RU2018103901A - Цистеаминдиоксигеназа-резистентные аналоги цистеамина и их применение - Google Patents

Цистеаминдиоксигеназа-резистентные аналоги цистеамина и их применение Download PDF

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RU2018103901A
RU2018103901A RU2018103901A RU2018103901A RU2018103901A RU 2018103901 A RU2018103901 A RU 2018103901A RU 2018103901 A RU2018103901 A RU 2018103901A RU 2018103901 A RU2018103901 A RU 2018103901A RU 2018103901 A RU2018103901 A RU 2018103901A
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Тодд К. ЗАНКЕЛ
Джон ЮНИТТ
Тимоти ФИЛЛИПС
Бенуа ГУРДЭ
Лома ДАФФИ
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ХОРАЙЗОН ОРФАН ЭлЭлСи
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Claims (76)

1. Способ лечения пациента, страдающего заболеванием, при котором показано лечение цистеамином, включающий введение пациенту эффективного количества композиции, содержащей соединение формулы I или его дисульфид:
Figure 00000001
где:
R1 и R2 независимо выбраны из группы, состоящей из H и C1-5-алкила; или
R1 и R2, взятые вместе с атомом углерода, к которому они присоединены, образуют 3-, 4-, 5-, 6-, 7- или 8-членное карбоциклическое кольцо;
R3 и R4 независимо выбраны из группы, состоящей из H и C1-5-алкила; или
R3 и R4, взятые вместе с атомом углерода, к которому они присоединены, образуют 3-, 4-, 5-, 6-, 7- или 8-членное карбоциклическое кольцо;
G выбран из группы, состоящей из -NR5R6 и -CR7R8NR5R6;
R5 и R6 независимо выбраны из группы, состоящей из H и C1-5-алкила; или
R5 и R6, взятые вместе с атомом азота, к которому они присоединены, образуют 3-, 4-, 5-, 6-, 7- или 8-членное гетероциклическое кольцо;
R7 и R8 независимо выбраны из группы, состоящей из H и C1-5-алкила; или
R7 и R8, взятые вместе с атомом углерода, к которому они присоединены, образуют 3-, 4-, 5-, 6-, 7- или 8-членное карбоциклическое кольцо;
R2 и R6, взятые вместе с атомами, к которым они присоединены, образуют 4-, 5-, 6-, 7-, 8-, 9- или 10-членное гетероциклическое кольцо;
R4 и R6, взятые вместе с атомами, к которым они присоединены, образуют 4-, 5-, 6-, 7-, 8-, 9- или 10-членное гетероциклическое кольцо;
R2 и R8, взятые вместе с атомами, к которым они присоединены, образуют 3-, 4-, 5-, 6-, 7- или 8-членное карбоциклическое кольцо; или
R2 и R4, взятые вместе с атомами, к которым они присоединены, образуют 3-, 4-, 5-, 6-, 7- или 8-членное карбоциклическое кольцо;
при условии, что когда G представляет собой -NH2, по крайней мере, один из R1, R2, R3 и R4 является иным, чем H.
2. Способ по п.1, отличающийся тем, что R5 и R6 независимо выбраны из группы, состоящей из H, метила и этила.
3. Способ по п.1, отличающийся тем, что R5 и R6, взятые вместе с атомом азота, к которому они присоединены, образуют 5-членное гетероциклическое кольцо.
4. Способ по любому из предшествующих пунктов, отличающийся тем, что R4 представляет собой метил.
5. Способ по п.4, отличающийся тем, что R3 представляет собой метил.
6. Способ по любому из пп.1-3, отличающийся тем, что R3 и R4, взятые вместе с атомом углерода, к которому они присоединены, образуют 3-членное карбоциклическое кольцо.
7. Способ по любому из предшествующих пунктов, отличающийся тем, что R2 представляет собой метил.
8. Способ по п.7, отличающийся тем, что R1 представляет собой метил.
9. Способ по любому из пп.1-6, отличающийся тем, что R1 и R2, взятые вместе с атомом углерода, к которому они присоединены, образуют 3-членное карбоциклическое кольцо.
10. Способ по п.1, отличающийся тем, что G представляет собой -CR7R8NR5R6, и R2 и R6, взятые вместе с атомами, к которым они присоединены, образуют 6-членное гетероциклическое кольцо.
11. Способ по п.10, отличающийся тем, что R5 представляет собой метил.
12. Способ по п.1, отличающийся тем, что G представляет собой -NR5R6, и R2 и R6, взятые вместе с атомами, к которым они присоединены, образуют 4- или 6-членное гетероциклическое кольцо.
13. Способ по п.12, отличающийся тем, что R5 представляет собой H.
14. Способ по любому из предшествующих пунктов, отличающийся тем, что R7 и R8 оба представляют собой H.
15. Способ по п.1, отличающийся тем, что соединение формулы I выбрано из группы, состоящей из:
Figure 00000002
и их дисульфидов.
16. Способ по п.1, отличающийся тем, что соединение формулы I выбрано из группы, состоящей из:
Figure 00000003
17. Способ по п.16, отличающийся тем, что R1, R2, R3, R4, R5, R6, R7 и R8 независимо выбраны из группы, состоящей из H и C1-5-алкила.
18. Способ по п.16, отличающийся тем, что R1, R2, R3, R4, R5, R6, R7 и R8 независимо выбраны из группы, состоящей из H и метила.
19. Способ лечения пациента, страдающего заболеванием, при котором показано лечение цистеамином, включающий введение пациенту эффективного количества композиции, содержащей соединение формулы II, формулы III или его дисульфид:
Figure 00000004
где:
L представляет собой углеводородную связывающую группу;
R9 и R10 независимо выбраны из группы, состоящей из H, C1-5алкила и CO(C1-5алкил); или
R9 и R10, взятые вместе с атомом азота, к которому они присоединены, образуют 3-, 4-, 5-, 6-, 7- или 8-членное гетероциклическое кольцо;
A представляет собой гетероциклическое кольцо, содержащее один атом N; и
n равно 0, 1, 2 или 3;
где атом S в соединении формулы II или формулы III находится на расстоянии от около 3,6 до около 4,7 ангстрем от атома N в соединении;
при условии, что соединение формулы II не представляет собой цистеамин.
20. Способ по п.19, отличающийся тем, что L представляет собой 3-, 4-, 5-, 6-, 7- или 8-членное циклоалкильное кольцо или 6-членное арильное кольцо.
21. Способ по п.19, отличающийся тем, что L представляет собой C1-5алкил.
22. Способ по любому из пп.19-21, отличающийся тем, что L замещен одной-четырьмя группами, выбранными из галогена, C1-5алкила, C3-5циклоалкила и -СO2(C1-5алкил).
23. Способ по п.19, отличающийся тем, что A представляет собой 3-, 4-, 5-, 6-, 7- или 8-членное моноциклическое гетероциклоалкильное кольцо, 6-, 7- или 8-членное бициклическое гетероциклоалкильное кольцо или 5- или 6-членное гетероарильное кольцо.
24. Способ по п.19, отличающийся тем, что соединение формулы III имеет структуру IIIa:
Figure 00000005
где R11 выбран из группы, состоящей из H и C1-5алкила.
25. Способ по любому из пп.19, 23 или 24, отличающийся тем, что A замещен одной-четырьмя группами, выбранными из галогена, C1-5алкила, C3-5циклоалкила и -СO2(C1-5алкил).
26. Способ по п.19, отличающийся тем, что атом S в соединении формулы II или формулы III находится на расстоянии от около 3,8 ангстрем до около 4,4 ангстрем от атома N в соединении.
27. Способ по п.26, отличающийся тем, что атом S в соединении формулы II или формулы III находится на расстоянии от около 4,0 ангстрем до около 4,2 ангстрем от атома N в соединении.
28. Способ по п.27, отличающийся тем, что атом S в соединении формулы II или формулы III находится на расстоянии около 4,1 ангстрем от атома N в соединении.
29. Способ по любому из пп.19-28, отличающийся тем, что соединение формулы II, формулы III или его дисульфид снижает уровень цистина у субъекта в количестве, которое составляет, по меньшей мере, 70% от уровня снижения цистина цистеамином.
30. Способ по любому из пп.1-29, отличающийся тем, что соединение формулы I, формула II, формула III или его дисульфид резистентны к метаболизму цистеаминдиоксигеназой (ADO).
31. Способ по п.30, отличающийся тем, что менее 20% соединения формулы I, формулы II, формулы III или его дисульфида метаболизируется цистеаминдиоксигеназой (ADO) при анализе истощения кислорода с использованием чувствительного к кислороду флуоресцентного зонда.
32. Способ по любому из пп.1-31, отличающийся тем, что заболевание выбрано из группы, состоящей из цистиноза, жирового заболевания печени, фиброза, тромботического заболевания, расстройства, связанного с MECP-2, наследственного митохондриального заболевания, неврологического заболевания или расстройства, воспаления и злокачественной опухоли.
33. Способ по п.32, отличающийся тем, что жировая болезнь печени выбрана из группы, состоящей из неалкогольной жировой болезни печени (NAFLD), неалкогольного стеатогепатита (NASH), жировой болезни печени, обусловленной гепатитом, жировой болезни печени, обусловленной ожирением, жировой болезни печени, обусловленной диабетом, жировой болезни печени, обусловленной резистентностью к инсулину, жировой болезни печени, обусловленной гипертриглицеридемией, абеталипопротеинемией, гликогенозом, болезнью Вебера-Крисчена, болезнью Вольмана, острым стеатозом при беременности и липодистрофией.
34. Способ по п.32, отличающийся тем, что фиброз выбран из группы, состоящей из атеросклероза, астмы, фиброза миокарда, фиброза трансплантата органов, коллоидного и гипертрофического рубца, мышечного фиброза, фиброза поджелудочной железы, фиброза костного мозга, интерстициального фиброза печени, цирроза печени и желчного пузыря, склеродермии, фиброза легких, диффузного паренхиматозного заболевания легких, идиопатического интерстициального фиброза, интерстициальной пневмонии, десквамативной интерстициальной пневмонии, респираторного бронхиолита, интерстициальной болезни легких, острой интерстициальной пневмонии, неспецифической интерстициальной пневмонии, криптогенной организующейся пневмонии, лимфоцитарной интерстициальной пневмонии, почечного фиброза и хронического заболевания почек, кистозного фиброза и болезни Альпорта.
35. Способ по п.32, отличающийся тем, что тромботическое заболевание выбрано из группы, состоящей из серповидноклеточной анемии, тромбоза глубоких вен, эмболии легочной артерии, кардиоэмболии, гиперкоагуляционного состояния, тромбофилии, фактора V Ляйдена, дефицита антитромбина III, дефицита белка С, дефицита белка S, мутации гена протромбина (G20210A), гиперхомикстеинемии, синдрома антифосфолипидных антител (APS), тромбоза в результате повышения уровня антител к кардиолипину (ACLA) или синдрома волчаночного антикоагулянта (LA).
36. Способ по п.32, отличающийся тем, что неврологическое заболевание или расстройство выбрано из группы, состоящей из болезни Хантингтона, болезни Паркинсона, бокового амиотрофического склероза, рассеянного склероза, болезни Альцгеймера, спинальной мышечной атрофии, сотрясения мозга, инсульта и травматического повреждения мозга (CTE).
37. Способ по п.32, отличающийся тем, что заболевание, связанное с MECP-2, выбрано из группы, состоящей из синдрома Ретта, аутизма, общего расстройства психологического развития, несиндромальной задержки умственного развития, идиопатической неонатальной энцефалопатии и идиопатической формы церебрального паралича.
38. Способ по п.32, отличающийся тем, что наследственное митохондриальное заболевание выбрано из группы, состоящей из атаксии Фридрейха, наследственной оптической невропатии Лебера (LHON), миоклонической эпилепсии и разорванных красных волокн, митохондриальной энцефаломиопатии, лактацидоза и инсультподобных эпизодов (MELAS), синдрома Кернса-Сейра и подострой некротической энцефаломиопатии (синдром Лея).
39. Способ по п.32, отличающийся тем, что злокачественная опухоль выбрана из группы, состоящей из злокачественной опухоли молочной железы, меланомы, злокачественной опухоли предстательной железы, злокачественной опухоли поджелудочной железы, злокачественной опухоли головы и шеи, злокачественной опухоли легких, немелкоклеточной карциномы легких, злокачественной опухоли почки, злокачественной опухоли толстой и прямой кишки, злокачественной опухоли толстой кишки, злокачественной опухоли яичников, злокачественной опухоли печени и злокачественной опухоли желудка.
40. Соединение, имеющее следующую структуру, или его дисульфид:
Figure 00000006
где R1 представляет собой C1-5алкил; и
R3, R4, R5, R7 и R8 независимо выбраны из группы, состоящей из H и C1-5-алкила.
41. Соединение, имеющее следующую структуру, или его дисульфид:
Figure 00000007
,
где R1, R3, R4, R5, R6 и R7 независимо выбраны из группы, состоящей из H и C1-5-алкила.
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