In vitro alpha(1)-adrenoceptor pharmacology of Ro 70-0004 and RS-100329, novel alpha(1A)-adrenoceptor selective antagonists

1 It has been hypothesized that in patients with benign prostatic hyperplas ia, selective antagonism of the alpha(1A)-adrenoceptor-mediated contraction of lower urinary tract tissues may, via a selective relief of outlet obstr uction, lead to an improvement in symptoms. 2 The present study describes the alpha(1)-adrenoceptor (alpha(1)-AR) subty pe selectivities of two novel alpha(1)-AR antagonists, Ro 70-0004 (aka RS-1 00975) and a structurally-related compound RS-100329, and compares them wit h those of prazosin and tamsulosin. Radioligand binding and second-messenge r studies in intact CHO-KI cells expressing human cloned alpha(1A)-, alpha( 1B)- and alpha(1D)-AR showed nanomolar affinity and significant alpha(1A)-A R subtype selectivity for both Ro 70-0004 (pK(i) 8.9: 60 and 50 fold select ivity) and RS-100329 (pK(i) 9.6: 126 and 50 fold selectivity) over the alph a(1B)- and alpha(1D)-AR subtypes respectively. In contrast, prazosin and ta msulosin showed little subtype selectivity. 3 Noradrenaline-induced contractions of human lower urinary tract (LUT) tis sues or rabbit bladder neck were competitively antagonized by Ro 70-0004 (p A(2) 8.8 and 8.9), RS-100329 (pA(2) 9.2 and 9.2), tamsulosin (pA(2) 10.4 an d 9.8) and prazosin (pA(2) 8.7 and 8.3 respectively). Affinity estimates fo r tamsulosin and prazosin in antagonizing alpha(1)-AR-mediated contractions of human renal artery (HRA) and rat aorta (RA) were similar to those obser ved in LUT tissues, whereas Ro 70-0004 and RS-100329 were approximately 100 fold less potent (pA(2) values of 6.8/6.8 and 7.3/7.9 in HRA/RA respective ly). 4 The alpha(1A)-AR subtype selectivity of Ro 70-0004 and RS-100329, demonst rated in both cloned and native systems, should allow for an evaluation of the clinical utility of a 'uroselective' agent for the treatment of symptom s associated with benign prostatic hyperplasia.