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Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review)

  • Authors:
    • Roland Frederik Lengkey
    • Ray Sebastian Soetadji
    • Ardo Sanjaya
  • View Affiliations / Copyright

    Affiliations: Department of Obstetrics and Gynecology, Unggul Karsa Medika Hospital, Maranatha Christian University, Bandung, West Java 40218, Indonesia, Undergraduate Program in Medicine, Faculty of Medicine, Maranatha Christian University, Bandung, West Java 40164, Indonesia, Department of Anatomy, Faculty of Medicine, Maranatha Christian University, Bandung, West Java 40164, Indonesia
    Copyright: © Lengkey et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 48
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    Published online on: July 8, 2024
       https://doi.org/10.3892/wasj.2024.263
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Abstract

Gynecological cancers constitute a significant health burden for females worldwide, with cervical, endometrial and ovarian cancer being the most common types. The renin‑angiotensin‑aldosterone (RAA) system regulates blood pressure and is involved in various diseases, such as hypertension and heart failure. However, several studies have found that the angiotensin‑1 receptor (AT1R) pathway is activated in various types of cancers, including breast, pancreatic and colorectal cancers. The AT1R receptor, in particular, has been shown to induce proliferation, neovascularization and fibrosis; therefore, its activation may induce cancer progression. Several epidemiological studies have found an association between angiotensin‑converting enzyme inhibitors and angiotensin receptor blockers (ARBs) with reduced cancer incidence; however, others have reported unclear or even deleterious associations between ARB use and cancers. These conflicting results necessitate the further exploration of the influence of the RAA system in the development of gynecological cancers. Several new factors in the RAA system have been identified, including angiotensin‑(1‑7) and angiotensin‑(1‑9), which have been shown to play a crucial role in preventing cell proliferation and, possibly, cancer progression. The present review discusses the association between the RAA system and gynecological cancers, specifically endometrial, ovarian and cervical cancers.
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Spandidos Publications style
Lengkey RF, Soetadji RS and Sanjaya A: Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review). World Acad Sci J 6: 48, 2024.
APA
Lengkey, R.F., Soetadji, R.S., & Sanjaya, A. (2024). Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review). World Academy of Sciences Journal, 6, 48. https://doi.org/10.3892/wasj.2024.263
MLA
Lengkey, R. F., Soetadji, R. S., Sanjaya, A."Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review)". World Academy of Sciences Journal 6.5 (2024): 48.
Chicago
Lengkey, R. F., Soetadji, R. S., Sanjaya, A."Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review)". World Academy of Sciences Journal 6, no. 5 (2024): 48. https://doi.org/10.3892/wasj.2024.263
Copy and paste a formatted citation
x
Spandidos Publications style
Lengkey RF, Soetadji RS and Sanjaya A: Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review). World Acad Sci J 6: 48, 2024.
APA
Lengkey, R.F., Soetadji, R.S., & Sanjaya, A. (2024). Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review). World Academy of Sciences Journal, 6, 48. https://doi.org/10.3892/wasj.2024.263
MLA
Lengkey, R. F., Soetadji, R. S., Sanjaya, A."Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review)". World Academy of Sciences Journal 6.5 (2024): 48.
Chicago
Lengkey, R. F., Soetadji, R. S., Sanjaya, A."Use of angiotensin‑converting enzyme inhibitors in gynecological cancers: Pathways and mechanisms involved (Review)". World Academy of Sciences Journal 6, no. 5 (2024): 48. https://doi.org/10.3892/wasj.2024.263
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