UR-12670 is a novel and potent PAF antagonist, eg., it displaces [3H]
WEB-2086 from
PAF receptors in rabbit platelet membranes (Ki = 0.6 nM) and inhibits PAF-induced increase in vascular permeability in rat trachea (100%), thymus (44%), seminal vesicles (100%) and stomach (54%) at a dose of 0.01 mg/kg i.v. Since PAF is thought to be an important mediator in endotoxic
shock, the effect of pretreatment with
UR-12670 on changes in vascular permeability,
disseminated intravascular coagulation (
DIC) and plasma biochemical parameters were determined in a rat model of acute
endotoxemia.
UR-12670 and the reference PAF antagonist,
lexipafant (10 mg/kg i.v.), strongly inhibited
lipopolysaccharide (LPS, 25 mg/kg i.v.)-induced plasma leakage in the trachea (49 and 100%, respectively) and seminal vesicles (81 and 100%), as assessed by the
Evans blue extravasation method. Only
lexipafant inhibited the increase in vascular permeability in the thymus (36%). Neither PAF antagonist was effective in the stomach. Both
UR-12670 and
lexipafant at 10 mg/kg i.v. attenuated the LPS-induced variation of some
DIC markers, such as activated partial thromboplastin time increase (56 and 58%, respectively) and the
fibrinogen concentration decrease (53 and 31%), whereas the increase in prothrombin time was not affected. Increased plasma
acid phosphatase (ACP, a lysosomal activation marker) and
lactate dehydrogenase (
LDH, a tissue damage marker) activity elicited by LPS was attenuated by pretreatment with 10 mg/kg i.v. of either
UR-12670 or
lexipafant (ACP: 55 and 48%; LDH: 50 and 33%). LPS-induced
hyperglycemia (46 and 37%) and hyperlactacidemia (100% both) were also inhibited.
UR-12670 protected against several
shock symptoms, confirming the role of PAF in the pathogenesis of rodent
endotoxemia.