Side effects of ACE inhibition include anemia, hair loss and
exacerbation of chronic pain (ACE degrades substance P and bradykinin).
Yakugaku Zasshi. 2006 Jan;126(1):37-42. Related Articles, Links
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Interactions between carnosine and captopril on free radical
scavenging activity and angiotensin-converting enzyme activity in vitro.
Nakagawa K, Ueno A, Nishikawa Y.
Department of Food and Nutrition, Faculty of Home Economics, Kyoto
Women's University, Japan.
Interactions between carnosine (beta-alanyl-L-histidine), being
plentiful in skeletal muscles and neuronal tissues, and captopril, a
widely used angiotensin-converting enzyme (ACE) inhibitor, were examined
concerning free radical scavenging activity and ACE activity in vitro.
Not only captopril, but also carnosine, at concentrations less than
those ordinarily found in muscles and neuronal tissues, significantly
scavenged 2,2'-azinobis (3-ethylbenzothiazoline-6-sulphonate) (ABTS)
radical cations, and inhibited ACE activity. Cupric ions reversed the
ABTS scavenging activity of carnosine and captopril, whereas cupric ions
strengthened the inhibitory action of carnosine on ACE activity. In
contrast, cupric ions antagonized the inhibition of ACE activity induced
by ethylenediaminetetraacetic acid, indicating that the inhibitory
effect of carnosine on ACE activity is not related to the chelating
action of carnosine. On the other hand, carnosine and captopril
synergistically enhanced the free radical scavenging activity, but not
the inhibitory effect on the ACE activity. These data suggest that
carnosine in its concurrent use with captopril could act as a beneficial
free radical scavenger, with less danger of overdose, in the inhibition
of ACE activity.
Atherosclerosis. 2001 Sep;158(1):195-8.
Pomegranate juice consumption inhibits serum angiotensin
converting enzyme activity and reduces systolic blood pressure.
Consumption of pomegranate juice which is rich in tannins,
possess anti-atherosclerotic properties which could be related to
its potent anti-oxidative characteristics. As some antioxidants
were recently shown to reduce blood pressure, we studied the
effect of pomegranate juice consumption (50 ml, 1.5mmol of total
polyphenols per day, for 2 weeks) by hypertensive patients on
their blood pressure and on serum angiotensin converting enzyme
(ACE) activity. A 36% decrement in serum ACE activity and a 5%
reduction in systolic blood pressure were noted. Similar
dose-dependent inhibitory effect (31%) of pomegranate juice on
serum ACE activity was observed also in vitro. As reduction in
serum ACE activity, even with no decrement in blood pressure,
was previously shown to attenuate atherosclerosis, pomegranate
juice can offer a wide protection against cardiovascular diseases
which could be related to its inhibitory effect on oxidative
stress and on serum ACE activity.