Ca. Fink et al., NEW ALPHA-THIOL DIPEPTIDE DUAL INHIBITORS OF ANGIOTENSIN-I CONVERTING-ENZYME AND NEUTRAL ENDOPEPTIDASE EC-3.4.24.11, Journal of medicinal chemistry, 38(26), 1995, pp. 5023-5030
Dual inhibitors of the two zinc metallopeptidases, neutral endopeptida
se (NEP, EC 3.4.24.11) and angiotensin-I converting enzyme, have been
the focus of much clinical interest for the treatment of hypertension
and congestive heart failure. A novel series of alpha-thio dipeptides
containing central cyclic non-natural amino acids were prepared and we
re evaluated for their ability to inhibit these two metallopeptidases
in vitro and in vivo. Most of these compounds were found to be excelle
nt dual inhibitors of ACE and NEP in vitro and several were also found
to inhibit angiotensin-I (AI) presser response in conscious rats when
given by intravenous administration. Compound 6n, one of our most pot
ent dual inhibitors in vitro, was found to be more efficacious than ca
ptopril in the AI presser experiment when administered orally to consc
ious rats. This compound was also found to inhibit plasma NEP activity
following oral administration to conscious rats and was more efficaci
ous than acetorphan. The structure-activity relationships and biologic
al activity of these dual inhibitors will be discussed.