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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2008-12-1
pubmed:abstractText
The aim of this study was to assess the cardiovascular effect of MA-2029, a selective motilin receptor antagonist highly expected for the treatment of irritable bowel syndrome (IBS). MA-2029 inhibited the human ether-a-go-go-related gene (hERG) current at 100 microg/ml, but shortened action potential duration (APD) in isolated guinea pig papillary muscles at 10 and 100 microg/ml and the corrected QT (QTc) interval after oral administration of 30 and 300 mg/kg in conscious telemetered dogs. The discrepancy was probably caused by blockade of the Ca(2+) channel because MA-2029 inhibited the Ca(2+) current in isolated guinea pig myocytes. MA-2029 at 100 microg/ml also decreased the maximum rising velocity and action potential amplitude in the action potential study, indicating that MA-2029 has Na(+) channel blocking potential. In the cardiovascular study, MA-2029 at 30 mg/kg induced slight cardiovascular changes such as hypotension, QTc shortening, and PR prolongation possibly caused by Ca(2+) channel blockade. The plasma concentration at 4 hr after 30 mg/kg administration was 2.10 microg/ml, 200-fold higher than the effective concentration of MA-2029 as a motilin receptor antagonist. These results suggest that MA-2029 has sufficient cardiovascular safety although it inhibits multiple ion channels at supra-effective concentrations. On the other hand, cisapride, an effective IBS drug, showed clear hERG inhibition and APD prolongation at 100 ng/ml. Cisapride exhibited a narrow safety margin because it caused QT prolongation potential even at the therapeutic concentration. In conclusion, MA-2029 is a novel drug highly expected for the treatment of IBS with lower cardiovascular risk than cisapride.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1880-3989
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
631-9
pubmed:meshHeading
pubmed-meshheading:19043284-Action Potentials, pubmed-meshheading:19043284-Animals, pubmed-meshheading:19043284-Blood Pressure, pubmed-meshheading:19043284-Cell Line, pubmed-meshheading:19043284-Cisapride, pubmed-meshheading:19043284-Dogs, pubmed-meshheading:19043284-Electric Stimulation, pubmed-meshheading:19043284-Electrocardiography, pubmed-meshheading:19043284-Guinea Pigs, pubmed-meshheading:19043284-Heart Rate, pubmed-meshheading:19043284-Humans, pubmed-meshheading:19043284-Irritable Bowel Syndrome, pubmed-meshheading:19043284-Male, pubmed-meshheading:19043284-Oligopeptides, pubmed-meshheading:19043284-Papillary Muscles, pubmed-meshheading:19043284-Patch-Clamp Techniques, pubmed-meshheading:19043284-Receptors, Gastrointestinal Hormone, pubmed-meshheading:19043284-Receptors, Neuropeptide, pubmed-meshheading:19043284-Telemetry
pubmed:year
2008
pubmed:articleTitle
Cardiovascular safety profile of MA-2029, a novel motilin receptor antagonist.
pubmed:affiliation
Fuji Gotemba Research Laboratories, Chugai Pharmaceutical Co., Ltd., Gotemba, Shizuoka, Japan. tabomty@chugai-pharm.co.jp
pubmed:publicationType
Journal Article, In Vitro