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Velusetrag is an agonist of the serotonin (5-HT) receptor subtype 5-HT4.1 It increases cAMP accumulation in HEK293 cells expressing human 5-HT4(c), 5-HT4(d), and 5-HT4(g) receptors (EC50s = 5.01, 2.51, and 6.31 nM, respectively). Velusetrag is greater than 500-fold selective for the 5-HT4 receptor over ten other 5-HT receptors and greater than 25-fold selective over eighteen other non-5-HT biogenic amine receptors at 10 µM. It induces contractions in guinea pig colonic longitudinal muscle-myenteric plexus (LM-MP) preparations (EC50 = 12.59 nM) and relaxation in carbachol-precontracted rat esophagus preparations (EC50 = 12.59 nM). Velusetrag reduces fecal transit time in guinea pigs and increases contractility of the antrum, duodenum, and jejunum in dogs.2
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1. The in vitro pharmacological profile of TD-
2. The in vivo gastrointestinal activity of TD-