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Unoprostone

(Synonyms: 乌诺前列酮) 目录号 : GC41248

A PGF analog

Unoprostone Chemical Structure

Cas No.:120373-36-6

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1mg
¥823.00
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5mg
¥3,701.00
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10mg
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50mg
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产品描述

Unoprostone is an analog of PGF2α with a 13,14-dihydro-15-keto modification and a two-carbon extension of the aliphatic lower side chain. The isopropyl ester of unoprostone ( (Rescula) has been approved for clinical use as an ocular hypotensive drug.

Chemical Properties

Cas No. 120373-36-6 SDF
别名 乌诺前列酮
Canonical SMILES O[C@@H]1[C@H](C/C=C\CCCC(O)=O)[C@@H](CCC(CCCCCCC)=O)[C@H](O)C1
分子式 C22H38O5 分子量 382.5
溶解度 DMF: 25 mg/ml,DMSO: 17 mg/ml,Ethanol: 12 mg/ml,PBS (7.2): 90 µ g/ml 储存条件 Store at -20°C
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1 mM 2.6144 mL 13.0719 mL 26.1438 mL
5 mM 0.5229 mL 2.6144 mL 5.2288 mL
10 mM 0.2614 mL 1.3072 mL 2.6144 mL
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Research Update

Current status of Unoprostone for the management of glaucoma and the future of its use in the treatment of retinal disease

Expert Opin Pharmacother 2013 Jan;14(1):105-13.PMID:23199345DOI:10.1517/14656566.2013.748038.

Introduction: Optic nerve and retinal diseases such as glaucoma, age-related macular degeneration (AMD) and retinitis pigmentosa (RP) are significant public health concerns and have a momentous impact on patients' functional status and quality of life. These diseases are among the most common causes of visual impairment worldwide and account for billions of dollars in healthcare expenditures and lost productivity. The importance of adequate treatment of these conditions and the need for efficacious therapeutic drugs cannot be overstated. Unoprostone continues to be developed as a potential treatment for these debilitating diseases. Areas covered: This review provides background information on Unoprostone isopropyl (Unoprostone), a prostanoid and synthetic docosanoid approved for the treatment of open-angle glaucoma and ocular hypertension, and recapitulates safety and efficacy data as it relates to this indication. Additionally, this review describes potential new uses of Unoprostone as therapy for dry AMD and RP. A literature search of peer-reviewed publications was performed utilizing PubMed. Searches were last updated on 10 September 2012. Expert opinion: Current data indicate that Unoprostone does significantly lower intraocular pressure (IOP) and has a favorable safety and tolerability profile. However, the IOP-lowering effects of Unoprostone do not compare with other commercially available prostanoids and it has the disadvantage of a twice-daily rather than once-daily dosing regimen. Nonetheless, recent data suggest that Unoprostone may improve neuronal survival and increase ocular blood flow, indicating that it may have some value as a therapy for glaucoma, RP and dry AMD. Further studies are needed to confirm whether Unoprostone provides any clinically significant advantage over the other commercially available prostanoids.

Unoprostone (isopropyl Unoprostone)

Drugs Aging 1996 Sep;9(3):213-8; discussion 219-20.PMID:8877315DOI:10.2165/00002512-199609030-00007.

Unoprostone (isopropyl Unoprostone) is a docosanoid compound which is related to a metabolite of prostaglandin (PG)F2 alpha. Unoprostone has oculo-hypotensive effects. The drug is thought to lower intraocular pressure (IOP) by increasing aqueous humour outflow. Aqueous humour production remains unaffected. Marked reductions in IOP have been demonstrated in healthy volunteers and patients with glaucoma or ocular hypertension after instillation of Unoprostone 0.12%. Unoprostone 0.12% appears to have similar efficacy to timolol 0.5% in patients with primary open-angle glaucoma or ocular hypertension. In phase II and III clinical studies, adverse events observed with Unoprostone were predominantly local; systemic effects occurred less frequently.

Safety of Unoprostone isopropyl as mono- or adjunctive therapy in patients with primary open-angle glaucoma or ocular hypertension

Drug Saf 2002;25(8):583-97.PMID:12113643DOI:10.2165/00002018-200225080-00004.

This review summarises the safety of Unoprostone isopropyl (both at the 0.12 and 0.15% concentrations) instilled twice daily in patients with primary open-angle glaucoma (POAG) or ocular hypertension (OH). For Unoprostone 0.15%, combined data from two 12-month comparative monotherapy studies are reported, as well as data from three adjunctive therapy studies and two special population studies. With Unoprostone monotherapy, most adverse events were mild or moderate and transient in nature. Less than 7% of unoprostone-treated patients discontinued therapy due to an adverse event. The most common adverse events associated with Unoprostone were burning/stinging, burning/stinging directly upon drug instillation, ocular itching, and conjunctival hyperaemia. Unoprostone had no clinically notable effects on vital signs, laboratory profiles, or comprehensive ophthalmic examinations. One of 659 Unoprostone 0.15%-treated patients had a change in iris colour after 12 months of monotherapy. Except for a higher incidence of burning/stinging and burning/stinging upon instillation, Unoprostone was comparable to timolol 0.5% twice daily and betaxolol 0.5% twice daily. No safety concerns were raised with use of Unoprostone as adjunctive therapy. Unoprostone had no significant effect on exercise-induced heart rate in healthy subjects or on pulmonary function in patients with mild-to-moderate asthma. The safety profile of Unoprostone 0.15% was consistent with published information on the 0.12% formulation. In conclusion, Unoprostone has an excellent safety profile in patients with POAG or OH.

Unoprostone activation of BK (KCa1.1) channel splice variants

Biochim Biophys Acta 2015 Nov;1848(11 Pt A):2859-67.PMID:26277265DOI:10.1016/j.bbamem.2015.08.005.

This investigation was conducted to study the relationship between intracellular Ca(2+) and activation of large conductance Ca(2+)-activated K(+) (BK) currents by Unoprostone, the first synthetic docosanoid. We used HEK293 cells stably transfected with two BK channel splice variants, one sensitive to Unoprostone and the other insensitive. We examined the effects of Unoprostone on channel activity in excised inside-out patches and cell-attached patches. The half-maximal stimulation of the sensitive BK channels by Ca(2+) was shifted from 3.4±0.017 nM to 0.81±.0058 nM in the presence of 10 nM Unoprostone. There was no effect on insensitive channels even at Unoprostone concentrations as high as 1000 nM. There was no effect of Unoprostone on the voltage dependence of the BK channels. Changes in open probability and effects of Ca(2+) and Unoprostone were best described by a synergistic binding model. These data would suggest that Ca(2+) and Unoprostone were binding to sites close to one another on the channel protein and that Unoprostone binding causes the affinity of the calcium binding site to increase. This idea is consistent with three dimensional models of the Ca(2+) binding site and a putative Unoprostone binding domain. Our results have important implications for the clinical use of Unoprostone to activate BK channels. Channel activation will be limited if intracellular Ca(2+) is not elevated.

A preliminary risk-benefit assessment of latanoprost and Unoprostone in open-angle glaucoma and ocular hypertension

Drug Saf 1999 Jun;20(6):505-14.PMID:10392667DOI:10.2165/00002018-199920060-00004.

Latanoprost and Unoprostone (isopropyl Unoprostone) represent the first commercially available prostaglandin analogues to be used for the treatment of glaucoma. Both compounds reduce intraocular pressure by enhancing uveoscleral outflow. Latanoprost, when used once daily in the evening, produces a greater reduction in pressure than timolol. Latanoprost produces mild conjunctival hyperaemia compared with timolol in some patients. Darkening of the irides has been reported, especially in green-brown, yellow-brown and blue/grey-brown irides. Hypertrichosis and hyperpigmentation of the eyelashes have also been demonstrated. Although latanoprost has not been proven to cause uveitis or cystoid macular oedema, case reports of an association exist. Latanoprost does not produce systemic adverse effects nor does it alter routine blood analyses. Unoprostone, when given twice daily, produces less of a reduction in intraocular pressure than timolol or latanoprost. Three times daily use may be required to approach the effectiveness of timolol. Unoprostone may have a similar adverse effect profile to latanoprost, but may to cause more corneal epithelial problems. Unoprostone is also not known to cause systemic adverse effects. Both agents are welcome additions to the treatment of glaucoma. However, additional studies and more experience are needed with each agents.