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**BQ‑123** is a synthetic cyclic pentapeptide originally isolated from the fermentation broth of *Streptomyces misakiensis* in 1991. It acts as a potent and selective antagonist of the endothelin A (ETA) receptor, with an IC50 of approximately 7.3 nM. By blocking ETA receptors, BQ‑123 inhibits the vasoconstrictive and hypertensive effects mediated by endothelin‑1 (ET‑1). It has been widely used as a biochemical tool to study endothelin receptor function and vascular biology, particularly in models of hypertension, ischemia-induced acute renal failure, coronary artery disease, and myocardial infarction. While it demonstrates antihypertensive effects in animal models by reducing total peripheral resistance, its clinical development status remains investigational[1][2][3][4][5][8].
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