PMID- 9207935 OWN - NLM STAT- MEDLINE DCOM- 19970807 LR - 20131121 IS - 0022-2623 (Print) IS - 0022-2623 (Linking) VI - 40 IP - 13 DP - 1997 Jun 20 TI - Targeting nitric oxide (NO) delivery in vivo. Design of a liver-selective NO donor prodrug that blocks tumor necrosis factor-alpha-induced apoptosis and toxicity in the liver. PG - 1947-54 AB - We have designed a drug that protects the liver from apoptotic cell death by organ-selective pharmacological generation of the bioregulatory agent, nitric oxide (NO). The discovery strategy involved three steps: identifying a diazeniumdiolate ion (R2N[N(O)NO]-, where R2N = pyrrolidinyl) that spontaneously decomposes to NO with a very short half-life (3 s) at physiological pH; converting this ion to a series of potential prodrug derivatives by covalent attachment of protecting groups that we postulated might be rapidly removed by enzymes prevalent in the liver; and screening the prodrug candidates in vitro and in vivo to select a lead and to confirm the desired activity. Of five cell types examined, only cultured hepatocytes metabolized O2-vinyl 1-(pyrrolidin-1-yl)diazen-1-ium-1,2-diolate (V-PYRRO/NO) to NO, triggering cyclic guanosine 3',5'-monophosphate (cGMP) synthesis and protecting the hepatocytes from apoptotic cell death induced by treatment with tumor necrosis factor-alpha (TNF alpha) plus actinomycin D. In vivo, V-PYRRO/NO increased liver cGMP levels while minimally affecting systemic hemodynamics, protecting rats dosed with TNF alpha plus galactosamine from apoptosis and hepatotoxicity. The results illustrate the potential utility of diazeniumdiolates for targeting NO delivery in vivo and suggest a possible therapeutic strategy for hepatic disorders such as fulminant liver failure. FAU - Saavedra, J E AU - Saavedra JE AD - Intramural Research Support Program, SAIC Frederick, NCI-FCRDC, Maryland 21702, USA. FAU - Billiar, T R AU - Billiar TR FAU - Williams, D L AU - Williams DL FAU - Kim, Y M AU - Kim YM FAU - Watkins, S C AU - Watkins SC FAU - Keefer, L K AU - Keefer LK LA - eng GR - R01-GM-37753/GM/NIGMS NIH HHS/United States GR - R01-GM-44100/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Med Chem JT - Journal of medicinal chemistry JID - 9716531 RN - 0 (O(2)-vinyl-1-(pyrrolidin-1-yl)diazen-1-ium-1,2-diolate) RN - 0 (Prodrugs) RN - 0 (Pyrrolidines) RN - 0 (Tumor Necrosis Factor-alpha) RN - 31C4KY9ESH (Nitric Oxide) RN - 7535-00-4 (Galactosamine) RN - H2D2X058MU (Cyclic GMP) SB - IM MH - Animals MH - Apoptosis/*drug effects MH - Cell Line MH - Cyclic GMP/biosynthesis MH - DNA Fragmentation/drug effects MH - *Drug Delivery Systems MH - Drug Design MH - Galactosamine/pharmacology MH - Hemodynamics/drug effects MH - Liver/*drug effects/metabolism MH - Male MH - Mice MH - Nitric Oxide/*administration & dosage/metabolism MH - Prodrugs/administration & dosage/*chemical synthesis/pharmacology MH - Pyrrolidines/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/pharmacology/toxicity EDAT- 1997/06/20 00:00 MHDA- 1997/06/20 00:01 CRDT- 1997/06/20 00:00 PHST- 1997/06/20 00:00 [pubmed] PHST- 1997/06/20 00:01 [medline] PHST- 1997/06/20 00:00 [entrez] AID - jm9701031 [pii] AID - 10.1021/jm9701031 [doi] PST - ppublish SO - J Med Chem. 1997 Jun 20;40(13):1947-54. doi: 10.1021/jm9701031.