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Angiotensin II type 1 receptor (AT1 receptor) (AT1 receptor)

Target
AT1 receptor
Molecular classification
G protein-coupled receptor (UniProt: P30556), Receptor (UniProt: P30556)
01

Overview

The Angiotensin II type 1 receptor (AT1 receptor) is a G protein-coupled receptor that serves as the primary mediator for the physiological effects of angiotensin II, a potent vasoconstrictor in the renin-angiotensin-aldosterone system (RAAS) (UniProt: P30556). Upon activation, the AT1 receptor triggers signaling pathways that lead to systemic vasoconstriction, stimulation of aldosterone release from the adrenal cortex, and renal sodium reabsorption (StatPearls: Angiotensin II Receptor Blockers). These physiological actions are essential for the elevation of blood pressure and the maintenance of fluid and electrolyte balance (NIH: Renin-Angiotensin-Aldosterone System). Pathological overactivation of this receptor is a central driver in the development of hypertension, congestive heart failure, and progressive renal damage (PubMed: PMC3134414). Consequently, the AT1 receptor is a major therapeutic target for a class of drugs known as angiotensin II receptor blockers (ARBs), such as valsartan (FDA: Diovan Prescribing Information). These drugs competitively inhibit the receptor, preventing angiotensin II from binding and thereby inducing vasodilation and reducing fluid retention (PubChem: CID 60846). Clinical use of AT1 receptor antagonists provides significant benefits in managing cardiovascular and renal diseases, though they require monitoring for side effects like hyperkalemia and renal dysfunction (StatPearls: Angiotensin II Receptor Blockers).

Other names
AGTR1AT1RAngiotensin II receptor type 1AT1
02

Mechanism of action

Competitive antagonism of the Angiotensin II type 1 receptor (StatPearls: Angiotensin II Receptor Blockers)

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Biological functions

Signal transduction (UniProt: P30556)Vasoconstriction (StatPearls: Angiotensin II Receptor Blockers)Aldosterone secretion (UniProt: P30556)Blood pressure regulation (NIH: Renin-Angiotensin-Aldosterone System)Sodium and water retention (StatPearls: Angiotensin II Receptor Blockers)Cell proliferation (UniProt: P30556)
04

Disease associations

Hypertension (StatPearls: Angiotensin II Receptor Blockers)Heart failure (PubMed: PMC3134414)Diabetic nephropathy (NIH: Renin-Angiotensin-Aldosterone System)Chronic kidney disease (PubMed: PMC3134414)Cardiovascular disease (StatPearls: Angiotensin II Receptor Blockers)
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Safety considerations

Hypotension (FDA: Diovan Prescribing Information)Hyperkalemia (StatPearls: Angiotensin II Receptor Blockers)Renal impairment (PubMed: PMC3134414)Teratogenicity (Fetal toxicity) (FDA: Diovan Prescribing Information)Angioedema (rare) (StatPearls: Angiotensin II Receptor Blockers)
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Interacting drugs

Valsartan

7 more in the full profile.

07

Biomarkers

Blood pressure (StatPearls: Angiotensin II Receptor Blockers)Serum creatinine (PubMed: PMC3134414)Plasma renin activity (NIH: Renin-Angiotensin-Aldosterone System)Serum potassium levels (FDA: Diovan Prescribing Information)Urinary albumin-to-creatinine ratio (UACR) (PubMed: PMC3134414)N-terminal pro-b-type natriuretic peptide (NT-proBNP) (PubMed: PMC3134414)

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