CL-218,872

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CL-218,872

CL-218,872 is a nonbenzodiazepine compound with sedative and anxiolytic effects, classified within the pharmacological family of substances known as the benzodiazepine receptor agonists. It is specifically a pyrazolopyrimidine, a chemical structure that distinguishes it from the more commonly known benzodiazepines. Despite its structural differences, CL-218,872 functions in a manner similar to benzodiazepines, by modulating the GABA_A receptor, a key neurotransmitter receptor in the brain responsible for mediating the inhibitory effects of gamma-Aminobutyric acid (GABA).

Pharmacodynamics[edit | edit source]

CL-218,872 acts as a selective agonist at the GABA_A receptor, particularly at the benzodiazepine binding site on this receptor complex. Its action enhances the inhibitory effect of GABA, leading to increased neuronal inhibition. This mechanism underlies its sedative and anxiolytic properties. Unlike traditional benzodiazepines, CL-218,872 may offer a different side effect profile due to its selectivity, potentially resulting in fewer cognitive impairments or less risk of dependence. However, detailed clinical data comparing its efficacy and safety to other agents are limited.

Clinical Significance[edit | edit source]

The development of nonbenzodiazepine compounds like CL-218,872 represents an ongoing effort in pharmacological research to find safer alternatives to benzodiazepines, which are known for their potential for abuse, dependence, and withdrawal symptoms. While CL-218,872 has been studied primarily in the context of research, its role in clinical medicine remains largely exploratory. It serves as a model compound for studying the benzodiazepine receptor and for the development of new anxiolytic and sedative drugs with potentially improved safety profiles.

Research[edit | edit source]

Research on CL-218,872 has contributed to a broader understanding of the GABA_A receptor and its associated ligand-binding sites. Studies involving this compound have helped delineate the pharmacological characteristics that differentiate benzodiazepine receptor agonists from one another, offering insights into how structural variations can influence therapeutic and side effect profiles. Despite its promise, the transition of CL-218,872 from a research compound to a clinically used medication has been limited, reflecting the challenges inherent in drug development, particularly in the realm of central nervous system agents.

Conclusion[edit | edit source]

CL-218,872 remains an important compound in the study of GABAergic pharmacology and the search for novel anxiolytic and sedative drugs. While it has not achieved widespread clinical use, its development and investigation have provided valuable insights into the complexity of GABA_A receptor modulation and the potential for developing new classes of therapeutic agents.


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Contributors: Prab R. Tumpati, MD