A novel series of arylcyclopropanecarboxyl guanidines was synthesized and evaluated for activity against the sodium hydrogen exchanger isoform-1 (NHE-1). In biological assays conducted in an AP1 cell line expressing the human NHE-1 isoform, the starting cyclopropane 3a (IC50= 3.5 μM) shows inhibitory activity comparable to cariporide (IC50= 3.4 μM). Structure-activity relationships are used to optimize the affinity of various acyl ...