Evidence map›Paper›PMID 40872727›Full record

ReviewVeterinary sciences2025

The Renin-Angiotensin-Aldosterone System (RAAS): Beyond Cardiovascular Regulation.

Agnese Valentini, Romy M Heilmann, Anna Kühne, Lucia Biagini, Danilo De Bellis, Giacomo Rossi

Abstract readReview
In one paragraph

Review in Veterinary sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Review
  2. Article
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  5. Review
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  10. Review
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  14. TheInternational journal of hypertension · 2026
    Article
  15. Article
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  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Agnese ValentiniSchool of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione, 93, 62024 Matelica, Italy.ORCID 0009-0002-6167-7579
Romy M HeilmannDepartment for Small Animals, Veterinary Teaching Hospital, College of Veterinary Medicine, University of Leipzig, An den Tierkliniken 23, DE-04103 Leipzig, Germany.ORCID 0000-0003-3485-5157
Anna KühneDepartment for Small Animals, Veterinary Teaching Hospital, College of Veterinary Medicine, University of Leipzig, An den Tierkliniken 23, DE-04103 Leipzig, Germany.
Lucia BiaginiSchool of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione, 93, 62024 Matelica, Italy.ORCID 0000-0001-5990-1514
Danilo De BellisSchool of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione, 93, 62024 Matelica, Italy.ORCID 0009-0001-6032-6841
Giacomo RossiSchool of Biosciences and Veterinary Medicine, University of Camerino, Via Circonvallazione, 93, 62024 Matelica, Italy.ORCID 0000-0001-8617-5984

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The renin-angiotensin-aldosterone system (RAAS) plays a pivotal role in regulating cardiovascular function, fluid balance, and blood pressure. Recent research has revealed the RAAS's influence extends beyond cardiovascular physiology, encompassing key roles in inflammation, fibrosis, immune regulation, cancer progression, and organ-specific disease mechanisms. This review provides a comprehensive overview of classical and alternative RAAS pathways, focusing on the dual roles of angiotensin II (Ang II) and angiotensin-(1-7) (Ang 1-7), mediated through AT1R, AT2R, MasR, and MrgD receptors. We discuss molecular signaling cascades, including mitochondrial, nuclear, and caveolae-mediated mechanisms, and explore the impact of RAAS modulation on hepatic fibrosis, vascular remodeling, and autoimmune inflammation. Genetic models and emerging pharmacologic strategies illustrate tissue-specific RAAS actions, emphasizing the therapeutic potential of enhancing the ACE2/Ang 1-7/Mas axis while inhibiting the deleterious ACE/Ang II/AT1R signaling. Furthermore, we highlight implications for veterinary medicine, particularly in canine chronic inflammatory enteropathies, where RAAS dysfunction may contribute to treatment resistance. Understanding RAAS complexity and inter-receptor crosstalk is essential for developing new therapeutic strategies targeting cardiovascular, hepatic, and inflammatory diseases in both human and veterinary contexts.

Indexed as

angiotensin-converting enzyme system (ACE system)angiotensinogeninflammationthe renin–angiotensin–aldosterone system (RAAS)

Identifiers

PMID40872727
PMCPMC12390185

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.