Molecular Classification
G protein-coupled receptor (GPCR), Gq/11-coupled GPCR, 7-transmembrane α-helical architecture
Other Names
AT1 receptor
Disease Roles
PreeclampsiaMalignant hypertensionHypertension

Angiotensin II Type 1 Receptor Overview

The Angiotensin II Type 1 Receptor (AT1) is a key G protein-coupled receptor (GPCR) belonging to the Gq/11 family, playing a crucial role in the renin-angiotensin system (RAS). It is encoded by the AGTR1 gene and exhibits a 7-transmembrane α-helical structure. Activated by angiotensin II, it couples primarily to Gq/11 and Gi/o proteins, triggering signaling cascades including activation of phospholipase C, increase in cytosolic Ca2+, stimulation of protein kinase C, and activation of tyrosine kinases and MAPK/ERK pathways. The AT1 receptor mediates most effects of angiotensin II, such as vasoconstriction, aldosterone secretion, cardiac hypertrophy, and renal sodium reuptake. It is widely distributed in tissues like the heart, blood vessels, kidney, and brain. As an important therapeutic target, its activity is blocked by Angiotensin II Receptor Blockers (ARBs) like losartan, irbesartan, telmisartan, and olmesartan, used to treat hypertension, diabetic nephropathy, heart failure, and vascular diseases. AT1 receptor overexpression is associated with advanced cancer stages, and it contributes to inflammation and atherosclerosis. ARBs have shown anti-inflammatory effects and are considered first-line antihypertensives in specific patient groups.

Mechanism of Action

Angiotensin II receptor blockers (ARBs), also known as AT1 receptor antagonists, selectively block the activation of the AT1 receptor, preventing the binding of angiotensin II.

Biological Functions

Regulation of cardiovascular function
Regulation of blood pressure
Regulation of fluid balance
Vasoconstriction
Aldosterone synthesis and secretion
Increased vasopressin secretion
Cardiac hypertrophy
Augmentation of peripheral noradrenergic activity
Vascular smooth muscle cell proliferation
Decreased renal blood flow
Renal renin inhibition
Renal tubular sodium reuptake
Modulation of central sympathetic nervous system activity
Cardiac contractility
Central osmocontrol
Extracellular matrix formation
Stimulation of drinking behavior in the brain
Regulation of hemodynamic functions
Regulation of neurological functions
Regulation of renal functions
Regulation of endothelial functions
Regulation of cell proliferation
Regulation of cell survival
Regulation of matrix-cell interactions
Regulation of inflammation

Disease Associations

Preeclampsia
Malignant hypertension
Hypertension
Diabetic nephropathy
Congestive heart failure
Atherosclerosis
Aortic aneurism
Marfan syndrome
Advanced stages in certain cancers (associated with overexpression)
Vascular remodeling

Safety Considerations

No safety concerns listed

Interacting Drugs

Angiotensin II receptor blockers (ARBs)
losartan
irbesartan
telmisartan
olmesartan

Associated Biomarkers

Biomarker
AT1 receptor overexpression (associated with advanced cancer staging)