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1.
Eur J Pharmacol ; 720(1-3): 180-5, 2013 Nov 15.
Article in English | MEDLINE | ID: mdl-24436990

ABSTRACT

In this study we have characterized the pharmacological profile of the non-peptide tachykinin NK(2) receptor antagonist ibodutant (MEN15596) in guinea pig isolated main bronchi contractility. The antagonist potency of ibodutant was evaluated using the selective NK(2) receptor agonist [ßAla8]NKA(4-10)-mediated contractions of guinea pig isolated main bronchi. In this assay ibodutant (30, 100 and 300 nM) induced a concentration-dependent rightward shift of the [ßAla8]NKA(4-10) concentration-response curves without affecting the maximal contractile effect. The analysis of the results yielded a Schild-plot linear regression with a slope not different from unity (0.95, 95% c.l. 0.65-1.25), thus, indicating a surmountable behavior. The calculated apparent antagonist potency as pK(B) value was 8.31 ± 0.05. Ibodutant (0.3-100 nM) produced a concentration-dependent inhibition of the nonadrenergic-noncholinergic (NANC) contractile response induced by electrical field stimulation (EFS) of intrinsic airway nerves in guinea pig isolated main bronchi. At the highest concentration tested (100 nM) ibodutant almost abolished the EFS-induced bronchoconstriction (95 ± 4% inhibition), the calculated IC(50) value was 2.98 nM (95% c.l. 1.73-5.16 nM). In bronchi from ovalbumin (OVA) sensitized guinea pigs ibodutant (100 nM) did not affect the maximal contractile response to OVA, but completely prevented the slowing in the fading of the motor response induced by phosphoramidon pretreatment linked to the endogenous neurokinin A release. Altogether, the present study demonstrates that ibodutant is a potent NK(2) receptor antagonist in guinea pig airways.


Subject(s)
Bronchi/drug effects , Bronchoconstriction/drug effects , Dipeptides/pharmacology , Receptors, Neurokinin-2/antagonists & inhibitors , Thiophenes/pharmacology , Allergens/pharmacology , Animals , Bronchi/physiology , Bronchoconstriction/physiology , Electric Stimulation , Guinea Pigs , In Vitro Techniques , Male , Muscle Contraction/drug effects , Muscle, Smooth/drug effects , Muscle, Smooth/physiology , Ovalbumin/pharmacology , Receptors, Neurokinin-2/physiology
2.
J Med Chem ; 50(20): 4793-807, 2007 Oct 04.
Article in English | MEDLINE | ID: mdl-17850056

ABSTRACT

Starting from 1 (MEN14268), a selective tachykinin NK2 receptor antagonist with an interesting in vitro pharmacological profile, a family of numerous antagonists was obtained through an optimization process focused on iterated structural modifications. The effects of the introduction of a wide variety of substituents on the lipophilic aromatic part of the molecule and the modulation of the structural constraint through the insertion of different achiral alpha,alpha-dialkylamino acids were investigated. In particular, aromatic and benzofused heteroaromatic moieties were introduced at the pseudo-N-terminal residue to replace the 2-benzothiophene moiety, and a systematic investigation of the best positioning of substituents onto the aromatic platform was reported for the benzothiophene core. Studies on the modulation of the length and the rigidity of the hydrophilic pseudo-C-terminal pendant are presented. Many heteroaliphatic groups are well tolerated by the receptor in this part of the ligand. The product 48f (MEN15596), bearing a methyl substituent on the benzothiophene and a tetrahydropyranylmethylpiperidine pendant, was finally selected for its good in vivo activity after intravenous, intraduodenal, and oral administration in guinea pigs.


Subject(s)
Cyclopentanes/chemical synthesis , Dipeptides/chemical synthesis , Piperidines/chemical synthesis , Pyrans/chemical synthesis , Receptors, Neurokinin-2/antagonists & inhibitors , Thiophenes/chemical synthesis , Administration, Oral , Animals , Caco-2 Cells , Colon/drug effects , Colon/physiology , Cyclopentanes/chemistry , Cyclopentanes/pharmacology , Dipeptides/chemistry , Dipeptides/pharmacology , Female , Guinea Pigs , Humans , Ileum/drug effects , Ileum/physiology , In Vitro Techniques , Injections , Intestinal Absorption , Male , Middle Aged , Muscle Contraction/drug effects , Muscle, Smooth/drug effects , Muscle, Smooth/physiology , Permeability , Piperidines/chemistry , Piperidines/pharmacology , Pyrans/chemistry , Pyrans/pharmacology , Radioligand Assay , Stereoisomerism , Thiophenes/chemistry , Thiophenes/pharmacology , Urinary Bladder/drug effects , Urinary Bladder/physiology
3.
Eur J Pharmacol ; 549(1-3): 140-8, 2006 Nov 07.
Article in English | MEDLINE | ID: mdl-16979621

ABSTRACT

The pharmacological profile of MEN15596 or (6-methyl-benzo[b]thiophene-2-carboxylic acid [1-(2-phenyl-1R-{[1-(tetrahydropyran-4-ylmethyl)-piperidin-4-ylmethyl]-carbamoyl}-ethylcarbamoyl)-cyclopentyl]-amide), a novel potent and selective tachykinin NK2 receptor antagonist endowed with oral activity, is described. At the human recombinant tachykinin NK2 receptor, MEN15596 showed subnanomolar affinity (pKi 10.1) and potently antagonized (pKB 9.1) the neurokinin A-induced intracellular calcium release. MEN15596 selectivity for the tachykinin NK2 receptor was assessed by binding studies at the recombinant tachykinin NK1 (pKi 6.1) and NK3 (pKi 6.4) receptors, and at a number of 34 molecular targets including receptors, transporters and ion channels. In isolated smooth muscle preparations MEN15596 showed a marked species selectivity at the tachykinin NK2 receptor with the highest antagonist potency in guinea-pig colon, human and pig bladder (pKB 9.3, 9.2 and 8.8, respectively) whereas it was three orders of magnitude less potent in the rat and mouse urinary bladder (pKB 6.3 and 5.8, respectively). In agreement with binding experiments, MEN15596 showed low potency in blocking selective NK1 or NK3 receptor agonist-induced contractions of guinea-pig ileum preparations (pA2

Subject(s)
Cell Membrane/drug effects , Dipeptides/pharmacology , Receptors, Neurokinin-2/antagonists & inhibitors , Thiophenes/pharmacology , Aged , Animals , Binding, Competitive/drug effects , Bronchoconstriction/drug effects , CHO Cells , Cell Membrane/metabolism , Colon/drug effects , Colon/physiology , Cricetinae , Cricetulus , Dipeptides/chemistry , Dipeptides/metabolism , Dose-Response Relationship, Drug , Female , Guinea Pigs , Humans , In Vitro Techniques , Male , Mice , Middle Aged , Muscle Contraction/drug effects , Neurokinin A/analogs & derivatives , Neurokinin A/pharmacology , Peptide Fragments/pharmacology , Rabbits , Radioligand Assay , Rats , Rats, Wistar , Receptors, Neurokinin-2/agonists , Receptors, Neurokinin-2/metabolism , Swine , Thiophenes/chemistry , Thiophenes/metabolism , Vasoconstriction/drug effects
4.
Auton Neurosci ; 126-127: 232-49, 2006 Jun 30.
Article in English | MEDLINE | ID: mdl-16616700

ABSTRACT

Tachykinins (TKs), substance P (SP), neurokinin A (NKA) and B (NKB) are important peptide modulators of intestinal motility in animal species studied so far, including humans. Modulation of motility by TKs can occur at various levels, since these peptides are expressed in cholinergic excitatory motor neurons projecting to both circular and longitudinal muscle, interneurons, and intramural and extramural sensory neurons. The effects of SP, NKA and NKB are preferentially mediated through the stimulation of NK1, NK2 and NK3 receptors, respectively; however, the selectivity of natural TKs for their preferred receptors is relative. In addition, SP and NKA are expressed in similar quantities in the human intestine and adequate stimuli can release similar amount of these TKs from enteric nerves. Furthermore, a single anatomical substrate can express more than one TK receptor type, so that the blockade of a single receptor type may not reveal functional effects in integrated models of motility. In isolated human small intestine and colon circular muscle strips, both NK1 and NK2 receptors mediate contractile effects. Indeed, in the human small intestine, smooth muscle electrical and motor events induced by electrical field stimulation (EFS) can involve either or both NK1 and NK2 receptors or these latter receptors predominantly, depending on the experimental conditions. In contrast, in the human colonic smooth muscle, only the NK2 receptor-mediated component of the response to EFS is prominent and some evidence would suggest that this component is the main excitatory motor mechanism at this level. Furthermore, a NK2 receptor-mediated secretory component in the human colonic mucosa has been recently demonstrated. Thus, it could be speculated that the blockade of both NK1 and NK2 receptors will be necessary to antagonise motor effects induced by exogenous administration or endogenous release of TKs in the small intestine, whereas the blockade of the NK2 receptors would be sufficient to disrupt physiological motor and, possibly, secretory activity at the colonic level. Available evidence indicates that, in healthy volunteers, the infusion of NKA (25 pmol/kg/min i.v.) stimulated small intestine motility and precipitated a series of intestinal and non-intestinal adverse events. Nepadutant (8 mg i.v.), a selective NK2 receptor antagonist, antagonised small intestine motility induced by NKA and prevented associated intestinal adverse events. In another study, the same dose of nepadutant increased colo-rectal compliance during isobaric balloon distension in healthy volunteers pretreated with a glycerol enema, disclosing a NK2 receptor-mediated component in the regulation of colonic smooth muscle tone. However, the prolonged blockade of NK2 receptors by nepadutant (16 mg i.v. b.i.d. for 8 days) did not affect bowel habits, neither in term of movements nor of stool consistency. Altogether, these results indicate that, even when there is a significant redundance in the effects of TKs and in the role of their receptors, the selective blockade of tachykinin NK2 receptors can have functional consequences on human intestinal motility and perception, but this can occur without the disruption of the physiological functions.


Subject(s)
Gastrointestinal Tract/metabolism , Receptors, Neurokinin-2/metabolism , Receptors, Tachykinin/metabolism , Tachykinins/metabolism , Animals , Digestive System Diseases/metabolism , Humans
5.
Eur J Pharmacol ; 528(1-3): 7-16, 2005 Dec 28.
Article in English | MEDLINE | ID: mdl-16324696

ABSTRACT

The pharmacological characterization of the novel nonpeptide antagonist for the B2 receptor, namely MEN16132 (4-(S)-Amino-5-(4-{4-[2,4-dichloro-3-(2,4-dimethyl-8-quinolyloxymethyl)phenylsulfonamido]-tetrahydro-2H-4-pyranylcarbonyl}piperazino)-5-oxopentyl](trimethyl)ammonium chloride hydrochloride) is presented. The affinity of MEN16132 for the bradykinin B2 receptor has been investigated by means of competition studies at [3H]bradykinin binding to membranes prepared from Chinese Hamster Ovary (CHO) cells expressing the human bradykinin B2 receptor (pKi 10.5), human lung fibroblasts (pKi 10.5), guinea pig airways (pKi 10.0), guinea pig ileum longitudinal smooth muscle (pKi 10.2), or guinea pig cultured colonic myocytes (pKi 10.3). In all assays MEN16132 was as potent as the peptide antagonist Icatibant, and from 3- to 100-fold more potent than the reference nonpeptide antagonists FR173657 or LF16-0687. The selectivity for the bradykinin B2 receptor was checked at the human bradykinin B1 receptor (pKi<5), and at a panel of 26 different receptors and channels. The antagonist potency was measured in functional assays, i.e., in blocking the bradykinin induced inositolphosphates (IP) accumulation at the human (CHO: pKB 10.3) and guinea pig (colonic myocytes: pKB 10.3) B2 receptor, or in antagonizing the bradykinin induced contractile responses in human (detrusor smooth muscle: pKB 9.9) and guinea pig (ileum longitudinal smooth muscle: pKB 10.1) tissues. In both functional assay types MEN16132 exerted a different antagonist pattern, i.e., surmountable at the human and insurmountable at the guinea pig bradykinin B2 receptors. Moreover, the receptor determinants important for the high affinity interaction of MEN16132 with the human bradykinin B2 receptor were investigated by means of radioligand binding studies performed at 24 point-mutated receptors. The results obtained revealed that residues in transmembrane segment 2 (W86A), 3 (I110A), 6 (W256A), and 7 (Y295A, Y295F but not much Y295W), were crucial for the high affinity of MEN16132. In conclusion, MEN16132 is a new, potent, and selective nonpeptide bradykinin B2 receptor antagonist.


Subject(s)
Bradykinin B2 Receptor Antagonists , Ornithine/analogs & derivatives , Sulfonamides/pharmacology , Animals , Binding, Competitive , Bradykinin/analogs & derivatives , Bradykinin/metabolism , Bradykinin/pharmacology , CHO Cells , Cells, Cultured , Cricetinae , Cricetulus , Dose-Response Relationship, Drug , Guinea Pigs , Humans , In Vitro Techniques , Inositol Phosphates/metabolism , Middle Aged , Muscle Contraction/drug effects , Muscle, Smooth/drug effects , Muscle, Smooth/metabolism , Myocytes, Smooth Muscle/drug effects , Myocytes, Smooth Muscle/metabolism , Ornithine/metabolism , Ornithine/pharmacology , Point Mutation , Quinolines/pharmacology , Receptor, Bradykinin B2/genetics , Receptor, Bradykinin B2/metabolism , Sulfonamides/metabolism , Transfection
6.
J Mass Spectrom ; 40(12): 1572-82, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16320289

ABSTRACT

An important aspect in drug discovery is the early structural identification of the metabolites of potential new drugs. This gives information on the metabolically labile points in the molecules under investigation, suggesting structural modifications to improve their metabolic stability, and allowing an early safety assessment via the identification of metabolic activation products. From an analytical point of view, metabolite identification still remains a challenging task, especially for in vivo samples, in which they occur at trace levels together with high amounts of endogenous compounds. Here we describe a method, based on LC-ion trap tandem MS, for the rapid in vivo metabolite identification. It is based on the automatic, data-dependent acquisition of multiple product ion MS/MS scans, followed by a postacquisition search, within the entire MS/MS data set obtained, for specific neutral losses or marker ions in the tandem mass spectra of parent molecule and putative metabolites. One advantage of the method is speed, since it requires minimum sample preparation and all the necessary data can be obtained in one chromatographic run. In addition, it is highly sensitive and selective, allowing detection of trace metabolites even in the presence of a complex matrix. As an example of application, we present the studies of the in vivo metabolism of the compound MEN 15916 (1). The method allowed identification of monohydroxy ([M + H](+) = m/z 655), dihydroxy ([M + H](+) = m/z 671), and trihydroxy ([M + H](+) = m/z 687) metabolites, as well as some unexpected biotransformation products such as a carboxylic acid ([M + H](+) = m/z 669), a N-dealkylated metabolite ([M + H](+) = m/z 541), and its hydroxy-analog ([M + H](+) = m/z 557).


Subject(s)
Chromatography, High Pressure Liquid/methods , Drug Design , Mass Spectrometry/methods , Pharmaceutical Preparations/metabolism , Animals , Bile/metabolism , Computational Biology , Drug Evaluation, Preclinical , Gas Chromatography-Mass Spectrometry/methods , Guinea Pigs , Information Storage and Retrieval/methods , Male
7.
J Pharmacol Exp Ther ; 315(2): 616-23, 2005 Nov.
Article in English | MEDLINE | ID: mdl-16027229

ABSTRACT

We have tested the activity of 4-(S)-amino-5-(4-[4-[2,4-dichloro-3-(2,4-dimethyl-8-quinolyloxymethyl)phenylsulfonamido]-tetrahydro-2H-4-pyranylcarbonyl] piperazino)-5-oxopentyl](trimethyl)ammonium chloride hydrochloride (MEN16132), a novel nonpeptide kinin B(2) receptor antagonist, on bradykinin (BK)-induced inflammatory responses, bronchoconstriction, and hypotension in guinea pigs. After i.v. (1-10 nmol/kg i.v.), intratracheal (i.t.) (10-100 nmol/kg i.t.), or aerosol (0.01-0.1 mM/5 min) administration, MEN16132 inhibited in a dose-dependent manner the bronchoconstriction induced by BK (10 nmol/kg i.v.). MEN16132 was more potent and possessed a longer duration of action as compared with the peptide B(2) receptor antagonist icatibant (HOE140; H-D-Arg-Arg-Pro-Hyp-Gly-Thi-Ser-D-Tic-Oic-Arg-OH trifluoroacetate). After i.v. administration, its inhibitory effect on bronchoconstriction lasted more than 8 h at 30 nmol/kg. When administered by i.v. or i.t. routes, the dose completely inhibiting bronchoconstriction also partially reduced the hypotensive response to BK, whereas after aerosol administration, the inhibitory effect was limited to respiratory level. Intranasal (i.n.) administration of MEN16132 (0.01-0.3 nmol/nostril) reduced, in a dose-dependent and long-lasting manner, the nasal mucosa plasma protein extravasation induced by BK (100 nmol/nostril), and it exerted a complete inhibition at about 30-fold lower dose than icatibant. At 1 nmol/nostril, MEN16132 activity was significant for at least 6 h with no systemic effect measured as inhibition of BK-induced hypotension, and at 10 nmol/nostril, the inhibitory effect lasted for more than 15 h with only a weak effect on hypotension. These findings indicate that in vivo MEN16132 is a potent kinin B(2) receptor antagonist with long duration of action, both after i.v. and local administration. A complete and prolonged inhibition of BK-induced bronchoconstriction or nasal inflammation can be achieved with MEN16132 topical administration (aerosol or i.n.) at doses devoid of systemic effects.


Subject(s)
Bradykinin B2 Receptor Antagonists , Bradykinin/antagonists & inhibitors , Bronchoconstriction/drug effects , Nasal Mucosa/blood supply , Ornithine/analogs & derivatives , Sulfonamides/pharmacology , Anesthesia , Animals , Blood Pressure/drug effects , Blood Proteins/metabolism , Bradykinin/administration & dosage , Bradykinin/analogs & derivatives , Bradykinin/pharmacology , Capillary Permeability/drug effects , Dose-Response Relationship, Drug , Guinea Pigs , Hypotension/chemically induced , Hypotension/drug therapy , In Vitro Techniques , Injections, Intravenous , Male , Microcirculation/drug effects , Ornithine/pharmacology , Regional Blood Flow/drug effects
8.
Life Sci ; 76(8): 835-62, 2005 Jan 07.
Article in English | MEDLINE | ID: mdl-15589963

ABSTRACT

Tachykinins (TKs) are a family of peptides involved in the central and peripheral regulation of urogenital functions through the stimulation of TK NK1, NK2 and NK3 receptors. At the urinary system level, TKs locally stimulate smooth muscle tone, ureteric peristalsis and bladder contractions, initiate neurogenic inflammation and trigger local and spinal reflexes aimed to maintain organ functions in emergency conditions. At the genital level, TKs are involved in smooth muscle contraction, in inflammation and in the modulation of steroid secretion by the testes and ovaries. TKs produce vasodilatation of maternal and fetal placental vascular beds and appear to be involved in reproductive function, stress-induced abortion, and pre-eclampsia. The current data suggest that the genitourinary tract is a primary site of action of the tachykininergic system.


Subject(s)
Receptors, Tachykinin/metabolism , Tachykinins/metabolism , Urogenital System/metabolism , Adult , Animals , Dose-Response Relationship, Drug , Female , Humans , Male , Pregnancy , Protein Precursors/genetics , Protein Precursors/metabolism , Reproduction/drug effects , Reproduction/physiology , Species Specificity , Tachykinins/genetics , Tachykinins/pharmacology , Urogenital System/drug effects , Urogenital System/physiopathology
9.
Br J Pharmacol ; 141(8): 1249-63, 2004 Apr.
Article in English | MEDLINE | ID: mdl-15037522

ABSTRACT

Tachykinin NK2 receptors are expressed in the gastrointestinal tract of both laboratory animals and humans. Experimental data indicate a role for these receptors in the regulation of intestinal motor functions (both excitatory and inhibitory), secretions, inflammation and visceral sensitivity. In particular, NK2 receptor stimulation inhibits intestinal motility by activating sympathetic extrinsic pathways or NANC intramural inhibitory components, whereas a modulatory effect on cholinergic nerves or a direct effect on smooth muscle account for the NK2 receptor-mediated increase in intestinal motility. Accordingly, selective NK2 receptor antagonists can reactivate inhibited motility or decrease inflammation- or stress-associated hypermotility. Intraluminal secretion of water is increased by NK2 receptor agonists via a direct effect on epithelial cells, and this mechanism is active in models of diarrhoea since selective antagonists reverse the increase in faecal water content in these models. Hyperalgesia in response to intraluminal volume signals is possibly mediated through the stimulation of NK2 receptors located on peripheral branches of primary afferent neurones. NK2 receptor antagonists reduce the hyper-responsiveness that occurs following intestinal inflammation or application of stressful stimuli to animals. Likewise, NK2 receptor antagonists reduce intestinal tissue damage induced by chemical irritation of the intestinal wall or lumen. In healthy volunteers, the selective NK2 antagonist nepadutant reduced the motility-stimulating effects and irritable bowel syndrome-like symptoms triggered by intravenous infusion of neurokinin A, and displayed other characteristics that could support its use in patients. It is concluded that blockade of peripheral tachykinin NK2 receptors should be considered as a viable mechanism for decreasing the painful symptoms and altered bowel habits of irritable bowel syndrome patients.


Subject(s)
Irritable Bowel Syndrome/drug therapy , Receptors, Neurokinin-2/antagonists & inhibitors , Animals , Gastrointestinal Motility/drug effects , Gastrointestinal Motility/physiology , Humans , Irritable Bowel Syndrome/metabolism , Peptides, Cyclic/pharmacology , Peptides, Cyclic/therapeutic use , Receptors, Neurokinin-2/metabolism
10.
Life Sci ; 74(12): 1445-63, 2004 Feb 06.
Article in English | MEDLINE | ID: mdl-14729395

ABSTRACT

The peptides of the tachykinin family are widely distributed within the mammalian peripheral and central nervous systems and play a well-recognized role as excitatory neurotransmitters. Currently, the concept that tachykinins act exclusively as neuropeptides is being challenged, since the best known members of the family, substance P, neurokinin A and neurokinin B, are also present in non-neuronal cells and in non-innervated tissues. Moreover, the recently cloned mammalian tachykinins hemokinin-1 and endokinins are primarily expressed in non-neuronal cells, suggesting a widespread distribution and important role for these peptides as intercellular signaling molecules. The biological actions of tachykinins are mediated through three types of receptors denoted NK(1), NK(2) and NK(3) that belong to the family of G protein-coupled receptors. The identification of additional tachykinins has reopened the debate of whether more tachykinin receptors exist. In this review, we summarize the current knowledge of tachykinins and their receptors.


Subject(s)
Receptors, Tachykinin/metabolism , Tachykinins/metabolism , Amino Acid Sequence , Animals , Humans , Neurons/metabolism , Phylogeny , Protein Isoforms/chemistry , Protein Isoforms/classification , Protein Isoforms/genetics , Protein Isoforms/metabolism , Protein Precursors/genetics , Protein Precursors/metabolism , Protein Structure, Secondary , Receptors, Tachykinin/chemistry , Receptors, Tachykinin/classification , Receptors, Tachykinin/genetics , Tachykinins/genetics
11.
Trends Pharmacol Sci ; 25(1): 1-3, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14723970

ABSTRACT

The tachykinin family has recently been extended by the discovery of a third tachykinin gene encoding previously unknown mammalian tachykinins (hemokinin 1, endokinin A and endokinin B) that have a widespread peripheral distribution and a tachykinin NK(1) receptor selectivity. This and the identification of other tachykinin-like peptides such as C14TKL-1 and virokinin raise many questions about the roles played by tachykinins in peripheral tissues and render terms such as 'neurokinins' and 'SP receptor' inappropriate.


Subject(s)
Tachykinins , Animals , Humans , Species Specificity , Tachykinins/genetics , Tachykinins/metabolism , Tachykinins/physiology , Terminology as Topic
12.
Expert Opin Ther Targets ; 7(3): 343-62, 2003 Jun.
Article in English | MEDLINE | ID: mdl-12783571

ABSTRACT

More than 10 years of intensive preclinical investigation of selective tachykinin (TK) receptor antagonists has provided a rationale to the speculation that peripheral neurokinin (NK)-1, -2 and -3 receptors may be involved in the pathophysiology of various human diseases at the visceral level. In the airways, despite promising effects in animal models of asthma, pilot clinical trials with selective NK-1 or -2 receptor antagonists in asthmatics have been ambiguous, whereas the potential antitussive effects of NK-1, -2 or -3 antagonists have not yet been verified in humans. In the gastrointestinal (GI) tract, irritable bowel syndrome (IBS) and pancreatitis are appealing targets for peripherally-acting NK-1 and -2 antagonists, respectively. In the genito-urinary tract, NK-1 receptor antagonists could offer some protection against nephrotoxicity and cytotoxicity induced by chemotherapeutic agents, whereas NK-2 receptor antagonists appear to be promising new agents for the treatment of neurogenic bladder hyperreflexia. Finally, there is preclinical evidence for hypothesising an effect of NK-3 receptor antagonists on the cardiovascular disturbance that characterises pre-eclampsia. Other more speculative applications are also mentioned.


Subject(s)
Receptors, Tachykinin/antagonists & inhibitors , Animals , Anti-Asthmatic Agents/pharmacology , Anti-Asthmatic Agents/therapeutic use , Anti-HIV Agents/pharmacology , Anti-HIV Agents/therapeutic use , Asthma/drug therapy , Asthma/physiopathology , Clinical Trials as Topic , Drug Evaluation, Preclinical , Female , Gastrointestinal Agents/pharmacology , Gastrointestinal Agents/therapeutic use , Gastrointestinal Diseases/drug therapy , Gastrointestinal Diseases/physiopathology , Guinea Pigs , HIV Infections/drug therapy , Humans , Mice , Mice, Knockout , Muscle Contraction/drug effects , Muscle, Smooth/drug effects , Pre-Eclampsia/drug therapy , Pre-Eclampsia/physiopathology , Pregnancy , Rats , Tachykinins/antagonists & inhibitors , Tachykinins/physiology , Urination Disorders/drug therapy , Urination Disorders/physiopathology
13.
J Pharmacol Exp Ther ; 304(1): 272-6, 2003 Jan.
Article in English | MEDLINE | ID: mdl-12490601

ABSTRACT

Tachykinins have been implicated in inflammatory responses such as those occurring in inflammatory bowel disease. Accordingly, we investigated the effect of a selective neurokinin (NK) 2 receptor antagonist, nepadutant, on proto-oncogene expression in the L(6)-S(1) spinal cord as well as in dorsal root ganglion (DRG) neurons after either non-noxious colorectal distension (CRD) or trinitrobenzenesulfonic acid (TNBS)-induced colitis in the adult rat. In both preparations, c-fos was expressed in similar spinal cord regions, including medial and lateral dorsal horn, dorsal commissure (DCM; laminae X above the central canal), and the sacral parasympathetic nucleus (SPN, laminae V-VII). However, TNBS-induced colitis produced significantly larger numbers (8-10-fold increase over control) of Fos-positive spinal cord neurons. In addition, there was also a significant increase (3-4-fold) in the number of Jun-positive colon DRG neurons after colitis compared with CRD. Nepadutant had no significant effect on proto-oncogene expression induced by CRD in either spinal cord neurons or DRG neurons. In contrast, nepadutant significantly decreased (70%) the number of Fos-positive neurons in dorsal horn, DCM, and SPN spinal cord regions and significantly decreased (75%) the number of Jun-positive DRG neurons after TNBS-induced irritation of the colon. These findings indicate that nepadutant suppresses the responses of colonic afferent neurons to nociceptive stimuli and that NK2 receptor antagonists may be beneficial in the treatment of sensory symptoms of colitis.


Subject(s)
Colitis/metabolism , Gene Expression/drug effects , Genes, Immediate-Early/genetics , Peptides, Cyclic/pharmacology , Receptors, Neurokinin-2/antagonists & inhibitors , Trinitrobenzenesulfonic Acid , Animals , Capsaicin/pharmacology , Colitis/chemically induced , Female , Ganglia, Spinal/metabolism , Genes, fos/drug effects , Genes, jun/drug effects , Irritants , Neurons/drug effects , Neurons/metabolism , Physical Stimulation , Rats , Rats, Sprague-Dawley , Spinal Cord/metabolism
14.
Curr Opin Pharmacol ; 2(6): 630-41, 2002 Dec.
Article in English | MEDLINE | ID: mdl-12482724

ABSTRACT

The identity of excitatory and inhibitory neurotransmitters is well established. Excitatory motor neurons synthesize and release acetylcholine and tachykinins, which act through postjunctional muscarinic M2 and M3 or tachykinin NK1 and NK2 receptors, respectively, to induce smooth muscle contraction. A residual excitatory component is mediated by ATP acting on P2X1 receptors. Conversely, inhibitory motor neurons express nitric oxide synthase and vasoactive intestinal peptide (VIP), which together with ATP, induce a coordinated muscle relaxation. The receptors involved in the inhibitory effects of ATP and VIP are unknown. Likewise, the relationships between inhibitory signals triggered by NO and those mediated by VIP need to be clarified. Recent evidence obtained using receptor knockout mice have confirmed the involvement of the above-mentioned excitatory transmitters but have revealed an unexpected complexity in the nitrergic transmission, where the effects of NO are manifested only in the presence of carbon monoxide. Interstitial cells of Cajal (ICC) are being recognized as targets of intestinal motor neurons; therefore, the signaling mechanisms are probably integrated by these cells before being transmitted to smooth muscle. Challenges in future years will be to identify the physiological role of the various excitatory and inhibitory components, and to understand the relative importance of neurotransmitter receptors expressed on ICC and smooth muscle cells.


Subject(s)
Digestive System/drug effects , Digestive System/innervation , Gastrointestinal Agents/pharmacology , Muscle, Smooth/drug effects , Muscle, Smooth/innervation , Adenosine Triphosphate/metabolism , Animals , Digestive System/metabolism , Humans , Neurotransmitter Agents/metabolism , Nitric Oxide/metabolism
15.
Eur J Pharmacol ; 451(3): 317-26, 2002 Sep 20.
Article in English | MEDLINE | ID: mdl-12242094

ABSTRACT

MEN91507 (8-[2-(E)-[4-[4-(4-fluorophenyl)butyloxy]phenyl]vinyl]-4-oxo-2-(5-1H-tetrazolyl)-4H-1-benzopyran sodium salt)) potently displaced [3H]leukotriene D(4) binding from guinea-pig lung and dimethylsulphoxide-differentiated U937 (dU937) cell membranes (K(i) 0.50 +/- 0.16 and 0.65 +/- 0.29 nM, respectively). On the other hand, MEN91507 did not display significant binding affinity for a series of receptors or channels. In functional studies on dU937 cells, MEN91507 behaved as insurmountable antagonist of leukotriene D(4)-induced calcium transients, with an apparent pK(B) of 10.25 +/- 0.15. In anaesthetized guinea-pigs, MEN91507 antagonized in a dose-dependent manner leukotriene D(4)-induced bronchoconstriction following i.v. or oral administration: the ED(50s) were 3.0 +/- 0.3 and 140 +/- 90 nmol/kg, respectively. The inhibition of leukotriene D(4)-induced bronchoconstriction by MEN91507 was long-lasting, since a dose of 0.6 micromol/kg produced 74% reduction of the response after 8 h from administration. Likewise, leukotriene D(4)-induced microvascular leakage was antagonized by MEN91507 either following i.v. or oral administration: a significant inhibitory effect was still evident at 16 h from oral administration of a dose of 6 micromol/kg. It is concluded that MEN91507 is a potent and selective antagonist of both guinea-pig and human CysLT(1) receptors; in addition, in vivo studies on guinea-pigs indicate that MEN91507 is an orally available and long-lasting antagonist of the bronchomotor and pro-inflammatory effects induced by leukotriene D(4) through the stimulation of CysLT(1) receptors.


Subject(s)
Benzopyrans/antagonists & inhibitors , Leukotriene Antagonists , Leukotrienes/metabolism , Lung/drug effects , Membrane Proteins , Receptors, Leukotriene , Tetrazoles/antagonists & inhibitors , Administration, Oral , Animals , Binding, Competitive , Bronchoconstriction/drug effects , Cell Membrane/drug effects , Cell Membrane/metabolism , Cells, Cultured , Drug Interactions , Guinea Pigs , Humans , Injections, Intravenous , Lung/metabolism , Male
16.
Curr Opin Investig Drugs ; 3(4): 589-601, 2002 Apr.
Article in English | MEDLINE | ID: mdl-12090730

ABSTRACT

Tachykinins (TKs) are abundantly expressed in the gastrointestinal (GI) tract in intrinsic excitatory motor neurons, interneurons, sensory neurons and extrinsic sensory neurons. Their role in the regulation of enteric secretomotor functions is well established, especially following pathophysiological stimuli. Recent evidence emphasizes the role of TKs in the sensitization of peripheral branches of visceral afferent neurons, implying a role in determining visceral hypersensitivity. Furthermore, the involvement of both CNS and peripheral TK receptors in autonomic reactions to stress, render these receptors an appealing target for the development of drugs aimed at the treatment of irritable bowel syndrome (IBS), a functional GI disorder. The available preclinical evidence indicates that TK receptor antagonists could normalize motor disturbance (diarrhea and constipation) and reduce the painful symptoms that characterize IBS.


Subject(s)
Colonic Diseases, Functional/physiopathology , Receptors, Tachykinin/antagonists & inhibitors , Animals , Clinical Trials as Topic , Colonic Diseases, Functional/metabolism , Gastrointestinal Motility , Humans , Inflammation/metabolism , Inflammation/physiopathology , Intestinal Mucosa/metabolism , Intestines/physiology , Receptors, Tachykinin/physiology , Stress, Physiological/physiopathology , Viscera/physiopathology
17.
Eur J Pharmacol ; 439(1-3): 149-58, 2002 Mar 29.
Article in English | MEDLINE | ID: mdl-11937105

ABSTRACT

We have studied the effect of selective tachykinin NK(1) and NK(2) receptor antagonists on airway hyperreactivity to acetylcholine and increase of inflammatory cells on bronchoalveolar lavage fluid induced by sephadex beads (20 mg/kg, i.v.) in guinea pigs. Airway hyperreactivity was assessed by measuring the increase of bronchial insufflation pressure to acetylcholine (0.01-30 micromol/kg, i.v.) at 3 h (early phase) and 24 h (late phase) after sephadex administration. An increase in inflammatory cells in bronchoalveolar lavage fluid (eosinophils and macrophages) was detected at 24 h (from 11.6 x 10(6) to 49.3 x 10(6) cells) but not at 3 h from sephadex administration. Neurokinin A and substance P levels in bronchoalveolar lavage fluid showed a significant increase at 24 h (from 31.7+/-11.6 to 561+/-231 pg/ml and from 5.9+/-2.6 to 29.3+/-4.1 pg/ml for neurokinin A and substance P, respectively). At this time point, the tachykinin in bronchoalveolar lavage cellular content was depleted from 232+/-43 to 21+/-20 pg/sample and from 56.6+/-6.7 to 2+/-2 pg/sample for neurokinin A and substance P, respectively. Capsaicin pretreatment abolished the early but not the late phase of airway hyperreactivity induced by sephadex without modifying bronchoalveolar lavage total cells number and bronchoalveolar lavage levels of neurokinin A and substance P. Administration of the tachykinin NK(2) (nepadutant) and/or the NK(1) receptor antagonist (MEN 11467 or (1R,2S)-2-N[1(H)indol-3-yl-carbonyl]-1-N[N-(p-tolylacetyl)-N-(methyl)-D-3(2-naphthyl)alanyl)diaminocyclohexane)), 5 min before sephadex, prevented the early phase of airway hyperreactivity to acetylcholine but only nepadutant prevented the late phase. Nepadutant was able to abolish the early phase of airway hyperreactivity if given after sephadex administration and reduced by about 50% the increase of cell number in bronchoalveolar lavage fluid during the late phase, without affecting the levels of neurokinin A and substance P. These findings indicate an involvement of endogenous tachykinins in the genesis of airway hyperreactivity in a guinea-pig model of non-allergic asthma. Early airway hyperreactivity apparently involves release of tachykinins from capsaicin-sensitive afferent nerves acting via tachykinin NK(1)/NK(2) receptors. Late airway hyperreactivity involves tachykinins acting via tachykinin NK(2) receptors: inflammatory cells activated/recruited in response to sephadex challenge appear a likely source of tachykinins involved in the late phase of the response.


Subject(s)
Bronchial Hyperreactivity/physiopathology , Inflammation/physiopathology , Tachykinins/physiology , Acetylcholine/pharmacology , Animals , Bronchial Hyperreactivity/chemically induced , Bronchial Hyperreactivity/prevention & control , Bronchoalveolar Lavage Fluid/chemistry , Bronchoalveolar Lavage Fluid/cytology , Bronchoconstriction/drug effects , Bronchodilator Agents/pharmacology , Capsaicin/pharmacology , Cell Count , Cyclohexylamines/pharmacology , Dextrans/administration & dosage , Dose-Response Relationship, Drug , Eosinophils/cytology , Eosinophils/drug effects , Guinea Pigs , Indoles/pharmacology , Inflammation/chemically induced , Inflammation/prevention & control , Macrophages/cytology , Macrophages/drug effects , Male , Neurokinin A/analysis , Peptides, Cyclic/pharmacology , Receptors, Tachykinin/antagonists & inhibitors , Substance P/analysis , Time Factors , Vasodilator Agents/pharmacology
18.
Br J Pharmacol ; 135(1): 266-74, 2002 Jan.
Article in English | MEDLINE | ID: mdl-11786503

ABSTRACT

1. The effects of the novel mammalian tachykinin, hemokinin 1 (HEK-1), have been investigated by radioligand binding and functional in vitro and in vivo experiments. 2. Similar to SP (K(i)=0.13 nM), HEK-1 inhibited in a concentration-dependent manner and with high affinity [(3)H]-substance P (SP) binding to human NK(1) receptor (K(i)=0.175 nM) while its affinity for [(125)I]-neurokinin A (NKA) binding at human NK(2) receptor was markedly lower (K(i)=560 nM). 3. In isolated bioassays HEK-1 was a full agonist at tachykinin NK(1), NK(2) and NK(3) receptors. In the rat urinary bladder (RUB) HEK-1 was about 3 fold less potent than SP. In the rabbit pulmonary artery (RPA) HEK-1 and in the guinea-pig ileum (GPI), HEK-1 was about 500 fold less potent than NKA and NKB, respectively. 4. The responses to HEK-1 were antagonized by GR 82334 in RUB (pK(B)=5.6+/-0.07), by nepadutant in RPA (pK(B)=8.6+/-0.04) and by SR 142801 in GPI (pK(B)=9.0+/-0.2) with apparent affinities comparable to that measured against tachykinin NK(1), NK(2) and NK(3) receptor-selective agonists, respectively. 5. Intravenous HEK-1 produced dose-related decrease of blood pressure in anaesthetized guinea-pigs (ED(50)=0.1 nmol kg(-1)) and salivary secretion in anaesthetized rats (ED(50)=6 nmol kg(-1)) with potencies similar to that of SP. All these effects were blocked by the selective tachykinin NK(1) receptor antagonist, SR 140333. 6. We conclude that HEK-1 is a full agonist at tachykinin NK(1), NK(2) and NK(3) receptors, possesses a remarkable selectivity for NK(1) as compared to NK(2) or NK(3) receptors and acts in vivo experiments with potency similar to that of SP.


Subject(s)
Protein Precursors/pharmacology , Receptors, Tachykinin/agonists , Tachykinins/pharmacology , Amino Acid Sequence , Animals , Binding Sites , Binding, Competitive , Blood Pressure/drug effects , CHO Cells , Cricetinae , Dose-Response Relationship, Drug , Guinea Pigs , Heart Rate/drug effects , Ileum/drug effects , Ileum/physiology , Male , Muscle, Smooth/drug effects , Muscle, Smooth/physiology , Pulmonary Artery/drug effects , Pulmonary Artery/physiology , Rabbits , Radioligand Assay , Rats , Rats, Wistar , Receptors, Neurokinin-1/agonists , Receptors, Neurokinin-1/metabolism , Receptors, Neurokinin-2/agonists , Receptors, Neurokinin-2/metabolism , Receptors, Neurokinin-3/agonists , Receptors, Neurokinin-3/metabolism , Receptors, Tachykinin/metabolism , Saliva/metabolism , Salivation/drug effects , Salivation/physiology , Sequence Homology, Amino Acid , Urinary Bladder/drug effects , Urinary Bladder/physiology
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