Pl. Martin et al., PHARMACOLOGY AND TOXICOLOGY OF THE A(2A)-ADENOSINE RECEPTOR AGONIST 2-[(CYCLOHEXYLMETHYLENE)HYDRAZINO]ADENOSINE (MRE-0470) IN THE RAT, Drug development research, 42(2), 1997, pp. 76-85
2-[(cyclohexylmethylene)hydrazino]adenosine (MRE-0470) is an A(2A)-ade
nosine receptor agonist that is a potent and selective coronary vasodi
lator. As part of a preclinical program, the pharmacology and toxicolo
gy of MRE-0470 have been studied in the rat. In isolated vas deferens,
MRE-0470 activated A(2A) receptors (EC50 = 6.3 nM) and at higher conc
entrations activated A(2B) receptors (EC50 = 13 mu M). In atrial tissu
es, MRE-0470 produced negative inotropic and chronotropic actions thro
ugh activation of A(1) receptors (EC50 similar to 9 mu M). MRE-0470 pr
oduced no positive inotropic or chronotropic actions in atrial or vent
ricular tissues. In anesthetized, reflex-blocked rats, MRE-0470 produc
ed a decrease in hindquarter perfusion pressure (A(2): ED50 = 0.31 mu
g) and a decrease in heart rate (A(1): ED50 = 620 mu g). In conscious
rats, MRE-0470 (0.04-117 mu g/kg bolus or 0.03-150 mu g/kg/min infusio
n) produced dose-dependent hypotension and reflex tachycardia. MRE-047
0 was rapidly eliminated from rat plasma with an elimination half-life
of 10 min. In toxicology studies, once per day 10-minute i.v. infusio
ns of 3, 30, or 150 mu g/kg/min MRE-0470 for 14 consecutive days resul
ted in no deaths and no changes in blood chemistry, but resulted in de
creased motor activity and dose-related cardiomyopathy. Cardiomyopathy
did not occur following single doses of MRE-0470. The incidence of th
is lesion is related to the duration of the repeated reflex tachycardi
a. These studies show that MRE-0470 is a potent and selective A(2A) re
ceptor agonist in the rat. The observed toxicology of MRE-0470 is cons
istent with the exaggerated pharmacology due to high-dose drug adminis
tration. (C) 1997 Wiley-Liss, Inc.