Neladenoson Bialanate Hydrochloride: A Prodrug of a Partial Adenosine A<sub>1</sub>Receptor Agonist for the Chronic Treatment of Heart Diseases
作者:Daniel Meibom、Barbara Albrecht-Küpper、Nicole Diedrichs、Walter Hübsch、Raimund Kast、Thomas Krämer、Ursula Krenz、Hans-Georg Lerchen、Joachim Mittendorf、Peter G. Nell、Frank Süssmeier、Alexandros Vakalopoulos、Katja Zimmermann
DOI:10.1002/cmdc.201700151
日期:2017.5.22
full A1 R agonists are used, the desired protective and regenerative cardiovascular effects are usually overshadowed by unintended pharmacological effects such as induction of bradycardia, atrioventricular (AV) blocks, and sedation. These unwanted effects can be overcome by using partial A1 R agonists. Starting from previously reported capadenoson we evaluated options to tailor A1 R agonists to a specific
腺苷已知在多种生理和病理生理条件下释放,以促进受损缺血组织的保护和再生。心肌腺苷A1受体(A1 Rs)的激活已显示可抑制与缺血和再灌注损伤相关的心肌病理,为新的心血管疗法提供了多种选择。当使用完全的A1 R激动剂时,所需的保护性和再生性心血管作用通常会被意想不到的药理作用(如心动过缓,房室传导阻滞和镇静作用)所掩盖。通过使用部分A1 R激动剂可以克服这些不良影响。从先前报道的卡帕狄森菌开始,我们评估了将A1 R激动剂调整到特定部分范围的选项,从而优化治疗窗口。这导致了对强效和选择性激动剂奈拉狄森的鉴定,奈拉狄森显示出对A1 R的所需部分反应,从而在没有镇静作用或心脏房室传导阻滞的情况下实现了心脏保护。为了避免奈拉狄森的溶解度和制剂问题,人们寻求前药方法。口服给药后,二肽酯奈拉德森双丙酸酯盐酸盐显示出显着改善的溶解度和暴露。Neladenoson bialanate hydrochlorid