GB2168354A - Hemin compound - Google Patents
Hemin compound Download PDFInfo
- Publication number
- GB2168354A GB2168354A GB08431398A GB8431398A GB2168354A GB 2168354 A GB2168354 A GB 2168354A GB 08431398 A GB08431398 A GB 08431398A GB 8431398 A GB8431398 A GB 8431398A GB 2168354 A GB2168354 A GB 2168354A
- Authority
- GB
- United Kingdom
- Prior art keywords
- hemin
- water
- amino acid
- compound
- acetone
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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- 229940025294 hemin Drugs 0.000 title claims abstract description 95
- -1 Hemin compound Chemical class 0.000 title claims description 9
- BTIJJDXEELBZFS-QDUVMHSLSA-K hemin Chemical compound CC1=C(CCC(O)=O)C(C=C2C(CCC(O)=O)=C(C)\C(N2[Fe](Cl)N23)=C\4)=N\C1=C/C2=C(C)C(C=C)=C3\C=C/1C(C)=C(C=C)C/4=N\1 BTIJJDXEELBZFS-QDUVMHSLSA-K 0.000 claims abstract description 88
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 claims abstract description 40
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 31
- 238000000034 method Methods 0.000 claims abstract description 17
- 150000001875 compounds Chemical class 0.000 claims abstract description 13
- ODKSFYDXXFIFQN-BYPYZUCNSA-N L-arginine Chemical compound OC(=O)[C@@H](N)CCCN=C(N)N ODKSFYDXXFIFQN-BYPYZUCNSA-N 0.000 claims abstract description 12
- 229930064664 L-arginine Natural products 0.000 claims abstract description 12
- 235000014852 L-arginine Nutrition 0.000 claims abstract description 12
- 235000001014 amino acid Nutrition 0.000 claims abstract description 11
- 150000001413 amino acids Chemical class 0.000 claims abstract description 11
- 208000007502 anemia Diseases 0.000 claims abstract description 8
- 238000002360 preparation method Methods 0.000 claims abstract description 7
- 239000011877 solvent mixture Substances 0.000 claims abstract description 7
- 239000002775 capsule Substances 0.000 claims abstract description 4
- 241000097929 Porphyria Species 0.000 claims description 13
- 208000010642 Porphyrias Diseases 0.000 claims description 13
- KDXKERNSBIXSRK-YFKPBYRVSA-N L-lysine Chemical compound NCCCC[C@H](N)C(O)=O KDXKERNSBIXSRK-YFKPBYRVSA-N 0.000 claims description 8
- 239000000203 mixture Substances 0.000 claims description 8
- 235000019766 L-Lysine Nutrition 0.000 claims description 4
- 239000004472 Lysine Substances 0.000 claims description 4
- 239000003960 organic solvent Substances 0.000 claims description 4
- 238000013019 agitation Methods 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims description 3
- 239000003937 drug carrier Substances 0.000 claims 1
- KDXKERNSBIXSRK-UHFFFAOYSA-M lysinate Chemical compound NCCCCC(N)C([O-])=O KDXKERNSBIXSRK-UHFFFAOYSA-M 0.000 abstract description 12
- 238000002347 injection Methods 0.000 abstract description 6
- 239000007924 injection Substances 0.000 abstract description 6
- 239000000126 substance Substances 0.000 abstract description 6
- 238000003756 stirring Methods 0.000 abstract description 4
- 239000002994 raw material Substances 0.000 abstract 1
- WPLOVIFNBMNBPD-ATHMIXSHSA-N subtilin Chemical compound CC1SCC(NC2=O)C(=O)NC(CC(N)=O)C(=O)NC(C(=O)NC(CCCCN)C(=O)NC(C(C)CC)C(=O)NC(=C)C(=O)NC(CCCCN)C(O)=O)CSC(C)C2NC(=O)C(CC(C)C)NC(=O)C1NC(=O)C(CCC(N)=O)NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C1NC(=O)C(=C/C)/NC(=O)C(CCC(N)=O)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)CNC(=O)C(NC(=O)C(NC(=O)C2NC(=O)CNC(=O)C3CCCN3C(=O)C(NC(=O)C3NC(=O)C(CC(C)C)NC(=O)C(=C)NC(=O)C(CCC(O)=O)NC(=O)C(NC(=O)C(CCCCN)NC(=O)C(N)CC=4C5=CC=CC=C5NC=4)CSC3)C(C)SC2)C(C)C)C(C)SC1)CC1=CC=CC=C1 WPLOVIFNBMNBPD-ATHMIXSHSA-N 0.000 abstract 1
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 32
- 229910052742 iron Inorganic materials 0.000 description 16
- 230000015572 biosynthetic process Effects 0.000 description 12
- 239000000243 solution Substances 0.000 description 11
- 238000003786 synthesis reaction Methods 0.000 description 11
- 102000004020 Oxygenases Human genes 0.000 description 8
- 108090000417 Oxygenases Proteins 0.000 description 8
- 239000000047 product Substances 0.000 description 7
- BPYKTIZUTYGOLE-IFADSCNNSA-N Bilirubin Chemical compound N1C(=O)C(C)=C(C=C)\C1=C\C1=C(C)C(CCC(O)=O)=C(CC2=C(C(C)=C(\C=C/3C(=C(C=C)C(=O)N\3)C)N2)CCC(O)=O)N1 BPYKTIZUTYGOLE-IFADSCNNSA-N 0.000 description 6
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 6
- 238000012360 testing method Methods 0.000 description 6
- 201000005060 thrombophlebitis Diseases 0.000 description 6
- BMUDPLZKKRQECS-UHFFFAOYSA-K 3-[18-(2-carboxyethyl)-8,13-bis(ethenyl)-3,7,12,17-tetramethylporphyrin-21,24-diid-2-yl]propanoic acid iron(3+) hydroxide Chemical compound [OH-].[Fe+3].[N-]1C2=C(C)C(CCC(O)=O)=C1C=C([N-]1)C(CCC(O)=O)=C(C)C1=CC(C(C)=C1C=C)=NC1=CC(C(C)=C1C=C)=NC1=C2 BMUDPLZKKRQECS-UHFFFAOYSA-K 0.000 description 5
- 102000004190 Enzymes Human genes 0.000 description 5
- 108090000790 Enzymes Proteins 0.000 description 5
- 102000001554 Hemoglobins Human genes 0.000 description 5
- 108010054147 Hemoglobins Proteins 0.000 description 5
- 238000006243 chemical reaction Methods 0.000 description 5
- 229940109738 hematin Drugs 0.000 description 5
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 4
- 206010022971 Iron Deficiencies Diseases 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 235000013305 food Nutrition 0.000 description 4
- 208000031162 sideroblastic anemia Diseases 0.000 description 4
- 239000000758 substrate Substances 0.000 description 4
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 3
- BVKZGUZCCUSVTD-UHFFFAOYSA-L Carbonate Chemical compound [O-]C([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-L 0.000 description 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 210000004027 cell Anatomy 0.000 description 3
- RAXXELZNTBOGNW-UHFFFAOYSA-N imidazole Natural products C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 description 3
- 238000001802 infusion Methods 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 210000003462 vein Anatomy 0.000 description 3
- 239000004475 Arginine Substances 0.000 description 2
- GWZYPXHJIZCRAJ-UHFFFAOYSA-N Biliverdin Natural products CC1=C(C=C)C(=C/C2=NC(=Cc3[nH]c(C=C/4NC(=O)C(=C4C)C=C)c(C)c3CCC(=O)O)C(=C2C)CCC(=O)O)NC1=O GWZYPXHJIZCRAJ-UHFFFAOYSA-N 0.000 description 2
- RCNSAJSGRJSBKK-NSQVQWHSSA-N Biliverdin IX Chemical compound N1C(=O)C(C)=C(C=C)\C1=C\C1=C(C)C(CCC(O)=O)=C(\C=C/2C(=C(C)C(=C/C=3C(=C(C=C)C(=O)N=3)C)/N\2)CCC(O)=O)N1 RCNSAJSGRJSBKK-NSQVQWHSSA-N 0.000 description 2
- QUSNBJAOOMFDIB-UHFFFAOYSA-N Ethylamine Chemical compound CCN QUSNBJAOOMFDIB-UHFFFAOYSA-N 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 2
- 150000008575 L-amino acids Chemical class 0.000 description 2
- 108010067549 Methemalbumin Proteins 0.000 description 2
- NQRYJNQNLNOLGT-UHFFFAOYSA-N Piperidine Chemical compound C1CCNCC1 NQRYJNQNLNOLGT-UHFFFAOYSA-N 0.000 description 2
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 2
- 125000003277 amino group Chemical group 0.000 description 2
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 2
- 235000009697 arginine Nutrition 0.000 description 2
- QBUVFDKTZJNUPP-UHFFFAOYSA-N biliverdin-IXalpha Natural products N1C(=O)C(C)=C(C=C)C1=CC1=C(C)C(CCC(O)=O)=C(C=C2C(=C(C)C(C=C3C(=C(C=C)C(=O)N3)C)=N2)CCC(O)=O)N1 QBUVFDKTZJNUPP-UHFFFAOYSA-N 0.000 description 2
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 2
- PAFZNILMFXTMIY-UHFFFAOYSA-N cyclohexylamine Chemical compound NC1CCCCC1 PAFZNILMFXTMIY-UHFFFAOYSA-N 0.000 description 2
- 239000012153 distilled water Substances 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000004064 dysfunction Effects 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 230000001771 impaired effect Effects 0.000 description 2
- 230000004054 inflammatory process Effects 0.000 description 2
- 239000000320 mechanical mixture Substances 0.000 description 2
- 235000018102 proteins Nutrition 0.000 description 2
- 102000004169 proteins and genes Human genes 0.000 description 2
- 108090000623 proteins and genes Proteins 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- QCHFTSOMWOSFHM-WPRPVWTQSA-N (+)-Pilocarpine Chemical compound C1OC(=O)[C@@H](CC)[C@H]1CC1=CN=CN1C QCHFTSOMWOSFHM-WPRPVWTQSA-N 0.000 description 1
- WNDUPUMWHYAJOR-SADXPQEKSA-K (2r,3r,4r,5s)-hexane-1,2,3,4,5,6-hexol;2-hydroxypropane-1,2,3-tricarboxylate;iron(3+) Chemical compound [Fe+3].OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO.[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O WNDUPUMWHYAJOR-SADXPQEKSA-K 0.000 description 1
- 108010017500 Biliverdin reductase Proteins 0.000 description 1
- 108010052832 Cytochromes Proteins 0.000 description 1
- 102000018832 Cytochromes Human genes 0.000 description 1
- SGCGMORCWLEJNZ-UWVGGRQHSA-N His-His Chemical compound C([C@H]([NH3+])C(=O)N[C@@H](CC=1NC=NC=1)C([O-])=O)C1=CN=CN1 SGCGMORCWLEJNZ-UWVGGRQHSA-N 0.000 description 1
- 239000005569 Iron sulphate Substances 0.000 description 1
- 102000008133 Iron-Binding Proteins Human genes 0.000 description 1
- 108010035210 Iron-Binding Proteins Proteins 0.000 description 1
- 208000015710 Iron-Deficiency Anemia Diseases 0.000 description 1
- ODKSFYDXXFIFQN-BYPYZUCNSA-P L-argininium(2+) Chemical compound NC(=[NH2+])NCCC[C@H]([NH3+])C(O)=O ODKSFYDXXFIFQN-BYPYZUCNSA-P 0.000 description 1
- 241000283973 Oryctolagus cuniculus Species 0.000 description 1
- QCHFTSOMWOSFHM-UHFFFAOYSA-N SJ000285536 Natural products C1OC(=O)C(CC)C1CC1=CN=CN1C QCHFTSOMWOSFHM-UHFFFAOYSA-N 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 208000003056 Vitamin B6 deficiency Diseases 0.000 description 1
- FRYDSOYOHWGSMD-UHFFFAOYSA-N [C].O Chemical class [C].O FRYDSOYOHWGSMD-UHFFFAOYSA-N 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000000567 anti-anemic effect Effects 0.000 description 1
- 102000004558 biliverdin reductase Human genes 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 239000013065 commercial product Substances 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- ZBCBWPMODOFKDW-UHFFFAOYSA-N diethanolamine Chemical compound OCCNCCO ZBCBWPMODOFKDW-UHFFFAOYSA-N 0.000 description 1
- 229940043237 diethanolamine Drugs 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000002255 enzymatic effect Effects 0.000 description 1
- 230000009088 enzymatic function Effects 0.000 description 1
- 210000003743 erythrocyte Anatomy 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 210000003608 fece Anatomy 0.000 description 1
- 239000012467 final product Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 108060003196 globin Proteins 0.000 description 1
- 102000018146 globin Human genes 0.000 description 1
- 208000035474 group of disease Diseases 0.000 description 1
- 230000002949 hemolytic effect Effects 0.000 description 1
- 108010028295 histidylhistidine Proteins 0.000 description 1
- 210000004347 intestinal mucosa Anatomy 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 229940082629 iron antianemic preparations Drugs 0.000 description 1
- BAUYGSIQEAFULO-UHFFFAOYSA-L iron(2+) sulfate (anhydrous) Chemical compound [Fe+2].[O-]S([O-])(=O)=O BAUYGSIQEAFULO-UHFFFAOYSA-L 0.000 description 1
- VRIVJOXICYMTAG-IYEMJOQQSA-L iron(ii) gluconate Chemical compound [Fe+2].OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O.OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O VRIVJOXICYMTAG-IYEMJOQQSA-L 0.000 description 1
- 238000001139 pH measurement Methods 0.000 description 1
- 230000004962 physiological condition Effects 0.000 description 1
- 229960001416 pilocarpine Drugs 0.000 description 1
- 150000004032 porphyrins Chemical class 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 239000000376 reactant Substances 0.000 description 1
- 239000012429 reaction media Substances 0.000 description 1
- 239000012088 reference solution Substances 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 239000013589 supplement Substances 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
- C07D487/22—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains four or more hetero rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/06—Antianaemics
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07F—ACYCLIC, CARBOCYCLIC OR HETEROCYCLIC COMPOUNDS CONTAINING ELEMENTS OTHER THAN CARBON, HYDROGEN, HALOGEN, OXYGEN, NITROGEN, SULFUR, SELENIUM OR TELLURIUM
- C07F15/00—Compounds containing elements of Groups 8, 9, 10 or 18 of the Periodic Table
- C07F15/02—Iron compounds
- C07F15/025—Iron compounds without a metal-carbon linkage
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07H—SUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
- C07H23/00—Compounds containing boron, silicon, or a metal, e.g. chelates, vitamin B12
Landscapes
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Public Health (AREA)
- Medicinal Chemistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Hematology (AREA)
- Pharmacology & Pharmacy (AREA)
- Diabetes (AREA)
- Animal Behavior & Ethology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- General Chemical & Material Sciences (AREA)
- Veterinary Medicine (AREA)
- Biochemistry (AREA)
- Biotechnology (AREA)
- Genetics & Genomics (AREA)
- Molecular Biology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Medicinal Preparation (AREA)
- Peptides Or Proteins (AREA)
Abstract
A method for the preparation of a new, physiologically active, water-soluble complex compound of hemin arginate or hemin lysinate in which crystalline hemin and the amino acid L-arginine or L-lysine, in a molar proportion of 1:3, are allowed to react at room temperature under vigorous stirring for 10 to 15 hours in a solvent mixture of acetone and water 300:20 v/v. The hemin arginate or hemin lysinate thus formed is a powdery, stable compound suitable for use as raw material in tablets or capsules or as dry substance for preparation of injections for treatment of various types of anemia, particularly anemias associated with prophyria.
Description
SPECIFICATION
Hemin compound
The present invention relates to a method for the preparation of a physiologically active water-soluble hemin compound, such as hemin arginate or hemin lysinate suitable for use in tablets or capsules or as a dry substance for injection after reconstitution e.g. with sterile saline solution.
Hemin occurs in the organism as a prosthetic group of hemoglobin in most cytochromes and in certain enzymes. Hemoglobin is synthesized in the bone marrow. When hemin proteins decompose hemin is released, but only a minor part of it is used in the synthesis of new hemin proteins under normal physiological conditions. Hemin is split by the action of hemin oxygenase into biliverdin, which is further reduced to bilirubin. Native, intact hemoglobin does not, naturally, serve as a substrate for hemin oxygenase.
Defects in the hemoglobin synthesis may be due to disturbed synthesis of hemin or of globin chains.
The hemin synthesis may be disturbed because of a) lack of some component necessary for the synthesis, or b) dysfunction of an enzyme catalyzing the synthesis.
a) Iron deficiency is the limiting factor in the hemin synthesis. The organism gets its daily requirement of iron (1-2 mg) with the food. Iron deficiency may be due to a diet deficient in iron or possibly to the presence of iron-binding compounds in the food. Disturbances in the iron absorption mechanism may also lead to iron deficiency despite adequate iron content in the food. Regardless of the cause, iron deficiency sooner or later leads to anemia.
In the rarely occurring vitamin B6 deficiency the absoprtion of iron is normal, but its utilization by the cells is inhibited. As a consequence of this, a certain type of sideroblastic anemia develops.
Iron deficiency anemia is treated either with oral iron preparations (e.g. iron sulphate or iron gluconate) or, more rarely, with injections (iron sorbitol). When the iron absorption mechanism is disturbed, these conventional oral preparations are useless; the iron does not even penetrate into the cells of the intestinal mucosa. In contrast to inorganic iron, hemin iron, in which the iron is bound to hemin, is absorbed by these cells even in such cases of disturbed iron absoprtion which are resistant to conventional oral therapy. Thus, hemin iron is the only known, effective remedy for oral treatment of therapy-resistant cases. Hemin iron has been found to be four to five times better absorbed than inorganic iron even in quite healthy subjects (Seppanen H & Takkunen H: Suomen Laakarilehti 36 : 2071-2072, 1981).
b) The synthesis of hemin is enzymatically regulated. Impaired function of the enzymes catalyzing the hem in synthesis may be either hereditary or due to external factors. It invariably leads to decreased formation of hemin, manifested by the development of porphyria or certain kinds of sideroblastic anemia or other diseases.
Porphyria is the most important group of diseases resulting from impaired enzyme function. In porphyria patients there is an accumulation of porphyrins, intermediary products in the hemin synthesis, and an increased excretion of these into urine and feces. Most kinds of porphyria are manifested by acute attacks which are extremely difficult to master.
Sometimes, sideroblastic anemias of different kinds may develop instead of porphyria as a consequence of dysfunction of enzymes participating in the hemin synthesis. Sideroblastic anemias, too, may be either hereditary or acquired.
The treatment of porphyria has until now been based principally on the avoidance of certain drugs and the administration of large amounts of carbon hydrates during the acute attacks, but the effect has been poor. Since the etiology of porphyria became clarified, intravenous treatment with hemin compounds (hematin) has been continuously gaining ground. Hematin has proved effective in the treatment of porphyria attacks, but in more than 50% of the patients it has caused thrombophlebitis. Moreover, it is very unstable and therefore unsuitable for production on an industrial scale. There are thus very few possibilities for effective treatment of porphyria patients.
The aim of the present invention was to produce a water-soluble hemin iron compound suitable for treatment of anemia, with the iron ready at hand, so to speak, in the hemin molecule. The compound is intended in the first place for treatment of porphyria, where the normal production of hemoglobin is disturbed for some reason or other. The compound is intended for oral administration in tablets or capsules as well as for injection, and should be water-soluble.
Hemin, which is sparingly soluble in water, can be obtained in pure form from blood by extraction with a mixture of hydrochloric or acetic acid from a water solution of hemolyzing erythrocytes. Another method is based on the extraction of hem in with acetone in the presence of e.g. histidylhistidine, pilocarpine, or imidazole at pH 7.0 (Wakid N.W. & Helou K.Y.: Int. J.Biochem. 4 : 259-267, 1973).
The PCT patent application No. 813749 (PCT/F181/00026) described a method for the preparation of a water-soluble hemin concentrate in which about 40% wlw is hemin and the rest is a 'blood substance' of unknown nature. The product is intended for use in lyophilized form as an iron supplement in food or as an antianemic drug.
The drawback of this method is that the final product is a mixture of hemin and 'blood substance'. As the latter component is not uniform, the mixture is unsuitable for injection.
Porphyria has been treated in hospitals with a mixture prepared extempore by dissolving hem in in a sterile sodium carbonate solution (hematin). As this solution is unstable it cannot be manufactured as a commercial product on a large scale. Moreover, hematin causes thrombophlebitis at the site of injection in about 50% of the cases, probably because of the high pH of the solution. This is a serious drawback which reduces the usefulness of the product considerably.
According to one aspect of the invention, there is provided a method of preparation of a physiologi cally active, water-soluble hemin compound suitable for treatment of anemias, such as anemias associated with porphyria, in which crystalline hemin is allowed to react with a basic amino acid in a mixture of an organic solvent and water, at room temperature under agitation for 10 to 15 hours, whereby a complex compound of hemin and the basic amino acid is formed.
The basic amino acid may be L-arginine or L-lysine.
The solvent mixture may comprise acetone and water and the volume ratio of acetone and water is preferably from 300:10 to 300:25, for example 300:20. With such a volume ratio, of the order of 7% water, neither the hemin nor the basic amino acid are dissolved. The reaction takes place with agitation, such as by vigorous stirring, and it is desirable to control the pH value of the reaction medium during the reaction. The product formed during the reaction may be separated and dried; the product is soluble in water, which is important from both the medical and the pharmotechnical points of view.
The molar proportion of hemin to basic amino acid used is preferably from 1:1 to 1:4, for example 1:3.
The hemin molecule contains two carboxyl groups which, it is believed, react with the basic amino groups of L-lysine or L-arginine.
Hemin arginate and hemin lysinate prepared by the method of the invention were dissolved in water, and the pH of the solutions was measured and compared at different time points with the pH of a mechanical mixture of hemin and L-arginine dissolved in water. The results are seen in Table 1.
TABLE 1
pH 0 min. 60 min. 24h Hemin arginate 0.02937 9/25 ml 8.22 8.22 8.22
Hemin lysinate 0.02760 9/25 ml 8.10 7.97 8.13
Hemin + 0.01630 9/25 ml 10.13 9.81 9.33
L-arginine 0.01307 g/25 ml
The results of the pH measurements show that the pH of the hemin arginate and hemin lysinate is stable (pH about 8) for up to 24 hours. The pH of the mechanical mixture, on the other hand, decreases very slowly, probably owing to the extremely slow reaction between the carboxyls in the hemin and the amino group in the L-amino acid. A therapeutically useful product cannot therefore be obtained by this method. Hemin arginate and hemin lysinate prepared according to the invention are believed to consist of a complex compound where the L-amino acid has reacted with the hemin carboxyls.
To determine, on the one hand, the optimal molar relation between the two reactants and, on the other, the most suitable composition of the solvent mixture, the following tests were performed with hemin and arginine:
Crystalline hemin and L-arginine in molar proportions of 1:2 and 1:3 were allowed to react, under vigorous stirring, in a solvent mixture consisting of an organic solvent and water in varying proportions.
The precipitates formed were filtered off, washed and dried.
The solubility in water was determined by dissolving, under vigorous stirring for about one hour, about 1.0 g of the hemin arginate obtained in each test in 50 ml of distilled water.
The solutions were centrifuged (about 3500 r/min.) and the residue was washed with 10 ml of distilled water and 10 ml of acetone, after which it was dried and weighed. The insoluble residue consisted mainly of unreacted hemin. The test results are presented in Table 2.
TABLE 2 hemin : L-arginine weights molar temp. water
(g) proportion solvent ml "C insoluble
residue 6.52 : 3.48 1:2 methanol 300 20 tar 6.52 : 3.481:2 ethanol 300 20 =100% 6.52 : 5.22 1:3 ethanol 300 40 20.2% 6.52 : 3.48 1:2 isopropanol 300 20 =100% 6.52 : 3.48 1:2 isopropanol/water 300:20 20 21.2% 6.52 : 5.22 1:3 isopropanol/water 300:20 20 9.7% 6.52 : 3.48 1:2 acetone/water 300:15 20 16.8% 6.52 : 3.48 1:2 acetone/water 300:20 20 12.4% 6.52 : 5.221:3 acetone/water 300:10 20 =100% 6.52 : 5.221:3 acetone/water 300:10 40 11.4% 6.52 : 5.221:3 acetone/water 300:15 20 8.3% 6.52 : 5.22 1:3 acetone/water 300:20 20 0.3% 6.52 :: 5.22 1.3 acetone/water 300:30 20 tar 6.52 :5.221:3 acetone/water 150:10 20 4.2% 6.52 :5.221:3 acetone/water 150:12.5 20 tar
The tarry substance formed in some of the tests could not be transferred into powder form.
The preferable molar proportion of hemin to arginine was found to be 1:3 and the most suitable solvent mixture 300 ml of acetone and 20 ml of water, because hemin needs a slight excess of L-arginine to react properly.
The local effect of intravenously infused hemin compounds on surrounding tissues was studied by means of infusing 5 mg/kg into the auricular vein of California White rabbits. A conventional hemin carbonate solution (hematin) was used as reference solution.
After infusion of hemin arginate solution the tissue surrounding the vein remained normal, i.e. no sterile inflammation (thrombophlebitis) occurred.
A similar result was seen after infusion of a corresponding hemin lysinate solution. Thus, it can be concluded that the compounds do not cause thrombophlebitis when infused intravenously.
When a hemin carbonate solution was administered in the same manner, the tissue surrounding the vein became red and irritated; i.e., a manifest sterile inflammation (thrombophlebitis) developed. Three days after the infusion of the hemin carbonate solution the thrombophlebitis was still manifest.
The physiological character of the different water-soluble hemin compounds was assessed by testing the ability of hemin oxygenase to split the compounds. The physiological substrate for hemin oxygenase, methemalbumin, is split by this into biliverdin, which is further reduced to bilirubin by biliverdin reductase.
Thus, the excess hemin which the organism cannot utilize is decomposed, in the first place, by hemin oxygenase into bilirubin and other, closely related substances, which are then normally excreted. The reaction rate limiting enzyme is thus hemin oxygenase.
In our enzymatic analyses, performed in order to find out, for one thing, the ability of hemin arginate and hem in lysinate to serve as substrates for hemin oxygenase, the activity of the reference substrate methemalbumin was expressed by 100. The corresponding value obtained for hemin arginate and hemin lysinate was 106. The activities of other hemin amine derivatives, where the amine component was diethanol amine, ethyl amine, cyclohexyl amine or piperidine, were found to be 13,21,31 and 78 respectively. The tests show that hemin arginate and hemin lysinate behave in the organism like normal physiological compounds with regard to hemin oxygenase.
Embodiments of the invention are described by the following examples given by way of illustration.
Example 1
6.52 g of crystalline hemin (0.01 M) and 3.48 g of crystalline L-arginine (0.02 M) in a beaker provided with a mechanical stirrer and containing a solvent mixture of 300 ml of acetone and 20 ml of water were vigorously stirred for 10 to 15 hours. The product formed was filtered off, washed with acetone, and dried.
Yield of hemin arginate: 9.5 g (95%). Insoluble residue, determined by the method mentioned above: 0.14 g (14%).
Example 2
6.52 g of crystalline hemin (0.01 M) and 4.36 g of crystalline L-arginine (0.025 M) were treated as described in Example 1.
Yield of hemin arginate: 11.1 g (about 100'or.
Insoluble residue: 0.042 g (4.2to).
Example 3
6.52 g of crystalline hemin (0.01 M) and 5.23 g of crystalline Larginine (0.03 M) were treated as described in Example 1.
Yield of hemin arginate: 12.0 g (about 102to).
Insoluble residue: 0.001 g (0.1to).
Example 4
6.52 g of crystallinehemin (0.01 M) and 6.10 g of crystalline L-arginine (0.035 M) were treated as described in Example 1.
Yield of hemin arginate: 12.0 g (9500).
Insoluble residue: 0.0005 g (0.05to).
Example 5
6.52 g of crystalline hemin (0.01 M) and 4.39 g of crystalline L-lysine (0.03 M) were treated as described
in Example 1.
-Yield of hemin lysinate: 10.8 g (99to).
Insoluble residue: 0.020 g (2.8to).
It appears that the optimal molar proportion of hemin to arginate is 1:3 (Example 3), because this gave the highest yield of hemin arginate, while the amount of insoluble residue was minimal
Claims (11)
1. A method of preparation of a physiologically active, water-soluble hemin compound suitable for treatment of anemias, such as anemias associated with porphyria, in which crystalline hemin is allowed to react with a basic amino acid in a mixture of an organic solvent and water, at room temperature under agitation for 10 to 15 hours, whereby a complex compound of hemin and the basic amino acid is formed.
2. A method according to Claim 1, in which the basic amino acid is L-arginine or L-lysine.
3. A method according to Claim 2, in which the molar proportion of hemin to basic amino acid is from 1:1 to 1:4.
4. A method according to Claim 3, in which the molar proportion of hemin to basic amino acid is 1:3.
5. A method according to any one of the preceding claims in which the organic solvent comprises acetone.
6. A method according to Claim 5, in which the solvent mixture comprises acetone and water in a proportion of from 300:10 to 300:25 by volume.
7. A method according to Claim 6, in which the proportion of acetone to water is 300:20 by volume.
8. A method of making a hem in compound, substantially as hereinbefore described with reference to the foregoing examples.
9. A hemin compound, preparable by a method according to any preceding claim.
10. A composition comprising a compound according to Claim 9 and a pharmaceutically acceptable carrier.
11. A tablet, capsule or solution for medical use containing a hemin compound according to Claim 9.
Priority Applications (12)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE8406263A SE457958B (en) | 1984-12-12 | 1984-12-10 | WATER-SOLUBLE HEMIN ARGINATE OR HEMIN-LYSINATE SOCIETY, PROCEDURE FOR PREPARING THEREOF AND USING THEREOF FOR MANUFACTURE OF MEDICAL COMPOSITIONS |
AT0390784A AT389308B (en) | 1984-12-12 | 1984-12-10 | METHOD FOR PRODUCING NEW HAEMINARGINATE OR HAEMINLYSINATE |
GB08431398A GB2168354B (en) | 1984-12-12 | 1984-12-12 | Hemin compound |
NL8403782A NL192682C (en) | 1984-12-12 | 1984-12-13 | Method for preparing a hemin complex, and drug. |
FR848419134A FR2574662B1 (en) | 1984-12-12 | 1984-12-14 | PROCESS FOR THE PREPARATION OF A NEW HEMIN COMPLEX AND THE PRODUCT THUS OBTAINED AND MEDICAMENTS CONTAINING THE SAME |
BE0/214195A BE901319A (en) | 1984-12-12 | 1984-12-19 | HEMIN COMPOUNDS, THEIR PREPARATION AND THEIR USE. |
DE3446887A DE3446887C2 (en) | 1984-12-12 | 1984-12-21 | Process for the production of physiologically active, water-soluble hemin arginate or hemin lysinate |
LU85716A LU85716A1 (en) | 1984-12-12 | 1984-12-28 | PROCESS FOR THE PREPARATION OF A NEW COMPLEX HEMINE COMPOUND WITH MEDICAL APPLICATIONS |
CH45/85A CH666273A5 (en) | 1984-12-12 | 1985-01-07 | METHOD FOR PRODUCING A NEW HAEMIN COMPLEX COMPOUND AND THIS PHARMACEUTICAL PREPARATIONS CONTAINING AN ACTIVE SUBSTANCE. |
SU3831925A SU1384188A3 (en) | 1984-12-12 | 1985-01-09 | Method of producing stable water-soluble hemin-arginate or hemin-lysate complex compound for treating porphyria |
JP60009302A JPH0647541B2 (en) | 1984-12-12 | 1985-01-23 | Method for producing novel hemin complex compound for medical use |
CA000473658A CA1242713A (en) | 1984-12-12 | 1985-02-06 | Process for preparation of a new hemin complex compound with medical applications |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB08431398A GB2168354B (en) | 1984-12-12 | 1984-12-12 | Hemin compound |
Publications (3)
Publication Number | Publication Date |
---|---|
GB8431398D0 GB8431398D0 (en) | 1985-01-23 |
GB2168354A true GB2168354A (en) | 1986-06-18 |
GB2168354B GB2168354B (en) | 1988-12-07 |
Family
ID=10571084
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
GB08431398A Expired GB2168354B (en) | 1984-12-12 | 1984-12-12 | Hemin compound |
Country Status (12)
Country | Link |
---|---|
JP (1) | JPH0647541B2 (en) |
AT (1) | AT389308B (en) |
BE (1) | BE901319A (en) |
CA (1) | CA1242713A (en) |
CH (1) | CH666273A5 (en) |
DE (1) | DE3446887C2 (en) |
FR (1) | FR2574662B1 (en) |
GB (1) | GB2168354B (en) |
LU (1) | LU85716A1 (en) |
NL (1) | NL192682C (en) |
SE (1) | SE457958B (en) |
SU (1) | SU1384188A3 (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003092674A1 (en) * | 2002-05-02 | 2003-11-13 | Integrity Pharmaceutical Corporation | Prenatal multivitamin/multimineral supplement |
RU2611636C1 (en) * | 2016-02-25 | 2017-02-28 | Федеральное государственное бюджетное образовательное учреждение высшего образования Новосибирский государственный аграрный университет | Hematogen |
RU2671633C1 (en) * | 2017-11-30 | 2018-11-06 | Общество с ограниченной ответственностью "ОКТАВА ХОЛДИНГ" | Highly effective hematogen |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH0645681B2 (en) * | 1986-02-05 | 1994-06-15 | 美浜 久春 | Modified hem |
IT1245890B (en) * | 1991-04-12 | 1994-10-25 | Alfa Wassermann Spa | PHARMACEUTICAL FORMULATIONS FOR ORAL USE GASTRORESANTS CONTAINING BILE ACIDS. |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2912M (en) * | 1963-07-24 | 1964-11-09 | Rech S Pharma E R P H A R Soc | Procaine hematoporphyrinate dihydrochloride. |
JPS4930521A (en) * | 1972-07-17 | 1974-03-19 | ||
JPS5144623A (en) * | 1974-10-14 | 1976-04-16 | Green Cross Corp | CHUSHAYOASECHIRUSARICHIRUSANENNO SEIHO |
DE2527158A1 (en) * | 1975-06-18 | 1976-12-23 | Herz Eberhard | MEDICINAL PRODUCTS FOR THE TREATMENT OF INFECTIOUS DISEASES AND INFLAMMATION IN HUMAN AND VETERINAL MEDICINE THAT CANNOT BE DETECTED BY MICROORGANISMS |
JPS6021570B2 (en) * | 1978-07-04 | 1985-05-28 | 三共株式会社 | Method for manufacturing high concentration preparations of DOPAs |
JPS5780317A (en) * | 1980-11-05 | 1982-05-19 | Sumitomo Chem Co Ltd | Preparation of pharmaceutical composition for injection |
JPS57209211A (en) * | 1981-06-18 | 1982-12-22 | Shiseido Co Ltd | Antimicrobial composition |
-
1984
- 1984-12-10 AT AT0390784A patent/AT389308B/en not_active IP Right Cessation
- 1984-12-10 SE SE8406263A patent/SE457958B/en not_active IP Right Cessation
- 1984-12-12 GB GB08431398A patent/GB2168354B/en not_active Expired
- 1984-12-13 NL NL8403782A patent/NL192682C/en not_active IP Right Cessation
- 1984-12-14 FR FR848419134A patent/FR2574662B1/en not_active Expired - Lifetime
- 1984-12-19 BE BE0/214195A patent/BE901319A/en not_active IP Right Cessation
- 1984-12-21 DE DE3446887A patent/DE3446887C2/en not_active Expired - Fee Related
- 1984-12-28 LU LU85716A patent/LU85716A1/en unknown
-
1985
- 1985-01-07 CH CH45/85A patent/CH666273A5/en not_active IP Right Cessation
- 1985-01-09 SU SU3831925A patent/SU1384188A3/en active
- 1985-01-23 JP JP60009302A patent/JPH0647541B2/en not_active Expired - Fee Related
- 1985-02-06 CA CA000473658A patent/CA1242713A/en not_active Expired
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003092674A1 (en) * | 2002-05-02 | 2003-11-13 | Integrity Pharmaceutical Corporation | Prenatal multivitamin/multimineral supplement |
US7994217B2 (en) | 2002-05-02 | 2011-08-09 | Xanodyne Pharmaceuticals, Inc. | Prenatal multivitamin/multimineral supplement |
RU2611636C1 (en) * | 2016-02-25 | 2017-02-28 | Федеральное государственное бюджетное образовательное учреждение высшего образования Новосибирский государственный аграрный университет | Hematogen |
RU2671633C1 (en) * | 2017-11-30 | 2018-11-06 | Общество с ограниченной ответственностью "ОКТАВА ХОЛДИНГ" | Highly effective hematogen |
Also Published As
Publication number | Publication date |
---|---|
NL192682C (en) | 1997-12-02 |
CA1242713A (en) | 1988-10-04 |
AT389308B (en) | 1989-11-27 |
FR2574662B1 (en) | 1990-03-02 |
NL8403782A (en) | 1986-07-01 |
JPS61172821A (en) | 1986-08-04 |
SE457958B (en) | 1989-02-13 |
NL192682B (en) | 1997-08-01 |
DE3446887A1 (en) | 1986-07-03 |
GB2168354B (en) | 1988-12-07 |
SE8406263D0 (en) | 1984-12-10 |
JPH0647541B2 (en) | 1994-06-22 |
FR2574662A1 (en) | 1986-06-20 |
GB8431398D0 (en) | 1985-01-23 |
BE901319A (en) | 1985-04-16 |
DE3446887C2 (en) | 1994-05-05 |
ATA390784A (en) | 1989-04-15 |
CH666273A5 (en) | 1988-07-15 |
SE8406263L (en) | 1986-06-11 |
SU1384188A3 (en) | 1988-03-23 |
LU85716A1 (en) | 1985-07-24 |
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Effective date: 20031212 |