Role of Renin Angiotensin System in drug induced gingival overgrowth
Tamilselvan Subramani
Broschiertes Buch

Role of Renin Angiotensin System in drug induced gingival overgrowth

Interaction among angiotensin, endothelin, chymase and cyclosporine towards fibroblast proliferation and ECM synthesis

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The most common periodontal disease is chronic periodontitis, the inflammatory destructive condition of microbial etiology. Drugs like cyclosporine-A, nifedipine and phenytoin induce overgrowth of the gingiva in 60% of the patients ingesting the drug in the presence of inflammation. During inflammation cytokines derived from inflammatory cells could induce angiotensin II (Ang II) and endothelin-1 (ET-1). Ang II is the effector peptide of renin angiotensin system plays a major role in regulation of collagen synthesis and growth modulating effects on fibroblasts. Endothelin-1 is a powerful vasoc...