resistance in cv tissue as well as liver skeletal muscle and adipose tissue 27 202 220 .
6081INSinsulininsulin1.0vascular actions of insulin/igf 1
6081INSinsulininsulin1.0vascular relaxation effects of insulin/igf 1 are mediated in part by endothelial cell production of no 186 190 224 235 236 fig 1 a .
6081INSinsulininsulin1.0this insulin mediated activation requires the formation of a ternary enos heat shock protein 90 hsp90 akt complex 125 199 .
6081INSinsulininsulin1.0insulin and igf 1 also increase vascular smooth muscle cell vsmc production of no 13 125 188 .
6081INSinsulininsulin1.0thus insulin and igf 1 promote vascular relaxation in part via increases in no bioavailability.
6081INSinsulininsulin1.0insulin also promotes vascular relaxation by attenuating agonist i.e. ang ii induced increases in cytosolic calcium [ca ] and myosin light chain mlc kinase activity 13 174 191 .
29826MYLK3myosin light chain kinase 3mlc kinase1.0insulin also promotes vascular relaxation by attenuating agonist i.e. ang ii induced increases in cytosolic calcium [ca ] and myosin light chain mlc kinase activity 13 174 191 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0insulin also promotes vascular relaxation by attenuating agonist i.e. ang ii induced increases in cytosolic calcium [ca ] and myosin light chain mlc kinase activity 13 174 191 .
6081INSinsulininsulin1.0by enhancing mlc phosphatase activity insulin and igf 1 reduce mlc kinase activity and thus [ca ] sensitive contraction 13 125 174 191 199 fig 1 b .
29826MYLK3myosin light chain kinase 3mlc kinase1.0by enhancing mlc phosphatase activity insulin and igf 1 reduce mlc kinase activity and thus [ca ] sensitive contraction 13 125 174 191 199 fig 1 b .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii actions on the vasculature
6081INSinsulininsulin1.0there is accumulating evidence that ang ii in addition to its vasoconstriction effects attenuates the cvand skeletal muscle metabolic actions of insulin and igf 1 115 186 190 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0there is accumulating evidence that ang ii in addition to its vasoconstriction effects attenuates the cvand skeletal muscle metabolic actions of insulin and igf 1 115 186 190 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0the mechanisms involved in these inhibitory effects of ang ii include the generation of ros and the activation of small molecular weight proteins such as rhoa and rac1 9 66 189 190 figs 1 and 2 .
6081INSinsulininsulin1.0indeed there is increasing evidence indicating that ang ii contributes to insulin resistance and other components of cms such as hypertension dyslipidemia central fat deposition hepatic steatosis ckd and proteinuria 69 77 186 190 194 229 230 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0indeed there is increasing evidence indicating that ang ii contributes to insulin resistance and other components of cms such as hypertension dyslipidemia central fat deposition hepatic steatosis ckd and proteinuria 69 77 186 190 194 229 230 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii exerts inflammatory effects and promotes vascular growth/remodeling apoptosis and fibrosis.
10618CCL2chemokine (C-C motif) ligand 2mcp 11.0ros activate transcription factors such as tnf alpha monocyte chemoattractant protein mcp 1 il 6 and c reactive protein crp .
11892TNFtumor necrosis factor (TNF superfamily, member 2)tnf alpha1.0ros activate transcription factors such as tnf alpha monocyte chemoattractant protein mcp 1 il 6 and c reactive protein crp .
2367CRPC-reactive protein, pentraxin-relatedc reactive protein1.0ros activate transcription factors such as tnf alpha monocyte chemoattractant protein mcp 1 il 6 and c reactive protein crp .
6018IL6interleukin 6 (interferon, beta 2)il 61.0ros activate transcription factors such as tnf alpha monocyte chemoattractant protein mcp 1 il 6 and c reactive protein crp .
6081INSinsulininsulin1.0tnf alpha in turn impedes insulin and igf 1 mediated enos activation as well as the antiapoptotic actions of insulin and igf 1 128 186 190 .
11892TNFtumor necrosis factor (TNF superfamily, member 2)tnf alpha1.0tnf alpha in turn impedes insulin and igf 1 mediated enos activation as well as the antiapoptotic actions of insulin and igf 1 128 186 190 .
6081INSinsulininsulin1.0animal model to investigate the role of ang ii in mediating insulin/igf 1 resistance
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0animal model to investigate the role of ang ii in mediating insulin/igf 1 resistance
6081INSinsulininsulin1.0one system raas with increased ang ii levels and increased plasma mineralocorticoids to evaluate the role of increased tissue ang ii and mineralocorticoids in mediating cvd as well as skeletal muscle insulin resistance fig 3 18 229 231 .
9958RENreninrenin1.0our laboratory has utilized the transgenic tg mren2 27 rat which harbors the mouse renin gene and displays an activated tissue renin angiotensin aldosterone system raas with increased ang ii levels and increased plasma mineralocorticoids to evaluate the role of increased tissue ang ii and mineralocorticoids in mediating cvd as wel
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0our laboratory has utilized the transgenic tg mren2 27 rat which harbors the mouse renin gene and displays an activated tissue renin angiotensin aldosterone system raas with increased ang ii levels and increased plasma mineralocorticoids to evaluate the role of increased tissue ang ii and mineralocorticoids in mediating cvd as well as skeletal muscle insulin resistance fig 3 18 229 231 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0 levels and increased plasma mineralocorticoids to evaluate the role of increased tissue ang ii and mineralocorticoids in mediating cvd as well as skeletal muscle insulin resistance fig 3 18 229 231 .
6081INSinsulininsulin1.0indeed this rodent model develops proteinuria 77 231 as well as insulin resistance 18 fatty liver steatosis and hypertension 18 77 229 231 making it a relevant model of cms.
11892TNFtumor necrosis factor (TNF superfamily, member 2)tnf alpha1.0study 230 from our laboratory has observed that the vasculature from young ren2 rats exhibits increased nadph oxidase activity ros levels fig 4 lipid peroxidation inflammation increased expression of tnf alpha and crp and indexes of apoptosis compared with sprague dawley rats.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0a recent study 230 from our laboratory has observed that the vasculature from young ren2 rats exhibits increased nadph oxidase activity ros levels fig 4 lipid peroxidation inflammation increased expression of tnf alpha and crp and indexes of apoptosis compared with sprague dawley rats.
6081INSinsulininsulin1.0furthermore in the vasculature there was a marked reduction in insulin stimulation of akt signaling enos ser phosphorylation/activation.
1516CATcatalasecatalase1.0these abnormalities were markedly improved by in vivo treatment with an at 1 r blocker or the superoxide dismutase sod /catalase minetic tempol.
11179SOD1superoxide dismutase 1, soluble (amyotrophic lateral sclerosis 1 (adult))superoxide dismutase1.0these abnormalities were markedly improved by in vivo treatment with an at 1 r blocker or the superoxide dismutase sod /catalase minetic tempol.
6081INSinsulininsulin1.0available data have suggested that vascular raas activation and insulin/igf 1 resistance perpetuate each other and concordantly contribute to endothelial dysfunction vascular inflammation/remodeling and hypertension 230 .
6081INSinsulininsulin1.0similar observations have also been made in the left ventricle of hearts taken from young insulin resistant ren2 rats 192 231 ; cooper sa whaley connell a habibi j stump cs link cd hayden mr ferrario c sowers jr unpublished observations .
6081INSinsulininsulin1.0insulin and ang ii in the heart
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0insulin and ang ii in the heart
6081INSinsulininsulin1.0insulin regulates metabolism in cv tissue by modulating glucose uptake and utilization glycogen synthesis lipid metabolism proliferation contractility remodeling and apoptosis in cardiomyocytes fig 2 .
6081INSinsulininsulin1.0insulin and igf 1 exert a number of metabolic and functional effects on the heart 2 22 62 64 70 84 98 105 117 137 146 153 163 165 179 180 192 198 222 ; cooper sa et al. unpublished observations fig 2 .
6081INSinsulininsulin1.0as in skeletal muscle glucose uptake in cardiomyocytes involves mobilization of insulin responsive glut4 via a pi3k/akt signaling pathway 2 98 fig 2 .
6081INSinsulininsulin1.0furthermore in cardiomyocytes insulin stimulation of the pi3k/akt pathway results in the phosphorylation and nuclear exclusion of the forkhead transcription factor foxo 1 which further modulates glucose and lipid metabolism 125 137 .
6081INSinsulininsulin1.0insulin and igf 1 normally enhance cardiac contractility 22 153 163 165 186 190 via signaling through the pi3k/akt pathway.
6081INSinsulininsulin1.0insulin and igf 1 also enhance cardiomyocyte myofilament ca sensitivity 42 .
6081INSinsulininsulin1.0insulin and igf 1 induced increases in myocardial contractility result in increased oxygen consumption 198 .
6081INSinsulininsulin1.0cardiac oxygen demand is a potent determinant of myocardial blood flow mbf and insulin and igf 1 enhance mbf and promote capillary recruitment in the heart 84 198 .
6081INSinsulininsulin1.0these observations suggest coupling between the metabolic and coronary vascular actions of insulin and igf 1 in the heart with increases in capillary recruitment and mbf enhancing insulin stimulated increases in the delivery of insulin and glucose.
6081INSinsulininsulin1.0 stimulated increases in the delivery of insulin and glucose.
6081INSinsulininsulin1.0these actions of insulin and igf 1 as well as their direct effects on cardiomyocytes also enhance glucose transport 2 98 137 .
6081INSinsulininsulin1.0insulin and igf 1 also regulate developmental and physiological growth and remodeling of the heart 41 78 94 102 142 163 223 234 fig 2 .
4617GSK3Bglycogen synthase kinase 3 betaglycogen synthase kinase 3 beta1.0downstream from akt activation of the mammalian target of rapamycin promotes cardiac growth whereas suppression of glycogen synthase kinase 3 beta as well as foxo phosphorylation also modulates cardiomyocyte growth 78 223 .
990BCL2B-cell CLL/lymphoma 2bcl 21.0insulin and igf 1 also promote survival by direct phosphorylation/inactivation of bad a member of the bcl 2 family which promotes apoptosis by binding to and antagonizing the action of prosurvival members of the family such as bcl 2 and bcl xl.
990BCL2B-cell CLL/lymphoma 2bcl 21.0 family which promotes apoptosis by binding to and antagonizing the action of prosurvival members of the family such as bcl 2 and bcl xl.
992BCL2L1BCL2-like 1bcl xl1.0al by direct phosphorylation/inactivation of bad a member of the bcl 2 family which promotes apoptosis by binding to and antagonizing the action of prosurvival members of the family such as bcl 2 and bcl xl.
6081INSinsulininsulin1.0insulin and igf 1 also promote survival by direct phosphorylation/inactivation of bad a member of the bcl 2 family which promotes apoptosis by binding to and antagonizing the action of prosurvival members of
6081INSinsulininsulin1.0insulin/igf 1 activation of akt may also interfere with stress activated protein kinases such as jnk p38 and mapk pathways critically involved in the induction of apoptosis following exposure of cardiomyocyt
1876CFLARCASP8 and FADD-like apoptosis regulatorc flip1.0finally akt activation increases the expression of c flip a caspase 8 homologene that inhibits tnf receptor family induced apoptosis 142 .
1509CASP8caspase 8, apoptosis-related cysteine peptidasecaspase 81.0finally akt activation increases the expression of c flip a caspase 8 homologene that inhibits tnf receptor family induced apoptosis 142 .
6081INSinsulininsulin1.0in conditions of insulin resistance/hyperinsulinemia pathological cardiomyocyte hypertrophy is promoted by interactions of insulin/igf 1 with growth factors such as ang ii catecholamines endothelin and mineralocorticoids to stimulate signaling pathways involving mapk p38 mapk jak/stat and the small molecular weight g proteins rh
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0in conditions of insulin resistance/hyperinsulinemia pathological cardiomyocyte hypertrophy is promoted by interactions of insulin/igf 1 with growth factors such as ang ii catecholamines endothelin and mineralocorticoids to stimulate signaling pathways involving mapk p38 mapk jak/stat and the small molecular weight g proteins rho and ras 163 180 186 188 190 .
6081INSinsulininsulin1.0insulin resistance and cvd: role of raas and other factors
6081INSinsulininsulin1.0clinical evidence supports a link between insulin resistance/hyperinsulinemia and hypertension including positive associations between blood pressure and fasting insulin levels in patients with essential hypertension 42 118 162 186 190 .
6081INSinsulininsulin1.0mechanisms to explain this linkage include cellular abnormalities in insulin signaling 186 190 cellular cation alterations enhanced sympathetic nervous system activity 162 and enhanced raas activity 186 190 as well as inflammation and oxidative stress 186 190 .
6081INSinsulininsulin1.0importantly resistance to the metabolic and proliferative actions of insulin appears to be differential.
6081INSinsulininsulin1.0indeed a seminal feature of insulin resistance is impairment in pi3k/akt signaling metabolic pathways whereas other insulin signaling growth pathways including ras/mapk/jak/stat signaling are not inhibited 36 89 150 186 190 .
6081INSinsulininsulin1.0in addition proinflammatory effects of chronically elevated levels of glucose and fatty acids contribute to endothelial dysfunction chronic low grade inflammation and insulin resistance.
6081INSinsulininsulin1.0for example exposure of the vasculature and myocardium to elevated levels of free fatty acids leads to impaired insulin signaling 47 226 enhancement of vascular raas 227 and oxidative stress 83 as well as impaired insulin stimulated enos activity and no production 47 .
6081INSinsulininsulin1.0 signaling 47 226 enhancement of vascular raas 227 and oxidative stress 83 as well as impaired insulin stimulated enos activity and no production 47 .
6081INSinsulininsulin1.0increased ros induced by hyperglycemia and dyslipidemia further impair insulin signaling decrease no bioavailability reduce cellular tetrohydrobiopterin levels and promote the generation of superoxide by enos.
6081INSinsulininsulin1.0role of raas in vascular insulin resistance
6081INSinsulininsulin1.0as noted previously physiological concentrations of insulin increase vasodilatation through no release and exert antioxidant and anti inflammatory effects via signaling through the pi3k/akt metabolic pathway 186 190 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii and mineralocorticoids in contrast cause vasoconstriction and enhance the expression of proinflammatory cytokines adhesion molecules growth and inflammatory pathways 80 85 86 135 153 192 207 208 .
6081INSinsulininsulin1.0furthermore ang ii and aldosterone interfere with many of the metabolic signaling actions of insulin and igf 1 in the cv system 9 80 85 86 102 135 153 186 188 190 207 208 230 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0furthermore ang ii and aldosterone interfere with many of the metabolic signaling actions of insulin and igf 1 in the cv system 9 80 85 86 102 135 153 186 188 190 207 208 230 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii acting through the at 1 r increases the generation of ros in the vasculature primarily through activation of the membrane bound nadph oxidase enzyme complex fig 1 a and b 8 16 31 57 63 101 112 141 15
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0ang ii acting through the at 1 r increases the generation of ros in the vasculature primarily through activation of the membrane bound nadph oxidase enzyme complex fig 1 a and b 8 16 31 57 63 101 112 141 155 159 189 201 206 213 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0infusion of ang ii impairs endothelium dependent vasorelaxation 31 and this impairment is corrected by coadministration of sod 105 indicating the critical role of ros in ang ii mediated endothelial dysfunction 189 .
6081INSinsulininsulin1.0ang ii stimulated ros inhibit insulin/igf 1 signaling through the pi3k/akt signaling pathway to activate enos 13 125 199 224 235 236 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii stimulated ros inhibit insulin/igf 1 signaling through the pi3k/akt signaling pathway to activate enos 13 125 199 224 235 236 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0furthermore ros generated by ang ii inactivate no 20 120 152 203 and the resultant decrease in bioavailable no in turn upregulates the at 1 r on vascular cells 81 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0this creates a cycle of impaired endothelium derived vasodilation and increased ang ii mediated vasoconstriction.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii also stimulates rhoa/rho kinase activation which decreases enos expression in part by decreasing enos mrna stability 122 200 fig 1 a .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii acting via its at 1 r increases vsmc contraction by increasing intracellular [ca ] and ca mlc sensitization 129 233 fig 1 b .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0both processes are mediated in part by ang ii stimulated generation of ros in endothelial cells and vsmcs 189 205 233 .
6081INSinsulininsulin1.0ang ii also increases ca mlc sensitization by stimulating rho kinase activity in vsmcs whereas insulin and igf 1 induce relaxation by increasing endothelial cell production of no and by reducing ca mlc sensitization 175 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii also increases ca mlc sensitization by stimulating rho kinase activity in vsmcs whereas insulin and igf 1 induce relaxation by increasing endothelial cell production of no and by reducing ca mlc sens
6081INSinsulininsulin1.0ang ii decreases the ability of insulin and igf 1 to decrease ca mlc sensitization by activating rho kinase which phosphorylates myosin binding protein and thereby inhibits the ability of these peptides to dephosphorylate ca mlc which lead
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii decreases the ability of insulin and igf 1 to decrease ca mlc sensitization by activating rho kinase which phosphorylates myosin binding protein and thereby inhibits the ability of these peptides to
6081INSinsulininsulin1.0this concept is bourne out by the observation that increases in rho kinas and a decrease in myosin binding protein activity occurs in ang ii mediated 30 and insulin resistant 176 hypertensive rodents.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0this concept is bourne out by the observation that increases in rho kinas and a decrease in myosin binding protein activity occurs in ang ii mediated 30 and insulin resistant 176 hypertensive rodents.
10618CCL2chemokine (C-C motif) ligand 2mcp 11.0nf kappab in turn enhances other ang ii mediated inflammatory responses by upregulating other inflammatory molecules such as tnf alpha mcp 1 and crp 72 124 .
11892TNFtumor necrosis factor (TNF superfamily, member 2)tnf alpha1.0nf kappab in turn enhances other ang ii mediated inflammatory responses by upregulating other inflammatory molecules such as tnf alpha mcp 1 and crp 72 124 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0nf kappab in turn enhances other ang ii mediated inflammatory responses by upregulating other inflammatory molecules such as tnf alpha mcp 1 and crp 72 124 .
5992IL1Binterleukin 1, betail 11.0tnf alpha activates several serine kinases including jnk i kappak beta and il 1 beta receptor associated kinase 91 which directly or indirectly increase serine phosphorylation of irs 1/2 leading to decreased pi3k/akt signaling responses and subsequent impaired insulin/igf 1 stim
6081INSinsulininsulin1.0ppak beta and il 1 beta receptor associated kinase 91 which directly or indirectly increase serine phosphorylation of irs 1/2 leading to decreased pi3k/akt signaling responses and subsequent impaired insulin/igf 1 stimulation of enos production of no and vasodilatation 6 51 95 96 .
11892TNFtumor necrosis factor (TNF superfamily, member 2)tnf alpha1.0tnf alpha activates several serine kinases including jnk i kappak beta and il 1 beta receptor associated kinase 91 which directly or indirectly increase serine phosphorylation of irs 1/2 leading to decreased p
11892TNFtumor necrosis factor (TNF superfamily, member 2)tnf alpha1.0tnf alpha increases the expression of other inflammatory substance including il 6 and crp.
6018IL6interleukin 6 (interferon, beta 2)il 61.0tnf alpha increases the expression of other inflammatory substance including il 6 and crp.
6081INSinsulininsulin1.0crp in turn appears to attenuate insulin stimulated no production in endothelial cells by increasing phosphorylation of irs 1 at ser and indirectly by enhancing rho kinase and jnk signaling 6 217 .
6081INSinsulininsulin1.0crp also upregulates vsmc at 1 rs 225 and increases the expression of vcam icam e selectin and mcp 1 in endothelial cells 144 thus counterbalancing the antiatherosclerotic and vasodilatory effects of insulin/igf 1 stimulated no production.
10618CCL2chemokine (C-C motif) ligand 2mcp 11.0crp also upregulates vsmc at 1 rs 225 and increases the expression of vcam icam e selectin and mcp 1 in endothelial cells 144 thus counterbalancing the antiatherosclerotic and vasodilatory effects of insulin/igf 1 stimulated no production.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0in addition to stimulating membrane nadph oxidase in vascular cells ang ii in conjunction with other cellular stresses may increase endoplasmic reticulum stress 139 and mitochondrial oxidative stress 186 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0in addition to stimulating membrane nadph oxidase in vascular cells ang ii in conjunction with other cellular stresses may increase endoplasmic reticulum stress 139 and mitochondrial oxidative stress 186 .
6081INSinsulininsulin1.0nflammation may affect be contributing to adipose tissue inflammation increased macrophages 35 and nonalcoholic fatty liver disease 1 conditions frequently associated with alterations in the raas and insulin resistance 183 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0increased oxidative stress can also be accentuated by cu/zn sod deficiency in response to ang ii 43 45 .
6081INSinsulininsulin1.0effects of raas on cardiac insulin signaling structure and function
6081INSinsulininsulin1.0as previously noted insulin and igf 1 generally exert beneficial effects on myocardial mechanical electrical coupling and both diastolic and systolic function 22 62 64 84 105 117 146 153 163 165 179 180 198 222 .
6081INSinsulininsulin1.0many of these beneficial effects of insulin and igf 1 are mediated largely by pi3k/akt signaling 41 78 94 102 142 188 223 234 and ang ii opposes insulin/igf 1 mediated signaling through this pathway 18 77 184 192 194 229 231 ; cooper sa et al. unpublished observations fig 2 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0many of these beneficial effects of insulin and igf 1 are mediated largely by pi3k/akt signaling 41 78 94 102 142 188 223 234 and ang ii opposes insulin/igf 1 mediated signaling through this pathway 18 77 184 192 194 229 231 ; cooper sa et al. unpublished observations fig 2 .
6081INSinsulininsulin1.0there are several mechanisms whereby cardiac raas activation inhibits the beneficial metabolic effects of insulin and igf 1.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii plays a seminal role in the genesis of cardiac hypertrophy interstitial fibrosis and left ventricular dysfunction 34 46 65 146 172 173 178 204 216 219 fig 2 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii receptors have been characterized in cardiomyocytes and cardiac fibroblasts 34 146 172 173 216 219 as well as in the endothelial lining of coronary arteries 65 146 178 216 237 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0although both at 1 rs and ang ii type 2 at 2 receptors at 2 rs are present on cardiac and coronary vessel tissue most of the adverse effects of ang ii on hypertrophy fibrosis and left ventricular dysfunction are mediated through at 1 rs 146 237 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0there are increasing experimental data suggesting that many of the detrimental effects of both ang ii and aldosterone are triggered by redox cycling of ros generated by a membrane nadph oxidase dependent pathway as well as mitochondria generated ros 11 24 25 58 37 38 75 123 126 146 153 156 189 192 23
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0there are increasing experimental data suggesting that many of the detrimental effects of both ang ii and aldosterone are triggered by redox cycling of ros generated by a membrane nadph oxidase dependent pathway as well as mitochondria generated ros 11 24 25 58 37 38 75 123 126 146 153 156 189 192 231 ; cooper sa et al. unpublished observations .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0in cardiomyocytes ang ii stimulates phagocytic type nadph oxidase which is composed of a membrane bound p22 heterodimer and four regulatory subunits p40 p47 p67 and nox2 and the small molecular weight g protein rac1 37 130 1
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0in cardiomyocytes ang ii stimulates phagocytic type nadph oxidase which is composed of a membrane bound p22 heterodimer and four regulatory subunits p40 p47 p67 and nox2 and the small molecular weight g protein rac1 37 130 136 138 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0ang ii activation of the nadph oxidase enzyme affects cell signaling responses and facilitates cardiac remodeling and hypertrophy 11 24 38 153 as evidenced by the attenuation of these pathological effects f
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0ang ii activation of the nadph oxidase enzyme affects cell signaling responses and facilitates cardiac remodeling and hypertrophy 11 24 38 153 as evidenced by the attenuation of these pathological effects following treatment with free rad
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0in a recent investigation 231 it was hypothesized that chronic ang ii overexpression in the heart was associated with structural and functional abnormalities that are driven by nadph oxidase mediated generation of ros.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0in a recent investigation 231 it was hypothesized that chronic ang ii overexpression in the heart was associated with structural and functional abnormalities that are driven by nadph oxidase mediated generation of ros.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0this notion was evaluated by in vivo treatment with either an at 1 r blocker or a sod/catalase mimetic in a rodent model of chronically elevated tissue levels of ang ii the transgenic tg mren2 27 rat ren2 .
1516CATcatalasecatalase1.0this notion was evaluated by in vivo treatment with either an at 1 r blocker or a sod/catalase mimetic in a rodent model of chronically elevated tissue levels of ang ii the transgenic tg mren2 27 rat ren2 .
6081INSinsulininsulin1.0results of this investigation indicated that the hypertensive insulin resistant ren2 rat manifests increased oxidative stress in concert with structural and functional changes in the heart.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0membrane nadph oxidase activity and immunostaining of nadph oxidase subunits p22 nox2 and rac1 were significantly increased in the ren2 rat in conjunction with increased levels of myocardial tissue oxidative stress.
2422CScitrate synthasecitrate synthase1.0citrate synthase activity and transmission electron microscopy demonstrated significant increases in mitochondrial numbers in ren2 left ventricle tissue.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0these effects were abrogated by both the at 1 r blockade and sod/catalase mimetic highlighting the role of ang ii in the activation of nadph oxidase and the importance of ros in cardiac remodeling and dysfunction.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0these effects were abrogated by both the at 1 r blockade and sod/catalase mimetic highlighting the role of ang ii in the activation of nadph oxidase and the importance of ros in cardiac remodeling and dysfunction.
1516CATcatalasecatalase1.0these effects were abrogated by both the at 1 r blockade and sod/catalase mimetic highlighting the role of ang ii in the activation of nadph oxidase and the importance of ros in cardiac remodeling and dysfunction.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0while the observations are novel in the ren2 model previous studies 7 109 113 have shown that ang ii increases ros in cultured myocardial fibroblasts and cardiomyocytes.
6081INSinsulininsulin1.0indeed insulin stimulated akt phosphorylation/activation is significantly suppressed in ren2 myocardial tissue and inversely correlated to rac1 expression and nadph oxidase activity 231 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0indeed insulin stimulated akt phosphorylation/activation is significantly suppressed in ren2 myocardial tissue and inversely correlated to rac1 expression and nadph oxidase activity 231 .
6081INSinsulininsulin1.0akt activity in the heart is regulated by nutritional status insulin pressure overload and redox status 5 32 41 182 .
1516CATcatalasecatalase1.0tivation/phosphorylation along with abrogation of cardiac hypertrophy and dysfunction were observed following reductions in tissue oxidative stress by treatment with either the at 1 r blockade or sod/catalase mimetic.
9958RENreninrenin1.0investigators have evaluated the efficacy of direct renin inhibition on cardiac oxidative stress and remodeling in the ren2 model of chronic ang ii overexpression using the novel nonpeptide renin inhibitor aliskiren cooper sa et al. unpublished observations .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0investigators have evaluated the efficacy of direct renin inhibition on cardiac oxidative stress and remodeling in the ren2 model of chronic ang ii overexpression using the novel nonpeptide renin inhibitor aliskiren cooper sa et al. unpublished observations .
9958RENreninrenin1.0the specificity of aliskiren prevents its use in conventional rat models; however the ren2 rat overexpresses murine renin which is recognized by aliskiren 148 158 232 .
9958RENreninrenin1.0renin is the rate limiting step in the generation of ang ii 148 158 232 ; thus renin inhibition should reduce tissue ang ii levels as well as abrogate any direct renin effects.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0renin is the rate limiting step in the generation of ang ii 148 158 232 ; thus renin inhibition should reduce tissue ang ii levels as well as abrogate any direct renin effects.
9958RENreninrenin1.0however at 1 r blockade generates a reactive release of renin due to decreased inhibition of renal juxtaglomerular cells which may promote myocardial injury 158 232 .
9958RENreninrenin1.0thus the reduction of ang ii levels via direct renin inhibition is of potential therapeutic importance as it blocks the raas at its source 148 158 232 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0thus the reduction of ang ii levels via direct renin inhibition is of potential therapeutic importance as it blocks the raas at its source 148 158 232 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0myocardial tissue from untreated heterozygous male ren2 transgenic rats display significantly increased levels of ros generated by increased nadph oxidase activity as evidenced by increased immunostaining for the nadph subunits p47 and rac1 as well as 3 nitrotyrosine.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0translocation of the small gtp binding protein rac1 and p47 to the cell membrane is necessary for the assembly and activation of nadph oxidase which has been directly implicated in ang ii induced cardiac hypertrophy 3 19 50 . 3 nitrotyrosine resulting from ros scavenging of no produces peroxynitrite onoo which binds to protein tyrosine moities to produce stable 3 nitrotyrosine a surro
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0translocation of the small gtp binding protein rac1 and p47 to the cell membrane is necessary for the assembly and activation of nadph oxidase which has been directly implicated in ang ii induced cardiac hypertrophy 3 19 50 . 3 nitrotyrosine resulting from ros scavenging of no produces peroxynitrite onoo which binds to protein tyrosine moit
9958RENreninrenin1.0direct renin inhibition in ren2 animals significantly reduced levels of myocardial oxidative stress as evidenced by decreased immunostaining for rac1 and nadph subunit p47 as well as 3 nitrotyrosine.
9958RENreninrenin1.0thus renin blockade effectively attenuated myocardial oxidative stress likely by downregulating nadph oxidase.
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0thus renin blockade effectively attenuated myocardial oxidative stress likely by downregulating nadph oxidase.
3327ELNelastin (supravalvular aortic stenosis, Williams-Beuren syndrome)elastin1.0additionally interstitial and perivascular fibrosis were evaluated by verhoeff van gieson staining which is specific for elastin collagen connective tissue and nuclei.
9958RENreninrenin1.0as previously described the ren2 rat exhibited increases in myocardial interstitial and perivascular fibrosis which were abrogated by renin inhibition cooper sa et al. unpublished observations .
9958RENreninrenin1.0the results of this study complement those of previous studies evaluating the effects of renin inhibition.
9958RENreninrenin1.0in these studies 135 148 149 218 renin inhibition has been shown to lower blood pressure in spontaneously hypertensive rats double transgenic rats marmosets and hypertensive humans.
9958RENreninrenin1.0renin inhibition has also been shown to significantly improve cardiac hypertrophy and diastolic and systolic dysfunction as well as reduce albuminuria and kidney inflammation/damage in the double transgeni
6081INSinsulininsulin1.0however in conditions of insulin resistance glucose metabolism is impaired and the heart is forced to revert to fatty acid and ketone catabolism 146 resulting in structural and other biochemical changes that ultimately lead to left
6081INSinsulininsulin1.0numerous studies have evaluated myocardial insulin sensitivity in humans 48 71 .
6081INSinsulininsulin1.0for example our laboratory 64 has used this methodology to measure insulin stimulated myocardial glucose uptake with f dg using the micro pet rodent imaging system and small animal mri fig 5 .
6081INSinsulininsulin1.0mineralocorticoids cvd and insulin actions
6081INSinsulininsulin1.0aldosterone exerts a number of maladaptive effects on the vasculature heart and traditional insulin sensitive tissues such as skeletal muscle 4 17 21 26 28 39 49 52 56 59 61 73 76 82 87 90 93 97 99 100 102 108 110 114 116 121 132 134 142 155 157 168 171 177 181 194 196 197 221 228 238 figs 1 3 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0there is accumulating evidence that ang ii and mineralocorticoids have interactive effects on the vasculature fig 1 a and b .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0mineralocorticoids upregulate ang ii receptors in vsmcs 211 and signaling of ang ii is amplified by exposure to mineralocorticoids 210 211 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0both ang ii and aldosterone stimulate vascular growth and remodeling 82 116 121 perhaps mediated through mapk and ros signaling 116 121 155 .
6081INSinsulininsulin1.0other studies 26 99 have demonstrated that aldosterone may interfere with insulin signaling in various tissues although the effects of mineralocorticoids alone and in conjunction with ang ii on insulin signaling in vascular tissue remain to be elucidated.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0other studies 26 99 have demonstrated that aldosterone may interfere with insulin signaling in various tissues although the effects of mineralocorticoids alone and in conjunction with ang ii on insulin signaling in vascular tissue remain to be elucidated.
2707ACEangiotensin I converting enzyme (peptidyl-dipeptidase A) 1angiotensin converting enzyme1.0additionally mineralocorticoids increase the expression of angiotensin converting enzyme in cardiomyocytes from adult rat primary cardiomyocytes 196 and in cultured rat fetal cardiomyocytes 73 .
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)ang ii1.0recent data from several laboratories have suggested that mr activation may potentiate the proinflammatory/fibrotic effects of at 1 r signaling by enhancing the cardiac oxidative stress induced by ang ii 90 93 196 238 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0these beneficial effects of mr blockade are mediated in part through the inhibition of nadph oxidase activity 97 100 142 fig 2 .
6081INSinsulininsulin1.0mineralocorticoids and insulin sensitivity
6081INSinsulininsulin1.0there are accumulating data from human and animal studies showing that excess mineralocorticoids impair insulin signaling in a number of tissues.
6081INSinsulininsulin1.0for example an aldosterone excess in patients with primary aldosteronism is related to impaired glucose homeostasis 52 as well as insulin resistance 28 .
6081INSinsulininsulin1.0several recent publications 99 194 as well as recent data from our laboratory 102 have suggested that these detrimental effects on insulin signaling are mediated by inflammatory/oxidative stress effects of mineralocorticoids.
6081INSinsulininsulin1.0indeed in the tg mren2 22 rat which manifests insulin resistance 18 in vivo mr antagonism with subpressor doses of spironolactone substantially improve ex vivo insulin stimulated increases in glucose uptake in skeletal muscle a phenomenon that is linked to reductions in nadph oxidase activity and attenuation of ros in soleus muscle tissue 102 .
14874NOX5NADPH oxidase, EF-hand calcium binding domain 5nadph oxidase1.0vivo mr antagonism with subpressor doses of spironolactone substantially improve ex vivo insulin stimulated increases in glucose uptake in skeletal muscle a phenomenon that is linked to reductions in nadph oxidase activity and attenuation of ros in soleus muscle tissue 102 .
6081INSinsulininsulin1.0future work will focus on the impact of mr and glucocorticoid receptor antagonism and their impact on insulin and igf 1 signaling in cardiovascular tissue.
7978NR3C1nuclear receptor subfamily 3, group C, member 1 (glucocorticoid receptor)glucocorticoid receptor1.0future work will focus on the impact of mr and glucocorticoid receptor antagonism and their impact on insulin and igf 1 signaling in cardiovascular tissue.
6081INSinsulininsulin1.0in summary activation of the raas contributes to altered insulin/igf 1 signaling pathways that lead to ros formation endothelial dysfunction and pathological growth and remodeling.
6081INSinsulininsulin1.0both at 1 r and mr activation contribute to downstream signaling pathways that attenuate insulin signaling mechanisms in the heart vasculature and skeletal muscle that collectively alter the physiological regulation of transcriptional and translational maintenance of cell metabolism.
333AGTangiotensinogen (serpin peptidase inhibitor, clade A, member 8)angiotensin ii1.0mineralocorticoids|reactive oxygen species|receptor angiotensin type 1|insulin|angiotensin ii|insulin like growth factor i|