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Reldesemtiv is an activator of fast skeletal troponin.1 It increases ATPase activity in isolated rabbit psoas muscle myofibril preparations with a 40% activation concentration (AC40) value of 0.6 µM. Reldesemtiv is selective for fast skeletal troponin over cardiac and slow skeletal troponin.2 It is also selective for fast skeletal troponin over a panel of 79 enzymes, receptors, ion channels, and transporters at 100 µM.1 Reldesemtiv increases muscle tension in a skinned fast skeletal muscle fiber assay with a 30% muscle force (DF30) value of 0.8 µM.1 In vivo, reldesemtiv (10 mg/kg, p.o.) increases running time in the rotarod test, indicating increased exercise performance, in a rat model of heart failure-induced skeletal myopathy.2
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1. Discovery of Reldesemtiv, a Fast Skeletal Muscle Troponin Activator for the Treatment of Impaired Muscle Function. J. Med. Chem. 64(2), 14930-14941 (2021).
2. The small-