Review Article

The Oxytocin-Oxytocin Receptor System and Its Antagonists as Tocolytic Agents

Table 1

The most extensively studied OT antagonists and their experimental or clinical applications.

Oxytocin antagonistsOrganismExperimental or therapeutic application

(I) Peptide

1-Deamino-2-D-Tyr-(O-ethyl)-4-Thr-8-ornoxytocin (Atosiban)HumanClinically used tocolytic agent
d(CH2)5[Tyr(Me)2]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
desGly–NH2,d(CH2)5[Tyr(Me)2,Thr4]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
desGly–NH2,d(CH2)5[D-Tyr2,Thr4]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
d(CH2)5,[D-Thi2,Thr4,Tyr–NH29]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
desGly–NH2,d(CH2)5[D-Trp2,Thr4,Dap5]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
desGly–NH2,d(CH2)5[D-2-Nal2,Thr4]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
desGly–NH2,d(CH2)5[2-Nal2,Thr4]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
d(CH2)5[D-2-Nal2,Thr4,Tyr–NH29]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
d(CH2)5[2-Nal2,Thr4,Tyr–NH29]OVTAnimals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
FE 200 400 (Barusiban)Monkeys/human myometrial tissuePharmacological tool in experimental studies of OT functions

(II) Nonpeptide

GSK221149A (Retosiban)RatsTocolytic action. A phase ll clinical trial for its use as a tocolytic in humans has not yet been completed
L-368,899Animals/human cells and tissues, or bothPharmacological tools in experimental studies of OT function. CNS effects. Inhibits spontaneous nocturnal uterine contractions in pregnant rhesus monkeys. Clinical studies discontinued
L-371,257Animals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
WAY-162720Animals/human cells and tissues, or bothPharmacological tool in experimental studies of OT functions
SSR-126768ARats/human myometrial tissueTocolytic action in rats. Inhibits the response to OT in term human pregnant uterine sections