Examining the binding properties of MK-0974: a CGRP receptor antagonist for the acute treatment of migraine

Eur J Pharmacol. 2009 Jan 14;602(2-3):250-4. doi: 10.1016/j.ejphar.2008.11.050. Epub 2008 Dec 3.

Abstract

Calcitonin gene-related peptide (CGRP) is a neuropeptide that plays a key role in the pathophysiology of migraine headache. MK-0974 (telcagepant) is a potent and selective antagonist of the human and rhesus CGRP receptors and is currently in Phase III clinical studies for the acute treatment of migraine. The pharmacology of MK-0974 has been studied extensively, but there has not been a thorough characterization of its binding properties. Here, we characterize the binding of a tritiated analog of MK-0974 on human neuroblastoma (SK-N-MC) membranes and rhesus cerebellum. [(3)H]MK-0974 displayed reversible and saturable binding to both SK-N-MC membranes and rhesus cerebellum with a K(D) of 1.9 nM and 1.3 nM, respectively. Agonists and antagonists of the CGRP receptor displaced [(3)H]MK-0974 in a concentration-dependent manner in competition binding experiments. Both CGRP and adrenomedullin demonstrated biphasic competition while MK-0974 and the peptide antagonist CGRP(8-37) displaced [(3)H]MK-0974 in a monophasic fashion. In competitive binding studies with [(3)H]MK-0974 and CGRP, the fraction of high-affinity binding was reduced significantly by incubating the membranes with GTPgammaS. In kinetic binding experiments, the off-rate of [(3)H]MK-0974 was determined to be 0.51 min(-1) with a half-life of 1.3 min. In conclusion, the radioligand [(3)H]MK-0974 has proven to be a useful tool for studying the binding characteristics of MK-0974 and has broadened our understanding of this promising molecule.

MeSH terms

  • Animals
  • Azepines / chemistry
  • Azepines / metabolism*
  • Azepines / pharmacology
  • Azepines / therapeutic use*
  • Binding, Competitive
  • Calcitonin Gene-Related Peptide Receptor Antagonists*
  • Humans
  • Imidazoles / chemistry
  • Imidazoles / metabolism*
  • Imidazoles / pharmacology
  • Imidazoles / therapeutic use*
  • Kinetics
  • Macaca mulatta
  • Migraine Disorders / drug therapy*
  • Migraine Disorders / metabolism*
  • Protein Binding
  • Receptors, Calcitonin Gene-Related Peptide / metabolism*
  • Tritium / chemistry

Substances

  • Azepines
  • Calcitonin Gene-Related Peptide Receptor Antagonists
  • Imidazoles
  • Receptors, Calcitonin Gene-Related Peptide
  • Tritium
  • telcagepant