Chemistry:Miltirone

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Miltirone, also known as rosmariquinone, is an alkaloid found in plants such as Salvia rosmarinus (rosemary) and Salvia miltiorrhiza (danshen, red sage, or Chinese sage).[1][2][3] It is a diterpene quinone, a group of compounds that are also known as tanshinones.[2]

Pharmacology

The drug is a nonbenzodiazepine GABAA receptor positive allosteric modulator, binding to the benzodiazepine allosteric site of the receptor complex with a relatively low affinity (IC50) of 300 nM and acting as a partial agonist.[1][2][4] It was orally active in animals and produced anxiolytic-like effects, but in contrast to diazepam, did not produce acute muscle relaxant effects and did not cause dependence or withdrawal with chronic administration.[5][1][2] As a tanshinone, miltirone is structurally distinct from other known benzodiazepine receptor ligands.[2]

Development

Miltirone was first described in the scientific literature by 1970.[6] It was isolated and described in red sage by 1970[6][2] and in rosemary by 1985.[3] The GABAA receptor potentiation of miltirone was described in 1991.[2] The drug was under formal pharmaceutical development by Abbott Laboratories for the treatment of anxiety disorders, but development was discontinued.[7]

Synthetic analogues of miltirone with greater potency as GABAA receptor positive allosteric modulators (e.g., affinity (IC50 = 50 nM or improved by 6-fold) have been developed and reported.[5][8]

See also

References

  1. 1.0 1.1 1.2 "Modulation of GABA(A) receptors by natural products and the development of novel synthetic ligands for the benzodiazepine binding site". Current Drug Targets 12 (11): 1674–1688. October 2011. doi:10.2174/138945011798109509. PMID 21561420. 
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 "Miltirone, a central benzodiazepine receptor partial agonist from a Chinese medicinal herb Salvia miltiorrhiza". Neuroscience Letters 127 (2): 237–241. June 1991. doi:10.1016/0304-3940(91)90802-z. PMID 1652718. 
  3. 3.0 3.1 "The structure of rosmariquinone — A new antioxidant isolated from Rosmarinus officinalis L.". Journal of the American Oil Chemists' Society 62 (1): 96–98. 1985. doi:10.1007/BF02541500. ISSN 0003-021X. https://aocs.onlinelibrary.wiley.com/doi/10.1007/BF02541500. Retrieved 1 October 2025. 
  4. "Inhibition by miltirone of up-regulation of GABAA receptor alpha4 subunit mRNA by ethanol withdrawal in hippocampal neurons". European Journal of Pharmacology 494 (2–3): 83–90. June 2004. doi:10.1016/j.ejphar.2004.04.021. PMID 15212961. 
  5. 5.0 5.1 "GABA(A) receptor channel pharmacology". Current Pharmaceutical Design 11 (15): 1867–1885. 2005. doi:10.2174/1381612054021024. PMID 15974965. 
  6. 6.0 6.1 "The structure of miltirone, a new diterpenoid quinone". Journal of the Chemical Society D: Chemical Communications (5): 299a. 1970. doi:10.1039/c2970000299a. ISSN 0577-6171. https://xlink.rsc.org/?DOI=c2970000299a. Retrieved 1 October 2025. 
  7. "Miltirone". 1 February 2013. https://adisinsight.springer.com/drugs/800003466. 
  8. "Structure-activity relationship of miltirone, an active central benzodiazepine receptor ligand isolated from Salvia miltiorrhiza Bunge (Danshen)". Journal of Medicinal Chemistry 34 (5): 1675–1692. May 1991. doi:10.1021/jm00109a022. PMID 1851844.