molecular formula C14H22N2O3 B3427661 Atenolol CAS No. 60966-51-0

Atenolol

Cat. No.: B3427661
CAS No.: 60966-51-0
M. Wt: 266.34 g/mol
InChI Key: METKIMKYRPQLGS-UHFFFAOYSA-N
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Description

Atenolol is an ethanolamine compound having a (4-carbamoylmethylphenoxy)methyl group at the 1-position and an N-isopropyl substituent. It has a role as a beta-adrenergic antagonist, an anti-arrhythmia drug, an antihypertensive agent, a sympatholytic agent, a xenobiotic and an environmental contaminant. It is a member of ethanolamines, a monocarboxylic acid amide and a propanolamine.
This compound is a cardioselective beta-blocker used in a variety of cardiovascular conditions. Sir James Black, a Scottish pharmacologist, pioneered the use of beta-blockers for the management of angina pectoris in 1958 for which he received the Nobel Prize. Beta-blockers quickly became popular in clinical use and where subsequently investigated for use in myocardial infarction, arrhythmias, and hypertension during the 1960s. Later they continued to be investigated for use in heart failure throughout the 1970-1980s. This compound itself was developed early on in this history by Alvogen Malta under the trade name Tenormin and received FDA approval in September, 1981. Despite being one of the most widely prescribed beta blockers, evidence suggests this compound may not significantly reduce mortality, and only modestly reduce the risk of cardiovascular disease in patients with hypertension. A Cochrane review of patients being treated for primary hypertension shows that this compound shows a risk ratio of 0.88 for cardiovascular disease risk and a risk ratio of 0.99 for mortality. Similar results have been found in other meta-analyses. A meta-analysis of over 145,000 patients showed the risk of stroke in patients taking this compound may depend on the age of the patient. The use of this compound may need to be based on more patient factors than hypertension alone.
This compound is a beta-Adrenergic Blocker. The mechanism of action of this compound is as an Adrenergic beta-Antagonist.
This compound is a cardioselective beta-blocker that is widely used in the treatment of hypertension and angina pectoris. This compound has been linked to rare cases of drug induced liver injury, some of which have been fatal.
This compound is a synthetic isopropylamino-propanol derivative used as an antihypertensive, hypotensive and antiarrhythmic this compound acts as a peripheral, cardioselective beta blocker specific for beta-1 adrenergic receptors, without intrinsic sympathomimetic effects. It reduces exercise heart rates and delays atrioventricular conduction, with overall oxygen requirements decreasing. (NCI04)
This compound can cause developmental toxicity according to state or federal government labeling requirements.
This compound is a so-called beta1-selective (or 'cardioselective') drug. That means that it exerts greater blocking activity on myocardial beta1-receptors than on beta2 ones in the lung. The beta2 receptors are responsible to keep the bronchial system open. If these receptors are blocked, bronchospasm with serious lack of oxygen in the body can result. However, due to its cardioselective properties, the risk of bronchospastic reactions if using this compound is reduced compared to nonselective drugs as propranolol. Nonetheless, this reaction may also be encountered with this compound, particularly with high doses. Extreme caution should be exerted if this compound is given to asthma patients, who are particularly at risk;  the dose should be as low as possible. If an asthma attack occurs, the inhalation of a beta2-mimetic antiasthmatic, such as hexoprenalin or salbutamol, will usually suppress the symptoms. This compound (trade name Tenormin) can be used to treat cardiovascular diseases such as hypertension, coronary heart disease, arrhythmias, and treatment of myocardial infarction after the acute event. Patients with compensated congestive heart failure may be treated with this compound as a co medication (usually together with an ACE inhibitor, a diuretic and a digitalis-glycoside, if indicated). In patients with congestive heart failure, it reduces the need for and the consumption of oxygen of the heart muscle. It is very important to start with low doses, as this compound reduces also the muscular power of the heart, which is an undesired effect in congestive heart failure.
A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect.
See also: this compound;  Chlorthalidone (component of);  this compound;  scopolamine hydrobromide (component of).

Properties

IUPAC Name

2-[4-[2-hydroxy-3-(propan-2-ylamino)propoxy]phenyl]acetamide
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InChI

InChI=1S/C14H22N2O3/c1-10(2)16-8-12(17)9-19-13-5-3-11(4-6-13)7-14(15)18/h3-6,10,12,16-17H,7-9H2,1-2H3,(H2,15,18)
Source PubChem
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InChI Key

METKIMKYRPQLGS-UHFFFAOYSA-N
Source PubChem
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Description Data deposited in or computed by PubChem

Canonical SMILES

CC(C)NCC(COC1=CC=C(C=C1)CC(=O)N)O
Source PubChem
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Molecular Formula

C14H22N2O3
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DSSTOX Substance ID

DTXSID2022628
Record name Atenolol
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Molecular Weight

266.34 g/mol
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Physical Description

Solid
Record name Atenolol
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Solubility

>40 [ug/mL] (The mean of the results at pH 7.4), Freely soluble in methanol; soluble in acetic acid, DMSO; sparingly soluble in 96% ethanol; slightly soluble in isopropanol; very slightly soluble in acetone, dioxane; practically insoluble in acetonitrile, ethyl acetate; chloroform, Freely soluble in 1 N HCl (300 mg/ml @ 25 °C); less soluble in chloroform (3 mg/ml @ 25 °C), In water, 1.33X10+4 mg/l @ 25 °C, 13.3 mg/mL at 25 °C
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Description Aqueous solubility in buffer at pH 7.4
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Color/Form

White, crystalline powder, Crystals from ethyl acetate, Colorless crystals

CAS No.

29122-68-7
Record name Atenolol
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Melting Point

158-160, 146 - 148 °C, 147 °C
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Record name Atenolol
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Historical Perspectives and Evolution of Beta-adrenergic Receptor Antagonists

Early Developments in Beta-Blocker Pharmacology

The concept of specific receptors for catecholamines was proposed over a century ago, with early investigators suggesting that these substances bound to receptor-like structures to exert their pharmacological actions. wikipedia.org A pivotal moment occurred in 1948 when Raymond P. Ahlquist published findings concluding the existence of two distinct adrenoceptors, which he labeled alpha (α) and beta (β), based on the differential responses they elicited in various tissues, including heart muscle. wikipedia.orgrevespcardiol.org This dual receptor theory provided a foundational basis for future drug development. wikipedia.org

The first compound identified as a beta-antagonist was dichloroisoproterenol (DCI), discovered in the 1950s. wikipedia.orgnih.gov DCI was shown to block the effects of sympathomimetic amines on processes such as bronchodilation, uterine relaxation, and heart stimulation. wikipedia.org However, DCI exhibited partial agonist activity, meaning it could also partially stimulate the receptors it blocked, which limited its clinical utility. nih.gov

Building upon this knowledge, Sir James Black, a Scottish pharmacologist, spearheaded research in the late 1950s aimed at developing a treatment for angina pectoris by reducing the heart's oxygen consumption. wikipedia.orgrevespcardiol.orgnih.govdrugbank.comnih.gov His work, initiated at Imperial Chemical Industries (ICI), led to the synthesis of pronethalol in 1962, the first beta-blocker introduced into clinical practice. wikipedia.orgnih.gov Pronethalol, a nonselective beta-blocker, was found to have antihypertensive actions and anti-arrhythmic properties. nih.govnih.gov However, it was later withdrawn due to concerns about potential carcinogenicity in animals. nih.gov This paved the way for the development of propranolol, also by Black and his colleagues at ICI. wikipedia.orgnih.govnih.gov Launched in 1965, propranolol was a nonselective beta-blocker without intrinsic sympathomimetic activity (ISA) and became a prototype drug for various cardiovascular conditions, revolutionizing the medical management of angina pectoris and becoming the first major drug for this condition since nitroglycerin. wikipedia.orgnih.govnih.gov Sir James Black was awarded the Nobel Prize for his work on beta-blockers. revespcardiol.orgdrugbank.comnih.govrevespcardiol.org

The Emergence of Atenolol: A Cardioselective Agent

The development of beta-blockers continued with efforts to create agents with more specific actions. The recognition of different beta-receptor subtypes (β1, β2, and β3) further fueled the search for selective compounds. β1-adrenergic receptors are predominantly found in the heart and kidneys, while β2-adrenergic receptors are primarily located in the lungs, gastrointestinal tract, liver, uterus, vascular smooth muscle, and skeletal muscle. wikipedia.org β3-adrenergic receptors are found in fat cells. wikipedia.org

Practolol, launched by ICI in 1970, was a significant development as it exhibited cardioselectivity, meaning it had a higher affinity for β1-receptors. wikipedia.orgjove.com Studies with practolol highlighted the importance of chemical structure, particularly para-substitution on the benzene ring, for β1 selectivity. wikipedia.org Although practolol was later withdrawn due to severe side effects, its development was crucial in the fundamental study of beta-blockade and beta-receptors and provided the impetus for the development of other cardioselective agents. wikipedia.org

This compound emerged from this research endeavor. It was developed with the specific goal of creating an "ideal beta-blocker" and is classified as a selective β1-receptor antagonist. wikipedia.org This cardioselectivity means it preferentially blocks β1 receptors over β2 receptors. jove.comzu.edu.pknih.govconsensus.app this compound was launched in 1976 under the trade name Tenormin. wikipedia.orgsoci.org Its development was a direct outcome of the ICI beta-blocker research program, which began in 1958. soci.org this compound was patented in 1969 and approved for medical use in 1975. wikipedia.org It received FDA approval in September 1981. drugbank.comnih.gov

This compound's Position within Second-Generation Beta-Blockers

Beta-blockers are broadly classified into generations based on their pharmacological properties, particularly their selectivity for receptor subtypes and additional actions. The first generation includes nonselective agents like propranolol that block both β1 and β2 receptors. revespcardiol.orgjove.comcvpharmacology.comkarger.com

This compound is considered a second-generation beta-blocker. revespcardiol.orgjove.comzu.edu.pknih.govresearchgate.net The defining characteristic of second-generation beta-blockers is their cardioselectivity, primarily blocking β1-adrenergic receptors. revespcardiol.orgjove.comzu.edu.pkcvpharmacology.comkarger.comrxlist.com Other examples of second-generation beta-blockers include metoprolol, bisoprolol, and acebutolol. jove.comzu.edu.pkkarger.comrxlist.com This selectivity for β1 receptors in the heart leads to a reduction in heart rate, myocardial contractility, and blood pressure by inhibiting the effects of endogenous catecholamines on these receptors. wikipedia.orgzu.edu.pknih.gov

While second-generation beta-blockers like this compound are considered cardioselective, this selectivity is relative and can be diminished at higher doses. cvpharmacology.com this compound is also characterized by its hydrophilic nature, which results in limited penetration of the blood-brain barrier compared to more lipophilic beta-blockers like propranolol. nih.govtandfonline.comnih.gov

The evolution continued with the development of third-generation beta-blockers, which possess additional vasodilating properties, often through the blockade of alpha-1 adrenoceptors or activation of beta-3 adrenoceptors. revespcardiol.orgjove.comzu.edu.pkkarger.com Examples include labetalol and carvedilol. jove.comzu.edu.pkkarger.com These later generations offered different pharmacological profiles and clinical considerations compared to the second-generation agents like this compound. zu.edu.pkahajournals.orgnih.gov

Research findings have sometimes compared the effects of this compound with other beta-blockers and antihypertensive drugs. A meta-analysis suggested that non-atenolol beta-blockers might be associated with a lower risk of myocardial infarction in hypertensive patients compared to this compound. nih.gov Another study found no significant differences in effectiveness between this compound and third-generation beta-blockers in preventing certain outcomes, although third-generation beta-blockers were associated with higher risks for some secondary outcomes compared to this compound in hypertensive patients without specific pre-existing conditions. ahajournals.orgnih.gov The CAFE study demonstrated that this compound was less effective in reducing central blood pressure compared to other classes despite similar brachial blood pressure effects. nih.gov These studies highlight that despite belonging to the same class, individual beta-blockers, including this compound, can have distinct pharmacological properties and potentially different clinical outcomes depending on the specific patient population and condition being treated.

Below is a table summarizing some key early beta-blockers and their characteristics:

CompoundYear of Introduction/DiscoverySelectivityNotable Characteristics
Dichloroisoproterenol (DCI)1950sBeta-antagonistPartial agonist activity
Pronethalol1962NonselectivePotential for carcinogenesis
Propranolol1965NonselectivePrototype beta-blocker, no ISA
Practolol1970β1-selectiveWithdrawn due to side effects
This compound1976β1-selectiveCardioselective, hydrophilic

Molecular and Cellular Basis of Adverse Effects

Bradycardia and Heart Block: Mechanisms of Excessive Beta-Blockade

Atenolol's primary mechanism of action involves blocking beta-1 adrenergic receptors, which are highly concentrated in the heart. wikipedia.orgnih.govgoodrx.comdrugbank.com Activation of these receptors by catecholamines like epinephrine and norepinephrine typically increases heart rate, contractility, and conduction velocity through the sinoatrial (SA) and atrioventricular (AV) nodes. nih.govnih.govclevelandclinic.org this compound competitively inhibits this binding, thereby reducing sympathetic stimulation of the heart. nih.gov

At the cellular level, beta-1 receptor activation is coupled to Gs proteins, which stimulate adenylyl cyclase, increasing cyclic adenosine monophosphate (cAMP) levels. drugbank.comwikipedia.org Elevated cAMP activates protein kinase A (PKA), which phosphorylates various proteins, including L-type calcium channels and ryanodine receptors. drugbank.comwikipedia.org This phosphorylation leads to increased calcium influx and release from the sarcoplasmic reticulum, enhancing myocardial contractility and heart rate. drugbank.comwikipedia.org

By blocking beta-1 receptors, this compound reduces the activation of this signaling cascade. This leads to a decrease in cAMP levels, reduced PKA activity, and consequently, diminished calcium handling within cardiomyocytes and nodal cells. The resulting suppression of automaticity in the SA node and slowed conduction through the AV node manifests clinically as bradycardia (slow heart rate) and can progress to heart block. nih.govnih.gov The risk of bradycardia and heart block can be increased when this compound is combined with other medications affecting heart rate or conduction. nih.govmedscape.com

Cardiac Failure: Potential for Myocardial Depression

While beta-blockers are used in the management of compensated heart failure, their negative inotropic effect (reduction in contractility) can precipitate or worsen cardiac failure, particularly in patients with compromised left ventricular function or during volume overload. drugbank.comdrugs.com Sympathetic stimulation plays a crucial role in maintaining circulatory function in the setting of heart failure. drugs.com

This compound's blockade of beta-1 receptors reduces the positive inotropic effects mediated by catecholamines. nih.gov This reduction in contractility is a direct consequence of the inhibited Gs-adenylyl cyclase-cAMP-PKA pathway, leading to decreased calcium availability for myocyte contraction. drugbank.comwikipedia.org In individuals whose cardiac function is heavily reliant on sympathetic drive, this myocardial depression can lead to a decrease in cardiac output and exacerbate the symptoms of heart failure. drugbank.comdrugs.com this compound can also potentially increase oxygen requirements by increasing left ventricular fiber length and end-diastolic pressure in patients with heart failure. drugs.com

Bronchospasm: Residual β2 Receptor Antagonism

This compound is considered a cardioselective beta-blocker due to its higher affinity for beta-1 receptors compared to beta-2 receptors. wikipedia.orgdrugbank.comdrugs.com However, this selectivity is not absolute, and at higher doses, this compound can also block beta-2 adrenergic receptors. wikipedia.orgdrugbank.comdrugs.com Beta-2 receptors are predominantly located in the smooth muscle of the airways and are responsible for mediating bronchodilation upon activation by endogenous catecholamines or exogenous beta-2 agonists. ersnet.org

Blockade of beta-2 receptors by this compound inhibits the relaxation of bronchial smooth muscle. drugbank.com This effect is thought to be due to the antagonism of beta-2 receptors uncovering prevailing cholinergic tone mediated by muscarinic receptors, leading to airway smooth muscle constriction. ersnet.org While the risk of bronchospasm is lower with cardioselective beta-blockers like this compound compared to non-selective agents, it can still occur, particularly in susceptible individuals with underlying reactive airway diseases such as asthma or chronic obstructive pulmonary disease (COPD). ersnet.orgdrugs.com The potential for bronchoconstriction due to dose-related beta-2 receptor antagonism exists. ersnet.org

Central Nervous System Manifestations

This compound is classified as having low lipophilicity, which suggests a reduced ability to cross the blood-brain barrier compared to more lipophilic beta-blockers like propranolol. wikipedia.orgdrugbank.compharmaceutical-journal.com Despite this, this compound can still cause central nervous system (CNS) side effects. wikipedia.orgdrugbank.com The exact mechanisms for many of these effects are not fully characterized. drugbank.com

Fatigue and dizziness are commonly reported side effects of this compound. wikipedia.orgnih.govgoodrx.com These symptoms are often attributed to the reduction in heart rate and blood pressure caused by beta-blockade. goodrx.com The decreased cardiac output can lead to reduced blood flow to the brain, potentially resulting in feelings of fatigue and dizziness. goodrx.com While this is a primary hypothesis, detailed cellular and molecular investigations specifically into this compound-induced fatigue and dizziness beyond the hemodynamic effects are limited in the provided search results.

Beta-blockers, including this compound, have been associated with CNS effects such as depression and sleep disturbances like nightmares and insomnia. wikipedia.orgdrugbank.comnih.govgoodrx.comklarity.health While the exact mechanisms are not fully understood, several hypotheses exist. drugbank.comklarity.health

One proposed mechanism for sleep disturbances involves the potential of beta-blockers to reduce melatonin release. nih.govgoodrx.comklarity.health Melatonin is a hormone produced by the pineal gland that plays a crucial role in regulating the sleep-wake cycle. goodrx.comklarity.health Inhibition of beta-1 adrenergic receptors in the pineal gland may lead to decreased melatonin synthesis and secretion, potentially disrupting sleep patterns and contributing to insomnia and altered dream states, including nightmares. klarity.health

Regarding depression, the link with beta-blocker use is complex and potentially related to several factors, including sleep disruption. pharmaceutical-journal.com Some studies suggest that the fatigue and unusual dreams experienced by beta-blocker users might be misinterpreted as depression. pharmaceutical-journal.com While lipophilic beta-blockers are thought to have a higher propensity for CNS effects due to greater blood-brain barrier penetration, even less lipophilic agents like this compound can be associated with these issues. wikipedia.orgpharmaceutical-journal.com The precise molecular pathways leading to depression in the context of beta-blocker therapy require further elucidation.

Fatigue and Dizziness: Etiological Investigations

Metabolic Disturbances: Hyperglycemia and Insulin Parameter Changes

This compound and other conventional beta-blockers have been associated with adverse effects on glucose metabolism, including hyperglycemia and changes in insulin parameters. medscape.comdiabetesjournals.orgnih.govoup.com

One of the primary mechanisms thought to contribute to beta-blocker-induced hyperglycemia is the impairment of insulin release from pancreatic beta-cells. diabetesjournals.org Beta-2 adrenergic receptors are present on pancreatic beta-cells, and their activation promotes insulin secretion. diabetesjournals.orgnih.gov While this compound is primarily beta-1 selective, its potential to block beta-2 receptors at higher doses can reduce glucose-stimulated insulin release. nih.gov

Furthermore, beta-blockers may also influence insulin sensitivity. Studies using the euglycemic hyperinsulinemic clamp technique have shown that treatment with conventional beta-blockers, including this compound, can decrease insulin sensitivity in hypertensive patients. oup.com The exact mechanisms underlying this effect are not fully established but may involve changes in cellular glucose transporters or other pathways affecting insulin action. oup.com

Research has also explored potential genetic and metabolic factors associated with this compound-induced hyperglycemia. One study identified a potential association between baseline levels of beta-alanine and a single nucleotide polymorphism (SNP) in the DPYS gene with changes in glucose levels after this compound treatment, suggesting potential biomarkers for susceptibility to this adverse effect. researchgate.net

The following table summarizes some observed changes in metabolic parameters in a pilot study involving this compound treatment:

Metabolic ParameterBaseline (Mean ± SD)After 8 Weeks this compound (Mean ± SD)p-value
Fasting Glucose (mg/dl)81.7 ± 9.985.5 ± 9.10.08
Fasting Insulin (µIU/ml)8.0 ± 4.98.4 ± 6.5>0.05
Triglycerides (mg/dl)141.1 ± 90.1153.0 ± 104.1>0.05
HDL (mg/dl)48.4 ± 16.349.7 ± 19.8>0.05
Total Cholesterol (mg/dl)206.0 ± 39.5203.1 ± 40.8>0.05

Data derived from a pilot study on this compound exposure and metabolic effects. nih.gov

The clinical significance of these metabolic changes is underscored by findings from larger studies, such as the LIFE study, which indicated a higher risk of new-onset diabetes in patients treated with this compound-based therapy compared to losartan-based therapy. oup.com

Hypersensitivity and Allergic Reactions: Potential for Severity Enhancement

While not commonly associated with hypersensitivity reactions compared to some other drugs, beta-blockers, including this compound, can potentially exacerbate the severity of allergic responses. hres.cahpra.iehres.carxlist.com Patients with a history of anaphylactic reactions to various allergens may experience a more severe reaction upon re-exposure while taking beta-blockers. hres.cahpra.ierxlist.commedsafe.govt.nz This enhanced severity is thought to be due to the pharmacological effects of beta-blockers, which can interfere with the body's compensatory mechanisms during an allergic reaction. hres.cahres.ca Specifically, beta-blockade can reduce the effectiveness of epinephrine, a key treatment for anaphylaxis, by blocking its effects on beta-adrenergic receptors involved in bronchodilation and increasing heart rate and blood pressure. hres.cahpra.ierxlist.com This can lead to increased difficulty in treating the allergic reaction. hres.cahres.ca

Autoimmune Phenomena: Association with Antinuclear Antibodies and Lupus Syndrome

This compound, similar to other beta-blockers, has been linked to the development of antinuclear antibodies (ANA) and, in rare instances, lupus syndrome. hres.cahres.cahres.ca An increase in ANA has been observed with this compound use, although the clinical significance of this finding is not always clear. medsafe.govt.nznps.org.au The exact mechanisms by which this compound might contribute to the development of ANA or lupus syndrome are not fully characterized. hres.ca However, drug-induced lupus erythematosus is thought to involve complex interactions where certain medications may trigger the production of autoantibodies, potentially through mechanisms distinct from those in idiopathic lupus. actasdermo.orgmedscape.com While antihistone antibodies are more commonly associated with classic drug-induced lupus, the presence of other autoantibodies, including ANA, can be observed. actasdermo.org

Organ-Specific Toxicity Research

Research into the organ-specific toxicity of this compound has focused on its effects on the cardiovascular system and renal function, exploring the underlying cellular and molecular mechanisms.

Cardiotoxicity: Mitochondrial Dysfunction, Oxidative Stress, and Apoptosis Induction

Studies have indicated that this compound may induce cardiotoxicity through mechanisms involving mitochondrial dysfunction, oxidative stress, and the induction of apoptosis in cardiomyocytes. researchgate.netnih.govthieme-connect.com Mitochondria are particularly vulnerable targets for drug-induced cardiotoxicity due to their crucial role in energy production and their position as a significant source of reactive oxygen species (ROS). researchgate.netthieme-connect.comfrontiersin.org

Research in isolated heart mitochondria has shown that this compound can increase ROS levels, decrease mitochondrial succinate dehydrogenase activity, and reduce mitochondrial membrane potential (MMP). researchgate.netnih.govthieme-connect.commdpi.com These effects can lead to mitochondrial swelling and the release of cytochrome c, a key event in initiating the apoptotic cascade. researchgate.netnih.govthieme-connect.commdpi.com Furthermore, exposure of cardiomyocytes to this compound has been associated with increased caspase-3 activity and a decrease in ATP levels, indicating impaired cellular energy metabolism and the activation of programmed cell death pathways. researchgate.netnih.govthieme-connect.com

The underlying mechanisms of this compound-induced cardiotoxicity appear to be linked to alterations in mitochondrial function, increased oxidative stress, and changes in the mitochondrial membrane. researchgate.netnih.govthieme-connect.com Excessive ROS production can lead to oxidative stress, which has been implicated in the pathogenesis of heart failure and can induce hypertrophy and apoptosis in cardiac myocytes. mdpi.comnih.gov

Renal Function Impact

This compound is primarily eliminated unchanged by the kidneys, making renal function a critical factor in its disposition. medsafe.govt.nzhres.capatsnap.comwikipedia.orgnih.gov Its elimination is largely dependent on renal function, and significant accumulation can occur in patients with impaired kidney function. medsafe.govt.nzhres.capatsnap.comwikipedia.org

Studies on the molecular mechanisms of this compound's renal handling have shown that its tubular secretion is mediated by organic cation transporters, specifically human organic cation transporter 2 (hOCT2) and multidrug and toxin extrusion proteins (hMATE1 and hMATE2-K). nih.gov this compound is an excellent substrate for these transporters, which play a significant role in its renal excretion. nih.gov

While this compound is eliminated renally, its impact on renal function can be complex. Although dose adjustments are necessary in cases of severe renal impairment to avoid potential toxicity due to accumulation, the direct mechanisms of this compound-induced renal toxicity are not fully elucidated. medsafe.govt.nzpatsnap.comescholarship.org Some research suggests that renally excreted drugs can exert direct toxic effects on renal tubules, potentially causing cellular injury. escholarship.org However, a dominant recognized mechanism of drug-induced renal damage, including that from some cardiovascular drugs, is the enhancement of oxidative stress in renal tubules and interstitium, leading to mitochondrial imbalance and ROS overproduction. researchgate.netmdpi.com While this is a general mechanism for drug-induced kidney toxicity, the specific contribution and mechanism of this compound to this process require further investigation.

The following table summarizes key molecular and cellular events associated with this compound's adverse effects discussed in this article:

Adverse Effect / Organ SystemMolecular/Cellular MechanismEvidence Type
Hypersensitivity EnhancementInterference with epinephrine's effects on beta-adrenergic receptors; impaired compensatory mechanisms during allergic reactions.Clinical Observation, Pharmacological Principle hres.cahpra.ierxlist.com
Autoimmune Phenomena (ANA)Association with increased Antinuclear Antibodies; exact mechanism unclear.Clinical Observation medsafe.govt.nzhres.canps.org.au
Lupus SyndromeAssociation observed; potential drug-induced autoantibody production.Clinical Observation hres.cahres.cahres.ca
CardiotoxicityMitochondrial dysfunction, increased ROS, decreased MMP, mitochondrial swelling, cytochrome c release, increased caspase-3 activity, decreased ATP levels.In vitro (Isolated Mitochondria, Cardiomyocytes) researchgate.netnih.govthieme-connect.commdpi.com
Renal Function ImpactRenal excretion mediated by hOCT2, hMATE1, hMATE2-K. Potential for accumulation in renal impairment. Possible contribution to oxidative stress in renal tubules (general mechanism for some drugs).In vitro (Transporter studies), Pharmacokinetics, Clinical Observation medsafe.govt.nzhres.capatsnap.comwikipedia.orgnih.govescholarship.orgresearchgate.netmdpi.com

Advanced Research Methodologies in Atenolol Studies

Analytical Techniques for Quantification

The accurate quantification of Atenolol is crucial in research for purposes such as quality control, pharmacokinetic studies, and the development of new formulations. Various analytical techniques have been developed and validated for this purpose. phmethods.netekb.egekb.eg

High-Performance Liquid Chromatography (HPLC)

HPLC is one of the most widely utilized techniques for the determination of this compound in pharmaceutical formulations and biological samples due to its high sensitivity, precision, and ability to separate this compound from potential interferences. phmethods.netekb.egekb.eg In HPLC, the separation of this compound is achieved by its interaction with a stationary phase and a mobile phase as it passes through a column. phmethods.net Detection and quantification are commonly performed using UV-Visible detection. phmethods.net

Several RP-HPLC methods have been developed for the quantitative estimation of this compound and its related substances. One such method utilizes a C18 column with an isocratic mobile phase consisting of octane-1-sulphonic acid sodium salt and tetra-n-butyl ammonium hydrogen sulphate in a mixture of tetrahydrofuran, methanol, and potassium dihydrogen phosphate solution, with the pH adjusted to 3 ± 0.2. This method showed linearity in the range of 1.6-3.2 µg/ml. scholarsresearchlibrary.com Another RP-HPLC method for this compound determination in human plasma employed an Ace C18 column with a mobile phase of methanol-water (50:50, v/v) containing 0.1% trifluoroacetic acid. This method demonstrated linearity over the concentration range of 5–150 ng/mL, with detection and quantification limits of 1.5 and 5 ng/mL, respectively. oup.com

LC-MS, which combines liquid chromatography with mass spectrometry, offers enhanced specificity and sensitivity, particularly useful for detecting this compound in complex matrices like biological samples. phmethods.net

Spectrophotometry and Spectrofluorimetry

Spectrophotometric methods are widely used for the determination of this compound in pure form and pharmaceutical formulations due to their simplicity, rapidity, and cost-effectiveness. ekb.egscispace.comasianpubs.orgaip.orgresearchgate.net These methods often involve the formation of a colored complex through a reaction with a suitable reagent, which is then measured by UV-Visible spectrophotometry. scispace.comasianpubs.orgaip.orgresearchgate.net For example, a method based on the deamination of this compound in basic media followed by the addition of sodium nitroprusside generates a colored complex with maximum absorbance at 495 nm. This method showed linearity in the range of 0.5-30 µg/ml. scispace.com Another spectrophotometric method utilizes the reaction of this compound with 1-chloro-2,4-dinitrobenzene, forming a complex with maximum absorbance at 224.6 nm. asianpubs.org Redox reactions with reagents like cerium (IV) ions and safranin have also been employed for spectrophotometric determination of this compound, often in combination with other drugs. echemcom.com

Spectrofluorimetry offers a sensitive approach for this compound determination, particularly in biological fluids. ekb.egekb.eg Methods have been developed based on the inherent fluorescence of this compound under specific conditions or through derivatization. One spectrofluorimetric method involves dissolving this compound in 0.1 N sodium hydroxide solution and heating, which produces strong fluorescence with excitation and emission wavelengths at 278 nm and 302 nm, respectively. This method was linear in the range of 5.0-25.0 µg/ml. ijpsonline.comresearchgate.net Another approach utilizes the quenching effect of this compound on the photoluminescence of gold nanoparticles, allowing for quantification in the range of 1.0-10 mg/mL. nih.govsrce.hr

Electrochemical Methods

Electrochemical methods, such as voltammetry, provide sensitive and selective approaches for this compound determination, often used for analysis in biological fluids. ekb.egekb.eg These methods measure the current generated during the electrochemical oxidation or reduction of this compound at an electrode surface. phmethods.net

Studies have investigated the electrochemical oxidation of this compound using various electrodes, including carbon paste electrodes and glassy carbon electrodes. acs.orgtandfonline.comresearchgate.netresearchgate.netresearchgate.netscialert.net Cyclic voltammetry has been used to study the electrochemical behavior of this compound, revealing irreversible oxidation peaks. acs.orgresearchgate.netresearchgate.netresearchgate.net Differential pulse voltammetry is often employed for quantitative analysis due to its sensitivity. acs.orgtandfonline.comresearchgate.netresearchgate.netscialert.net Modified electrodes, such as those incorporating carbon nanotubes or nanocomposites, have been developed to enhance the electrochemical response and lower detection limits for this compound. tandfonline.comresearchgate.netscialert.netrsc.org For instance, a carbon paste electrode modified with multi-walled carbon nanotubes showed enhanced electro-catalytic activity towards this compound oxidation. scialert.net A glassy carbon electrode modified with a SPION-activated carbon nanocomposite demonstrated a linear detection range from 1.21 μM to 285 μM with a detection limit of 0.401 μM. rsc.org

Gas Chromatography (GC)

While this compound's non-volatile nature makes direct GC analysis less common compared to liquid chromatography, it can be employed after derivatization. phmethods.net Derivatization converts this compound into a volatile form suitable for GC analysis, which is known for its high resolution and specificity. phmethods.net GC-MS has been utilized for the determination of this compound, particularly in biological matrices like human urine. phmethods.netoup.comnih.gov A method involving liquid-liquid extraction of this compound from urine followed by derivatization with N-Methyl-N-(trimethylsilyl)trifluoroacetamide (MSTFA) allowed for GC-MS analysis using a capillary column. This method was linear over the concentration range of 50–750 ng/mL. oup.comnih.gov

Titrimetric Methods

Titrimetric methods offer simple and cost-effective approaches for the determination of this compound, particularly in bulk drug and pharmaceutical formulations. mims.comresearchgate.netresearchgate.net These methods often exploit the basic property of this compound. scholarsresearchlibrary.com

Acid-base titrations in non-aqueous media have been developed for this compound determination. researchgate.netscholarsresearchlibrary.com One method involves the titration of this compound in glacial acetic acid with acetous perchloric acid, using crystal violet as a visual indicator or a potentiometric end point detection. researchgate.netscholarsresearchlibrary.com These methods are applicable over a range of 1.5-15 mg of this compound and are based on a 1:1 reaction stoichiometry. researchgate.netscholarsresearchlibrary.com Another titrimetric method involves the oxidation of this compound by a measured excess of a bromate-bromide mixture in acidic medium, followed by the iodometric back titration of the unreacted bromine. researchgate.net

Spectroscopic and Molecular Modeling Approaches for Interaction Analysis

Spectroscopic techniques and molecular modeling play vital roles in understanding the interactions of this compound at the molecular level, including its interactions with other molecules and its structural characteristics.

Spectroscopic studies, such as UV-Vis, fluorescence spectroscopy, ¹H NMR, and FTIR, are used to investigate the formation and characteristics of inclusion complexes of this compound with other molecules, like β-cyclodextrin. mdpi.comnih.gov Changes in spectroscopic properties upon complex formation provide evidence of interaction. mdpi.comnih.gov For instance, UV-Vis and FT-IR spectroscopy have been used to characterize this compound-Glycine single crystals, confirming the presence of functional groups. jocpr.com UV-Vis spectra can also indicate the absorption properties of this compound and its complexes. jocpr.com ¹H NMR spectroscopy can provide valuable information about the chemical environment and confirm the identity of this compound and its derivatives, including prodrugs synthesized to enhance lipophilicity. phmethods.netresearchgate.netqu.edu.qa

Molecular modeling approaches are employed to further understand the nature of these interactions, providing insights into binding sites, forces involved, and the stoichiometry of complex formation. mdpi.comnih.gov For example, studies on the interaction of this compound with β-cyclodextrin have utilized spectroscopic data to determine inclusion constants and stoichiometry, often complemented by molecular modeling to visualize and predict the complex structure. mdpi.comnih.gov Molecular modeling can also be used to study the electro-oxidation mechanism of this compound. acs.orgresearchgate.netresearchgate.nettandfonline.com

These spectroscopic and molecular modeling techniques are essential for advanced research into this compound's behavior, formulation development, and understanding its interactions within biological systems.

Fluorescence Spectroscopy (e.g., BSA binding)

Fluorescence spectroscopy is a sensitive technique employed to investigate the interaction between this compound and proteins, such as bovine serum albumin (BSA). Studies have shown that this compound interacts with BSA, and fluorescence quenching experiments can elucidate the nature of this interaction. The steady-state fluorescence spectra have indicated that the dominant mechanism for fluorescence quenching of BSA by this compound is of a static type, which suggests the formation of an this compound-BSA complex. tandfonline.comtandfonline.comresearchgate.netnih.gov This binding interaction has been characterized by determining binding constants at different temperatures. tandfonline.comtandfonline.comresearchgate.netnih.gov

Thermodynamic analysis of the binding process, often derived from temperature-dependent fluorescence data, has revealed that the interaction between this compound and BSA is primarily mediated by van der Waals forces and hydrogen bonds. tandfonline.comtandfonline.comresearchgate.netnih.gov This is typically indicated by the negative signs observed for the enthalpy change (ΔH0) and entropy change (ΔS0). tandfonline.comtandfonline.comresearchgate.netnih.gov Furthermore, alterations observed in synchronous fluorescence and three-dimensional fluorescence spectra upon this compound binding suggest that this compound can induce slight configurational and micro-environmental changes in BSA. tandfonline.comtandfonline.comresearchgate.netnih.gov

Fluorescence spectroscopy has also been used to study the formation of inclusion complexes between this compound and β-cyclodextrin. This method can detect the presence of such complexes by observing an increase in fluorescence intensity upon complex formation. mdpi.com Spectrofluorometric methods based on this principle have been developed and validated for the determination of this compound in pharmaceutical formulations. mdpi.com

Table 1: Representative Binding Parameters for this compound-BSA Interaction (pH 7.4)

ParameterValue (approx.)UnitReference
Binding Constant (Kb)103M-1 tandfonline.comtandfonline.comresearchgate.netnih.gov

Note: Specific values may vary depending on temperature and experimental conditions.

UV-Vis Absorption Spectroscopy

UV-Vis absorption spectroscopy is a fundamental technique used in the study of this compound, particularly for its quantitative determination and for investigating its interactions with other substances. This method relies on measuring the absorbance of UV or visible light by this compound solutions.

UV-Vis spectroscopy has been utilized to study the formation of inclusion complexes between this compound and β-cyclodextrin, where changes in the absorption spectra indicate complex formation. mdpi.com It is also employed in the investigation of this compound's interaction with proteins like BSA. UV-Vis absorption titration can be used to determine binding constants, complementing fluorescence studies. tandfonline.comtandfonline.comresearchgate.netnih.gov Studies have shown that this compound exhibits low absorbance at certain wavelengths (e.g., 285 and 343 nm), which is important for considering potential inner-filter effects in fluorescence measurements. tandfonline.com

Furthermore, UV-Vis spectrophotometry is widely used for the quantitative analysis of this compound in pure forms and pharmaceutical formulations. ekb.egwisdomlib.orgijpsonline.comau.edu.syasianpubs.org Methodologies have been developed and validated according to regulatory guidelines, demonstrating linearity, accuracy, and precision. wisdomlib.orgau.edu.syasianpubs.org The wavelength of maximum absorption (λmax) for this compound in certain solvents, such as 0.1N hydrochloric acid, has been determined to be around 225-226 nm. wisdomlib.orgau.edu.syasianpubs.org Derivative spectrophotometry, including second and third-order derivative methods, has also been applied for the simultaneous estimation of this compound in combination with other drugs in tablet formulations. ijpsonline.comajrconline.org

Table 2: UV-Vis Absorption Characteristics of this compound

SolventApproximate λmax (nm)Reference
0.1N Hydrochloric Acid225-226 wisdomlib.orgau.edu.syasianpubs.org
Ammonium Acetate Solution273.2 ekb.eg

Fourier Transform Infrared (FT-IR) Spectroscopy

Fourier Transform Infrared (FT-IR) spectroscopy is a powerful tool for identifying functional groups and studying molecular interactions involving this compound. This technique measures the absorption of infrared radiation by the sample, providing a vibrational spectrum that is unique to the molecule's structure and its environment.

FT-IR spectroscopy has been used to investigate the formation of inclusion complexes, such as those between this compound and β-cyclodextrin, by examining changes in the vibrational bands of the physical mixture compared to the complex. mdpi.com It is also applied in studies of this compound's interaction with proteins like BSA, where changes in the FT-IR spectrum can indicate alterations in the protein's conformation and microenvironment upon binding. tandfonline.comtandfonline.comresearchgate.netnih.gov

FT-IR spectroscopy is valuable in preformulation studies to assess the compatibility of this compound with various excipients used in pharmaceutical formulations. conicet.gov.ar By analyzing spectral regions characteristic of this compound (e.g., the carbonyl amide moiety around 1650-1700 cm-1 or C-O stretch of ether around 1242 cm-1), researchers can detect potential chemical interactions or changes in the drug's structure when mixed with excipients. researchtrend.netjgtps.com Attenuated Total Reflectance (ATR-FTIR) spectroscopy, a non-destructive and solvent-free technique, has been developed and validated for the quantitative analysis of this compound in polymer-based microspheres and marketed tablets. researchtrend.net This method is based on measuring the absorbance of specific infrared bands corresponding to this compound, and it has shown high accuracy and precision. researchtrend.net FT-IR is also used to characterize this compound in solid state, such as in nanocrystal formulations. openresearchlibrary.org

Table 3: Characteristic FT-IR Absorption Bands of this compound

Functional GroupApproximate Wavenumber Range (cm-1)Reference
Carbonyl Amide (C=O stretch)1650-1700 researchtrend.net
Ether (C-O stretch)1242 (specifically) jgtps.com

Nuclear Magnetic Resonance (NMR) Spectroscopy (1H NMR, 13C NMR)

Nuclear Magnetic Resonance (NMR) spectroscopy, including 1H NMR and 13C NMR, provides detailed information about the structure and dynamics of this compound molecules. This technique is based on the interaction of atomic nuclei with a magnetic field.

1H NMR and 13C NMR spectroscopy are used for the characterization and identification of this compound, allowing for the assignment of specific peaks to different atoms within the molecule. mdpi.comua.esresearchgate.netnih.govnih.govresearchgate.net Two-dimensional NMR experiments, such as COSY, HMQC, HMBC, and NOESY, are often employed to achieve unequivocal assignments of 1H and 13C spectra, particularly in solution. researchgate.netnih.govresearchgate.net These techniques are crucial for confirming the structure of synthesized this compound and for studying its behavior in different environments. ua.es

NMR spectroscopy can also provide insights into the formation of inclusion complexes, such as with β-cyclodextrin, by observing changes in the chemical shifts of this compound protons upon complexation. mdpi.com Furthermore, NMR data can be used to distinguish between different forms of this compound, such as salts and free bases, based on characteristic chemical shift differences, particularly in 13C NMR spectra. researchgate.netnih.gov This is relevant for quality control and understanding the solid-state properties of this compound.

Table 4: Representative 13C NMR Chemical Shifts for this compound (in DMSO-d6)

Carbon Position (Partial)Approximate Chemical Shift (ppm)NoteReference
OC2~68.4 (Base) researchgate.netnih.gov
NC350.3–52.6 (Base) researchgate.netnih.gov
OC265.0–65.5 (Hydrochloride) researchgate.netnih.gov
NC346.9–47.0 (Hydrochloride) researchgate.netnih.gov
Aromatic C2'/C6'114.88Unequivocal researchgate.net
Aromatic C3'/C5'130.65Unequivocal researchgate.net

Note: Specific values may vary slightly depending on the solvent and experimental conditions.

Surface-Enhanced Raman Spectroscopy (SERS) for Nanoscale Interactions

Surface-Enhanced Raman Spectroscopy (SERS) is a highly sensitive vibrational spectroscopic technique that can be used to study molecular interactions at the nanoscale, particularly when molecules are adsorbed onto plasmonic nanostructures, such as silver or gold nanoparticles.

SERS has been applied to investigate the nanoscale interactions of this compound, particularly in the context of host-guest complexes. Studies have used SERS to analyze the interaction between this compound enantiomers (R- and S-Atenolol) and macrocyclic hosts like cucurbit researchgate.neturil (CB researchgate.net). mdpi.comnih.govresearchgate.net By analyzing the spectral features of this compound enantiomers in the presence of CB researchgate.net on a solid plasmonic substrate, SERS can highlight distinct interaction profiles. mdpi.comnih.gov These experimental findings can validate quantum chemical calculations and provide a comprehensive understanding of host-guest interactions at the nanoscale level. mdpi.comnih.gov SERS can also potentially reveal information about how this compound molecules are adsorbed onto the surface of plasmonic materials, such as through oxygen atoms and the π-electrons of the phenyl ring. researchgate.net

Molecular Docking and Computational Chemistry (DFT)

Molecular docking and computational chemistry techniques, particularly Density Functional Theory (DFT), are powerful tools for theoretically investigating the structure, properties, and interactions of this compound at the atomic and molecular level.

Molecular docking is used to predict the preferred binding sites and orientations of this compound when it interacts with other molecules, such as proteins or receptors. Studies have employed molecular docking to understand the interaction between this compound and BSA, predicting that this compound prefers binding to specific sites on the protein, such as site II. tandfonline.comtandfonline.comresearchgate.netnih.gov Molecular docking can also explore the interaction of this compound with human serum albumin (HSA), providing insights into its pharmacokinetic properties. researchgate.netaphrc.org

DFT calculations are used to optimize the molecular geometry of this compound, calculate its electronic structure, and predict various properties, including vibrational spectra and chemical reactivity parameters like HOMO-LUMO energy values, electronegativity, and electrophilicity. researchgate.netaphrc.org DFT calculations can be compared with experimental spectroscopic data (e.g., FT-IR, Raman, SERS) to validate theoretical models and gain a deeper understanding of the molecule's behavior. researchgate.netaphrc.org DFT has been used to study the interaction geometry between this compound and host molecules like CB researchgate.net and to understand the binding interactions in host-guest complexes. mdpi.comnih.gov Furthermore, DFT calculations can be applied to study the molecular characteristics and interactions of this compound in different forms, such as in cocrystals with other drugs like hydrochlorothiazide, by analyzing hydrogen bonding interactions and stability. researchgate.netaphrc.org

Differential Pulse Polarography for Drug-Receptor Interaction

Differential Pulse Polarography (DPP) is an electrochemical technique that can be used to study the electrochemical behavior of this compound and its interactions with potential receptors. This method measures small differences in current pulses applied to an electrode.

DPP has been employed to investigate the interaction between this compound and selected amino acids, such as cysteine and tryptophan, which can serve as models for drug-receptor interactions. globalresearchonline.netsciopen.comresearchgate.netresearchgate.net Studies have shown that this compound is electrochemically active and exhibits a characteristic differential pulse polarographic wave. globalresearchonline.netresearchgate.net Upon the formation of molecular complexes between this compound and amino acid receptors, a positive displacement in the half-wave potential (E1/2) of this compound has been observed. globalresearchonline.netresearchgate.net This shift in potential is indicative of drug-receptor interaction and is related to changes in the energy gap between the Highest Occupied Molecular Orbital (HOMO) and the Lowest Unoccupied Molecular Orbital (LUMO) of the drug. globalresearchonline.netresearchgate.net

DPP studies, in conjunction with computational methods like DFT, can provide insights into the thermodynamic and kinetic aspects of this compound-receptor interactions, including the calculation of equilibrium constants (Keq), rate constants (k1 and k-1), Gibbs free energy, and chemical affinity. globalresearchonline.netresearchgate.net Negative values for Gibbs free energy indicate spontaneous interaction, while positive chemical affinity suggests a high tendency for molecule association. globalresearchonline.netresearchgate.net

Table 5: Representative Polarographic Data for this compound Interaction

AnalyteElectrode TypeBuffer SolutionpHTemperature (°C)E1/2 (V) (Before Interaction)Id (µA) (Before Interaction)Reference
This compoundHanging Dropping Mercury Electrode (HDME)Phosphate7.4370.11242 globalresearchonline.netresearchgate.netresearchgate.net

Note: Data for interactions with specific amino acids (receptors) show shifts in E1/2 and changes in Id. globalresearchonline.netresearchgate.net

ComplexE1/2 (V) (After Interaction)Id (µA) (After Interaction)ΔE1/2 (V)Reference
This compound-Tryptophan0.1439.9+0.028 globalresearchonline.netresearchgate.net
This compound-Cysteine0.18753.9+0.075 globalresearchonline.netresearchgate.net

In Vitro Cellular and Tissue Models

In vitro studies employing cellular and tissue models are fundamental in elucidating the direct effects of this compound at the cellular and molecular levels. These models allow for controlled environments to investigate specific mechanisms of action and interactions.

Cardiomyocyte Studies

Studies involving cardiomyocytes are crucial for understanding the direct impact of this compound on heart muscle cells. Research in this area often utilizes isolated adult cardiomyocytes or human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs). hiPSC-CMs are particularly valuable as they form spontaneously beating syncytia in vitro and can serve as a model for human cardiac pharmacology, useful in early drug development. scirp.org They offer a reproducible and stable test system for evaluating compounds that modify heart rate. scirp.org Studies have investigated the effects of this compound on cardiomyocyte apoptosis following acute myocardial infarction in animal models, indicating a reduction in apoptosis in infarcted, border, and non-infarcted areas. nih.gov This reduction was associated with an increase in Bcl-2 expression and the Bcl-2/Bax ratio. nih.gov

Receptor-Binding Assays in Various Tissues

Receptor-binding assays are employed to quantify the affinity and selectivity of this compound for adrenergic receptors in different tissues. These studies often utilize radioligand binding techniques with various radioligands to investigate β₁- and β₂-adrenoceptor affinity. nih.gov Tissues from different species, including rats, guinea pigs, and humans, are used to assess potential species differences in receptor binding. nih.gov These assays help confirm this compound's selective antagonism of β₁-adrenergic receptors. wikipedia.orgmims.com Studies have shown that the affinity of this compound for β₁- and β₂-adrenoceptors is generally independent of the radioligand or the tissue studied. nih.gov

In Vivo Animal Models for Pharmacological and Toxicological Studies

In vivo studies using animal models are essential for evaluating the systemic pharmacological and toxicological effects of this compound, providing insights into its behavior within a living organism before human trials. hoeford.com

Pharmacological studies in animal models, such as rats, are used to characterize the pharmacokinetic and pharmacodynamic properties of this compound. amazonaws.comnih.govresearchgate.net For instance, studies in rats have utilized continuous recording of heart rate during isoprenaline-induced tachycardia as a pharmacodynamic endpoint to estimate the in vivo affinity of S(-)-atenolol for the β₁-adrenoceptor. nih.govresearchgate.net This approach allows for the development of mechanism-based pharmacokinetic-pharmacodynamic models. nih.govresearchgate.net Animal models are also used to compare the effects of this compound with other drugs or formulations. nih.govamazonaws.com

Toxicological studies in animals, including rats and rabbits, are conducted to assess potential adverse effects, particularly developmental toxicity. nih.govresearchgate.net These studies evaluate outcomes such as placental changes, intrauterine growth retardation, and changes in fetal weight. nih.govresearchgate.net Comparisons between animal and human data are made to assess the concordance of developmental toxicity manifestations. nih.govresearchgate.net While manifestations like intrauterine growth retardation appear similar across species, human sensitivity may be higher, with effects observed at lower doses than in tested animal species. nih.gov

Clinical Study Design Considerations

Clinical studies in humans are the final stage of evaluating this compound, employing rigorous designs to assess its efficacy and safety in patient populations.

Randomized Controlled Trials (RCTs) and Meta-Analyses

Randomized controlled trials (RCTs) are a cornerstone of clinical research on this compound, providing robust evidence on its effects compared to placebo or other treatments. nih.govoup.complos.org These trials involve random assignment of participants to different treatment groups to minimize bias. nih.govoup.complos.org RCTs have been used to evaluate this compound in various conditions, including hypertension in pregnant women and in hemodialysis patients. nih.govoup.com

Meta-analyses synthesize data from multiple RCTs to provide a more comprehensive understanding of this compound's effects. tandfonline.comnih.govnih.govahajournals.org These studies pool results to compare this compound with other antihypertensive agents, such as ACE inhibitors, regarding outcomes like blood pressure reduction, heart rate, and cardiovascular events. tandfonline.comnih.govnih.govahajournals.org Meta-analyses have indicated that while this compound is effective in lowering blood pressure, its impact on cardiovascular outcomes, particularly stroke risk in the elderly, has been a subject of investigation and comparison with other drug classes. nih.govahajournals.orgaafp.org

Pharmacokinetic/Pharmacodynamic Crossover Studies

Pharmacokinetic/pharmacodynamic (PK/PD) crossover studies are employed to compare the absorption, distribution, metabolism, and excretion (pharmacokinetics) and the physiological effects (pharmacodynamics) of different this compound formulations or in combination with other drugs within the same individuals. scispace.comresearchgate.netnih.govnih.govwho.int In a crossover design, each participant receives different treatments sequentially, allowing for within-subject comparisons. scispace.comresearchgate.netnih.govnih.gov These studies are valuable for assessing bioequivalence between generic and brand formulations of this compound, comparing their plasma concentration profiles and pharmacodynamic responses like heart rate and blood pressure reduction. scispace.comresearchgate.netwho.int PK/PD crossover studies have demonstrated that different this compound formulations can be bioequivalent, showing similar pharmacokinetic parameters and pharmacodynamic effects. scispace.comresearchgate.netwho.int

Here is a table summarizing some research findings from the search results:

Study TypeModel/PopulationKey FindingSource
In Vivo Pharmacological StudyWistar-Kyoto ratsReduction of isoprenaline-induced tachycardia is a reliable PD endpoint for S(-)-atenolol; estimated in vivo affinity for β₁-adrenoceptor. nih.govresearchgate.net
In Vivo Toxicological StudyRats and rabbitsManifestations of prenatal toxicity (placental changes, intrauterine growth retardation, fetal weight decrease) similar to humans. nih.govresearchgate.net
Randomized Controlled TrialPregnant women with hypertensionThis compound significantly reduced blood pressure and prevented proteinuria compared to placebo. nih.gov
Randomized Controlled TrialHemodialysis patients with hypertensionCompared this compound-based therapy with lisinopril-based therapy on left ventricular hypertrophy and cardiovascular events. oup.com
Meta-Analysis of RCTsPatients with essential hypertensionThis compound and ACEIs equally effective in reducing PWV and PSBP; this compound superior in improving PDBP and HR, especially short-term. tandfonline.comnih.gov
Meta-Analysis of RCTsHypertensive patients (young and elderly)This compound associated with increased stroke risk in the elderly compared to other agents. nih.gov
PK/PD Crossover StudyHealthy male volunteersAssessed bioequivalence of generic and brand this compound tablets, showing similar PK and PD profiles. scispace.comresearchgate.netwho.int
PK/PD Crossover StudyHealthy, normotensive, male volunteersCo-administration of valsartan and this compound did not modify PK to a clinically relevant degree; additive effects on resting blood pressure. nih.gov
PK/PD Crossover StudyObese normolipaemic and hyperlipidaemic subjectsThis compound concentrations significantly lower in obese subjects; pharmacodynamic effects similar magnitude to lean subjects. nih.gov

Post-Marketing Surveillance and Observational Studies

Post-marketing surveillance (PMS) and observational studies play a crucial role in understanding the real-world performance, effectiveness, and safety of pharmaceutical compounds like this compound after they have been approved and are in broader clinical use. Unlike controlled clinical trials, these studies observe outcomes in large, diverse patient populations under routine clinical conditions, providing valuable insights into long-term effects, utilization patterns, and comparative effectiveness against other treatments in everyday practice.

Methodologies employed in post-marketing surveillance and observational studies of this compound are varied and include retrospective cohort studies utilizing linked administrative or electronic health record data, prospective observational cohorts, and analyses of patient registries. These approaches allow researchers to assess outcomes in heterogeneous populations, often over extended periods, which is difficult to achieve in traditional randomized controlled trials. Retrospective studies, for instance, can analyze data collected over years from large databases to compare outcomes among patients receiving this compound versus other treatments for conditions like hypertension researchgate.net. Prospective observational studies involve following groups of patients over time to collect data on their treatment and health outcomes in a real-world setting wchn.sa.gov.au. Additionally, specific types of post-marketing surveillance may focus on assessing the quality and bioequivalence of generic this compound products available on the market through in-vitro testing and pharmacokinetic/pharmacodynamic comparisons jipbs.comwho.int.

Detailed research findings from post-marketing surveillance and observational studies on this compound have provided important perspectives on its clinical utility and comparative effectiveness. For example, a retrospective cohort study evaluating this compound as initial antihypertensive therapy using linked administrative data found that the incidence of major cardiovascular events (myocardial infarction, unstable angina, stroke, or death) occurred at similar frequencies among cohorts treated with this compound, ACE inhibitors, thiazide diuretics, or calcium antagonists researchgate.net. After adjusting for potential confounders, this compound therapy was not associated with higher event rates compared to other first-line agents researchgate.net.

Another large-scale observational study comparing this compound with third-generation beta-blockers for hypertension found no statistically significant differences in effectiveness between this compound and carvedilol or nebivolol ahajournals.org. However, this study also indicated that third-generation beta-blockers were less effective in preventing stroke than ACE inhibitors and thiazide diuretics ahajournals.org. A review and meta-analysis of cohort studies in Asian patients with chronic progressive diseases revealed that this compound users had lower all-cause mortality rates compared to non-users or those on metoprolol tartrate preprints.org.

Observational studies have also explored the use of this compound in specific populations and conditions beyond its primary indications. A retrospective observational study investigated this compound use in children and adolescents with genetically proven Long QT syndrome types 1 and 2, reporting that this compound was an effective treatment with good tolerability over a median follow-up period of over four years nih.gov. Another preliminary observational study explored the potential of this compound for treating anxiety-related symptoms, with a majority of patients reporting a positive effect oup.comnih.gov.

Post-marketing surveillance activities have also focused on the quality of this compound products available commercially. Studies involving the in-vitro evaluation of generic this compound tablets have assessed parameters such as weight variation, content uniformity, hardness, friability, disintegration, and dissolution to ensure they meet pharmacopoeial standards and are comparable to originator products jipbs.com. Pharmacokinetic and pharmacodynamic equivalence studies have also been conducted in a post-marketing setting to confirm the interchangeability of generic and brand-name this compound products who.int. Surveillance efforts have also identified issues related to product information compliance for antihypertensive medicines, including this compound, in certain markets medwinpublishers.com.

The findings from these diverse observational and post-marketing studies contribute significantly to the understanding of this compound's performance in real-world clinical settings, complementing the data obtained from controlled clinical trials.

Selected Findings from Observational Studies on this compound

Study TypePopulation / Condition StudiedKey Finding (Methodology/Outcome Focus)Citation
Retrospective Cohort StudyPatients with Hypertension (First-ever users of antihypertensives)Similar rates of major cardiovascular events (MI, unstable angina, stroke, death) among this compound, ACEI, thiazide, and calcium antagonist cohorts. researchgate.net researchgate.net
Large-Scale Observational StudyPatients with HypertensionNo significant difference in effectiveness between this compound and third-generation beta-blockers (carvedilol, nebivolol) in preventing major cardiovascular events. ahajournals.org ahajournals.org
Review and Meta-Analysis of Cohort StudiesAsian patients with Chronic Progressive DiseasesLower all-cause mortality rates among this compound users compared to non-users or metoprolol tartrate users. preprints.org preprints.org
Retrospective Observational StudyChildren and Adolescents with Genetically Proven Long QT SyndromeThis compound effective and well-tolerated in reducing cardiac events over long-term follow-up. nih.gov nih.gov
Preliminary Observational Study (Retrospective)Patients with Anxiety-Related SymptomsMajority of patients reported a positive effect of this compound on anxiety symptoms. oup.comnih.gov oup.comnih.gov
Prospective, Longitudinal Observational StudyLactating Mothers taking this compoundInvestigation of this compound transfer into breast milk and infant exposure. wchn.sa.gov.au wchn.sa.gov.au
Post-Marketing Surveillance StudyAntihypertensive Medicines in TanzaniaAssessment of quality standards compliance for various antihypertensives, including this compound. medwinpublishers.com medwinpublishers.com
Post-Marketing Surveillance StudyGeneric and Brand this compound in EgyptAssessment of pharmacokinetic and pharmacodynamic equivalence. who.int who.int

Challenges and Future Directions in Atenolol Research

Elucidating Uncharacterized Mechanisms (e.g., Antihypertensive Effect, CNS Adverse Effects)

While Atenolol's primary mechanism involves blocking β₁-adrenergic receptors, the precise pathways contributing to its antihypertensive effect are not fully characterized. mims.com Further research is needed to understand the complex interplay between β₁ blockade and other physiological systems involved in blood pressure regulation. Additionally, although this compound is considered to have low lipophilicity and limited penetration of the blood-brain barrier, some patients still experience central nervous system (CNS) adverse effects. wikipedia.orgmims.com Future studies should aim to elucidate the mechanisms by which this compound might influence CNS function, potentially identifying specific pathways or individual vulnerabilities that contribute to these effects. Research into the molecular targets and mechanisms underlying both the beneficial and potentially harmful neuropsychiatric effects of antihypertensive drugs, including beta-blockers, is ongoing. researchgate.net

Comparative Effectiveness Research with Newer Beta-Blockers and Other Antihypertensives

Comparative effectiveness research remains crucial to position this compound optimally within the current landscape of antihypertensive therapies. Recent studies have suggested that beta-blockers, including this compound, may be less effective than other antihypertensive classes, such as ACE inhibitors and thiazide diuretics, in preventing certain cardiovascular events, particularly stroke. cardiovascularbusiness.comscispace.comahajournals.orgnih.gov However, evidence comparing this compound directly with newer generation beta-blockers, such as carvedilol and nebivolol, particularly regarding clinical outcomes, has been noted as lacking. cardiovascularbusiness.com Large-scale observational studies and meta-analyses continue to investigate these comparisons, with some research indicating no statistically significant differences in effectiveness and safety between this compound and third-generation beta-blockers for certain outcomes, while others suggest newer agents may offer better outcomes or have different risk profiles compared to traditional agents like this compound. cardiovascularbusiness.comahajournals.orgnih.govconsensus.appnih.govresearchgate.net Future research should continue to provide robust comparative data to inform clinical guidelines and personalized treatment decisions.

Personalized Medicine Approaches: Genetic Polymorphisms and this compound Response

Inter-individual variability in response to antihypertensive treatment is a significant challenge. mdpi.comresearchgate.net Research into genetic polymorphisms is a key area for developing personalized medicine approaches for this compound therapy. Studies have explored the association of genetic variants, particularly within genes related to the adrenergic system and other pathways involved in blood pressure regulation, with responses to this compound. mdpi.comresearchgate.neteurekaselect.comnih.govahajournals.org For instance, polymorphisms in the PTPRD gene have been associated with blood pressure response to this compound in different ethnic groups. researchgate.netnih.gov While some studies have identified genetic scores that may predict this compound response, further research is needed to fully understand the complex genetic architecture influencing individual responses and to translate these findings into clinically actionable biomarkers for guiding this compound prescribing. ahajournals.org

Long-Term Cardiovascular Outcomes in Specific Patient Cohorts

While this compound has established benefits in certain cardiovascular conditions, research continues to evaluate its long-term outcomes in specific patient cohorts, particularly in light of findings suggesting potential differences compared to other antihypertensives in broader hypertensive populations. mims.comconsensus.appspringermedizin.dersc.org Studies are needed to assess this compound's long-term impact on cardiovascular morbidity and mortality in various subgroups, such as the elderly, patients with specific comorbidities (e.g., diabetes, renal impairment), and different ethnic populations. springermedizin.depreprints.org For example, some research in Asian patients with chronic progressive diseases has suggested a significant effect of this compound in reducing all-cause mortality compared to a control or metoprolol tartrate. preprints.org Continued long-term observational studies and potentially targeted clinical trials are necessary to clarify the role of this compound in these specific groups and to determine if certain patient characteristics predict a more favorable long-term outcome with this compound compared to alternative treatments.

Role of this compound in Emerging Therapeutic Areas and Unmet Clinical Needs

Exploring the potential utility of this compound in emerging therapeutic areas and unmet clinical needs represents another avenue for future research. While primarily known for its cardiovascular indications, the modulation of beta-adrenergic signaling could have implications in other conditions. wikipedia.org Research is exploring the potential of beta-blockers, including this compound, in treating anxiety-related disorders, although current evidence is limited and requires further rigorous study. researchgate.net Identifying novel applications for this compound or its derivatives could address existing therapeutic gaps. Furthermore, investigating its role in combination therapies for complex conditions where beta-blockade may offer synergistic benefits warrants further investigation. ijpsjournal.com

Advanced Analytical and Imaging Techniques for Real-Time Monitoring and Interaction Studies

The application of advanced analytical and imaging techniques is crucial for gaining a deeper understanding of this compound's pharmacokinetics, pharmacodynamics, and interactions at a more granular level. Techniques such as high-resolution mass spectrometry coupled with liquid chromatography are being developed and refined for sensitive and precise quantification of this compound in biological matrices, which can support real-time monitoring in research and clinical settings. rsc.orgresearchgate.netmdpi.com Advanced imaging modalities could potentially provide insights into tissue distribution and receptor occupancy. These techniques can also be invaluable in studying drug-drug interactions and the impact of physiological variations on this compound's behavior in the body. museonaturalistico.itresearchgate.net

Research on Environmental Impact and Degradation Products of this compound in Biological Systems

Given that pharmaceuticals can enter the environment and biological systems, research into the environmental impact and degradation products of this compound is important. This compound has been detected in wastewater effluents and surface water. redalyc.orgrsc.org While some studies suggest that this compound is not expected to be persistent in the aquatic environment and has a low potential for bioaccumulation, research on its degradation pathways and the potential effects of its transformation products in biological systems is ongoing. rsc.orgastrazeneca.comacs.orgresearchgate.net Studies are investigating the biological degradation of this compound in wastewater treatment processes and identifying its main degradation pathways. acs.orgresearchgate.net Further research is needed to fully assess the long-term environmental fate of this compound and its metabolites and their potential impact on non-target organisms.

Q & A

Q. What validated analytical methods are recommended for quantifying Atenolol in biological samples?

High-performance liquid chromatography (HPLC) with ultraviolet detection is a standard method. The mobile phase should include potassium dihydrogen phosphate (pH 3.0), methanol, and tetrahydrofuran, with sodium 1-octanesulfonate and tetrabutylammonium hydrogensulfate as ion-pairing agents. System suitability parameters, such as theoretical plates (>5,000) and symmetry factor (<1.5), must be validated for reproducibility . For plasma analysis, methods should adhere to FDA bioequivalence guidelines, including validation for accuracy, precision, and sensitivity .

Q. How can researchers assess the purity of this compound in pharmaceutical formulations?

Use HPLC with a C18 column and UV detection at 226 nm. The method requires comparing impurity peaks in the sample to a reference standard, ensuring total impurities do not exceed 1.5 times the this compound peak area. Loss on drying (<0.5%) and residue analysis are additional quality control steps .

Q. What experimental design is appropriate for evaluating this compound’s cardiovascular effects in preclinical models?

Employ randomized controlled trials (RCTs) with hypertensive animal models. Measure systolic blood pressure before and after this compound administration, using a paired t-test or ANOVA for statistical analysis. Ensure blinding and control for confounding variables like diet and stress .

Q. How should researchers handle this compound’s potential carcinogenic risks in laboratory settings?

Follow OSHA Hazard Communication Standard (HCS) guidelines. Use personal protective equipment (PPE), including gloves and eye protection, and avoid inhalation or skin contact. Document safety protocols for handling and disposal, referencing GHS08 and GHS07 classifications .

Advanced Research Questions

Q. How can density functional theory (DFT) calculations predict the hydrolysis kinetics of this compound prodrugs?

DFT models optimize molecular structures to calculate strain energy, bond distances (e.g., hydroxyl oxygen to amide carbonyl carbon), and attack angles. These parameters correlate with experimental half-life (t1/2) values, enabling predictions of hydrolysis rates. For example, t1/2 values for two prodrugs were calculated as 65.3 hours and 11.8 minutes, validated via experimental EM (effective molarity) measurements .

Q. What methodologies resolve contradictions in clinical data on this compound’s impact on insulin regulation?

Conduct meta-analyses to reconcile conflicting findings. For instance, while reports significant insulin fluctuations in hypertensive patients, subgroup analyses may reveal non-significant effects in individuals with baseline hypoglycemia. Address limitations by incorporating glucose tolerance tests and larger sample sizes .

Q. How can near-infrared (NIR) and mid-infrared (MIR) spectral data fusion improve detection of illegal this compound additives in herbal products?

Combine NIR (4000–11,627 cm⁻¹) and MIR spectral data using multivariate calibration transfer. NIR shows a negative correlation with this compound concentration, while MIR exhibits a positive correlation. Data fusion enhances accuracy in quantifying adulterants like Panax notoginseng mixtures, validated through partial least squares regression .

Q. What advanced statistical methods validate this compound’s efficacy in lowering systolic blood pressure?

Use hypothesis testing with z-values or t-values. For example, a sample of 150 patients showed a mean systolic pressure of 191 (SD=3) versus a population mean of 154. Calculate the z-score: z=(191154)3/150z = \frac{(191 - 154)}{3/\sqrt{150}}, then compare to critical values for significance .

Q. How do metal ions (e.g., Ba²⁺, Ni²⁺, Ce³⁺) complex with this compound, and what are the implications for drug stability?

Spectroscopic methods (UV-Vis, IR) confirm this compound acts as a bidentate ligand via NH and deprotonated OH groups. Stability constants derived from molar conductance and thermogravimetric analysis (TGA) indicate metal-drug interactions may alter pharmacokinetics, requiring further in vivo studies .

Q. What computational tools predict this compound’s environmental persistence and bioaccumulation potential?

Apply quantitative structure-activity relationship (QSAR) models to estimate PBT (persistence, bioaccumulation, toxicity) and vPvB (very persistent, very bioaccumulative) indices. Parameters like log Kow and biodegradation half-lives inform risk assessments for aquatic ecosystems .

Methodological Considerations

  • Contradiction Analysis : Cross-validate findings using orthogonal techniques (e.g., HPLC vs. spectroscopy) and assess study design heterogeneity (e.g., dosage, population demographics) .
  • Calibration Transfer : Standardize spectral data across instruments using direct standardization or piecewise direct standardization to maintain accuracy in multi-laboratory studies .

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Please be aware that all articles and product information presented on BenchChem are intended solely for informational purposes. The products available for purchase on BenchChem are specifically designed for in-vitro studies, which are conducted outside of living organisms. In-vitro studies, derived from the Latin term "in glass," involve experiments performed in controlled laboratory settings using cells or tissues. It is important to note that these products are not categorized as medicines or drugs, and they have not received approval from the FDA for the prevention, treatment, or cure of any medical condition, ailment, or disease. We must emphasize that any form of bodily introduction of these products into humans or animals is strictly prohibited by law. It is essential to adhere to these guidelines to ensure compliance with legal and ethical standards in research and experimentation.