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. 2023 Jun 26;22(13):1654–1674. doi: 10.1080/15384101.2023.2228089

Table 1.

A summary of the beneficial role of MasR in relation to coronary atherosclerosis risk factors.

Risk factor MasR agonist or antagonist (Dose/Route/Duration) Study design Results Reference
Hypertension Ang 1–7 1 to 100 nmol.kg−1/IV/before and during the first and third weeks after onset of renovascular hypertension Dogs ↑vasodilator component of the blood pressure response; ↓hypertensive dogs fed the NOS inhibitor; synergistic effect with endothelium-derived relaxing factors to buffer the increase in vascular resistance produced by chronic renal ischemia (119)
  AVE-0991
Ang 1–7
10−7 M/PO in the drinking water/for the last 3 days
29 μM·kg−1·h−1/IV/continuous infusion for the last 3 days
Sprague-Dawley rats no significant effect on body weight or arterial blood pressure; restore endothelium-dependent vascular relaxation; ↑superoxide levels in rats fed a high-salt diet, but the expression of Cu/Zn SOD and Mn SOD enzyme proteins in the vessel wall was unaffected; ↓vascular oxidant stress and enhancing NO availability (120)
  Ang 1–7 576 μg·kg−1·day−1/IV/infused via a mini-osmotic pump for 4 weeks Sprague-Dawley rats ↓hypertension and cardiac hypertrophy (only in trained 2K1C rats but not in sedentary 2K1C rats); ↓myocyte diameter and cardiac fibrosis (121)
  Ang 1–7 10−10, 10−9, or 10−8
M/min/IA/
infused for 5 minutes
Human
(Clinical trial)
↑forearm blood flow response in a dose-dependent manner; vasodilatory effect that is independent of NOS (122)
  Ang 1–7 10−6 M/in tissue bath Sprague-Dawley rats ↑endothelium-dependent and NO-mediated relaxation; unmasked vasodilator responses to bradykinin; ↑ BK and Ach responses; restoring endothelial function impaired by elevated dietary salt intake (123)
  Ang 1–7 50–250 ng/
intra-hypothalamic/stabilization period of 30 min
Wistar Kyoto rats
Spontaneously hypertensive rats
not the change basal MAP; co-administration of Ang-(1–7) with Ang II did not affect the pressor response; not participate in the hypothalamic blood pressure regulation
pleiotropic effects on blood pressure regulation (high dose of the heptapeptide produced a pressor response by ↑activation of AT1 receptors and lower doses of Ang-(1–7) with Ang II ↓the pressor response to the octapeptide)
(124)
  Ang 1–7 200 ng.h−1/
intra-cerebroventricular/
for 14 days
Sprague-Dawley rats improvement of baroreflex control of HR; normalized mRNA expression of collagen type I in the left ventricle; balance of cardiac autonomic tone; ↓ MAP; no effect on circulating or cardiac changes in angiotensin levels (125)
  Ang 1–7 1.8 μg.h−1/
intra-cerebroventricular/for 6 weeks
Dahl salt-sensitive rats ↑NO level; ↓sympathetic activity; ↓blood pressure; ↓cardiac hypertrophy; regulates neurotransmitter levels; ↑expression of GABA and GAD67; expression of norepinephrine, glutamate and tyrosine hydroxylase (126)
  A-779 3 nM/
intra-paraventricular
Sprague-Dawley rats ↑ MAP; ↑renal sympathetic nerve activity (RSNA); ↑plasma norepinephrine; ↑level of IL-1β, IL-6 and TNF-α; ↑MCP-1, gp91phox expression and superoxide production; ↑oxidative stress (127)
  AVE-0991 20 mg/kg/day/PO/
for 5 weeks
Spontaneously hypertensive rats ↓heart rate and blood pressure variability (HRV, BPV); ↓spontaneous baroreceptor sensitivity (BRS); ↓baroreflex fluctuations; influence on the circadian rhythm (128)
  Ang 1–7 1.8 μg.h−1/
intra-cerebroventricular/
for 4 weeks
Sprague-Dawley rats ↓expression of several renin-angiotensin system components, estrogen receptors and an NADPH oxidase; ↓Aldo/NaCl pressor effect (131)
  Ang 1–7
AVE-0991
24 μg.kg−1.h−1/IP/
for 4 weeks
Wistar-Kyoto rats
Spontaneously hypertensive rats
↓MAP; ↓proteinuria; ↓abnormal vascular responsiveness to endothelin-1; recovery of cardiac function; ↓development of severe hypertension and end-organ damage; ↓cardiac ischemia (132)
  Ang 1–7 100 ng.kg−1.min−1/implanted mini-osmotic pump/for 4 weeks Sprague-Dawley rats ↓collagen deposition effects; prevents cardiac fibrosis and cardiac remodeling independent of blood pressure or cardiac hypertrophy; not significantly ↓blood pressure (133)
  Ang 1–7 24 μg.kg−1.h−1/IP/
for 14 days
Wistar-Kyoto rats
Spontaneously hypertensive rats
no effects on blood pressure; down-regulated cardiac Mas mRNA and renal Mas mRNA; ↓Cardiac and renal ACE2 mRNA; not change renal ACE2 (134)
  A-779 1 mg.day−1/implanted SC/
for 4 weeks
Sprague-Dawley rats ↑cardiac inflammation and fibrosis; ↑apoptotic responses; no effects on cardiac function; MasR expressions in the hypertensive heart and kidney are not regulated by circulating AngII levels (135)
  AVE-0991 20 mg.kg−1.day−1/PO/
for 4 weeks
C57BL/6J mice ↓mean myocyte diameter; ↓gene expression of the hypertrophic markers; ↓expression of NOX 2 and NOX; ↓oxidative stress; ↓cardiac hypertrophy; improve heart function; ↓left ventricular weight and left ventricular end-diastolic diameter (136)
  Ang 1–7 576 μg·kg−1·day−1 /IP/
for 4 weeks
Sprague-Dawley rats not modify the increase in blood pressure; ↓development of myocardial fibrosis and hypertrophy; ↓myocardial inflammatory cell infiltration and tyrosine hydroxylase expression (137)
Dyslipidemia Ang 1–7 0.1 mg.kg−1/PO/
for 4 weeks
FVB/N mice ↓body weight and food intake; ↓blood parameters such as total cholesterol, triglyceride, alanine transaminases, and aspartate transaminases; ↓proinflammatory profile such as expression of IL-6 and TNF-α; ↓acetyl-CoA carboxylase, PPARγ, and SREBP-1c mRNA expression (100)
      Transgenic rats overexpressing Ang 1–7 ↓ LPL expression; ↑ PPARγ expression; ↓adiposity index and lipogenesis independent of the stimulatory effect of insulin; ↓concentration of triacylglycerol in the liver; ↑activity of cytosolic lipases; ↓fatty acid uptake from the adipose tissue (101)
Diabetes mellitus Ang 1–7 300 μg·kg−1·day−1/SC/
for 8 weeks
Wistar rats ↓body weight; ↓blood glucose levels; ↓fasting serum Ang II levels; ↑fasting serum insulin levels and facilitated insulin production; ↓homeostasis model assessment of insulin resistance (HOMA-IR); ↓ iNOS, caspase-3, caspase-9, caspase-8, Bax and reduction of Bcl-2; ↑improvement of insulin resistance, insulin secretion, and pancreatic cell survival (147)
  Ang 1–7 50 μg·kg−1·day−1/SC/
for 48 days
C57BL/6J mice ↑insulin level; ↓blood glucose levels; ↓glycated hemoglobin levels; improves oral glucose tolerance; no significantly weight loss (8)
  Ang 1–7 576 μg·kg−1·day−1/IP/
for 4 weeks
Wistar rats ↓abnormal vascular reactivity to endothelin-1 and cardiac dysfunction; improvement in cardiac recovery or vascular reactivity; ↓NOX activity and end-organ damage (148)
  AVE0991 20 mg·kg−1·day−1/PO/
for 5 weeks
Sprague-Dawley rats no effect on any of the investigated hemodynamic parameters under normoglycemic conditions; ↓cardiac function; normalization of blood pressure and contractility parameters; protective effect on the diabetic heart (153)
  Ang 1–7   Wistar rats ↓fasting blood glucose; ↓serum angiotensin II level; ↓HOMA-IR value; ↑serum insulin level; ↑insulin secretion; ↓insulin resistance and islet fibrosis; upregulation of Pdx1, Glut2 and Gk expressions (154)
  Ang 1–7 1–10 µM/for 24 h RINm5F cell ↑ CREB activation; ↑intracellular cAMP; ↑CFTR expression; ↑glucose-stimulated insulin secretion (155)
  Ang 1–7   Wistar rats ↓cleaved caspase 3 levels in pancreas; ↓expression of JNK, Bax, and Bcl2 genes; ↑islet function and histopathology; reversed high glucose (HG)-induced mitochondrial apoptosis augments; improved the islet β-cells apoptosis by JNK-mediated mitochondrial dysfunction (156)
  Ang 1–7 30 µg.kg−1/PO/
on days 28 to 36
then 100 µg.kg−1/
on days 57 to 72
Tet29 rats ↑improved glucose uptake; ↓blood glucose levels; ↑improved insulin sensitivity; ↓ plasma insulin; ↓diabetic nephropathy (157)
  Ang 1–7 1 µM.L−1/for 24 h H9c2 cell culture ↓overexpression levels of leptin; ↓p-p38 MAPK and ERK1/2, but not p-c-Jun N-terminal kinase; ↑cell viability; ↓apoptotic rate; ↓ROS production; ↑mitochondrial membrane potential (158)
  Ang 1–7   bEnd3 cell culture ↓HG-induced endothelial injury through downregulating CIC-3; ↓productions of ROS and cytokine such as IL-1β, IL-8, IL-6, NF-κB and TNF-α; ↓ NO level (159)
  Ang 1–7 1, 10, 100 and 1000 pM Wistar rats not potentiate bradykinin-induce vasodilation in diabetic rats; ↑vasodilatory effect; restoring effect via mechanism involving membrane hyperpolarization but not NO release (160)
  Ang 1–7 576 μg·kg−1·day−1/IP/
for 4 weeks
Wistar Kyoto rats
Spontaneously hypertensive rats
↓renal NADPH oxidase activity; ↓renal vascular dysfunction; ↓renal catalase, and PPAR-γ levels; ↓degree of proteinuria and hyperglycemia, but had little or modest effect on reducing mean arterial pressure; ↑renal vascular responsiveness to endothelin-1 (163)
Obesity     Transgenic rats overexpressing Ang 1–7 regulated food intake and body weight; ↓weight after AT1 receptor blockade; ↑ insulin response to OGTT and ↓insulin resistance; ↓energy intake; remained responsive to leptin (164)
  Ang 1–7 0.54 mg kg−1 day−1/implanted SC/for 28 days C57BL/6J mice ↓body weight and lipid accumulation; ↑thermogenesis; ↓impaired glucose homeostasis; ↑expression of UCP1, PRDM16, and prohibitin; ↑AMPK and phosphorylation of mTOR; preserved insulin signaling concomitant with phosphorylation of hormone-sensitive lipase; ↓expression of perilipin; improved metabolic profile (7)
  Ang 1–7 100 μg.kg−1/PO/
for 8 weeks
Sprague-Dawley rats ↓body weight and abdominal fat-mass; ↑glucose tolerance; ↑insulin-sensitivity; ↓plasma-insulin levels; ↓circulating lipid levels (cholesterol, HDL and triglycerides); ↓expression of resistin, TLR4, ACE and ↑ACE2 expression in liver; ↓phosphorylation of MAPK and NF-κB expression; ↓expression of IL-6 and TNF-α (168)
  Ang 1–7 100 μg/locally in the striatum through the
micro-dialysis probe/
for 8 weeks
Sprague-Dawley rats ↑extracellular dopamine and GABA but had no effect on glutamate release; ↑GABA release by the NOS inhibitor L-NAME (167)
  Ang 1–7 10 nM.min−1/IA/
infused for 5 minutes
Human
(Clinical trial)
↑unstimulated forearm flow; ↑improve insulin-stimulated endothelium-dependent vasodilation; ↓endothelin-1–dependent vasoconstrictor tone (169)
  Ang 1–7 0.4 μg.kg−1.min−1/SC/
for 4 weeks
C57BL/6J mice improves Ang II-induced vascular dysfunctions; ↑endothelial-dependent vasodilatation by increased Ach-induced relaxation; ↑aortic expression of NAD(P)H oxidase subunits (p22phox and p47phox) and plasma TBARS; not affect arterial pressure and heart rate; not normalize the altered contractions (170)
      Transgenic rats overexpressing Ang 1–7 ↓body weight, ↓heart weight to femur length ratio (171)