ACE inhibitors and angiotensin II receptor antagonists in Crohn's disease management

Expert Rev Gastroenterol Hepatol. 2008 Oct;2(5):645-51. doi: 10.1586/17474124.2.5.645.

Abstract

An increasing repertoire of therapeutic indications for the angiotensin-converting enzyme inhibitors and angiotensin II receptor antagonists has followed an explosion of research exploring the role of the proinflammatory and profibrotic renin-angiotensin-aldosterone system in numerous organ systems. This evidence also implicates the renin-angiotensin-aldosterone system in the pathogenesis of other chronic inflammatory and fibrotic disorders, such as Crohn's disease. While the research to date supports this hypothesis, further investigation of the renin-angiotensin-aldosterone system in human Crohn's disease is required before these agents can realistically be investigated in human trials.

Publication types

  • Review

MeSH terms

  • Angiotensin II / physiology
  • Angiotensin II Type 1 Receptor Blockers / therapeutic use*
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Animals
  • Crohn Disease / drug therapy*
  • Crohn Disease / physiopathology
  • Disease Models, Animal
  • Gastrointestinal Tract / physiopathology
  • Humans
  • Mice
  • Renin-Angiotensin System / physiology

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Angiotensin-Converting Enzyme Inhibitors
  • Angiotensin II