R-102444 is a
prodrug that is metabolized into
R-96544, a potent and selective 5-hydroxytryptamine2A (5-HT2A) receptor antagonist. The effects of
R-102444 on
peripheral vascular disease were examined using two different rat models: one induced by
lauric acid and the other by
ergotamine plus
epinephrine.
R-96544 (0.3-30 nM) relaxed the
5-HT (3 microM)-precontracted rat caudal artery in a concentration-dependent manner. The
intravenous administration of
R-96544 (0.3-3 microg/kg) to anesthetized rats inhibited the pressor response to
5-HT (50 microg/kg i.v.) dose dependently. The
oral administration of
R-102444 (1 mg/kg) to rats resulted in a marked inhibition of platelet aggregation induced by
5-HT plus
ADP, and statistically significant inhibition was still evident 8 h after the dosing. In contrast,
sarpogrelate, at a dose of 100 mg/kg p.o., produced only a moderate antiplatelet effect.
Oral administration of
R-102444 (1 mg/kg/day, o.d.) significantly prevented the progression of peripheral vascular lesion induced by the injection of
lauric acid into a rat femoral artery, whereas
sarpogrelate (100 mg/kg/day) showed only a minimal effect. Both 5-day treatments with
R-102444 (1-30 mg/kg/day p.o., o.d.), one commenced 1 h before the injection of
epinephrine plus
ergotamine and one just after injection, resulted in the prevention of rat tail
gangrene in a dose-dependent manner, whereas
sarpogrelate (100 mg/kg) produced a minimal protection in this model. Based on these results, we conclude that
5-HT2A receptor activation is involved in
peripheral vascular disease in the rat and that
R-102444 is a useful oral agent for the investigation of diseases involving
5-HT2A receptor activation.