“…They improve survival in heart failure, and they have beneficial effects in preventing the development of cardiac fibrosis and renal damage in patients with essential hypertension (Pitt et al, 1999(Pitt et al, , 2003Garthwaite and McMahon, 2004). Spirolactones are synthetic molecules with a C17 ␥-lactone that is responsible for their antagonist activity and various other substituents on the steroid skeleton that modulate their potency (Corvol et al, 1977;Nickisch et al, 1985;de Gasparo et al, 1987;Elger et al, 2003;Fagart et al, 2005a); this is particularly evident in the case of the C7 substituents. SC9420, a member of the spirolactone family, characterized by the presence of a C7 thioacetyl group, and RU26752, which has a C7 propyl group, more potently inactivate MR WT than mexrenone, which harbors a C7 carboxymethyl ester group, or canrenone, which has no C7 substituent (Fagart et al, 2005a).…”