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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on January 4, 2007; DOI: 10.1124/jpet.106.114421


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Received for publication September 22, 2006.
Revised December 29, 2006.
Accepted for publication January 2, 2007.

Anti-lipolytic Activity of a Novel Partial A1 Adenosine Receptor Agonist Devoid of Cardiovascular Effects: Comparison with Nicotinic Acid

Arvinder K Dhalla 1*, Melissa Santikul 1, Michelle Smith 1, Mei-Yee Wong 1, John C Shryock 1, Luiz Belardinelli 1

1 CV Therapeutics, Inc

* Address correspondence to: E-mail: arvinder.dhalla{at}cvt.com

Abstract

Elevated lipolysis and circulating free fatty acid (FFA) levels have been linked to the pathogenesis of insulin resistance. A1 adenosine receptor agonists are potent inhibitors of lipolysis. Several A1 agonists have been tested as potential anti-lipolytic agents; however, their effect on the cardiovascular system remains a potential problem for development of these agents as drugs. In the present study we report that CVT-3619, a novel partial A1 receptor agonist, significantly reduces circulating FFA levels without any effect on heart rate and blood pressure in awake rats. Rats were implanted with indwelling arterial and venous cannulas to obtain serial blood samples, record arterial pressure, and administer drug. CVT-3619 decreased FFA levels in a dose-dependent manner at doses from 1 up to 10 mg/kg. The FFA lowering effect was blocked by A1 receptor antagonist, DPCPX. Triglyceride (TG) levels were also significantly reduced by CVT-3619 treatment in the absence and presence of Triton. Tachyphylaxis of the anti-lipolytic effect of CVT-3619 (1 mg/kg, iv bolus) was not observed with three consecutive treatments. An acute reduction of FFA by CVT-3619 was not followed by a rebound increase of FFA as seen with nicotinic acid. The potency of insulin to decrease lipolysis was increased 4-fold (p<0.01) in the presence of CVT-3619 (0.5 mg/kg). In summary, CVT-3619 is an orally bioavailable A1 agonist which lowers circulating FFA and TG levels by inhibiting lipolysis. CVT-3619 has anti-lipolytic effects at doses that do not elicit cardiovascular effects.


Key words: A1 adenosine receptor, Anti-lipolytic, CVT-3619, Free Fatty Acids, Partial Agonist, Triglycerides


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Am. J. Physiol. Endocrinol. Metab.Home page
A. K. Dhalla, M. Y. Wong, P. J. Voshol, L. Belardinelli, and G. M. Reaven
A1 adenosine receptor partial agonist lowers plasma FFA and improves insulin resistance induced by high-fat diet in rodents
Am J Physiol Endocrinol Metab, May 1, 2007; 292(5): E1358 - E1363.
[Abstract] [Full Text] [PDF]




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