ace inhibitors

ACE 抑制剂
  • 文章类型: Journal Article
    生物活性肽(BPs)是短氨基酸序列,已知表现出生理特性,如抗氧化剂,抗菌,抗高血压和抗糖尿病特性,这表明它们可以被用作营养食品行业的功能性食品。这些BP可以来自各种食物来源,包括牛奶,肉,海洋,和植物蛋白。在过去的十年里,各种方法,包括硅,在体外,已经探索了体内技术来揭示BP的潜在机制。为了预测肽与其靶标之间的相互作用,在计算机模拟方法中,如BIOPEP,已经采用了分子对接和定量结构-活性关系建模。此外,体外研究已经检查了BP如何影响酶活性,蛋白质表达,和细胞培养。相反,体内研究评估了BP对动物模型和人类受试者的影响。因此,根据最近的文学,这篇综述研究了牛奶生产BP的多方面问题,肉,海洋,和植物蛋白及其潜在的生物活性。我们设想所讨论的各种概念将有助于更好地理解食品衍生的BP生产,这可以为它们在营养品行业的潜在应用铺平道路。
    Bioactive peptides (BPs) are short amino acid sequences that that are known to exhibit physiological characteristics such as antioxidant, antimicrobial, antihypertensive and antidiabetic properties, suggesting that they could be exploited as functional foods in the nutraceutical industry. These BPs can be derived from a variety of food sources, including milk, meat, marine, and plant proteins. In the past decade, various methods including in silico, in vitro, and in vivo techniques have been explored to unravel underlying mechanisms of BPs. To forecast interactions between peptides and their targets, in silico methods such as BIOPEP, molecular docking and Quantitative Structure-Activity Relationship modeling have been employed. Additionally, in vitro research has examined how BPs affect enzyme activities, protein expressions, and cell cultures. In vivo studies on the contrary have appraised the impact of BPs on animal models and human subjects. Hence, in the light of recent literature, this review examines the multifaceted aspects of BPs production from milk, meat, marine, and plant proteins and their potential bioactivities. We envisage that the various concepts discussed will contribute to a better understanding of the food derived BP production, which could pave a way for their potential applications in the nutraceutical industry.
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  • 文章类型: Journal Article
    非缺血性扩张型心肌病(NIDCM)是一种心力衰竭,预后不良,最佳治疗方法不明确。该研究的目的是系统回顾文献,评估β受体阻滞剂和血管紧张素转换酶(ACE)抑制剂在NIDCM继发慢性心力衰竭治疗中的疗效和安全性,并探讨其推定的作用机制。
    使用PubMed和EMBASE审查了1990年至2023年的研究,关注它们对NIDCM患者左心室射血分数(LVEF)的影响,根据系统评价和荟萃分析(PRISMA)指南的首选报告项目。
    β-受体阻滞剂对NIDCM的LVEF改善显示出明显的有益作用,总体效应大小为科恩d=1.30,95%置信区间(CI)(0.76,1.84),高异质性(Tau2=0.90;Chi2=162.05,df=13,P<0.00001;I2=92%),总体效应显著(Z=4.72,P<0.00001)。ACE抑制剂也显示出有益的作用,但异质性较小(Tau2=0.02;Chi2=1.09,df=1,P=0.30;I2=8%),总体效应不显著(Z=1.36,P=0.17),95%CI(-0.24,1.31)。
    该研究强调了卡维地洛在改善NIDCM患者LVEF方面的功效,推荐β受体阻滞剂作为一线治疗,并主张进一步研究ACE抑制剂。
    UNASSIGNED: Non-ischemic dilated cardiomyopathy (NIDCM) is a form of heart failure with a poor prognosis and unclear optimal management. The aim of the study was to systematically review the literature and assess the efficacy and safety of beta-blockers and angiotensin-converting enzyme (ACE) inhibitors in the management of chronic heart failure secondary to NIDCM and explore their putative mechanisms of action.
    UNASSIGNED: Studies from 1990 to 2023 were reviewed using PubMed and EMBASE, focusing on their effects on left ventricular ejection fraction (LVEF) in NIDCM patients, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
    UNASSIGNED: Beta-blockers showed a significant beneficial effect on LVEF improvement in NIDCM, with an overall effect size of Cohen\'s d = 1.30, 95% confidence interval (CI) (0.76, 1.84), high heterogeneity (Tau2 = 0.90; Chi2 = 162.05, df = 13, P < 0.00001; I2 = 92%), and a significant overall effect (Z = 4.72, P < 0.00001). ACE inhibitors also showed a beneficial role, but with less heterogeneity (Tau2 = 0.02; Chi2 = 1.09, df = 1, P = 0.30; I2 = 8%) and a nonsignificant overall effect (Z = 1.36, P = 0.17), 95% CI (-0.24, 1.31).
    UNASSIGNED: The study highlights the efficacy of carvedilol in improving LVEF in NIDCM patients over ACE inhibitors, recommends beta-blockers as first-line therapy, and advocates further research on ACE inhibitors.
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  • 文章类型: Journal Article
    评估和缓解与销售药品中亚硝胺相关的潜在致癌风险是制药公司和卫生当局都感兴趣的领域。在使用SAR确定N-亚硝胺原料药相关杂质(NDSRIs)的可接受摄入量(AI)水平方面取得了重大进展,然而,一些化合物需要实验数据来支持推荐的AI的推导。许多血管紧张素转换酶抑制剂,由后缀“pril”标识,“有仲胺,可以潜在地反应形成亚硝胺。这里我们考虑结构评估和代谢数据,加上全面的体外和体内(小鼠)遗传毒性测试,以评估这种特殊类型的亚硝胺。N-亚硝基雷米普利和N-亚硝基喹那普利,由于空间位阻和α位置的分支,这两种方法都被预测抑制了亚硝胺的生物活化,在体内肝彗星试验中是非基因毒性的,在体内BigBlue®突变和双链测序试验中是非诱变的。预测的代谢以及与DNA相互作用相关的体外代谢数据和量子化学计算为在体外和体内测试中观察到的阴性结果提供了分子基础。这些亚硝胺被认为是非诱变和非致癌的;因此,应根据ICHQ3B指南进行控制。此外,在评估其他结构相似的“普利”NDSRI的适当AI和控制策略时,应考虑N-亚硝基雷米普利和N-亚硝基喹那普利的这些结果。
    Evaluation and mitigation of the potential carcinogenic risks associated with nitrosamines in marketed pharmaceutical products are areas of interest for pharmaceutical companies and health authorities alike. Significant progress has been made to establish acceptable intake (AI) levels for N-nitrosamine drug substance-related impurities (NDSRIs) using SAR, however some compounds require experimental data to support derivation of a recommended AI. Many angiotensin-converting enzyme inhibitors, identified by the suffix \"pril,\" have secondary amines that can potentially react to form nitrosamines. Here we consider a structural assessment and metabolism data, coupled with comprehensive in vitro and in vivo (mouse) genotoxicity testing to evaluate this particular class of nitrosamines. N-nitroso ramipril and N-nitroso quinapril, both of which are predicted to have inhibited nitrosamine bioactivation due to steric hinderance and branching at the α-position were non-genotoxic in the in vivo liver comet assay and non-mutagenic in the in vivo Big Blue® mutation and duplex sequencing assays. Predicted metabolism along with in vitro metabolism data and quantum chemical calculations related to DNA interactions offer a molecular basis for the negative results observed in both in vitro and in vivo testing. These nitrosamines are concluded to be non-mutagenic and non-carcinogenic; therefore, they should be controlled according to ICH Q3B guidance. Furthermore, these results for N-nitroso ramipril and N-nitroso quinapril should be considered when evaluating the appropriate AI and control strategy for other structurally similar \"pril\" NDSRIs.
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  • 文章类型: Case Reports
    一名两岁的男性面纱变色龙(Chamaeleocalyptratus)因脉络膜水肿和双侧眼睑水肿而被转诊。超声心动图显示心室肥大,心包积液,和右房室瓣的瓣膜返流。用氢氯噻嗪治疗,依那普利,卡维地洛开始了。治疗3周内,瓣膜反流明显减少。在治疗的第4周,超声心动图显示心肌肥厚减少.经过一个月的家庭治疗,患者出现厌食症和活动减少。尽管有支持性护理,病人死了。组织病理学显示心外膜轻度至中度纤维化。中度至重度纤维化,肌原纤维的变性,脂肪萎缩,心房可见间质性水肿和轻度钙化。内膜内膜,心脏主要血管的中膜和外膜中度纤维化,肿胀和粘液水肿的干扰。肾脏组织病理学显示肾小球中度硬化和萎缩,管状上皮的空泡化,纤维化,以及间质中白细胞的浸润。氢氯噻嗪的治疗方案,ACE抑制剂依那普利和β受体阻滞剂卡维地洛减少了心肌肥厚和瓣膜反流;然而,长期使用利尿剂危害了我们患者的肾功能。爬行动物患者需要使用利尿剂进行频繁的血液分析。
    A two-year-old male veiled chameleon (Chamaeleo calyptratus) was referred for a gular oedema and bilateral blepharoedema. The echocardiography revealed a ventricular hypertrophy, pericardial effusion, and valvular regurgitation of the right atrioventricular valve. Treatment with hydrochlorothiazide, enalapril, and carvedilol was commenced. Within 3 weeks of treatment, the valvular regurgitation was noticeably decreased. In the 4th week of treatment, the echocardiography revealed a reduction in the myocardium hypertrophy. After an additional month of home treatment, the patient was presented with anorexia and decreased activity. Despite the supportive care, the patient died. The histopathology revealed mild to moderate fibrosis of the epicardium. Moderate to severe fibrosis, degeneration of the myofibrils, fatty atrophy, interstitial oedema and mild calcification was seen in the atria. The tunica intima, media and adventitia of the major cardiac vessels were moderately fibrotic, swollen and interfused by myxoedema. The kidney histopathology revealed moderate sclerosis and atrophy of the glomeruli, vacuolation of the tubular epithelium, fibrosis, and infiltration of the leucocytes in the interstitium. The therapeutic protocol with hydrochlorothiazide, ACE inhibitor enalapril and β-blocker carvedilol reduced the myocardium hypertrophy and the valvular regurgitation; however, the prolonged use of diuretics jeopardized the renal function in our patient. Frequent blood analyses are necessary using diuretics in reptile patients.
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  • 文章类型: Journal Article
    在心血管疾病(CVD)如高血压的药理学策略范围内,中风,心力衰竭,靶向血管紧张素转换酶I(ACE-I)是一种重要的治疗方法。本研究使用蒙特卡罗优化技术进行QSAR建模,以研究一系列以ACE-I抑制特性而闻名的化合物。建模过程涉及利用局部分子图不变量和SMILES符号作为描述符来开发与构象无关的QSAR模型。数据集被分割成不同的集合进行训练,校准,和测试,以确保模型的准确性。通过各种统计分析的应用,功效,可靠性,并对模型的预测能力进行了评估,展示有希望的结果。此外,鉴定了源自SMILES符号描述符的分子片段,以阐明在化合物中观察到的活性变化。通过分子对接对QSAR模型和设计的抑制剂进行了验证,与QSAR结果吻合良好。为了确定设计分子的药物价值,计算了它们的物理化学性质,帮助预测ADME参数,药代动力学属性,药物相似,和药物化学相容性。
    Within the realm of pharmacological strategies for cardiovascular diseases (CVD) like hypertension, stroke, and heart failure, targeting the angiotensin-converting enzyme I (ACE-I) stands out as a significant treatment approach. This study employs QSAR modeling using Monte Carlo optimization techniques to investigate a range of compounds known for their ACE-I inhibiting properties. The modeling process involved leveraging local molecular graph invariants and SMILES notation as descriptors to develop conformation-independent QSAR models. The dataset was segmented into distinct sets for training, calibration, and testing to ensure model accuracy. Through the application of various statistical analyses, the efficacy, reliability, and predictive capability of the models were evaluated, showcasing promising outcomes. Additionally, molecular fragments derived from SMILES notation descriptors were identified to elucidate the activity changes observed in the compounds. The validation of the QSAR model and designed inhibitors was carried out via molecular docking, aligning well with the QSAR results. To ascertain the drug-worthiness of the designed molecules, their physicochemical properties were computed, aiding in the prediction of ADME parameters, pharmacokinetic attributes, drug-likeness, and medicinal chemistry compatibility.
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  • 文章类型: Journal Article
    血管紧张素转换酶(ACE)独立于其心血管臂对髓系细胞功能具有很强的调节作用。ACE过表达的小鼠巨噬细胞模型的成功,ACE10/10在治疗微生物感染和癌症方面为ACE在人类巨噬细胞中的过表达是否共享这些益处开辟了新途径。此外,因为ACE抑制剂是一种广泛使用的抗高血压药物,它们对表达ACE的免疫细胞的影响是令人感兴趣的,目前还未得到充分研究.在本研究中,我们利用质谱来表征和评估ACE过表达的人THP-1细胞系的整体蛋白质组变化。此外,用ACEC结构域选择性抑制剂治疗后的蛋白质组变化和细胞摄取,赖诺普利-色氨酸,也进行了评估。ACE活性在抑制剂处理后显著降低,尽管细胞内的摄取有限,RNA加工和免疫途径都随着治疗而显著失调。还存在具有ACE过表达的上调的能量和TCA循环蛋白以及失调的细胞因子和白介素信号蛋白。一部小说,ACE过表达和抑制剂治疗均出现功能富集的免疫途径是中性粒细胞脱颗粒。人巨噬细胞内ACE过表达与ACE10/10鼠巨噬细胞相似,为旨在理解改变的免疫功能的机理研究铺平了道路。
    Angiotensin converting enzyme (ACE) exerts strong modulation of myeloid cell function independently of its cardiovascular arm. The success of the ACE-overexpressing murine macrophage model, ACE 10/10, in treating microbial infections and cancer opens a new avenue into whether ACE overexpression in human macrophages shares these benefits. Additionally, as ACE inhibitors are a widely used antihypertensive medication, their impact on ACE expressing immune cells is of interest and currently understudied. In the present study, we utilized mass spectrometry to characterize and assess global proteomic changes in an ACE-overexpressing human THP-1 cell line. Additionally, proteomic changes and cellular uptake following treatment with an ACE C-domain selective inhibitor, lisinopril-tryptophan, were also assessed. ACE activity was significantly reduced following inhibitor treatment, despite limited uptake within the cell, and both RNA processing and immune pathways were significantly dysregulated with treatment. Also present were upregulated energy and TCA cycle proteins and dysregulated cytokine and interleukin signaling proteins with ACE overexpression. A novel, functionally enriched immune pathway that appeared both with ACE overexpression and inhibitor treatment was neutrophil degranulation. ACE overexpression within human macrophages showed similarities with ACE 10/10 murine macrophages, paving the way for mechanistic studies aimed at understanding the altered immune function.
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  • 文章类型: Journal Article
    已知肾素-血管紧张素系统(RAS)会影响多种生理过程,从而影响许多关键器官的功能。血管紧张素转换酶(ACE)调节多种与疼痛相关的生物活性肽。ACE抑制剂(ACEis)已在心血管疾病的治疗中找到应用,肾,神经和代谢紊乱。然而,ACEis也倾向于显示不良效果,导致疼痛敏化和机械性异常性疼痛增加。在这次审查中,我们全面讨论了临床前和临床研究,涉及各种临床批准的ACEis的评估.随着对RAS信号传导中涉及的其他因素的认识和ACE底物在疼痛中的不明确的药理学作用,仍然需要广泛的研究来阐明ACE在疼痛感知中的机制作用。
    The renin-angiotensin system (RAS) is known to affect diverse physiological processes that affect the functioning of many key organs. Angiotensin-converting enzyme (ACE) modulates a variety of bioactive peptides associated with pain. ACE inhibitors (ACEis) have found applications in the treatment of cardiovascular, kidney, neurological and metabolic disorders. However, ACEis also tend to display undesirable effects, resulting in increased pain sensitization and mechanical allodynia. In this review, we provide comprehensive discussion of preclinical and clinical studies involving the evaluation of various clinically approved ACEis. With the emerging knowledge of additional factors involved in RAS signaling and the indistinct pharmacological role of ACE substrates in pain, extensive studies are still required to elucidate the mechanistic role of ACE in pain perception.
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  • 文章类型: Journal Article
    抑制ACE被认为是降低高血压的主要策略之一。来自碱蓬的ACE抑制剂(S.莎莎)提出了一种新型的抗高血压药来源。本研究采用3D-QSAR药效团,代谢组学,基于对接的筛选,和分子动力学模拟,以鉴定S.salsa的ACE抑制剂。一组53种已知分子在化学上是多样化的,以构建用于预测目的的3D-QSAR模型。使用UPLC-QqQ-MS/MS和UPLC-Q-TOF-LC-MS技术对S.鉴定出211种和586种生物活性代谢产物,分别。共收集到680个化合物用于数据库构建和虚拟筛选。进行ADMET评估以评估药物相似度和药代动力学参数。此外,分子对接结果表明,六个顶级化合物与ACE紧密结合。特别是,地奥司明可以通过氢键与ACE相互作用,Pi-阳离子键,和金属键。随后采用分子动力学(MD)模拟和MMPBSA计算来阐明复杂的稳定性以及地奥司明与ACE之间的相互作用。表明它有很强的ACE抑制活性。总之,这项研究表明,莎莎草是抗高血压药物的潜在来源.
    在线版本包含补充材料,可在10.1007/s40203-024-00233-0获得。
    Inhibition of ACE is considered as one of the main strategies to reduce hypertension. ACE inhibitors derived from Suaeda salsa (S. salsa) present a novel antihypertensive agent source. This study employed 3D-QSAR pharmacophore, metabolomics, docking-based screening, and molecular dynamics simulations to identify ACE inhibitors from S. salsa. A set of 53 known molecules was chemically diverse to construct a 3D-QSAR model for predictive purposes. S. salsa was characterized using UPLC-QqQ-MS/MS and UPLC-Q-TOF-LC-MS techniques, 211 and 586 kinds of bioactive metabolites were identified, respectively. A total of 680 compounds were collected for database construction and virtual screening. An ADMET assessment was conducted to evaluate drug-likeness and pharmacokinetics parameters. Moreover, molecular docking results show that six top hit compounds bind to ACE tightly. Specially, diosmin could interact with ACE by hydrogen bond, Pi-cation bond, and metal bond. Molecular dynamics (MD) simulation and MMPBSA calculations were subsequently employed to elucidate complex stability and the interaction between diosmin and ACE, indicating it a strong ACE inhibitory activity. In conclusion, this study suggests that S.salsa represents a potential source of antihypertensive agents.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s40203-024-00233-0.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    本研究报告了热预处理的效果和使用不同的商业蛋白水解酶(Protamex,调味剂,Protanaprime,和Alcalase)对游离氨基酸含量(FAA),肽谱,和抗氧化剂,抗糖尿病药,抗高血压药,和抗炎潜力(DPPH,FRAP,和ABTS分析,DPP-IV,ACE-I,和NEP抑制活性)干燥的火腿骨水解物。还测定了体外消化的效果。热预处理显著提高了水解度,FAA,以及DPP-IV和ACE-I抑制活性。所用肽酶的类型是影响抗氧化活性和脑啡肽抑制活性的最重要因素。Protanaprime水解产物无法抑制DPP-IV和脑啡肽酶,并且ACE-I抑制活性值较低。体外消化后,在大多数情况下,生物活性保持恒定,甚至ACE-I抑制活性增加。因此,干腌制火腿骨的水解产物可以作为功能性食品成分的潜在来源,以改善健康。
    This study reports the effect of thermal pretreatment and the use of different commercial proteolytic enzymes (Protamex, Flavourzyme, Protana prime, and Alcalase) on the free amino acid content (FAA), peptide profile, and antioxidant, antidiabetic, antihypertensive, and anti-inflammatory potential (DPPH, FRAP, and ABTS assay, DPP-IV, ACE-I, and NEP inhibitory activities) of dry-cured ham bone hydrolyzates. The effect of in vitro digestion was also determined. Thermal pretreatment significantly increased the degree of hydrolysis, the FAA, and the DPP-IV and ACE-I inhibitory activities. The type of peptidase used was the most significant factor influencing antioxidant activity and neprilysin inhibitory activity. Protana prime hydrolyzates failed to inhibit DPP-IV and neprilysin enzymes and had low values of ACE-I inhibitory activity. After in vitro digestion, bioactivities kept constant in most cases or even increased in ACE-I inhibitory activity. Therefore, hydrolyzates from dry-cured ham bones could serve as a potential source of functional food ingredients for health benefits.
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