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Angiotensin II is a peptide hormone which regulates blood pressure and fluid balance, contributing to hypertension, atherosclerosis, left ventricular hypertrophy, myocardial infarction, and heart failure.1 Telmisartan is a nonpeptide angiotensin II receptor antagonist which selectively and insurmountably inhibits the angiotensin II AT1 receptor subtype (Ki = 3.7 nM).2 It also acts as a partial agonist of PPARγ, activating the receptor to 25-
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2. Pharmacological characterization of the novel nonpeptide angiotensin II receptor antagonist, BIBR 277. Br. J. Pharmacol. 110(1), 245-252 (1993).
3. Identification of telmisartan as a unique angiotensin II receptor antagonist with selective PPARγ-
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5. Clinical effectiveness of telmisartan alone or in combination therapy for controlling blood pressure and vascular risk in the elderly. Clin. Interv. Aging 5, 403-416 (2010).
6. Telmisartan in incipient and overt diabetic renal disease. J. Nephrol. 24(3), 263-273 (2011).