C-027 inhibits IgE-mediated passive sensitization bronchoconstriction and acts as a histamine and serotonin antagonist in human airways

Allergy Asthma Proc. 2011 Sep-Oct;32(5):359-65. doi: 10.2500/aap.2011.32.3460.

Abstract

Atopic asthma is poorly controlled by current therapies. Newer therapies and novel antihistamines are, therefore, required to treat patients whose atopic asthma is not controlled. For the first time, C-027 is shown to antagonize histamine, IgE-mediated and serotonin-induced contraction in human airways and vessels. Human precision-cut lung slices (PCLS, 250 μm thick), containing an airway or blood vessel, were pretreated with either C-027 (2 hours) or with vehicle alone and were contracted with histamine or serotonin. Known antihistamine was used as a comparator in antihistamine studies. Also, human airways were contracted via IgE passive sensitization in the presence or absence of C-027 or fexofenadine. Affinity of C-027 toward human G-protein coupled receptors was also determined, as well as the drug's biodistribution in murine model. C-027 was shown to have the highest affinity toward human histamine and serotonin receptors. Subsequently, C-027 was shown to antagonize histamine- and serotonin-induced airway and vascular smooth muscle contraction, respectively, and histamine-released bronchocontraction mediated by IgE passive sensitization in human small airways. C-027 also inhibited histamine-mediated single-cell calcium ion release. Low levels of C-027 were found in murine brain tissue. Collectively, these data suggest that C-027 markedly inhibits IgE-induced bronchoconstriction and antagonizes histamine and serotonin-contraction with little biodistribution in the brain. The compound may offer a future therapy for allergen-induced airway hyperresponsiveness in patients with asthma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetamides / metabolism
  • Acetamides / pharmacology*
  • Animals
  • Biological Availability
  • Bronchial Hyperreactivity / immunology
  • Bronchoconstriction / drug effects*
  • Bronchoconstriction / immunology*
  • Calcium / metabolism
  • Histamine / pharmacology
  • Histamine Antagonists / metabolism
  • Histamine Antagonists / pharmacology*
  • Humans
  • Hypersensitivity, Immediate / immunology
  • Immunoglobulin E / immunology*
  • Mice
  • Phenothiazines / metabolism
  • Phenothiazines / pharmacology*
  • Piperazines
  • Receptors, Histamine / metabolism
  • Respiratory System / drug effects
  • Respiratory System / immunology
  • Serotonin Antagonists / metabolism
  • Serotonin Antagonists / pharmacology*

Substances

  • 2-amino-N-(2-(4-(3-(2-trifluoromethylphenothiazin-10-yl)propyl)piperazin-1-yl)ethyl)acetamide
  • Acetamides
  • Histamine Antagonists
  • Phenothiazines
  • Piperazines
  • Receptors, Histamine
  • Serotonin Antagonists
  • Immunoglobulin E
  • Histamine
  • Calcium