Evidence map›Paper›PMID 35529089›Full record

ReviewKidney international supplements2022

The renin-angiotensin system biomolecular cascade: a 2022 update of newer insights and concepts.

Carlos M Ferrario, Leanne Groban, Hao Wang, Xuming Sun, Jessica L VonCannon, Kendra N Wright, Sarfaraz Ahmad

Open access · greenAbstract readReview
In one paragraph

Review in Kidney international supplements, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  4. Animal models of hypertension and concurrent organs injury.Animal models and experimental medicine · 2025
    Review
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  12. Dopamine Receptor DThe Yale journal of biology and medicine · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Carlos M FerrarioDepartment of Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Leanne GrobanDepartment of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Hao WangDepartment of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Xuming SunDepartment of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Jessica L VonCannonDepartment of Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Kendra N WrightDepartment of Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Sarfaraz AhmadDepartment of Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Wake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A large body of evidence implicates the renin-angiotensin system in the pathogenesis of cardiovascular disease. However, not everyone understands that the magnitude of the risk reduction achieved in clinical trials with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers is only a fraction of the residual risk for cardiovascular events and death. This paper addresses limitations of current therapeutic approaches based on renin-angiotensin system blockade for hypertension and cardiovascular disease by illustrating the complex biochemical physiology and mechanism of classical and alternate angiotensin peptide formation. Emerging evidence of alternate mechanisms that bypass both renin and angiotensin-converting enzyme to produce the angiotensins in tissues and cells is not currently universally recognized. Currently available treatment would benefit from further insights to help fully meet the aims of patient care, and the challenge is to delve more deeply into the renin-angiotensin system cascade, with the aim of enhancing therapeutics for renin-angiotensin system inhibition. This article provides a reappraisal of the renin-angiotensin-aldosterone cascade, highlighting newly elucidated intermediary components and interplay, and their consequent implications and relevance for understanding the long-term contribution of angiotensin II in cardiovascular diseases and their therapy.

Indexed as

angiotensin-(1-7)angiotensin IIchronic kidney diseasechymasemonoclonal antibodiesprimary hypertension

Identifiers

PMID35529089
PMCPMC9073260
OpenAlexW4220788269

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.