奥美沙坦酯不通过肝脏细胞色素P450系统代谢,对P450酶没有影响。因此,不会出现与这些酶抑制、诱导或代谢相关的药物相互作用。这是一种用于治疗高血压的化学药物。
生物活性奥美沙坦酯(CS-866)的水解产物为奥美沙坦,是一种选择性AT1亚型血管紧张素II受体拮抗剂。
靶点Target | Value |
---|---|
AT1 receptor |
奥美沙坦酯显著降低肝脏中羟脯氨酸的含量及胶原α1(I)和α-平滑肌肌动蛋白(阿尔法-SMA)以及血浆中转化生长因子-β1(TGF-β1)的mRNA表达。奥美沙坦酯是一种含酯部分的前药,口服给药后迅速裂解释放出活性形式奥美沙坦(RNH-6270)。奥美沙坦是高效、竞争性的AT1受体拮抗剂,对AT2和AT4受体几乎无拮抗作用。
体内研究在清醒大鼠中,奥美沙坦对所有诱导的加压反应产生迅速且持久的抑制。口服奥美沙坦酯也抑制全升压反应,但与静脉给药相比作用较慢。在几个大鼠和狗模型中,奥美沙坦显示出剂量依赖性的抗高血压作用,在高血浆肾素模型中的效果最为显著。除了降压作用外,在多种类型的心脏病和心力衰竭动物模型中,奥美沙坦还表现出有益的效果,并且在高血脂动物模型中具有抗动脉粥样硬化效应。在大鼠中,奥美沙坦剂量依赖性地改善了结肠组织病理学和生物化学损伤,效果甚至优于标准磺胺吡啶。此外,在慢性缺氧大鼠的超声心动图观察中,奥美沙坦还显著减少了缺氧肺心病的诱导,并降低了脑钠肽(BNP)水平以及TGF-β和内皮素基因表达的诱导。
用途中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
N2-三苯甲基奥美沙坦酯 | trityl olmesartan medoxomil | 1020157-01-0 | C48H44N6O6 | 800.914 |
—— | 5-(1-hydroxy-1-methyl-ethyl)-3-{2'-[2-(1-methyl-1-phenyl-ethyl)-2H-tetrazol-5-yl]-biphenyl-4-yl-methyl}-2-propyl-3H-imidazol-4-carboxylic acid 5-methyl-2-oxo-[1,3]dioxol-4-yl-methyl ester | —— | C38H40N6O6 | 676.772 |
三苯甲基奥美沙坦酯 | trityl olmesartan medoxomil | 144690-92-6 | C48H44N6O6 | 800.914 |
雅脉膜衣锭乙酯杂质 | ethyl 4-(1-hydroxy-1-methylethyl)-2-propyl-1-{[2′-(1H-tetrazol-5-yl)-1,1′-biphenyl-4-yl]methyl}-1H-imidazole-5-carboxylate | 144689-23-6 | C26H30N6O3 | 474.563 |
奥美沙坦 | olmesartan | 144689-24-7 | C24H26N6O3 | 446.509 |
—— | ethyl 1-{[2′-(1-benzyl-1H-tetrazol-5-yl)-1,1′-biphenyl-4-yl]methyl}-4-(1-hydroxy-1-methylethyl)-2-propyl-1H-imidazole-5-carboxylate | —— | C33H36N6O3 | 564.687 |
N-三苯甲基奥美沙坦乙酯 | ethyl 4-(1-hydroxy-1-methylethyl)-2-propyl-1-[2'-(2-triphenylmethyl-2H-tetrazol-5-yl)biphenyl-4-yl]methyl-1H-imidazole-5-carboxylate | 172875-59-1 | C45H44N6O3 | 716.883 |
三苯甲基奥美沙坦乙酯 | ethyl 4-(2-hydroxypropan-2-yl)-2-propyl-1-((2'-(1-trityl-1H-tetrazol-5-yl)biphenyl-4-yl)methyl)-1H-imidazole-5-carboxylate | 144690-33-5 | C45H44N6O3 | 716.883 |
N2-三苯甲基奥美沙坦酸 | 1-((2'-(2-triphenylmethyl-tetrazol-5-yl)biphenyl-4-yl)methyl)-4-(2-hydroxypropan-2-yl)-2-propyl-1H-imidazole-5-carboxylic acid | 752179-89-8 | C43H40N6O3 | 688.829 |
三苯甲基奥美沙坦酸 | 4-(2-hydroxypropan-2-yl)-2-propyl-1-((2'-(1-trityl-1H-tetrazol-5-yl)biphenyl-4-yl) methyl)-1H-imidazole-5-carboxylic acid | 761404-85-7 | C43H40N6O3 | 688.829 |
—— | dimethyl 2-propyl-1-(4-(2-(trityltetrazol-5-yl)phenyl)phenylmethyl)-imidazole-4,5-dicarboxylate | —— | C43H38N6O4 | 702.813 |
(5-甲基-2-氧代-1,3-二氧代-4-基)甲基 4-(4-羟基-4-甲基-2-戊基)-1H-咪唑-5-羧酸 | (5-methyl-2-oxo-1,3-dioxolen-4-yl)methyl 4-(1-hydroxy-1-methylethyl)-2-propylimidazole-5-carboxylate | 144978-05-2 | C15H20N2O6 | 324.334 |
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
N2-三苯甲基奥美沙坦酯 | trityl olmesartan medoxomil | 1020157-01-0 | C48H44N6O6 | 800.914 |
4-(1-甲基乙烯)-2-丙基-1-[[2-(2H-四zol-5-基)[1,1-联苯]-4-基]甲基]-1H-咪唑-5-羧酸(5-甲基-2-氧代-1,3-二氧代l-4-基)甲酯 | (5-methyl-2-oxo-1,3-dioxol-4-yl)methyl1-((2'-(1H-tetrazol-5-yl) biphenyl-4-yl)methyl)-4-(prop-1-en-2-yl)-2-propyl-1H-imidazole-5-carboxylate | 879562-26-2 | C29H28N6O5 | 540.579 |
—— | olmesartan methyl ester | —— | C25H28N6O3 | 460.536 |
奥美沙坦 | olmesartan | 144689-24-7 | C24H26N6O3 | 446.509 |
N2-三苯甲基奥美沙坦酸 | 1-((2'-(2-triphenylmethyl-tetrazol-5-yl)biphenyl-4-yl)methyl)-4-(2-hydroxypropan-2-yl)-2-propyl-1H-imidazole-5-carboxylic acid | 752179-89-8 | C43H40N6O3 | 688.829 |
去氢奥美沙坦 | 1-((2'-(1H-tetrazol-5-yl)biphenyl-4-yl)methyl)-4-(prop-1-en-2-yl)-2-propyl-1H-imidazole-5-carboxylic acid | 172875-98-8 | C24H24N6O2 | 428.494 |