Abstract
Two types of inhibitors of the renin-angiotensin system have been available for clinical research.1,2 They both have the severe shortcoming that they must be administered parenterally, which makes chronic blockade of the system practically impossible. Furthermore, saralasin, a competitive inhibitor of the active hormone angiotensin II, has the disadvantage of inherent agonistic properties.3,4 On the other hand, because angiotensin-converting enzyme is identical with kininase II, its inhibitor teprotide (SQ 20,881) not only blocks angiotensin II generation but simultaneously may increase bradykinin,5 a potentially vasodilating hormone.
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Pals DT, Masucci FD, Sipos F, Denning GS Jr: A specific competitive antagonist of the vascular action of angiotensin II. Circ Res 29:664–672, 1971.
Ondetti MA, Williams NJ, Sabo EF, Plusec J, Weaver ER, Kocy O: Angiotensinconverting enzyme inhibitors from the venom of Bothrops fararaca: Isolation, elucidation of structure and synthesis. Biochemistry 10:4033–4039, 1971.
Streeten DHP, Anderson GH, Freiberg JM, Dalakos TG: Use of angiotensin II antagonist (saralasin) in the recognition of “angiotensinogenic” hypertension. N Engl J Med 292:657–662, 1975.
Gavras H, Ribeiro A, Brunner HR, Gavras I: Reciprocal relationship between renin dependency and sodium dependency in essential hypertension. N Engl J Med 295:1278–1283, 1976.
Erdös EG: Angiotensin I converting enzyme. Circ Res 36:247–255, 1975.
Brunner HR, Gavras H, Laragh JH, Keenan R: Hypertension in man. Exposure of the renin and sodium components using angiotensin II blockade. Circ Res (suppl) 1:35–45, 1974.
Vaughan ED, Peach MJ Jr: Saralasin. Kidney Int 15(Suppl 9), 1979.
Gavras J, Brunner HR, Laragh JH, Sealey JE, Gavras I, Vukovich RA: The use of an angiotensin converting enzyme inhibitor to identify and treat vasoconstrictor and volume factors in hypertensive patients. N EnglJ Med 291:817–821, 1974.
Case DB, Wallace JM, Keim HJ, Weber MA, Drayer JIM, White RP, Sealey JE, Laragh JH: Estimating renin participation in hypertension: Superiority of converting enzyme inhibitor over saralasin. AmJ Med 61:790–796, 1976.
Nielsen I, Clausen E, Jensen G: Plasma renin activity in chronic nephropathy. Acta Med Scand 188:351–354, 1970.
Brown JJ, Düsterdieck G, Fraser R, Lever AF, Robertson JIS, Iree M, Weir RJ: Hypertension and chronic renal failure. Br Med Bull 21:128–135, 1971.
Weidmann P, Maxwell M H, Lupn AN, Lewin AJ, Massry SG: Plasma renin activity and blood pressure in terminal renal failure. N EnglJ Med 285:757–762, 1971.
Schalekamp MA, Beevers DG, Briggs JD, Brown JJ, Davies DL, Fraser R, Lebel M, Lever AF, Medina A, Morton JJ, Robertson JIS, Tree M: Hypertension in chronic renal failure. An abnormal relation between sodium and the renin-agiotensin system. Am J Med 55:379–390, 1973.
Weidmann P, Beretta-Piccoli C, Steffen F, Blumberg A, Reubi FC: Hypertension in terminal renal failure. Kidney Int 9:294–301, 1976.
Weidmann P, Maxwell MH: Hypertension, in: Massry SG and Sellers AL (eds), Clinical aspects of Uremia and Dialysis. Springfield, Charles C Thomas, pp 100–145, 1976.
Vertes V, Cangiano JL, Berman LB, Gould A: Hypertension in end-stage renal disease. N EnglJ Med 280:978–981, 1969.
Lazarus JM, Hampers CL, Bennett AH, Vandam LD, Merrill JP: Urgent bilateral nephrectomy for severe hypertension. Ann Intern Med 76:733–739, 1972.
Onesti G, Swartz C, Ramirez O, Brest AN: Bilateral nephrectomy for control of hypertension in uremia. Trans Am Soc Artif Intern Organs 14:361–366, 1968.
Mimran A, Shaldon D, Barjon P, Mion C: The effect of an angiotensin antagonist (saralasin) on arterial pressure and plasma aldosterone in hemodialysis-resistant hypertensive patients. Clin Nephrol 9:63–67, 1978.
Turini GA, Brunner HR, Ferguson RK, Rivier JL, Gavras H: Improvement of cardiac function by angiotensin II blockade. Clin Res 25:258A, 1977.
Turini G A, Brunner HR, Ferguson RK, Rivier JL, Gavras H: Congestive heart failure in normotensive man. Haemodynamics, renin, and angiotensin II blockade. Br Heart J 40:1134–1142, 1978.
Ferguson RK, Turini GA, Brunner HR, Gavras H, McKinstry D: A specific orally active inhibitor of angiotensin-converting enzyme in man. Lancet 1:775–778, 1977.
Brunner HR, Gavras H, Waeber B, Kershaw GR, Turini GA, Vukovich RA, McKinstry DN, Gavras I: Oral angiotensin-converting enzyme inhibitor in long-term treatment of hypertensive patients. Ann Intern Med 90:19–23, 1979.
Wauters JP, Waeber B, Brunner HR, Guignard JP, Turini GA, Gavras H: Blockade of the renin system by captorpil in patients with “uncontrollable” hypertension on hemodialysis. Kidney Int 15:588, 1979.
Mimran A, Brunner HR, Turini GA, Waeber B, Brunner D: Effect of Captopril on renal vascular tone in patients with essential hypertension. Clin Sci 57:421s–423s, 1979.
Turini GA, Brunner HR, Gribic M, Waeber B, Gavras H: Improvement of chronic congestive heart-failure by oral captopril. Lancet 1:1213–1216, 1979.
Brunner HR, Laragh JH, Baer L, Newton MA, Goodwin FT, Krakoff LR, Bard RH, Bühler RT: Essential hypertention: Renin and aldosterone, heart attack and stroke. N EnglJ Med 286:441–449, 1972.
Peuler JD, Johnson G: Simultaneous single isotope radioenzymatic assay of plasma norepinephrine, epinephrine and dopamine. Life Sci 21:625, 1977.
Brunner HR, Chang P, Wallach R, Sealey JE, Laragh JH: Angiotensin II vascular receptors: Their avidity in relationship to sodium balance, the autonomic nervous system and hypertension. J Clin Invest 51:58–67, 1972.
Gavras H, Brunner HR, Turini GA, Kershaw GR, Tifft CP, Cuttelod S, Gavras I, Vukovich RA, McKinstry DN: Antihypertensive effect of the oral angiotensin converting-enzyme inhibitor SQ 14,225 in man. N EnglJ Med 298:991–995, 1978.
Brunner HR, Waeber B, Wauters JP, Turini G A, McKinstry DN, Gavras H: Inappropriate renin secretion unmasked by captopril (SQ 14,225) in hypertension of chronic renal failure. Lancet 2:704–707, 1978.
Brunner HR, Waeber B, Gavras H: Rational use of Captopril. Lancet 1:832, 1979.
Bühler FR, Laragh JH, Baer L, Vaughan ED, Brunner HR: Propranolol inhibition of renin secretion. A specific approach to diagnosis and treatment of renin-dependent hypertensive diseases. N EnglJ Med 287:1209–1214, 1972.
Gavras H, Faxon DP, Berkoben J, Brunner HR, Ryan TJ: Angiotensin converting enzyme inhibition in patients with congestive heart failure. Circulation 58:770–776, 1978.
Curtiss C, Cohn JN, Vrobel T, Franciosa JA: Role of the renin-angiotensin system in the systemic vasoconstriction of chronic congestive heart failure. Circulation 58:763–770, 1978.
Brunner HR, Wauters, JP, Waeber, B, Gavras, H: The renin-angiotensin system in hypertensive patients with chronic renal failure. Mitt Klin Nephrologi 8:4–14, 1979.
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© 1980 Plenum Publishing Corporation
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Brunner, H.R., Gavras, H., Waeber, B., Turini, G.A., Wauters, J.P. (1980). Captopril. In: Case, D.B., Sonnenblick, E.H., Laragh, J.H. (eds) Captopril and Hypertension. Topics in Cardiovascular Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-9179-5_11
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DOI: https://doi.org/10.1007/978-1-4615-9179-5_11
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