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ENDOCRINE AND DIABETES
CV Therapeutics, Inc., Palo Alto, California (M.F., Y.W., Y.L., L.W., A.K.D., L.B., J.C.S.); and Division of Cardiovascular Medicine, University of Florida, Gainesville, Florida (Y.X., J.C.S.)
This study characterizes the receptor binding and functional effects of CVT-3619 [2-{6-[((1R,2R)-2-hydroxycyclopentyl)-amino]purin-9-yl}(4S,5S,2R,3R)-5-[(2-fluorophenylthio)methyl]-oxolane-3,4-diol], a novel N6-5' -substituted adenosine analog and A1 -adenosine receptor (A AdoR) agonist, on rat epididymal and inguinal adipocytes and on the isolated heart and compares these effects with those caused by the full agonist N6 -cyclopentyladenosine (CPA). In addition, the hypothesis that adipocyte A1AdoR are a heterogeneous population with regard to their affinities for ligands was tested. CVT-3619 was 10100-fold selective for A1AdoR versus other AdoR and bound to adipocyte membranes with high (KH = 14 nM) and low (K = 5.4 µM) affinities. CVT-3619 reduced cyclic AMP content and release of nonesterified fatty acids from epididymal adipocytes with IC50 values of 6 and 44 nM, respectively. CVT-3619 was a partial agonist relative to CPA to reduce lipolysis in epididymal and inguinal adipocytes. CVT-3619 did not change atrial rate in rat heart and caused a small (6-ms) prolongation of the stimu-lus-to-His bundle interval without causing atrioventricular block in guinea pig heart (effects mediated by A1AdoR), whereas CPA caused atrioventricular block and near cessation of atrial electrical activity. CVT-3619 increased coronary conductance (effect mediated by A2AAdoR) only at concentrations
10 µM. Rat epididymal adipocyte A1AdoR had similar affinities for the antagonist 8-cyclopentyl-1,3-dipropylxanthine in the presence of three dissimilar A AdoR agonists (2-chloro-N6 -cyclopentyladenosine, N6 -sulfophenyladenosine, and N-5' -ethylcarboxamidoadenosine) as determined by Schild analysis. It was concluded that rat epididymal adipocyte A1AdoR are a homogeneous receptor population with regard to affinities for ligands and that CVT-3619 is a partial agonist with selectivity for A1AdoR and inhibition of lipolysis.
Address correspondence to: Dr. John C. Shryock, 3172 Porter Drive, Palo Alto, CA 94304. E-mail: john.shryock{at}cvt.com
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