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Saralasin is a synthetic octapeptide analog of angiotensin II, in which the amino acids at positions 1 and 8 are replaced by sarcosine and alanine, respectively. It acts as a competitive antagonist at the angiotensin II receptor with partial agonist activity. The drug was primarily used as a diagnostic agent to distinguish renovascular hypertension from essential hypertension but was discontinued due to issues with diagnostic accuracy. Mechanistically, saralasin blocks the effects of endogenous angiotensin II on vascular smooth muscle (Angiotensin II receptor type 1) and also exhibits agonist activity at the Angiotensin II receptor type 2. It is administered intravenously.
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