1. Synthesis and Pharmacological Evaluation of Novel γ-Aminobutyric Acid Type B (GABAB) Receptor Agonists as Gastroesophageal Reflux Inhibitors
- Author
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Karolina Nilsson, Ola Fjellström, Jan P. Mattsson, Xiaozhang Zheng, Kosrat Amin, Marianne Swanson, Thomas Elebring, William B. Geiss, Johan Gottfries, Christer Alstermark, Mohit Kothare, Peter R. Guzzo, Sverker von Unge, Sean R. Dinn, Alex M. Woo, James P. Harding, Anders Lehmann, Sunden Gunnel, Kevin Fitzpatrick, Anders Holmen, and Michael J. Wyle
- Subjects
Lesogaberan ,Agonist ,medicine.medical_specialty ,Magnetic Resonance Spectroscopy ,medicine.drug_class ,Spectrometry, Mass, Fast Atom Bombardment ,GABAB receptor ,Aminobutyric acid ,chemistry.chemical_compound ,In vivo ,Internal medicine ,Drug Discovery ,medicine ,Animals ,Humans ,GABA Agonists ,GABA-B Receptor Agonists ,Dose-Response Relationship, Drug ,Biological activity ,Baclofen ,Endocrinology ,nervous system ,chemistry ,Gastroesophageal Reflux ,Molecular Medicine - Abstract
We have previously demonstrated that the prototypical GABA B receptor agonist baclofen inhibits transient lower esophageal sphincter relaxations (TLESRs), the most important mechanism for gastroesophageal reflux. Thus, GABA B agonists could be exploited for the treatment of gastroesophageal reflux disease. However, baclofen, which is used as an antispastic agent, and other previously known GABA B agonists can produce CNS side effects such as sedation, dizziness, nausea, and vomiting at higher doses. We now report the discovery of atypical GABA B agonists devoid of classical GABA B agonist related CNS side effects at therapeutic doses and the optimization of this type of compound for inhibition of TLESRs, which has resulted in a candidate drug ( R)- 7 (AZD3355) that is presently being evaluated in man.
- Published
- 2008
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