2023
DOI: 10.1124/molpharm.122.000633
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In Vitro Pharmacological Profile of KW-6356, a Novel Adenosine A2AReceptor Antagonist/Inverse Agonist

Abstract: KW-6356 is a novel adenosine A 2A receptor (A 2A receptor) antagonist/inverse agonist, and its efficacy as monotherapy in Parkinson's disease (PD) patients has been reported. Istradefylline is a first-generation A 2A receptor antagonist approved for use as adjunct treatment to levodopa/decarboxylase inhibitor in adult PD patients experiencing OFF episodes. In this study, we investigated the in vitro pharmacological profile of KW-6356 as an A 2A receptor antagonist/inverse agonist and the mode of antagonism and… Show more

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Cited by 11 publications
(7 citation statements)
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“…Importantly, the A 2A -StaR2 construct that has been used for the vast majority of A 2A AR co-crystal structures 16 contains two mutations inside the ligand binding pocket (T88 3.36 A and S277 7.42 A) preventing the discovery of this hydrogen bond. In fact, out of the 24 different A 2A AR antagonists for which co-crystal structures have been solved to date (see Supplementary Table 1) only five have been determined with A 2A AR constructs harboring the native T88 3.36 (ZM241384 21 , "cmpd-1" 36 , PSB-2113 16 , PSB-2115 16 , and most recently KW-6356 37 ). Nevertheless, the structure of a modified A 2A -StaR2-bRIL construct (that has the S277 7.42 A mutation reverted to the wt residue) in complex with Etrumadenant revealed nearly identical binding poses of Etrumadenant, despite the T88 3.36 A mutation.…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, the A 2A -StaR2 construct that has been used for the vast majority of A 2A AR co-crystal structures 16 contains two mutations inside the ligand binding pocket (T88 3.36 A and S277 7.42 A) preventing the discovery of this hydrogen bond. In fact, out of the 24 different A 2A AR antagonists for which co-crystal structures have been solved to date (see Supplementary Table 1) only five have been determined with A 2A AR constructs harboring the native T88 3.36 (ZM241384 21 , "cmpd-1" 36 , PSB-2113 16 , PSB-2115 16 , and most recently KW-6356 37 ). Nevertheless, the structure of a modified A 2A -StaR2-bRIL construct (that has the S277 7.42 A mutation reverted to the wt residue) in complex with Etrumadenant revealed nearly identical binding poses of Etrumadenant, despite the T88 3.36 A mutation.…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the side chain of E169 ECL2 is rotated toward the ligand and interacts with the imidazole moiety of LUF5833 (Figure a). In the A 2A AR structure in complex with LUF5834, H264 ECL3 forms an ionic lock to E169 ECL2 instead (Figures a and a), which represents a frequent feature in A 2A AR crystal structures when crystals grew at acidic or neutral pH values. , The p K a value of the H264 ECL3 side chain imidazole was calculated to 6.90 using the propKa , online tool. Thus, it is almost fully protonated at the pH value used for crystallization (pH 5.2) and is roughly 25% protonated at a physiological pH value of 7.4.…”
Section: Resultsmentioning
confidence: 99%
“…47 Zebrafish possess two A 2A R genes named adora2a.1 and adora2a.2, which share 62 and 74% amino acid identity to mammalian A 2A R, respectively. 48 The key residues involved in the binding of istradefylline on human A 2A R 49 are conserved in zebrafish orthologs. Since blockade of A 2A R receptors has been previously reported to increase zebrafish locomotion, 50 we evaluated the influence of light on the effect of istradefylline on the free-swimming behavior of nai ̈ve 5 day old zebrafish larvae.…”
Section: Istradefylline Exhibits Rapidmentioning
confidence: 99%