Why the study?
Do the novel ACE inhibitors CGS 13945 and CGS 13934 reduce blood pressure in hypertensive animal models?
Do the novel ACE inhibitors CGS 13945 and CGS 13934 reduce blood pressure in hypertensive animal models?
CGS 13945 and CGS 13934 demonstrate antihypertensive efficacy in rats comparable to captopril, but species differences in endogenous hydrolysis limit efficacy in dogs.
Species differences limit dog translation of rat ACE inhibitor efficacy; leaves open human applicability pending further models.
CGS 13945 (1‐(4‐(ethoxycarbonyl)‐2,4‐dimethyl‐2R,4R‐butyryl)‐2,3‐dihydro‐2S‐indole‐2‐carboxylic acid) and CGS 13934 (its dicarboxylic acid derivative) are nonthiol angiotensin‐converting enzyme (ACE) inhibitors which have antihypertensive properties. Acute administration of CGS 13945 lowers systolic pressure in spontaneously hypertensive rats (SHR) and sodium depletion enhances the blood pressure reduction; the acute antihypertensive effects of CGS 13934 are minimal. Acute administration of CGS 13945 or CGS 13934 also elevates plasma renin activity, especially in sodium‐depleted SHR. CGS 13945 reduces systolic blood pressure of SHR in a dose‐dependent manner following oral administration on each of 4 consecutive days, whereas the antihypertensive effect of CGS 13934 is not apparent until the third day of drug administration. After 3 consecutive daily doses, 30 mg/kg (PO) of CGS 13945, CGS 13934 or captopril produce equal antihypertensive effects. CGS 13945 also reduces systolic blood pressure of sodium‐depleted normotensive rats. Daily oral administration of CGS 13945 to either sodium‐replete or ‐deplete perinephritic hypertensive dogs does not appreciably affect mean arterial pressure. Results suggest that CGS 13945 must be endogenously de‐esterified to the free acid form for endowment of optimal biological activity to inhibit the ACE. While the rat is apparently capable of such hydrolysis, the dog's capacity for endogenous hydrolysis appears to be quite limited.
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Miller et al. (1984) studied this question.
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