Novel therapeutic approaches targeting the renin-angiotensin system and associated peptides in hypertension and heart failure

LB Arendse, AHJ Danser, M Poglitsch, RM Touyz… - Pharmacological …, 2019 - Elsevier
Despite the success of renin-angiotensin system (RAS) blockade by angiotensin-converting
enzyme (ACE) inhibitors and angiotensin II type 1 receptor (AT 1 R) blockers, current …

The natriuretic peptides system in the pathophysiology of heart failure: from molecular basis to treatment

M Volpe, M Carnovali, V Mastromarino - Clinical Science, 2016 - portlandpress.com
After its discovery in the early 1980s, the natriuretic peptide (NP) system has been
extensively characterized and its potential influence in the development and progression of …

Neprilysin inhibitors in heart failure: the science, mechanism of action, clinical studies, and unanswered questions

B Bozkurt, AP Nair, A Misra, CZ Scott, JH Mahar… - Basic to Translational …, 2023 - jacc.org
This article provides a contemporary review and a new perspective on the role of neprilysin
inhibition in heart failure (HF) in the context of recent clinical trials and addresses potential …

The natriuretic-peptide family

MR Wilkins, J Redondo, LA Brown - The Lancet, 1997 - thelancet.com
The discovery in the early 1980s of atrial natriuretic peptide, a circulating peptide with
natriuretic/diuretic and vasorelaxant properties was greeted with excitement since the …

Long-term neprilysin inhibition—implications for ARNIs

DJ Campbell - Nature Reviews Cardiology, 2017 - nature.com
Neprilysin has a major role in both the generation and degradation of bioactive peptides.
LCZ696 (valsartan/sacubitril, Entresto), the first of the new ARNI (dual-acting angiotensin …

Inhibition of neutral endopeptidase causes vasoconstriction of human resistance vessels in vivo

CJ Ferro, JC Spratt, WG Haynes, DJ Webb - Circulation, 1998 - Am Heart Assoc
Background—Neutral endopeptidase (NEP) degrades vasoactive peptides, including the
natriuretic peptides, angiotensin II, and endothelin-1. Systemic inhibition of NEP does not …

A comprehensive review of the pharmacodynamics, pharmacokinetics, and clinical effects of the neutral endopeptidase inhibitor racecadotril

M Eberlin, T Mück, MC Michel - Frontiers in pharmacology, 2012 - frontiersin.org
Racecadotril, via its active metabolite thiorphan, is an inhibitor of the enzyme neutral
endopeptidase (NEP, EC 3.4. 24.11), thereby increasing exposure to NEP substrates …

Vasopeptidase inhibition: a double-edged sword?

DJ Campbell - Hypertension, 2003 - Am Heart Assoc
The enormous benefits of inhibition of ACE demonstrate that manipulation of the metabolism
of peptide hormones is a valuable therapeutic strategy for cardiovascular disease. Recent …

Neutral endopeptidase inhibition augments vascular actions of bradykinin in patients treated with angiotensin-converting enzyme inhibition

NLM Cruden, KAA Fox, CA Ludlam, NR Johnston… - …, 2004 - Am Heart Assoc
Angiotensin-converting enzyme and neutral endopeptidase (EC 3.4. 24.11; neprilysin) are
metallopeptidases present on the endothelium that metabolize bradykinin. Inhibitors of …

Sacubitril/valsartan (LCZ696) in heart failure

Y Khder, V Shi, JJV McMurray, MP Lefkowitz - Heart Failure, 2017 - Springer
It has been known since the 1990s that long-term morbidity and mortality is improved in
patients with heart failure with reduced ejection fraction (HFrEF) by treatments that target the …