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Vol. 290, Issue 3, 1475-1481, September 1999
Department of Physiology, Institute of Cardiovascular Sciences, St.
Boniface General Hospital Research Centre, University of Manitoba,
Winnipeg, Manitoba, Canada
Antiproliferative behavior of sarpogrelate (Anplag,
MCI-9042,
(±)-1-[2-[2-(3-methoxyphenyl)ethyl]phenoxy]-3-(dimethylamino)-2-propyl hydrogen succinate hydrochloride), a serotonin 2A (5-HT2A) receptor antagonist, was established using radioactive incorporation of [3H]thymidine, [3H]uridine, and
[3H]phenylalanine in cultured rat aortic smooth muscle
cells in response to a 5-HT-induced cytokine trigger.
Fluorescence-activated cell sorting was used to confirm these
observations. 5-HT-induced DNA, RNA, and protein synthesis were
inhibited maximally at a concentration of 1 µM sarpogrelate. Although
other cytokines such as platelet-derived growth factor and endothelin
also induced DNA, RNA, and protein synthesis in rat aortic smooth
muscle cells, cell proliferation was not influenced by sarpogrelate,
even at large pharmacological concentrations (10 µM). Sarpogrelate's
antiproliferative actions were found to be more potent than ketanserin.
These data indicate that sarpogrelate operates as a specific inhibitor
of 5-HT-mediated cell proliferation and is a good candidate for
preventing serotonin-induced neointimal hyperplasia.
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