Structure of Nafamostat Mesylate
CAS No.: 82956-11-4
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The BI-3802 was designed by Boehringer Ingelheim and could be obtained free of charge through the Boehringer Ingelheim open innovation portal opnMe.com, associated with its negative control.
Nafamostat mesylate is a synthetic inhibitor of serine protease with anticoagulant activity.
Synonyms: FUT-175; Nafamostat (mesylate); Nafamastat
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CAS No. : | 82956-11-4 |
Formula : | C21H25N5O8S2 |
M.W : | 539.58 |
SMILES Code : | CS(=O)(O)=O.CS(=O)(O)=O.O=C(OC1=CC=C2C=C(C(N)=N)C=CC2=C1)C3=CC=C(NC(N)=N)C=C3 |
Synonyms : |
FUT-175; Nafamostat (mesylate); Nafamastat
|
MDL No. : | MFCD00941430 |
InChI Key : | SRXKIZXIRHMPFW-UHFFFAOYSA-N |
Pubchem ID : | 5311180 |
GHS Pictogram: |
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Signal Word: | Warning |
Hazard Statements: | H302 |
Precautionary Statements: | P280-P305+P351+P338 |
Description |
Nafamostat mesylate (FUT-175), a synthetic serine protease inhibitor, functions as an anticoagulant and exhibits both anticancer and antiviral effects. It is known to induce apoptosis by up-regulating the expression of tumor necrosis factor receptor-1 (TNFR1), and it is also used in studies related to the pathological thickening of arterial walls[1].[2].
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In Vitro:
Cell Line
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Concentration | Treated Time | Description | References |
human bronchial epithelial cells | 25 µM | 1 hour | Nafamostat significantly inhibited SARS-CoV-2 and MERS-CoV infection in human airway epithelial cells, suggesting it blocks viral entry by inhibiting cell surface serine proteases such as TMPRSS2. | PMC8406266 |
Calu-3 2B4 cells | 2.2 nM (IC50) | 1 hour | Nafamostat showed greater potency than camostat in inhibiting SARS-CoV-2 and MERS-CoV infection in Calu-3 2B4 cells. | PMC8406266 |
Bone marrow-derived macrophages | 50 μM | 6 hours | Inhibition of intracellular trypsin activity in macrophages, preventing NF-κB nuclear translocation | PMC6663074 |
Human tracheal epithelial cells (HTE) | 10 μg/ml | 72 hours | Pretreatment with nafamostat significantly reduced the titers of the pandemic and seasonal influenza viruses in HTE cells and decreased the secretion of inflammatory cytokines (e.g., IL-6 and TNF-α) in the supernatants of cells infected with the pandemic influenza virus. | PMC7753675 |
Human nasal epithelial cells (HNE) | 10 μg/ml | 72 hours | Pretreatment with nafamostat significantly reduced the titers of the pandemic and seasonal influenza viruses in HNE cells and decreased the secretion of inflammatory cytokines (e.g., IL-6 and TNF-α) in the supernatants of cells infected with the pandemic influenza virus. | PMC7753675 |
rat hippocampal CA1 pyramidal neurons | 0.20 ± 0.04 µM (IC50) | To study the inhibitory effect of Nafamostat on NMDA receptors, the results showed an IC50 of 0.20 ± 0.04 μM, indicating a strong inhibitory effect. | PMC10649274 |
In Vivo:
Species
|
Animal Model
|
Administration | Dosage | Frequency | Description | References |
Rats | Spinal cord injury model | Intraperitoneal injection | 10 mg/kg/day | Twice a day until 3 dpi or the endpoints of experiments | To evaluate the optimal administration time window of Nafamostat after spinal cord injury and its impact on functional recovery. The results showed that Nafamostat administration within 2-12 hours post-injury significantly improved motor function and nerve conduction, with the best effects observed at 8 and 12 hours post-injury. | PMC9287720 |
CD-1 mice | TLR7/8 agonist R848-induced virus-like illness model | Intravenous injection | 3 mg/kg | Single injection, duration of 6 hours | To evaluate the anti-inflammatory effects of Nafamostat in a TLR7/8 agonist R848-induced virus-like illness model. Results showed that Nafamostat suppressed the hepatic inflammatory response, significantly reducing TNF and IFN-γ expression, but had no effect on lung or brain cytokine production. Additionally, Nafamostat restored the R848-induced depletion of circulating leukocytes. | PMC8734544 |
BALB/c mice | Asthma model | Intraperitoneal injection | 20 mg/kg | 30 minutes before each HDM challenge, for 6 weeks | To evaluate the effects of Nafamostat on airway hyperreactivity, inflammatory parameters, and gene expression in a mouse model of asthma. Results showed that Nafamostat significantly suppressed airway hyperreactivity in HDM-sensitized mice, reduced infiltration of eosinophils and lymphocytes into the airways, and lowered levels of pro-inflammatory compounds in the airway lumen. Additionally, Nafamostat dampened goblet cell hyperplasia and smooth muscle layer thickening in the lungs of HDM-sensitized animals. | PMC10160450 |
Mice | Ad5-hACE2 transduced mice and K18-hACE2 transgenic mice | intranasal administration | 3 mg/kg | single dose, 2 hours before infection | Nafamostat significantly reduced SARS-CoV-2-induced weight loss, viral load, and mortality in Ad5-hACE2 transduced mice and K18-hACE2 transgenic mice, particularly when administered before infection. | PMC8406266 |
BALB/c mice | Influenza A virus infection model | Intraperitoneal injection | 30 mg/kg/day | Once daily for 14 days | Nafamostat reduced the levels of the pandemic influenza virus in mouse lungs but did not improve survival rate or body weight reduction after infection. | PMC7753675 |
Mice | K18-hACE2 transgenic mice | Subcutaneous injection | 20 mg/kg, 60 mg/kg, 100 mg/kg | Once daily for 5 days | To evaluate the protective efficacy of MDB-601a-NM against SARS-CoV-2 infection, results showed that 60 mg/kg and 100 mg/kg dose groups performed better in terms of weight loss and survival rate, and no viral replication was detected in brain tissue. | PMC10253381 |
Wistar rats | Spinal cord injury model | Intraperitoneal injection | 10 mg/kg | Twice daily for 7 days | Nafamostat mesilate treatment significantly improved locomotion recovery after spinal cord injury, reduced inflammation and apoptosis, and promoted tissue preservation. | PMC6489917 |
rats | Sprague-Dawley rats | intravenous and intratracheal administration | 10 mg/kg | single dose | Evaluate the pharmacokinetics and lung distribution of Nafamostat under different administration routes, finding that intratracheal administration had higher drug delivery and longer residual time in the lung lumen and tissue | PMC8468663 |
Clinical Trial:
NCT Number | Conditions | Phases | Recruitment | Completion Date | Locations |
NCT01486485 | Acute Kidney Injury | Phase 3 | Unknown | August 2013 | Korea, Republic of ... More >> National Health Insurance Corporation Ilsan Hospital Recruiting Koyang, Korea, Republic of Contact: Tae Ik Chang, MD 82-31-900-0246 tichang@hanmail.net Seoul National University Bundang Hospital Recruiting Seongnam, Korea, Republic of Contact: Sejoong Kim, MD, PhD 82-11-9196-5245 imsejoong@hanmail.net Seoul National University Boramae Medical Center Recruiting Seoul, Korea, Republic of Contact: Jung Pyo Lee, MD, PhD 82-2-870-2261 kjwa1@medimail.co.kr Seoul National University Hospital Recruiting Seoul, Korea, Republic of Contact: Su Mi Lee 82-2-2072-1705 promise131@hanmail.net Less << |
NCT01001403 | Liver Transplantation ... More >> Postreperfusion Syndrome Less << | Phase 4 | Completed | - | Korea, Republic of ... More >> Seoul National University Hospital Seoul, Korea, Republic of, 110-744 Less << |
NCT01761994 | Acute Kidney Injury | Phase 4 | Completed | - | Korea, Republic of ... More >> Severance Hospital Seoul, Korea, Republic of, 120-752 Less << |
NCT02478242 | Acute Kidney Injury | Phase 4 | Completed | - | - |
NCT01001403 | - | Completed | - | - | |
NCT04418128 | Corona Virus Infection|COVID-1... More >>9 Less << | PHASE2|PHASE3 | UNKNOWN | 2021-04-30 | - |
NCT05874674 | Dialysis; Complications|Bleedi... More >>ng Less << | RECRUITING | 2026-12-31 | Yonsei Unviersity Wonju Colleg... More >>e of Medicin, Wonju, Kangwondo, 26426, Korea, Republic of Less << |
Tags: Nafamostat | FUT-175 | FUT175 | FUT 175 | Flavivirus | TNF Receptor | NF-κB | Apoptosis | Ser/Thr Protease | Tumor Necrosis Factor Receptor | TNFR | Nuclear factor-κB | Nuclear factor-kappaB | Serine proteases | Serine endopeptidases | Threonine proteases | Nafamostat mesylate | serine protease inhibitor | anticoagulant | TNFR1 | arterial wall thickening | tumor necrosis factor receptor-1 | tumor necrosis factor receptor 1 | 82956-11-4
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