In this article, we want to delve deeper into the topic of Prenalterol, an issue that has gained great relevance in recent times. Prenalterol has become a fundamental aspect in various areas, whether in the social, political, scientific or technological field. Its impact is so transcendental that it is essential to address its different dimensions and reflect on its influence on our daily lives. Through this analysis, we seek to exploit the multiple edges of Prenalterol and highlight its importance in the construction of knowledge and decision making in our modern society.
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Clinical data | |
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Trade names | Hyprenan |
Other names | CGP-7760B; CGP-7760/B; H-133/22; IHP |
Routes of administration | Oral, IV |
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ECHA InfoCard | 100.055.246 |
Chemical and physical data | |
Formula | C12H19NO3 |
Molar mass | 225.288 g·mol−1 |
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Prenalterol, sold under the brand name Hyprenan, is a sympathomimetic agent and cardiac stimulant which acts as a β1-adrenergic receptor partial agonist and is used in the treatment of heart failure.[1][2][3][4][5] It has selectivity for the β1-adrenergic receptor.[1][2][3][4] Its partial agonist activity or intrinsic sympathomimetic activity is about 60%.[6] It is said to have much greater impact on myocardial contractility than on heart rate.[4] The drug has been marketed in Denmark, Norway, and Sweden.[2]
Prenalterol exhibits adrenergic agonist activity in spite of an interposed oxymethylene group. The stereospecific synthesis devised for this molecule relies on the fact that the side chain is very similar in oxidation state to that of a sugar.[7][8]
Condensation of monobenzone (2) with the epoxide derived from α-D-glucofuranose[9] affords the glycosylated derivative (3). Hydrolytic removal of the acetonide protecting groups[10] followed by cleavage of the sugar with periodate gives aldehyde (4). This is reduced to the glycol by means of NaBH4 and the terminal alcohol is converted to the mesylate (5). Displacement of the leaving group with isopropylamine followed by hydrogenolytic removal of the O-benzyl ether affords the β1-adrenergic selective adrenergic agonist prenalterol (6).
Several preparations of the racemic mixture have been reported.[11][12][13][14][15]