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Published on: October 26, 2020
The development of the direct renin inhibitor aliskiren: treating hypertension and beyond
Helmy Siragy1, Jiqian Huang, David C Lieb
1University of Virginia, Charlottesville, VA 22908, USA. hms7a@virginia.edu
Insights
Direct renin inhibitors, like aliskiren, represent a promising new treatment for hypertension and related conditions. These agents target the renin-angiotensin-aldosterone system, offering novel therapeutic options.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Hypertension and its co-morbidities pose a significant global health burden.
- The renin-angiotensin-aldosterone system plays a crucial role in regulating blood pressure.
Purpose of the Study:
- To review the global burden of hypertension and the function of the renin-angiotensin-aldosterone system.
- To discuss current treatments targeting this system and introduce direct renin inhibitors, focusing on aliskiren.
- To examine the development and clinical trials of direct renin inhibitors.
Main Methods:
- Literature search of PubMed.
- Focus on renin-angiotensin-aldosterone system, ACE inhibitors, ARBs, aldosterone, and aliskiren.
Main Results:
- Direct renin inhibitors are a novel therapeutic class.
- Aliskiren is a key example of a direct renin inhibitor.
Conclusions:
- Direct renin inhibitors, including aliskiren, show significant promise for treating hypertension.
- These agents may also benefit patients with co-morbid renal and cardiovascular diseases.
Background:
Direct renin inhibitors such as aliskiren offer a novel way of treating hypertension and its co-morbidities, conditions with a considerable prevalence, morbidity, and mortality worldwide.
Objective:
The burden of hypertension worldwide and the role of the renin-angiotensin-aldosterone system in this disease will be reviewed. Current treatments for hypertension and its co-morbidities that work by manipulating this system will be discussed. The development of, and clinical trials involving, direct renin inhibitors will be reviewed, with a focus on aliskiren.
Methods:
PubMed was utilized to search the most recent literature on the topics of the renin-angiotensin-aldosterone system, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, aldosterone and aliskiren.
Results/Conclusions:
The direct renin inhibitors, including aliskiren, are new agents with great promise for the treatment of hypertension and its co-morbid conditions, including renal and cardiovascular disease.
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