Structure-activity relationships of an aminosugar cardiac glycoside, ASI-222 HCl, in the heart-lung preparation of the dog

L. Scott Cook, Robert William Caldwell, Clinton B. Nash

Research output: Contribution to journalArticle

4 Scopus citations


ASI-222 [3-β-O-(4-amino-4, 6-dideoxy-β-D-galactopyranosyl) digitoxigenin HCl] is a semisynthetic aminosugar cardiac glycoside that has been shown to have a greater therapeutic index than ouabain or digoxin in dogs. We have compared the effects of ASI, digitoxigenin, digitoxigenin-β-D-galactose, and digoxin in the dog heart-lung preparation. Minute work and stroke work were calculated. Controls were obtained before and after the hearts were failed with sodium pentobarbital. ASI-222 is about three times more potent than digitoxigenin and about twice as potent as digitoxigenin-β-D-galactose in producing similar increases in the left ventricular stroke work. ASI-222 is about three times more potent than digoxin in increasing left ventricular stroke work. Our results indicate that the addition of an aminosugar group to the genin further increased potency over that observed with the addition of a single neutral sugar and prolonged the duration of activity in failing myocardial tissue.

Original languageEnglish (US)
Pages (from-to)551-559
Number of pages9
JournalJournal of Cardiovascular Pharmacology
Issue number5
StatePublished - Jan 1 1979
Externally publishedYes



  • Aminosugar cardiac glycosides
  • ASI-222
  • Cardiac glycosides

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pharmacology

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