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Effects of R-102444, an orally active 5-HT2A receptor antagonist, in rat models of peripheral vascular disease.

Abstract
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.
AuthorsTaketoshi Ogawa, Atsuhiro Sugidachi, Naoki Tanaka, Koichi Fujimoto, Fumitoshi Asai
JournalVascular pharmacology (Vascul Pharmacol) Vol. 41 Issue 1 Pg. 7-13 (Feb 2004) ISSN: 1537-1891 [Print] United States
PMID15135326 (Publication Type: Journal Article)
Chemical References
  • Pyrrolidines
  • R-102444
  • Receptor, Serotonin, 5-HT2A
  • Serotonin 5-HT2 Receptor Antagonists
  • Serotonin Antagonists
Topics
  • Administration, Oral
  • Animals
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Male
  • Peripheral Vascular Diseases (drug therapy, physiopathology)
  • Pyrrolidines (administration & dosage)
  • Rats
  • Rats, Sprague-Dawley
  • Rats, Wistar
  • Receptor, Serotonin, 5-HT2A (physiology)
  • Serotonin 5-HT2 Receptor Antagonists
  • Serotonin Antagonists (administration & dosage)
  • Vasodilation (drug effects, physiology)

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