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Astemizole is a non-sedating antihistamine that antagonizes the histamine H1 receptor with a Ki value of 4.4 nM.1 It is considerably less potent at muscarinic acetylcholine receptors (Ki = 2.4 µM).2 Astemizole is also a potent blocker of ether-a-go-go-related gene (ERG) potassium channels (IC50 = ~1 nM) that has been used to study long QT syndrome type 2.3,4 Furthermore, because it can target oncogenic ERG1 and ERG potassium channels, astemizole has been explored as a potential antineoplastic agent for decreasing proliferation of various cancer cells.5
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1. Selective displacement of [3H]mepyramine from peripheral vs. central nervous system receptors by loratadine, a non-
2. Antimuscarinic effects of antihistamines: Quantitative evaluation by receptor-
3. The pharmacophore hypotheses of IKr potassium channel blockers: Novel class III antiarrhythmic agents. Bioorg. Med. Chem. Lett. 14(18), 4771-4777 (2004).
4. The binding site for channel blockers that rescue misprocessed human long QT syndrome type 2 ether-
5. In vivo dual targeting of the oncogenic Ether-