Key result
PP-34 demonstrated high beta1-adrenoceptor selectivity (pA2 7.89) and significantly reduced arrhythmias, infarct area, and necrosis during ischaemia/reperfusion injury in rats.
PP-34 is a novel, highly cardioselective beta-blocker with potent cardioprotective and anti-arrhythmic effects in preclinical models of ischaemia/reperfusion injury.
Requires clinical validation before use; leaves open whether PP-34's selectivity translates to human ischaemia/reperfusion protection.
Beta-adrenoceptor antagonists are widely used in cardiovascular medicine. However, the main side effect of these drugs is due to antagonism of beta(2)-adrenoceptors in the airways, resulting in bronchospasm. Therefore, more cardioselective beta-blockers have been developed to offer a lower side effect profile. We have studied a new aryloxypropanolamine derivative (PP-34) with more cardioselectivity and efficacy against ischaemia/reperfusion injury in rats. Oxalate salts of 1-(tert-butylamino)-3-(5-tert-butylaminomethyl-2-methoxyphenoxy) propan-2-ol (PP-34) is a novel beta-adrenoceptor antagonist. In-vitro studies in rat isolated right atria, guinea-pig trachea and rat distal colon preparations were carried out to investigate the potency of PP-34 towards different beta-adrenoceptor subtypes. pA(2)/pK(B) values of PP-34 for beta(1), beta(2), and beta(3) adrenoceptor were 7.89+/-0.15, 6.13+/-0.09 and 6.30+/-0.19, respectively. The beta(1)/beta(2) selectivity ratio calculated was in the order of PP-34 > atenolol > propranolol. Pre-ischaemic administration (20 min before coronary occlusion) of PP-34 (0.3 or 1 mg kg(-1)) showed cardioprotective effects against ischaemia/reperfusion injury in rats and significantly reduced arrhythmias, infarct area and necrosis induced by ischaemia/reperfusion injury. The efficacy of PP-34 was found to be greater then atenolol. In conclusion, PP-34 is a cardioselective beta-adrenoceptor antagonist, possessing potent anti-arrhythmic and cardioprotective effects against ischaemia/reperfusion injury in rats.
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Bhatt et al. (2007) studied Ischaemia/reperfusion injury. PP-34 vs. Atenolol and propranolol was evaluated on Beta-adrenoceptor subtype potency and cardioprotective effects (arrhythmias, infarct area, necrosis). PP-34 demonstrated high beta1-adrenoceptor selectivity (pA2 7.89) and significantly reduced arrhythmias, infarct area, and necrosis during ischaemia/reperfusion injury in rats.
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