The Role of Local Angiotensin II/Angiotensin Type 1-receptor Mechanisms in Adipose Tissue Dysfunction to Promote Pancreatic Cancer

Rozita      Khodashahi; Fatemeh      Beiraghdar; Gorgon   A.   Ferns; Kiayash      Ashrafzadeh; Mohsen      Aliakbarian; Mohammad-Hassan      Arjmand

doi:10.2174/0115680096281059240103154836

Abstract

Obesity and adipose tissue dysfunction are important risk factors for pancreatic cancer. Pancreatic cancer is one of the most lethal cancers globally. The renin-angiotensin system (RAS) is expressed in many tissues, including adipose tissue. Dysregulation of angiotensin II and angiotensin II receptors in adipose tissue through the activation of different signaling pathways leads to adipose tissue dysfunction, including insulin resistance, adipose tissue inflammation, adipocytokines secretion, and metabolic alterations. The pathogenesis of pancreatic cancer remains uncertain. However, there is evidence that dysregulation of local angiotensin II in adipose tissue that occurs in association with obesity is, in part, responsible for the initiation and progression of pancreatic cancer. Due to the role of local angiotensin II in the dysfunction of adipose tissue, angiotensin receptor blockers may be considered a new therapeutic strategy in the amelioration of the complications related to adipose tissue dysfunction and prevention of pancreatic cancer. This review aims to consider the biological roles of local angiotensin II and angiotensin II receptors in adipose tissue dysfunction to promote pancreatic cancer progression with a focus on adipose tissue inflammation and metabolic reprogramming.

Keywords: Adipose tissue, obesity, angiotensin II, angiotensin receptor, pancreatic cancer, angiotensin receptor.

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DOI https://dx.doi.org/10.2174/0115680096281059240103154836	Print ISSN 1568-0096
Publisher Name Bentham Science Publisher	Online ISSN 1873-5576

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