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Chemical Structure| 82956-11-4 Chemical Structure| 82956-11-4

Structure of Nafamostat Mesylate
CAS No.: 82956-11-4

Chemical Structure| 82956-11-4

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Nafamostat mesylate is a synthetic inhibitor of serine protease with anticoagulant activity.

Synonyms: FUT-175; Nafamostat (mesylate); Nafamastat

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Product Details of Nafamostat Mesylate

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

Safety of Nafamostat Mesylate

GHS Pictogram:
Signal Word:Warning
Hazard Statements:H302
Precautionary Statements:P280-P305+P351+P338

Isoform Comparison

Biological Activity

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].

In Vitro:

Cell Line
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 <<

Protocol

Bio Calculators
Preparing Stock Solutions 1mg 5mg 10mg

1 mM

5 mM

10 mM

1.85mL

0.37mL

0.19mL

9.27mL

1.85mL

0.93mL

18.53mL

3.71mL

1.85mL

Dissolving Methods
Please choose the appropriate dissolution scheme according to your animal administration guide.For the following dissolution schemes, clear stock solution should be prepared according to in vitro experiments, and then cosolvent should be added in turn:

in order to ensure the reliability of the experimental results, the clarified stock solution can be properly preserved according to the storage conditions; The working fluid for in vivo experiment is recommended to be prepared now and used on the same day;

The percentage shown in front of the following solvent refers to the volume ratio of the solvent in the final solution; If precipitation or precipitation occurs in the preparation process, it can be assisted by heating and/or ultrasound.
Protocol 1
Protocol 2

References

 

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