Prostaglandin E1 derivative that enhances intestinal fluid secretion. Locally activates type 2 chloride channels (ClC-2) on apical surface of intestinal epithelial cells in a protein kinase A-independent manner. Exists in a keto-hemiacetal equilibrium; favors tautomeric bicylic conformation in the absence of water. Prepn: R. Ueno et al., EP 0284180; eidem, US 5284858 (1988, 1994 to K. K. Ueno Seiyaku Oyo Kenkyujo). Mechanism of action: J. Cuppoletti et al., Am. J. Physiol. Cell Physiol. 287, C1173 (2004) DOI. Review of development and clinical experience in chronic constipation: A. Rivkin, L. Chagan, Clin. Ther. 28, 2008-2021 (2006) DOI PubMed; B. E. Lacy, L. Campbell Levy, J. Clin. Gastroenterol. 41, 345-351 (2007) DOI PubMed.
Laxative.
Laxative/Cathartic