In this foundational lecture, we will explore the contrasting roles of angiotensin-converting enzyme (ACE) and angiotensin-converting enzyme 2 (ACE2) in regulating inflammation and tissue homeostasis through the renin-angiotensin-aldosterone system (RAAS). We will analyze how ACE promotes proinflammatory effects via angiotensin II and its receptors, particularly AT1R, while ACE2 counters this activity through the generation of angiotensin-(1–7) and stimulation of MAS receptors. Emphasis will be placed on the downstream effects of receptor activation and the clinical relevance of this balance. This mechanistic understanding will prepare us for the following session on pharmacological agents—ACE inhibitors and ARBs—and their therapeutic implications in hypertension, cardiovascular disease, and inflammation.
Learning Objectives:
Differentiate between the enzymatic functions of ACE and ACE2 in the RAAS pathway.
Identify the primary receptor targets of angiotensin II and angiotensin-(1–7), including AT1R, AT2R, and MAS receptor.
Explain how activation of these receptors leads to either proinflammatory or anti-inflammatory outcomes.
Illustrate the molecular and physiological consequences of the ACE/ACE2 axis imbalance in disease states.
Differentiate between the enzymatic functions of ACE and ACE2 in the RAAS pathway.
Identify the primary receptor targets of angiotensin II and angiotensin-(1–7), including AT1R, AT2R, and MAS receptor.
Explain how activation of these receptors leads to either proinflammatory or anti-inflammatory outcomes.
Illustrate the molecular and physiological consequences of the ACE/ACE2 axis imbalance in disease states.
MD., MSc., MSc., BSc
Mobeen Syed is the CEO of DrBeen Corp, a modern online medical education marketplace. Mobeen is a medical doctor and a software engineer. He graduated from the prestigious King Edward Medical University Lahore. He has been teaching medicine since 1994. Mobeen is also a software engineer and engineering leader. In this role, Mobeen has run teams consisting of hundreds of engineers and millions of dollars of budgets. Mobeen loves music, teaching, and doing business. He lives in Cupertino CA.
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palgreen57@*.com
Jun 12 2025, 3:07 am
Very detailed lecture. Thank you, Dr. Been.