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Symptom
Drug
Enzyme
Compound
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Enzyme
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Query: EC:3.4.15.1 (
ACE
)
18,300
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
In the present studies, ex vivo-, in vitro-, and in vivo-effects of three structurally different angiotensin I-converting enzyme (ACE) inhibitors on the kallikrein-kinin and eicosanoid systems are described. In the ex vivo- and in vitro-experiments using isolated rat aorta, vascular prostacyclin (PGI2) production is dose-dependently stimulated by the
ACE
inhibitors captopril, lisinopril, and ramipril. Furthermore, the
ACE
inhibitor-induced augmentation of vascular PGI2 synthesis observed in vitro was completely inhibited by the competitive
bradykinin
antagonist D-Arg[Hyp3,Thi5,8,D-Phe7]
bradykinin
suggesting that
ACE
inhibitors stimulate PGI2 generation by an enhancement of kinin activity. In the in vivo studies in healthy volunteers, we used platelet cyclic adenosine-5'-monophosphate (cAMP) and cyclic guanosine-5'-monophosphate (cGMP) as indirect parameters of the activity of prostacyclin and the endothelium-derived relaxing factor, respectively. Since platelet cAMP and cGMP were unaffected by an acute dose of 10 mg of lisinopril, our data do not support the concept that the interference of
ACE
inhibitors with the kallikrein-kinin-prostaglandin system observed ex vivo and in vitro participates in the haemodynamic effects of these agents in humans in vivo.
...
PMID:ACE-inhibition, kinins, and vascular PGI2 synthesis. 133 54
The contribution of endogenous
bradykinin
to the chronic antihypertensive actions of the
ACE
-inhibitor, ramipril, was investigated in 2-kidney 1 clip (2K1C) hypertensive kinin-deficient Brown Norway Katholieke rats (BN-K) and 2K1C hypertensive Wistar rats (WI) as well as in spontaneously hypertensive rats (SHR). Treatment with ramipril plus the BK B2-receptor antagonist HOE 140 for 6 weeks significantly attenuated the antihypertensive effects of the
ACE
-inhibitor in 2K1C hypertensive WI rats, but not in 2K1C hypertensive BN-K rats and in SHR. Our data support the hypothesis that potentiation of endogenous kinins contributes to the chronic antihypertensive actions of
ACE
-inhibitors in experimental renal hypertension. Whether this holds also true for other forms of hypertension remains to be answered.
...
PMID:Kinin contribution to chronic antihypertensive actions of ACE-inhibitors in hypertensive rats. 133 42
It has been known for a long time that systemic infusion of angiotensin II in patients with coronary artery disease or normal control subjects causes a marked increase in left ventricular end diastolic pressure (LVEDP) and systolic pressure (LVP) (1,2). In this setting angiotensin II produces a marked increase in afterload that makes it difficult to acknowledge possible local myocardial effects of the peptide. The studies (3-8) summarized in the present paper were designed to examine the physiological role of local cardiac angiotensin II generation and local
bradykinin
degradation on cardiac function in the normal and hypertrophied rat heart. Angiotensin I and angiotensin II, infused in isolated, well oxygenated, buffer perfused normal rat hearts, produced a mild increase in LVEDP with no change in systolic function (3). In contrast, in hypertrophied rat hearts, angiotensin I and angiotensin II caused a marked deterioration of diastolic function, increasing LVEDP from 10 to 25-37 mmHg on average (3,5). Preliminary evidence suggests that angiotensin II effects on diastolic function are mediated via a protein kinase C dependent pathway that might involve Na+/H+ exchange (4,5). When cardiac
angiotensin converting enzyme
was blocked by infusion of an
ACE
inhibitor prior and in parallel to angiotensin I infusion no changes in diastolic function were noted (6). Furthermore,
ACE
inhibition blunted the diastolic dysfunction during low flow ischemia in isolated hypertrophied rat hearts (7). This effect of
ACE
inhibition was even more remarkeable, since no exogenous angiotensin was infused in this experiment.(ABSTRACT TRUNCATED AT 250 WORDS)
...
PMID:Cardiac angiotensin converting enzyme and diastolic function of the heart. 133 46
The effects of
ACE
-inhibitors on
bradykinin
metabolism and
bradykinin
-induced endothelium-dependent relaxation were studied in isolated coronary arteries and endothelial cells in culture. The results suggest that
ACE
-inhibitors affect coronary vascular tone by at least two endothelium-dependent and
bradykinin
-mediated mechanisms: First,
ACE
-inhibitors decrease endothelial
bradykinin
degredation which is accompanied by an augmented
bradykinin
mediated endothelium-dependent relaxation. Second,
ACE
-inhibitors evoke endothelium-dependent relaxations in coronary arteries stimulated with threshold concentrations of
bradykinin
, which cannot be attributed to an inhibition of
bradykinin
degradation. The effect appears to represent a new mechanism which may be based on an interaction of the bradykinin receptor and the
angiotensin converting enzyme
on the cellular level.
...
PMID:Effects of converting enzyme inhibition on endothelial bradykinin metabolism and endothelium-dependent vascular relaxation. 133 49
This study investigates the action of PAF-stimulated human polymorphonuclear leukocytes (PMN) on myocardial integrity and function in Langendorff-perfused guinea-pig hearts. Infusion of 10(6) PMN/ml resulted in a negative inotropic effect without larger biochemical evidence for myocardial tissue injury while infusion of PAF (1 microM) did not cause any permanent effect at all. However, the combined administration of PAF-stimulated PMN resulted in severely depressed myocardial contractile function and biochemical evidence for myocardial tissue injury. This was probably due to an enhanced uptake of PMN from the coronary perfusate and accumulation within the myocardial tissue. Ramiprilat, (10 microM) significantly improved left ventricular function and myocardial cell integrity. Similar results were obtained with
bradykinin
(1 nM). The data suggest a PAF-induced, PMN-mediated myocardial tissue injury as well as cardioprotective actions of
ACE
inhibition which are possibly related to stimulation of the kinin/prostacyclin axis.
...
PMID:Ramiprilat prevents PAF-induced myocellular and endothelial injury in a neutrophil-perfused heart preparation. 133 51
The quantitative content estimation of kininogenases, kininases and related peptides have been made for Central Asian snake venoms: V. lebetina turanica and E. multisquamatus (gen. Vipera and Echis, fam. Viperidae), Ag. halys halys (gen. Agkistrodon, fam. Crotalidae) and N. oxiana (gen. Naja, fam Elapidae). It has been demonstrated, that all venoms investigated cause the contractile effect, when acting on isolated smooth muscle preparations. Kinin-like contractile activity was found in the low molecular weight fraction of the cobra venom. This action has the prolonged character as compared with
bradykinin
, but apart from it, results in the inactivation of the rat uterus because of cytotoxic components presence. The specific
bradykinin
-potentiating effect of the low molecular weight fraction of the E. multisquamatus venom has been discovered. It has been found, that the effect is connected with inhibition of the
kininase II
(angiotensin I converting enzyme,
ACE
). Two peptide inhibitors was isolated and characterized from this fraction.
...
PMID:The kallikrein, kininase and related peptides activities in central Asian snake venoms. 133 25
Inhibitors of metallopeptidases may represent new alternatives in the treatment of cardiovascular disease. Recent investigations have linked the hypotensive properties of the metalloendopeptidase 3.4.24.15 (MEP 24.15) inhibitor c-phenylpropyl-alanyl-alanyl-phenylalanyl-para-aminobenzoate (cFP-A-A-F-pAB) to the attenuation of
bradykinin
metabolism. However, since
angiotensin converting enzyme
(
ACE
) is widely recognized to contribute to the metabolic clearance of
bradykinin
, we characterized the specificity of cFP-A-A-F-pAB towards
ACE
. We also determined whether cFP-A-A-F-pAB inhibits the conversion of angiotensin I (Ang I) to Ang II by pulmonary
ACE
. The
ACE
activity toward the synthetic substrate hippuryl-histidine-leucine (Hip-His-Leu) was measured in vitro using both a purified lung preparation and pooled rat serum. The
ACE
activity was inhibited at increasing concentrations of the MEP 24.15 inhibitor. Kinetic analysis revealed that cFP-A-A-F-pAB competitively inhibited pulmonary
ACE
with a Ki of 0.19 microM. In rat serum, cFP-A-A-F-pAB also competitively inhibited
ACE
. The hydrolysis of Ang I into Ang II by pulmonary
ACE
was inhibited to a similar extent by both cFP-A-A-F-pAB and the
ACE
inhibitor MK 422. These findings are the first to show that the MEP 24.15 inhibitor cFP-A-A-F-pAB also inhibits
ACE
. We suggest that the reported hypotensive actions of cFP-A-A-F-pAB may be due to the reduction in both
bradykinin
metabolism and Ang II generation arising from the blockade of
ACE
.
...
PMID:Inhibition of angiotensin converting enzyme by the metalloendopeptidase 3.4.24.15 inhibitor c-phenylpropyl-alanyl-alanyl-phenylalanyl-p-aminobenzoate. 133 90
Myocardial hypertrophy in response to hemodynamic overload is an established risk factor for cardiovascular morbidity and mortality. Partially, this may be due to alterations in cardiac gene expression, resulting in a more fetal-like myocyte phenotype with a fragile Ca(++)-homeostasis. Depressed expression of the sarcoplasmic reticulum Ca(++)-ATPase is the hallmark of this overload phenotype, contributing to prolonged cytosolic Ca(++)-transients, disturbed diastolic relaxation, altered force-frequency relation, and probably, electrophysiologic instability with susceptibility to malignant arrhythmias. Since angiotensin II is a growth-promoting factor in several cellular systems, the local formation of angiotensin II within the myocardium might contribute to the trophic response and the phenotype shift of overloaded myocardium. Several observations are consistent with this hypothesis: the cardiac expression of
ACE
and angiotensinogen is enhanced in experimental myocardial overload and in human endstage congestive heart failure; prolonged observations of experimental cardiac overload with hypertrophy-induced putative normalisation of myocardial systolic wall stress demonstrated a renormalization of ventricular tissue
ACE
activity and of ventricular sarcoplasmic Ca(++)-ATPase expression and activity; normalizing ventricular tissue
ACE
activity in experimental cardiac overload by chronic nonhypotensive
ACE
inhibitor therapy caused a parallel partial normalization of hypertrophy and underexpression of sarcoplasmic CA(++)-ATPase. This partial normalization of myocyte Ca(++)-homeostasis in overload hypertrophy by non-hypotensive chronic
ACE
-inhibition is attenuated by concomitant chronic application of
bradykinin
-2 receptor blockade, indicating an involvement of altered
bradykinin
metabolism in the phenotype modulation due to chronic
ACE
inhibition. While these observations are consistent with a direct influence of local
ACE
activity on the sarcoplasmic reticulum, the cell type contributing to the enhanced
ACE
expression in overload and the specific mechanism of this influence are unknown.
...
PMID:Modulation of myocardial sarcoplasmic reticulum Ca(++)-ATPase in cardiac hypertrophy by angiotensin converting enzyme? 133 65
The
angiotensin I-converting enzyme
(
kininase II
, ECA) is a membrane bound enzyme anchored to the cell membrane through a single transmembrane domain located near its carboxyterminal extremity. Secretion of
ACE
by the cell occurs most likely as a result of a posttranslational cleavage of the membrane anchor and intracellular region. The
ACE
molecule is organized into two large highly homologous domains, each bearing consensus sequences for zinc binding in metallopeptidases. Site directed mutagenesis allowed to establish that both domains bear in fact a functional active site, able to convert angiotensin I into angiotensin II and to hydrolyze
bradykinin
or substance P. The two active sites of
ACE
, however, do not display the same sensitivity to anion activation (the C terminal active site being more chloride activatable) and also differs in kinetic parameters for peptide hydrolysis. The C terminal active site can hydrolyze faster angiotensin I and substance P and the N terminal active site is able to perform a peculiar endoproteolytic cleavage of an in vitro substrate of
ACE
, the luteinizing hormone releasing hormone. Both active sites bind with a high affinity, competitive inhibitors but the Kd of the reaction can vary up to 10 between the two active sites. All together, these observations suggest that
ACE
contains two active sites, whose structure is not exactly identical. They may have a different substrate specificity, however this remains speculative at the present time. Concerning the regulation of
ACE
gene expression in man, population studies indicated that the large interindividual variability in plasma
ACE
levels is genetically determined. An insertion/deletion polymorphism located in an intron of
ACE
gene is associated with differences in the level of
ACE
in plasma and cells. The physiological and clinical implications of these observations is discussed.
...
PMID:[Angiotensin converting enzyme (kininase II). Molecular and physiological aspects]. 133 89
Two metallopeptidases,
angiotensin converting enzyme
(
ACE
) and neutral endopeptidase (NEP) are involved respectively in the release of angiotensin II which is a vasoconstrictor, and in the metabolism of atrial natriuretic peptide which is diuretic and
bradykinin
which is a vasodilatator. The dual inhibition of these two peptidases represents a new way to regulate the blood pressure in various cardiovascular diseases. Taking into account the mechanism of action of metallopeptidases and the substrate specificity of
ACE
and NEP, dual inhibitors corresponding to the general formula HS-CH2-CH(R1)CONH-CH(R2)COOH and HS-CH(R1)CONH-CH(R2)CONH-CH(R3)COOH and having inhibitory potencies on each enzyme in the nanomolar range were designed. The most efficient inhibitors have been transformed into lipophilic prodrugs which were found to be active after oral administration. These compounds have been tested on an experimental model of hypertension in rats and, as expected, have been shown to be both diuretic (NEP inhibition) and hypotensive (
ACE
inhibition).
...
PMID:[Dual inhibition of converting enzyme and neutral endopeptidase: a research new way in the field of hypertension]. 133 91
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