Development and design of specific inhibitors of angiotensin-converting enzyme

Am J Cardiol. 1982 Apr 21;49(6):1390-4. doi: 10.1016/0002-9149(82)90348-4.

Abstract

Captopril is a remarkably effective new antihypertensive drug designed and developed as a potent and specific inhibitor of angiotensin-converting enzyme, a zinc metallopeptidase that participates in the synthesis of a hypertensive peptide, angiotensin II, and in the degradation of a hypotensive peptide, bradykinin. Earlier studies with a snake venom peptide (teprotride or SQ 20881) that could be administered only by injection demonstrated that specific inhibitors of angiotensin-converting enzyme could be highly effective as antihypertensive drugs, and helped to clarify the specificity and mechanism of action of the enzyme. A hypothetical model of the active center of angiotensin-converting enzyme based on its presumed analogy to the well characterized zinc metallopeptidase carboxypeptidase A was used to guide logical sequential improvements of a weakly active prototype inhibitor that led eventually to the highly optimized structure of captopril. The hypothetical working model of the active site of angiotensin-converting enzyme used to develop captopril continues to provide a firm basis for development of new types of specific inhibitors of this biologically important enzyme.

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors*
  • Animals
  • Blood Pressure
  • Captopril / therapeutic use
  • Humans
  • Hypertension / drug therapy
  • Peptidyl-Dipeptidase A / physiology
  • Proline / analogs & derivatives
  • Proline / therapeutic use
  • Renin-Angiotensin System / drug effects
  • Succinates / therapeutic use
  • Teprotide / therapeutic use

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Succinates
  • succinylproline
  • benzylsuccinic acid
  • Proline
  • Captopril
  • Teprotide
  • Peptidyl-Dipeptidase A