Chiral investigation of midodrine, a long-acting alpha-adrenergic stimulating agent

Chirality. 2004 Jul;16(6):356-62. doi: 10.1002/chir.20041.

Abstract

Midodrine hydrochloride is a peripheral alpha(1)-adrenoreceptor agonist that induces venous and arterial vasoconstriction. Midodrine, after oral or intravenous administration, undergoes enzymatic hydrolysis and releases deglymidodrine, a pharmacologically active metabolite. Midodrine and deglymidodrine have a chiral carbon in the 2-position. To investigate the bioactivity of racemates and enantiomers of the drug and metabolite, three chromatographic chiral stationary phases, Chiralcel OD-H, Chiralcel OD-R, and alpha(1)-AGP, were evaluated for enantiomeric resolution. Good enantioseparation of midodrine racemate was obtained using the Chiralcel OD-H column. This stationary phase was then used to collect separately the midodrine enantiomers. By alkaline hydrolysis of rac-midodrine and each separated enantiomer, rac-deglymidodrine and its enantiomers were prepared. The control of the enantiomeric purity was carried out by alpha(1)-AGP stationary phase, while the hydrolysis of rac-midodrine and its enantiomers was controlled by capillary electrophoresis using trimethyl-beta-cyclodextrin as chiral selector. The pharmacological activity of the two racemates and the two enantiomeric pairs was tested in vitro on a strip of rabbit descending thoracic aorta. The tests continued that the activity of the drug and metabolite is due only to the (-)-enantiomer because neither of the (+)-enantiomers is active.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic alpha-Agonists / chemistry
  • Adrenergic alpha-Agonists / pharmacology*
  • Animals
  • Aorta, Thoracic / drug effects
  • Aorta, Thoracic / pathology
  • Carbon / chemistry
  • Dose-Response Relationship, Drug
  • Electrophoresis, Capillary
  • Hydrolysis
  • Midodrine / analogs & derivatives*
  • Midodrine / chemistry*
  • Midodrine / pharmacology*
  • Models, Chemical
  • Rabbits
  • Stereoisomerism

Substances

  • Adrenergic alpha-Agonists
  • deglymidodrine
  • Midodrine
  • Carbon