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Potential use of angiotensin receptor blockers in skin pathologies

Hedayatyanfard, Keshvad
Khalili, Azadeh
Karim, Hosein
Nooraei, Soren
Khosravi, Ehsan
Haddadi, Nazgol-Sadat
Dehpour, Ahmad-Reza
Bayat, Gholamreza
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Abstract

Renin-angiotensin system (RAS) components such as angiotensin II, angiotensin receptors (AT1R and AT2R), and angiotensin-converting enzyme (ACE) are expressed in different cell types of the skin. Through AT1R, angiotensin II increases proinflammatory cytokines contributing to fibrosis, angiogenesis, proliferation, and migration of immune cells to the skin. In contrast, AT2R suppresses the effects mentioned above. Many studies show that angiotensin receptor blockers (ARBs) and angiotensin-converting enzymes (ACEi) reduce the proinflammatory cytokines and fibrogenic factors including transforming growth factor β (TGF-β), Connective tissue growth factor (CTGF), and IL-6. This review article provides a detailed research study on the implications of ARBs in wound healing, hypertrophic scar, and keloids. We further discuss the therapeutic potentials of ARBs in autoimmune and autoinflammatory skin diseases and cancer, given their anti-fibrotic and anti-inflammatory effects.

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Hedayatyanfard K, Khalili A, Karim H, Nooraei S, Khosravi E, Haddadi NS, Dehpour AR, Bayat G. Potential use of angiotensin receptor blockers in skin pathologies. Iran J Basic Med Sci. 2023;26(7):732-737. doi: 10.22038/IJBMS.2023.66563.14606. PMID: 37396936; PMCID: PMC10311969.

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10.22038/IJBMS.2023.66563.14606
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37396936
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The Iranian Journal of Basic Medical Sciences is a peer-reviewed, open access, monthly publication by Mashhad University of Medical Sciences (MUMS), Mashhad, Iran. Copyright Information: This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
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