Novel therapeutic approaches targeting the renin-angiotensin system and associated peptides in hypertension and heart failure

LB Arendse, AHJ Danser, M Poglitsch, RM Touyz… - Pharmacological …, 2019 - Elsevier
Despite the success of renin-angiotensin system (RAS) blockade by angiotensin-converting
enzyme (ACE) inhibitors and angiotensin II type 1 receptor (AT 1 R) blockers, current …

Neprilysin inhibitors in heart failure: the science, mechanism of action, clinical studies, and unanswered questions

B Bozkurt, AP Nair, A Misra, CZ Scott, JH Mahar… - Basic to Translational …, 2023 - jacc.org
This article provides a contemporary review and a new perspective on the role of neprilysin
inhibition in heart failure (HF) in the context of recent clinical trials and addresses potential …

The natriuretic peptides system in the pathophysiology of heart failure: from molecular basis to treatment

M Volpe, M Carnovali, V Mastromarino - Clinical Science, 2016 - portlandpress.com
After its discovery in the early 1980s, the natriuretic peptide (NP) system has been
extensively characterized and its potential influence in the development and progression of …

Combined angiotensin receptor antagonism and neprilysin inhibition

SA Hubers, NJ Brown - Circulation, 2016 - ahajournals.org
Heart failure affects≈ 5.7 million people in the United States alone. Angiotensin-converting
enzyme inhibitors, angiotensin receptor blockers, β-blockers, and aldosterone antagonists …

Blood-pressure reduction with LCZ696, a novel dual-acting inhibitor of the angiotensin II receptor and neprilysin: a randomised, double-blind, placebo-controlled …

LM Ruilope, A Dukat, M Böhm, Y Lacourcière, J Gong… - The Lancet, 2010 - thelancet.com
Background LCZ696 is a first-in-class inhibitor of the angiotensin II receptor and neprilysin.
We aimed to establish whether the dual actions of LCZ696 lead to further lowering of blood …

Angiotensin receptor neprilysin inhibitor LCZ696 attenuates cardiac remodeling and dysfunction after myocardial infarction by reducing cardiac fibrosis and …

TG von Lueder, BH Wang, AR Kompa… - Circulation: Heart …, 2015 - ahajournals.org
Background—Angiotensin receptor neprilysin inhibitors (ARNi), beyond blocking
angiotensin II signaling, augment natriuretic peptides by inhibiting their breakdown by …

Natriuretic peptides in cardiovascular diseases: current use and perspectives

M Volpe, S Rubattu, J Burnett Jr - European heart journal, 2014 - academic.oup.com
The natriuretic peptides (NPs) family, including atrial, B-type, and C-type NPs, is a group of
hormones possessing relevant haemodynamic and anti-remodelling actions in the …

Neutral endopeptidase inhibition and the natriuretic peptide system: an evolving strategy in cardiovascular therapeutics

S Mangiafico, LC Costello-Boerrigter… - European heart …, 2013 - academic.oup.com
Hypertension and heart failure (HF) are common diseases that, despite advances in medical
therapy, continue to be associated with high morbidity and mortality. Therefore, innovative …

Combined neprilysin and renin-angiotensin system inhibition for the treatment of heart failure

O Vardeny, R Miller, SD Solomon - JACC: Heart Failure, 2014 - jacc.org
Neprilysin is an enzyme that contributes to the breakdown of the biologically active
natriuretic peptides and several other vasoactive compounds. Inhibiting neprilysin has been …

Long-term neprilysin inhibition—implications for ARNIs

DJ Campbell - Nature Reviews Cardiology, 2017 - nature.com
Neprilysin has a major role in both the generation and degradation of bioactive peptides.
LCZ696 (valsartan/sacubitril, Entresto), the first of the new ARNI (dual-acting angiotensin …