Evidence map›Paper›PMID 18374681›Full record

ReviewThe American journal of medicine2008

Oral direct renin inhibition: premise, promise, and potential limitations of a new antihypertensive drug.

Moiz M Shafiq, Dileep V Menon, Ronald G Victor

Open access · greenAbstract readReview
In one paragraph

Review in The American journal of medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. NADPH Oxidase Inhibition in Fibrotic Pathologies.Antioxidants & redox signaling · 2020
    Article
  6. Review
  7. Article
  8. Efficiency and specificity of RAAS inhibitors in cardiovascular diseases: how to achieve better end-organ protection?Hypertension research : official journal of the Japanese Society of Hypertension · 2017
    Review
  9. Review
  10. Article
  11. Article
  12. Mitral valve disease in Marfan syndrome and related disorders.Journal of cardiovascular translational research · 2011
    Review
  13. Article
  14. Renal protective effect of renin inhibition.Current hypertension reports · 2008
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Moiz M ShafiqHypertension Division, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390-8586, USA.
Dileep V Menon
Ronald G Victor
The University of Texas Southwestern Medical Center · US

Funding

TRAINING IN CARDIOVASCULAR RESEARCHT32HL007360 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI HILL, JOSEPH A · 1985 to 2012
$11.8M
NEURAL MECHANISMS OF CYCLOSPORINE-INDUCED HYPERTENSIONR01HL044010 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI VICTOR, RONALD G · 1990 to 2006
$1.4M
NHLBI NIH HHS R0-1 HL044010NHLBI NIH HHS R01 HL044010NHLBI NIH HHS T32 HL007360NHLBI NIH HHS T32-HL07360-29
6 · The paper itself

Abstract

The first oral direct renin inhibitor, aliskiren, recently received approval for the treatment of hypertension. This article addresses the premise, promise, and potential limitations of this new class of renin-angiotensin system inhibitor. Although aliskiren adds to a list of more than 100 drugs approved for the treatment of hypertension, its introduction into clinical medicine is of particular interest because of the novel mechanism of action: inhibition of renin's catalytic activity, the most proximal and rate-limiting step in renin-angiotensin system activation. By producing more complete renin-angiotensin system inhibition than with existing agents, direct renin inhibitors may afford greater protection from hypertensive complications. Other potential advantages include additional blood pressure reduction when used in combination therapy, a placebo-like side-effect profile, avid renal concentration, and long duration of action. Potential limitations include modest levels of blood pressure reduction that are equivalent to but not greater than angiotensin receptor blockers, reduced gastrointestinal absorption with a high-fat meal, and large reactive increases in renin secretion--the functional importance of which is under intense investigation. The results of outcomes trials are eagerly awaited.

Indexed as

Renin InhibitorsAdministration, OralAmidesBlood Pressure DeterminationDrug ApprovalFemaleFollow-Up StudiesFumaratesHumansHypertensionMaleRandomized Controlled Trials as TopicRenin-Angiotensin SystemSeverity of Illness IndexTreatment OutcomeUnited StatesaliskirenAmidesFumaratesRenin Inhibitors

Identifiers

PMID18374681
PMCPMC2405917
OpenAlexW2021189157

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.