Hepatic fibrosis and the renin-angiotensin system

Ghulam Abbas, Marina G. Silveira, Keith D. Lindor

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


The renin-angiotensin system (RAS) is involved in hepatic fibrosis. To date there is no known effective treatment for hepatic fibrosis. Modulation of the RAS with angiotensin converting enzyme inhibitors and angiotensin receptor blockers may be a promising therapeutic option for the treatment of hepatic fibrosis. This review provides an update about the role of RAS in hepatic fibrosis, and treatment of hepatic fibrosis in the light of different studies in animals and humans is also updated. RAS induces key steps involved in hepatic fibrosis, such as activation of hepatic stellate cells and expression of transforming growth factor β1. Treatment with angiotensin-converting enzyme inhibitors, and angiotensin receptor blockers attenuate fibrosis progression in both animal and human studies. Further, controlled studies are required to evaluate the role of RAS inhibitors and angiotensin-converting enzyme 2 in patients with chronic liver diseases in whom the causative agent cannot be removed.

Original languageEnglish (US)
Pages (from-to)e202-e208
JournalAmerican Journal of Therapeutics
Issue number6
StatePublished - Nov 1 2011
Externally publishedYes


  • angiotensin-converting enzyme 2
  • hepatic fibrosis
  • renin-angiotensin system

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)


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