Mehta PK, Griendling KK. Angiotensin II cell signaling: physiological and pathological effects in the cardiovascular system. Am J Physiol Cell Physiol 292: C82-C97, 2007. First published July 26, 2006; doi:10.1152/ajpcell.00287.2006.-The renin-angiotensin system is a central component of the physiological and pathological responses of cardiovascular system. Its primary effector hormone, angiotensin II (ANG II), not only mediates immediate physiological effects of vasoconstriction and blood pressure regulation, but is also implicated in inflammation, endothelial dysfunction, atherosclerosis, hypertension, and congestive heart failure. The myriad effects of ANG II depend on time (acute vs. chronic) and on the cells/tissues upon which it acts. In addition to inducing G protein-and non-G protein-related signaling pathways, ANG II, via AT 1 receptors, carries out its functions via MAP kinases (ERK 1/2, JNK, p38MAPK), receptor tyrosine kinases [PDGF, EGFR, insulin receptor], and nonreceptor tyrosine kinases [Src, JAK/ STAT, focal adhesion kinase (FAK)]. AT 1R-mediated NAD(P)H oxidase activation leads to generation of reactive oxygen species, widely implicated in vascular inflammation and fibrosis. ANG II also promotes the association of scaffolding proteins, such as paxillin, talin, and p130Cas, leading to focal adhesion and extracellular matrix formation. These signaling cascades lead to contraction, smooth muscle cell growth, hypertrophy, and cell migration, events that contribute to normal vascular function, and to disease progression. This review focuses on the structure and function of AT 1 receptors and the major signaling mechanisms by which angiotensin influences cardiovascular physiology and pathology. vascular smooth muscle; NAD(P)H oxidase; tyrosine and nontyrosine receptor kinases; endothelial dysfunction; vascular disease THE RENIN-ANGIOTENSIN SYSTEM (RAS) plays a vital role in regulating the physiological processes of the cardiovascular system. Not only does it function as an endocrine system, but it also serves local paracrine and autocrine functions in tissues and organs. The primary effector molecule of this system, angiotensin II (ANG II), has emerged as a critical hormone that affects the function of virtually all organs, including heart, kidney, vasculature, and brain, and it has both beneficial and pathological effects. Acute stimulation with ANG II regulates salt/water homeostasis and vasoconstriction, modulating blood pressure, while chronic stimulation promotes hyperplasia and hypertrophy of vascular smooth muscle cells (VSMCs) (53,216). In addition, long-term exposure to ANG II also plays a vital role in cardiac hypertrophy and remodeling, in-stent restenosis, reduced fibrinolysis, and renal fibrosis.Given its diverse range of functions and its potency in affecting cardiovascular physiology, it becomes imperative to understand the characteristics of ANG II receptors and to investigate mechanisms of ANG II-induced signal transduction. Studying the varied roles of ANG II is also of tremendous im...