Abstract
Valsartan is an orally active non-peptide angiotensin receptor antagonist, an effective
and well-tolerated anti-hypertensive drug. Besides its antihypertensive action, it has clinical
implications in many other disorders, like heart failure (HF), arrhythmia, chronic kidney disease
(CKD), diabetic complications (DM), atherosclerosis, etc. Besides angiotensin receptor blocking
activity, valsartan reduces circulating levels of biochemical markers, such as hs-CRP, which is
responsible for its anti-inflammatory and anti-oxidant activity. Moreover, valsartan also acts by
inhibiting or inducing various signalling pathways, such as inducing autophagy via the
AKT/mTOR/S6K pathway or inhibiting the TLR/NF-kB pathway. The current review exhaustively
discusses the therapeutic implications of valsartan with specific emphasis on the mechanism of
action in various disorders. The article provides a detailed spectrum of the therapeutic profile of
valsartan and will likely be very useful to researchers working in the relevant research areas.
Keywords:
Angiotensin-II type-1 receptor, atherosclerosis, chronic kidney disease, diabetes mellitus, valsartan, non-peptide angiotensin receptor.
Graphical Abstract
[21]
Siddiqui N, Husain A, Chaudhry L, Alam MS, Mitra M, Bhasin PS. Pharmacological and pharmaceutical profile of valsartan: A review. J Appl Pharmaceut Sci 2011; 30: 12-9.
[28]
Abdullah A, Rusli MF. Valsartan: A Brief Current Review. Pharmacophore 2020; 11(2): 58-64.
[131]
Mueck AO, Seeger H, Heuberger W, Wallwiener D. Comparison of valsartan with candesartan on their possible protection from atherosclerosis. Journal of Clinical and Basic Cardiology 2001; 4(4): 297-300.
[168]
Zhao WY, Swanson SA, Shelton JM, Thomas GD. Oxidative stress impairs the modulation of sympathetic vasoconstriction in contracting skeletal muscle of angiotensin II-infused rats. FASEB J 2004; 18: A279-9.
[199]
Tsigos C, Kyrou I, Kassi E, Chrousos GP. Stress: Endocrine Physiology and Pathophysiology.Endotext. 8600 Rockville Pike: National Library Of Medicine 2020.
[206]
Meng Y. Status and Advances of Genetherapy Combined with Radiotherapy in Malignant Tumor. J Oncol 2002; 8: 63-5.
[207]
Yang HF, Tang WP. Vascular endothelial growth factor gene expression in nasopharyngeal carcinoma cell line induced by hypoxia in vitro]. Ai Zheng 2003; 22(2): 160-3.
[210]
Wang Q, Zhao W, Li G, Zhang S, Wu G. The inhibitory effect of angiotensin II type 1 receptor blocker combined with radiation on the proliferation and invasion ablility of human nasopharyngeal carcinoma cells. Chin J Radiat Oncol 2008; 2008: 282-5.