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Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Oral renin inhibitors.
Jan A Staessen1, Yan Li, Tom Richart
1Studies Coordinating Centre, Division of Hypertension and Cardiovascular Rehabilitation, Department of Cardiovascular Diseases, University of Leuven, Leuven, Belgium. jan.staessen@med.kuleuven.be
Renin inhibitors block the renin-angiotensin system to treat cardiovascular and renal disorders. Aliskiren, a new oral renin inhibitor, shows promise for hypertension and related conditions.
Area of Science:
- Pharmacology
- Cardiovascular Medicine
- Nephrology
Background:
- The renin-angiotensin system plays a key role in cardiovascular and renal disorders.
- Inhibiting renin, the system's origin, has been a therapeutic goal for over 30 years.
- Previous oral renin inhibitors lacked clinical efficacy due to poor bioavailability and activity.
Purpose of the Study:
- To review the development of oral renin inhibitors.
- To summarize the pharmacokinetic and pharmacodynamic properties of these agents.
- To focus on aliskiren, the first non-peptide renin inhibitor in phase-III trials.
Main Methods:
- Review of preclinical and clinical data on oral renin inhibitors.
- Analysis of pharmacokinetic and pharmacodynamic profiles.
- Focus on aliskiren's progression in clinical trials.
Main Results:
- Aliskiren is the first orally active, non-peptide renin inhibitor to reach phase-III clinical trials.
- It demonstrates potential for treating hypertension and associated cardiovascular and renal disorders.
- New compounds with enhanced properties are under preclinical investigation.
Conclusions:
- Oral renin inhibitors represent a significant advancement in managing renin-angiotensin system-mediated diseases.
- Aliskiren is a leading candidate for clinical use in hypertension and related conditions.
- Ongoing research aims to develop improved oral renin inhibitors with better bioavailability and efficacy.
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Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
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