New advances in the field of calcium channel antagonists: cardiovascular effects and structure-activity relationships.
In the last 15 years, calcium channel blockers have been widely used for treating cardiovascular diseases. These agents are a heterogeneous group of drugs with differing cardiovascular effects, and are effective in the treatment of angina and hypertension. These synthetic compounds bind separately with receptor sites located in or near the calcium channel, at molecular sites still to be fully identified. Verapamil, nifedipine and diltiazem are the most representative calcium channel blockers and used as prototypes for the design and development of new anticalcium molecules with potential efficacy and reduced toxic effects. There are three different types of voltage-operated calcium channels (VOCs): L-type, T-type and N-type, which are considered extra-cellular, but some anti-calcium agents as bepridil possess potential intracellular calcium activity. Many synthetic compounds containing heterocyclic ring in their structures have attracted considerable interest since current studies revealed their mechanisms and sites of action. This article reviews the new advances in the calcium channel antagonist group, showing new structures with longer-acting and higher vascular selectivity.
Romero
M
M
Laboratori de Química Farmacèutica, Facultat de Farmàcia, Universitat de Barcelona, Av Diagonal 643, 08028-Barcelona, Spain.
Sánchez
I
I
Pujol
M D
MD
D000787:Angina Pectoris / Q000188:drug therapy; D000818:Animals; D002121:Calcium Channel Blockers / Q000737:chemistry / Q000145:classification / Q000494:pharmacology*; D015220:Calcium Channels / Q000378:metabolism*; D002319:Cardiovascular System / Q000187:drug effects*; D004110:Diltiazem / Q000494:pharmacology; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D009543:Nifedipine / Q000494:pharmacology; D013329:Structure-Activity Relationship; D014700:Verapamil / Q000494:pharmacology
D002121:Calcium Channel Blockers; D015220:Calcium Channels; D014700:Verapamil; D004110:Diltiazem; D009543:Nifedipine