Scientists Discover a New Blood Pressure-Lowering Peptide Hiding in the Renin-Angiotensin System
A newly identified five-amino-acid peptide called Ala-(1-5) circulates naturally in human and rodent blood and produces long-lasting blood pressure reduction through mechanisms distinct from known renin-angiotensin system pathways.
Quick Facts
What This Study Found
Researchers discovered a previously unknown peptide in the renin-angiotensin system called alamandine-(1-5), or Ala-(1-5). This five-amino-acid peptide is naturally present in the blood of both humans and rodents. It is formed from alamandine by ACE (angiotensin-converting enzyme) activity.
Ala-(1-5) produced a long-lasting blood pressure reduction (approximately 6 hours) in spontaneously hypertensive rats, associated with decreased cardiac output. It also increased baroreflex sensitivity, reduced heart contractility in isolated hearts and cardiomyocytes, and stimulated nitric oxide production through Mas, MrgD, and AT2 receptors. However, its effects on cardiomyocytes and blood vessels specifically required the MrgD receptor, distinguishing it from other renin-angiotensin system peptides.
Key Numbers
~6-hour antihypertensive effect · acts through Mas, MrgD, and AT2 receptors · MrgD required for cardiac and vascular effects · present in human and rodent circulation
How They Did This
The researchers used an extensive array of techniques: mass spectrometry (MALDI/TOF/TOF and LC-MS/MS) to identify and confirm the peptide in blood; isolated blood vessels and perfused hearts to test cardiovascular effects; isolated cardiomyocytes for contractility measurements; blood pressure recording in freely moving normotensive and hypertensive rats; echocardiography; central brain administration; cell culture experiments with receptor-transfected cells; and knockout mice lacking Mas, MrgD, or AT2 receptors to determine which receptors mediate the peptide's effects.
Why This Research Matters
The renin-angiotensin system is one of the most important peptide cascades in human physiology, controlling blood pressure, fluid balance, and cardiovascular function. Discovering a completely new bioactive peptide within this well-studied system is remarkable. Ala-(1-5) lowers blood pressure through mechanisms distinct from existing RAS peptides, potentially opening new therapeutic avenues for hypertension that target a previously unknown pathway.
The Bigger Picture
The renin-angiotensin system was thought to be well understood, with drugs targeting it (ACE inhibitors, ARBs) already among the most prescribed medications worldwide. Finding an entirely new bioactive peptide within this cascade — one with distinct cardiovascular effects — shows that even well-studied biological systems can harbor surprises. This discovery expands the 'protective arm' of the renin-angiotensin system and could eventually lead to novel hypertension therapies that work differently from current medications.
What This Study Doesn't Tell Us
This is primarily animal and cell-based research. While Ala-(1-5) was detected in human blood, all functional studies were conducted in rodents and cell lines. The blood pressure-lowering effects, cardiovascular actions, and receptor mechanisms need to be confirmed in humans before any clinical relevance can be established.
Questions This Raises
- ?Could Ala-(1-5) or synthetic analogs be developed as a new class of blood pressure-lowering drugs that work through the MrgD receptor?
- ?Are circulating levels of Ala-(1-5) altered in people with hypertension, heart failure, or kidney disease?
- ?How does Ala-(1-5) interact with existing blood pressure medications like ACE inhibitors and ARBs, which also act on the renin-angiotensin system?
Trust & Context
- Key Stat:
- ~6-hour antihypertensive effect Newly discovered peptide Ala-(1-5) produced sustained blood pressure reduction in hypertensive rats via the MrgD receptor
- Evidence Grade:
- This is a discovery-stage basic research study published in Circulation Research, a top-tier cardiovascular journal. The evidence is strong for demonstrating the peptide's existence and biological activity in animal and cell models, but no human functional studies have been conducted yet. Rated moderate because of the robust methodology and prestigious publication venue, despite being preclinical.
- Study Age:
- Published in 2026, this is brand-new discovery research. The findings represent the very beginning of understanding this peptide's role, and it will likely take years before any potential clinical applications emerge.
- Original Title:
- Identification and Characterization of Alamandine-(1-5), a New Component of the Renin-Angiotensin System.
- Published In:
- Circulation research, 138(1), e326174 (2026)
- Authors:
- Santos, Robson A S, Dias, Melissa Tainan Silva, Bessa, Amanda de Sá Martins, Barros, Carolina Fonseca, Itaborahy, Matheus F, da Silva, Filipe Alex, Gonçalves, Sthefanie Chaves de Almeida, Rodrigues-Ribeiro, Lucas, Ferraz, Kamylle Silva, Davel, Ana Paula, Nóbrega, Natália, Silva, Bruno Durante da, Scalzo, Sérgio, Soares, Pedro Alves, Dutra, João Batista Rodrigues, Lula, Ivana, Feng, Isadora Zhong Liang Ferreira, Vieira-Machado, Uri Flegler, de Godoy, Ana Caroline Ventris, Monteiro, Adelson Héric Alves, Eliezeck, Marcos, Sanches, Bruno, Monteiro, André, Magalhães, Gabriela, Soares, Nícia Pedreira, Pereira, Danilo Augusto Alves, Rezende Ribeiro, Júlia, Dias-Pinto, Maria Luiza, de Souza, Leandro Eziquiel, Silva, Amanda de A, Motta-Santos, Daisy, Bader, Michael, Alenina, Natália, Capettini, Luciano Dos Santos Aggum, Peliky Fontes, Marco Antônio, Haibara, Andrea Siqueira, Campos Vilella, Daniel, Verano-Braga, Thiago, Irigoyen, Maria Claudia, Marins, Fernanda Ribeiro, Castro, Carlos Henrique, Simões-E-Silva, Ana Cristina, Guatimosim, Silvia, Leite, M Fatima, Campagnole-Santos, Maria José
- Database ID:
- RPEP-16058
Evidence Hierarchy
Frequently Asked Questions
What is the renin-angiotensin system and why is finding a new peptide in it a big deal?
The renin-angiotensin system (RAS) is a hormone cascade that controls blood pressure, fluid balance, and cardiovascular health. It's one of the most studied systems in medicine, and many common blood pressure drugs target it. Finding a completely new, previously unknown peptide within this well-studied system is remarkable and suggests there may be untapped therapeutic opportunities.
Could this peptide become a new blood pressure medication?
It's too early to say. The peptide shows strong blood pressure-lowering effects in animal models, but extensive research — including human studies — would be needed before any medication could be developed. The discovery does open a potentially new pathway for treating hypertension, which is exciting given that many patients don't achieve adequate blood pressure control with existing drugs.
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Cite This Study
https://rethinkpeptides.com/research/RPEP-16058APA
Santos, Robson A S; Dias, Melissa Tainan Silva; Bessa, Amanda de Sá Martins; Barros, Carolina Fonseca; Itaborahy, Matheus F; da Silva, Filipe Alex; Gonçalves, Sthefanie Chaves de Almeida; Rodrigues-Ribeiro, Lucas; Ferraz, Kamylle Silva; Davel, Ana Paula; Nóbrega, Natália; Silva, Bruno Durante da; Scalzo, Sérgio; Soares, Pedro Alves; Dutra, João Batista Rodrigues; Lula, Ivana; Feng, Isadora Zhong Liang Ferreira; Vieira-Machado, Uri Flegler; de Godoy, Ana Caroline Ventris; Monteiro, Adelson Héric Alves; Eliezeck, Marcos; Sanches, Bruno; Monteiro, André; Magalhães, Gabriela; Soares, Nícia Pedreira; Pereira, Danilo Augusto Alves; Rezende Ribeiro, Júlia; Dias-Pinto, Maria Luiza; de Souza, Leandro Eziquiel; Silva, Amanda de A; Motta-Santos, Daisy; Bader, Michael; Alenina, Natália; Capettini, Luciano Dos Santos Aggum; Peliky Fontes, Marco Antônio; Haibara, Andrea Siqueira; Campos Vilella, Daniel; Verano-Braga, Thiago; Irigoyen, Maria Claudia; Marins, Fernanda Ribeiro; Castro, Carlos Henrique; Simões-E-Silva, Ana Cristina; Guatimosim, Silvia; Leite, M Fatima; Campagnole-Santos, Maria José. (2026). Identification and Characterization of Alamandine-(1-5), a New Component of the Renin-Angiotensin System.. Circulation research, 138(1), e326174. https://doi.org/10.1161/CIRCRESAHA.125.326174
MLA
Santos, Robson A S, et al. "Identification and Characterization of Alamandine-(1-5), a New Component of the Renin-Angiotensin System.." Circulation research, 2026. https://doi.org/10.1161/CIRCRESAHA.125.326174
RethinkPeptides
RethinkPeptides Research Database. "Identification and Characterization of Alamandine-(1-5), a N..." RPEP-16058. Retrieved from https://rethinkpeptides.com/research/santos-2026-identification-and-characterization-of
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Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.
This study breakdown was produced by the RethinkPeptides research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.