Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease

β-Blockers reduce mortality and improve symptoms in people with heart disease. However, current clinically available β-blockers have poor selectivity for the cardiac β1-adrenoceptor (AR) over the lung β2-AR. Unwanted β2-blockade risks causing life-threatening bronchospasm and a reduction in the effi...

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Main Authors: Baker, Jillian G., Gardiner, Sheila M., Woolard, Jeanette, Fromont, Christophe, Jadhav, Gopal P., Mistry, Shailesh N., Thompson, Kevin S.J., Kellam, Barrie, Hill, Stephen J., Fischer, Peter M.
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Published: Federation of American Society of Experimental Biology 2017
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Online Access:https://eprints.nottingham.ac.uk/41610/
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author Baker, Jillian G.
Gardiner, Sheila M.
Woolard, Jeanette
Fromont, Christophe
Jadhav, Gopal P.
Mistry, Shailesh N.
Thompson, Kevin S.J.
Kellam, Barrie
Hill, Stephen J.
Fischer, Peter M.
author_facet Baker, Jillian G.
Gardiner, Sheila M.
Woolard, Jeanette
Fromont, Christophe
Jadhav, Gopal P.
Mistry, Shailesh N.
Thompson, Kevin S.J.
Kellam, Barrie
Hill, Stephen J.
Fischer, Peter M.
author_sort Baker, Jillian G.
building Nottingham Research Data Repository
collection Online Access
description β-Blockers reduce mortality and improve symptoms in people with heart disease. However, current clinically available β-blockers have poor selectivity for the cardiac β1-adrenoceptor (AR) over the lung β2-AR. Unwanted β2-blockade risks causing life-threatening bronchospasm and a reduction in the efficacy of β2-agonist emergency rescue therapy. Thus current life-prolonging β-blockers are contraindicated in people with both heart disease and asthma. Here we describe NDD-713 and NDD-825, novel highly β1-selective neutral antagonists with good pharmaceutical properties that can potentially overcome this limitation. Radioligand binding studies and functional assays using human receptors expressed in CHO cells demonstrate that NDD-713 and NDD-825 have nanomolar β1-AR affinity, greater than 500-fold β1-AR vs β2-AR selectivity and no agonism. Studies in conscious rats demonstrated that they are orally bioavailable and cause pronounced β1-mediated reduction of heart rate while showing no effect on β2-mediated hindquarters vasodilatation. The compounds also have good disposition properties and show no adverse toxicological effects. They potentially offer a truly cardioselective β-blocker therapy for the large number of people with heart and respiratory, or peripheral vascular comorbidities.
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spelling nottingham-416102020-05-04T18:57:36Z https://eprints.nottingham.ac.uk/41610/ Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease Baker, Jillian G. Gardiner, Sheila M. Woolard, Jeanette Fromont, Christophe Jadhav, Gopal P. Mistry, Shailesh N. Thompson, Kevin S.J. Kellam, Barrie Hill, Stephen J. Fischer, Peter M. β-Blockers reduce mortality and improve symptoms in people with heart disease. However, current clinically available β-blockers have poor selectivity for the cardiac β1-adrenoceptor (AR) over the lung β2-AR. Unwanted β2-blockade risks causing life-threatening bronchospasm and a reduction in the efficacy of β2-agonist emergency rescue therapy. Thus current life-prolonging β-blockers are contraindicated in people with both heart disease and asthma. Here we describe NDD-713 and NDD-825, novel highly β1-selective neutral antagonists with good pharmaceutical properties that can potentially overcome this limitation. Radioligand binding studies and functional assays using human receptors expressed in CHO cells demonstrate that NDD-713 and NDD-825 have nanomolar β1-AR affinity, greater than 500-fold β1-AR vs β2-AR selectivity and no agonism. Studies in conscious rats demonstrated that they are orally bioavailable and cause pronounced β1-mediated reduction of heart rate while showing no effect on β2-mediated hindquarters vasodilatation. The compounds also have good disposition properties and show no adverse toxicological effects. They potentially offer a truly cardioselective β-blocker therapy for the large number of people with heart and respiratory, or peripheral vascular comorbidities. Federation of American Society of Experimental Biology 2017-07-31 Article PeerReviewed Baker, Jillian G., Gardiner, Sheila M., Woolard, Jeanette, Fromont, Christophe, Jadhav, Gopal P., Mistry, Shailesh N., Thompson, Kevin S.J., Kellam, Barrie, Hill, Stephen J. and Fischer, Peter M. (2017) Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease. FASEB Journal, 31 (7). pp. 3150-3166. ISSN 1530-6860 β-blocker Selectivity Heart disease Asthma http://www.fasebj.org/content/31/7/3150 doi:10.1096/fj.201601305R doi:10.1096/fj.201601305R
spellingShingle β-blocker
Selectivity
Heart disease
Asthma
Baker, Jillian G.
Gardiner, Sheila M.
Woolard, Jeanette
Fromont, Christophe
Jadhav, Gopal P.
Mistry, Shailesh N.
Thompson, Kevin S.J.
Kellam, Barrie
Hill, Stephen J.
Fischer, Peter M.
Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease
title Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease
title_full Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease
title_fullStr Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease
title_full_unstemmed Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease
title_short Novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease
title_sort novel selective β1-adrenoceptor antagonists for concomitant cardiovascular and respiratory disease
topic β-blocker
Selectivity
Heart disease
Asthma
url https://eprints.nottingham.ac.uk/41610/
https://eprints.nottingham.ac.uk/41610/
https://eprints.nottingham.ac.uk/41610/