Review Article

A Systematic Review to Investigate Whether Angiotensin-(1-7) Is a Promising Therapeutic Target in Human Heart Failure

Table 1

Studies on human heart failure patients.

StudyFull publication or abstractNEndpointKey findings

Davie and McMurray [31]Full8Blood pressure, forearm blood flow (FBF)Ang-(1-7) has no significant effect on the endpoints.

Zisman et al. [12]Full22Ang-(1-7) forming activityAng-(1-7) forming activity is increased in failing heart.

Campbell et al. [13]Full9Ang-(1-7) levels in arterial and coronary sinus blood39- and 22-fold increase of Ang-(1-7) levels in the coronary sinus and arterial blood, respectively (patients were receiving ACE inhibitor therapy).
A parallel increase in Ang-(1-7) and Ang I levels was observed in HF patients on ACE inhibitors.
A 7.5- and 2.25-fold increase in the Ang-(1-7)/Ang II ratio was associated with ACE inhibition in the coronary sinus and arterial blood, respectively.

Batlle Perales et al. [32]Abstract33 (end-stage HF);
11 (control)
ā€‰Increased Mas receptor expression within myocardiums in the remodelling stage (as suggested by MMP3 and collagen I). Ang-(1-7) is therefore suggested to have a role in the remodelling process.