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A novel chymase inhibitor, 2-(5-formylamino-6-oxo-2-phenyl-1,6-dihydropyrimidine-1-yl)-N-[[,4-dioxo-1-phenyl-7-(2-pyridyloxy)]2-heptyl]acetamide (NK3201), suppressed intimal hyperplasia after balloon injury.

Abstract
In this study, we investigated whether an orally active chymase inhibitor, 2-(5-formylamino-6-oxo-2-phenyl-1,6-dihydropyrimidine-1-yl)-N-[[3,4-dioxo-1-phenyl-7-(2-pyridyloxy)]-2-heptyl]acetamide (NK3201), prevents intimal hyperplasia in carotid arteries injured by a balloon catheter in dog. Each dog was administered NK3201 (1 mg/kg per day, p.o.) or placebo beginning 5 days before balloon injury and continuing through the experiments. Four weeks after balloon injury, NK3201 did not affect the plasma renin and angiotensin-converting enzyme activities. The chymase activity was significantly increased in the injured arteries, whereas the angiotensin-converting enzyme activity was not. NK3201 significantly reduced the chymase activity in the injured arteries. The intimal area in the placebo- and NK3201-treated group and was 0.46 +/- 0.06 and 0.24 +/- 0.04 mm2, respectively, and this difference was significant. In this study, we demonstrated for the first time that a chymase inhibitor prevented the development of intimal hyperplasia in the balloon-injured arteries.
AuthorsShinji Takai, Hiroshi Sakonjo, Kohzo Fukuda, Denan Jin, Masato Sakaguchi, Keiichi Kamoshita, Koichi Ishida, Yoshikazu Sukenaga, Mizuo Miyazaki
JournalThe Journal of pharmacology and experimental therapeutics (J Pharmacol Exp Ther) Vol. 304 Issue 2 Pg. 841-4 (Feb 2003) ISSN: 0022-3565 [Print] United States
PMID12538841 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Acetamides
  • NK3201
  • Pyrimidines
  • Serine Proteinase Inhibitors
  • Serine Endopeptidases
  • Chymases
Topics
  • Acetamides (pharmacology, therapeutic use)
  • Animals
  • Carotid Artery, Common (drug effects, enzymology, pathology)
  • Catheterization (adverse effects)
  • Chymases
  • Dogs
  • Hyperplasia
  • Pyrimidines (pharmacology, therapeutic use)
  • Serine Endopeptidases (metabolism)
  • Serine Proteinase Inhibitors (pharmacology, therapeutic use)
  • Tunica Intima (drug effects, enzymology, injuries, pathology)

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