Trails of Discovery
A close call: the discovery of the ACE inhibitors |
The path leading to the
discovery and development
of the first angiotensin-
converting
enzyme (ACE) inhibitor, captopril,
as a valuable agent in
the management of cardiovascular
disease provides a typical
example of the complexities
and uncertainties that
surround novel drug research.
The trail starts in 1898 with
Tigerstedt’s1 discovery of
the pressor effects of a renal
extract, renin, which was able
to constrict resistance vessels
in the arterial tree without altering
cardiac output. He subsequently
showed that renal extracts caused a
marked pressor effect in nephrectomized
animals. However, other
investigators in the field were unable
to repeat his observations, and so he
abandoned studies on the action of
renin. The reason for the failure to
replicate Tigerstedt's experiments is
probably that the renin in the extracts
of other investigators was easily
destroyed by keeping it at room temperature
with or without the additional
effects of bacterial contamination...
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