Camostat (mesylate), with the CAS number 59721-29-8, is a well-characterized synthetic serine protease inhibitor that has garnered significant attention in both clinical practice and scientific research. It is also known by several aliases, including camostat mesilate, camostat methanesulfonate, Foy 305, Foy-S 980, and CV-001. Chemically, it is defined as 4-((4-((aminoiminomethyl)amino)benzoyl)oxy)benzene acetic acid 2-(dimethylamino)-2-oxoethyl ester methanesulfonate, with a molecular formula of C₂₁H₂₆N₄O₈S and a molecular weight of 494.5 Da.
First approved for medical use in Japan in 1985, camostat mesylate was initially indicated for alleviating acute symptoms of chronic pancreatitis, and later in 1994, it gained approval for treating postoperative reflux esophagitis. Its foundational mechanism lies in inhibiting a broad spectrum of serine proteases, including plasmin, kallikrein, thrombin, and trypsin—enzymes closely linked to inflammatory cascades and tissue damage.
In recent years, its research scope has expanded dramatically due to a critical discovery: it potently inhibits transmembrane protease, serine 2 (TMPRSS2), a host cell enzyme essential for priming the spike proteins of viruses like SARS-CoV-2 and influenza. This inhibition blocks viral entry into human cells, making it a key compound in antiviral research. Preclinical studies have further demonstrated its multifaceted activity, such as attenuating pancreatic fibrosis in vivo and regulating metabolic parameters in obese animal models.
Camostat (mesylate) (Standard)