MXPA96005046A - Derivatives of adenos - Google Patents
Derivatives of adenosInfo
- Publication number
- MXPA96005046A MXPA96005046A MXPA/A/1996/005046A MX9605046A MXPA96005046A MX PA96005046 A MXPA96005046 A MX PA96005046A MX 9605046 A MX9605046 A MX 9605046A MX PA96005046 A MXPA96005046 A MX PA96005046A
- Authority
- MX
- Mexico
- Prior art keywords
- compound
- formula
- alkyl
- adenosine
- compounds
- Prior art date
Links
- 150000001875 compounds Chemical class 0.000 claims abstract description 187
- 125000000217 alkyl group Chemical group 0.000 claims abstract description 27
- 125000000753 cycloalkyl group Chemical group 0.000 claims abstract description 13
- 229910052739 hydrogen Inorganic materials 0.000 claims abstract description 12
- 239000001257 hydrogen Substances 0.000 claims abstract description 12
- 229910052736 halogen Inorganic materials 0.000 claims abstract description 9
- 150000002367 halogens Chemical class 0.000 claims abstract description 9
- 125000005350 hydroxycycloalkyl group Chemical group 0.000 claims abstract description 4
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 claims abstract description 4
- 150000002431 hydrogen Chemical group 0.000 claims abstract 5
- 239000000203 mixture Substances 0.000 claims description 41
- 238000000034 method Methods 0.000 claims description 28
- 208000002193 Pain Diseases 0.000 claims description 23
- HVYWMOMLDIMFJA-DPAQBDIFSA-N (3β)-Cholest-5-en-3-ol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 claims description 18
- 230000036407 pain Effects 0.000 claims description 17
- 210000004369 Blood Anatomy 0.000 claims description 14
- 230000000202 analgesic Effects 0.000 claims description 14
- 239000008280 blood Substances 0.000 claims description 14
- 235000014113 dietary fatty acids Nutrition 0.000 claims description 14
- 239000000194 fatty acid Substances 0.000 claims description 14
- 150000004665 fatty acids Chemical class 0.000 claims description 14
- 239000002126 C01EB10 - Adenosine Substances 0.000 claims description 13
- OIRDTQYFTABQOQ-SXVXDFOESA-N Adenosine Natural products Nc1ncnc2c1ncn2[C@@H]3O[C@@H](CO)[C@H](O)[C@@H]3O OIRDTQYFTABQOQ-SXVXDFOESA-N 0.000 claims description 12
- 206010012601 Diabetes mellitus Diseases 0.000 claims description 12
- 229960005305 adenosine Drugs 0.000 claims description 12
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 12
- 150000002632 lipids Chemical class 0.000 claims description 12
- 239000003814 drug Substances 0.000 claims description 11
- 229940107161 Cholesterol Drugs 0.000 claims description 9
- 238000002360 preparation method Methods 0.000 claims description 9
- 238000004519 manufacturing process Methods 0.000 claims description 8
- 206010003119 Arrhythmia Diseases 0.000 claims description 7
- 206010007521 Cardiac arrhythmias Diseases 0.000 claims description 7
- 208000010125 Myocardial Infarction Diseases 0.000 claims description 7
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 7
- OIRDTQYFTABQOQ-GAWUUDPSSA-N 9-β-D-XYLOFURANOSYL-ADENINE Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](CO)[C@H](O)[C@H]1O OIRDTQYFTABQOQ-GAWUUDPSSA-N 0.000 claims description 6
- 125000003545 alkoxy group Chemical group 0.000 claims description 6
- 230000001684 chronic Effects 0.000 claims description 6
- 125000004435 hydrogen atoms Chemical group [H]* 0.000 claims description 6
- 206010020772 Hypertension Diseases 0.000 claims description 5
- 206010061216 Infarction Diseases 0.000 claims description 5
- 230000002401 inhibitory effect Effects 0.000 claims description 5
- 208000005298 Acute Pain Diseases 0.000 claims description 4
- 210000001772 Blood Platelets Anatomy 0.000 claims description 4
- 208000006575 Hypertriglyceridemia Diseases 0.000 claims description 4
- 230000004913 activation Effects 0.000 claims description 4
- 238000004220 aggregation Methods 0.000 claims description 4
- 230000002776 aggregation Effects 0.000 claims description 4
- 150000008051 alkyl sulfates Chemical class 0.000 claims description 4
- 239000003937 drug carrier Substances 0.000 claims description 4
- 230000004064 dysfunction Effects 0.000 claims description 4
- 206010007559 Cardiac failure congestive Diseases 0.000 claims description 3
- 208000007322 Death, Sudden, Cardiac Diseases 0.000 claims description 3
- 210000000265 Leukocytes Anatomy 0.000 claims description 3
- 208000004296 Neuralgia Diseases 0.000 claims description 3
- 206010049418 Sudden cardiac death Diseases 0.000 claims description 3
- 201000006233 congestive heart failure Diseases 0.000 claims description 3
- 239000003085 diluting agent Substances 0.000 claims description 3
- 239000003444 phase transfer catalyst Substances 0.000 claims description 3
- JAKAFSGZUXCHLF-LSCFUAHRSA-N (2R,3R,4R,5R)-5-[6-(cyclohexylamino)purin-9-yl]-2-(hydroxymethyl)-4-methoxyoxolan-3-ol Chemical compound CO[C@@H]1[C@H](O)[C@@H](CO)O[C@H]1N1C2=NC=NC(NC3CCCCC3)=C2N=C1 JAKAFSGZUXCHLF-LSCFUAHRSA-N 0.000 claims description 2
- 125000003903 2-propenyl group Chemical group [H]C([*])([H])C([H])=C([H])[H] 0.000 claims description 2
- 206010038435 Renal failure Diseases 0.000 claims description 2
- 125000000304 alkynyl group Chemical group 0.000 claims description 2
- 150000001602 bicycloalkyls Chemical group 0.000 claims description 2
- 239000003218 coronary vasodilator agent Substances 0.000 claims description 2
- 125000003187 heptyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 claims description 2
- 201000006370 kidney failure Diseases 0.000 claims description 2
- 125000001624 naphthyl group Chemical group 0.000 claims description 2
- 210000004165 Myocardium Anatomy 0.000 claims 1
- 206010047139 Vasoconstriction Diseases 0.000 claims 1
- 125000004054 acenaphthylenyl group Chemical group C1(=CC2=CC=CC3=CC=CC1=C23)* 0.000 claims 1
- 125000002877 alkyl aryl group Chemical group 0.000 claims 1
- 239000008194 pharmaceutical composition Substances 0.000 claims 1
- 239000008024 pharmaceutical diluent Substances 0.000 claims 1
- 230000025033 vasoconstriction Effects 0.000 claims 1
- 239000002904 solvent Substances 0.000 abstract description 12
- 239000000730 antalgic agent Substances 0.000 abstract description 4
- DZLFLBLQUQXARW-UHFFFAOYSA-N tetrabutylammonium Chemical group CCCC[N+](CCCC)(CCCC)CCCC DZLFLBLQUQXARW-UHFFFAOYSA-N 0.000 abstract description 4
- 238000005804 alkylation reaction Methods 0.000 abstract 1
- 125000006448 cycloalkyl cycloalkyl group Chemical group 0.000 abstract 1
- 125000002768 hydroxyalkyl group Chemical group 0.000 abstract 1
- XEKOWRVHYACXOJ-UHFFFAOYSA-N acetic acid ethyl ester Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 42
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 39
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 description 30
- YXFVVABEGXRONW-UHFFFAOYSA-N toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 28
- 239000007787 solid Substances 0.000 description 27
- 241000700159 Rattus Species 0.000 description 25
- 230000000694 effects Effects 0.000 description 23
- 239000008103 glucose Substances 0.000 description 22
- WQZGKKKJIJFFOK-GASJEMHNSA-N D-Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 21
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 20
- 102000004877 Insulin Human genes 0.000 description 15
- 108090001061 Insulin Proteins 0.000 description 15
- 235000019441 ethanol Nutrition 0.000 description 15
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 15
- 239000000725 suspension Substances 0.000 description 12
- 238000003756 stirring Methods 0.000 description 11
- 208000004454 Hyperalgesia Diseases 0.000 description 10
- 208000007999 Hyperesthesia Diseases 0.000 description 10
- 239000000047 product Substances 0.000 description 10
- 108020003175 receptors Proteins 0.000 description 10
- 102000005962 receptors Human genes 0.000 description 10
- 239000002775 capsule Substances 0.000 description 9
- 238000001914 filtration Methods 0.000 description 9
- 238000007792 addition Methods 0.000 description 8
- 230000037396 body weight Effects 0.000 description 8
- 150000003626 triacylglycerols Chemical class 0.000 description 8
- 239000003981 vehicle Substances 0.000 description 8
- 241001465754 Metazoa Species 0.000 description 7
- 210000002381 Plasma Anatomy 0.000 description 7
- 238000006243 chemical reaction Methods 0.000 description 7
- 201000010099 disease Diseases 0.000 description 7
- 229940079593 drugs Drugs 0.000 description 7
- 238000001990 intravenous administration Methods 0.000 description 7
- YMWUJEATGCHHMB-UHFFFAOYSA-N methylene dichloride Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 7
- 239000000243 solution Substances 0.000 description 7
- 239000003826 tablet Substances 0.000 description 7
- 230000027455 binding Effects 0.000 description 6
- 210000004027 cells Anatomy 0.000 description 6
- 238000001953 recrystallisation Methods 0.000 description 6
- HEMHJVSKTPXQMS-UHFFFAOYSA-M sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 6
- 230000000638 stimulation Effects 0.000 description 6
- IMLXLGZJLAOKJN-UHFFFAOYSA-N 4-aminocyclohexan-1-ol Chemical compound NC1CCC(O)CC1 IMLXLGZJLAOKJN-UHFFFAOYSA-N 0.000 description 5
- 241000282414 Homo sapiens Species 0.000 description 5
- 230000000747 cardiac effect Effects 0.000 description 5
- 235000012000 cholesterol Nutrition 0.000 description 5
- 238000002347 injection Methods 0.000 description 5
- 239000007924 injection Substances 0.000 description 5
- 230000004130 lipolysis Effects 0.000 description 5
- IMNFDUFMRHMDMM-UHFFFAOYSA-N n-heptane Chemical compound CCCCCCC IMNFDUFMRHMDMM-UHFFFAOYSA-N 0.000 description 5
- 239000012044 organic layer Substances 0.000 description 5
- QAOWNCQODCNURD-UHFFFAOYSA-L sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 5
- SZBULDQSDUXAPJ-WXURJZIFSA-N (3R,4S)-2-[6-(cyclohexylamino)purin-9-yl]-5-(hydroxymethyl)oxolane-3,4-diol Chemical compound O[C@@H]1[C@H](O)C(CO)OC1N1C2=NC=NC(NC3CCCCC3)=C2N=C1 SZBULDQSDUXAPJ-WXURJZIFSA-N 0.000 description 4
- VHYFNPMBLIVWCW-UHFFFAOYSA-N 4-Dimethylaminopyridine Chemical compound CN(C)C1=CC=NC=C1 VHYFNPMBLIVWCW-UHFFFAOYSA-N 0.000 description 4
- 206010061592 Cardiac fibrillation Diseases 0.000 description 4
- 206010061255 Ischaemia Diseases 0.000 description 4
- 210000002414 Leg Anatomy 0.000 description 4
- 208000003734 Supraventricular Tachycardia Diseases 0.000 description 4
- FYSNRJHAOHDILO-UHFFFAOYSA-N Thionyl chloride Chemical compound ClS(Cl)=O FYSNRJHAOHDILO-UHFFFAOYSA-N 0.000 description 4
- 239000002253 acid Substances 0.000 description 4
- 210000001789 adipocyte Anatomy 0.000 description 4
- 230000036772 blood pressure Effects 0.000 description 4
- 239000006071 cream Substances 0.000 description 4
- 230000001419 dependent Effects 0.000 description 4
- 239000002552 dosage form Substances 0.000 description 4
- 230000002600 fibrillogenic Effects 0.000 description 4
- 239000000499 gel Substances 0.000 description 4
- 238000010348 incorporation Methods 0.000 description 4
- 239000007788 liquid Substances 0.000 description 4
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 4
- 238000002844 melting Methods 0.000 description 4
- 230000002981 neuropathic Effects 0.000 description 4
- 239000003960 organic solvent Substances 0.000 description 4
- JUJWROOIHBZHMG-UHFFFAOYSA-N pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 4
- 239000000741 silica gel Substances 0.000 description 4
- 229910002027 silica gel Inorganic materials 0.000 description 4
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 4
- 239000011780 sodium chloride Substances 0.000 description 4
- 230000000213 tachycardiac Effects 0.000 description 4
- 229940035676 ANALGESICS Drugs 0.000 description 3
- 102000009914 Adenosine deaminases Human genes 0.000 description 3
- 108091022188 Adenosine deaminases Proteins 0.000 description 3
- 108050000203 Adenosine receptors Proteins 0.000 description 3
- 102000009346 Adenosine receptors Human genes 0.000 description 3
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 3
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 3
- 102000018711 Facilitative Glucose Transport Proteins Human genes 0.000 description 3
- 108010027279 Facilitative Glucose Transport Proteins Proteins 0.000 description 3
- 210000001105 Femoral Artery Anatomy 0.000 description 3
- 241000282412 Homo Species 0.000 description 3
- UGQMRVRMYYASKQ-KMPDEGCQSA-N Inosine Natural products O[C@H]1[C@H](O)[C@@H](CO)O[C@@H]1N1C(N=CNC2=O)=C2N=C1 UGQMRVRMYYASKQ-KMPDEGCQSA-N 0.000 description 3
- UGQMRVRMYYASKQ-KQYNXXCUSA-N Inosine Chemical compound O[C@@H]1[C@H](O)[C@@H](CO)O[C@H]1N1C2=NC=NC(O)=C2N=C1 UGQMRVRMYYASKQ-KQYNXXCUSA-N 0.000 description 3
- GUBGYTABKSRVRQ-UUNJERMWSA-N Lactose Natural products O([C@@H]1[C@H](O)[C@H](O)[C@H](O)O[C@@H]1CO)[C@H]1[C@@H](O)[C@@H](O)[C@H](O)[C@H](CO)O1 GUBGYTABKSRVRQ-UUNJERMWSA-N 0.000 description 3
- 241000282560 Macaca mulatta Species 0.000 description 3
- 102100000775 REN Human genes 0.000 description 3
- 108090000783 Renin Proteins 0.000 description 3
- 210000002966 Serum Anatomy 0.000 description 3
- 241000282898 Sus scrofa Species 0.000 description 3
- 150000003835 adenosine derivatives Chemical class 0.000 description 3
- 239000002671 adjuvant Substances 0.000 description 3
- 230000000240 adjuvant Effects 0.000 description 3
- 230000004872 arterial blood pressure Effects 0.000 description 3
- 230000001746 atrial Effects 0.000 description 3
- 238000004587 chromatography analysis Methods 0.000 description 3
- 238000001816 cooling Methods 0.000 description 3
- 201000008739 coronary artery disease Diseases 0.000 description 3
- 230000002354 daily Effects 0.000 description 3
- 238000011049 filling Methods 0.000 description 3
- 239000006260 foam Substances 0.000 description 3
- 235000013305 food Nutrition 0.000 description 3
- PEDCQBHIVMGVHV-UHFFFAOYSA-N glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 3
- 238000010438 heat treatment Methods 0.000 description 3
- 230000002757 inflammatory Effects 0.000 description 3
- 229960003786 inosine Drugs 0.000 description 3
- 239000008101 lactose Substances 0.000 description 3
- GUBGYTABKSRVRQ-XLOQQCSPSA-N lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 239000002674 ointment Substances 0.000 description 3
- 238000007911 parenteral administration Methods 0.000 description 3
- KWYUFKZDYYNOTN-UHFFFAOYSA-M potassium hydroxide Chemical compound [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 description 3
- 239000003755 preservative agent Substances 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 239000000600 sorbitol Substances 0.000 description 3
- 235000010356 sorbitol Nutrition 0.000 description 3
- 239000007921 spray Substances 0.000 description 3
- 239000007858 starting material Substances 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 239000006188 syrup Substances 0.000 description 3
- 235000020357 syrup Nutrition 0.000 description 3
- WYURNTSHIVDZCO-UHFFFAOYSA-N tetrahydrofuran Chemical group C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 3
- SFLSHLFXELFNJZ-QMMMGPOBSA-N (-)-norepinephrine Chemical compound NC[C@H](O)C1=CC=C(O)C(O)=C1 SFLSHLFXELFNJZ-QMMMGPOBSA-N 0.000 description 2
- PQMCFTMVQORYJC-PHDIDXHHSA-N (1R,2R)-2-aminocyclohexan-1-ol Chemical compound N[C@@H]1CCCC[C@H]1O PQMCFTMVQORYJC-PHDIDXHHSA-N 0.000 description 2
- JFFOUICIRBXFRC-RFZPGFLSSA-N (1R,2R)-2-aminocyclopentan-1-ol Chemical compound N[C@@H]1CCC[C@H]1O JFFOUICIRBXFRC-RFZPGFLSSA-N 0.000 description 2
- RYHBNJHYFVUHQT-UHFFFAOYSA-N 1,4-dioxane Chemical compound C1COCCO1 RYHBNJHYFVUHQT-UHFFFAOYSA-N 0.000 description 2
- JWZZKOKVBUJMES-UHFFFAOYSA-N 4-{1-hydroxy-2-[(propan-2-yl)amino]ethyl}benzene-1,2-diol Chemical compound CC(C)NCC(O)C1=CC=C(O)C(O)=C1 JWZZKOKVBUJMES-UHFFFAOYSA-N 0.000 description 2
- 210000000577 Adipose Tissue Anatomy 0.000 description 2
- 210000000709 Aorta Anatomy 0.000 description 2
- 210000001992 Atrioventricular Node Anatomy 0.000 description 2
- PAOANWZGLPPROA-RQXXJAGISA-N CGS-21680 Chemical compound O[C@@H]1[C@H](O)[C@@H](C(=O)NCC)O[C@H]1N1C2=NC(NCCC=3C=CC(CCC(O)=O)=CC=3)=NC(N)=C2N=C1 PAOANWZGLPPROA-RQXXJAGISA-N 0.000 description 2
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 2
- 208000000094 Chronic Pain Diseases 0.000 description 2
- PAFZNILMFXTMIY-UHFFFAOYSA-N Cyclohexylamine Chemical compound NC1CCCCC1 PAFZNILMFXTMIY-UHFFFAOYSA-N 0.000 description 2
- 208000001636 Diabetic Neuropathy Diseases 0.000 description 2
- 206010012680 Diabetic neuropathy Diseases 0.000 description 2
- 210000003989 Endothelium, Vascular Anatomy 0.000 description 2
- 210000002683 Foot Anatomy 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 2
- CGIGDMFJXJATDK-UHFFFAOYSA-N Indometacin Chemical compound CC1=C(CC(O)=O)C2=CC(OC)=CC=C2N1C(=O)C1=CC=C(Cl)C=C1 CGIGDMFJXJATDK-UHFFFAOYSA-N 0.000 description 2
- 229940039009 Isoproterenol Drugs 0.000 description 2
- 210000004731 Jugular Veins Anatomy 0.000 description 2
- 235000010643 Leucaena leucocephala Nutrition 0.000 description 2
- 240000007472 Leucaena leucocephala Species 0.000 description 2
- 241000124008 Mammalia Species 0.000 description 2
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 2
- BQJCRHHNABKAKU-KBQPJGBKSA-N Morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 description 2
- 229960002748 Norepinephrine Drugs 0.000 description 2
- 241000283973 Oryctolagus cuniculus Species 0.000 description 2
- 206010034636 Peripheral vascular disease Diseases 0.000 description 2
- 208000004550 Postoperative Pain Diseases 0.000 description 2
- 208000000399 Procedural Pain Diseases 0.000 description 2
- WYVAMUWZEOHJOQ-UHFFFAOYSA-N Propionic anhydride Chemical compound CCC(=O)OC(=O)CC WYVAMUWZEOHJOQ-UHFFFAOYSA-N 0.000 description 2
- 241000779819 Syncarpia glomulifera Species 0.000 description 2
- FPGGTKZVZWFYPV-UHFFFAOYSA-M Tetra-n-butylammonium fluoride Chemical compound [F-].CCCC[N+](CCCC)(CCCC)CCCC FPGGTKZVZWFYPV-UHFFFAOYSA-M 0.000 description 2
- IMFACGCPASFAPR-UHFFFAOYSA-N Tributylamine Chemical compound CCCCN(CCCC)CCCC IMFACGCPASFAPR-UHFFFAOYSA-N 0.000 description 2
- 229940036248 Turpentine Drugs 0.000 description 2
- 210000002700 Urine Anatomy 0.000 description 2
- 101710026087 ZDHHC23 Proteins 0.000 description 2
- ZCHPKWUIAASXPV-UHFFFAOYSA-N acetic acid;methanol Chemical compound OC.CC(O)=O ZCHPKWUIAASXPV-UHFFFAOYSA-N 0.000 description 2
- 239000000654 additive Substances 0.000 description 2
- 230000001058 adult Effects 0.000 description 2
- 150000001412 amines Chemical class 0.000 description 2
- 230000003276 anti-hypertensive Effects 0.000 description 2
- 239000002220 antihypertensive agent Substances 0.000 description 2
- 239000007864 aqueous solution Substances 0.000 description 2
- 239000002585 base Substances 0.000 description 2
- GDTBXPJZTBHREO-UHFFFAOYSA-N bromine Substances BrBr GDTBXPJZTBHREO-UHFFFAOYSA-N 0.000 description 2
- WKBOTKDWSSQWDR-UHFFFAOYSA-N bromine atom Chemical compound [Br] WKBOTKDWSSQWDR-UHFFFAOYSA-N 0.000 description 2
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 239000000460 chlorine Substances 0.000 description 2
- 229910052801 chlorine Inorganic materials 0.000 description 2
- ZAMOUSCENKQFHK-UHFFFAOYSA-N chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 description 2
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 description 2
- 125000001511 cyclopentyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 description 2
- 230000003247 decreasing Effects 0.000 description 2
- 238000010511 deprotection reaction Methods 0.000 description 2
- 238000003745 diagnosis Methods 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- 238000001035 drying Methods 0.000 description 2
- 235000020828 fasting Nutrition 0.000 description 2
- 239000003925 fat Substances 0.000 description 2
- 235000019197 fats Nutrition 0.000 description 2
- 239000000945 filler Substances 0.000 description 2
- 239000008273 gelatin Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 235000011852 gelatine desserts Nutrition 0.000 description 2
- DHMQDGOQFOQNFH-UHFFFAOYSA-N glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 description 2
- VLKZOEOYAKHREP-UHFFFAOYSA-N hexane Chemical compound CCCCCC VLKZOEOYAKHREP-UHFFFAOYSA-N 0.000 description 2
- 238000006460 hydrolysis reaction Methods 0.000 description 2
- -1 impregnated bandages Substances 0.000 description 2
- 239000012442 inert solvent Substances 0.000 description 2
- 238000007918 intramuscular administration Methods 0.000 description 2
- 229960001317 isoprenaline Drugs 0.000 description 2
- 239000010410 layer Substances 0.000 description 2
- 239000003446 ligand Substances 0.000 description 2
- 238000011068 load Methods 0.000 description 2
- 239000006210 lotion Substances 0.000 description 2
- 235000019359 magnesium stearate Nutrition 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 239000002207 metabolite Substances 0.000 description 2
- OKKJLVBELUTLKV-UHFFFAOYSA-N methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 2
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 2
- 229940016286 microcrystalline cellulose Drugs 0.000 description 2
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 2
- 239000008108 microcrystalline cellulose Substances 0.000 description 2
- 238000002156 mixing Methods 0.000 description 2
- 229960005181 morphine Drugs 0.000 description 2
- 229930014694 morphine Natural products 0.000 description 2
- 239000012454 non-polar solvent Substances 0.000 description 2
- 239000000041 non-steroidal anti-inflammatory agent Substances 0.000 description 2
- 230000002085 persistent Effects 0.000 description 2
- 230000000144 pharmacologic effect Effects 0.000 description 2
- 239000001739 pinus spp. Substances 0.000 description 2
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 2
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- 230000002335 preservative Effects 0.000 description 2
- 230000002035 prolonged Effects 0.000 description 2
- BDERNNFJNOPAEC-UHFFFAOYSA-N propanol Chemical compound CCCO BDERNNFJNOPAEC-UHFFFAOYSA-N 0.000 description 2
- DNIAPMSPPWPWGF-UHFFFAOYSA-N propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 2
- 230000001681 protective Effects 0.000 description 2
- 238000000746 purification Methods 0.000 description 2
- 239000003379 purinergic P1 receptor agonist Substances 0.000 description 2
- 239000000018 receptor agonist Substances 0.000 description 2
- 230000002829 reduced Effects 0.000 description 2
- 238000010992 reflux Methods 0.000 description 2
- 230000000268 renotropic Effects 0.000 description 2
- 230000033764 rhythmic process Effects 0.000 description 2
- 150000003839 salts Chemical class 0.000 description 2
- 230000028327 secretion Effects 0.000 description 2
- 230000035945 sensitivity Effects 0.000 description 2
- 238000009331 sowing Methods 0.000 description 2
- 239000006228 supernatant Substances 0.000 description 2
- 230000002459 sustained Effects 0.000 description 2
- 238000010998 test method Methods 0.000 description 2
- VEPTXBCIDSFGBF-UHFFFAOYSA-M tetrabutylazanium;fluoride;trihydrate Chemical compound O.O.O.[F-].CCCC[N+](CCCC)(CCCC)CCCC VEPTXBCIDSFGBF-UHFFFAOYSA-M 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 230000000699 topical Effects 0.000 description 2
- 239000012049 topical pharmaceutical composition Substances 0.000 description 2
- 230000024883 vasodilation Effects 0.000 description 2
- 230000002861 ventricular Effects 0.000 description 2
- 238000005406 washing Methods 0.000 description 2
- ZWEDZRMXUYAQAT-IWKSVZPTSA-N (2R,3R,4R,5R)-5-(6-amino-6-cyclohexyl-8H-purin-9-yl)-2-(hydroxymethyl)-4-methoxyoxolan-3-ol Chemical compound CO[C@@H]1[C@H](O)[C@@H](CO)O[C@H]1N1C2=NC=NC(C3CCCCC3)(N)C2=NC1 ZWEDZRMXUYAQAT-IWKSVZPTSA-N 0.000 description 1
- SCNILGOVBBRMBK-SDBHATRESA-N (2R,3R,4S,5R)-2-(6-amino-2-anilinopurin-9-yl)-5-(hydroxymethyl)oxolane-3,4-diol Chemical compound N=1C=2N([C@H]3[C@@H]([C@H](O)[C@@H](CO)O3)O)C=NC=2C(N)=NC=1NC1=CC=CC=C1 SCNILGOVBBRMBK-SDBHATRESA-N 0.000 description 1
- DCTCPVNZISLMSS-SDBHATRESA-N (2R,3R,4S,5R)-2-(6-aminopurin-9-yl)-2-cyclopentyl-5-(hydroxymethyl)oxolane-3,4-diol Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@]1(C2CCCC2)O[C@H](CO)[C@@H](O)[C@H]1O DCTCPVNZISLMSS-SDBHATRESA-N 0.000 description 1
- JLPULHDHAOZNQI-ZTIMHPMXSA-N 1-hexadecanoyl-2-(9Z,12Z-octadecadienoyl)-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCC\C=C/C\C=C/CCCCC JLPULHDHAOZNQI-ZTIMHPMXSA-N 0.000 description 1
- 125000000143 2-carboxyethyl group Chemical group [H]OC(=O)C([H])([H])C([H])([H])* 0.000 description 1
- CWSZBVAUYPTXTG-UHFFFAOYSA-N 5-[6-[[3,4-dihydroxy-6-(hydroxymethyl)-5-methoxyoxan-2-yl]oxymethyl]-3,4-dihydroxy-5-[4-hydroxy-3-(2-hydroxyethoxy)-6-(hydroxymethyl)-5-methoxyoxan-2-yl]oxyoxan-2-yl]oxy-6-(hydroxymethyl)-2-methyloxane-3,4-diol Chemical compound O1C(CO)C(OC)C(O)C(O)C1OCC1C(OC2C(C(O)C(OC)C(CO)O2)OCCO)C(O)C(O)C(OC2C(OC(C)C(O)C2O)CO)O1 CWSZBVAUYPTXTG-UHFFFAOYSA-N 0.000 description 1
- 108010060263 Adenosine A1 receptor Proteins 0.000 description 1
- 102000028568 Adenosine A1 receptor Human genes 0.000 description 1
- 206010053552 Allodynia Diseases 0.000 description 1
- 235000019489 Almond oil Nutrition 0.000 description 1
- 229940063655 Aluminum stearate Drugs 0.000 description 1
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010002388 Angina unstable Diseases 0.000 description 1
- 210000000702 Aorta, Abdominal Anatomy 0.000 description 1
- 206010003210 Arteriosclerosis Diseases 0.000 description 1
- 206010003246 Arthritis Diseases 0.000 description 1
- 241000416162 Astragalus gummifer Species 0.000 description 1
- 206010003658 Atrial fibrillation Diseases 0.000 description 1
- 206010003668 Atrial tachycardia Diseases 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- 208000006218 Bradycardia Diseases 0.000 description 1
- 210000004556 Brain Anatomy 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- 206010007541 Cardiac disease Diseases 0.000 description 1
- 206010007554 Cardiac failure Diseases 0.000 description 1
- 210000001715 Carotid Arteries Anatomy 0.000 description 1
- 208000001387 Causalgia Diseases 0.000 description 1
- 210000000078 Claw Anatomy 0.000 description 1
- HEMJJKBWTPKOJG-UHFFFAOYSA-N Clearol Chemical compound CC1=CC=C(C)C(OCCCC(C)(C)C(O)=O)=C1 HEMJJKBWTPKOJG-UHFFFAOYSA-N 0.000 description 1
- 102000020504 Collagenase family Human genes 0.000 description 1
- 108060005980 Collagenase family Proteins 0.000 description 1
- 229920002261 Corn starch Polymers 0.000 description 1
- 208000001778 Coronary Occlusion Diseases 0.000 description 1
- 210000004351 Coronary Vessels Anatomy 0.000 description 1
- 206010011086 Coronary artery occlusion Diseases 0.000 description 1
- 229960000913 Crospovidone Drugs 0.000 description 1
- VAYGXNSJCAHWJZ-UHFFFAOYSA-N Dimethyl sulfate Chemical compound COS(=O)(=O)OC VAYGXNSJCAHWJZ-UHFFFAOYSA-N 0.000 description 1
- 108010015776 EC 1.1.3.4 Proteins 0.000 description 1
- 229940110715 ENZYMES FOR TREATMENT OF WOUNDS AND ULCERS Drugs 0.000 description 1
- 206010014486 Elevated triglyceride Diseases 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- NUMQCACRALPSHD-UHFFFAOYSA-N Ethyl tert-butyl ether Chemical compound CCOC(C)(C)C NUMQCACRALPSHD-UHFFFAOYSA-N 0.000 description 1
- 230000036826 Excretion Effects 0.000 description 1
- 210000003191 Femoral Vein Anatomy 0.000 description 1
- 229940116332 GLUCOSE OXIDASE Drugs 0.000 description 1
- 239000004366 Glucose oxidase Substances 0.000 description 1
- 239000004471 Glycine Substances 0.000 description 1
- 210000001308 Heart Ventricles Anatomy 0.000 description 1
- 206010019280 Heart failure Diseases 0.000 description 1
- 239000004354 Hydroxyethyl cellulose Substances 0.000 description 1
- 229920000663 Hydroxyethyl cellulose Polymers 0.000 description 1
- HEFNNWSXXWATRW-UHFFFAOYSA-N Ibuprofen Chemical compound CC(C)CC1=CC=C(C(C)C(O)=O)C=C1 HEFNNWSXXWATRW-UHFFFAOYSA-N 0.000 description 1
- 229960000905 Indomethacin Drugs 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 206010065390 Inflammatory pain Diseases 0.000 description 1
- 210000003734 Kidney Anatomy 0.000 description 1
- 238000008214 LDL Cholesterol Methods 0.000 description 1
- 229940067606 Lecithin Drugs 0.000 description 1
- BZLVMXJERCGZMT-UHFFFAOYSA-N MeOtBu Chemical compound COC(C)(C)C BZLVMXJERCGZMT-UHFFFAOYSA-N 0.000 description 1
- 230000036650 Metabolic stability Effects 0.000 description 1
- LXCFILQKKLGQFO-UHFFFAOYSA-N Methylparaben Chemical group COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 description 1
- JGFZNNIVVJXRND-UHFFFAOYSA-N N,N-Diisopropylethylamine Chemical compound CCN(C(C)C)C(C)C JGFZNNIVVJXRND-UHFFFAOYSA-N 0.000 description 1
- PUPKPAZSFZOLOR-UHFFFAOYSA-N N,N-dimethylformamide;toluene Chemical compound CN(C)C=O.CC1=CC=CC=C1 PUPKPAZSFZOLOR-UHFFFAOYSA-N 0.000 description 1
- WHNWPMSKXPGLAX-UHFFFAOYSA-N N-Vinylpyrrolidone Chemical compound C=CN1CCCC1=O WHNWPMSKXPGLAX-UHFFFAOYSA-N 0.000 description 1
- SQMWSBKSHWARHU-SDBHATRESA-N N6-Cyclopentyladenosine Chemical compound O[C@@H]1[C@H](O)[C@@H](CO)O[C@H]1N1C2=NC=NC(NC3CCCC3)=C2N=C1 SQMWSBKSHWARHU-SDBHATRESA-N 0.000 description 1
- VQAYFKKCNSOZKM-IOSLPCCCSA-N N6-Methyladenosine Chemical compound C1=NC=2C(NC)=NC=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O VQAYFKKCNSOZKM-IOSLPCCCSA-N 0.000 description 1
- 210000001577 Neostriatum Anatomy 0.000 description 1
- 108090000854 Oxidoreductases Proteins 0.000 description 1
- 102000004316 Oxidoreductases Human genes 0.000 description 1
- 208000001293 Peripheral Nervous System Disease Diseases 0.000 description 1
- 206010034606 Peripheral neuropathy Diseases 0.000 description 1
- 229940072417 Peroxidase Drugs 0.000 description 1
- 102000003992 Peroxidases Human genes 0.000 description 1
- 108090000437 Peroxidases Proteins 0.000 description 1
- 229920005439 Perspex® Polymers 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 206010036376 Post herpetic neuralgia Diseases 0.000 description 1
- QELSKZZBTMNZEB-UHFFFAOYSA-N Propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 1
- 241000700157 Rattus norvegicus Species 0.000 description 1
- PYMYPHUHKUWMLA-LMVFSUKVSA-N Ribose Natural products OC[C@@H](O)[C@@H](O)[C@@H](O)C=O PYMYPHUHKUWMLA-LMVFSUKVSA-N 0.000 description 1
- 210000003497 Sciatic Nerve Anatomy 0.000 description 1
- 229940083542 Sodium Drugs 0.000 description 1
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 1
- 229940091252 Sodium supplements Drugs 0.000 description 1
- 229940075582 Sorbic Acid Drugs 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 229960001052 Streptozocin Drugs 0.000 description 1
- ZSJLQEPLLKMAKR-GKHCUFPYSA-N Streptozotocin Chemical compound O=NN(C)C(=O)N[C@H]1[C@@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O ZSJLQEPLLKMAKR-GKHCUFPYSA-N 0.000 description 1
- 208000001871 Tachycardia Diseases 0.000 description 1
- MSXVEPNJUHWQHW-UHFFFAOYSA-N Tert-Amyl alcohol Chemical compound CCC(C)(C)O MSXVEPNJUHWQHW-UHFFFAOYSA-N 0.000 description 1
- 229940116362 Tragacanth Drugs 0.000 description 1
- 229920001615 Tragacanth Polymers 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H Tricalcium phosphate Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- 208000007814 Unstable Angina Diseases 0.000 description 1
- 206010047141 Vasodilatation Diseases 0.000 description 1
- 210000003462 Veins Anatomy 0.000 description 1
- 206010047302 Ventricular tachycardia Diseases 0.000 description 1
- NWGKJDSIEKMTRX-HSACVWGTSA-N [(2R)-2-[(2R,3R,4S)-3,4-dihydroxyoxolan-2-yl]-2-hydroxyethyl] (E)-octadec-9-enoate Chemical compound CCCCCCCC\C=C\CCCCCCCC(=O)OC[C@@H](O)[C@H]1OC[C@H](O)[C@H]1O NWGKJDSIEKMTRX-HSACVWGTSA-N 0.000 description 1
- SFEQTFDQPJQUJM-XNIJJKJLSA-N [(2R,3R,4R,5R)-3,4-diacetyloxy-5-(6-oxo-3H-purin-9-yl)oxolan-2-yl]methyl acetate Chemical compound CC(=O)O[C@@H]1[C@H](OC(C)=O)[C@@H](COC(=O)C)O[C@H]1N1C(NC=NC2=O)=C2N=C1 SFEQTFDQPJQUJM-XNIJJKJLSA-N 0.000 description 1
- CDXSJGDDABYYJV-UHFFFAOYSA-N acetic acid;ethanol Chemical compound CCO.CC(O)=O CDXSJGDDABYYJV-UHFFFAOYSA-N 0.000 description 1
- 239000011149 active material Substances 0.000 description 1
- 238000005917 acylation reaction Methods 0.000 description 1
- 239000000443 aerosol Substances 0.000 description 1
- 230000004520 agglutination Effects 0.000 description 1
- 230000024126 agglutination involved in conjugation with cellular fusion Effects 0.000 description 1
- 150000008044 alkali metal hydroxides Chemical class 0.000 description 1
- 239000008168 almond oil Substances 0.000 description 1
- CEGOLXSVJUTHNZ-UHFFFAOYSA-K aluminium tristearate Chemical compound [Al+3].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CEGOLXSVJUTHNZ-UHFFFAOYSA-K 0.000 description 1
- 239000003708 ampul Substances 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000002399 angioplasty Methods 0.000 description 1
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 239000008346 aqueous phase Substances 0.000 description 1
- 201000001320 atherosclerosis Diseases 0.000 description 1
- 239000003637 basic solution Substances 0.000 description 1
- 238000004166 bioassay Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000012455 biphasic mixture Substances 0.000 description 1
- 238000009835 boiling Methods 0.000 description 1
- 230000036471 bradycardia Effects 0.000 description 1
- 239000012267 brine Substances 0.000 description 1
- 239000006172 buffering agent Substances 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 229910000389 calcium phosphate Inorganic materials 0.000 description 1
- 235000011010 calcium phosphates Nutrition 0.000 description 1
- 150000001720 carbohydrates Chemical class 0.000 description 1
- 235000014633 carbohydrates Nutrition 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 238000007675 cardiac surgery Methods 0.000 description 1
- 230000003293 cardioprotective Effects 0.000 description 1
- 150000001768 cations Chemical class 0.000 description 1
- 235000019994 cava Nutrition 0.000 description 1
- 238000005119 centrifugation Methods 0.000 description 1
- 125000001309 chloro group Chemical group Cl* 0.000 description 1
- 239000003240 coconut oil Substances 0.000 description 1
- 235000019864 coconut oil Nutrition 0.000 description 1
- 229960002424 collagenase Drugs 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 201000009541 complex regional pain syndrome Diseases 0.000 description 1
- 239000012050 conventional carrier Substances 0.000 description 1
- 239000008120 corn starch Substances 0.000 description 1
- 230000000875 corresponding Effects 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 238000002425 crystallisation Methods 0.000 description 1
- 230000005712 crystallization Effects 0.000 description 1
- 230000001186 cumulative Effects 0.000 description 1
- 125000001995 cyclobutyl group Chemical group [H]C1([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 description 1
- 125000000582 cycloheptyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 description 1
- ZJUGSKJHHWASAF-UHFFFAOYSA-N cyclohexylazanium;chloride Chemical compound [Cl-].[NH3+]C1CCCCC1 ZJUGSKJHHWASAF-UHFFFAOYSA-N 0.000 description 1
- 125000000640 cyclooctyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C([H])([H])C1([H])[H] 0.000 description 1
- 230000000994 depressed Effects 0.000 description 1
- 230000003205 diastolic Effects 0.000 description 1
- 235000005911 diet Nutrition 0.000 description 1
- 230000037213 diet Effects 0.000 description 1
- 230000029087 digestion Effects 0.000 description 1
- 238000007865 diluting Methods 0.000 description 1
- DROMNWUQASBTFM-UHFFFAOYSA-N dinonyl benzene-1,2-dicarboxylate Chemical compound CCCCCCCCCOC(=O)C1=CC=CC=C1C(=O)OCCCCCCCCC DROMNWUQASBTFM-UHFFFAOYSA-N 0.000 description 1
- 239000007884 disintegrant Substances 0.000 description 1
- 231100000673 dose–response relationship Toxicity 0.000 description 1
- 239000008157 edible vegetable oil Substances 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 239000003974 emollient agent Substances 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 239000000839 emulsion Substances 0.000 description 1
- 238000005538 encapsulation Methods 0.000 description 1
- 230000002708 enhancing Effects 0.000 description 1
- 239000002702 enteric coating Substances 0.000 description 1
- 238000009505 enteric coating Methods 0.000 description 1
- 230000002255 enzymatic Effects 0.000 description 1
- 238000001952 enzyme assay Methods 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000000706 filtrate Substances 0.000 description 1
- 239000000796 flavoring agent Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000011737 fluorine Substances 0.000 description 1
- 229910052731 fluorine Inorganic materials 0.000 description 1
- YCKRFDGAMUMZLT-UHFFFAOYSA-N fluorine atom Chemical compound [F] YCKRFDGAMUMZLT-UHFFFAOYSA-N 0.000 description 1
- 239000011888 foil Substances 0.000 description 1
- 235000013355 food flavoring agent Nutrition 0.000 description 1
- 238000005755 formation reaction Methods 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 238000001640 fractional crystallisation Methods 0.000 description 1
- 229960003627 gemfibrozil Drugs 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 235000019420 glucose oxidase Nutrition 0.000 description 1
- 230000004190 glucose uptake Effects 0.000 description 1
- 235000011187 glycerol Nutrition 0.000 description 1
- 150000002314 glycerols Chemical class 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- 238000005469 granulation Methods 0.000 description 1
- 230000003179 granulation Effects 0.000 description 1
- 230000002140 halogenating Effects 0.000 description 1
- 238000005658 halogenation reaction Methods 0.000 description 1
- 230000000004 hemodynamic Effects 0.000 description 1
- 239000008079 hexane Substances 0.000 description 1
- 239000003906 humectant Substances 0.000 description 1
- 150000004677 hydrates Chemical class 0.000 description 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 1
- 230000003301 hydrolyzing Effects 0.000 description 1
- 235000019447 hydroxyethyl cellulose Nutrition 0.000 description 1
- 230000003516 hyperlipidaemic Effects 0.000 description 1
- 230000001631 hypertensive Effects 0.000 description 1
- 229960001680 ibuprofen Drugs 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000028709 inflammatory response Effects 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 230000030214 innervation Effects 0.000 description 1
- 201000004332 intermediate coronary syndrome Diseases 0.000 description 1
- 230000000302 ischemic Effects 0.000 description 1
- 125000000959 isobutyl group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])* 0.000 description 1
- 125000001449 isopropyl group Chemical group [H]C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 235000010445 lecithin Nutrition 0.000 description 1
- 239000000787 lecithin Substances 0.000 description 1
- 230000003902 lesions Effects 0.000 description 1
- 239000003589 local anesthetic agent Substances 0.000 description 1
- 239000007937 lozenge Substances 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 229920000609 methyl cellulose Polymers 0.000 description 1
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 description 1
- 238000007069 methylation reaction Methods 0.000 description 1
- 239000001923 methylcellulose Substances 0.000 description 1
- 235000010981 methylcellulose Nutrition 0.000 description 1
- 230000003278 mimic Effects 0.000 description 1
- 201000006417 multiple sclerosis Diseases 0.000 description 1
- 125000004108 n-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000004123 n-propyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 230000001537 neural Effects 0.000 description 1
- 230000004770 neurodegeneration Effects 0.000 description 1
- 231100001079 no serious adverse effect Toxicity 0.000 description 1
- 229940021182 non-steroidal anti-inflammatory drugs Drugs 0.000 description 1
- 239000002687 nonaqueous vehicle Substances 0.000 description 1
- 238000010899 nucleation Methods 0.000 description 1
- 239000003921 oil Substances 0.000 description 1
- 235000019198 oils Nutrition 0.000 description 1
- 239000003883 ointment base Substances 0.000 description 1
- 230000003204 osmotic Effects 0.000 description 1
- IAYPIBMASNFSPL-UHFFFAOYSA-N oxane Chemical compound C1CO1 IAYPIBMASNFSPL-UHFFFAOYSA-N 0.000 description 1
- UJJLJRQIPMGXEZ-UHFFFAOYSA-M oxolane-2-carboxylate Chemical compound [O-]C(=O)C1CCCO1 UJJLJRQIPMGXEZ-UHFFFAOYSA-M 0.000 description 1
- 239000003182 parenteral nutrition solution Substances 0.000 description 1
- 230000001314 paroxysmal Effects 0.000 description 1
- 230000036961 partial Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000036581 peripheral resistance Effects 0.000 description 1
- 239000012071 phase Substances 0.000 description 1
- 238000003408 phase transfer catalysis Methods 0.000 description 1
- 239000006187 pill Substances 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 239000004926 polymethyl methacrylate Substances 0.000 description 1
- 235000013809 polyvinylpolypyrrolidone Nutrition 0.000 description 1
- 229920000523 polyvinylpolypyrrolidone Polymers 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 description 1
- 230000035485 pulse pressure Effects 0.000 description 1
- 239000012264 purified product Substances 0.000 description 1
- 230000035484 reaction time Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000000717 retained Effects 0.000 description 1
- 150000003385 sodium Chemical class 0.000 description 1
- KEAYESYHFKHZAL-UHFFFAOYSA-N sodium Chemical compound [Na] KEAYESYHFKHZAL-UHFFFAOYSA-N 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 1
- WSWCOQWTEOXDQX-UHFFFAOYSA-N sorbic acid Chemical compound CC=CC=CC(O)=O WSWCOQWTEOXDQX-UHFFFAOYSA-N 0.000 description 1
- 235000010199 sorbic acid Nutrition 0.000 description 1
- 239000004334 sorbic acid Substances 0.000 description 1
- 239000001593 sorbitan monooleate Substances 0.000 description 1
- 235000011069 sorbitan monooleate Nutrition 0.000 description 1
- 229940035049 sorbitan monooleate Drugs 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 229940071117 starch glycolate Drugs 0.000 description 1
- 230000001954 sterilising Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 125000001424 substituent group Chemical group 0.000 description 1
- 235000000346 sugar Nutrition 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- ZXUCBXRTRRIBSO-UHFFFAOYSA-L tetrabutylazanium;sulfate Chemical compound [O-]S([O-])(=O)=O.CCCC[N+](CCCC)(CCCC)CCCC.CCCC[N+](CCCC)(CCCC)CCCC ZXUCBXRTRRIBSO-UHFFFAOYSA-L 0.000 description 1
- 230000002537 thrombolytic Effects 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 239000008009 topical excipient Substances 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
- 230000032258 transport Effects 0.000 description 1
- 150000004684 trihydrates Chemical class 0.000 description 1
- 238000009827 uniform distribution Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 239000008215 water for injection Substances 0.000 description 1
- 238000005303 weighing Methods 0.000 description 1
- 239000000080 wetting agent Substances 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N β-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
Abstract
The present invention relates to the compounds of the formula I: wherein R1 is one of several meanings, including cycloalkyl and hydroxycycloalkyl; R2 is hydrogen, alkyl with (C1-4), amino, cycloalkyl with (C3-5) or halogen with an atomic number from 9 to 35, and R3 is alkyl with (C1-4), which are useful as analgesic agents. The compounds of the formula I wherein R 1 is hydroxy alkyl are new. The compounds of the formula I can be produced by the alkylation at the tetrabutylammonium position and a non-pol solvent
Description
*, • * ADENOSINE DERIVATIVES
FIELD OF THE INVENTION
The present invention relates to adenosine derivatives, and in particular, provides a new use of the Al receptor agonists.
'' DESCRIPTION OF THE INVENTION
In particular, the present invention relates to a new use of the compounds of the formula (I):
where
is hydrogen, alkyl with (C, 1-,), allyl; metalyl;
REF: 23308
an alkynyl with branched or straight chain (C-,), cycloalkyl with (C-), hydroxy (C, g) -cycloalkyl, phenyl which is monosubstituted, or independently of each other, disubstituted by halogen with an atomic number from 9 to 35, alkyl with (£ 1-) »alkoxy with (C,,) or CF- ,; of enyl (C,,) alkyl wherein the phenyl ring is unsubstituted or is monosubstituted, or independently of each other, disubstituted by halogen having an atomic number of 9 to 35, alkyl with (C,,), alkoxy with (C,,) or CF_; alkyl with (C,,) having at least one hydroxy group or at least two phenyl groups, a bicycloalkyl such as endo- or exo-bicyclo [2, 2, 1] heptyl, a naphthyl group (C,) alkyl, an acenaphilenyl- (C.,) alkyl group or a group of the formula A or of the formula B
is hydrogen, a hydroxy group or an alkoxy group with (Cj ^) Q is hydrogen or hydroxyl, A is -CH--, -0-, -S- or a direct bond, Y is - (CH-) - or a direct link, is an integer from 1 to 3
and the dotted line in formula A represents an optional link,
R "is hydrogen, alkyl with (.C-,), amino, cycloalkyl with (C., -) or halogen with an atomic number of 9 to 35 and R_ is alkyl with (C,,).
Some of these compounds for example those in which R. is different from hydroxy cycloalkyl are known and described, for example, in published British Patent Application No. 2 226 027 A and European Patent Applications Nos. EP-0- 378 518 and EP-0-269 574, and USP 4,843,066 and 4,985,049. In the formulas described herein, the 2 ', 3', 4 'and 5' substituents of the tetrahydrofuran ring have the configuration as in adenosine. In a group of compounds under formula I,
R. is different from hydroxycycloalkyl. In another group of compounds under formula I, R 1 is hydroxy (C, _) cycloalkyl. Preferably the compound of formula I is 6-cyclohexyl-2'-O-methyl-adenosine, hereinafter referred to as Compound M. Typically the activity of adenosine A. in the preferred compounds of formula I can be determined as follow:-
Affinity towards adenosine receptors
The striatal pig membranes are prepared as previously described by H. Bruns et al., In Molecular Pharmacology 29 (1986) pages 331-344. He
3 H-NECA, a non-selective adenosine receptor agonist, is used to label the receptors of both A. and A-. The ICe0 values are derived from the displacement curves by fitting the least squares, non-linear, weighted curve to the Langmuir equation and the calculated pK-j values.
Table: Affinity of the adenosine receptor ligands towards the receptors of A. and A ^
ll Selectivity of A,: A- n (D: nM) (KD; nM)
CPA 0.74 + 0.08 930 + 110 1260 6
CV 1808 2460 + 757 269 + 70 0. 1 5
CGS 21680 4360 + 1080 18.6 + 4 0 .004 4
Compound M 23 + 2 24500 + 5160 1090 5 1.5 H-O
CPA * Cyclopentyladenosine CV 1808 »2-Phenylaminoadenosine (Carbohydrates vol.181 1974) ref. 91898 K) CGS 21680-2- [p- (2-Carboxyethyl) phenethylamino] -5'-N-ethyl carboxamido-adenosine (FASEB J, 1989, 3 (4) Refs. 4770/3)
According to the literature, the CPA has proved that it is a powerful and highly selective displacer of the binding or binding to the A receptor, the CV 1808 is a ligand of the relatively weak but selective A receptor and the CGS 21680 shows a selectivity and high power to receiver A ». The compound M in the form of its hydrate 1.5 shows good affinity and high selectivity towards the A ^ receptor against the A- receptor.
/ v 'The known compounds of the formula I are known to act as antihypertensive agents and coronary vasodilators. It is also known that the compounds of the formula 5 protect the vascular endothelium by inhibiting both the aggregation of the thrombocytes and the activation of the leukocytes. They also lower the lipid levels of the blood. In addition, the compounds of the formula I have a protective effect against the diseases caused by hypertension,
such as congestive heart failure, myocardial infarction or sudden cardiac death and renal failure (see European Patent Applications Nos. EP-0-378 518 and EP-0-269 574). These compounds are also known for the
treatment of disorders of neurodegeneration, peripheral neuropathies such as diabetic neuropathy and of disorders associated with peripheral vascular diseases and / or disorders associated with neuronal degeneration, hypertriglyceridemia / levels
of low HDL cholesterol, lipid dysfunction, high free fatty acids or type I or type J1 diabetes, including non-insulin-dependent diabetes, arrhythmias in particular, paroxysmal supraventricular tachycardia and tachycardia atrial fibrillation 25 cardiac and for protection against myocardial infarction
it gave . The present applicants have found that the compounds of formula I are particularly interesting analgesics, for example for the treatment of pain, for example acute or chronic pain. The analgesic activity of the compounds of the formula I makes them indicated by their analgesic activity in tests of standard animals, for example inflammatory and neuropathic models for example in the reduction of persistent inflammatory mechanical hyperanalgesia [(tests a) and b) ] and persistent neuropathic thermal hyperalgesia [test c)] indicative of chronic neuropathic pain.
Inflammatory hyperalgesia
Test a) Hyperalgesia induced by Freund's adjuvant
The rats are injected intra-articularly into a knee joint with Freund's complete adjuvant (1U0 microliters). The load that the rat will tolerate on this jy.erna decreases and remains depressed for up to 5 days. This effect is indicative of mechanical hyperalgesia, and is a response to NSAIDs and opiates. The compounds of the formula I are administered by injection
and preferably in oral form at doses from about 3 to 60 micrograms / kg of body weight of the animal. The increased load tolerated on the injected side is measured to determine the inversion of hyperalgesia. Compound M shows a particularly interesting activity on p.o. from about 3 to about 60 micrograms / kg with a duration of action of about 1 hour. There is no significant difference in the response between doses of 3, 30 and 60 micrograms / kg suggesting that the maximum effect has been reached in the range of 3 to 30 micrograms / kg.
Test b) Mechanical hyperalgesia induced by Turpentine
A local intraplantar injection of turpentine / para-raphine in the rat paw (posterior left) led to a local inflammatory response and a reduction in the extraction threshold (cut-off threshold of 340 g) for a mechanical stimulus (pressure of the paw). The compounds of the formula. I are active at doses from about 1 to 100 micrograms / kg p.o. or s.c. administered three days after injection, additional readings of threshold 1 and 3 hours are taken later.
Compound M shows significant activity at doses of 30 and 60 micrograms / kg orally, with the maximum effect at 30 micrograms / kg. Morphine has an ED5f value of 1.2 mg / kg s.c. in this test.
Neuropathic hyperalgesia
Test c) Neuropathic thermal hyperalgesia (according to the principles of Z. Seltzer et al., Pain, 1990, 43, 0 205-218)
The unilateral partial ligation of the sciatic nerve eliminates the fibers in all the innervation of a leg
0 claw of a rat. The rats developed hyperalgesia 15 to mechanical and thermal stimuli and allodynia of the leg to which the nerves were partially removed without the induction of autotomy. The animals are placed in a perspex box on a thin glass plate and a ramp-shaped heat stimulus is applied to the surface of the sole of a leg. The latent state to remove the leg is measured. The compounds of the formula
1 are active at doses from about 1 to about 100 micrograms / kg of injection (s.c. or preferably orally), administered 12 to 15 days
after nerve ligation. The compound M is particu-
larly active against thermal hyperalgesia. Compound M shows significant activity at doses of 30 and 60 micrograms / kg, with the maximum effect at 30 micrograms / kg. The ED, Q is almost 60 micrograms / kg p.o. Morphine has an ED5Q of almost 3 mg / kg in this test when it is administered subcutaneously.
Trials or clinical trials
The tests or clinical trials can be carried out as follows: Subjects suffering from pain, postoperative pain or postherpetic neuralgesia are administered with the compounds of formula I, especially compound M, i.v. at a dose from 0.02 to 5 mg. Pain relief is noted. The compounds of the invention are therefore useful as analgesics, for example against acute or chronic pain, for example chronic neurospathic pain. In one aspect, therefore, the present invention provides a method for the treatment of pain which comprises administering a therapeutically effective amount of a compound of formula I as defined above, to a subject in need of such treatment.
In another aspect, this invention provides the use of a compound of formula I as defined above as an analgesic in the preparation of a medicament suitable for the treatment of pain. In another aspect, this invention provides a compound of the formula I as defined above for use in the treatment of pain. In a further aspect, this invention provides an analgesic composition comprising a compound of formula I as defined above as an analgesic in association with a pharmaceutically acceptable carrier or diluent. Indications include pain, for example, acute pain associated with tissue damage and inflammation (eg, postoperative pain, hard-burning pain, injuries, etc.) chronic inflammatory pain (eg, arthritis) and chronic neuropathic pain (for example, diabetic neuropathy, postherpetic neuralgia, multiple sclerosis, causalgia, etc.). The doses of the compound employed in the uses of the invention indicated above, will vary depending of course on the compound employed, the seriousness of the disorders, the host, the weight of the patient, the mode of administration and the relative efficacy of the compound. However, in general, satisfactory results are indicated in the animals which will be obtained
with three daily doses from about 1 to about 100 micrograms / kg of body weight of the animal, for example 3 to 60, such as 10 to 60, micrograms / kg. In larger mammals, for example humans, an indicated daily dose is from about 0.1 to about 10 mg, conveniently administered in unit doses from about 0.02 to about 5 mg, and such unit doses may be administered more than once a day , for example 2, 3, 4, 5 or 6 times a day, but preferably 1 or 2 times a day. In test a) above, the NSAID ibuprofen has an ED.-Q of about 4 mg / kg p.o. and indomethacin 13 mg / kg p.o. The compound M is approximately 300 times more active. For compound M the preferred dose range is from about 0.1 mg / day to about 10 mg / day, for example 3-30 micrograms / kg for a 70 kg adult, depending on the severity of the indication (s) and the frequency of administration. Compound M has been shown to have no serious adverse effects in man after single doses of up to 5 mg- ^ p.o. When used herein the term "pharmaceutically acceptable" encompasses materials suitable for both human and veterinary use.
The compounds of the invention can be formulated for administration by any suitable route, the preferred route depends on the disorder for which the treatment is required, and preferably in a unit dosage form or in a form that a human patient can be administered to. itself in a single or simple dosage. Advantageously, the composition is suitable for oral, rectal, topical, parenteral administration,
• x intravenous or intramuscular. The compositions of the invention may be in the form of tablets, capsules, sachets, ampoules, powders, granules, lozenges, suppositories, reconstitutable powders, or liquid preparations such as sterile oral or parenteral solutions or suspensions. Topical formulations are also contemplated where appropriate. To obtain a consistency of administration it is preferred that a composition of the invention be in the form of a unit dose. Dosage forms for oral administration may be tablets and capsules containing 0.02-5 mg of a compound of the invention and may contain conventional excipients such as binding or agglutination agents, for example syrup, acacia,
gelatin, sorbitol, tragacanth, or polyvinylpyrrolidone;
fillers, for example lactose, sugar, corn starch, calcium phosphate, sorbitol or glycine, foil lubricants eg, magnesium stearate, disintegrants, for example starch, cross-linked polyvinylpyrrolidone, starch glycolate and sodium or microcrystalline cellulose; or pharmaceutically acceptable wetting agents such as sodium lauryl sulfate. The solid oral compositions can be prepared by conventional mixing, filling, tabletting or the like. Repeated mixing operations can be used to distribute the active agent in all these compositions using large amounts of fillers. Such operations are of course of conventional use in the art. The tablets can be coated according to methods well known in normal pharmaceutical practice, in particular with an enteric coating. The liquid preparations may be in the form of, for example, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminum stearate gel, edible hydrogenated fats; emulsifying agents, for example lecithin,
sorbitan monooleate, or acacia; non-aqueous vehicles (which may include edible oils), for example almond oil, fractionated coconut oil, oily esters such as glycerin esters, propylene glycol, or ethyl alcohol; preservatives, for example methyl or propyl p-hydroxybenzoate or sorbic acid; and if conventional coloring or flavoring agents are desired. Examples for solid oral compositions, for example tablets and capsules, are as follows: Tablets are compressed from the capsule granulation of the strength or concentration of the corresponding dose. The yellow capsules, of size # 3, are used for the encapsulation of the compound M, and the respective formation for the concentrations of the doses of 0.1 and 5 mg are shown below.
0. 1 mg Tab / Cap 5.0 mg Tab / Cap
Compound M 0.1 5.0 Microcrystalline Cellulose 76.92 74.96 Lactose, hydrated 87.63 * 84.69 * Polyvinylpyrrolidine 7.4 7.4 Crospovidone »7.4 7.4 Magnesium Stearate 0.925 0.925 Retained Humidity 4.625 4.625 Capsule Size Three 50 50
0. 1 mg Tab / Cap 5.0 mg Tab / Cap
Theoretical Capsule Filling Weight or Weight of the Tablet 185 185 Weight of the Theoretical Capsule 235 235"" "The amount of lactose is adjusted to compensate for themoisture content in the substance of the drug or drug. The compounds can also be administered in the form of a sustained release mode, to provide a prolonged duration of action. Conventional drug delivery systems can be used to provide sustained release, for example, coated pills or osmotic back-and-forth systems. For parenteral administration, fluid unit dosage forms are prepared using the compound and a sterile vehicle, and, depending on the concentration used, they can be either suspended or dissolved in the vehicle. In the preparation of the solutions the compound can be dissolved in polyethylene glycol or ethanol and diluted with water for injection and sterilized by filtration before filling in a suitable ampoule or vial and sealed. Advantageously, adjuvants such as a local anesthetic, a preservative and buffering agents can be dissolved in the vehicle. Parenteral suspensions are prepared substantially in the same manner, except that the compound is suspended in the vehicle
instead of being dissolved, and sterilization can not be effected by filtration. The compound can be sterilized by exposure to ethylene oxide before suspension in the sterile vehicle. Advantageously, a surfactant or humectant is included in the composition to facilitate the uniform distribution of the compound. The compositions may contain from about 0.1% to about 99% by weight, preferably from 10 to 60% by weight of the active material, depending on the method of administration. The compounds M of the invention, or a hydrate or an addition product with other solvents or salts thereof, can also be administered as a topical formulation in combination with conventional topical excipients. Typical formulations may be presented as, for example, ointments, creams or lotions, impregnated bandages, gels, gel sticks, spray solutions and aerosols, and may contain appropriate conventional additives such as preservatives, solvents to aid drug penetration and emollients in ointments and creams, the formulations may contain compatible conventional carriers, such as cream of ointment bases and ethanol or eleilic alcohol for lotions. The formulations of cream, locid, gel, ointment,
Suitable spray or spray solution, which can be used for the compounds of the formula I or a hydrate or an addition product with other solvents or salts thereof, are conventional formulations well known in the art, for example, as In textbooks, he describes pharmaceutical and cosmetic substances, such as Harry's Cosmeticology published by Leonard Hill Books, Remington's Pharmaceutical Sciences, and the British and US Pharmacopoeias. In another aspect, the present invention provides adenosine derivatives of the formula
where
V is cycloalkyl with (C, Q) substituted by a hydroxy group,
it is as defined above or preferably hydrogen, alkyl with (C,,) or halogen with an atomic number of 9 to 35, and is as defined above.
The compounds of the formula can exist in the form of enantiomers or diastereomeric mixtures. In the formula, the haldgen with an atomic number of 9 to 35 is fluorine, chlorine or bromine; alkyl with (C,,) is methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, tert-butyl, especially methyl; and cycloalkyl with (C, _fi)
is cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl or cyclooctyl, especially cyclohexyl or cyclopentyl. The compounds of the formula can be prepared by a process characterized in that the compounds of the formula
where and R- possess the meanings given above
it's chlorine or bromine,
they are reacted with a compound of the formula Illa
R -'- NH-Illa where V has the meaning given above
The above process is conveniently carried out by heating a compound of the formula lal together with a compound of the Illa formula in the presence of a solvent such as dioxane at a temperature of between about 80 ° C to and including 120 ° C, preferably at the temperature of boiling. In the compounds of the formula lla, which are used as starting compounds in this process, X is especially chloro. The compounds of the formula Ia, as well as a process for producing them, are described in Published European Patent Application No. 269 574. An additional process for the preparation of the
compounds of the formula comprises treating the compounds of the formula IVa
where Ri '. R y ^ 3 P ° see the meanings given above with tetrabutylammonium fluoride trihydrate. The above reaction can be carried out in an organic solvent for example tetrahydrofuran at room temperature under stirring. The compounds of the formula IVa can be obtained by treating the compounds of the formula Ia with 1,3-dichloro-1,3,3-tetraisopropyl-disiloxane in an alkaline solvent, for example pyridine, and reacting the Compounds of the formula Va thus obtained
where X, R- and have the meanings given above with the compounds of the Illa formula. In the following Examples 1 to 8, all temperatures are in degrees Celsius and are uncorrected.
Example 6 - [(trans) -4-Hydroxycyclohexyl] -2'-0-methyl adenosine
1 g of 6- [(trans) -4-hydroxycyclohexyl] -9-pu ^ inyl-2 • -0-methyl-3,, 5 '-0- (1, 1, 3, 3-etraisopropyldisilox-1, 3-diyl) -D-ribose is stirred for 15 minutes at room temperature with 2 g of the trihydrate of tetrabutyl ammonium fluoride in 20 ml of tetrahydrofuran. The mixture is subsequently evaporated to dryness and the residue is eluted on silica gel with a mixture of ethyl acetate / methanol 85:15. The purified product is crystallized from
f ~ methanol / ethyl acetate. The title compound crystallizes with one equivalent of methanol and has a melting point of 121-124 ° C. 20 [C] -. - -50.2 ° (c * 1 in dimethylformamide). The compound can also be recrystallized from ethanol and crystallizes with one equivalent of water after remaining in moist air. Melting point:
114-117 °. 20 [OC] _ "-46.9 ° (c * 1 dimethylformamide) 0 The 6 - [(trans) -4-hydroxycyclohexyl] -9-purinyl-2'-0-methyl-3 *, 5 '-0- ( 1, 1, 3, 3-tetraisopropyl-disilox-l, 3-diyl-) - D-ribose used in the above process as the starting material, can be produced as follows:
g of 6-chloro-9-purinyl-2'-0-methyl-3 ', 5'-0- (1,1,3,3-tetraisopropyldisilox-1,3-diyl) -D-ribose stir together with 1.32 g of the trans-4-hydroxycyclohexylamine and 1.4 ml of N-ethyl-diisopropylamine in 80 ml of dioxane for 6 hours in an oil bath of 105 ° C. The mixture 0 is subsequently cooled to room temperature, filtered and the filtrate is concentrated to dryness. For purification, the mixture thus obtained is eluted on silica gel, first with a hexane / ethyl acetate 7: 3 mixture and then with a mixture of ethyl acetate / me-5-tanol 95: 5. The oily compound thus purified has
an Rf value of 0.3 (from ethyl acetate / methanol 95: 5).
Example 6 - [(cis) -4-Hydroxycyclohexyl] -2 '-0-methyl adenosine
The compound named in the title is obtained analogously to example 1 when cis-4-hydroxycyclohexyl amine is used in place of trans-4-hydroxycyclohexyl-amine. The compound thus obtained named in the title crystallizes with one half of an equivalent of ethyl acetate and has a melting point of 110-111 ° C. [0] _ 20 «
-48.6 ° (c • 1 in dimethylformamide).
Example 3: 6 - [(lS, trans) -2-Hydroxycyclopentyl] -2 '-0-methyl adenosine
The compound named in the title is obtained analogously to example 1 when the IS, trans-2-hydroxycyclopentyl amine is used in place of the trans-4-hydroxy-cyclohexylamine. The compound thus obtained named in the title has the following characteristics: Foam, 20 in ethyl acetate / ethanol 75:25 - 0.44, [o] "- -25.5
(c = 1 in dimethylformamide).
Example 4: 6 - [(LR, trans) -2-Hydroxycyclopentyl] -2'-O-methyl adenosine
The compound named in the title is obtained analogously to example 1 when the IR, trans-2-hydroxy-cyclopentylamine is used in place of the trans-4-hydroxycyclohexylamine. The compound thus obtained has the following characteristics: Melting point: 164-166 °, Rf in ethyl acetate / ethanol, 75:25 0.44, [e] 20 -80.2 ° (c "1 in dimethylformamide).
Example 5: 6 - [(lS, trans) -2-Hydroxycyclohexyl] -2 '-0-methyl adenosine
The compound named in the title is obtained analogously to Example 1 when the IS, trans-2-hydroxy-cyclohexylamin is used in place of the trans-4-hydroxy-cyclohexylamine. The compound thus obtained named in the title, has the following characteristics: Foam, Rf in ethyl acetate / Ethanol 75:25 «0.42;
[Ot] 20-26.2 ° (c • 1 in dimethylformamide).
"Example 6 _ 6- [(trans) -4-hydroxycyclohexyl] -2 * -0-ethyl adenosine
Prepared analogously to Example 5. Obtained
as the hydrate 0.4. P.f. 98 ° C (liquefaction). 20 [Oí -] -, * -58 ° (c * 1 in dimethyl formamide).
Example 7: 6- [lS, (trans) -2-hydroxycyclohexyl] -2 * -0-ethyl adenosine 0 Prepared analogously to that described in Example 5.
Example 8: 5- [(IR, trans) -2-Hydroxycyclohexyl] -2 '-0-methyl-5-adenosine
The compound named in the title is obtained analogously to Example 1 when IR, trans-2-hydroxycyclohexylamine is used in place of trans-4-hydroxy-0-cyclohexylamine. The compound thus obtained named in the title, has the following characteristics: Foam; Rf in ethyl acetate / ethanol 75:25 * 0.42; [] = -69.5 ° (c-1 in dimethylformamide).
The compounds according to the invention have
interesting pharmacological properties. They are therefore useful as medicines. For this, the compounds according to the invention can be used as such, such as hydrates or addition products with organic solvents, for example methanol, ethanol or ethyl acetate. The most interesting compound of the formula la is the compound of Example 1 above which is in the following compound named No. 1. The compounds of the formula are of interest as analgesics, as described above. They are also of interest for other activities. Among the other activities, the compounds according to the invention have antihypertensive activity, as indicated by the results of the following investigations. The measurement of the binding to Al and A2 receptors of adenosine in the membranes of the cortex or outer layer of the rat or of the bark or striatum of the pig brain, using the method of R.F. BRUNS, G.H. LU and T.A. PUGSLEY, which is described in MOLEC. PHARMACOL. 29, 331-346 (1986). An additional test of the activity of the compounds is carried out in the kidney of the perfumed rat, isolated, for the following parameters:
- secretion of renin
renal hemodynamic characteristics.
Inhibition of the release of noradrenaline from the nerve terminals following the electrical stimulation of the renal nerves according to the method of P. M. VANHOUTTE, D. BROWNING, E.COEN, T.J. VERBEUREN.L.ZONNEKEYEN and M.G. COLLIS described in HYPERTENSION 4, 251-256 (1982).
0 ~ The measurement of blood pressure, heart rate, urine production and renin activity in the plasma of spontaneously hypertensive or normotensive rats, full and out of NaCl, awake, with catheters implanted in the abdominal aorta 5 and in the vena cava, following iv administration or the administration of the compounds according to, - * with the invention as an infusion or bolus according to the method of J.F.M.SMITS and J.M.BRODY described in Am.J.Physiol. 247, R1003-R1008 (1984). It is deduced from the results of the examinations that both the inhibition of renin secretion and the release of noradrenaline from the nerve terminals, and direct vasodilation, take part in the antihypertensive activity of the compounds of the formula the. In contrast to the reduction of blood pressure
_ / nea, the production of urine and the excretion of electrolytes remained unchanged. From this it follows that the compounds of the formula can not only be used as antihypertensive agents, but also have an effect on coronary vasodilation. In addition, they protect the vascular endothelium by inhibiting both the aggregation of the thrombocytes and the activation of the leukocytes. They also reduce the lipid levels of the blood. For the above indications, of the compounds of the formula la, the compound of Example 1 is preferred. The cardioprotective and analgesic indications are preferred. In addition, the compounds of the formula also
are active in the treatment of arrhythmias as indicated by their adenosyl-A receptor agonist activity, which is selective against its activity against the A2 receptor, as established for example in the ) described here afterwards and for example its capacity20 to prolong conduction through the atrioventricular node A-V) of the heart as indicated in test b) described hereinafter. Consequently, they re-establish the sine rhythm in supraventricular tachycardias, particularly supraventricular tachycardia.
paroxysmal, reduce cardiac velocity in fibrillation
* atrial tachycardic and reverse the ventricular tachycardia induced by fi-adrenergic stimulation at normal rhythm. The compounds of the formula simulate or mimic the "preconditioning" effect, the procedure in which a brief period of ischemia makes the heart resistant to infarction from subsequent ischemia. The same, therefore, are useful to protect the heart
/ during unstable angina, against myocardial infarction
with or without adjunctive thrombolytic therapy, or ischemic lesions in patients suffering (for example) coronary artery bypass graft surgery, angioplasty, cardiac transplantation or non-cardiac surgery. The compounds of the formula la are especially
useful for administration to subjects prone to myocardial infarction, for example as a result of diagnosis ^ or those who have already suffered from a myocardial infarction. The compounds of the formula also reduce plasma insulin without influencing glucose tolerance. They enhance the effect of insulin to increase glucose uptake and decrease lipolysis in adipose tissue leading to lower, free plasma fatty acid concentrations (see test d) described hereinafter). Lower plasma free fatty acids, in turn, lead to lower triglycerides, which leads to
turn to increased HDL cholesterol. The effect of insulin economy and / or the action of reducing free fatty acids makes the compounds of the formula useful for the treatment of Type I diabetes and type II diabetes ie non-diabetes dependent diabetes. insulin. The compounds of the formula reduce plasma triglycerides and free fatty acids (see test e) hereinafter) and raise HDL cholesterol and, therefore, are useful in the treatment of lipid dysfunction, and the conditions associated with free fatty acids and high triglycerides and where an increase in HDL cholesterol is desirable. The compounds of the formula show good metabolic stability. In another aspect, the invention provides the use of the compounds of the formula la for the treatment of, or in the preparation of, medicaments suitable for the treatment of pain. In another aspect, this invention provides a compound of the formula as defined above for use in the treatment of pain. In a further aspect, this invention provides an analgesic composition comprising a compound of the formula la as defined above in association
with a pharmaceutically acceptable carrier or diluent. The present applicants contemplate the use of the compounds of the formula la in the indications described above for the compounds of the formula I. The following pharmacological tests illustrate the aforementioned activity of the compounds of the formula la.
a) Affinity towards adenosine receptors
Striatal membranes of the pig are prepared as previously described by H. Bruns et al. in Molecular Pharmacology 29 (1986) pages 331-344. 3H-NECA, a non-selective adenosine receptor agonist, is used to label both A. and A- receptors. The values of CI, -0 are derived from the displacement curves by the adjustment of the least squares curve, non-linear, weighted, to the Langmuir equation and the pKD values calculated. The compounds of the formula show affinity towards the A receptor, for example in a range from 1 to 500 nM.
/ "- b) Arrhythmias
Activation of the adenosine A1 receptor reduces the incidence of, for example, supra-ventricular-paroxysmal tachycardia, atrial tachycardic fibrillation, and other arrhythmias by slow conduction through the atrio-ventricular (AV) node of the heart detected by the increments. in the PR interval. The test method involves the recording of ECG changes in Rhesus monkeys
adults, conscious. The compounds of the formula la are administered at dosage intervals from about 0.1 mg / kg to about 1000 mg / kg p.o. or 0.03 to 30 mg / kg i.v. in the test referred to by C. Clarke et. to the. in The Pharmaceutical Journal 244, 595-597 (1990). By
For example in this test compound No. 1 prolongs the P-R interval of the surface electrocardiogram (ECG), indicating the slow conduction through the AV node at doses of 0.1, 0.3 and 0.6 mg / kg p.o. As noted above, such action leads to the termination of the AV nodal tachycardia and to the reduction of the heart rate in atrial tachycardic fibrillation.
c) Protection against infarction by preconditioning 25 Preconditioning (5 minutes of ischemia
followed by 10 minutes of recovery) makes the heart very resistant to infarction from subsequent ischemia (30 minutes) and reperfusion (3 hours). This test method is described in the article by G. S. Liu et. to the. 1991 - Circulation (84), 1, 350-356 and J. D. Thsrnton et al., In 1992 - Circulation (85), 659-665. The compounds of the formula la are administered i.v. at a dose from about 0.01 to 10 mg / kg to rabbits. In this test, rabbits are given 100 Ug / kg of compound No. 1 and are protected to almost the same degree as the endogenous preconditioning of the infarction induced by a 30-minute period of coronary occlusion.
d) Transport of Glucose and Lipolysis in Rat Adipocytes
i) Adipocytes are isolated from the epididymal fat pads of rats fed normal food by digestion with collagenase. Cells (final concentration of 2% v / v) are preincubated with adenosine deaminase (1 U / ml) and with test compounds for example compound No. 1 and other additions as indicated for measuring glucose transport to 37 ° C.
The [3- H] glucose (final concentration, 50 μm, 0.5 ij.i.Ci / ml) is then added after 30 minutes, and the incubation is continued for an additional 60 minutes. The incorporation of radioactivity from the
3 [3- H] glucose in cell lipids (a measure of glucose transport) is evaluated by extracting the suspension from the cells (0.5 ml) with 5 ml of scintillating base toluene, followed by counting of flashes of liquid; metabolites soluble in water and the
3 [3- H] residual glucose remaining in the aqueous phase are not detected. Lipolysis is measured in a conventional manner. In one method the cells are incubated with and without isoprote-renol 1 U- and then the incubation continues for 60 min. The supernatant is separated from the cells after centrifugation through dinonyl phthalate and the lipolysis estimated by the enzymatic determination of the glycerol released in the supernatant. The compounds of the formula are active at concentrations from 0.1 to 1000 nM. Compound No. 1 suppressed lipolysis in rat adipocytes at concentrations from 0.1 to 100 nM. In the presence of adenosine deaminase (1 U / ml), compound No. 1 has no significant effect
3 on the incorporation of radioactivity of [3- H] -glucose into the lipids of cells in the absence of insulin and only a marginal effect in the presence of a maximum stimulation insulin concentration (8 nM), but significantly increases the stimulation of the incorporation of radioactivity in a concentration-dependent manner, at concentrations from 0.1-50 nM insulin. These observations indicate that the compound increases the sensitivity of glucose transport to insulin. In the presence of an almost maximum effective concentration of compound No. 1, the
EC--. for insulin stimulation of incorporation
3 of the [3- H] glucose in the lipids is decreased between
2 and 3 times. In the presence of adenosine deaminase and 1 JJ-M of isoproterenol, 10-50 nM of compound No. 1 increase both the sensitivity and the magnitude of the insulin response; EC50 for insulin is reduced up to 5 times and stimulation by a maximum insulin concentration is significa increased.
ii) Lipids and Glucose in Rats Subject to Fasting 18 hours, Normal
Rats, 2 to 3 months old, weighing almost 250 grams are kept in a quarter to one
controlled room temperature of 22 ° C and a cycle of 12/12 hours of light / dark for seven days. Purina rats food and water are available ad libitum. Following an 18-hour fast, the rats (5 / group) are given the test compounds by 0.5% CMC priming. The animals received 1.0 ml / 100 g of body weight. Three hours after the administration, the rats are anesthetized with C02 and the blood is collected by the cardiac puncture route. Sera collected and used for the determination of glucose, free fatty acid and ^ -hydroxybutyrate. Free fatty acids are measured by test or enzyme assay, calorimetric, of acyl-COA peroxidase, glucose is measured by the glucose oxidase method (YSI Model 27, Yellow Spring, Oh) and the fi-hydroxybutyrate is assayed or tested with an assay or test of enzymes linked or linked to the ^ -hydroxybutyrate dehydrogenase (Sigma Kit 310-A-St. Louis, Mo.). The compounds of the formula la are active at a dose of from about 1 to about 5000 lg / g.
Doses for reducing free fatty acids (the primary result of the effect on adipocytes) for compound No. 1 are between 5 and 100 μg / kg at 2 hours post-dose. This leads to a dose-dependent decrease in the levels of -hydroxybutyrate and blood glucose.
iii) Effects in the Non-Dependent Diabetic Rats of Insulin (NIDD)
In the NIDD selection test, the rats (200-220 g) are fed a diet high in fat ad libitum. In the fed state, 40 mg of streptozocin / kg body weight are injected into the tail vein. A week later, these rats are considered to be diabetic, which they have a blood glucose feed higher than 200 mg / dl and, after an overnight fast, when a tolerance test is applied to the oral glucose, had a blood glucose of 40 to 80 mg / dl three hours after the test. Four days later, the animals are used in the selection, if the glucose levels of
The blood fed are greater than 180 mg / dL. Blood glucose is determined with a YSI Glucose Analyzer (YSI Glucose Analyzer). The chronic selection test is carried out as follows: On day 1, the food is removed from the rats at 9:00 a.m .; and after a glucose reading of the initial blood is taken through the tip of the tail, the vehicle (control) or the compound (9 rats / treatment) is administered orally. Six hours later the blood glucose level is measured; and immediately after this the rats are fed back. The same rats are provided with either the vehicle or the drug once a day for
11 consecutive days. The blood glucose is determined at 0 hours and after a dosage after fasting for 6 hours, on days 4, 8, and 11. 100 micrograms kg of a compound of the formula la for example compound No. 1 for 11 days it led to a significant reduction in plasma free fatty acids which results in a significant decrease in blood glucose.
Dyslipideaias characterized by elevated serum triglycerides
Several studies have shown a positive correlation between serum triglyceride levels (and a decreased HDL cholesterol level)., associated) and the risk of coronary artery disease of the heart (CHD) (Grundy, in Cholesterol and Atherosclerosis: Diagnosis and Treatment, Lippincott, Philadelphia (1990)). The value of reducing elevated triglyceride levels as an approach to reduce the risk of CHD arose from the Helsinki Heart Study where, following treatment with gemfibrozil, the largest reduction in serious coronary events occurred in hyperlipidaemic patients of type IIB in whom both LDL cholesterol and total serum triglycerides are elevated, and HDL cholesterol levels are generally reduced. The compounds of the formula la are active in the Rhesus monkey at doses from about 0.03 to 30 (for example 0.1 to 30) mg / kg i.v. and 0.1 to 100 (for example 0.1 to 10) mg / kg p.o. Compound No. 1 produces prolonged and dose-related falls in fatty acids
Free of plasma and triglycerides in the Rhesus monkey at doses from 0.03-0.6 mg / kg i.v. and 0.1-1.2 mg / kg p.o. Representative results for Compound No. 1 at 0.6 mg / kg p.o. 5 show a reduction of free fatty acids by almost 60% compared to a control after 300 minutes and triglycerides in 40%. The compounds of the formula are also active in the tests for average arterial blood pressure, bradycardia and peripheral vasodilatation in anesthetized rats. The experiments are carried out in male Wistar rats, of body weight of 300-350 g under anesthesia with Pentotal (120 mg / kg i.p.), according to the method of Salzmann et al. (J. Cardiovasc. Pharmacol. 1_2, 451-460, 1988). The catheters are placed in the right jugular veins and
/ * - right femoral, in the left ventricle (inserted through the right carotid artery), the left femoral artery, and the aorta (inserted through the right femoral artery). The following variables are measured or calculated: systolic, diastolic, and mean arterial blood pressure (mm Hg; femoral artery
left, Statham P 23 pressure transducer
Gb), pulse pressure (mm Hg), heart rate (beats / minute, activated blood pressure curve), rate of elevation of left ventricular pressure (dP / dt -, max mm Hg / s; Statham pressure P23 Gb), cardiac output (ml / min / 100 g of body weight, thermodilution method, right jugular vein and aorta), total peripheral resistance (dynes s.cm / 100 g of body weight), surface ECG. Arterial blood pressure, left ventricular pressure, dP / dt ma-x, heart rate, and electrocardiogram are continuously recorded with a Schwarzer polygraph. The parameters are measured at 30, 20, 10 and 2 minutes before the administration of the test substance and 1, 5, 10 and 15 minutes after injection of the drug into the right femoral vein. Compounds of the formula are injected at dosing intervals from about 0.001 to about 10 mg / kg of the animal's body weight. Compound No. 1 is produced in cumulative doses of 0.003, 0.010 and 0.03 mg / kg, three animals per dose are used. Compound No. 1 induced failures in blood pressure
~ 49 micrograms / kg iv] and at the speed
of the heart and an increase in systematic vascular conductance.
The doses of the compound of the formula used in the above indications will vary in the usual way with the seriousness of the disorders, the weight of the patient, and the relative efficacy of the compound. However, as a general guide, suitable unit doses can be 0.1 to 1000 mg, such as 0.1 to 10, 0.5 to 200, 0.5 to 100, or 0.5 to 10 mg, for example 0.1, 0.5, 1, 2, 3 , 4 or 5 mg; and such unit doses may be administered more than once a day, for example 2, 3, 4, 5 or 6 times a day, but preferably 1 or 2 times a day, so that the total daily dosage for a mammal of 70 kg including human beings, is in the range of approximately 0.1 to 1000 rag / kg pe oral and 0.003 to 300 mg iv, which is in the range of about 0.001 to 20 mg / kg / day, such as 0.007 to 3, 0.007 to 1.4, 0.007 to 0.14 or 0.01 to 0.5 mg / kg / day, for example 0.01 , 0.02, 0.04, 0.05, 0.06, 0.08, 0.1 or 0.2 mg / kg / day; and such therapy can be extended for a number of weeks or months. For compound No. 1 the preferred dosage range for all indications of the invention is from 0.1 mg / day to 10 mg / day for a 70 kg adult. For non-insulin dependent diabetes the preferred indication and for
hypertriglyceridemia the dose indicated for humans is 0.2 to 2 mg per day per os and for the treatment of heart failure and other cardiac disorders of 0.2 to 10 mg per day in particular 0.5 to 5 mg / day per os or 0.25 to 5 mg iv for arrhythmias for example tachycardic atrial fibrillation. The compounds of the formula can be formulated for administration by any suitable route, the preferred route depends on the disorder for which the treatment is required, and preferably in the unit dosage form or in a form that a human patient can administer to himself in a unit dosage. Advantageously, the composition is suitable for oral, rectal, topical, parenteral, intravenous or intramuscular administration as described above with respect to analgesic use. The unit dose presentation forms for oral administration may be tablets and capsules containing 0.05-20 mg of a compound of the formula la. Suitably, the compounds according to this invention, or a hydrate or an addition product with organic solvents, will comprise from about 0.5 to about 20% by weight of the formulation, preferably from about 1 to about
%, for example 2 to 5%. The compounds of the formula wherein R, 'is hydroxy (C, _g) cycloalkyl and R_ is alkyl, are detected as metabolites during the administration of the compounds of the formula I wherein R. is (C, _-) cycloalkyl and R "is alkyl to warm-blooded animals, for example rats, dogs and humans. Accordingly, the administration of compound M led to the production of hydroxycyclohexyl-2'-0-methyl adenosine. In a further aspect, the present invention provides a method for administering N-cyclohexyl-2'-O-methyladenosine to a warm-blooded animal to produce N-hydroxycyclohexyl-2 '-0-methyl adenosine. The present invention provides in another aspect N-hydroxycycloalkyl-2 '-0-alkyl adenosine in the pure form, for example with a purity greater than 95%. The exemplified compounds described herein satisfy this criterion. The present invention provides in a further aspect the free N-hydroxycyclohexyl-2 '-0-alkyl adenosine of cyclohexyl-2' -0-methyl adenosine. In another aspect, the present invention provides a process for the production of 2'-O-alkyladenosines which comprises treating adenosine with a sulfate of
suitable alkyl sulfate in the presence of a phase transfer catalyst. Preferably the 2'-alkyl adenosine is any compound defined above. In a further aspect, the present invention provides a process or process for the production of the compounds of the formula I as defined above, which comprises reacting a compound of the formula VI
H
SAW
with a basic solution of a compound of the formula
(R3) 2S04
in the presence of tetrabutylammonium acid sulfate and a non-polar solvent and purifying the product by recrystallization. If necessary, the reactive groups can be temporarily protected. Preferably the alkyl sulfate is the di (C,,) alkyl sulfate. Preferably the phase transfer catalyst is the acid sulfate of tetrabutyl ammonium. Preferably the reaction is carried out in a non-polar solvent, for example as described hereinafter. A group of the compounds of formula I is already defined, wherein R. is cycloalkyl with (C-_R), R- is hydrogen or alkyl with (C,,), and R- is alkyl with
< Cl-4 > Up to now, the repair of the compounds of formula I typically involved six steps, which include the preparation of 2 ', 3', 5'-triacetylininosine; C loration and hydrolysis to 6-C-9- / -D-ribof u-ranosi l-9H-purine; the protection of the 3 '-0- and 5' -0- positions with tetraisopropy ldisi loxane (TIPDS-CL2); the
2'-0-a lq ui lacidn and puri fi cation by chromatography in
Silica gel; the deprotection of the 3 '-0- and 5 * -0- positions; and the reaction with Rj H- and recrystallization to obtain the compound of the formula I. The present applicants have found that the compounds of the formula I can be prepared in good yields and purity without the need for protection and deprotection of the compound. '-0- and 5' -0-disiloxane or for chromatography on silica gel. Applicants have found that the starting material of inosine-2 ', 3', 5'-triacetate from the prior art process can be advantageously replaced with lipophilic inosin-2 ', 3', 5 '-tripropionate , which allows to double the yield and the elimination of the undesirable pyridine solvent. In the present invention the compounds of the formula I are prepared under conditions of phase transfer catalysis according to the following reaction scheme.
Vile
where R, R, and R are as defined above. The compounds of the formula I can be prepared by reacting a basic aqueous solution of a compound of the formula (VI) with a di- (C) sulfate.,) alkyl in the presence of an acid tetrabutylammonium sulfate and a water-immiscible, organic solvent. The base used to prepare the basic aqueous solution is preferably an alkali metal hydroxide, such as sodium hydroxide or potassium hydroxide. The solvent can be any solvent immiscible or essentially immiscible with water, in which the compound of formula I is soluble, such as methylene dichloride or t-amyl alcohol. It is also preferred that the reaction be run at temperatures between about -20 ° C to about 50 ° C, in particular, room temperature. The reaction time is not critical, but preferably it is carried out for a period from about 5 to 10 hours, especially in about 7 to 8 hours. The crude compound of formula I is isolated by evaporation followed by stirring with a 1: 1 mixture of water and an inert solvent, preferably toluene, at room temperature for 5 to 7 hours, then filtration and drying. The pure compound can be obtained by fractional crystallization, preferably by: l) recrystallization from an inert solvent, such
as toluene, dissolving the crude compound in the solvent at 80 ° C, heating at about 55 ° C for about 1 hour, cooling to room temperature, sowing with the pure compound and filtering; 2) repeating the recrystallization procedure of step 1 but heating to about 65 ° C before cooling to room temperature; and 3) recrystallization from 100% ethyl alcohol by dissolving at reflux, diluting with water, seeding, then filtering and drying. Many of the compounds of the formula VI are already known and can be prepared by methods described in the literature such as the aforementioned USP 4,843,066 and USP 4,985,409. The compound of the formula VI can also be advantageously prepared, as indicated above, according to the following preferred reaction scheme:
Vil VIII
IX
where R, and R- are as defined above.
The compounds of the formula VI can be prepared by acylating the inosine of the formula VII with the propionic anhydride to form the 2'-0-, 3'-0-, 5'-0-pro-tected compound of the formula VIII; halogenating the compound of the formula VIII with thionyl chloride to form the intermediate compound of the formula IX; and simultaneously aminating and hydrolyzing the compound of the formula IX. The acylation of inosine is preferably carried out in a mixture of toluene, tributylamine, and 4-dimethylaminopyridine at a temperature of from 100 ° to 110 ° C for a period of 4 to 5 hours. The compound of formula VIII is isolated by precipitation with heptane. Halogenation of the compound of formula VIII is preferably carried out in a mixture of toluene and N, N-dimethylformamide at a temperature of from about 60 ° to 70 ° C for a period of 3 to 4 hours, and the solution of the compound of Formula IX can be used after washing with water and brine. The amine and the hydrolysis of the intermediate compound of the formula IX simultaneously is preferably effected by adding the amine R.NH2 and reacting it at a temperature of from 100 ° to 110 ° C for a period of 15 to 20 hours. The compound of formula VI is isolated by filtration at room temperature and purified by recrystallization. The process or process of this invention
is illustrated by the following examples
Example of Process 1
N-cyclohexyl 1-2 '-O-methyladenosine
Step A. Inosin-2 ', 3', 5 '-tripropionate A mixture of 271.2 g of inosine, 966 ml of tributylamine, 3.30 g of 4-dimethylaminopyridine and 600 ml of toluene is heated to an internal temperature of 104- 105 ° C; and for a period of 35 minutes, 453 ml of propionic anhydride are added at a rate which maintains the internal temperature between 104-105 ° C. After stirring the mixture at this temperature for an additional 4 hours, the mixture is cooled to 5-10 ° C with an ice bath; and 1000 ml of heptane are added. The resulting suspension is stirred at room temperature (20-22 ° C) for 30 minutes and then filtered, for example, on a Buchner funnel. The solids are washed with a total of 450 ml of heptane in three equal portions of 150 ml each and dried at 45-50 ° C (25 mm Hg) overnight (14 hours) to give 425.9 g of inosin-2 ', 3', 5 '-tripropionate as a white solid. (P.F. 171-172 ° C, 96.5% yield).
Step B. N-cyclohexyl adenosine
A mixture of 270.6 g of inosin-2 ', 3', 5 '-tripropionate, 240 ml of N, N-dimethylformamide and 600 ml of toluene is heated to 65 ° C; and for a period of 1 hour, 67.84 ml of thionyl chloride are added at a rate which maintains the internal temperature between 62-65 ° C. The mixture is stirred at this temperature for an additional 2.5 hours and then cooled to 10 ° C with an ice bath. After the addition of 600 ml of pre-cooled water at 10-15 ° C in an ice bath at a rate which keeps the temperature below 20 ° C, the organic layer is separated and washed with a total of 800 ml of 10% aqueous sodium chloride in four equal portions of 200 ml each. The organic layer containing 6-chloro-9- (2, 3, 5-tri-0-propionyl-fi-ribofuranosyl) -9H-purine is added with stirring to 620 ml of cyclohexylamine heated at 105 ° C for a period of 2 hours at a rate which maintains the internal temperature at 105 ° C. After this mixture is stirred at this temperature for an additional 17 hours, it is cooled to room temperature (25 ° C) for about 2 hours with efficient agitation and then filtered for example in a Buchner funnel. with suction. The solid containing N-cyclohexyl adenosine and cyclohexylamine hydrochloride
> - "is washed with a total of 460 ml of toluene in four equal portions of 115 ml each and is transferred wet to a 5 liter vessel equipped with a mechanical stirrer, after the addition of 2 liters of a bicarbonate solution. 5 saturated sodium bonate, aqueous, and 2.5 liters of ethyl acetate, the mixture is stirred until all the solid is dissolved (approximately 10-15 minutes), the organic layer is separated, and the aqueous layer is extracted with 1.5 liters. of r "ethyl acetate in two 1 liter and 500 ml portions,
respectively. The organic layers are combined and evaporated until approximately 3 liters of ethyl acetate is removed or removed (at 40 ° C, 100-200 mbar). To the residue, 500 ml of heptane are added; and the resulting mixture
shake for 30 minutes. The solids are separated on a Buchner funnel, and washed with a total of 300 ml r * of heptane in three equal portions of 100 ml each. The solids are then dried at 45-50 ° C (30-35 mbar) for about 3 hours to give 148 g of the crude N-cyclohexyl-20 adenosine as a white solid. These are transferred to a 1 liter round bottom vessel equipped with a mechanical stirrer, and 175 ml of 95% ethanol are added. The suspension is stirred for 15-20 minutes and 175 ml of tert-butyl ethyl ether are added. After stirring for 5 minutes, the suspension is cooled in
an ice bath and stirred for an additional 15 minutes. This suspension is filtered on a Buchner funnel and washed with a total of 50 ml of tert-butyl methyl ether in two equal portions of 25 ml each. The filtered solids are dried at 45-50 ° C (30-35 mbar) for 14 hours to give 130 g of N-cyclohexyl adenosine as a white solid (mp 185-187 ° C, yield 60.0%).
Step C. N-cyclohexyl-2 '-0-raethyladenosine
A suspension of 94.33 g of the N-cyclohexyl-nosine and 720 g of 5% aqueous sodium hydroxide is stirred at room temperature (24-25 ° C) until all the solids are dissolved (approximately 5 minutes). Using an addition funnel, 850 ml of dichloromethane and 5.5 g of tetrabutylammonium acid sulfate are added followed by 61.3 g of dimethyl sulfate for 5-10 minutes, while maintaining the internal temperature between 24-25 ° C. The addition funnel is washed with an additional 50 ml of dichloromethane which is added to the reaction vessel. After stirring the biphasic mixture at 24-25 ° C (internal temperature) for 7.5 hours the organic layer is separated and evaporated at 40 ° C (270-290 mbar) until no additional solvent is distilled. The residue is dissolved in 200 ml of toluene and evaporated
at 45-50 ° C (30 mm Hg) until again no additional solvent is distilled. A mixture of the crude material mentioned above and 2470 ml of toluene is stirred at room temperature for 10 minutes and then 2470 ml of water are added over a period of 22 minutes. The resulting suspension is stirred at room temperature for an additional 6 hours and the solids are collected by filtration for example on a Buchner funnel with suction. After washing the solids with 114 ml of toluene and a total of 285 ml of water in three equal portions of 95 ml each, the solids are dried at 48-50 ° C (25 mm Hg) overnight (14 hours) to give 53.0 g of a white solid. A suspension of this solid in 397 ml of toluene is heated at 80 ° C with stirring to form a clear solution, which is cooled at 56 ° C for 45 minutes and seeded with 10 mg of pure product. The mixture is stirred at 55-56 ° C for 45 minutes and then cooled to room temperature for 1 hour. After stirring at this temperature for an additional 1 hour, the solids are collected by filtration, for example, on a Buchner funnel with suction. The solids are washed with a total of 75 ml of toluene in three equal portions of 25 ml each to give 60 g of a white solid. A suspension of this solid in 159 ml of toluene is again heated to 80 ° C, and the above sowing procedure is carried out in the range of 65 ° to 66 ° C.
After cooling to room temperature for 1 hour and stirring at the same temperature for an additional 1 hour, the solids are filtered and washed with 42 ml of toluene in three equal portions of 14 ml each and dried at 48-50 ° C ( 25 mm Hg) overnight (14 hours) to give 57.7 g of a white solid. The solid and 122 ml of 100% ethanol are heated to reflux with stirring to obtain a clear solution, and 288 ml of precalendated water at 55 ° C are added for 25 minutes. The mixture is cooled to 55 ° C and seeded with 20 mg of the pure product. The mixture is cooled to room temperature for 1 hour and stirred at this temperature overnight (16 hours). The solids are collected by filtration on a Buchner funnel with suction and washed with a total of 57 ml of a 1: 2.36 (v / v) mixture of 100% ethanol and water in three equal portions of 19 ml each. The solids are dried at room temperature (29 mm Hg) to give 62.2 g of the product as a white solid in the form of hydrate 1.5 (mp 88 ° -91 ° C, yield 42.5%).
Example of Process 2:
Following the above procedure but using an equivalent amount of N-cyclopentyladenosine, the N-cyclopentyl-2'-0-methyl adenosine is obtained.
Process Example 3
The process steps of Example 1 are followed except that the dichloromethane in step C) is replaced by the ter-amyl alcohol, and subsequent to crystallization with initial ethanol / water, the product is recrystallized from ethanol and Water. 32.1 g (yield of about 30%) of N-cyclohexyl-2 '-0 - "*" methyladenosine with a purity in excess of 98% are obtained. The process or process of this invention is more economical in terms of time and cost than the processes known up to now. The process provides a convenient method for the selective 2'-0-methylation of N-cyclohexyl adenosine under transfer conditions.
phase, and a purification method of the 2'-0-methyl derivative. Expensive protective groups and the use of chromatography are avoided.
It is noted that in relation to this date
The best method known to the applicant for carrying out the said invention is that which is clear from the present description of the invention. Having described the invention as above, property is claimed as contained in the following
Claims (20)
- The use of a compound of the formula I is hydrogen, alkyl with (C.), allyl; metalyl; an alkynyl with branched or straight chain (C-, 7), cycloalkyl with (C ~ g), hydroxy (C, ") cycloalkyl, phenyl which is monosubstituted, or independently of each other, disubstituted by halogen with a atomic number from 9 to 35, alkyl with (C,,), alkoxy with (C.,), or CF ,; or phenyl (C.) alkyl wherein the phenyl ring is unsubstituted or monosubstituted, or independently of each other, disubstituted by halogen with an atomic number from 9 to 35, alkyl with (Cj_ ^), alkoxy with (C,,), or CF-; alkyl with (C,,) having at least one hydroxy group or at least two phenyl groups, a bicycloalkyl such as endo- or exo-bicyclo- [2, 2, 1] heptyl, a naphthyl (C1_,) alkylaryl group, an acenaphthylene group (C, _,) alkyl or a group of the formula A or B where is hydrogen, a hydroxy group or a group (C.,) alkoxy Q is hydrogen or hydroxy, A is -CH2-, -0-, -S- or a direct bond, Y is - (CH, ¿,) m- or a direct link, is an integer from 1 to 3 and the line interrupted in (A) represents an optional link, , ** K, is hydrogen, alkyl with (C,,), amino, cycloalkyl with (C-1) or halogen with an atomic number of 9 to 35 and is alkyl with C,,) as an analgesic product in the production of a suitable medication for the treatment of pain.
- 2. The use according to claim 1, wherein the compound of the formula I is selected from the 6'-hydroxy (C, fi) cycloalkyl-2'-O-methyladenosines.
- The use in accordance with the claim 1, wherein R. is different from hydroxycycloalkyl.
- 4. The use according to claim 3, wherein the compound of formula I is 6-cyclohexyl-2 '-0-methyl-adenosine.
- 5. The use according to any preceding claim for acute pain.
- 6. The use according to any preceding claim for chronic neuropathic pain. 5
- 7. The use of a compound as defined in any preceding claim in the treatment of pain as defined in any preceding claim, or a method for the treatment of pain as defined in any preceding claim, characterized in that it comprises administering a compound such as in any preceding claim was defined a subject in need of such treatment, or an analgesic composition comprising a compound as defined in any preceding claim as an analgesic in association with a pharmaceutical carrier or diluent.
- 8. A compound of the formula characterized because R., 'means cycloalkyl with (CA 4 _-? 8)' substituted by a hydroxy group and R- is as defined in claim 1 R .. is as defined in claim 1.
- 9. A compound according to claim 10, characterized in that R 2 is hydrogen, alkyl with (C,) or halogen of an atomic number from 9 to 35.
- 10. A compound, characterized in that it is selected from: 6- [(trans) -4-hydroxycyclohexyl] -2 '-0-methyl adenosine 6 - [(cis) -4-hydroxycyclohexyl] -2'-0-methyl adenosine 6- [ (lS, trans) -2-hydroxycyclopentyl] -2 '-0-methyl adenosine 6 - [(IR, trans) -2-hydroxycyclopentyl] -2' -0-methyl adenosine 6 - [(lS, trans) -2- hydroxycyclohexyl] -2 '-0-methyl adenosine 6- [(IR, trans) -2-hydroxycyclohexyl] -2' -0-methyl adenosine 6 - [(trans) -4-hydroxycyclohexyl] -2 '-0-ethyl adeno -sin, and 6 - [(lS, (trans) -2-hydroxycyclohexyl] -2'-0-ethyl adenosine.
- 11. A compound according to claim 8, claim 9 or claim 10, characterized in that it has a purity of 95%.
- 12. A compound according to claim 8, claim 9 or claim 10, characterized in that it is free of N-cycloalkyl-2 '-0-methyl-adenosine.
- 13. The use of the compounds of the formula la as defined in any of claims 8 to 12 for the preparation of suitable medicaments for the treatment of pain, for use against high blood pressure, as coronary vasodilators, for the inhibition of both thrombocyte aggregation or activation of leukocytes, to lower blood lipid levels, against congestive heart failure, infarction to the myocardium, sudden cardiac death, renal failure, in addition to the treatment of hypertriglyceridemia / low HDL cholesterol levels, lipid dysfunction, elevated free fatty acids and / or type I diabetes and type II diabetes, arrhythmias or for protection against myocardial infarction.
- 14. A pharmaceutical composition, characterized in that it comprises a therapeutically effective amount of the compounds of the formula la as defined in any of claims 8 to 12 in association with a pharmaceutically acceptable carrier or diluent.
- 15. A compound according to any of claims 8 to 12, for use in the treatment of pain, high blood pressure, coronary vasoconstriction, aggregation of thrombocytes, elevated blood lipid levels, congestive heart failure , sudden cardiac death, hypertriglyceridemia / low HDL cholesterol levels, lipid dysfunction, high fatty acids or type I or type II diabetes, arrhythmias and for protection against myocardial infarction, or a method to use such a compound which is characterized in that it comprises administering a compound of the formula la to a subject in need of such treatment.
- 16. A process for the production of 2'-0-alkylanosines, characterized in that it comprises treating the adenosine with an appropriate alkyl sulfate in the presence of a phase transfer catalyst.
- 17. A process according to claim 16, characterized in that it is used for the production of a compound of the formula I as defined in claim 1.
- 18. A process according to claim 16 or claim 17, characterized in that the compound produced is N-cyclohexyl-2'-O-methyladenosine.
- 19. A compound, characterized in that it is produced by the process of claim 16, claim 17, or claim 18.
- 20. A method for administering N-cyclohexyl-2'-0-methyl adenosine to a warm-blooded animal to produce N-hydroxycyclohexyl-2-0 '-methyl adenosine.
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US249914 | 1981-04-01 | ||
GB9409324.2 | 1994-05-10 | ||
US24991494A | 1994-05-26 | 1994-05-26 | |
GB9416693.1 | 1994-08-18 | ||
GB9416693A GB9416693D0 (en) | 1994-08-18 | 1994-08-18 | Improvements in or relating to organic compounds |
PCT/US1995/005802 WO1995030683A1 (en) | 1994-05-10 | 1995-05-09 | Adenosine derivatives |
Publications (2)
Publication Number | Publication Date |
---|---|
MXPA96005046A true MXPA96005046A (en) | 1998-02-01 |
MX9605046A MX9605046A (en) | 1998-02-28 |
Family
ID=39165064
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
MX9605046A MX9605046A (en) | 1994-05-26 | 1995-05-09 | Adenosine derivatives. |
Country Status (1)
Country | Link |
---|---|
MX (1) | MX9605046A (en) |
-
1995
- 1995-05-09 MX MX9605046A patent/MX9605046A/en unknown
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP3474073B2 (en) | Pharmaceutical compositions containing acyl derivatives of uridine or cytidine | |
CA2155673C (en) | N-alkyl-2-substituted atp analogues | |
US4843066A (en) | Novel adenosine derivatives and pharmaceutical composition containing them as an active ingredient | |
US6258795B1 (en) | Acylated uridine and cytidine and uses thereof | |
KR100401454B1 (en) | A1 Adenosine Receptor Agonists | |
KR0137786B1 (en) | Agent for treatment and prophylaxis of ischemic disease of heart or brain | |
EA032239B1 (en) | Methods for treating filoviridae virus infections | |
JPH09512020A (en) | Compounds with hypotensive, cardioprotective, antiischemic and antilipolytic properties | |
KR20190057277A (en) | Phosphoramidate for the treatment of hepatitis B virus | |
EP0490818B1 (en) | 6-cyclohexyl-2'-0-methyl-adenosine hydrate and uses thereof | |
NO328229B1 (en) | Process for the preparation of di (uridine 5 ') - tetraphosphate) and its salts, their use and compositions containing the same | |
US20050130930A1 (en) | Adenosine derivatives and use thereof | |
MXPA04008008A (en) | Partial and full agonists of a1. | |
EP3476854B1 (en) | Antiviral precursor drug nucleoside cyclophosphate compound and use thereof | |
TW201902507A (en) | Combination therapy for treating viral infections | |
EP0759925A1 (en) | Adenosine derivatives | |
MXPA96005046A (en) | Derivatives of adenos | |
JP5849336B2 (en) | Adenylate cyclase activity regulator | |
EP0979650A1 (en) | Antiviral agents | |
MXPA05001844A (en) | Partial and full agonists of a1 adenosine receptors. | |
JPS62286924A (en) | Anti-hyperlipemia agent | |
CA2421067A1 (en) | Adenosine derivatives and use thereof | |
PL166094B1 (en) | Method of obtaining a novel crystalline form of 6-cyclohexyl-2'-0-methyl adenosine | |
WO1997028803A1 (en) | Hydroxynonyladenine analogs with enhanced lipophilic and anti-ischemic traits | |
JPS6048987A (en) | Pyrazinecaroxylic acid derivative and its preparation |