Antihypertensive Agents - Renin-angiotensin System Targeting Drugs Flashcards
How does the renin angiotensin aldosterone system work
What is the effect of angiotensin II
Increase sympathetic activity
Tubular Na+ Cl- reabsorption and K+ excretion. H2O retention
Stimulate adrenal gland cortex
Arteriolar vasoconstriction
Stimulate pituitary gland - antidiuretic secretion
What is angiotensinogen
What is angiotensin I
Decapeptide
What is angiotensin II
Octapeptide
What is angiotensin III
Heptapeptide
What are the drugs for the renin-angiotensin system
What else can ACE inhibitors inhibit apart from conversion of angiotensin I to II
Bradykinin metabolism to the inactive form - causing an increase of bradykinin
What is the effect of bradykinin increase
Explain mode of binding of angiotensin I to ACE
What is the role of zinc in ACE
Weaken the bind to hydrolysis the peptide link - removing 2 amino acids
What is the important amino acid for ACE inhibitor
Proline
Why did they want to prepare peptide similar to those of the snake venom
What is teprotide
What was the first ACE inhibitor antihypertensive agent
Captopril (capoten)
Explain ACE inhibitors
What are the 3 groups of ACEIs
Why were dicarboxylate containing inhibitors developed