Highly Water-Soluble Cucurbit[8]uril Derivative as a Broad-Spectrum Neuromuscular Block Reversal Agent

J Med Chem. 2022 Dec 22;65(24):16893-16901. doi: 10.1021/acs.jmedchem.2c01677. Epub 2022 Dec 8.

Abstract

Broad-spectrum agents for the reversal of residual curarization induced by neuromuscular blocking agents are of great significance. Here, we report a highly water-soluble cucurbit[8]uril (CB[8]) derivative as a broad-spectrum neuromuscular block reversal agent induced by both benzylisquinolinium and aminosteroid neuromuscular block agents by the supramolecular sequestration strategy. The UV/Vis competition titration assays suggest the high binding affinity of the CB[8] derivative toward both benzylisquinolinium-type cisatracurium besylate and aminosteroid-type rocuronium, vecuronium, and pancuronium, at the level of 107 M-1. In vivo studies demonstrate that the administration of the CB[8] derivative could significantly accelerate the recovery time compared to the placebo or neostigmine groups. The reversal activity of the CB[8] derivative is comparable to or higher than that of clinically approved sugammadex. Acute toxicity evaluations reveal that the CB[8]-derivative displays outstanding biocompatibility, with the maximum tolerance dose as high as 960 mg kg-1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Neuromuscular Blockade*
  • Neuromuscular Nondepolarizing Agents* / therapeutic use
  • Water
  • gamma-Cyclodextrins* / pharmacology
  • gamma-Cyclodextrins* / therapeutic use

Substances

  • Neuromuscular Nondepolarizing Agents
  • gamma-Cyclodextrins
  • Water
  • cucurbit(8)uril