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PDE3 inhibitor

Source πŸ“

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drugs there has been great interest in developing new drugs in this category. A large number of heterocyclic compounds have been synthesized during related research. These compounds constitute a second generation of PDE inhibitors. Although they have been directed mostly at PDE3, they present
443:: Various substituents have been placed at the para-position of the central phenyl ring. They are electron rich moieties and apparently a positively charged moiety cannot be tolerated in this region of the PDE receptor. There is general agreement about this inhibitor potency: 853:
Boswell-Smith, Victoria; Spina, Domenico; Oxford, Alec W.; Comer, Mike B.; Seeds, Esther A.; Page, Clive P. (August 2006). "The pharmacology of two novel long-acting phosphodiesterase 3/4 inhibitors, RPL554 isoquinolin-4-one] and RPL565 isoquinolin-4-one]".
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Also, meribendan has a higher level of selectivity in comparison with the parent compound CI-930 because, beside the basic nitrogen adjacent to the lactam moiety it possesses another basic nitrogen (benzimidazole ring), opposite to the primary binding site.
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Recognition that the knowledge about PDE could be used to develop drugs that were PDE inhibitors led to extensive research. Most studies used analogues of the nucleotide substrates or derivatives of natural product inhibitors such as
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Mizuno, Masashi; Yamano, Shigeki; Chimura, Shuichi; Hirakawa, Atsushi; Takusagawa, Yoshimi; Sawada, Tamotsu; Maetani, Shigeki; Takahashi, Arane; Mizuno, Takeshi; Harada, Kayoko; Shinoda, Asako (20 January 2017).
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leads to a positive inotropic effect of PDE3 inhibitors: they increase the force of cardiac contraction. Increased reflux of calcium into the SR following the plateau phase is responsible for their positive
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and there is general agreement that high affinity PDE3 inhibitors should adopt an energetically favoured planar conformation that mimics the anti conformation of cAMP.
107:. This drug has a much weaker positive inotropic effect than those drugs used for the therapy of acute heart failure, and lacks significant adverse cardiac effects. 638: 970: 938: 1018: 906: 802:
Fossa, Paola; Boggia, Raffaella; Mosti, Luisa (1998). "Toward the identification of the cardiac cGMP inhibited-phosphodiesterase catalytic site".
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groups on the heterocycle could be to twist the central ring away from exact coplanarity with the heterocyclic ring. There is a similar twist in
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of PDE3 can be considered as a summary of ideas about receptor topography resulting from the first generation inhibitors. The model of the Wells
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Erhardt, Paul W.; Chou, Yuo-Ling (January 1991). "A topographical model for the c-AMP phosphodiesterase III active site".
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there is the presence of a dipole and an adjacent acid proton (an amide function). These atoms are believed to mimic the
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center in the phosphate group in cAMP and are confirmed as the primary site of binding. The heterocycle is a
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Identification of features common to the most selective inhibitors has led to a "five-point model" with:
92:, when used for the therapy of acute heart failure, so they have to be applied under close observation. 1462: 811: 136: 1759: 1324: 1224: 1214: 1184: 1121: 1051: 385:
A "heterocycle-phenyl-imidazole" (H-P-I) pattern has been considered to be necessary for positive
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are ineffective. Well controlled studies have shown that these drugs generally increase
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An electron rich centre and/or a hydrogen bond acceptor site opposite to the dipole.
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activity in cardiac muscle and many second generation inhibitors fit this pattern.
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enzymes PDE-3 and PDE-4. As of October 2015, inhaled RPL-554 delivered via a
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effect: they increase relaxation speed. Additionally, PDE3 inhibitors act as
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version as cited in Erhardt and Chou (1991) includes the following:
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3 leads to an increase of intracellular concentrations of the
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was in development for COPD and had been studied in asthma.
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The Journal of Pharmacology and Experimental Therapeutics
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A small sized alkyl substituent on the heterocyclic ring.
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Allgemeine und spezielle Pharmakologie und Toxikologie
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Since selective PDE3 inhibitors were recognised to be
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when used for the therapy of acute heart failure are
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Theophylline is a non-selective agent. In contrast,
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FDA. 25 September 2006. Archived from 455:in place of the central phenyl with its 797: 795: 793: 791: 789: 787: 618: 616: 614: 586: 243:. An increased calcium influx from the 630: 77:in the presence of cardiogenic shock. 503:Examples of selective PDE3 inhibitors 495:A relatively flat overall topography. 7: 897:Taylor, Nick Paul (1 October 2015). 486:moiety) at one end of the molecule. 239:, which in turn activates cardiac 14: 627:(in German). Munich. p. 457. 623:Forth; Henschler; Rummel (2002). 551:is a highly selective inhibitor. 349:Second generation PDE3 inhibitors 80:PDE3 inhibitors are indicated as 269:First generation PDE3 inhibitors 143:is prohibited during treatment. 360:structure-activity relationship 1823:excluding cardiac glycosides ( 531:, a highly selective inhibitor 506: 229:cyclic adenosine monophosphate 216:PDE3 inhibitors are a type of 1: 1780:Receptor/signaling modulators 482:Presence of a strong dipole ( 475:(which is totally inactive). 103:is used for the treatment of 2061:Phosphodiesterase inhibitors 955:Phosphodiesterase inhibitors 770:10.1016/0024-3205(91)90254-9 334:binding site portion of the 218:phosphodiesterase inhibitors 518:, a non-selective inhibitor 344:An area with bulk tolerance 312:area that accommodates the 2204: 411:groups, limited to either 341:A sterically hindered site 231:(cAMP). cAMP mediates the 2138: 1773: 405:transition state analogue 362:for the PDEs in general. 105:intermittent claudication 96:Peripheral artery disease 2103:Other cardiac stimulants 653:"Approval of Cilostazol" 489:An adjacent acid proton. 249:cardiac action potential 220:. Inhibition of the PDE 868:10.1124/jpet.105.099192 824:10.1023/a:1007928412086 123:are severe obstructive 1936:Amezinium metilsulfate 1624:Choline theophyllinate 674:. Circulation Research 544: 532: 519: 393:The heterocycle region 382: 245:sarcoplasmic reticulum 26: 1042:Amrinone (inamrinone) 605:Arzneimittelwirkungen 542: 527: 514: 368: 21: 712:10.1292/jvms.16-0069 441:The imidazole region 137:ventricular aneurysm 1849:Adrenergic agonists 816:1998JCAMD..12..361F 381:) pattern of CI-930 264:Chemical properties 212:Mechanism of action 156:The most important 2165:Never to phase III 2120:Omecamtiv mecarbil 1821:Cardiac stimulants 545: 533: 520: 407:inhibitor of PDE. 383: 27: 2175: 2174: 2055: 2054: 2020:Unknown/ungrouped 1971:Dopamine agonists 1965: 1964: 1787: 1786: 1458:Nitrosoprodenafil 659:on 27 April 2007. 572:phosphodiesterase 537: 536: 423:The phenyl region 121:Contraindications 111:Contraindications 47:cardiogenic shock 35:phosphodiesterase 2195: 2110:Angiotensinamide 1854: 1845: 1814: 1807: 1800: 1791: 948: 941: 934: 925: 919: 918: 916: 914: 905:. 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Retrieved 665: 657:the original 647: 624: 604: 562: 553: 546: 516:Theophylline 477: 440: 439: 422: 421: 392: 391: 384: 358:significant 352: 338:binding site 327:binding site 316:side of the 305:binding area 294: 288: 280:theophylline 272: 258:vasodilators 215: 179: 170:transaminase 155: 119: 99: 79: 61: 53:Medical uses 30: 28: 15: 2151:from market 2094:Vesnarinone 2079:Bucladesine 2032:Dimetofrine 1946:Epinephrine 1920:Prenalterol 1869:Methoxamine 1864:Metaraminol 1720:Lisofylline 1715:Furafylline 1674:Theobromine 1639:Doxofylline 1567:Mardepodect 1539:PF-04447943 1534:BAY 73-6691 1448:Mirodenafil 1433:Gisadenafil 1380:Zardaverine 1340:Roflumilast 1320:Piclamilast 1275:Irsogladine 1235:Drotaverine 1220:Crisaborole 1190:Catramilast 1152:Zardaverine 1147:Vesnarinone 1067:Cilostamide 1057:Bucladesine 999:BAY 60-7550 981:Vinpocetine 670:Yan, Chen. 473:imidazolium 397:heterocycle 371:heterocycle 355:cardiotonic 291:active site 133:tachycardia 129:hypovolemia 2125:Pimobendan 2011:Octopamine 2001:Dopexamine 1979:Fenoldopam 1952:Etilefrine 1910:Dobutamine 1905:Arbutamine 1834:Adrenergic 1735:Oxagrelate 1730:Moxaverine 1725:MDL-12330A 1572:Papaverine 1562:Balipodect 1498:Vardenafil 1473:Sildenafil 1423:Dasantafil 1403:Aildenafil 1370:Tofimilast 1365:Tetomilast 1350:Ronomilast 1335:Ro 20-1724 1330:Revamilast 1315:Oglemilast 1305:Mesembrine 1290:Lotamilast 1285:Lirimilast 1280:Lavamilast 1270:Indimilast 1250:Filaminast 1230:Difamilast 1210:Cilomilast 1175:Arofylline 1170:Apremilast 1142:Trequinsin 1137:Siguazodan 1117:Pimobendan 1112:Parogrelil 1097:Meribendan 1072:Cilostazol 1062:Carbazeran 1047:Anagrelide 1004:Carbazeran 678:23 January 582:References 568:trequinsin 549:meribendan 529:Meribendan 336:pyrimidine 325:pyrimidine 310:lipophilic 284:papaverine 254:lusitropic 205:pimobendan 190:cilostazol 162:arrhythmia 101:Cilostazol 82:inotropics 2161:Phase III 2149:Withdrawn 2130:Xamoterol 2089:Milrinone 2084:Enoximone 2037:Gepefrine 2027:Cafedrine 2006:Ibopamine 1941:Droxidopa 1874:Midodrine 1777:See also: 1750:Quercetin 1684:Zaprinast 1649:Ibudilast 1582:Tofisopam 1577:TC-E 5005 1516:BRL-50481 1488:Tadalafil 1468:SCH-51866 1443:Lodenafil 1413:Beminafil 1265:ICI-63197 1245:Etazolate 1127:Quazinone 1107:Olprinone 1102:Milrinone 1077:Enoximone 1037:Adibendan 976:SCH-51866 633:cite book 576:nebulizer 449:imidazoyl 387:inotropic 379:imidazole 332:imidazole 314:non-polar 303:phosphate 222:isoenzyme 200:enoximone 195:milrinone 90:mortality 71:enoximone 67:milrinone 23:Milrinone 2182:Category 2074:Amrinone 1995:Dopamine 1884:Oxedrine 1765:Trapidil 1755:Satigrel 1700:Diazepam 1693:Unsorted 1659:Luteolin 1619:Caffeine 1493:Udenafil 1408:Avanafil 1360:RS-25344 1345:Rolipram 1310:Mesopram 1295:Luteolin 1255:Glaucine 1205:CGH-2466 1180:Atizoram 1087:Imazodan 1014:Oxindole 884:15490792 876:16682455 840:34807211 730:27644192 559:Research 484:carbonyl 457:nitrogen 453:pyridine 276:xanthine 185:amrinone 172:levels. 63:Amrinone 1598:BC11-38 1453:MY-5445 1428:Icariin 1355:RPL-554 1260:HT-0712 1200:CDP-840 1195:CC-1088 1132:RPL-554 913:2 March 832:9777494 812:Bibcode 778:1650876 721:5289233 564:RPL-554 377:) – I ( 373:) – P ( 152:Cardiac 116:Cardiac 58:Cardiac 37:enzyme 2144:WHO-EM 1841:agents 1483:T-0156 1375:YM-976 1092:KMUP-1 882:  874:  838:  830:  776:  728:  718:  465:halide 445:lactam 427:phenyl 413:methyl 375:phenyl 320:moiety 318:ribose 295:et al. 282:) and 278:(e.g. 135:, and 2065:PDE3I 1929:mixed 1710:DPCPX 1592:PDE11 1554:PDE10 880:S2CID 836:S2CID 471:> 469:amine 463:> 461:ether 431:alkyl 417:ethyl 409:Alkyl 176:Types 1988:Both 1825:C01C 1654:IBMX 1526:PDE9 1508:PDE7 1390:PDE5 1162:PDE4 1029:PDE3 1009:EHNA 991:PDE2 971:MMPX 963:PDE1 915:2016 872:PMID 828:PMID 774:PMID 726:PMID 680:2016 639:link 435:cAMP 289:The 69:and 45:and 39:PDE3 1836:and 1629:CPX 1019:PDP 864:doi 860:318 820:doi 766:doi 716:PMC 708:doi 415:or 369:H ( 330:An 235:of 2184:: 2157:: 901:. 878:. 870:. 858:. 834:. 826:. 818:. 808:12 806:. 786:^ 772:. 762:49 760:. 738:^ 724:. 714:. 704:79 702:. 698:. 635:}} 631:{{ 613:^ 589:^ 467:= 451:= 323:A 308:A 301:A 286:. 260:. 164:, 139:. 131:, 127:, 65:, 49:. 29:A 2067:) 2063:( 1997:# 1948:# 1898:Ξ² 1857:Ξ± 1827:) 1813:e 1806:t 1799:v 947:e 940:t 933:v 917:. 886:. 866:: 842:. 822:: 814:: 780:. 768:: 732:. 710:: 682:. 641:)

Index


Milrinone
phosphodiesterase
PDE3
heart failure
cardiogenic shock
Amrinone
milrinone
enoximone
cardiac failure
inotropics
catecholamines
mortality
Cilostazol
intermittent claudication
Contraindications
cardiomyopathy
hypovolemia
tachycardia
ventricular aneurysm
Breast feeding
adverse effects
arrhythmia
thrombocytopenia
transaminase
amrinone
cilostazol
milrinone
enoximone
pimobendan

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