Key result
Compound 21, a triple inhibitor of NEP, ACE, and ECE with a 7-azatryptophan in the P2' position, demonstrated improved pharmacologic activity compared to lead compound 1.
Structural optimization of a triple vasopeptidase inhibitor yielded a compound with improved pharmacologic activity, representing a potential future therapeutic avenue for chronic heart failure.
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Hypothesis-generating for triple vasopeptidase inhibition in heart failure; requires human validation before clinical consideration.
Three zinc metallopeptidases are implicated in the regulation of fluid homeostasis and vascular tone and represent interesting targets for the treatment of chronic heart failure. We have previously reported the synthesis of a triple inhibitor able to simultaneously inhibit neprilysin (NEP, EC 3.4.24.11), angiotensin-converting enzyme (ACE, EC 3.4.15.1) and endothelin-converting enzyme (ECE-1, EC 3.4.24.71) with nanomolar potency towards NEP and ACE and a lesser affinity for ECE. Here, we report the optimization and biological activities of analogs derived from lead compound 1 (2S)-2-[(2R)-2-((1S)-5-bromo-indan-1-yl)-3-mercapto-propionylamino]-3- (1H-indol-3-yl)-propionic acid by a structural approach. Among several inhibitors, compound 21, (2S)-2-[(2R)-2-((1S)-5-bromo-indan-1-yl)-3-mercapto-propionylamino]-3-(1H-pyrrolo[2,3-b]pyridin-3-yl)-propionic acid was selected by taking into account its good molecular adaptation with the recently published structures of the three vasopeptidases. This optimization procedure led to an improved pharmacologic activity when compared with 1.
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Inguimbert et al. (2004) studied Chronic heart failure. Compound 21 vs. Lead compound 1 was evaluated on Pharmacologic activity. Compound 21, a triple inhibitor of NEP, ACE, and ECE with a 7-azatryptophan in the P2' position, demonstrated improved pharmacologic activity compared to lead compound 1.
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