Methods for identifying contraindications to angiotensin...

Chemistry: molecular biology and microbiology – Measuring or testing process involving enzymes or... – Involving hydrolase

Reexamination Certificate

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C435S023000

Reexamination Certificate

active

06887679

ABSTRACT:
Deficiencies in certain physiological pathways are linked with ACE or vasopeptidase inhibitor associated angioedema. Additionally, detection and/or measurement of dipeptidyl peptidase IV (DPP IV) enzyme activity and aminopeptidase P (APP) enzyme activity is a predictor of this risk. The present invention provides biological markers, diagnostic tests, and pharmaceutical indications that are useful in the diagnosis and treatment of angioedema and in the marketing and safety of certain medications. This ability can be important for the treatment of a subject that is in need of or are taking an angiotensin-converting enzyme (ACE) inhibitor and/or a vasopeptidase inhibitor (combined ACE and neutral endopeptidase (NEP) inhibitor), which are commonly used in the treatment of hypertension (high blood pressure), diabetes, and cardiac and renal diseases.

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Asher J. Vasopeptidase Inhibition: A New Direction in Cardiovascular Treatment. Current Hypertension Reports 2(4)384-391, Aug. 2000.*
Ersahin C., “Inhibition of both Aminopeptidase P and ACE Prevents Bradykinin Degradation in the Rat Coronary Circulation”, J. of Cardiovascular Pharmacology, 30(1):96-101 (1997).
Kim, K., “Inhibition of Aminopeptidase P Potentiates Wheal Response to Bradykinin in Ace Inhibitor Treated Human”, J. of Pharmacology and Experimental Therapeutics, 292(1):295-298 (Jan. 2000).
Brown, N., “Recurrent ACE Inhibitor Associated Angioedema”, JAMA 278(3)232-233 (Jul. 1997).

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