Key result
The truncated ANF analog A-68828 demonstrated full agonist activity, inhibiting ACTH-induced aldosterone release by 100% compared to 50% for ANF 1-28, with selective natriuretic activity.
The truncated ANF analog A-68828 retains full agonist activity with selective natriuretic effects and minimal hypotension, indicating potential therapeutic utility for acute renal failure.
May inform analog design for selective effects; leaves open translation to human acute renal failure.
The synthesis, receptor binding, and agonist activity of a series of truncated atrial natriuretic analogs (ANF) are described. These analogs incorporate two portions of the native 28 amino peptide, the eight amino acids C-terminal to Cys7, and two amino acids from the C-terminus (phenylalanine and arginine), into disulfide-bonded cyclic peptides. The inclusion of the C-terminal amino acids converted the ANF analogs from receptor ligands to full agonists, as measured by several methods, including the stimulation of cGMP biosynthesis in endothelial cells, inhibition of aldosterone biosynthesis in rat adrenal cells, and natriuretic-hypotensive activity in vivo. The most potent analogs have cyclohexylalanine (Cha) at position 8. The lead compound (Arg6,Cha8 ANF 6-15 Phe-Arg-Cys-NH2) is a tridecapeptide that integrates the C-terminal amino acids inside the disulfide ring. This peptide, designated as A-68828, has a binding affinity of IC50 = 120 nM, approximately 1/400 of ANF 1-28. However, this analog, in vivo, is only slightly less natriuretic (1/20-1/50) than ANF 1-28. Unlike the native peptide, A-68828 is only mildly hypotensive and at the highest concentration tested reduced blood pressure less than 15 mmHg (1 mmHg = 133.322 Pa). A-68828 inhibited ACTH-induced aldosterone release to a greater extent than ANF 1-28: 100 vs. 50%. The selective natriuretic activity of A-66828, relative to ANF, suggests clinical utility for the treatment of acute renal failure.
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Holleman et al. (1991) studied this question. A-68828 (truncated ANF analog) vs. ANF 1-28 was evaluated on Receptor binding affinity, natriuretic activity, hypotensive activity, and aldosterone release inhibition. The truncated ANF analog A-68828 demonstrated full agonist activity, inhibiting ACTH-induced aldosterone release by 100% compared to 50% for ANF 1-28, with selective natriuretic activity.
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