Crystal structure of the human angiotensin-converting enzyme-lisinopril complex

Angiotensin-converting enzyme (ACE) has a critical role in cardiovascular function by cleaving the carboxy terminal His-Leu dipeptide from angiotensin I to produce a potent vasopressor octapeptide, angiotensin II. Inhibitors of ACE are a first line of therapy for hypertension, heart failure, myocard...

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Veröffentlicht in:Nature (London) 2003-01, Vol.421 (6922), p.551-554
Hauptverfasser: Sturrock, Edward D, Acharya, K. Ravi, Natesh, Ramanathan, Schwager, Sylva L. U
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container_issue 6922
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container_title Nature (London)
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creator Sturrock, Edward D
Acharya, K. Ravi
Natesh, Ramanathan
Schwager, Sylva L. U
description Angiotensin-converting enzyme (ACE) has a critical role in cardiovascular function by cleaving the carboxy terminal His-Leu dipeptide from angiotensin I to produce a potent vasopressor octapeptide, angiotensin II. Inhibitors of ACE are a first line of therapy for hypertension, heart failure, myocardial infarction and diabetic nephropathy. Notably, these inhibitors were developed without knowledge of the structure of human ACE, but were instead designed on the basis of an assumed mechanistic homology with carboxypeptidase A. Here we present the X-ray structure of human testicular ACE and its complex with one of the most widely used inhibitors, lisinopril (N2-[(S)-1-carboxy-3-phenylpropyl]-l-lysyl-l-proline; also known as Prinivil or Zestril), at 2.0 Å resolution. Analysis of the three-dimensional structure of ACE shows that it bears little similarity to that of carboxypeptidase A, but instead resembles neurolysin and Pyrococcus furiosus carboxypeptidase-zinc metallopeptidases with no detectable sequence similarity to ACE. The structure provides an opportunity to design domain-selective ACE inhibitors that may exhibit new pharmacological profiles.
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subjects Amino Acid Sequence
Angiotensin-Converting Enzyme Inhibitors - chemistry
Angiotensin-Converting Enzyme Inhibitors - metabolism
Antihypertensive agents
Binding Sites
Biological and medical sciences
Carboxypeptidases - chemistry
Carboxypeptidases - metabolism
Cardiovascular system
Crystallography, X-Ray
Crystals
Drug Design
Enzymes
Heart
Humanities and Social Sciences
Humans
Hypertension
Inhibitors
letter
Lisinopril - chemistry
Lisinopril - metabolism
Male
Medical sciences
Metalloendopeptidases - chemistry
Metalloendopeptidases - metabolism
Models, Molecular
Molecular Sequence Data
multidisciplinary
Myocardial infarction
Peptidyl-Dipeptidase A - chemistry
Peptidyl-Dipeptidase A - metabolism
Pharmacology
Pharmacology. Drug treatments
Protein Conformation
Pyrococcus furiosus - enzymology
Science
Science (multidisciplinary)
Substrate Specificity
title Crystal structure of the human angiotensin-converting enzyme-lisinopril complex
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