Cardiovascular · Investigational
Angiotensin (1-7)
No lawful US pathway
01 · Overview
Angiotensin (1-7) is a seven-amino acid peptide of the renin-angiotensin system, generated from angiotensin II by ACE2 or from angiotensin I by endopeptidases, and acting mainly at the Mas receptor (PMID 29351514). Through this receptor it opposes many actions of angiotensin II, with vasodilator, antiproliferative, antifibrotic, and anti-inflammatory effects described in experimental systems (PMID 29351514).
This counter-regulatory arm is a therapeutic target in hypertension, heart failure, and renal disease.
02 · Research summary & key findings
In rodents, angiotensin (1-7) prevented angiotensin II-induced cardiac remodeling (PMID 17098828) and reduced cardiac fibrosis in a DOCA-salt hypertension model (PMID 16415071). In humans, intra-arterial angiotensin (1-7) caused dose-dependent forearm vasodilation in both normotensive and hypertensive subjects (PMID 11463766). Clinical development has been limited by the peptide's short half-life: a phase 1 oncology study defined a tolerable dose with dose-limiting neurological toxicity at higher doses (PMID 19920106), and a randomized trial of synthetic angiotensin (1-7) (TXA-127) in hospitalized COVID-19 patients was stopped early for futility (PMID 37039791).
03 · Regulatory status
Angiotensin (1-7) is in the investigational stage. While preclinical and early-phase data exist, it has not received regulatory approval for clinical use in the United States.
No lawful pathway today
Angiotensin (1-7) is not FDA-approved and does not currently have a lawful prescription or compounding pathway in the United States, so we do not sell it and will not book a consultation for it. That can change: in 2026 FDA began reviewing several peptides for compounding.
See the 4 FDA-approved compounds in Cardiovascular
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04 · Administration routes
- Subcutaneous injection
- Intravenous
- Oral
References
- [1]Effects of angiotensin-(1-7) on forearm circulation in normotensive subjects and patients with essential hypertension Hypertension, 2001. PMID 11463766
- [2]Chronic angiotensin-(1-7) prevents cardiac fibrosis in DOCA-salt model of hypertension Am J Physiol Heart Circ Physiol, 2006. PMID 16415071
- [3]Prevention of angiotensin II-induced cardiac remodeling by angiotensin-(1-7) Am J Physiol Heart Circ Physiol, 2007. PMID 17098828
- [4]Phase I and pharmacokinetic study of angiotensin-(1-7), an endogenous antiangiogenic hormone Clin Cancer Res, 2009. PMID 19920106
- [5]The ACE2/Angiotensin-(1-7)/MAS Axis of the Renin-Angiotensin System: Focus on Angiotensin-(1-7) Physiol Rev, 2018. PMID 29351514
- [6]Renin-Angiotensin System Modulation With Synthetic Angiotensin (1-7) and Angiotensin II Type 1 Receptor-Biased Ligand in Adults With COVID-19: Two Randomized Clinical Trials JAMA, 2023. PMID 37039791
Primary literature
- PubMed: "Angiotensin"
Peer-reviewed literature indexed by the National Library of Medicine.
- ClinicalTrials.gov: "Angiotensin"
Registered interventional and observational studies, including status and phase.
- PubChem: "Angiotensin"
Chemical structure, molecular properties, and bioactivity data.
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