Volume 20 No 13 (2022)
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Role of cGMP, NO and PDE5 in Hypertension: Review Article
Azeeza Gassim Abdulmajid Eswikar1 , Eman Abdalla Mohamed El-shorbagy , Mohamed S. S. Saad , Mahmoud Hassan Mahmoud
Abstract
Cyclic GMP (cGMP) is a ubiquitous intracellular second messenger that mediates a wide
spectrum of physiologic processes in multiple cell types within the cardiovascular and
nervous systems. Synthesis of cGMP occurs either by NO-sensitive guanylyl cyclases in
response to nitric oxide or by membrane-bound guanylyl cyclases in response to
natriuretic peptides and has been shown to regulate blood pressure homeostasis by
influencing vascular tone, sympathetic nervous system, and sodium and water handling in
the kidney. Several cGMPs degrading phosphodiesterases (PDEs), including PDE1 and
PDE5, play an important role in the regulation of cGMP signaling. Recent findings
revealed that increased activity of cGMP-hydrolyzing PDEs contribute to the development
of hypertension. In this review, we will summarize recent research findings regarding the
cGMP/PDE signaling in the vasculature which is associated with the development and
maintenance of hypertension.
Keywords
cGMP, NO,PDE5, Hypertension.
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