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Carcinogenesis Advance Access originally published online on July 16, 2008
Carcinogenesis 2008 29(9):1675-1684; doi:10.1093/carcin/bgn171
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The renin–angiotensin system and malignancy

Eleanor I. Ager*, Jaclyn Neo and Christopher Christophi

Department of Surgery, Austin Health, University of Melbourne, Heidelberg, Victoria 3084, Australia

* To whom correspondence should be addressed. Tel: +61 3 9456 5734; Fax: +61 3 9458 1650; Email: eager{at}unimelb.edu.au

The renin–angiotensin system (RAS) is usually associated with its systemic action on cardiovascular homoeostasis. However, recent studies suggest that at a local tissue level, the RAS influences tumour growth. The potential of the RAS as a target for cancer treatment and the suggested underlying mechanisms of its paracrine effects are reviewed here. These include modulation of angiogenesis, cellular proliferation, immune responses and extracellular matrix formation. Knowledge of the RAS has increased dramatically in recent years with the discovery of new enzymes, peptides and feedback mechanisms. The local RAS appears to influence tumour growth and metastases and there is evidence of tissue- and tumour-specific differences. Recent experimental studies provide strong evidence that drugs that inhibit the RAS have the potential to reduce cancer risk or retard tumour growth and metastases. Manipulation of the RAS may, therefore, provide a safe and inexpensive anticancer strategy.

Abbreviations: ACE, ANG I converting enzyme; ANG, Angiotensin; AT1R, Angiotensin II type 1 receptor; AT2R, Angiotensin II type 2 receptor; EMT, epithelial to mesenchymal transition; ET-1, endothelin-1; HSCs, hepatic stellate cells; MasR, mitochondrial assembly receptor; MCP, macrophage/monocyte chemoattractant protein; PDGF, platelet-derived growth factor; RAS, renin-angiotensin system; VEGF, vascular endothelial growth factor

Received April 23, 2008; revised July 10, 2008; accepted July 10, 2008.


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