Natural angiotensin converting enzyme inhibitors: A safeguard against hypertension, respiratory distress syndrome, and chronic kidney diseases

Author:

Khaled Aya1,Ahmed Esraa1,Mamdouh Mohamed1,Saad Hager1,Mohamed Aya1,Sobhy Marina1,Piatti Diletta2,Sabry Miral3,Saad Muhammed A.34,Sabry Omar M.13ORCID,Caprioli Giovanni2

Affiliation:

1. Pharmacognosy Department, Faculty of Pharmacy Heliopolis University Cairo Egypt

2. School of Pharmacy University of Camerino Camerino Italy

3. Pharmacognosy Department, Faculty of Pharmacy Cairo University Cairo Egypt

4. Department of Pharmaceutical Sciences College of Pharmacy, Gulf Medical University Ajman United Arab Emirates

Abstract

AbstractHypertension is a serious concern as it is one of the causes of kideny failure and pulmonary fibrosis. An important therapeutic strategy for treating chronic hypertension is to inhibit the angiotensin converting enzyme (ACE). ACE inhibition reduces kidney damage, pulmonary artery pressure, and high blood pressure. Due to their high efficacy and low risk of side effects, natural renin‐angiotensin system inhibitors have drawn increasing attention over the past decades. Alkaloids, amino acids, anthocyanidins, flavonoids, glucosinolates, isoflavonoids, phenolic acids, polyphenolics, and triterpenoids are among the bioactive metabolites pocessing an impressive ACE inhibitory activity. Many herbs including Rosmarinus officinalis, Hibiscus sabdariffa, Curcuma longa, Rauwolfia serpentina, Emblica officinalis, Cynara scolymus, Punica granatum, Mucuna pruriens, Capsicum annuum, and Moringa olifera were found having ACE inhibitory activities comparable to captopril and enalpril. These enticing natural ACE inhibitors deserve to be a safeguard medicine against hypertension, respiratory distress syndrome, and chronic kidney diseases. More clinical trials are required before new natural compounds and herbs can be used to treat chronic hypertension and its ramifications, such as respiratory distress syndrome and kidney failure.

Publisher

Wiley

Subject

Pharmacology

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