Pharmacology of CS-866, a novel nonpeptide angiotensin II receptor antagonist

Eur J Pharmacol. 1995 Oct 16;285(2):181-8. doi: 10.1016/0014-2999(95)00401-6.

Abstract

CS-866, (5-methyl-2-oxo-1,3-dioxolen-4-yl)methoxy-4-(1-hydroxy-1- methylethyl)-2-propyl-1-(4-[2-(tetrazol-5-yl)-phenyl]phenyl)met hylimidazol- 5-carboxylate, a prodrug type angiotensin receptor antagonist, is deesterified to the active acid, RNH-6270. RNH-6270 inhibited [125I]angiotensin II binding to bovine adrenal cortical membranes (angiotensin AT1 receptors) with an IC50 value of 7.7 nM, but not [125I]angiotensin II binding to bovine cerebellar membranes (angiotensin AT2 receptors), indicating the selectivity of the compound for angiotensin AT1 receptors. In guinea pig aortas, RNH-6270 reduced the maximal response of the concentration-contractile curve for angiotensin II (pD'2 = 9.9), but had no effect on the contractile response induced by phenylephrine or KCl. In conscious rats, intravenously injected RNH-6270 inhibited angiotensin II-induced pressor responses in a dose-dependent manner, and orally administered CS-866 produced a long-lasting inhibition of angiotensin II pressor responses. SK&F-525A, a P-450 inhibitor, suppressed the angiotensin II inhibitory effect of losartan, but not that of CS-866. These results demonstrate that RNH-6270 is a potent and AT1-selective angiotensin receptor antagonist and that, after oral administration, CS-866 has a long-lasting angiotensin II inhibitory action which is not affected by drug metabolizing enzymes in the liver.

MeSH terms

  • Adrenal Cortex / drug effects
  • Adrenal Cortex / metabolism
  • Anesthesia
  • Angiotensin II / metabolism*
  • Angiotensin II / pharmacology
  • Angiotensin Receptor Antagonists*
  • Animals
  • Aorta, Thoracic / drug effects
  • Blood Pressure / drug effects
  • Cattle
  • Guinea Pigs
  • Imidazoles / antagonists & inhibitors
  • Imidazoles / pharmacokinetics
  • Imidazoles / pharmacology*
  • In Vitro Techniques
  • Kinetics
  • Male
  • Membranes / drug effects
  • Membranes / metabolism
  • Muscle Contraction / drug effects
  • Muscle, Smooth, Vascular / drug effects
  • Olmesartan Medoxomil
  • Rats
  • Rats, Sprague-Dawley
  • Rats, Wistar
  • Tetrazoles / antagonists & inhibitors
  • Tetrazoles / pharmacokinetics
  • Tetrazoles / pharmacology*
  • Vasoconstrictor Agents / pharmacology

Substances

  • Angiotensin Receptor Antagonists
  • Imidazoles
  • Tetrazoles
  • Vasoconstrictor Agents
  • Angiotensin II
  • Olmesartan Medoxomil