AGT

gene
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Summary

AGT (angiotensinogen, HGNC:333) is a protein-coding gene on chromosome 1q42.2, encoding Angiotensinogen (P01019). Essential component of the renin-angiotensin system (RAS), a potent regulator of blood pressure, body fluid and electrolyte homeostasis.

The protein encoded by this gene, pre-angiotensinogen or angiotensinogen precursor, is expressed in the liver and is cleaved by the enzyme renin in response to lowered blood pressure. The resulting product, angiotensin I, is then cleaved by angiotensin converting enzyme (ACE) to generate the physiologically active enzyme angiotensin II. The protein is involved in maintaining blood pressure, body fluid and electrolyte homeostasis, and in the pathogenesis of essential hypertension and preeclampsia. Mutations in this gene are associated with susceptibility to essential hypertension, and can cause renal tubular dysgenesis, a severe disorder of renal tubular development. Defects in this gene have also been associated with non-familial structural atrial fibrillation, and inflammatory bowel disease.

Source: NCBI Gene 183 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): renal tubular dysgenesis of genetic origin (Strong, GenCC)
  • Clinical variants (ClinVar): 285 total — 8 pathogenic, 9 likely-pathogenic
  • Phenotypes (HPO): 11
  • Druggable target: yes
  • MANE Select transcript: NM_001384479

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:333
Approved symbolAGT
Nameangiotensinogen
Location1q42.2
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000135744
Ensembl biotypeprotein_coding
OMIM106150
Entrez183

Gene structure

Transcript identifiers

Ensembl transcripts: 13 — 7 protein_coding, 3 retained_intron, 3 nonsense_mediated_decay

ENST00000366667, ENST00000657140, ENST00000679684, ENST00000679738, ENST00000679802, ENST00000679854, ENST00000679957, ENST00000680041, ENST00000680783, ENST00000681269, ENST00000681347, ENST00000681514, ENST00000681772

RefSeq mRNA: 2 — MANE Select: NM_001384479 NM_001382817, NM_001384479

CCDS: CCDS1585

Canonical transcript exons

ENST00000366667 — 5 exons

ExonStartEnd
ENSE00000921429230705933230706200
ENSE00000921430230704193230704337
ENSE00001442279230709995230710853
ENSE00001442280230714086230714122
ENSE00001920401230702523230703329

Expression profiles

Bgee: expression breadth ubiquitous, 255 present calls, max score 99.61.

FANTOM5 (CAGE): breadth broad, TPM avg 43.5888 / max 13272.5153, expressed in 601 samples.

FANTOM5 promoters (4 alternative TSS)

Promoter IDTPM avgSamples expressed
1794843.4488599
179470.070229
179460.058820
179500.01104

Top tissues by expression

288 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
right lobe of liverUBERON:000111499.61gold quality
liverUBERON:000210799.61gold quality
lateral globus pallidusUBERON:000247699.52gold quality
dorsal motor nucleus of vagus nerveUBERON:000287098.93gold quality
superior vestibular nucleusUBERON:000722798.86gold quality
substantia nigra pars reticulataUBERON:000196698.83gold quality
paraflocculusUBERON:000535198.81gold quality
medulla oblongataUBERON:000189698.74gold quality
inferior olivary complexUBERON:000212798.71gold quality
ventral tegmental areaUBERON:000269198.65gold quality
caudate nucleusUBERON:000187398.54gold quality
amygdalaUBERON:000187698.54gold quality
putamenUBERON:000187498.45gold quality
apex of heartUBERON:000209898.29gold quality
subthalamic nucleusUBERON:000190698.26gold quality
cerebellar hemisphereUBERON:000224598.20gold quality
cerebellar cortexUBERON:000212998.18gold quality
midbrainUBERON:000189198.14gold quality
substantia nigraUBERON:000203898.13gold quality
cerebellumUBERON:000203798.12gold quality
substantia nigra pars compactaUBERON:000196598.11gold quality
right hemisphere of cerebellumUBERON:001489098.11gold quality
right atrium auricular regionUBERON:000663197.97gold quality
cardiac atriumUBERON:000208197.89gold quality
globus pallidusUBERON:000187597.88gold quality
CA1 field of hippocampusUBERON:000388197.82gold quality
heart right ventricleUBERON:000208097.80gold quality
temporal lobeUBERON:000187197.76gold quality
middle frontal gyrusUBERON:000270297.66gold quality
nucleus accumbensUBERON:000188297.63gold quality

Single-cell (SCXA)

Detected in 8 experiment(s), a significant marker in 7.

ExperimentMarker?Max mean expression
E-CURD-98yes3149.26
E-MTAB-7407yes2615.26
E-HCAD-9yes61.35
E-HCAD-25yes25.91
E-MTAB-10553yes25.85
E-GEOD-84465yes14.61
E-MTAB-6142no3.56
E-ANND-3no0.00

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

42 targeting AGT, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4262100.0073.263931
HSA-MIR-181A-5P99.9972.962995
HSA-MIR-181B-5P99.9972.972996
HSA-MIR-181C-5P99.9972.952996
HSA-MIR-181D-5P99.9973.042997
HSA-MIR-548AW99.9972.573559
HSA-MIR-513B-5P99.9969.962150
HSA-MIR-477599.9875.006394
HSA-MIR-314899.9775.066478
HSA-MIR-426799.9666.532368
HSA-MIR-548AJ-3P99.9673.385345
HSA-MIR-548X-3P99.9673.385345
HSA-MIR-590-3P99.9674.346478
HSA-MIR-548J-3P99.9472.614881
HSA-MIR-548AE-3P99.9372.664867
HSA-MIR-548AQ-3P99.9372.664867
HSA-MIR-548AH-3P99.9372.544872
HSA-MIR-548AM-3P99.9372.544872
HSA-MIR-6842-5P99.8067.541587
HSA-MIR-7110-5P99.8067.841712
HSA-MIR-4677-5P99.7070.091940
HSA-MIR-7156-5P99.6468.811369
HSA-MIR-427399.4567.931206
HSA-MIR-520F-5P99.3470.401632
HSA-MIR-6739-3P99.2268.841843
HSA-MIR-10399-5P99.1769.872610
HSA-MIR-6504-3P99.1769.312891
HSA-MIR-548AS-3P99.1269.122294
HSA-MIR-3688-5P99.1269.671091
HSA-MIR-3117-5P99.0467.93618

Literature-anchored findings (GeneRIF, showing 40)

  • single nucleotide polymorphism and haplotype structure in two populations, Japanese and white (PMID:11731937)
  • data fall short of showing significant association between a variant of the promoter of interleukin-1beta, polymorphism of angiotensinogen, and the missense variant of endothelial nitric oxide synthase and occurrence of idiopathic recurrent miscarriage (PMID:11756575)
  • Polymorphisms of genes encoding angiotensinogen as risk factors for orthostatic hypotension. (PMID:11910300)
  • angiotensinogen T174M and M235T and the AT1-receptor A1166C polymorphisms were related to the change in LVH during antihypertensive treatment with an AT1-receptor antagonist (PMID:11910301)
  • IL-6-inducible expression of the hAGT promoter is mediated by physical association of the COOH terminus of STAT3 with p300/CBP, the recruitment of which targets histone acetylation and results in chromatin remodeling. (PMID:11923478)
  • neuronal AGT may play an important role in regulating salt intake and salt appetite. (PMID:12006677)
  • autocrine/paracrine mechanism whereby angiotensin II, formed at adrenergic nerve endings in myocardial ischemia, elicits carrier-mediated norepinephrine release by activating adjacent AT(1) receptors (PMID:12130713)
  • polymorphism in angiogensinogen is associated with hypertension in African Americans (PMID:12145290)
  • T174M polymorphism associated with higher risk of essential hypertension in people aged over 45 (PMID:12173461)
  • determine whether the M235T angiotensinogen (AGT) polymorphism, either interacting with habitual physical activity (PA) levels or independently, was associated with cardiovascular (CV) hemodynamics during maximal and submaximal exercise (PMID:12181363)
  • role of the M235T polymorphism in the AGT gene in modifying the blood pressure response to regular exercise (PMID:12181364)
  • relationship to intragraft messenger RNA expression of angiotensinogen and to chronic allograft nephropathy in kidney transplant patients (PMID:12352892)
  • study shows that the M235T variant in the gene encoding angiotensinogen could be a risk factor in mild and severe pre-eclampsia (PMID:12417054)
  • Review. Angiotensin exerts mitogenic and growth promoting effects on cardiac myocytes and non-myocytic elements; and both of these effects significantly contribute to the development and progression of hypertensive heart disease. (PMID:12431442)
  • Increased plasma Ang-(1-7) in normal pregnant subjects compared with nonpregnant subjects and decreased Ang-(1-7) in preeclamptic subjects compared with normal pregnant subjects, consistent with the development of hypertension (PMID:12450315)
  • No association was noted between the haplotypes of AGT gene and hypertension in tested people, but T235 allele might play an important role in increased risk for essential hypertension. (PMID:12476421)
  • No statistically significant differences between groups were found in the allele frequency and genotype distribution for ACE and AGT polymorphisms. (PMID:12476891)
  • The M235T polymorphism of the AGT gene is associated with MVPS in the Chinese population of Taiwan. The association of the TT genotype with MVPS is more noteworthy than an overall increase in the frequency of the T allele at the M235T locus. (PMID:12479284)
  • results suggest elevated glucose levels stimulate AII production via mechanisms dependent on glucose-induced PKC activation in mesangial cells and locally produced AII partly mediates the increase in mesangial matrix synthesis in high-glucose conditions (PMID:12482638)
  • Angiotensinogen gene haplotypes are associated with hypertension and might act synergistically with I allele of the angiotensin-converting enzyme gene. (PMID:12511523)
  • Angiotensinogen 235T polymorphism is associated with blood pressure phenotypes. (PMID:12511525)
  • The M235T variant of the angiotensinogen gene and the body mass index are useful markers for prevention of hypertension in pregnancy: a tree-based analysis of gene-environment interaction (PMID:12536339)
  • leukocyte level strongly correlates with steady-state of plasma glucose concentration and significantly correlates with body mass index, plasma insulin, and leptin levels in essential hypertension; may be directly associated with insulin resistance (PMID:12559679)
  • in hypertensive subjects with activated renin-angiotensin system, unopposed activity of angiotensin II is not involved in L-NAME-induced pressor and renal vasoconstrictor response (PMID:12569265)
  • Maternal and fetal angiotensinogen Thr235 genotypes are associated with an increased risk of intra-uterine growth retardation. (PMID:12576245)
  • Polymorphism in essential arterial hypertension in childhood. (PMID:12597535)
  • lack of a significant effect of AGT M235T polymorphism on blood pressure level, but the difference in pulse pressure in the older population suggests that further investigations of this polymorphism should be made in the Japanese population. (PMID:12661912)
  • Ang II increased cytosolic Ca2+ release from Ca stores, enhanced calcineurin synthesis & activity, & stimulated NF-kappaB DNA-binding in cultured human neutrophils, demonstrating for the 1st time a stimulatory role of Ang II in phagocytic cell activation. (PMID:12663441)
  • study indicates that the alteration in nephrin expression is an early event in proteinuric patients with diabetes and suggests that glycated albumin and angiotensin II contribute to nephrin downregulation (PMID:12663475)
  • Polymorphism of the promoter region of the angiotensinogen gene (ATG) and an angiotensin I-converting enzyme gene (ACE) insertion/deletion (I/D) polymorphism were studied in Kazakhs with hypertension and cardiovascular disease (PMID:12669427)
  • findings suggest that obstructive sleep apnea mediates hypertension, at least in part, via a stimulation of angiotensin II production (PMID:12670743)
  • Polymorphism of the AGT M235T gene but not ACE I/D gene is associated with greater left ventricular mass index and relative wall thickness, indicating more concentric LVH, in Chinese peritoneal dialysis patients. (PMID:12675870)
  • Polymorphism is associated with diabetic retinopathy in NIDDM in Chinese patients. (PMID:12716844)
  • Relationship of angiotensinogen single nucleotide polymorphisms with elevated blood pressure and risk of cardiovascular disease. (PMID:12743009)
  • results indicate that the change of vascular smooth muscle cells (VSMC) from contractile to synthetic phenotype sequentially increases expression of proteases, production of Ang II, and productions of growth factors, culminating in VSMC proliferation (PMID:12811821)
  • Results suggest that connective tissue growth factor mediates angiotensin II-induced fibrosis in the heart and kidneys via blood pressure and calcineurin-dependent pathways. (PMID:12819040)
  • In normal subjects the expression of local renin and angiotensinogen mRNA was organ specific, but with increase of the expression locally, the organ-specificity became lost in cirrhotic patients (PMID:12854169)
  • angiotensin II may act on the pre-existing pancreatic arteries around neoplasms, leading to formation of hypovascular or avascular regions (PMID:12888892)
  • M235T and A(-20)C genotype of angiotensinogen can influence therapeutic efficacy of renin-angiotensin system blockade on renal survival in IgA nephropathy. (PMID:12911556)
  • Alcohol drinking might be specifically associated with the HNBP in M allele carriers of angiotensinogen gene T174M polymorphism. (PMID:12939534)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_rerioagtENSDARG00000016412
mus_musculusAgtENSMUSG00000031980
rattus_norvegicusAgtENSRNOG00000018445

Paralogs (36): SERPINB1 (ENSG00000021355), SERPINB3 (ENSG00000057149), SERPIND1 (ENSG00000099937), SERPINA4 (ENSG00000100665), SERPINE1 (ENSG00000106366), SERPINI2 (ENSG00000114204), SERPINC1 (ENSG00000117601), SERPINA7 (ENSG00000123561), SERPINB6 (ENSG00000124570), SERPINF1 (ENSG00000132386), SERPINE2 (ENSG00000135919), SERPINA10 (ENSG00000140093), SERPING1 (ENSG00000149131), SERPINH1 (ENSG00000149257), SERPINI1 (ENSG00000163536), SERPINA12 (ENSG00000165953), SERPINB7 (ENSG00000166396), SERPINB8 (ENSG00000166401), SERPINB12 (ENSG00000166634), SERPINF2 (ENSG00000167711), SERPINA9 (ENSG00000170054), SERPINA6 (ENSG00000170099), SERPINB9 (ENSG00000170542), SERPINA11 (ENSG00000186910), SERPINA5 (ENSG00000188488), SERPINA3 (ENSG00000196136), SERPINA1 (ENSG00000197249), SERPINB2 (ENSG00000197632), SERPINB13 (ENSG00000197641), SERPINB11 (ENSG00000206072), SERPINB4 (ENSG00000206073), SERPINB5 (ENSG00000206075), HMSD (ENSG00000221887), SERPINB10 (ENSG00000242550), SERPINE3 (ENSG00000253309), SERPINA2 (ENSG00000258597)

Protein

Protein identifiers

AngiotensinogenP01019 (reviewed: P01019)

Alternative names: Serpin A8

All UniProt accessions (7): A0A7P0T8D1, A0A7P0T9S6, A0A7P0TA52, A0A7P0TAP4, A0A7P0TBH1, A0A7P0Z441, P01019

UniProt curated annotations — full annotation on UniProt →

Function. Essential component of the renin-angiotensin system (RAS), a potent regulator of blood pressure, body fluid and electrolyte homeostasis. Acts directly on vascular smooth muscle as a potent vasoconstrictor, affects cardiac contractility and heart rate through its action on the sympathetic nervous system, and alters renal sodium and water absorption through its ability to stimulate the zona glomerulosa cells of the adrenal cortex to synthesize and secrete aldosterone. Acts by binding to angiotensin receptors AGTR1 and AGTR2. Also binds the DEAR/FBXW7-AS1 receptor. Stimulates aldosterone release. Is a ligand for the G-protein coupled receptor MAS1. Has vasodilator and antidiuretic effects. Has an antithrombotic effect that involves MAS1-mediated release of nitric oxide from platelets.

Subunit / interactions. During pregnancy, exists as a disulfide-linked 2:2 heterotetramer with the proform of PRG2 and as a complex (probably a 2:2:2 heterohexamer) with pro-PRG2 and C3dg.

Subcellular location. Secreted.

Tissue specificity. Expressed by the liver and secreted in plasma.

Post-translational modifications. Beta-decarboxylation of Asp-25 in angiotensin-2, by mononuclear leukocytes produces alanine. The resulting peptide form, angiotensin-A, has the same affinity for the AT1 receptor as angiotensin-2, but a higher affinity for the AT2 receptor. In response to low blood pressure, the enzyme renin/REN cleaves angiotensinogen to produce angiotensin-1. Angiotensin-1 is a substrate of ACE (angiotensin converting enzyme) that removes a dipeptide to yield the physiologically active peptide angiotensin-2. Angiotensin-1 and angiotensin-2 can be further processed to generate angiotensin-3, angiotensin-4. Angiotensin 1-9 is cleaved from angiotensin-1 by ACE2 and can be further processed by ACE to produce angiotensin 1-7, angiotensin 1-5 and angiotensin 1-4. Angiotensin 1-7 has also been proposed to be cleaved from angiotensin-2 by ACE2 or from angiotensin-1 by MME (neprilysin). The disulfide bond is labile. Angiotensinogen is present in the circulation in a near 40:60 ratio with the oxidized disulfide-bonded form, which preferentially interacts with receptor-bound renin.

Disease relevance. Essential hypertension (EHT) [MIM:145500] A condition in which blood pressure is consistently higher than normal with no identifiable cause. Disease susceptibility is associated with variants affecting the gene represented in this entry. Renal tubular dysgenesis (RTD) [MIM:267430] Autosomal recessive severe disorder of renal tubular development characterized by persistent fetal anuria and perinatal death, probably due to pulmonary hypoplasia from early-onset oligohydramnios (the Potter phenotype). The disease is caused by variants affecting the gene represented in this entry.

Similarity. Belongs to the serpin family.

RefSeq proteins (2): NP_001369746, NP_001371408* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000215Serpin_famFamily
IPR000227AngiotensinogenFamily
IPR023795Serpin_CSConserved_site
IPR023796Serpin_domDomain
IPR033834Angiotensinogen_serpin_domDomain
IPR036186Serpin_sfHomologous_superfamily
IPR042178Serpin_sf_1Homologous_superfamily
IPR042185Serpin_sf_2Homologous_superfamily

Pfam: PF00079

UniProt features (76 total): strand 22, helix 14, sequence variant 13, peptide 8, turn 8, glycosylation site 4, sequence conflict 3, signal peptide 1, chain 1, modified residue 1, disulfide bond 1

Structure

Experimental structures (PDB)

22 structures.

PDBMethodResolution (Å)
5NJ9X-RAY DIFFRACTION1.25
5NJAX-RAY DIFFRACTION1.4
3WOOX-RAY DIFFRACTION1.8
4AA1X-RAY DIFFRACTION1.99
4APHX-RAY DIFFRACTION1.99
4FYSX-RAY DIFFRACTION2.01
3WORX-RAY DIFFRACTION2.1
5M3YX-RAY DIFFRACTION2.3
5E2QX-RAY DIFFRACTION2.4
6I3FX-RAY DIFFRACTION2.55
5M3XX-RAY DIFFRACTION2.63
6OS0X-RAY DIFFRACTION2.9
6I3IX-RAY DIFFRACTION2.97
3CK0X-RAY DIFFRACTION3
5XJMX-RAY DIFFRACTION3.2
6JODX-RAY DIFFRACTION3.2
2WXWX-RAY DIFFRACTION3.3
7C6AX-RAY DIFFRACTION3.4
2X0BX-RAY DIFFRACTION4.33
1N9USOLUTION NMR
1N9VSOLUTION NMR
2JP8SOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P01019-F186.740.68

Antibody-complex structures (SAbDab): 53CK0, 5XJM, 6JOD, 6OS0, 7C6A

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Post-translational modifications (1): 25

Disulfide bonds (1): 42–162

Glycosylation sites (4): 38, 161, 295, 319

Function

Pathways and Gene Ontology

Reactome pathways

15 pathways

IDPathway
R-HSA-1989781PPARA activates gene expression
R-HSA-2022377Metabolism of Angiotensinogen to Angiotensins
R-HSA-375276Peptide ligand-binding receptors
R-HSA-416476G alpha (q) signalling events
R-HSA-418594G alpha (i) signalling events
R-HSA-1430728Metabolism
R-HSA-162582Signal Transduction
R-HSA-2980736Peptide hormone metabolism
R-HSA-372790Signaling by GPCR
R-HSA-373076Class A/1 (Rhodopsin-like receptors)
R-HSA-388396GPCR downstream signalling
R-HSA-392499Metabolism of proteins
R-HSA-400206Regulation of lipid metabolism by PPARalpha
R-HSA-500792GPCR ligand binding
R-HSA-556833Metabolism of lipids

MSigDB gene sets: 502 (showing top): GOBP_MORPHOGENESIS_OF_AN_EPITHELIUM, GOBP_NEGATIVE_REGULATION_OF_MAP_KINASE_ACTIVITY, GOBP_EXCRETION, MODULE_52, MODULE_92, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_NEGATIVE_REGULATION_OF_TRANSMEMBRANE_TRANSPORT, GOBP_REGULATION_OF_CELLULAR_RESPONSE_TO_GROWTH_FACTOR_STIMULUS, GOBP_EPITHELIUM_DEVELOPMENT, GOBP_REGULATION_OF_BLOOD_PRESSURE, GOBP_REGULATION_OF_MORPHOGENESIS_OF_A_BRANCHING_STRUCTURE, GOBP_REGULATION_OF_ERBB_SIGNALING_PATHWAY, GOBP_NEGATIVE_REGULATION_OF_SODIUM_ION_TRANSPORT, GOBP_CIRCULATORY_SYSTEM_PROCESS, GOBP_REGULATION_OF_PHOSPHORYLATION

GO Biological Process (49): regulation of cell growth (GO:0001558), positive regulation of cytokine production (GO:0001819), kidney development (GO:0001822), blood vessel remodeling (GO:0001974), regulation of blood volume by renin-angiotensin (GO:0002016), renin-angiotensin regulation of aldosterone production (GO:0002018), regulation of renal output by angiotensin (GO:0002019), maintenance of blood vessel diameter homeostasis by renin-angiotensin (GO:0002034), renal system process (GO:0003014), G protein-coupled receptor signaling pathway (GO:0007186), G protein-coupled receptor signaling pathway coupled to cGMP nucleotide second messenger (GO:0007199), phospholipase C-activating G protein-coupled receptor signaling pathway (GO:0007200), cell-cell signaling (GO:0007267), regulation of blood pressure (GO:0008217), positive regulation of endothelial cell migration (GO:0010595), positive regulation of cardiac muscle hypertrophy (GO:0010613), positive regulation of epithelial to mesenchymal transition (GO:0010718), positive regulation of macrophage derived foam cell differentiation (GO:0010744), response to muscle activity involved in regulation of muscle adaptation (GO:0014873), regulation of vasoconstriction (GO:0019229), low-density lipoprotein particle remodeling (GO:0034374), regulation of renal sodium excretion (GO:0035813), nitric oxide-cGMP-mediated signaling (GO:0038060), angiotensin-activated signaling pathway (GO:0038166), regulation of cell population proliferation (GO:0042127), vasoconstriction (GO:0042310), regulation of apoptotic process (GO:0042981), negative regulation of MAP kinase activity (GO:0043407), positive regulation of epidermal growth factor receptor signaling pathway (GO:0045742), positive regulation of DNA-templated transcription (GO:0045893), positive regulation of fibroblast proliferation (GO:0048146), positive regulation of inflammatory response (GO:0050729), negative regulation of neurotrophin TRK receptor signaling pathway (GO:0051387), positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction (GO:0051897), positive regulation of branching involved in ureteric bud morphogenesis (GO:0090190), positive regulation of cholesterol metabolic process (GO:0090205), regulation of extracellular matrix assembly (GO:1901201), positive regulation of extracellular matrix assembly (GO:1901203), positive regulation of miRNA transcription (GO:1902895), positive regulation of gap junction assembly (GO:1903598)

GO Molecular Function (6): serine-type endopeptidase inhibitor activity (GO:0004867), hormone activity (GO:0005179), growth factor activity (GO:0008083), type 1 angiotensin receptor binding (GO:0031702), type 2 angiotensin receptor binding (GO:0031703), protein binding (GO:0005515)

GO Cellular Component (5): extracellular region (GO:0005576), obsolete extracellular space (GO:0005615), extracellular matrix (GO:0031012), extracellular exosome (GO:0070062), blood microparticle (GO:0072562)

Reactome top-level categories

Rollup of top-10 pathways:

CategoryPathways
GPCR downstream signalling2
Signaling by GPCR2
Regulation of lipid metabolism by PPARalpha1
Peptide hormone metabolism1
Class A/1 (Rhodopsin-like receptors)1
Metabolism of proteins1
Signal Transduction1
GPCR ligand binding1
Metabolism of lipids1
Metabolism1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
positive regulation of multicellular organismal process2
regulation of systemic arterial blood pressure by renin-angiotensin2
regulation of blood volume by renin-angiotensin2
blood vessel diameter maintenance2
positive regulation of cell differentiation2
receptor ligand activity2
angiotensin receptor binding2
cellular anatomical structure2
cell growth1
regulation of growth1
regulation of cellular component organization1
cytokine production1
regulation of cytokine production1
positive regulation of gene expression1
animal organ development1
renal system development1
tissue remodeling1
renal system process involved in regulation of systemic arterial blood pressure1
aldosterone secretion1
regulation of aldosterone secretion1
system process1
G protein-coupled receptor activity1
signal transduction1
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger1
G protein-coupled receptor signaling pathway1
phospholipase C activator activity1
cell communication1
signaling1
blood circulation1
regulation of biological quality1
regulation of endothelial cell migration1
positive regulation of cell migration1
endothelial cell migration1
cardiac muscle hypertrophy1
regulation of cardiac muscle hypertrophy1
positive regulation of muscle hypertrophy1
epithelial to mesenchymal transition1
regulation of epithelial to mesenchymal transition1
macrophage derived foam cell differentiation1
regulation of macrophage derived foam cell differentiation1

Protein interactions and networks

STRING

4988 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
AGTAGTR1P30556999
AGTAGTR2P50052999
AGTTAC1P20366993
AGTACEP12821990
AGTRENP00797989
AGTACE2Q9BYF1989
AGTKNG1P01042987
AGTGRPP07491984
AGTSLC3A1Q07837961
AGTNPPAP01160948
AGTNR3C2P08235946
AGTGNAQP50148929
AGTEDN1P05305926
AGTATP6AP2O75787917
AGTARRB2P32121915

IntAct

64 interactions, top by confidence:

ABTypeScore
RENAGTpsi-mi:“MI:0570”(protein cleavage)0.560
RENAGTpsi-mi:“MI:0407”(direct interaction)0.560
AGTNME4psi-mi:“MI:0915”(physical association)0.560
AGTNPHP1psi-mi:“MI:0915”(physical association)0.560
PRRG2AGTpsi-mi:“MI:0915”(physical association)0.560
AGTEIF2B4psi-mi:“MI:0915”(physical association)0.560
AGTPRMT5psi-mi:“MI:0915”(physical association)0.560
AGTTGOLN2psi-mi:“MI:0915”(physical association)0.560
AGTSNX12psi-mi:“MI:0915”(physical association)0.560
AGTSLFN12psi-mi:“MI:0915”(physical association)0.560
AGTTMEM185Apsi-mi:“MI:0915”(physical association)0.560
CCDC26AGTpsi-mi:“MI:0915”(physical association)0.560
VKORC1L1AGTpsi-mi:“MI:0915”(physical association)0.560

BioGRID (39): EWSR1 (Two-hybrid), RIPK4 (Affinity Capture-MS), NDUFA3 (Affinity Capture-MS), CANX (Affinity Capture-MS), HSPA5 (Affinity Capture-MS), AGT (Reconstituted Complex), AGT (Reconstituted Complex), NDUFA3 (Affinity Capture-MS), CANX (Affinity Capture-MS), RIPK4 (Affinity Capture-MS), HSPA5 (Affinity Capture-MS), AGT (Affinity Capture-MS), AGT (Affinity Capture-MS), AGT (Affinity Capture-MS), AGT (Affinity Capture-MS)

ESM2 similar proteins: A2I7N3, A6QPQ2, A6QQ92, A8MV23, B0UYL8, B2D1U1, E1BF81, P01017, P01019, P05154, P05155, P05545, P07758, P07759, P08185, P08697, P09006, P20757, P22323, P23035, P23775, P26595, P28800, P29621, P29622, P36955, P49920, P50448, P50451, P97298, Q00896, Q00898, Q03734, Q09055, Q5I2A0, Q5R9E3, Q5RDA8, Q60396, Q61247, Q63556

Diamond homologs: P01015, P01017, P01019, P11859, P20757, Q9GLN8, Q9GLP6, Q9TSZ0

SIGNOR signaling

12 interactions.

AEffectBMechanism
AGTup-regulatesAGTR1binding
AGTup-regulatesAGTR2
REN“up-regulates activity”AGTcleavage
ACE“up-regulates activity”AGTcleavage
AGT“up-regulates activity”TRPC6
AGT“up-regulates activity”RENbinding
AGT“up-regulates activity”AGTR1binding
CTSG“up-regulates activity”AGTcleavage
ELANE“up-regulates activity”AGTcleavage
PRTN3“up-regulates activity”AGTcleavage
ACE2“up-regulates activity”AGTcleavage

Disease & clinical

Clinical variants and AI predictions

ClinVar

285 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic8
Likely pathogenic9
Uncertain significance150
Likely benign64
Benign19

Top pathogenic / likely-pathogenic (17)

Variant IDHGVSClassification
1459353NC_000001.10:g.(?230838887)(230846596_?)delPathogenic
18071NC_000001.11:g.230710247G>APathogenic
18072NC_000001.11:g.230703316delPathogenic
2414356NM_001384479.1(AGT):c.53G>A (p.Trp18Ter)Pathogenic
3646887NM_001384479.1(AGT):c.911_923del (p.Leu304fs)Pathogenic
3898867NM_001384479.1(AGT):c.526C>T (p.Gln176Ter)Pathogenic
4732454NM_001384479.1(AGT):c.686del (p.Ser229fs)Pathogenic
60111GRCh38/hg38 1q42.2(chr1:230693760-230780212)x1Pathogenic
1328401NM_001384479.1(AGT):c.161_162delinsT (p.Lys54fs)Likely pathogenic
3580936NM_001384479.1(AGT):c.1264G>T (p.Glu422Ter)Likely pathogenic
3580945NM_001384479.1(AGT):c.1195G>T (p.Glu399Ter)Likely pathogenic
3581058NM_001384479.1(AGT):c.816C>G (p.Tyr272Ter)Likely pathogenic
3779325NM_001384479.1(AGT):c.1212del (p.Lys404fs)Likely pathogenic
4292985NM_001384479.1(AGT):c.876G>A (p.Trp292Ter)Likely pathogenic
4537511NM_001384479.1(AGT):c.1097G>C (p.Arg366Pro)Likely pathogenic
4680896Single alleleLikely pathogenic
917912NM_001384479.1(AGT):c.77G>A (p.Arg26Gln)Likely pathogenic

SpliceAI

1066 predictions. Top by Δscore:

VariantEffectΔscore
1:230691377:A:AGacceptor_gain1.0000
1:230691545:T:Gdonor_gain1.0000
1:230703328:ACCT:Aacceptor_loss1.0000
1:230703329:CCT:Cacceptor_loss1.0000
1:230703330:C:Aacceptor_loss1.0000
1:230703331:T:Aacceptor_loss1.0000
1:230704191:A:ATdonor_loss1.0000
1:230704191:ACCT:Adonor_gain1.0000
1:230704192:C:CAdonor_loss1.0000
1:230704192:CCTC:Cdonor_gain1.0000
1:230704221:A:ACdonor_gain1.0000
1:230704222:A:Cdonor_gain1.0000
1:230704333:TGGTC:Tacceptor_gain1.0000
1:230704334:GGTC:Gacceptor_gain1.0000
1:230704336:TC:Tacceptor_gain1.0000
1:230704337:CC:Cacceptor_gain1.0000
1:230704338:C:CCacceptor_gain1.0000
1:230705929:CTAC:Cdonor_loss1.0000
1:230705930:TACC:Tdonor_loss1.0000
1:230705931:A:ACdonor_gain1.0000
1:230705932:C:CCdonor_gain1.0000
1:230706209:C:Tacceptor_gain1.0000
1:230714082:TTACC:Tdonor_loss1.0000
1:230714083:TA:Tdonor_loss1.0000
1:230691379:TCAA:Tacceptor_loss0.9900
1:230691380:CAAG:Cacceptor_loss0.9900
1:230691381:AAG:Aacceptor_gain0.9900
1:230691382:A:Gacceptor_gain0.9900
1:230691382:AGG:Aacceptor_loss0.9900
1:230691383:G:GGacceptor_gain0.9900

AlphaMissense

3157 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
1:230706157:G:CF300L0.990
1:230706157:G:TF300L0.990
1:230706159:A:GF300L0.990
1:230703219:G:CF460L0.984
1:230703219:G:TF460L0.984
1:230703221:A:GF460L0.984
1:230710215:G:CF212L0.978
1:230710215:G:TF212L0.978
1:230710217:A:GF212L0.978
1:230710728:G:CF41L0.973
1:230710728:G:TF41L0.973
1:230710730:A:GF41L0.973
1:230710089:G:CF254L0.965
1:230710089:G:TF254L0.965
1:230710091:A:GF254L0.965
1:230710182:A:CF223L0.961
1:230710182:A:TF223L0.961
1:230710184:A:GF223L0.961
1:230706100:G:CF319L0.960
1:230706100:G:TF319L0.960
1:230706102:A:GF319L0.960
1:230706158:A:GF300S0.958
1:230710216:A:GF212S0.952
1:230704317:G:TP382H0.951
1:230706158:A:CF300C0.950
1:230703220:A:GF460S0.949
1:230710141:C:GR237P0.943
1:230710183:A:CF223C0.936
1:230710216:A:CF212C0.927
1:230710511:C:GG114R0.927

dbSNP variants (sampled 300 via entrez): RS1000072384 (1:230713930 G>A,C,T), RS1000219476 (1:230739120 G>A,C,T), RS1000273357 (1:230738895 C>T), RS1000308313 (1:230729055 A>G), RS1000373053 (1:230706434 TGCAAGACACACAA>T), RS1000399849 (1:230725519 T>C), RS1000460820 (1:230734346 C>G), RS1000492365 (1:230707732 A>C,G), RS1000549344 (1:230723411 T>A), RS1000653218 (1:230718804 C>A,T), RS1000717880 (1:230744147 C>A), RS1000763960 (1:230723837 G>A), RS1000813664 (1:230734582 C>A), RS1000819860 (1:230703257 T>C,G), RS1000936083 (1:230744978 A>T)

Disease associations

OMIM: gene MIM:106150 | disease phenotypes: MIM:145500, MIM:267430

GenCC curated gene-disease

DiseaseClassificationInheritance
renal tubular dysgenesis of genetic originStrongAutosomal recessive

Mondo (5): essential hypertension, genetic (MONDO:0007781), renal tubular dysgenesis of genetic origin (MONDO:0009970), hypertensive disorder (MONDO:0005044), renal tubular dysgenesis (MONDO:0017609), microcephaly (MONDO:0001149)

Orphanet (2): Renal tubular dysgenesis of genetic origin (Orphanet:97369), Renal tubular dysgenesis (Orphanet:3033)

HPO phenotypes

11 total (12 of 11 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000079Abnormality of the urinary system
HP:0000252Microcephaly
HP:0001562Oligohydramnios
HP:0002009Potter facies
HP:0002089Pulmonary hypoplasia
HP:0002093Respiratory insufficiency
HP:0002615Hypotension
HP:0004492Widely patent fontanelles and sutures
HP:0008660Renotubular dysgenesis
HP:0100519Anuria
HP:0000822Hypertension

GWAS associations

0 associations (top):

MeSH disease descriptors (2)

DescriptorNameTree numbers
D006973HypertensionC14.907.489
D008831MicrocephalyC05.660.207.620; C10.500.507.400.500; C16.131.621.207.620; C16.131.666.507.400.500

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL3596085 (SINGLE PROTEIN)

PharmGKB: 1 entry (VIP=true, CPIC=false)

Binding affinities (BindingDB)

1 measured of 1 human assays (1 total across all organisms); most potent 1 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValue
CHEMBL295174IC5027 nM

ChEMBL bioactivities

4 potent at pChembl≥5 of 4 total, top 4 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
8.46IC503.5nMCHEMBL297425
7.66IC5022nMCHEMBL5275762
7.66IC5022nMCHEMBL5281619
7.57IC5027nMCHEMBL295174

PubChem BioAssay actives

4 with measured affinity, of 5 total; 4 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
sodium 6-[(2S,3aR)-2-methyl-3a,4,5,6-tetrahydro-3H-pyrrolo[1,2-b][1,2]oxazol-2-yl]-2-butyl-3-[[4-[2-(1,2,4-triaza-3-azanidacyclopenta-1,4-dien-5-yl)phenyl]phenyl]methyl]quinazolin-4-one1959949: Inhibition of angiotensin II (unknown origin)ic500.0035uM
2-butyl-6-[3-(4-methylphenyl)-4,5-dihydro-1,2-oxazol-5-yl]-3-[[4-[2-(1-trityltetrazol-5-yl)phenyl]phenyl]methyl]quinazolin-4-one1959949: Inhibition of angiotensin II (unknown origin)ic500.0220uM
ethyl 5-[2-butyl-4-oxo-3-[[4-[2-(1-trityltetrazol-5-yl)phenyl]phenyl]methyl]quinazolin-6-yl]-4,5-dihydro-1,2-oxazole-3-carboxylate1959949: Inhibition of angiotensin II (unknown origin)ic500.0220uM
sodium 6-[(2R,3aS)-2-methyl-3a,4,5,6-tetrahydro-3H-pyrrolo[1,2-b][1,2]oxazol-2-yl]-2-butyl-3-[[4-[2-(1,2,3-triaza-4-azanidacyclopenta-2,5-dien-5-yl)phenyl]phenyl]methyl]quinazolin-4-one1959949: Inhibition of angiotensin II (unknown origin)ic500.0270uM

CTD chemical–gene interactions

208 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Losartandecreases reaction, increases expression, increases reaction, affects localization, affects binding (+8 more)13
Valsartandecreases expression, decreases reaction, increases abundance, affects localization, increases phosphorylation (+5 more)12
Aldosteroneincreases secretion, decreases reaction, increases reaction, affects cotreatment, increases abundance7
Estradiolincreases reaction, affects cotreatment, increases expression, affects binding, decreases reaction (+4 more)7
Reactive Oxygen Speciesincreases abundance, increases reaction, decreases reaction, increases chemical synthesis6
sodium arseniteincreases expression, increases secretion, decreases expression, affects reaction, affects binding (+5 more)5
Resveratroldecreases response to substance, decreases reaction, increases phosphorylation, affects cotreatment, decreases expression (+2 more)5
Irbesartanaffects response to substance, decreases reaction, increases response to substance, increases expression5
Angiotensin-Converting Enzyme Inhibitorsaffects expression, decreases expression, increases expression5
Enalaprilaffects cotreatment, decreases reaction, increases response to substance, affects response to substance, increases abundance (+1 more)5
Cyclosporineaffects cotreatment, affects expression, decreases expression5
bisphenol Adecreases reaction, increases expression, affects expression4
benazeprilaffects cotreatment, affects response to substance, decreases expression, decreases reaction4
4-hydroxy-2-nonenalaffects binding, increases lipidation, increases chemical synthesis, increases abundance, affects cotreatment (+2 more)3
angiotensin I (1-7)increases cleavage, affects cotreatment, increases reaction, decreases secretion, affects metabolic processing (+2 more)3
4-oxo-2-nonenalaffects binding, increases lipidation, increases reaction, increases chemical synthesis, increases abundance3
Carvedilolincreases reaction, increases response to substance, decreases expression, decreases response to substance, decreases reaction (+1 more)3
Dexamethasoneincreases expression, affects cotreatment, decreases expression3
Ethinyl Estradiolincreases activity, increases reaction, increases expression, increases secretion, affects cotreatment3
Glucosedecreases reaction, increases phosphorylation, increases reaction, increases expression, affects cotreatment3
Nitric Oxideincreases chemical synthesis, decreases reaction, increases reaction, decreases secretion3
Paraquatincreases expression, increases reaction, increases secretion, decreases reaction3
Propranololdecreases reaction, increases expression, increases cleavage, decreases expression3
Valproic Acidincreases expression3
Lisinoprilaffects response to substance, affects metabolic processing, decreases abundance, affects cotreatment, decreases expression3
Simvastatindecreases expression, affects cotreatment, decreases reaction, increases expression, increases activity (+1 more)3
chymostatinaffects cotreatment, affects metabolic processing, decreases abundance, decreases reaction, increases expression2
acetovanillonedecreases reaction, increases phosphorylation, increases reaction, affects cotreatment, affects localization (+1 more)2
PD 123319affects cotreatment, decreases reaction, increases abundance, increases secretion, increases expression2
candesartan cilexetildecreases reaction, increases expression, increases secretion, decreases activity2

ChEMBL screening assays

2 unique, capped per target: 2 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL3599004BindingBinding affinity to angiotensin-4 (unknown origin) at 200 uM incubated for 2 hrs irradiated with UV light for 10 mins by MALDI-TOF-MS methodCovalent modifier-type aggregation inhibitor of amyloid-β based on a cyclo-KLVFF motif. — Bioorg Med Chem Lett

Clinical trials (associated diseases)

300 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00000521PHASE4COMPLETEDSodium-Potassium Blood Pressure Trial in Children
NCT00018759PHASE4COMPLETEDTreatment Effects on Platelet Calcium in Hypertensive and Depressed Patients
NCT00034840PHASE4COMPLETEDTelmisartan vs. Valsartan in Patients With Mild to Moderate Hypertension Following a Missed Dose
NCT00044265PHASE4COMPLETEDTreatment of Pediatric Hypertension With Altace Trial
NCT00060918PHASE4COMPLETEDGlycemic Control Of Carvedilol Versus Metoprolol In Patients With Type II Diabetes Mellitus And Hypertension
NCT00060931PHASE4COMPLETEDEffect Of Carvedilol Versus Metoprolol On Glycemic Control In Patients With Type II Diabetes And Hypertension
NCT00110422PHASE4COMPLETEDIrbesartan in the Treatment of Hypertensive Patients With Metabolic Syndrome
NCT00115726PHASE4COMPLETEDTrial Assessing the Effect of Preoperative Furosemide on Intraoperative Blood Pressure
NCT00120380PHASE4TERMINATEDCombination Therapy of Bosentan and Aerosolized Iloprost in Idiopathic Pulmonary Arterial Hypertension (IPAH)
NCT00122811PHASE4UNKNOWNThe Hypertension in the Very Elderly Trial (HYVET)
NCT00123045PHASE4COMPLETEDPatient-Physician Partnership to Improve High Blood Pressure Adherence
NCT00123604PHASE4COMPLETEDVascular Effects of Carvedilol Versus Metoprolol in Hypertensive Patients With Type 2 Diabetes
NCT00126516PHASE4COMPLETEDAngiotensin II Receptor Blockers (ARB) and ACE Inhibitors (ACEI) on Silent Brain Infarction and Cognitive Decline
NCT00127348PHASE4COMPLETEDEffect of Continuous Positive Airway Pressure (CPAP) on Hypertension and Cardiovascular Morbidity-Mortality in Patients With Sleep Apnea and no Daytime Sleepiness
NCT00128518PHASE4COMPLETEDIDEAL Study: Identification of the Determinants of the Efficacy of Arterial Blood Pressure Lowering Drugs
NCT00129233PHASE4COMPLETEDComparison of Valsartan With Amlodipine in Hypertensive Patients With Glucose Intolerance
NCT00129909PHASE4COMPLETEDSTITCH (Simplified Therapeutic Intervention To Control Hypertension)
NCT00130156PHASE4COMPLETEDEffects of Combination Therapy With Alpha-1 Blocker (Bunazosin or Doxazosin) in the Treatment of Patients With Mild to Moderate Essential Hypertension
NCT00131846PHASE4COMPLETEDDiuretics In the Management of Essential Hypertension (DIME) Study
NCT00133068PHASE4COMPLETEDCollaboration to Reduce Disparities in Hypertension
NCT00133328PHASE4UNKNOWNA Morbidity-Mortality and Remodeling Study With Valsartan
NCT00133692PHASE4COMPLETEDINVEST: INternational VErapamil SR Trandolapril STudy
NCT00134160PHASE4COMPLETEDOlmeSartan and Calcium Antagonists Randomized (OSCAR) Study
NCT00136851PHASE4COMPLETEDStudy Comparing the Efficacy of Amlodipine Besylate/Benazepril Versus Amlodipine in the Treatment of Severe Hypertension
NCT00139386PHASE4COMPLETEDCandesartan for Prevention of Cardiovascular Events After Cypher or Taxus Coronary Stenting (4C) Trial
NCT00139555PHASE4COMPLETEDEffects of Amlodipine/Benazepril in Reducing Left Ventricular Hypertrophy in Patients With High Risk Hypertension
NCT00139984PHASE4COMPLETEDAmbulatory Blood Pressure Monitoring for Antihypertensive Treatment Guidance
NCT00140790PHASE4TERMINATEDValsartan in Cardiovascular Disease With Renal Dysfunction (The V-CARD) Study
NCT00140907PHASE4COMPLETEDALLOGRAFT, A Study to Evaluate the Renal Protective Effects of Losartan (0954-222)(COMPLETED)
NCT00140959PHASE4COMPLETEDLosartan and HCTZ and Amlodipine vs Atenolol and Amlodipine (0954A-309)(COMPLETED)
NCT00144144PHASE4UNKNOWNA Study on Ca Blocker Versus AII Antagonists in Hypertension With Type 2 Diabetes
NCT00144937PHASE4UNKNOWNMultifactorial Intervention on Cardiovascular Risk Factors in Subjects With Peripheral Arterial Disease
NCT00147251PHASE4COMPLETEDStop Atherosclerosis in Native Diabetics Study
NCT00147524PHASE4COMPLETEDNon-Comparative Study To Evaluate Changes In FMD After Quinapril Therapy In Hypertensive Women
NCT00147563PHASE4COMPLETEDCompare Effectiveness of Eplerenone vs Atenolol in Reversing the Remodelling Resistance Arteries in Subjects With HT
NCT00149227PHASE4COMPLETEDAdd-on Effects of Valsartan on Morbi- Mortality (KYOTO HEART Study)
NCT00150358PHASE4COMPLETEDTo Yield Further Information On The Efficacy And Safety Of Viagra Among Subjects With Arterial Hypertension .
NCT00150384PHASE4COMPLETEDClinical Utility of Caduet in Achieving Blood Pressure and Lipid Endpoints in a Specific Patient Population
NCT00153023PHASE4COMPLETED1 Year Trial Telmisartan 80 mg Versus Valsartan 160 mg in Hypertensive Type 2 Diabetic Patients With Overt Nephropathy
NCT00154271PHASE4COMPLETEDEffects of Blood Pressure Reduction on High Sensitivity C-Reactive Protein (hsCRP)