PMID- 12626663 OWN - NLM STAT- MEDLINE DCOM- 20030707 LR - 20220310 IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 305 IP - 3 DP - 2003 Jun TI - AGI-1067: a multifunctional phenolic antioxidant, lipid modulator, anti-inflammatory and antiatherosclerotic agent. PG - 1116-23 AB - To explore the therapeutic efficacy and potential mechanisms of action of a new class of antiatherosclerotic drugs, AGI-1067 [mono[4-[[1-[[3,5-bis(1,1-dimethylethyl)-4-hydroxyphenyl]thio]-1-methylethyl]thio]-2,6-bis(1,1-dimethylethyl)phenyl] ester] (butanedioc acid) was tested in several animal models of atherosclerosis. AGI-1067, a novel phenolic antioxidant, was well tolerated in a 1-year study in hypercholesterolemic cynomolgus monkeys. It lowered low-density lipoprotein cholesterol (LDLc) by 41 and 90% at oral doses of 50 and 150 mg/kg, respectively and increased high-density lipoprotein cholesterol (HDLc) by 107% at the higher dose. In contrast, another phenolic antioxidant, probucol, had a modest LDLc-lowering effect (15% at 250 mg/kg) while decreasing HDLc (37% at 150 mg/kg). Histopathology of the aortas and coronary arteries revealed no atherosclerosis in the AGI-1067 (150 mg/kg) group and minimal-to-moderate atherosclerosis in the vehicle and probucol (150 mg/kg) groups. AGI-1067 also inhibited atherosclerosis in LDL receptor-deficient (LDLr -/-) mice and apolipoprotein E-deficient (ApoE -/-) mice even in the absence of a lipid-lowering effect. In LDLr -/- mice, AGI-1067 reduced aortic atherosclerosis by 49%. In ApoE -/- mice, AGI-1067 reduced atherosclerosis by 25, 41, and 49% in the arch, thoracic, and abdominal regions of the aorta. AGI-1067 also reduced vascular cell adhesion molecule-1 (VCAM-1) and monocyte chemoattractant protein-1 (MCP-1) mRNA levels in lungs of lipopolysaccharide-stimulated mice. At the cellular level, AGI-1067 inhibited tumor necrosis factor-alpha-inducible expression of VCAM-1, MCP-1, and E-selectin in human aortic endothelial cells (IC50 values = 6, 10, and 25 microM, respectively). These data show that AGI-1067 can inhibit atherosclerosis not only via its lipid-lowering effects but also by having direct anti-inflammatory effects on the vessel wall and suggest that it may be a novel therapeutic agent for coronary artery disease. FAU - Sundell, Cynthia L AU - Sundell CL AD - Discovery Research, AtheroGenics, Inc., 8995 Westside Parkway, Alpharetta, GA 30004, USA. csundell@atherogenics.com FAU - Somers, Patricia K AU - Somers PK FAU - Meng, Charles Q AU - Meng CQ FAU - Hoong, Lee K AU - Hoong LK FAU - Suen, Ki-Ling AU - Suen KL FAU - Hill, Russell R AU - Hill RR FAU - Landers, Laura K AU - Landers LK FAU - Chapman, Angela AU - Chapman A FAU - Butteiger, Dustie AU - Butteiger D FAU - Jones, Moira AU - Jones M FAU - Edwards, David AU - Edwards D FAU - Daugherty, Alan AU - Daugherty A FAU - Wasserman, Martin A AU - Wasserman MA FAU - Alexander, R Wayne AU - Alexander RW FAU - Medford, Russell M AU - Medford RM FAU - Saxena, Uday AU - Saxena U LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20030306 PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Anticholesteremic Agents) RN - 0 (Antioxidants) RN - J1J54V24R4 (succinobucol) RN - P3CTH044XJ (Probucol) SB - IM MH - Animals MH - Anti-Inflammatory Agents/*pharmacology MH - Anticholesteremic Agents/*pharmacology MH - Antioxidants/*pharmacology MH - Arteriosclerosis/prevention & control MH - Disease Models, Animal MH - Endothelium, Vascular/drug effects/metabolism MH - Humans MH - *Lipid Metabolism MH - Macaca fascicularis MH - Mice MH - Mice, Inbred C57BL MH - Oxidation-Reduction/drug effects MH - Probucol/analogs & derivatives/*pharmacology EDAT- 2003/03/11 04:00 MHDA- 2003/07/08 05:00 CRDT- 2003/03/11 04:00 PHST- 2003/03/11 04:00 [pubmed] PHST- 2003/07/08 05:00 [medline] PHST- 2003/03/11 04:00 [entrez] AID - jpet.102.048132 [pii] AID - 10.1124/jpet.102.048132 [doi] PST - ppublish SO - J Pharmacol Exp Ther. 2003 Jun;305(3):1116-23. doi: 10.1124/jpet.102.048132. Epub 2003 Mar 6.