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Vol. 290, Issue 2, 840-846, August 1999
Actelion Ltd., Innovation Center, Allschwil, Switzerland (M.C.,
H.R., J.-P.C., P.H.); and Hoffmann-La Roche Ltd., Basel, Switzerland
(V.B., B.M.L., P.C., S.R.)
Tezosentan (Ro 61-0612) [5-isopropyl-pyridine-2-sulfonic acid
6-(2-hydroxy-ethoxy)-5-(2-methoxy-phenoxy)-2-(2-1H-tetrazol-5-yl-pyridin-4-yl)-pyrimidin-4-ylamide] is a new endothelin (ET) receptor antagonist specifically designed for
parenteral use. Tezosentan competitively antagonizes the specific binding of 125I-labeled ET-1 and of the selective
ETB receptor ligands 125I-labeled ET-3 and
125I-labeled sarafotoxin S6c on cells and tissues carrying
ETA and ETB receptors, with inhibitory
constants in the nanomolar range, and has high water solubility.
Tezosentan exhibits high functional inhibitory potency for inhibiting
contraction induced by ET-1 on isolated rat aorta (ETA
receptors; pA2 = 9.5) and by sarafotoxin S6c on rat
trachea (ETB receptors; pA2 = 7.7). In
vivo, tezosentan inhibits the pressor effect of big ET-1 in pithed rats
and increases ET-1 plasma concentrations in conscious rats in a
dose-dependent fashion. In spontaneously hypertensive rats, i.v.
injection of tezosentan has acute hemodynamic effects and decreases
blood pressure. Tezosentan is also able to prevent the acute renal
failure that complicates rhabdomyolysis in a rat model of myoglobinuric
nephropathy. Finally, tezosentan exhibits an apparent elimination
half-life of less than 1 h in rabbits and primates and of 2 h
in rats. In conclusion, tezosentan, a potent mixed ET receptor
antagonist with a short half-life, may offer a novel medical approach
for the i.v. treatment of acute pathological conditions.
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