Neutral endopeptidase-24.11 inhibitors: from analgesics to antihypertensives?

Trends Pharmacol Sci. 1990 Jun;11(6):245-9. doi: 10.1016/0165-6147(90)90252-4.


A limited number of ectoenzymes appear to be involved in inactivating circulating regulatory peptides. The widely distributed angiotensin-converting enzyme controls the concentration of angiotensin II in the blood, thereby limiting its vasoconstrictor effects. Inhibitors of this enzyme, such as captopril and enalapril, are clinically used as antihypertensives. Neutral endopeptidase-24.11 is known to be involved in inactivating opioid peptides in the CNS and much research has focused on the use of its inhibitors in manipulating endogenous pain-control mechanisms. Recent evidence that this metallopeptidase inactivates atrial natriuretic peptide, summarized here by Bernard Roques and Ann Beaumont, has led to a re-evaluation of the potential use of its inhibitors as novel diuretics and antihypertensive agents.

Publication types

  • Review

MeSH terms

  • Amino Acid Sequence
  • Analgesics / pharmacology*
  • Animals
  • Antihypertensive Agents / pharmacology*
  • Atrial Natriuretic Factor / physiology*
  • Humans
  • Molecular Sequence Data
  • Neprilysin / antagonists & inhibitors*
  • Receptors, Atrial Natriuretic Factor
  • Receptors, Cell Surface / physiology


  • Analgesics
  • Antihypertensive Agents
  • Receptors, Cell Surface
  • Atrial Natriuretic Factor
  • Neprilysin
  • Receptors, Atrial Natriuretic Factor