Role of angiotensin in autoregulation of cerebral blood flow

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The presence of the renin-angiotensin system (RAS) in extrarenal tissues, namely the vascular wall and brain tissue, is well established. The availability of effective blocking agents, converting-enzyme inhibitors, has made it possible to further elucidate important functions of the extrarenal RAS. We have found that the angiotensin converting-enzyme inhibitor captopril shifts the limits of cerebral blood flow autoregulation to lower blood pressure levels in normotensive and in spontaneously hypertensive rats. This effect may explain our finding of a remarkable preservation of cerebral blood flow, despite significant blood pressure reduction, in patients with chronic heart failure. We suggest that the effect of angiotensin converting-enzyme inhibition on autoregulation of cerebral blood flow is mediated by a dilatation of larger cerebral arteries, which results from inhibition of the vascular tone normally maintained by locally produced angiotensin II.

Original languageEnglish
JournalCirculation
Volume77
Issue number6 Pt 2
Pages (from-to)I55-8
ISSN0009-7322
Publication statusPublished - Jun 1988

    Research areas

  • Angiotensin II/physiology, Animals, Captopril/pharmacology, Cerebrovascular Circulation/drug effects, Heart Failure/drug therapy, Homeostasis/drug effects, Humans, Renin-Angiotensin System/drug effects

ID: 275604519