“…Spironolactone, however, showed severe side effects, presumably due to its steroidal structure. , Although the development of nonsteroidal aldosterone receptor antagonists has been reported recently, several issues associated with the unaffected and pathophysiologically elevated plasma aldosterone levels remain unsolved by this therapeutic strategy such as the up-regulation of the mineralocorticoid receptor expression and nongenomic aldosterone effects . A novel approach for the treatment of diseases affected by elevated aldosterone levels is the blockade of aldosterone biosynthesis by inhibition of CYP11B2. , Aldosterone synthase has previously been proposed as a potential pharmacological target, and preliminary work focused on the development of steroidal inhibitors, i.e., progesterone and deoxycorticosterone derivatives with unsaturated C 18 -substituents. These compounds were found to be mechanism-based inhibitors binding covalently to the active site of bovine CYP11B, however, data on inhibitory action toward human enzyme are essentially absent in these studies.…”