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                                                                Synonyms: S-apomorphine | S-(+)-apomorphine
                                 
                                                         
                            
                            
                            
                                Compound class: 
                                                            Synthetic organic
                                 
                                
                                    
                                        Comment: S(+)-apomorphine a brain-penetrating activator of the activator of the nuclear erythroid 2-related-factor 2 (Nrf2)-ARE (antioxidant response element) pathway [1]. This compound is a receptor-inactive enantiomer of the clinically approved dopamine-receptor agonist apomorphine (R(-)-apomorphine).
                                    
                                 
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                    
                                    
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| No information available. | 
Summary of Clinical Use ![]()  | 
                                                        
| The EMA granted S(+)-apomorphine orphan drug status in 2012 for the treament of amyotrophic lateral sclerosis (ALS). | 
Mechanism Of Action and Pharmacodynamic Effects ![]()  | 
                                                        
| Oxidative damage caused by reactive oxygen species (ROS) is believed to play a role in the damage to nerves cells in ALS. S(+)-apomorphine is believed to activate the erythroid 2-related-factor 2 (Nrf2) transcription factor and subsequently increase expression of antioxidant proteins that protect against ROS-induced motor neuron injury in ALS [1]. |