Structural modifications to keto-ACE can confer specific C-domain or N-domain selectivity, providing a basis for novel ACE inhibitor design.
Should not change ACE inhibitor practice; leaves open whether domain-selective agents improve outcomes in humans.
Inhibition of angiotensin I-converting enzyme (ACE) has become an effective strategy in the treatment of hypertension and cardiovascular disease. Keto-ACE, a previously described C-domain selective ACE inhibitor, was used as the basis for the design, synthesis and molecular modelling of a series of novel ketomethylene derivatives for which ACE inhibition profiles and structural characterisation are reported. Ki determinations indicated that the introduction of a bulky aromatic tryptophan at the P2' position of keto-ACE significantly increased selectivity for the C-domain, while an aliphatic P2 Boc group conferred N-domain selectivity. These data were supported by the potential energies of the compounds docked with the C- and N-domains of ACE.
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Redelinghuys et al. (2006) studied this question. Novel ketomethylene derivatives of keto-ACE was evaluated on ACE inhibition profiles and structural characterisation (Ki determinations).
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