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Substance P increases sympathetic activity during combined angiotensin-converting enzyme and dipeptidyl peptidase-4 inhibition

Plain-language guide to PMID 24516103 (2014): double-blind randomized controlled trial study of Bradykinin and Substance P.

Key Facts

PMID
24516103
Journal
Hypertension (Dallas, Tex. : 1979)
Year
2014
Study type
Randomized Controlled Trial
Authors
Devin JK et al. (6 authors)
DOI
10.1161/HYPERTENSIONAHA.113.02767

What This Study Did, in Plain Language

What Was Tested

Researchers studied Bradykinin and Substance P in this randomized controlled trial publication.

Dipeptidyl peptidase-4 degrades other peptides with a penultimate proline or alanine, including bradykinin and substance P, which are also substrates of angiotensin-converting enzyme (ACE).

During ACE inhibition, substance P is inactivated primarily by dipeptidyl peptidase-4, whereas bradykinin is first inactivated by aminopeptidase P.

Who Took Part

PubMed indexes the participants as adults and middle-aged adults, both men and women.

How the Study Was Run

The researchers set it up as a randomized, double-blind, placebo-controlled and crossover study.

The participants were allocated by chance, so the Bradykinin group and the comparison group should start out alike.

As a double-blind Bradykinin study, the assignments were hidden from both participants and investigators until the end.

A placebo (an inactive look-alike) gave the Bradykinin group a baseline to be compared against.

Each person switched between Bradykinin and the comparison at some point, usually with a gap in between.

What Was Measured

This study tested the hypothesis that dipeptidyl peptidase-4 inhibition potentiates vasodilator and fibrinolytic responses to substance P when ACE is inhibited.

PubMed files the paper under topics including Angiotensin-Converting Enzyme Inhibitors, Blood Pressure, Bradykinin, Dipeptidyl Peptidase 4, Enalaprilat, Enzyme Inhibitors and Heart Rate.

Author keywords: diabetes mellitus, dipeptidyl peptidase-4, hypertension, norepinephrine, renin–angiotensin system and vasodilation.

What This Means in Plain Language

The paper is a randomized, double-blind and placebo-controlled study of Bradykinin and Substance P.

The publication is from 2014 (Hypertension (Dallas, Tex. : 1979)), a journal based in United States.

More context: the Bradykinin compound page and the Substance P compound page, all human trials.

Our Notes on the Compounds

Bradykinin: A 9-amino-acid peptide that widens blood vessels and causes swelling; given in research studies of blood flow.

Substance P: An 11-amino-acid neuropeptide involved in pain signaling and inflammation; given in research studies.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.