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2D Structure
Also known as: 66104-22-1, Permax, Pergolidum, Pergolida, Pergolidum [inn-latin], Pergolida [inn-spanish]
Molecular Formula
C19H26N2S
Molecular Weight
314.5  g/mol
InChI Key
YEHCICAEULNIGD-MZMPZRCHSA-N
FDA UNII
24MJ822NZ9

A long-acting dopamine agonist which has been used to treat PARKINSON DISEASE and HYPERPROLACTINEMIA but withdrawn from some markets due to potential for HEART VALVE DISEASES.
Pergolide is an Ergot-derived Dopamine Receptor Agonist. The mechanism of action of pergolide is as a Dopamine Agonist.
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(6aR,9R,10aR)-9-(methylsulfanylmethyl)-7-propyl-6,6a,8,9,10,10a-hexahydro-4H-indolo[4,3-fg]quinoline
2.1.2 InChI
InChI=1S/C19H26N2S/c1-3-7-21-11-13(12-22-2)8-16-15-5-4-6-17-19(15)14(10-20-17)9-18(16)21/h4-6,10,13,16,18,20H,3,7-9,11-12H2,1-2H3/t13-,16-,18-/m1/s1
2.1.3 InChI Key
YEHCICAEULNIGD-MZMPZRCHSA-N
2.1.4 Canonical SMILES
CCCN1CC(CC2C1CC3=CNC4=CC=CC2=C34)CSC
2.1.5 Isomeric SMILES
CCCN1C[C@@H](C[C@H]2[C@H]1CC3=CNC4=CC=CC2=C34)CSC
2.2 Other Identifiers
2.2.1 UNII
24MJ822NZ9
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Celance

2. Ly-127,809

3. Ly-127809

4. Ly127,809

5. Ly127809

6. Mesylate, Pergolide

7. Parkotil

8. Pergolide Mesylate

9. Permax

10. Pharken

2.3.2 Depositor-Supplied Synonyms

1. 66104-22-1

2. Permax

3. Pergolidum

4. Pergolida

5. Pergolidum [inn-latin]

6. Pergolida [inn-spanish]

7. Pergolide (inn)

8. Permax (tn)

9. Chembl531

10. (8beta)-8-[(methylsulfanyl)methyl]-6-propylergoline

11. 8beta-[(methylthio)methyl]-6-propylergoline

12. Chebi:63617

13. 24mj822nz9

14. (6ar,9r,10ar)-9-(methylsulfanylmethyl)-7-propyl-6,6a,8,9,10,10a-hexahydro-4h-indolo[4,3-fg]quinoline

15. Pergolide [inn]

16. Pergolide [inn:ban]

17. Chembl1275

18. (2r,4r,7r)-4-[(methylsulfanyl)methyl]-6-propyl-6,11-diazatetracyclo[7.6.1.0^{2,7}.0^{12,16}]hexadeca-1(16),9,12,14-tetraene

19. Ncgc00017366-04

20. Tnp00315

21. Unii-24mj822nz9

22. Sr-01000721840

23. Spectrum_001647

24. Pergolide [mi]

25. Prestwick0_000295

26. Prestwick1_000295

27. Prestwick2_000295

28. Prestwick3_000295

29. Spectrum2_001970

30. Spectrum3_001588

31. Spectrum4_000835

32. Spectrum5_001649

33. Pergolide [vandf]

34. Biomol-nt_000025

35. Gtpl48

36. Pergolide [who-dd]

37. (8beta)-8-[(methylthio)methyl]-6-propylergoline

38. Lopac0_000984

39. Schembl26921

40. Bspbio_000230

41. Bspbio_003156

42. Kbiogr_001409

43. Kbioss_002127

44. Cid_47811

45. Bidd:gt0177

46. Divk1c_000442

47. Spbio_002099

48. Spbio_002449

49. Bpbio1_000254

50. Bpbio1_001211

51. Dtxsid2023438

52. Ergoline, 8-((methylthio)methyl)-6-propyl-, (8beta)-

53. Kbio1_000442

54. Kbio2_002127

55. Kbio2_004695

56. Kbio2_007263

57. Kbio3_002656

58. Ninds_000442

59. Hms2089c18

60. Bcp18331

61. Zinc3786466

62. Bdbm50017543

63. Bdbm50028421

64. Ccg-205064

65. Db01186

66. Sdccgsbi-0050957.p004

67. Idi1_000442

68. Ncgc00017366-02

69. Ncgc00017366-03

70. Ncgc00017366-05

71. Ncgc00017366-06

72. Ncgc00017366-10

73. Ncgc00017366-13

74. Ncgc00142538-01

75. Ncgc00142538-02

76. Ncgc00142538-03

77. (6ar,9r,10ar)-9-(methylthiomethyl)-7-propyl-4,6,6a,7,8,9,10,10a-octahydroindolo[4,3-fg]quinoline

78. Hy-13720

79. Sbi-0050957.p003

80. [2-(1h-indol-4-yl)-ethyl]-methyl-amine

81. Cs-0007749

82. P2200

83. C07425

84. D-8beta-((methylthio)methyl)-6-propylergoline

85. D08339

86. D92194

87. Ab00053740-13

88. Ab00053740_14

89. Ab00053740_15

90. 104p221

91. Q415752

92. Sr-01000721840-8

93. Brd-k60770992-001-01-8

94. Brd-k60770992-066-05-2

95. Brd-k60770992-066-15-1

96. 9-methylsulfanylmethyl-7-propyl-4,6,6a,7,8,9,10,10a-octahydro-indolo[4,3-fg]quinoline

97. (6ar,9r,10ar)-9-methylsulfanylmethyl-7-propyl-4,6,6a,7,8,9,10,10a-octahydro-indolo[4,3-fg]quinolin-7-ium

98. (6ar,9r,10ar)-9-methylsulfanylmethyl-7-propyl-4,6,6a,7,8,9,10,10a-octahydro-indolo[4,3-fg]quinoline

99. 5-bromo-7-methyl-4,6,6a,7,8,9-hexahydro-indolo[4,3-fg]quinoline-9-carboxylic Acid (10b-hydroxy-5-isobutyl-2-isopropyl-3,6-dioxo-octahydro-oxazolo[3,2-a]pyrrolo[2,1-c]pyrazin-2-yl)-amide

100. 9-methylsulfanylmethyl-7-propyl-4,6,6a,7,8,9,10,10a-octahydro-indolo[4,3-fg]quinolin-7-ium(pergolide)

101. 9-methylsulfanylmethyl-7-propyl-4,6,6a,7,8,9,10,10a-octahydro-indolo[4,3-fg]quinoline(pergolide)

102. 9-methylsulfanylmethyl-7-propyl-4,6,6a,7,8,9,10,10a-octahydro-indolo[4,3-fg]quinoline, Mesylate (pergolide)

103. 9-methylsulfanylmethyl-7-propyl-4,6,6a,7,8,9,10,10a-octahydro-indolo[4,3-fg]quinoline; Compound With Methanesulfonic Acid

2.4 Create Date
2005-03-26
3 Chemical and Physical Properties
Molecular Weight 314.5 g/mol
Molecular Formula C19H26N2S
XLogP34.2
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count2
Rotatable Bond Count4
Exact Mass314.18167001 g/mol
Monoisotopic Mass314.18167001 g/mol
Topological Polar Surface Area44.3 Ų
Heavy Atom Count22
Formal Charge0
Complexity388
Isotope Atom Count0
Defined Atom Stereocenter Count3
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Indicated as adjunctive treatment to levodopa/carbidopa in the management of the signs and symptoms of Parkinson's disease. It was withdrawn from the US and Canadian markets in 2007 due to an increased risk of cardiac valvulopathy.


FDA Label


5 Pharmacology and Biochemistry
5.1 Pharmacology

Pergolide stimulates centrally-located dopaminergic receptors resulting in a number of pharmacologic effects. Five dopamine receptor types from two dopaminergic subfamilies have been identified. The dopaminergic D1 receptor subfamily consists of D1 and D5 subreceptors and are associated with dyskinesias. The dopaminergic D2 receptor subfamily consists of D2, D3 and D4 subreceptors and has been associated with improvement of symptoms of movement disorders. Thus, agonist activity specific for D2 subfamily receptors, primarily D2 and D3 receptor subtypes, are the primary targets of dopaminergic antiparkinsonian agents. It is thought that postsynaptic D2 stimulation is primarily responsible for the antiparkinsonian effect of dopamine agonists, while presynaptic D2 stimulation confers neuroprotective effects. This semisynthetic ergot derivative exhibits potent agonist activity on dopamine D2- and D3-receptors. It also exhibits agonist activity on dopamine D4, D1, and D5, 5-hydroxytryptamine (5-HT)1A, 5-HT1B, 5-HT1D, 5-HT2A, 5-HT2B, 5-HT2C, α2A-, α2B-, α2C-, α1A-, α1B-, and α1D-adrenergic receptors. Parkinsonian Syndrome manifests when approximately 80% of dopaminergic activity in the nigrostriatal pathway of the brain is lost. As this striatum is involved in modulating the intensity of coordinated muscle activity (e.g. movement, balance, walking), loss of activity may result in dystonia (acute muscle contraction), Parkinsonism (including symptoms of bradykinesia, tremor, rigidity, and flattened affect), akathesia (inner restlessness), tardive dyskinesia (involuntary muscle movements usually associated with long-term loss of dopaminergic activity), and neuroleptic malignant syndrome, which manifests when complete blockage of nigrostriatal dopamine occurs. High dopaminergic activity in the mesolimbic pathway of the brain causes hallucinations and delusions; these side effects of dopamine agonists are manifestations seen in patients with schizophrenia who have overractivity in this area of the brain. The hallucinogenic side effects of dopamine agonists may also be due to 5-HT2A agonism. The tuberoinfundibular pathway of the brain originates in the hypothalamus and terminates in the pituitary gland. In this pathway, dopamine inhibits lactotrophs in anterior pituitary from secreting prolactin. Increased dopaminergic activity in the tuberoinfundibular pathway inhibits prolactin secretion. Pergolide also causes transient increases in somatotropin (growth hormone) secretion and decreases in luteinizing hormone (LH) concentrations.


5.2 MeSH Pharmacological Classification

Dopamine Agonists

Drugs that bind to and activate dopamine receptors. (See all compounds classified as Dopamine Agonists.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
PERGOLIDE
5.3.2 FDA UNII
24MJ822NZ9
5.3.3 Pharmacological Classes
Established Pharmacologic Class [EPC] - Ergot-derived Dopamine Receptor Agonist
5.4 ATC Code

N - Nervous system

N04 - Anti-parkinson drugs

N04B - Dopaminergic agents

N04BC - Dopamine agonists

N04BC02 - Pergolide


5.5 Absorption, Distribution and Excretion

Absorption

Significant amount may be absorbed (evidence on bioavailability still lacking).


Route of Elimination

The major route of excretion is the kidney.


5.6 Metabolism/Metabolites

Extensively hepatic.


5.7 Biological Half-Life

27 hours


5.8 Mechanism of Action

The dopamine D2 receptor is a 7-transmembrane G-protein coupled receptor associated with Gi proteins. In lactotrophs, stimulation of dopamine D2 receptor causes inhibition of adenylyl cyclase, which decreases intracellular cAMP concentrations and blocks IP3-dependent release of Ca2+ from intracellular stores. Decreases in intracellular calcium levels may also be brought about via inhibition of calcium influx through voltage-gated calcium channels, rather than via inhibition of adenylyl cyclase. Additionally, receptor activation blocks phosphorylation of p42/p44 MAPK and decreases MAPK/ERK kinase phosphorylation. Inhibition of MAPK appears to be mediated by c-Raf and B-Raf-dependent inhibition of MAPK/ERK kinase. Dopamine-stimulated growth hormone release from the pituitary gland is mediated by a decrease in intracellular calcium influx through voltage-gated calcium channels rather than via adenylyl cyclase inhibition. Stimulation of dopamine D2 receptors in the nigrostriatal pathway leads to improvements in coordinated muscle activity in those with movement disorders.