DA-6886, the gastrointestinal prokinetic
benzamide derivative is a novel
5-HT4 receptor agonist being developed for the treatment of
constipation-predominant
irritable bowel syndrome (IBS-C). The purpose of this study was to characterize in vitro and in vivo pharmacological profile of
DA-6886. We used various receptor binding assay, cAMP accumulation assay, organ bath experiment and colonic transit assay in normal and chemically constipated mice.
DA-6886 exhibited high affinity and selectivity to human
5-HT4 receptor splice variants, with mean pKi of 7.1, 7.5, 7.9 for the human 5-HT4a, 5-HT4b and 5-HT4d, respectively. By contrast,
DA-6886 did not show significant affinity for several receptors including
dopamine D2 receptor, other
5-HT receptors except for
5-HT2B receptor (pKi value of 6.2). The affinity for
5-HT4 receptor was translated into functional agonist activity in Cos-7 cells expressing
5-HT4 receptor splice variants. Furthermore,
DA-6886 induced relaxation of the rat oesophagus preparation (pEC50 value of 7.4) in a
5-HT4 receptor antagonist-sensitive manner. The evaluation of
DA-6886 in CHO cells expressing hERG channels revealed that it inhibited hERG channel current with an pIC50 value of 4.3, indicating that the compound was 1000-fold more selective for the
5-HT4 receptor over hERG channels. In the normal ICR mice,
oral administration of
DA-6886 (0.4 and 2mg/kg) resulted in marked stimulation of colonic transit. Furthermore, in the
loperamide-induced
constipation mouse model, 2mg/kg of
DA-6886 significantly improved the delay of colonic transit, similar to 10mg/kg of
tegaserod. Taken together,
DA-6886 is a highly potent and selective
5-HT4 receptor agonist to accelerate colonic transit in mice, which might be therapeutic agent having a favorable safety profile in the treatment of gastrointestinal
motor disorders such as IBS-C and chronic
constipation.