CA1337124C - Flavolignan derivatives, processes for the preparation thereof and pharmaceutical compositions containing these compounds - Google Patents

Flavolignan derivatives, processes for the preparation thereof and pharmaceutical compositions containing these compounds

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Publication number
CA1337124C
CA1337124C CA000495804A CA495804A CA1337124C CA 1337124 C CA1337124 C CA 1337124C CA 000495804 A CA000495804 A CA 000495804A CA 495804 A CA495804 A CA 495804A CA 1337124 C CA1337124 C CA 1337124C
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Prior art keywords
silibinin
independently selected
alk2
alk1
formula
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French (fr)
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Reinhard Braatz
Klaus Gorler
Gunter Halbach
Hartwig Soicke
Karlheinz Schmidt
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Madaus Holding GmbH
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Madaus AG
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D407/00Heterocyclic compounds containing two or more hetero rings, at least one ring having oxygen atoms as the only ring hetero atoms, not provided for by group C07D405/00
    • C07D407/02Heterocyclic compounds containing two or more hetero rings, at least one ring having oxygen atoms as the only ring hetero atoms, not provided for by group C07D405/00 containing two hetero rings
    • C07D407/04Heterocyclic compounds containing two or more hetero rings, at least one ring having oxygen atoms as the only ring hetero atoms, not provided for by group C07D405/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/02Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P39/00General protective or antinoxious agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P39/00General protective or antinoxious agents
    • A61P39/02Antidotes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/06Antiarrhythmics

Abstract

The invention is concerned with novel pharmaceutically active silibinin derivatives having the general formula:

wherein n and m, independently of one another, stand for 0 or 1, Alk1 and Alk2, independently of one another, are alkylene radicals containing up to 4 carbon atoms or alkenylene radicals containing 2 to 4 carbon atoms and M1 and M2, independently of each other, stand for hydrogen atoms or alkali metal atoms.
The compounds according to the present invention are effective for the treatment of fungal poisonings, especially the very dangerous poisoning caused by the fungus known as green death cap or deadly ageric (Amanita phalloides). Poisonings by halogenated organic solvents, such as carbon tetrachloride, tri-chloroethylene, chloroform and the like, can also be surprisingly well treated therewith. In the case of a prophylactic use, the compounds according to the present invention prevent the above-described damage.

Description

-Flavolignan derivatives The present invention is concerned with new flavolignan derivatives, with processes for the preparation thereof and with pharmaceutical composit-ions containing these new compounds.
Lady's thistle (Silybum marianum (L.) Gaertn.
(Carduus marianus L.) is a medicinal plant which has long been known. From the flavolignans occurring in the fruits of this plant, R. Munster isolated a compon-ent called silybin (cf. Dissertation R. Munster, Munchen, 1966). The chemical structure of this com-pound was elucidated by A. Pelter and R. Hansel (cf.
Tetrahedron Letters, London, 25, 2911-2916/1968).
It is known that silybin, previously also called silymarin I, is a valuable liver therapeutic substance (cf. Federal Republic of Germany Patent Specification No. 17 67 666). A technical process for the prepar-ation of silybin (silymarin I) is described, for example, in Federal Republic of Germany Patent Spec-ification No. 19 23 0~2.
As long ago as 1974, H. Wagner, P. Diesel and M. Seitz (Arzneimittelforschung, 24 (4), (466-471) assumed, with regard to silybin, two positional isomers, namely silybin and isosilybin. This conjecture was investigated and confirmed experimentally by A. Arnone, L. Merlini and A. Zanarotti (J. Chem. Soc. Chem. Comm., 16, 696-697/1079). According to this, the known silybin consists of two different compounds, namely, the com-pounds of the following structural formulae A and B:

~, o CH20H
HO ~ ~ OCH3 OH OH
OH O

(A) Silibinin OH

HO ~ ~ ~ OCH3 OH
OH o (B) Isosilybin From these structural formulae, it can be seen that these compounds are positional isomers. The compound of formula A has recently been given the INN

designation silibinin. This designation will now be used herein for the compound of formula A.
The therapeutic use of silybin gives rise to the difficulty that silybin is practically insoluble in water.so that silybin-containing injection solutions or preparations, in the case of which a certain water-solubility is necessary, could not be produced.
Federal Republic of Germany Patent Specification No.
19 63 318 admittedly describes silybin derivatives which possess a certain water-solubility but these are very complex mixtures of semiesters of succinic acid.
This mixture is so complex because there are five esterifiable hydroxyl groups in silybin, the silybin also contains the two above-described positional isomers and the succinic acid used for the esterification is a dicarboxylic acid which can form not only monoesters but also diesters. For ph~rm-ceutical purposes, a product which consists of an unforeseeable number of greatly differing and non-elucidated compounds cannot be used.
It is, therefore, an object of the present invention to provide water-soluble silibinin derivatives which are suitable for phAnm~ceutical purposes and which are precisely characterised as chemically individual compounds.
We have found that silibinin derivatives of certain alkane and alkylenedicarboxylic acids fulfil these requirement~.
Thus, according to the present invention, there are provided silibinin derivatives of the general formula:-~ o CH2-0-CO- ( Alkl ) n-COOMl 5 HO ~ / O ~ OHH3 (I) OH 0 ( 2)m OOM2 wherein n and m, independently of one another, stand for 0 or 1, Alkl and Alk2, independently of one another, are alkylene radicals containing up to 4 carbon atoms or alkenylene radicals containing 2 to 4 carbon atoms and Ml and M2, independently of one another, are hydrogen atoms or alkali metal atoms.
Preferred compounds of general formula (I) are those in which m and n, independently of one another, stand for 0 or 1, Alkl and Alk2 each stand for an alkylene radical containing 2 carbon atoms and Ml and M2, independently of one another, stand for alkali metal atoms, m and n, Alkl and Alk2 and Ml and M2 preferably have, in each case, the same meanings.
The disodium salt of silibinin-C-2'!3-dihydrogen succinate is especially preferred.

.

In the case of the compounds according to the present invention, the hydroxyl groups which are not attached to a benzene nucleus of the silibinin are partly or completely esterified, for exa~lple, by oxalic acid, malonic acid, succinic acid, adipic acid, maleic acid or fumaric acid. Preferably, the two non-aromatically bound hydroxyl gro~ps of the silibinin are simply esterified by one of the mentioned carboxylic âcids.
In accordance with another aspect of the invention there is provided a process for preparing a silibinin derivative of formula (I) which comprises esterifying the non-aromatic hydroxyl groups in pure isosilybin-free silibinin of formula (11):

HO ~ ~ ~ ~O ~ 3 OH O

- with at least one dicarboxylic acid anhydride of formula (III):

O=C-Alk-C=O
\ / (III) lD

1 3371 2~
_ - 5a -in which Alk is at least one of Alkl and Alk2 as defined above. When the alkali metal salt is desired the free carboxylic acid residues derived from the anhydride are converted in conventional manner, for example, by reaction with the alkali metal hydroxide, carbonate or bicarbonate.
It will be understood that a mixture of anhydrides (III) may be employed to produce derivatives (I) in which Alkl and Alk2 are different. In such case one of the non-aromatic hydroxyl groups in , - 6 -silibinin may be temporarily protected while the other is esterified with an anhydride (III) in which Alk is Alk~, whereafter the protective group may be removed and the hydroxyl group esterified with an anhydride (III) in which Alk is Alk2, Alk1 and Alk2 being different.
Suitable protective groups and procedures for temporarily protecting such hydroxyl groups and subsequent removal of the protecting groups are well 1 0 k nown.
Preferably Alk~ and Alk2 are the same so that a single anhydride (III) is employed.
Since the aromatically bound hydroxyl groups in silibinin may also be esterified by the anhydride (III), it will unusually be necessary to saponify or hydrolyse the esterification product to free the aromatically bound hydroxyl groups.
In a particular embodiment of the process of the invention about 1 part by weight of silibinin of the above-given formula (A) is dissolved in 1 to 2 parts by weight of pyridine and reacted, while stirring, with 1 to 3 parts by weight of a di-carboxylic acid anhydride of the general formula -O=C-Alk-C=O
o -~_ ~ 7 ~ 1 337 1 24 in which Alk stands for one of the above-defined Alk1 and Alk2 radicals, ethanol is then added until a homo-geneous mixture is obtained, subsequently water is admixed therewith, with intensive-stirring, esters present in the aromatically bound hydroxyl groups thereby being hydrolysed, as soon as this hydrolysis is complete, the reaction mixture is diluted with ethyl acetate, washed with acidified water which is saturated with ethyl acetate, the ethyl acetate phase is evaported ~ - 8 - 1 3371 2~

and the residue is taken up in ethanol and converted with an alcoholic solution of an alkali metal hydroxide into the salt of the free, non-esterified carboxylic acid residue.
The reaction with the dicarboxylic acid anhydride is preferably carried out at 40 to 50C. The pH of the ethyl acetate-saturated acidified water is advantage-ously kept at about 1.5 to 2.4.
These compounds, especially the disodium salt of silibinin-C-2',3-dihydrogen succinate, show, surprisingly, an outstanding pharmacological action in the case of the treatment of burn injuries. Furthermore, in spite of the described derivatisation, they retain the complete p~rm~cological effectiveness of the known silybin as a liver therapeutic. They are especially suitable for the treatment of liver cirrhosis and of toxic-metabolic liver damage.
Surprisingly, the compounds according to the present invention also prove to be extraordinarily effective for the treatment of fungal poisonings, espec-ially the very dangerous poisoning caused by the fungus known as green death cap or deadly ageric (Amanita phalloides). Poisonings by halogenated organic solvents, such as carbon tetrachloride, trichloroethylene, chloroform and the like, can also be surprisingly well treated therewith. In the case of a prophylactic use, the compounds according to the present invention prevent the above-described damage.
Therefore, the present invention also provides pharmaceutical compositions containing at least one of these new compounds, together with pharmaceutically acceptable solid or liquid diluents or carriers. They are usually employed systemically, for example, in the form of pills, capsules, solutions and the like, in conventional carriers and possibly together with conventional adjuvants.
The daily dosage for an adult human amounts to about 50 to 500 mg., depending upon the state of the patient and the severity of the symptoms of the disease.
In a particular embodiment there is provided a pharmaceutical composition comprising a silibinin derivative (I) in association with a pharmaceutical diluent or carrier, the compositions being sub-stantially free of the corresponding isosilybin derivative and substantially free of esters of the silybinin derivative (I) and esters of the correspond-ing isosilybin derivative.
The invention is illustrated by reference tothe accompanying drawings in which:
Figure 1 shows the fatty acid distribution in microsomal liver lipids and the changes caused by thermal skin damage, and -- 1 o 1 3 3 / ~ 2 ~
Figure 2 shows the influence of a derivative (I) of the invention on theblastogenesis of lymphocytes.
Experiments with the disodium salt of silibinin-C-2',3-dihydrogen succinate (sili-suc-na).
The symptoms which arise in the case of burns are especially brought about by intoxication by the products of thermal tissue necrosis. Evidence that autointoxication processes after severe skin burnings are responsible therefor have been carried out in a large variety of ways. Especially convincing are cross-transplantations of burnt and non-burnt skin to healthy and burnt recipient animals, it thereby being demonstrated that unburnt recipients of burnt skin die, whereaS burnt recipients of unburnt skin do not show any harmful actions (see K. H. Schmidt, New Aspects of Autointoxication after Severe Burnings: The Burning Disease; F. W. Ahnefeld et al, eds. pub.
Springer Verlag, Berlin, pp. 45-5Z).

In the case of skin burnings, the liberation or new formation of a number of chemical compounds occurs.
In spite of the plurality thereof, it has been possible to elucidate the structure of some of these compounds.
5 It could be shown, inter alia, that the con~pounds resulting in the case of skin burnings possess a similarity with those compounds which arise in the case of lipid peroxidation. There are also analogies with regard to the toxic actions of these substances.
10 Especially in~ressive is the formation of toxically-acting saturated and unsaturated aldehydes of varying chain length a~ a result of lipid peroxidation (Benedetti et al., Identification of 4-hydroxynonenal as a cytotoxic product originating from the peroxidation 15 of liver microsomal lipids, Bio~~h;~. Biophys. Acta, 620, 281-296/1980) and the thermal tissue damage (K.H. Schmidt et al., Studies on the structure and biological effects of pyrotoxins purified from burned skin, World J. Surg., 3, 361-365/1979). It is, therefore, assumed that 20 burnings lead to an oxidative ~n -g; ng of cell structures.
~ herefore, autooxidative changes of membrane lipids were investigated as a result of an autointoxic-ation after severe burnings. In particular, changes in the fatty acid composition of the membrane lipids were 25 investigated. Furthermore, it was tested to what extent the silibinin derivatives according to the present invention influence the changes in the fatty -12- 133712~

acid composition of the membrane lipids.
Chanqes in the fatty acid composition of membrane lipids after severe burninqs.
Male Wistar rats with an average body weight of 360 g. were kept in groups of three with free access to water and dry feed. Up to the commencement of the experiment, the room temperature was 22C. and after the commencement of the experiment the An;mAls were kept at 30C.
The skin burnings were made with a copper stamp with a surface area of 20 cm2 with constant pressure and a temperature of 250C. In order to prevent a thermal damage to deeper lying organs, the skin was drawn over an air-cooled hollow spatula. Very exact burning traumata can be made with this An;~-l model which provide constant survival rates.
Before romm~ncement of the experiment, the ~n;mAl8 were narcotised with 50 mg./kg. of nembutal.
After the burning, 20 ml. Ringer lactate were injected i.p. for shock prophylaxis.
Five experimental groups were used:
a) normal group: completely intact An;m-18 b) control group I: only silibinin treatment for 6 days with 75.5 mg. sili-suc-na c) control group II: pseudo-operated ~n;~ -1 S
d) group with burned An;m~ls: 25%, 250C., 20 sec., 0.5 at.

-13 - ~ 3371 24 e) test group: ~n;m~l s to which had been administered 75.5 mg. sili-suc-na i.p. for 6 days, starting 1 day before burning.
For the isolation of microsomes, after the end of the experimental period, the An;m~ls were bled under narcosis. Subsequently, the liver was removed, weighed and immediately transferred to an ice-cold isolation medium (0.25 M saccharose, 1 mM EDTA, 10 mMol Triq.HCl, pH 7.2). The liver was cut up and homogenised in the medium. The microsome fraction was pelletised by differential centA fuging. The microsomes were re-suspended and again centrifuged. Subsequently, a sus-pension was prepared in the case of which 1 ml. of suspension corresron~d to 1 g. of liver tissue.
The lipids were determined by the method of J. Folch (A simple method for the isolation and purific-ation of total lipids from ~n;m-l tissues, J. biol. Chem., 226, 497-508/1957, modification of Bligh and Dyer (A
rapid method of total lipid extraction and purification, Can. J. Biorh~m. Physiol., 37, 911-917/1959).
The extracted microsome lipids were saponified with an aqueous sodium hydroxide solution. The free fatty acids were esterified by the addition of BF3-methanol. After evaporation of the methanol and Lel,oval of hydrophilic by-products, the fatty acid esters were determined quantitatively.

~ - 14 - 1 337 1 2~

In the case of the unburned group of Ani~Als, no noteworthy change of the fatty acid pattern could be ascertained. Thus, the narcosis and minor operational intervention did not result in a change of the micro-somal lipids. For this reason, for further comparison,the normal group and the control group were combined to one control group.
A comparison of the unburned and of the burned An;~ls with regard to their micrsomal fatty acid pattern showed a serious displacement of unsaturated to saturated fatty acids.
Fig. 1 of the accompanying drawings shows the fatty acid distribution in the microsomal liver lipids and the changes caused by the thermal skin damage. The proportion of palmitic acid (C16) increased after burning from 25.1 to 34.4% of the total fatty acids.
In the case of stearic acid (C18), the proportion in the case of the burned A~ lS was, with 46.3~, 13.20~
above the value obtained with the control An;~-ls, In the case of oleic acid (C18:1), a slight, insignificant decrease is detectable. The proportion of linoleic acid (C18:2) was decreased after burning to about one third of the initial value. Finally, in the case of arachidonic acid (C20:4), after burning there was found only 31% of the initial content.
The following Table shows the influence of sili-suc-na on the proportions of fatty acids in the burned _ - 15 - 1337124 and in the unburned An;m~lS
Table Fatty acid pattern of the microsomal lipids of the rat liver after sili-suc-na therapy in the case of burned - 5and unburned animals C16 C18 C18:1 C18:2 C20:4 unburned 29. 8~o 37.~/O 8. 9yo 9`. 6% 16. 2%
(control group I) + 6.2 +12.3 +1.1 +3.3 +4.9 25.4% 37.5% 7.8% 11. 4% 18 . 0~
burned +6.0 +8.6 +1.0 +5.3 +9.1 It can be seen that treatment with a silibinin derivative according to the present invention does not give rise to any important changes in the case of the unburned control ~n;m~l s in ~omr~rison with the untreated An;m~l s. In the case of the burned An;m-ls, the therapy resulted in a complete removal of the loss of unsaturated fatty acids.
To summarise, the following can be said: Burnings result in changes of the fatty acid pattern of micro-somal lipids. It is to be assumed that this is to beattributed to oxidative damage of the membranes. This is shown especially by the marked decrease of the poly-unsaturated fatty acids.

"-.

~ - 16 _ 1 337 1 2~

The silibinin derivatives according to the present invention are thus able to inhibit oxidative cell damage. Therefore, they are especially useful for interrupting oxidative damage mechaniqms after severe burnings.
As already mentioned, it is assumed that auto-toxic reactions after severe burnings lead especially to oxidative cell damage. We have, therefore, investi-gated what effect a standardised thermal trauma has on the PHA-induced blastogenesis of T-lymphocytes from the spleen and the peripheral blood of rats. Furthermore, we have investigated how the silibinin derivatives according to the present invention influence such lymphocytaeric functional disturbances after severe burnings.
Action of a standardised thermal trauma on the PHA-induced blastoqenesis of T-lymphocytes from the spleen and the peripheral blood of rats.
The back skin of Wistar rats was ~urned with a copper stamp in the above-described manner. As control group, there were used pseudo-burned ~n;mAls on which were carried out all the operative manipulations but without burning. After 2, 4, 7 and 9 days, blood and spleen were removed from the burned and from the control ~n;m~l S under ether narcosis.
For the isolation of the lymphocytes, heparinised blood was coated on to FICOLL-HYPAQUE* solution (density * Trademark ^-`~'`"
A-`

~ - 17 - 1 337124 1.077). Subsequently, it was centrifuged and the lymphocytes obtained tested with tryptane blue for their vitality. For the isolation of the spleen lymæho-cytes, the organ was comminuted, passed through a sieve and freed from accompanying erythrocytes by means of Gay' 8 lysis solution.
Subsequently, the cell mixture was incubated in a vessel in the presence of 5% heat-inactivated foetal calf serum for 30 minutes in order to reduce the pro-portion of mono-nuclear cells in the suspension by adhesion to the vessel wall (5%). For culturing, the cells were introduced into flat-bottom microtitre plates.
20~ foetal calf serum was then introduced. In this way, the spontaneous blastogenesis was determined by measure-ment of the incorporation of 3H-thymidine-(2Ci/mM) into the DNA of the cells.
In previous experiments, it was elucidated that an optimum mitogen stimulation takes place in the case of a PHA concentration (mitogen phyt~e~gglutinin) of 5 ~mg./ml. In the case of these experiments for the optimisation of the cellular test system, it was also ascertained that the m~i ml~m stimulation of the new synthesis of DNA took place after 72 hours. Further-more, it was ascertained that the optimum concentration of foetal calf serum is 2~ in order to achieve the highest stimulation.

- 18 ~ 1 337 t 2~

As described above, the spontaneous blastogenesis was determined by measurement of the incorporation of 3H-thymidine into the DNA of the cells. The cells were collected 18 hours after the addition of 3H-thymidine, the zero point for the 18 hours thereby coinciding with the time point of mAX; mllm stimulation.
For the investigation of the action of the silibinin derivatives according to the present invention, a group of rats were treated with a silibinin derivative.
For this purpose, 75.5 mg. of sili-suc-na were injected i.p. once per day. This therapy was carried out from the day of burning up to the day on which the organs were lel.io~ed (m~; ml-m Up to the 9th day).
For the evaluation of the results obtained with the control Anim-ls and with the sili-suc-na-treated An;mAlS, the stimulation index was calculated. This numerical value represents the quotients of the average value of the stimulated sample and the average value of the control sample. From the stimulation index thus obtained in the case of each experimental An;mAl, there was calculated an average qtimulation index per An;~-group. The results obtained are expressed by the index SI.
Fig. 2 of the accompanying drawings shows the influence of the sili-suc-na used on the blastogenesis of lymphocytes. In the case of the burned An;mAls, the reduced stimulation ability of the cells was ~ - 19 -markedly increased by the silibinin derivative.
Already on the second day, in the case of the sili-suc-na-treated ~n;m~ls~ there was found an about 10 times higher responsivity of the blood lymphocytes S towards PHA. On the fourth post-traumatic day, the value for the stimulation index in the case of blood lymphocytes for treated An;m~ls was 8, whereas the corresponding value in the case of the untreated An;mAls was 1.5.
In the case of spleen cells, the stimulation indices of the burned, untreated An;m~ls were all markedly under 1. The administration of the silibinin derivative results in a significant imp-o~e~-Rnt on all investigated days, a maximum being found on the 7th post-traumatic day.
Comparative experiments were also carried out which showed that sili-suc-na alone in the case of healthy An;m-ls did not result in any significant changes in the stimulation ability of the PHA-induced blastogenesis of T-lymphocytes from the spleen and from the peripheral blood.
Thus, the silibinin derivatives according to the present invention stimulate the blastogenesis of lymphocytes of burned Ani~ls in a significant manner.
It was also ascertained that, in the case of An;mAlS treated with the silibinin derivatives according to the present invention, the general catabolism was ~ - 20 - 1337124 lower since, after the thermal trauma, the An;m~ls again rapidly increased in weight.
Funqal poisoninqs.
Poisonings due to deadly ageric (Amanita phalloides) belong to the most serious ones found in medicine. Although only 10 to 30~ of all fungal poisonings are caused by the Amanita phalloides, poi onings with this fungus have always attracted great medical interest because of their danger. In older publications, the lethality was said to be 30 to 50%.
Thanks to modern intensive medicine, according to a collective study by Floersheim et al. on 205 patients, this value has been reduced, on average, to 22.4%.
The poison from Amanita phalloides, amanitin, can be fatal for adult humans even in an amount of 7 mg., this amount of poison being present in about 50 g. of fresh fungus.
After a series of ~n;mAl e~periments which promised success, the active material sili-suc-na was used in the therapy of poisoning by Amanita phalloides.
28 patients with Amanita phalloides poisoning were treated with sili-suc-na, in addition to conventional therapeutic measures. Of these 28 patients, only one died who had taken comparatively large amounts of the fungus with suicidal intent. This result ~emon~trated an enormous therapeutic advance in this field.

Preparation of isosilybin-free silibinin A suspension of 500 g. of the product according to Federal Republic of Germany Patent Specification ~o. 19 23 082 (see column 8, lines 14-19), with a silymarin content of about 7~/O and an isomer ratio of silybin/silidianin/silicristine of about 3:1:1, the silybin cont~; ni ng about one third of isosilybin, in 2 kg. methanol (about 2.53 litres) is heated to the boil for 15 minutes, while stirring. After thi~ time, some silibinin can already precipitate out of the sol-ution thus obtained. Subsequently, 0.75 to 1.25 kg.
(about 0.96 - 1.58 litres) of methAnol are ~ .o~ed in a vacuum and the residue is left to stand for 10 to 28 days at ambient temperature. The precipitated silibinin is filtered off and washed twice with 50 ml. amounts of cold methanol. After drying in a vacuum at 40C., the isolated crude silibinin is further purified in the following manner:
60 g. of crude silibinin are dissolved, with heating, in 3 litres of technical grade ethyl acetate.
Subsequently, 20 g. active charcoal are added thereto and the mixture is heated under reflux for a further 2 hours, while stirring. Thereafter, it is clarified by filtration and the solution is evaporated at 50&.
under reduced pressure to about 250 ml. The concentrate is stirred for 15 minutes with the use of an Ultra-Turrax apparatus and, while stirring, mixed with 25 ml.

of methanol. Subsequently, the mixture is left to stand overnight at ambient temperature. Before filter-ing off with suction the thereby precipitated silybin, stirring is again carried out with an Ultra-Turrax apparatus for 5 minutes. The suction-filtered precip-itate is washed twice with 50 ml. amounts of ethyl acetate and dried overnight at 40&. in a vacuum drying cabinet. The product obtained is subsequently ground and further dried for 48 hours under the same conditions.
The following Examples are given for the purpose of illustrating the present invention:
Example 1.
Preparation of silibinin-C-2',3-dihydroqensuccinate.

I ~ o ~ ~ CH2--0-CO--CH2--CH2--COOH
HO ~ ~ O~3 50 g. of silibinin are dissolved at 45C. in 70 ml. pyridine, 50 g. succinic anhydride are added thereto, the mixture is stirred for about 8 hours at 45C., 30 ml. eth~nol are added thereto and the mixture is further stirred until a homogeneous mixture has formed. Subsequently, 60 ml. of water are added thereto, with intensive stirring, for the saponific-- 23 _ 1 337 1 2~

ation of the phenyl esters, wnthin the course of about 30 minutes. After stirring for about 1 hour at 30C., the phenyl esters are quantitatively hydrolysed. The completeness of the hydrolysis is tested by means of HPLC. The hydrolysis is stopped by rapidly adding 1.7 litres of ethyl acetate to the reaction mixture thus obtained.
For the separation of excess succinic acid and of pyridine, the reaction solution diluted with ethyl acetate is extracted twice in countercurrent with 5 litre amounts of water which has been saturated with ethyl acetate and has a pH of 1.85 (adjusted with - dilute aqueous hydrochloric acid). The ethyl acetate-saturated, acidified wash water is thereby pumped in a cycle counter to the diluted reaction solution and subsequently the pH is maintained at 1.85 by the addition of dilute hydrochloric acid until this pH
value remains constant after the ethyl acetate passage.
Subsequently, for washing out excess hydrochloric acid, the ethyl acetate phase is extracted twice in countercurrent with 3.4 litre amounts of water which has been saturated with ethyl acetate. As soon as the pH value of the wash water is greater than 4.5, the organic phase is separated off quantitatively, evapor-ated in a vacuum at 40 to 50C. to one twelfth of theinitial volume (about 0.2 litres) and then diluted with 125 ml. ethanol.

- 24 _ 1337124 The title compound is obtained by reprecipitation from ethanol/water and drying in a vacuum at 50C. for 15 hours.
For the preparation of an analytical sample, the title compound is reprecipitated three times from ethanol/water and subsequently dried in a vacuum for 15 hours at 50C.
In the FD mass spectrum a molecule peak appears at the expected molecular weight of 682.
The IR spectrum shows, in the region of the C0 valency frequency, two overlapping bands, whereby one, as is also the case for silibinin, is to be associated with the carbonyl function of the pyrone ring at a wavelength of 1635 cm 1, The second band is at 1730 cm 1 and originates from the two ester carbonyl functions.
The H-NMR spectrum confirms that a twofold esterification has taken place. Thus, the ratio, determined by integration, of aromatic protons to methylene protons of the succinic acid residue, amounts to 8:8 (ppm range 5.9 - 7.1). The ratio of these methylene protons (ppm 2.6) to the methyl protons of the methoxy radical (ppm 3.8) amounts to 8.3 and is thus in agreement therewith.
The chemical displacements in the ca~e of the 3C-investigations also show that the esterification of the two alcoholic hydroxyl groups has taken place since the chemical displacements change the most -25_ l 337 1 24 strongly at Cll and the adjacent carbon atomq C12-C14, as well as at C2-C4.
Elementary analysis:

33H30016 (M.W, 682,60) calc.: C 58.07%, H 4.4%0 37.50~
found: 58.05%, 4.57%,37.31%
Example 2.
Preparation of the disodium salt of silibinine-C-2',3-dihydroqen succinate.
To the ethanolic solution obtained according to Example 1, there is added, while stirring and cooling externally at -5 to 9C., 6% ethanolic sodium hydroxide solution in an amount based upon the determination of the solids content of this ethanolic solution. The suspension is further stirred for 1 hour at ambient temperature, the beige-coloured precipitated solid is filtered off with suction, suspended twice, in each case for 5 to 10 minutes, with the he~p of a Turrax, in 150 ml. ethanol and again filtered off with suction.
For the ell~o~al of residual ethyl acetate, the product is subsequently suspended for 14 hours at ambient temp-erature in 280 ml. ethanol, again filtered off with suction, then washed with 70 ml. ethanol and dried for 15 hours in a vacuum drying cabinet at 40 to 45&.
The previously dried product is subsequently ground, sieved to a particle size of less than 0.2 mm. and again dried in a vacuum for 48 hours at 40 to 45&.

` - - 26 - 1 337 1 24 There are thus obtained 52 g. (6~ of theory) of the title compound.
The title compound does not possess a sharp melting point. At about 80C., it begins to sinter and melts, with bubble formation, at about looc, The W spectrum in methanol shows: ~max = 288 nm, = 1 73,104.
The molecular weight of the title compound is 726.56. The compound is a light beige-coloured, microcrystalline powder without a specific odour and with a salty taste. It is readily soluble in water, sparingly soluble in ethanol and practically insoluble in acetone, diethyl ether and chloroform.
Example of use.
Preparation of a lyophilisate for intravenous administration.

disodium salt of silibinin-C-2',3-dihydrogen succinate75.0 mg.
mannitol 10.0 mg.
water for injection purposesad 1.5 ml.
1.5 ml. of solution is placed in a pointed ampoule of 5 ml. capacity and then freeze-dried in known manner. For storage purposes, the ampoule containing the final lyophilisate is closed in the usual manner.
For use, the lyophilisate is dissolved in 5 ml.
of sterile, physiological saline solution to give a clear solution.

Claims (23)

1. A process for the preparation of a silibinin derivative of formula (I):

(I) wherein n and m are independently selected from 0 and 1, Alk1 and Alk2 are independently selected from alkylene radicals containing up to 4 carbon atoms and alkenylene radicals containing 2 to 4 carbon atoms; and M1 andM2 are independently selected from hydrogen atoms and alkali metal atoms, comprising esterifying non-aromatic hydroxyl groups in pure isosilybin-free silibinin of formula (II):

(II) with at least one dicarboxylic acid anhydride of formula (III) in which Alk is at least one of Alk1 and Alk2 as defined above, and, when desired converting the free carboxylic acid residues in the derivative (I) obtained, to alkali metal salt residues.
2. A process according to claim 1, comprising re-acting said pure isosilibin-free silibinin of formula (II) with said at least one anhydride of formula (III), and thereafter hydrolys-ing the esterified aromatically bound hydroxyl groups.
3. A process according to claim 2, wherein Alk is an alkylene radical containing 2 carbon atoms and M1 and M2 are both alkali metal atoms.
4. A process according to claim 2, wherein n and m are the same, Alk1 and Alk2 are the same and M1 and M2 are the same.
5. A process according to claim 1, for preparing silibine-C-2',3-dihydrogen succinate comprising reacting silibinin with succinic anhydride and hydrolysing the esterified aromatically bound hydroxyl groups.
6. A process according to claim 1, for preparing the disodium salt of silibinin-C-2',3-dihydrogen succinate comprising reacting silibinin with succinic anhydride, hydrolysing the esterified aromatically bound hydroxy groups and converting the free carboxylic acid residues in the resulting silibinin-C-2',3-dihydrogen succinate to sodium salt residues.
7. A process according to claim 6, wherein said silibinin-C-2',3-dihydrogen succinate is reacted with sodium hydroxide to produce said disodium salt.
8. A process according to claim 6, wherein said reacting of silibinin with succinic anhydride is carried out at 40 to 50°C.
9. A process for the preparation of a silibinin derivative of formula (I):

(I) wherein n and m are independently selected from 0 and 1; Alk1 and Alk2 are independently selected from alkylene radicals containing up to 4 carbon atoms and alkenylene radicals containing 2 to 4 carbon atoms; and M1 and M2 are independently selected from hydrogen atoms and alkali metal atoms, comprising dissolving one part by weight of silibinine of the formula (II):

(II) in 1 to 2 parts by weight of pyridine and reacting said silibine, while stirring, with 1 to 3 parts by weight of at least one dicarboxylic acid anhydride of the formula (III):

(III) in which Alk is at least one of Alk1 and Alk2, as defined above, adding ethanol thereto until a homo-geneous mixture has formed, subsequently adding water, with intensive stirring to hydrolyse esters of the aromatically bound hydroxyl groups present, on completion of the hydrolysis, diluting the mixture with ethyl acetate, washing with acidified water which is saturated with ethyl acetate, evaporating the ethyl acetate phase, taking up the residue in ethanol and, when desired converting the free carboxylic acid residues, with an alcoholic alkali metal hydroxide solution into the alkali metal salt.
10. A process according to claim 9, for preparing the disodium salt of silibinin-C-2',3-dihydrogen succinate, wherein said anhydride is succinic acid anhydride and said alkali metal hydroxide is sodium hydroxide.
11. A process according to claim 10, wherein said reacting of silibinin with succinic anhydride is carried out at 40 to 50°C.
12. A process according to claim 9 or 10, where-in the ethyl acetate-saturated, acidified water is maintained at a pH of about 1.5 to 2.4.
13. The silibinin derivatives having the general formula:

wherein n and m are independently selected from 0 and 1, Alk1 and Alk2 are independently selected from alkylene radicals containing up to 4 carbon atoms and alkenyl-ene radicals containing 2 to 4 carbon atoms, and M1 and M2 are independently selected from hydrogen atoms and alkali metal atoms.
14. The silibinin derivatives of the formula (I) as defined in claim 13, wherein Alk1 and Alk2 are both alkylene radicals containing 2 carbon atoms and M1 and M2 are both alkali metal atoms.
15. The silibinin derivatives of the formula (I) as defined in claim 13, wherein n and m are the same, Alk1 and Alk2 are the same, and M1 and M2 are the same.
16. Silibinin-C-2',3-dihydrogen succinate.
17. Disodium salt of silibinin-C-2',3-dihydrogen succinate.
18. A pharmaceutical composition comprising a silibinin derivative of the formula (I):

(I) wherein n and m are independently selected from 0 and 1; Alk1 and Alk2 are independently selected from alkylene radicals containing up to 4 carbon atoms and alkenylene radicals containing 2 to 4 carbon atoms;
and M1 and M2 are independently selected from hydrogen atoms and alkali metal atoms, in admixture with a pharmaceutical diluent or carrier, said composition being substantially free of the corres-ponding isosilybin derivative and substantially free of esters of said silibinin derivative (I), and esters of the corresponding isosilibin derivative.
19. A composition according to claim 18, wherein n and m are independently selected from 0 and 1, Alk1 and Alk2 are both alkylene radicals containing 2 carbon atoms and M1 and M2 are independently selected from alkali metal atoms.
20. A composition according to claim 18, wherein n and m are the same Alk1 and Alk2 are the same, and M1 and M2 are the same.
21. A composition according to claim 18, wherein said derivative is the disodium salt of silibinin-C-2',3-dihydrogen succinate.
22. A composition according to claim 18, 19 or 20, in the form of an aqueous injection solution wherein said diluent or carrier is aqueous.
23. A composition according to claim 21, in the form of an aqueous injection solution wherein said diluent or carrier is aqueous.
CA000495804A 1984-11-22 1985-11-20 Flavolignan derivatives, processes for the preparation thereof and pharmaceutical compositions containing these compounds Expired - Fee Related CA1337124C (en)

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GB8716918D0 (en) * 1987-07-17 1987-08-26 Inverni Della Beffa Spa Soluble derivatives of silybin
US5262439A (en) * 1992-04-30 1993-11-16 The Regents Of The University Of California Soluble analogs of probucol
RU2431634C2 (en) * 2005-03-11 2011-10-20 Говард Флори Инститьют Оф Експериментл Физиолоджи Энд Медсин Flavonoid compounds and use thereof
AU2008323156B2 (en) * 2007-11-15 2012-05-31 Madaus Gmbh Silibinin component for the treatment of hepatitis
RU2482844C2 (en) * 2007-11-15 2013-05-27 Мадаус Гмбх Silibilin component for treating hepatitis
WO2010130460A1 (en) * 2009-05-14 2010-11-18 Euromed S.A. Amorphous silibinin for the treatment of viral hepatitis
CN103113359B (en) * 2013-02-22 2016-01-06 西安安健药业有限公司 Silybin bis-bias succinate and pharmaceutical salts thereof
CN103172622B (en) * 2013-02-22 2015-11-04 西安安健药业有限公司 The active isomer of silybin bis-bias succinate
CN103193768B (en) * 2013-02-22 2016-03-30 西安安健药业有限公司 The silybin bis-bias succinate isomer for the treatment of hepatopathy

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EP3409280A1 (en) 2012-07-05 2018-12-05 Nutramax Laboratories, Inc. Compositions comprising a sulforaphane and milk thistle extract or powder
EP3821895A1 (en) 2012-07-05 2021-05-19 Nutramax Laboratories, Inc. Compositions comprising a sulforaphane or a broccoli extract and milk thistle extract or powder

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