2017
DOI: 10.1002/cmdc.201700151
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Neladenoson Bialanate Hydrochloride: A Prodrug of a Partial Adenosine A1 Receptor Agonist for the Chronic Treatment of Heart Diseases

Abstract: Adenosine is known to be released under a variety of physiological and pathophysiological conditions to facilitate the protection and regeneration of injured ischemic tissues. The activation of myocardial adenosine A receptors (A Rs) has been shown to inhibit myocardial pathologies associated with ischemia and reperfusion injury, suggesting several options for new cardiovascular therapies. When full A R agonists are used, the desired protective and regenerative cardiovascular effects are usually overshadowed b… Show more

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Cited by 48 publications
(41 citation statements)
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“…In the case of the adenosine A 1 ‐receptor, a number of compounds have previously undergone evaluation for cardiovascular disease indications such as paroxysmal supraventricular tachycardia, atrial fibrillation, and angina pectoris (Müller & Jacobson, ). At the present time, the A 1 ‐receptor partial agonist neladenoson is undergoing clinical trial for heart failure (Meibom et al, ). However, the ubiquitous distribution of adenosine receptors in the body can often limit therapeutic application because of the effects of adenosine ligands on the same receptor in a different tissue or cell type (Müller & Jacobson, ).…”
Section: Introductionmentioning
confidence: 99%
“…In the case of the adenosine A 1 ‐receptor, a number of compounds have previously undergone evaluation for cardiovascular disease indications such as paroxysmal supraventricular tachycardia, atrial fibrillation, and angina pectoris (Müller & Jacobson, ). At the present time, the A 1 ‐receptor partial agonist neladenoson is undergoing clinical trial for heart failure (Meibom et al, ). However, the ubiquitous distribution of adenosine receptors in the body can often limit therapeutic application because of the effects of adenosine ligands on the same receptor in a different tissue or cell type (Müller & Jacobson, ).…”
Section: Introductionmentioning
confidence: 99%
“…Structural modifications at the exocyclic amine group of Capadenoson led to the development of the A 1 AR agonist 2-(((2-(4-chlorophenyl)-1,3-thiazol-4-ylmethyl)sulfanyl)-4-(4-(2-hydroxyethoxy) phenyl)-6-(pyrrolidin-l-yl)pyridine-3,5-dicarbonitrile, also named Neladenoson (2; Figure 1; Table 1). Like Capadenoson, Neladenoson is a selective partial agonists of the A 1 AR [50,51]. Neladenoson showed cardioprotective effects in rat preclinical models, analogously to Capadenoson, although with lower central effects.…”
Section: Pyridine Derivativesmentioning
confidence: 99%
“…The growing interest in this class is also dictated by the fact that non-nucleoside AR agonists seem to be more versatile for pharmacological studies, showing fewer species differences than the adenosine-like ones [4]. Moreover, the studies carried out to date are sufficient to underline the versatility of the amino-3,5-dicyanopyridine scaffold for producing AR ligands with not only a wide range of affinities but, interestingly, with different degrees of efficacy at the different ARs [11,12,[14][15][16][17][18][19].…”
Section: Chemistrymentioning
confidence: 99%
“…All the derivatives that interact with the hA 2B AR (2, 3, 5-8, 10-12) display EC 50 values from 12 to 260 nM behaving as partial agonists, with the only exception being compound 6, previously reported as trifluoroacetate salt [32], which shows a full agonist profile. Some compounds (17)(18)(19)(20), selected among those that had no activity at the hA 2B AR were also evaluated to investigate their antagonistic effect on cAMP production stimulated by 5 -(N-ethylcarboxamido)adenosine (NECA) 100 nM in hA 2B CHO cells. These functional studies reveal their inability to inhibit NECA-stimulated cAMP levels (I% ≤ 3) (data not shown).…”
Section: Structure-activity Relationshipsmentioning
confidence: 99%