Английская Википедия:Amesergide

Материал из Онлайн справочника
Перейти к навигацииПерейти к поиску

Шаблон:Short description Шаблон:Drugbox

Amesergide (Шаблон:Abbrlink, Шаблон:Abbrlink; developmental code name LY-237733) is a serotonin receptor antagonist of the ergoline and lysergamide families related to methysergide which was under development by Eli Lilly and Company for the treatment of a variety of conditions including depression, anxiety, schizophrenia, male sexual dysfunction, migraine, and thrombosis but was never marketed.[1][2][3] It reached phase II clinical trials for the treatment of depression, erectile dysfunction, and premature ejaculation prior to the discontinuation of its development.[1]

Pharmacology

Pharmacodynamics

Amesergide acts as a selective antagonist of the serotonin 5-HT2A, 5-HT2B, and 5-HT2C receptors (Ki = 1.96–15.1 nM).[4][5] It is also an antagonist of the serotonin 5-HT7 receptor with relatively lower affinity (Ki = 78.0 nM).[6] The drug is a potent antagonist of the α2-adrenergic receptor in addition to the 5-HT2 receptors via its major active metabolite 4-hydroxyamesergide (Ki = 13 nM).[7][8] This profile of activity is similar to that of the so-called noradrenergic and specific serotonergic antidepressant (NaSSA) mirtazapine (Remeron).[9]

Amesergide also has affinity for the serotonin 5-HT1D receptor (Ki = 57.9 nM) and lower affinity for the serotonin 5-HT1A, α1-adrenergic, and dopamine D1 and D2 receptors (Ki = 150–730 nM).[4] It has negligible affinity for the histamine H1 and muscarinic acetylcholine receptors (Ki > 10,000 nM).[4] The drug does not appear to have been assessed at the serotonin 5-HT1E, 5-HT1F, 5-HT4, 5-HT5A, and 5-HT6 receptors, nor at the dopamine D3, D4, and D5 receptors.[10]

Affinities of amesergide at various sites[10]
Site Affinity (Ki [nM]) Species Source
5-HT1A 177.3 Rat [4]
5-HT1B ? ? ?
5-HT1D 57.9 Cow [4]
5-HT2A 15.1
12.4
Human
Rat
[5]
[4]
5-HT2B 1.96 Human [5]
5-HT2C 6.27
13.27
Human
Pig
[5]
[4]
5-HT3 >10,000 Rat [4]
5-HT6 ? ? ?
5-HT7 78.0 Human [11]
α1 730 Rat [4]
α2 50
13 (Шаблон:Abbr)
Rat [4]
[7]
β >10,000 Rat [4]
D1 150 Rat [4]
D2 520 Rat [4]
H1 >10,000 Rat [4]
Шаблон:Abbrlink >10,000 Rat [4]
Notes: The smaller the affinity value, the more strongly the drug binds to the site.

References

Шаблон:Reflist

External links

Шаблон:Navboxes Шаблон:Ergolines