Chemistry:Zacopride

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Short description: Chemical compound
Zacopride
Zacopride.svg
Clinical data
ATC code
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Identifiers
CAS Number
PubChem CID
IUPHAR/BPS
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ChEMBL
Chemical and physical data
FormulaC15H20ClN3O2
Molar mass309.79 g·mol−1
3D model (JSmol)
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Zacopride is a potent antagonist at the 5-HT3 receptor[1] and an agonist at the 5-HT4 receptor.[2] It has anxiolytic[3] and nootropic effects in animal models,[4] with the (R)-(+)-enantiomer being the more active form.[5] It also has antiemetic[6] and pro-respiratory effects, both reducing sleep apnea[7] and reversing opioid-induced respiratory depression in animal studies.[8] Early animal trials have also revealed that administration of zacopride can reduce preference for and consumption of ethanol.[9]

Zacopride was found to significantly increase aldosterone levels in human subjects for 180 minutes at a dose of 400 micrograms. It is thought to do this by stimulating the 5-HT4 receptors on the adrenal glands. Zacopride also stimulated aldosterone secretion when applied to human adrenal glands in vitro. No significant changes were observed in renin, ACTH, or cortisol levels.[2]

Zacopride has been tested in clinical trials for the treatment of schizophrenia, but was found unsuccessful.[10]

References

  1. "Zacopride, a potent 5-HT3 antagonist". The Journal of Pharmacy and Pharmacology 40 (4): 301–2. April 1988. doi:10.1111/j.2042-7158.1988.tb05253.x. PMID 2900319. 
  2. 2.0 2.1 "Effect of the serotonin-4 receptor agonist zacopride on aldosterone secretion from the human adrenal cortex: in vivo and in vitro studies". The Journal of Clinical Endocrinology and Metabolism 77 (6): 1662–6. December 1993. doi:10.1210/jcem.77.6.8263156. PMID 8263156. 
  3. "Zacopride: anxiolytic profile in rodent and primate models of anxiety". The Journal of Pharmacy and Pharmacology 40 (4): 302–5. April 1988. doi:10.1111/j.2042-7158.1988.tb05254.x. PMID 2900320. 
  4. "Stereoselective effects of (R)- and (S)-zacopride on cognitive performance in a spatial navigation task in rats". Neuropharmacology 35 (3): 321–7. March 1996. doi:10.1016/0028-3908(96)00191-8. PMID 8783207. 
  5. "Anxiolytic-like activity of R(+)- and S(-)-zacopride in mice". European Journal of Pharmacology 201 (2–3): 151–5. August 1991. doi:10.1016/0014-2999(91)90338-Q. PMID 1686755. 
  6. "Inhibitory effect of zacopride on Cisplatin-induced delayed emesis in ferrets". Journal of Pharmacological Sciences 101 (1): 99–102. May 2006. doi:10.1254/jphs.SCJ05007X. PMID 16651699. 
  7. "R-zacopride, a 5-HT3 antagonist/5-HT4 agonist, reduces sleep apneas in rats". Pharmacology, Biochemistry, and Behavior 69 (1–2): 283–9. 2001. doi:10.1016/S0091-3057(01)00535-4. PMID 11420096. 
  8. "Zacopride and 8-OH-DPAT reverse opioid-induced respiratory depression and hypoxia but not catatonic immobilization in goats". American Journal of Physiology. Regulatory, Integrative and Comparative Physiology 290 (2): R405-13. February 2006. doi:10.1152/ajpregu.00440.2005. PMID 16166206. 
  9. "Zacopride, a 5-HT3 receptor antagonist, reduces voluntary ethanol consumption in rats". Pharmacology, Biochemistry, and Behavior 41 (4): 847–50. April 1992. doi:10.1016/0091-3057(92)90237-A. PMID 1594653. 
  10. "Zacopride in schizophrenia: a single-blind serotonin type 3 antagonist trial". Archives of General Psychiatry 49 (9): 751–2. September 1992. doi:10.1001/archpsyc.1992.01820090079013. PMID 1514881.