title: AGI-1067: a multifunctional phenolic antioxidant, lipid modulator, anti-inflammatory and antiatherosclerotic agent.
abstract: 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.
authors.affiliation: Discovery Research, AtheroGenics, Inc., 8995 Westside Parkway, Alpharetta, GA 30004, USA. csundell@atherogenics.com
authors.forename: Cynthia L
authors.initials: CL
authors.lastname: Sundell
authors.forename: Patricia K
authors.initials: PK
authors.lastname: Somers
authors.forename: Charles Q
authors.initials: CQ
authors.lastname: Meng
authors.forename: Lee K
authors.initials: LK
authors.lastname: Hoong
authors.forename: Ki-Ling
authors.initials: KL
authors.lastname: Suen
authors.forename: Russell R
authors.initials: RR
authors.lastname: Hill
authors.forename: Laura K
authors.initials: LK
authors.lastname: Landers
authors.forename: Angela
authors.initials: A
authors.lastname: Chapman
authors.forename: Dustie
authors.initials: D
authors.lastname: Butteiger
authors.forename: Moira
authors.initials: M
authors.lastname: Jones
authors.forename: David
authors.initials: D
authors.lastname: Edwards
authors.forename: Alan
authors.initials: A
authors.lastname: Daugherty
authors.forename: Martin A
authors.initials: MA
authors.lastname: Wasserman
authors.forename: R Wayne
authors.initials: RW
authors.lastname: Alexander
authors.forename: Russell M
authors.initials: RM
authors.lastname: Medford
authors.forename: Uday
authors.initials: U
authors.lastname: Saxena
mesh_terms: D000818:Animals; D000893:Anti-Inflammatory Agents / Q000494:pharmacology*; D000924:Anticholesteremic Agents / Q000494:pharmacology*; D000975:Antioxidants / Q000494:pharmacology*; D001161:Arteriosclerosis / Q000517:prevention & control; D004195:Disease Models, Animal; D004730:Endothelium, Vascular / Q000187:drug effects / Q000378:metabolism; D006801:Humans; D050356:Lipid Metabolism; D008252:Macaca fascicularis; D051379:Mice; D008810:Mice, Inbred C57BL; D010084:Oxidation-Reduction / Q000187:drug effects; D011341:Probucol / Q000031:analogs & derivatives / Q000494:pharmacology*
chemical_list: D000893:Anti-Inflammatory Agents; D000924:Anticholesteremic Agents; D000975:Antioxidants; C471047:succinobucol; D011341:Probucol