An orally active inhibitor of renin

Hypertension. 1986 Dec;8(12):1105-12. doi: 10.1161/01.hyp.8.12.1105.

Abstract

A potent renin inhibitor, U-71038 (Boc-Pro-Phe-N-MeHis-Leu psi[CHOHCH2]Val-Ile-Amp), was tested for oral effectiveness. Enzyme kinetic studies indicated that U-71038 was a competitive inhibitor of hog renin with an inhibitor constant (Ki) value of 12 nM. Intravenous as well as oral administration of U-71038 to anesthetized, ganglion-blocked rats infused with hog renin elicited dose-related hypotensive responses. Intravenous administration of U-71038 to conscious, sodium-depleted monkeys caused dose-related decreases of blood pressure and plasma renin activity without affecting heart rate. Similarly, the oral administration of U-71038 at 50 mg/kg to conscious, sodium-depleted monkeys elicited a pronounced hypotension and decrease in plasma renin activity that persisted for 5 hours. The hypotensive responses elicited by intravenous and oral administration of U-71038 to hog renin-infused rats and sodium-depleted monkeys were shown to be due entirely to inhibition of the renin-angiotensin system. A comparison of the results obtained after the intravenous administration of U-71038 with the results obtained after the oral administration of U-71038 implied that at least 10% of the orally administered U-71038 must have been absorbed to cause the observed effects in hog renin-infused rats and sodium-depleted monkeys. The studies demonstrated that an inhibitor of renin with a long duration of action and with oral effectiveness is a feasible entity.

MeSH terms

  • Administration, Oral
  • Animals
  • Blood Pressure / drug effects
  • Dose-Response Relationship, Drug
  • Heart Rate / drug effects
  • Humans
  • Macaca fascicularis
  • Male
  • Oligopeptides / pharmacology*
  • Rats
  • Rats, Inbred Strains
  • Renin / antagonists & inhibitors*
  • Renin-Angiotensin System / drug effects
  • Sodium / physiology

Substances

  • Oligopeptides
  • ditekiren
  • Sodium
  • Renin