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Received for publication January 24, 2003.
Revised February 24, 2003.
Accepted for publication March 13, 2003.
We have discovered a new, potent, selective and orally active oxytocin receptor antagonist, (1). We report the biochemical, pharmacological and pharmacokinetic characterization in vitro and in vivo of this compound. (1) competitively inhibits binding of 3H-oxytocin and the peptide antagonist 125I-OVTA to human and rat oxytocin receptor expressed in HEK293-EBNA or CHO cells with nanomolar potency. Selectivity against vasopressin receptor subtypes is >6-fold for V1a and >350-fold for V2 and V1b. (1) inhibits oxytocin-evoked intracellular Ca2+ mobilization (IC50=8nM). (1) has no intrinsic agonist activity at the oxytocin receptor. Oxytocin-induced contraction of isolated rat uterine strips is blocked by (1) (pA2=7.82). In anesthetized non-pregnant rats, single administration of (1) by i.v. or oral routes causes dose-dependent inhibition of contractions elicited by repeated injections of oxytocin with ED50=3.5 mg/kg i.v. and 89 mg/kg p.o., respectively. (1) significantly inhibits spontaneous uterine contractions in pregnant rats near term when administered intravenously or orally. We conclude that compound (1) is a potent, selective and orally active non-peptide oxytocin receptor antagonist, which is a suitable candidate for evaluation as a potential tocolytic agent for the management of preterm labor.
Key words:
atosiban, oxytocin antagonist, preterm labor, ritodrine, tocolysis, uterine contraction
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