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Potent and Orally Bioavailable 8-Bicyclo[2.2.2]octylxanthines as Adenosine A1 Receptor Antagonists
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文摘
In the search for a selective adenosine A1 receptor antagonist with greater aqueous solubility than thecompounds currently in clinical trials as diuretics, a series of 1,4-substituted 8-cyclohexyl and 8-bicyclo[2.2.2]octylxanthines were investigated. The binding affinities of a variety of cyclohexyl and bicyclo[2.2.2]octylxanthines for the rat and human adenosine A1, A2A, A2B, and A3 receptors are presented.Bicyclo[2.2.2]octylxanthine 16 exhibited good pharmaceutical properties and in vivo activity in a rat diuresismodel (ED50 = 0.3 mg/kg po). Optimization of the bridgehead substituent led to propionic acid 29 (BG9928),which retained high potency (hA1, Ki = 7 nM) and selectivity for the adenosine A1 receptor (915-foldversus adenosine A2A receptor; 12-fold versus adenosine A2B receptor) with improved oral efficacy in therat diuresis model (ED50 = 0.01 mg/kg) as well as high oral bioavailability in rat, dog, and cynomolgusmonkey.

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