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MRS5698 is a highly selective, orally bioavailable small molecule agonist of the adenosine A3 receptor (A3AR). It was developed through a research collaboration involving the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK/NIH), Saint Louis University, and Primetime Life Sciences. MRS5698 exhibits high affinity for both human and rodent A3AR (Ki ~3 nM) with greater than 1000-fold selectivity over other adenosine receptor subtypes (A1, A2A, and A2B). It has been investigated preclinically for the treatment of chronic neuropathic pain, where it reverses mechanoallodynia and attenuates neuroinflammation without inducing tolerance, as well as for psoriasis.
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