CN101072554A - Therapeutic treatment of accelerated bone resorption - Google Patents
Therapeutic treatment of accelerated bone resorption Download PDFInfo
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- CN101072554A CN101072554A CNA2005800380014A CN200580038001A CN101072554A CN 101072554 A CN101072554 A CN 101072554A CN A2005800380014 A CNA2005800380014 A CN A2005800380014A CN 200580038001 A CN200580038001 A CN 200580038001A CN 101072554 A CN101072554 A CN 101072554A
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- A—HUMAN NECESSITIES
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- A61K31/00—Medicinal preparations containing organic active ingredients
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7052—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
- A61K31/706—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
- A61K31/7064—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
- A61K31/7076—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines containing purines, e.g. adenosine, adenylic acid
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/08—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/08—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
- A61P19/10—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease for osteoporosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Abstract
The present invention concerns the use of an A3 adenosine receptor agonist (A3AR agonist) for treatment of accelerated bone resorption, particularly, inflammation induced bone resorption. Specifically, there is provided by the present invention a method and pharmaceutical composition for treatment of said condition, the A3AR agonist being formulated as a pharmaceutical composition which is administered to a subject having accelerated bone resorption. The invention also provides the use of A3AR agonist in the preparation of said pharmaceutical composition.
Description
Invention field
The present invention relates to treat or prevent the Therapeutic Method of acceleration bone loss.
Prior art
Following is the prior art inventory, and they are suitable for describing the prior art state in field of the present invention.
(1)Olah?M.E.and?Stiles?G.L.The?role?of?receptor?structurein?determining?adenosine?receptor?activity,Pharmacol.There.,85:55-75(2000);
(2)Poulsen?S.A.and?Quinn?R.J.,Adenosine?receptors:newopportunities?for?future?drugs.Bioorg.Med.Chem.,6:619-641(1998);
(3)Fang?X.et?al.Phosphorylation?and?inactivation?ofglycogen?synthase?kinase?3?by?protein?kinase?A.,Proc.Natl.Acad.Sci.USA,97:11960-11965(2000);
(4)Fishman,P.,et?al.,Involvement?of?Wnt?SignalingPathway?in?IB-MECA?Mediated?Suppression?of?Melanoma?Cells,Oncogene?21:4060-4064(2002);
(5)Ferkey,D.M.,and?Kimelman,D.GSK-3:New?Thoughts?onan?Old?Enzyme,Dev.Biol,225:471-479(2000);
(6)Bonvini,R,et?al.Nuclear?beta-catenin?displaysGSK-3beta-and?APC-independent?proteasome?sensitivity?inmelanoma?cells,Biochim.Biophys.Acta.,1495:308-318(2000);
(7)Olah,M.E.and?Stiles,G.L,The?role?of?receptorstructure?in?determining?adenosine?receptor?activity,Pharmacol.Ther,85:55-75(2000);
(8)Szabo?C,et?al.Suppression?of?macrophage?inflammatoryprotein(MQP)-1αproducing?and?collagen?induced?arthritis?byadenosine?receptor?agonists.,British?Journal?of?Pharmacology,125:379-387(1998);
(9)U.S.5,773,423;
(10)Nicole?C.Walsh?and?Ellen?M.Gravallese.Bone?loss?ininflammatory?arthritis:Mechanism?and?trea?tment?strategies.Current?Opinion?in?Rheumatology,16:419-427(2004);
(11)Zang?Hee?Lee?and?Hong-Hee?Kim.Signal?transduction?byreceptor?activator?of?nuclear?factor?kappa?B?in?osteoclasts.,Biochemical?and?Biophysical?Research?Communication?305:211-214(2003);
Background of invention
Human and other mammiferous multiple disease comprises or is relevant with the acceleration bone resorption.These diseases include but not limited to osteoporosis, scleromalacia, the loss of reparation bone or osteolysis and malignant hypercalcemia.Modal disease is an osteoporosis, and it is the most normal to betide the postmenopausal women.Because the disease relevant with the bone loss is chronic sympton, therefore believe normally chronic treatment of suitable treatment.
Rheumatoid arthritis (RA) is the relevant chronic inflammatory disease autoimmune disease of a kind of and bone loss.1% adult suffers from RA, it is characterized in that the hyperplasia of stromal cell and hematopoietic cell in IA a large amount of infiltrations, cause the infringement of chronic synovitis and cartilage, skeleton, tendon and ligament.RA patient's bone volume reduces and has reduced the bone turnover to some extent, and it has further aggravated osteoporosis [Perez-Edo L, et al.J.Scand J Rheumatol., 31:285-290 (2002)].Cumulative joint injury causes function decline and disabled [Harris ED.N.Eng.1 J.Med., 322:1277-1289 (1990)].About 80% patient has become people with disability [Paulos CM, et al.Adv.Drug.Deliv.Rev., 56:1205-1217 (2004)] in 20 years of beginning to fall ill.
Proved that the bone destruction in RA and other disease relevant with the acceleration bone resorption is mainly mediated by osteoclast, also proved because osteoclast is broken up from its precursor, the skeleton clastogen activates in the inflammation site and has promoted osteoclast to activate and survival, therefore need TNF family material--receptor stimulating agent [the Hsu H of NF-κ B part (RANKL), et al.Proc.Natl.Acad.ScL U.S.A., 96:3540-3545 (1999)].RANKL has highly expression [Kwan Tat S, et al.Cytokine Growth.FactorRev., 5:49-60 (2004) on the epicyte of osteoblast, stromal cell, synovial fluid fibroblast and the T cell in arthritis joint; Kotake S, et al.Arthritis.Rheum., 44:1003-1012 (2001)].RANKL combines with its receptor RANK, and RANK is present on the osteoclast germinal cell, causes catchment PI3 K-PKB signalling channel, causes activation [Udagawa N, et al.Arthritis.Res., the 4:281-289. (2002) of transcription factor NF-KB; Gingery A, et al.J.Cell.Biochem., 89:165-179 (2003)].
Existing evidence points out that adenosine has important function at the restriction aspect of inflammation, mainly is that prevention proinflammatory cytokine produces for example TNF-α, IL-1 and IL-6[Cronstein, B.N.J.Appl.Physiol.76:5-13 (1994); Eigler, A., et al.Scand.J.Immunol, 45:132-139 (1997); Mabley, J., et al.Eur.J.Pharmacol.466:323-329 (2003)].The adenosine membrane receptor relevant with selectivity G-albumen that is released into from activatory or metabolic excitatory cells in the extracellular environment combines membrane receptor called after A
1, A
2A, A
2BAnd A
3[Stiles, G.L., Clin.Re be (1990) s.38:10-18].The antiinflammatory action of having found adenosine is by A
3[Szabo, C, the et al.Br.J.Pharmacol.125:379-387 (1998)] of AR mediation.Particularly, high selectivity A
3AR agonist IB-MECA can effectively prevent arthritic clinical and pathology sign in different test models, comprise adjuvant inductivity arthritis (AJA), collagen-induced property arthritis (CIA) and thropomyosine inductivity arthritis.The mechanism of action is that the decrement of NF-kB, TNF-α and MIP-1 α is regulated [Baharav E., et al.J.Rhematol.Accepted (2004)].
Brief summary of the invention
The present invention has found high selectivity A surprisingly
3AR agonist IB-MECA can prevent the bone loss of adjuvant inductivity arthritis (AIA) mouse model.As hereinafter illustrating, the main signal protein of selective agonist decrement modulability for example NF-kB and RANKL has caused that the decrement of TNF-α regulates, with the loss of prevention bone.
Therefore,, the invention provides a kind of method for the treatment of mammalian subject acceleration bone resorption, comprise having the patient of treatment needs to use a certain amount of A described according to an aspect
3Adenosine receptor agonist (A
3The AR agonist), described dosage can suppress bone resorption effectively.
Term used herein " treatment " expression treatment and preventive therapy.Especially, treatment comprises the inhibition of acceleration bone resorption and osteolytic lesion development.Without limitation, the treatment of bone resorption comprises improve (for example pain, fracture, bone marrow pressurized and the hypercalcemia) of not expecting symptom relevant with bone resorption, before taking place, these symptoms prevent them to show, slowing down or prevention are by losing the diseases related irreversible damage that chronic phase caused (for example preventing the development of osteolytic lesion and each several part) with bone, alleviate the diseases related order of severity of bone resorption, improve bone restoration, the development of prevention bone resorption, prevention bone necrosis, and for any improvement of patient health situation.For example, can be by following one or multinomially prove this improvement: the bone amount increases, the minimizing of the alleviating of the pain relevant with bone resorption, skeleton flow point or the like.According to the present invention, treatment can also comprise above-mentioned two or more combination.
Term in the description of the present invention " acceleration bone resorption " or the term " acceleration bone loss " suitable with it, " acceleration bone destruction " and " broken bone " refer to any disease, disease or the pathological state that comprise that skeleton destroys, can be result or any other pathological states of the metabolic osteopathy that caused by inflammation mediated acceleration metabolic process.The diseases related non-limitative example of bone resorption comprises osteoporosis, scleromalacia, the loss of reparation bone, osteonecrosis (by wound, lose blood or the dead or infringement of osseous tissue that disease causes), myeloma, osteolysis and malignant hypercalcemia.
Term " A in the description of the present invention
3Adenosine receptor agonist " (A
3The AR agonist) refer to can with A
3Adenosine receptor (" A
3AR ") the bonded any chemical compound of specificity, it can completely or partially activate described receptor.A
3The AR agonist be by with A
3AR in conjunction with and its activation is brought into play the chemical compound of main effect.A
3The preferred example of AR agonist is as mentioned below.
A in the description of the present invention
3" dosage " of AR agonist (being also referred to as " effective dose " in this article) refers to and can make mammal avoid bone resorption and the diseases related dosage of bone resorption effectively.According to the present invention, most of experimenters are used the A of various dose
3The AR agonist writes down its physiological responses then as dose function (integration " SS index " of for example having gathered several treatment beneficial effects), can measure the dosage that can reach predictive role effectively at an easy rate.Select a ground, effective dose also can be carried out test operation sometimes in appropriate animal model, is measured thereby use a kind of method of converting to infer to human then; Perhaps by measuring plasma concentration or measuring the following area of plasma concentration time graph (AUC) and calculate effective dose to obtain comparable plasma concentration or AUC.As everyone knows, effective dose depends on for example mode of administration (for example oral administration needs higher dosage than intravenous injection, to reach required blood plasma level or AUC) of multiple factor; Age, body weight, body surface area, sex, health status and individual inherited genetic factors; Other drug that uses or the like.
Hereinafter, unless stated otherwise, the expression mode of dosage is weight/Kg, is meant to be treated the employed A of the every kg body weight of patient when each administration
3The weight of AR agonist.For example, mg/Kg and microgram/Kg are meant respectively and are treated milligram number and the micrograms that the every kg body weight of patient is accepted medicine.
For mice, effective dose is usually less than about 1000 micrograms/Kg, preferably less than about 500 micrograms/Kg.Representational dosage is extremely about 200 micrograms/Kg of about 1 microgram/Kg, and preferred dose is that about 5 micrograms/Kg is to about 150 micrograms/Kg.Human corresponding effective dose is people's equivalent of mice dosage, and it can adopt method hereinafter described to measure.
Term " people's equivalent " refers to the A that can produce on mankind with to mice or rat use 0.001-1mg/Kg
3The AR agonist has the dosage of same effect.As known, this dosage depends on and can be according to multiple parametric measurement, for example the absorbance of body weight, body surface area, active agent, medicine clearance rate and metabolic rate or the like.
People's equivalent can calculate according to multiple transformation standard hereinafter described; Perhaps people's equivalent is the dosage that can have similar blood plasma level to the mice of accepting above-mentioned given dose; Or can produce the dosage of similar total exposure value to the mice of accepting the given dose scope (be called area under curve, ' AUC ' is the function of the blood plasma level of described medicine for the time).
As everyone knows, utilize a kind of known feasibility conversion formula in this area just the X mg/Kg dosage to rat can be converted into equivalent for other species (particularly human).The example of conversion formula is as mentioned below:
Conversion formula I:
Species | Body weight (Kg) | Body surface area (m 2) | The Km factor |
Mice | 0.2 | ?0.0066 | ?3.0 |
Rat | 0.15 | ?0.025 | ?5.9 |
The child | 20.0 | ?0.80 | ?25 |
The adult | 70.0 | ?1.60 | ?37 |
The conversion of body surface area dependency dosage: rat (150g) and people's (70Kg) ratio is 1/7 rat dosage.In other words, for example, the 0.001-1mg/Kg of rat is equivalent to about 0.14-140 microgram/Kg of people.The average weight of supposing the people is 70Kg, and conversion is exactly about 0.01-10mg for people's absolute dosages value so.
Conversion formula II:
Following conversion factor: mice=3, rat=67.The weight of animals multiply by conversion factor will become mg/m by mg/kg
2Human dosage equivalent.
Species | Body weight (Kg) | BSA(m 2) |
The people | 70.00 | ?1.710 |
Mice | 0.02 | ?0.007 |
Rat | 0.15 | ?0.025 |
Canis familiaris L. | 8.00 | ?0.448 |
According to this formula, the human dosage suitable with rat 0.001-1mg/Kg is 0.16-64 μ g/Kg; That is to say that body weight is about 0.011 to about 11mg for the mankind's of about 70Kg absolute dosages, and is similar to the scope shown in the conversion formula I.
Conversion formula III:
Another kind of optional conversion is can produce and animal-use drug is had identical blood plasma level or the dosage of AUC.For example, mice is orally used measurement result behind the IB-MECA, carry out identical measurement after in clinical research, the healthy male volunteer being used IB-MECA, on the basis of two measurement structure, can calculate mice 1 microgram/Kg-1, the dosage of 000 microgram/KG is equivalent to the dosage of human about 0.14-140 microgram/Kg, that is to say that body weight is that the people's of 70Kg accumulated dose is 0.01-10mg.
According to above-mentioned conversion method, for two kinds of specific A
3The AR agonist is IB-MECA and C1-IB-MECA for example, and its preferred dose is less than 4mg, be generally about 0.01 to about 2mg (be respectively about 0.14-28 microgram/Kg), and preferably about 0.1-1.5mg (about respectively 1.4-21 microgram/Kg).This dosage can be administered once in one day, twice or administration sometimes, administration for several times.Human research (herein not enumerated data) shows that the half-life of IB-MECA in human plasma is about 8-10 hour, and its half-life in mice only is 1.5 hours.If multiple dosing in a day is considered accumulative effect, need to proofread and correct dosage (carry out the administration second time before the first administration decay, it can produce cumulative blood plasma level compared to single-dose) sometimes.On the basis of above-mentioned human trial, be administered once every day or be for twice preferred mode of administration, yet this does not get rid of other mode of administration.
It should be noted that except described Therapeutic Method, the present invention also comprises the pharmaceutical composition that is used for the treatment of the acceleration bone resorption, said composition comprises a certain amount of active components A
3AR agonist and drug acceptable carrier, described dosage need can suppress patient's bone resorption of this treatment effectively.
In the description of the present invention, term " medicine acceptable carrier " is meant any inertia, nontoxic material, its not with A
3AR agonist reaction can be added in the preparation as diluent, carrier, and preparation is formed or firm preparation.
Carrier also comprises the material (for example antimicrobial preservative, antioxidant, chelating agen and buffer) that makes preparation have stability, aseptic and isotonicity, with prophylaxis of microbial activity (for example antimicrobial and antifungal, as metagin, chlorobutanol, phenol, sorbic acid or the like), and make preparation have edibility taste or color or the like.
Sometimes carrier can also improve A
3The AR agonist is used to improve A for the transportation or the penetrance of target tissue
3The stability of AR agonist, reduce clearance rate, have slow-releasing, reduce side effect of not expecting or the like.
In addition, the present invention includes A
3The AR agonist is used for the treatment of purposes in the pharmaceutical composition of acceleration bone resorption in preparation.
Brief description
In order to understand the present invention better and to understand how it works in practice on earth, will the preferred specific embodiment be described by nonrestrictive example and accompanying drawing as a reference now, wherein:
Figure 1A-1C comprises clinical scores curve (Figure 1A), uses the AIA rat foot thickness (Figure 1B) after IB-MECA treats, and the figure (left figure) of serious rubescent and swelling appears in Fig. 1 C for the whole foot of proof matched group, corresponding is representative foot in the IB-MECA treatment group, and it shows as fully normal (right figure).
Fig. 2 A-2C comprises the fractional bar diagram of inflammation (Fig. 2 A), and shows IB-MECA treatment rat and the correlated histology of control rats intraarticular inflammatory activity cross section (x20 and x40) (Fig. 2 B).
Fig. 3 A-3B comprises fibrosis mark bar diagram (Fig. 3 A), and shows that IB-MECA treatment rat and control rats synovial membrane change correlated histology cross section (Fig. 3 B).
Fig. 4 A-4B comprises pannus mark bar diagram (Fig. 4 A), and shows that IB-MECA treatment rat and control rats joint space pannus tissue change correlated histology cross section (Fig. 4 B).
Fig. 5 A-5B comprises that cartilage damages mark bar diagram (Fig. 5 A), and shows that IB-MECA treatment rat and control rats cartilage change correlated histology cross section (Fig. 5 B).
Fig. 6 A-6B comprises osteoclast mark bar diagram (Fig. 6 A), and shows that IB-MECA treatment rat and control rats osteoclast change correlated histology cross section (Fig. 6 B).
Fig. 7 A-7B comprises bone destruction's mark bar diagram (Fig. 7 A), and shows IB-MECA treatment rat and the correlated histology of control rats bone quantitative changeization cross section (Fig. 7 B).
Fig. 8 A-8B comprises osteoblast mark bar diagram (Fig. 8 A), and shows that IB-MECA treatment rat and control rats osteoblast group change correlated histology cross section (Fig. 8 B).
Fig. 9 A-9B comprises new osteogenesis mark bar diagram (Fig. 9 A), and shows the IB-MECA treatment rat and the correlated histology of the new osteogenesis of the rat cross section (Fig. 9 B) of being untreated.
Figure 10 A-10D has shown the IB-MECA treatment for A3AR expression (Figure 10 A), and the crucial albumen of regulating of other in the sufficient extract comprise RANKL (Figure 10 B), PI3K; PKB/Akt; IKK α, β; The effect of NF-κ B and TNF-α (Figure 10 C), and the leukocyte (WB) of apoptosis enzyme caspase-3 is analyzed (Figure 10 D).
Detailed Description Of The Invention
The process that bone forms (ostosis) comprises three key steps: produce extracellular organic substrate product (osteoid), mineralized dentin matrix to be forming bone, and by absorb again and again the formation effect finish building again of bone. The cytoactive of Gegenbaur's cell, osteocyte and osteoclast is necessary for this process. Gegenbaur's cell has synthesized the precursor of collagen of bone matrix, also regulates its mineralization. Form in the process of development at bone, Gegenbaur's cell is arranged in very little space (lacuna), surrounds the matrix of mineralising on every side, then is called as osteocyte. In order to reach the needs of bone growth and mechanical performance, bone has experienced dynamic remodeling process, and the bone that the bone resorption that causes for osteoclast and Gegenbaur's cell cause forms again.
The feature of some metabolic bone diseases (for example hyperparathyroidism, sex change osteitis etc.) is that mouldability and osteoclasia activity increase to some extent. In addition, osteoclast and class osteoclast are considered to be in the bone loss that transmitting inflammation induces has important function, for example inflammation arthritis (rheumatoid arthritis and psoriatic arthritis).
Target of the present invention provides a kind of method that suppresses the acceleration bone resorption, treats or prevent the consequence of abnormality bone loss with this. Therefore, according to first aspect, the invention provides a kind of resorbent method of mammalian subject acceleration bone for the treatment of, the method comprises the A that the patient that these treatment needs are arranged is used doses3Adenosine receptor agonist (A3The AR activator), described dosage can effectively suppress bone and absorbs.
As described herein, A3The AR activator preferably by with A3The AR combination also activates A3AR and bring into play the compound of its Main Function. In a specific embodiment, A3The AR activator in less than the scope of 100nM for human adenosine A3Acceptor has binding affinity (Ki), normally less than 50nM, preferably less than 20nM, preferably less than 10nM, and it is desirable to less than 5nM. According to this specific embodiment, preferred A3RAgs is for human A3The K of RiLess than 2nM, expectation is less than 1nM.
It should be noted that some A3The AR activator can (that is to say higher K with lower affinityi) and other acceptors occur to interact and make its activation. In present specification, if a compound is for A3The affinity of AR is it to other adenosine receptors (A for example1、A
2aAnd A2b) (for example it is for A at least 3 times of affinity3The K of ARiAt least low 3 times) time, think that so this compound is A3The AR activator (that is to say that a kind of compound passes through and A3The AR combination also makes its activation performance Main Function), preferred 10 times, be contemplated to be 20 times, most preferably be at least 50 times.
A
3The AR activator is for human A3The affinity of AR with and for other human adenosine receptor (A1、A
2aAnd A2b) relative affinity can measure by various analysis, for example in conjunction with measuring. Comprise in conjunction with the example of measuring and the film that comprises acceptor to be provided and to measure A3Ability aspect the radioactivity activator that the AR activator combines in displacement is utilized can show the cell of various human adenosine acceptors and measure A in functional assays3The ability of AR activator activation or deactivation (decide such as condition), for example send the catchment signal as increase by cAMP or the minimizing measurement for the effect of adenyl cyclase, etc. Very clearly, if give with A3AR activator level rises to some extent, works as so its blood plasma level near A1、A
2aAnd A2bThe K of adenosine receptoriDuring value, may after administration, occur except A3The activation of these acceptors beyond AR activates. Therefore, preferred A3The AR activator uses with a such dosage, namely only has A under this dosage3AR can be activated.
Some A3The character of AR activator and their preparation method be to some extent record in following document, especially, and US5,688,774, US5,773,423, US5,573,772, US 5,443,836, US6,048,865, WO95/02604, WO99/20284, WO99/06053, WO97/27173 and the applicant's homologous series application 09/700,751 (WO01/19360), above-mentioned all documents are incorporated by reference in this text to be examined.
According to a specific embodiment of the present invention, A3The AR activator be a kind of by with A3AR in conjunction with and its activation is brought into play the compound of Main Function, be purine derivative and the acceptable salt of physiology thereof with general formula (I) structure:
Wherein
-R1 is alkyl, hydroxy alkyl, carboxyalkyl or cyano group alkyl or following general formula (II) group:
Wherein:
-Y represents oxygen, sulphur or CH2;
-X
1Represent H, alkyl, RaR
bNC (=O)-or HORc-, wherein
-R
aAnd RbCan be identical or different, be selected from hydrogen, alkyl, amino, halogen alkyl, aminoalkyl, BOC-aminoalkyl and cycloalkyl, perhaps in conjunction with forming the heterocycle that comprises 2-5 carbon atom; With
-R
cBe selected from alkyl, amino, halogen alkyl, aminoalkyl, BOC-aminoalkyl and cycloalkyl;
-X
2H, hydroxyl, alkyl amino, alkyl amido or hydroxy alkyl;
-X
3And X4Represent respectively hydrogen, hydroxyl, amino, acyl amino, azido, halogen, alkyl, alkoxyl, carboxyl, inferior amino, nitro, three fluorine ethers, aryl, alkane aryl, sulphur, thioesters, thioether ,-OCOPh ,-OC (=S) OPh or X3And X4All be to form 5 yuan of rings, perhaps X with>oxygen that C=S is connected2And X3Form formula (III) ring:
Wherein R ' and R " represent respectively the alkyl group;
-R
2Be selected from hydrogen, halogen, alkyl ether, amino, hydrazide group (hydrazido), alkyl amino, alkoxyl, thioalkoxy group, pyridine radicals sulphur, alkene base; Alkynes base, sulphur and alkyl sulphur; With
-R
3Formula-NR4R
5Group, wherein
-R
4Be hydrogen atom or be selected from alkyl, substituted alkyl or aryl-NH-C (Z)-, wherein Z is O, S or NRa, R whereinaImplication is the same; Wherein work as R4When being hydrogen
-R
5Be selected from R-and S-1-phenethyl, benzyl, phenethyl or aniline group, one or more positions are replaced or do not replace by following substituting group therein, and described substituting group is selected from alkyl, amino, halogen, halogen alkyl, nitro, hydroxyl, acetyl amino, alkoxyl and sulfonic acid or its salt; Benzo two alkane methyl, fururyl, L-propyl group alanyl-aminobenzyl, β-alanyl amino-benzyl, T-BOC-β-alanyl aminobenzyl, phenyl amino, carbamyl, phenoxy group or cycloalkyl; Perhaps R5The following formula group:
Perhaps work as R4Be alkyl or aryl-NH-C (Z)-time, R so5Then be selected from assorted aryl-NRa-C (Z)-, assorted aryl-C (Z)-, alkane aryl-NRa-C (Z)-, alkane aryl-C (Z)-, aryl-NR-C (Z)-and aryl-C (Z)-; Z represents oxygen, sulphur or amine; Or the physiologically acceptable salt of above-claimed cpd.
According to a kind of preferred specific embodiment, A
3RAg is the nucleoside derivates shown in the general formula (IV):
X wherein
1, R
2And R
4As indicated above, and the physiologically acceptable salt of described chemical compound.
The acyclic carbohydrate (for example alkyl, thiazolinyl, alkynyl, alkoxyl, aralkyl, alkaryl, alkylamine or the like) that forms The compounds of this invention substituent group part is side chain or non-branched structure, preferably comprises one or two to 12 carbon atoms.
Herein, term " alkyl " refers to any saturated carbohydrate, no matter is straight or branched.Herein, term " low alkyl group " refers to the saturated carbon hydrate (straight or branched) that main chain comprises 1-10 carbon atom.
Herein, term " thiazolinyl " and " alkynyl " refer to the straight or branched carbohydrate, and wherein at least two adjacent carbon atoms are connected by one two key or triple bond respectively.Correspondingly, term " low-grade alkenyl " and " low-grade alkynyl " refer to the straight or branched carbohydrate that main chain comprises 2-10 carbon atom.
Mention A when in the present invention
3During AR agonist " physiologically acceptable salt ", it refers to common any non-toxic alkali, alkaline-earth metal and the ammonium salt of using in medical industry, comprises sodium, potassium, lithium, calcium, magnesium, barium ammonium and protamine zinc salt, can prepare according to means known in the art.This term also comprises the non-toxic acid addition salts, and it is prepared from by The compounds of this invention and suitable organic or inorganic acid reaction usually.The acid-addition salts that makes has kept the character of biological effectiveness and free alkali, and does not have toxicity or other character of not expecting.Particularly, example comprises the acid derivative that is obtained by mineral acid, hydrochloric acid, hydrobromic acid, sulphuric acid, nitric acid, phosphoric acid, Metaphosphoric acid or the like.Organic acid comprises, particularly, tartaric acid, acetic acid, propanoic acid, citric acid, malic acid, malonic acid, lactic acid, fumaric acid, benzoic acid, cinnamic acid, mandelic acid, glycolic, Fructus Vitis viniferae acid, acetone acid, succinic acid, salicylic acid and aryl sulfonic acid, for example p-toluenesulfonic acid.
The A of general formula of the present invention (IV)
3The specific examples of AR agonist includes but not limited to, N
6-2-(4-aminophenyl) ethyl adenosine (APNEA), N
6-(4-amino-3-benzyl iodide) adenosine-5 '-(N-methyl uronic amide) (AB-MECA), N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (IB-MECA) and 2-chloro-N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (Cl-IB-MECA).
The preferred A of the present invention
3The AR agonist is IB-MECA.
Yet, according to the another kind of specific embodiment, A
3The AR agonist can be adenosine oxide, for example N
6-benzyl adenosine-5 '-N-alkyl uronic amide-N
1Oxide or N
6-benzyl adenosine-5 '-N-dialkyl group uronic amide-N
1-oxide, wherein 2-purine position alkoxy, amino, thiazolinyl, alkynyl or halogen replace.
Acceleration bone loss may be that the acceleration metabolic process by the osteopathia result causes, or produce by inflammation-induced.It will be appreciated by persons skilled in the art that the chronicity inflammation can remove calcareous in the skeleton, slackens it and atrophy.Inflammation mediated bone loss results from the various diseases, for example some form of periodontal disease, bone and rheumatoid arthritis and osteoporosis.
Therefore, according to a kind of specific embodiment, the present invention relates to treat the acceleration bone resorption that brings out by inflammation.According to a kind of preferred specific embodiment, method of the present invention is used for the treatment of the acceleration bone resorption that is caused by inflammatory arthritis.
The invention still further relates to the pharmaceutical composition that is used for the treatment of described acceleration bone resorption herein, said composition comprises a certain amount of A
3The AR agonist is as active component, and drug acceptable carrier, and described dosage can suppress to have this to treat the patient's of needs bone resorption effectively.
Can determine the administration and the dosage of the present composition according to good medical experience, according to known other factors of clinical condition, administration position and method, administration schedule, patient age, sex, body weight and medical practitioner of individual patient.The selection of carrier is somewhat dependent upon specific active ingredient, and the ad hoc approach that uses compositions.Correspondingly, the suitable pharmaceutical composition of the present invention has a variety of.
According to the preferred specific embodiment, pharmaceutical composition is the appropriate format of oral administration.The representative example that is suitable for the carrier of oral administration comprises (a) solution, wherein with the A of effective dose
3The AR agonist is dissolved in diluent for example in water, saline, natural juice, ethanol, the syrup etc.; (b) capsule (, for example comprising surfactant, lubricant and inert filler), tablet, lozenge (A wherein as common hard or Perle
3AR agonist and sweeting agent for example sucrose mix, perhaps A
3AR agonist and inert base be gelatin and glycerol mixing for example) and lozenge, each dosage form all comprises the scheduled volume A of solid or graininess
3The AR agonist; (c) powder; (d) suspensoid in the suitable liquid; (e) suitable Emulsion; (f) Liposomal formulation; Or the like.
In addition, the invention still further relates to A
3The AR agonist is used for the treatment of application in the pharmaceutical composition of acceleration bone resorption in preparation.
Below, the present invention will be illustrated by concrete example.Be understandable that these fact Examples are unrestricted the present invention for explanation.Obviously, under instruction above, might much modify and be out of shape these fact Examples.Therefore be understandable that the present invention can implement according to other possible modes of countless versions within the scope of the following claims, and is not limited to ad hoc fashion described below.
Specific embodiment describes in detail
Material and method
Medicine
A
3The AR agonist is GMP level chemical compound, called after 1-deoxidation usually-1-[6-[[(3-iodine substituted phenyl) methyl] amino]-9H-purine-9-yl]-N-methyl D-nuclear furan uronic amide or N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (IB-MECA), can be synthetic according to Can-Fite bio-pharmaceuticals method, Albany Molecular Research Inc, Albany, NY, USA.The mother solution of preparation 10mM in DMSO dilutes to reach ideal concentration with culture medium or PBS then.
Buy incomplete Freund's adjuvant from Sigma, (Detroit USA) buys no heating power Mycobacterium tuberculosis H37Ra from Difco.
Antagonism rat A
3The rabbit polyclonal antibody of AR and signal protein IKK, TNF-α, GSK-3 β, apoptosis enzyme caspase-3 and phosphoric acid specificity PKB/Akt, RANKL be all from Santa Cruz Biotechnology Inc., Ca, and USA buys.The NF-kappa B antibody is buied from cell signaling.
Animal model
According to Can-Fite BioPharma, Kiryat-Matalon, Petach Tikva, the established guide of Israel animal protection and use committee is carried out test.Animal is at random accepted standard diet and tap water.
Female Louis rat, in age in 8-10 week, from Harlan laboratory (Jerusalem, Israel), at the suspensoid of tail root subcutaneous injection (SC) 100 μ l incomplete Freund's adjuvants, the concentration of wherein not having the heating power Mycobacterium tuberculosis is 10mg/ml.Every group has 10 animals, and each test is carried out three times at least.
Handle record
With gavage twice pair of animal oral administration every day.Positive controls is only accepted carrier (corresponding with the medicine group, that DMSO is only arranged), and the treatment winding is subjected to the IB-MECA of 10 μ g/kg.The inoculation back began to handle on the 14th day.
The clinical disease mark
Every other day check the clinical arthritis of animal.The marking system scope of extremity is that 0-4:0-does not have arthritis; Rubescent or swelling of toe/finger-joint of 1-; Rubescent or swelling of above toe/finger-joint of 2-; 3-comprises ankle joint and shank-metatarsal joints; The all rubescent or swelling of all foots of 4-.Simultaneously inflammation intensity is measured, method is to use side footpath device (Mitotoyo, Tokyo, Japan) increase of measurement rat hindleg diameter.
Histology score
Collect vehicle group and CF101 treatment treated animal foot, knee and hip zone, and be fixed in 10% formalin buffer, in hydrochloric acid (decalcification fast) (USA) decalcification is 24 hours for PationalDiagnostics, Gr.Then sample is embedded in the paraffin, is prepared into 4-μ m histology and cuts, use h and E dyeing.Estimate section by the pathologist who does not know therapeutic scheme, for each joint record respectively all.Evaluation of tissue is learnt record by the following method: be used to represent that the mark 0-4 implication of inflammatory cell infiltration scope is as follows: 0-is normal; 1-minimum degree inflammatory infiltration; 2-slightly soaks into: the 3-moderate is soaked into; 4-significantly soaks into.Pannus structure joint tissue, the SLC hyperplasia.Mark is divided into the 0-4 level: 0-is normal; The compact bone minimum degree loss at 1-minority position; 2-crust spongy bone petty loss; The moderate bone loss of a lot of position of 3-; The remarkable bone loss in a lot of positions of 4-; The remarkable bone loss of a lot of positions of 5-, and run through inflammatory processes or broken and completeness thickens at the pannus generation bone of cortical bone.The fractional implication of above-mentioned all Histological parameters is refered in particular to " histology score ".
The protein extract of pawl
Cut the ankle joint top of metapedes.Osseous tissue beaten fragmentate, in liquid nitrogen freezing and in-80 ℃ of storages until use.The foot tissue is added in (4ml/g tissue) RIPA extract buffer, and described buffer comprises 150mM NaCl, 50mM Tris, 1%NP40,0.5% dexycholate and 0.1%SDS.Be organized in and use polytron to handle on ice, centrifugal, supernatant is carried out western blot analysis.
Western blot analysis
Carry out the western blot analysis (WB) of sufficient extract according to following method.Make ice-cold PBS clean sample, transfer to then in the dissolving buffer of ice pre-cooling (the TNN buffer, 50mM tromethamine pH=7.5,150mM NaCl, NP40).7500xg removed cell debris in centrifugal 10 minutes.Utilize Bio-Rad protein analysis stain to measure protein concentration.Utilize 12% polyacrylamide gel to separate the sample (50 μ g) of a great deal of by SDS-PAGE.Then with the protein electrotransfection of resolving to NC Nitroncellulose film (Schleicher﹠amp; Schuell, Keene, NH, USA) on.Use 1%BSA that film is blocked, utilize ideal main antibody (diluting 1: 1000) then 4 ℃ of hatchings 24 hours.Wash stains away then, utilize second antibody at room temperature to hatch 1 hour.Use BCIP/NBT color development test kit (Promega, Madison, W1, USA) record combination.Data in the different graphic are representatives of at least four different tests.
Conclusion
IB-MECA is to the effect of arthritis mark development in the AIA model
The arthritic clinical appearance in the 14th day that is characterized in.In the matched group, the highest record of clinical arthritis has reached 8.7 ± 0.76, and the clinical arthritis highest record of IB-MECA treatment group is 4.8 ± 0.95 lower (Figure 1A).IB-MECA treatment group has reduced podedema significantly.Equally, IB-MECA treatment group is producing 35% ± 1.2 inhibition (Figure 1B) aspect the sufficient thickness.What Fig. 1 C represented is the serious rubescent and swelling of the whole foot of matched group, and corresponding with it is representative pawl in the IB-MECA treatment group, and it shows as fully normal (right side).
IB-MECA is for the effect of AIA histologic characteristics
Animal skin is scratched in after disease is induced the 23rd day, takes out the joint of two metapedes of each animal, and carries out the histological structure inspection.On the basis that inflammatory cell infiltration, synovial fluid hyperplasia, cartilage and osseous tissue damage, carry out histologic analysis.Between the phalanx of foot area discover most histology change.Also found similar variation at knee area in the matched group, the knee portions of leg regions of IB-MECA treatment group then is kept perfectly, and this has just proved the order of severity of disease in the not treatment group.In sum, pathological severity of joint tissue and clinical severity correlation of indices connection.
Compare with large-scale inflammation area in the control rats, in the joint of treatment rat, observing significant inflammation minimizing (refer to gross score and be respectively 0.4 ± 0.034 and 3.2 ± 0.14) (Fig. 2 A-2B) on the statistics.Other synovial cell proliferation have caused that synovial membrane thickens, fibrosis, hypertrophy and hypertrophy, have observed the granulocytic infiltration of monokaryon (Fig. 3 A-3B) in matched group.On the contrary, in IB-MECA treatment group, almost do not observe the slight hypertrophy of fibrosis and synovial membrane.
There is a large amount of pannus tissues in the failure area of replacement normal structure in the matched group joint space, and only has slight pannus tissue to produce (Fig. 4 A-4B) in the IB-MECA treatment group.Occurred the seriousness cartilage injury in the matched group, next it can cause the cartilage loss, and the cartilage structure in the IB-MECA treatment treated animal is normal (Fig. 5 A-5B).
Compare with matched group, the osteoclast in the IB-MECA treatment group has reduced by 73% (Fig. 6 A-6B).High-caliber osteoclasia (destraction) (Fig. 7 A-7B) appears in matched group subsequently.Consequently, in the animal of IB-MECA treatment, a spot of osteoblast (Fig. 8 A-8B) and a spot of new osteogenesis (Fig. 9 A-9B) have been observed.
IB-MECA expresses the effect of downstream A3AR activation levels to main signal protein the pawl extract that obtains from the AIA Mus
The metapedes of animal in excision matched group and the IB-MECA treatment group is used for WB with sample behind the extraction protein and analyzes.Observed A in the IB-MECA treatment group
3The adjustment of AR self, this has proved the activation of receptor and degraded (Figure 10 A) had taken place afterwards.A
3The activation of AR causes that the RANKL protein expression level reduces by 40%, and described protein is the pawl extract that the AIA rat from the IB-MECA treatment obtains.As described in Figure 10 C, another signalling channel is PI3K-PKB/AKT, and it can regulate the IB-MECA treatment downwards.Compare with matched group, the protein expression level of PI3K and PKB/AKT reduces to some extent in the IB-MECA treatment group, next is the level of regulating the dirty kinases IKK of PKB/AKT downwards.As the result of IKK and the reduction of RANKL level, in IB-MECA treatment animal, observed the NF-κ B that level reduces.In the IB-MECA treatment, these incidents make the expression of TNF-α reduce by 50%.
Claims (26)
1. method for the treatment of mammalian subject acceleration bone resorption, this method comprise has patient of these treatment needs to use a certain amount of A to described
3Adenosine receptor agonist (A
3The AR agonist), described dosage can suppress bone resorption effectively.
2. the method for claim 1, wherein said mammal are human.
3. the method for claim 1 is used for the treatment of the inflammation-induced bone resorption.
4. method as claimed in claim 3 is used for the treatment of the inductive bone resorption of inflammatory arthritis.
5. the method for claim 1, wherein said treatment comprises has the patient of these needs to orally use A to described
3The AR agonist.
6. method as claimed in claim 5, wherein said treatment comprise uses A to described patient every day
3The AR agonist once or twice.
7. the method for claim 1, wherein said A
3The AR agonist is general formula (I) chemical compound:
Wherein
-R1 is alkyl, hydroxy alkyl, carboxyalkyl or cyano group alkyl or following general formula (II) group:
Wherein:
-Y represents oxygen, sulfur or CH
2
-X
1Represent H, alkyl, R
aR
bNC (=O)-or HOR
c-, wherein
-R
aAnd R
bCan be identical or different, be selected from hydrogen, alkyl, amino, alkylhalide group, aminoalkyl, BOC-aminoalkyl and cycloalkyl, perhaps in conjunction with forming the heterocycle that comprises 2-5 carbon atom; With
-R
cBe selected from alkyl, amino, alkylhalide group, aminoalkyl, BOC-aminoalkyl and cycloalkyl;
-X
2Be H, hydroxyl, alkyl amino, alkyl amido or hydroxy alkyl;
-X
3And X
4Represent respectively hydrogen, hydroxyl, amino, acylamino-, azido, halogen, alkyl, alkoxyl, carboxyl, inferior amino, nitro, trifluoro, aryl, alkaryl, sulfur, thioesters, thioether ,-OCOPh ,-OC (=S) OPh or X
3And X
4All be with>oxygen that C=S is connected to form 5 yuan of rings, perhaps X
2And X
3Form formula (III) ring:
Wherein R ' and R " represent alkyl group respectively;
-R
2Be selected from hydrogen, halogen, alkyl ether, amino, hydrazide group, alkyl amino, alkoxyl, thioalkoxy group, pyridine radicals sulfur, thiazolinyl; Alkynyl, sulfur and alkyl sulfide; With
-R
3Be formula-NR
4R
5Group, wherein
-R
4Be hydrogen atom or be selected from alkyl, substituted alkyl or aryl-NH-C (Z)-, wherein Z is O, S or NR
a, R wherein
aImplication is the same; Wherein work as R
4When being hydrogen
-R
5Be selected from R-and S-1-phenethyl, benzyl, phenethyl or aniline group, one or more therein positions are replaced or do not replace by following substituent group, and described substituent group is selected from alkyl, amino, halogen, alkylhalide group, nitro, hydroxyl, acetylamino, alkoxyl and sulfonic acid or its salt; Benzo two alkane methyl, fururyl, L-propyl group alanyl-aminobenzyl, β-alanyl amino-benzyl, T-BOC-β-alanyl aminobenzyl, phenyl amino, carbamyl, phenoxy group or cycloalkyl; Perhaps R
5Be the following formula group:
Perhaps work as R
4Be alkyl or aryl-NH-C (Z)-time, R so
5Then be selected from heteroaryl-NR
a-C (Z)-, heteroaryl-C (Z)-, alkaryl-NR
a-C (Z)-, alkaryl-C (Z)-, aryl-NR-C (Z)-and aryl-C (Z)-; Z represents oxygen, sulfur or amine; Or the physiologically acceptable salt of above-claimed cpd.
9. the method for claim 1, wherein said A
3The AR agonist is selected from N
6-2-(4-aminophenyl) ethyl adenosine (APNEA), N
6-(4-amino-3-benzyl iodide) adenosine-5 '-(N-methyl uronic amide) (AB-MECA), N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (IB-MECA) and 2-chloro-N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (C1-IB-MECA).
10. method as claimed in claim 9, wherein said A
3The AR agonist is IB-MECA.
11. a pharmaceutical composition that is used for the treatment of the acceleration bone resorption, said composition comprises a certain amount of A
3The AR agonist, described dosage can suppress the mammalian subject bone resorption effectively.
12. pharmaceutical composition as claimed in claim 11, its dosage form is suitable for oral administration.
13. pharmaceutical composition as claimed in claim 11 is used for the treatment of the inflammation-induced bone resorption.
14. pharmaceutical composition as claimed in claim 13 is used for the treatment of the inductive bone resorption of inflammatory arthritis.
15. pharmaceutical composition as claimed in claim 11, wherein said A
3The AR agonist is general formula (I) chemical compound:
Wherein
-R1 is alkyl, hydroxy alkyl, carboxyalkyl or cyano group alkyl or following general formula (II) group:
Wherein:
-Y represents oxygen, sulfur or CH
2
-X
1Represent H, alkyl, R
aR
bNC (=O)-or HOR
c-, wherein
-R
aAnd R
bCan be identical or different, be selected from hydrogen, alkyl, amino, alkylhalide group, aminoalkyl, BOC-aminoalkyl and cycloalkyl, perhaps in conjunction with forming the heterocycle that comprises 2-5 carbon atom; With
-R
cBe selected from alkyl, amino, alkylhalide group, aminoalkyl, BOC-aminoalkyl and cycloalkyl;
-X
2Be H, hydroxyl, alkyl amino, alkyl amido or hydroxy alkyl;
-X
3And X
4Represent respectively hydrogen, hydroxyl, amino, acylamino-, azido, halogen, alkyl, alkoxyl, carboxyl, inferior amino, nitro, trifluoro, aryl, alkaryl, sulfur, thioesters, thioether ,-OCOPh ,-OC (=S) OPh or X
3And X
4All be with>oxygen that C=S is connected to form 5 yuan of rings, perhaps X
2And X
3Form formula (III) ring:
Wherein R ' and R " represent alkyl group respectively;
-R
2Be selected from hydrogen, halogen, alkyl ether, amino, hydrazide group, alkyl amino, alkoxyl, thioalkoxy group, pyridine radicals sulfur, thiazolinyl; Alkynyl, sulfur and alkyl sulfide; With
-R
3Be formula-NR
4R
5Group, wherein
-R
4Be hydrogen atom or be selected from alkyl, substituted alkyl or aryl-NH-C (Z)-, wherein Z is O, S or NR
a, R wherein
aImplication is the same; Wherein work as R
4When being hydrogen
-R
5Be selected from R-and S-1-phenethyl, benzyl, phenethyl or aniline group, one or more therein positions are replaced or do not replace by following substituent group, and described substituent group is selected from alkyl, amino, halogen, alkylhalide group, nitro, hydroxyl, acetylamino, alkoxyl and sulfonic acid or its salt; Benzo two alkane methyl, fluoro aryl, L-propyl group alanyl-aminobenzyl, β-alanyl amino-benzyl, T-BOC-β-alanyl aminobenzyl, phenyl amino, carbamyl, phenoxy group or cycloalkyl; Perhaps R
5Be the following formula group:
Perhaps work as R
4Be alkyl or aryl-NH-C (Z)-time, R so
5Then be selected from heteroaryl-NR
a-C (Z)-, heteroaryl-C (Z)-, alkaryl-NR
a-C (Z)-, alkaryl-C (Z)-, aryl-NR-C (Z)-and aryl-C (Z)-; Z represents oxygen, sulfur or amine; Or the physiologically acceptable salt of above-claimed cpd.
16. pharmaceutical composition as claimed in claim 11, wherein said A
3The AR agonist is the nucleoside derivates shown in the general formula (IV):
X wherein
1, R
2And R
4As described in claim 3, and the physiologically acceptable salt of described chemical compound.
17. pharmaceutical composition as claimed in claim 11, wherein said A
3The AR agonist is selected from N
6-2-(4-aminophenyl) ethyl adenosine (APNEA), N
6-(4-amino-3-benzyl iodide) adenosine-5 '-(N-methyl uronic amide) (AB-MECA), N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (IB-MECA) and 2-chloro-N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (Cl-IB-MECA).
18. pharmaceutical composition as claimed in claim 11, wherein said A
3The AR agonist is IB-MECA.
19.A
3The purposes of AR agonist in the pharmaceutical composition of preparation treatment acceleration bone resorption.
20. purposes as claimed in claim 19 is used for preparation and is suitable for liquid preparations for oral administration.
21. purposes as claimed in claim 20 is used to prepare the compositions for the treatment of the inflammation-induced bone resorption.
22. purposes as claimed in claim 21 is used to prepare the compositions for the treatment of the inductive bone resorption of inflammatory arthritis.
23. purposes as claimed in claim 19, wherein said A
3The AR agonist is general formula (I) chemical compound:
Wherein
-R1 is alkyl, hydroxy alkyl, carboxyalkyl or cyano group alkyl or following general formula (II) group:
Wherein:
-Y represents oxygen, sulfur or CH
2
-X
1Represent H, alkyl, R
aR
bNC (=O)-or HOR
c-, wherein
-R
aAnd R
bCan be identical or different, be selected from hydrogen, alkyl, amino, alkylhalide group, aminoalkyl, BOC-aminoalkyl and cycloalkyl, perhaps in conjunction with forming the heterocycle that comprises 2-5 carbon atom; With
-R
cBe selected from alkyl, amino, alkylhalide group, aminoalkyl, BOC-aminoalkyl and cycloalkyl;
-X
2Be H, hydroxyl, alkyl amino, alkyl amido or hydroxy alkyl;
-X
3And X
4Represent respectively hydrogen, hydroxyl, amino, acylamino-, azido, halogen, alkyl, alkoxyl, carboxyl, inferior amino, nitro, trifluoro, aryl, alkaryl, sulfur, thioesters, thioether ,-OCOPh ,-OC (=S) OPh or X
3And X
4All be with>oxygen that C=S is connected to form 5 yuan of rings, perhaps X
2And X
3Form formula (III) ring:
Wherein R ' and R " represent alkyl group respectively;
-R
2Be selected from hydrogen, halogen, alkyl ether, amino, hydrazide group, alkyl amino, alkoxyl, thioalkoxy group, pyridine radicals sulfur, thiazolinyl; Alkynyl, sulfur and alkyl sulfide; With
-R
3Be formula-NR
4R
5Group, wherein
-R
4Be hydrogen atom or be selected from alkyl, substituted alkyl or aryl-NH-C (Z)-, wherein Z is O, S or NR
a, R wherein
aImplication is the same; Wherein work as R
4When being hydrogen
-R
5Be selected from R-and S-1-phenethyl, benzyl, phenethyl or aniline group, one or more therein positions are replaced or do not replace by following substituent group, and described substituent group is selected from alkyl, amino, halogen, alkylhalide group, nitro, hydroxyl, acetylamino, alkoxyl and sulfonic acid or its salt; Benzo two alkane methyl, fluoro aryl, L-propyl group alanyl-aminobenzyl, β-alanyl amino-benzyl, T-BOC-β-alanyl aminobenzyl, phenyl amino, carbamyl, phenoxy group or cycloalkyl; Perhaps R
5Be the following formula group:
Perhaps work as R
4Be alkyl or aryl-NH-C (Z)-time, R so
5Then be selected from heteroaryl-NR
a-C (Z)-, heteroaryl-C (Z)-, alkaryl-NR
a-C (Z)-, alkaryl-C (Z)-, aryl-NR-C (Z)-and aryl-C (Z)-; Z represents oxygen, sulfur or amine; Or the physiologically acceptable salt of above-claimed cpd.
25. purposes as claimed in claim 19, wherein said A
3The AR agonist is selected from N
6-2-(4-aminophenyl) ethyl adenosine (APNEA), N
6-(4-amino-3-benzyl iodide) adenosine-5 '-(N-methyl uronic amide) (AB-MECA), N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (IB-MECA) and 2-chloro-N
6-(3-benzyl iodide)-adenosine-5 '-N-methyl uronic amide (Cl-IB-MECA).
26. purposes as claimed in claim 19, wherein said A
3The AR agonist is IB-MECA.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US62556404P | 2004-11-08 | 2004-11-08 | |
US60/625,564 | 2004-11-08 |
Publications (1)
Publication Number | Publication Date |
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CN101072554A true CN101072554A (en) | 2007-11-14 |
Family
ID=36001028
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CNA2005800380014A Pending CN101072554A (en) | 2004-11-08 | 2005-11-08 | Therapeutic treatment of accelerated bone resorption |
Country Status (9)
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EP (1) | EP1811982A1 (en) |
JP (1) | JP2008519029A (en) |
KR (1) | KR20070085839A (en) |
CN (1) | CN101072554A (en) |
AU (1) | AU2005302090A1 (en) |
BR (1) | BRPI0517639A (en) |
CA (1) | CA2586845A1 (en) |
MX (1) | MX2007005525A (en) |
WO (1) | WO2006048884A1 (en) |
Cited By (1)
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---|---|---|---|---|
CN102427819A (en) * | 2009-05-17 | 2012-04-25 | 坎-菲特生物药物有限公司 | A3 adenosine receptor agonists for the reduction of intraocular pressure |
Families Citing this family (6)
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US20080300213A1 (en) * | 2005-11-30 | 2008-12-04 | Pnina Fishman | Use of A3 Adenosine Receptor Agonist in Osteoarthritis Treatment |
DK2137202T3 (en) | 2007-03-14 | 2017-10-02 | Can-Fite Biopharma Ltd | PROCEDURE FOR SYNTHESIS OF IB-MECA |
WO2009061516A1 (en) * | 2007-11-08 | 2009-05-14 | New York University School Of Medicine | Medical implants containing adenosine receptor agonists and methods for inhibiting medical implant loosening |
MX356509B (en) | 2011-12-22 | 2018-05-30 | Alios Biopharma Inc | Substituted nucleosides, nucleotides and analogs thereof. |
US9441007B2 (en) | 2012-03-21 | 2016-09-13 | Alios Biopharma, Inc. | Substituted nucleosides, nucleotides and analogs thereof |
USRE48171E1 (en) | 2012-03-21 | 2020-08-25 | Janssen Biopharma, Inc. | Substituted nucleosides, nucleotides and analogs thereof |
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AU5294100A (en) * | 1999-05-27 | 2000-12-18 | University Of Virginia Patent Foundation | Method and compositions for treating the inflammatory response |
IL133680A0 (en) * | 1999-09-10 | 2001-04-30 | Can Fite Technologies Ltd | Pharmaceutical compositions comprising an adenosine receptor agonist or antagonist |
WO2004045627A1 (en) * | 2002-11-19 | 2004-06-03 | Can-Fite Biopharma Ltd. | A3ar agonists for the treatment of inflammatory arthritis |
GB0305150D0 (en) * | 2003-03-07 | 2003-04-09 | Cambridge Biotechnology Ltd | Use of therapeutic compounds |
KR20070004792A (en) * | 2004-03-05 | 2007-01-09 | 캠브리지 바이오테크놀로지 리미티드 | Adenosine receptor agonists |
-
2005
- 2005-11-08 AU AU2005302090A patent/AU2005302090A1/en not_active Abandoned
- 2005-11-08 WO PCT/IL2005/001166 patent/WO2006048884A1/en active Application Filing
- 2005-11-08 BR BRPI0517639-5A patent/BRPI0517639A/en not_active IP Right Cessation
- 2005-11-08 EP EP05799989A patent/EP1811982A1/en not_active Withdrawn
- 2005-11-08 CN CNA2005800380014A patent/CN101072554A/en active Pending
- 2005-11-08 CA CA002586845A patent/CA2586845A1/en not_active Abandoned
- 2005-11-08 MX MX2007005525A patent/MX2007005525A/en not_active Application Discontinuation
- 2005-11-08 KR KR1020077012806A patent/KR20070085839A/en not_active Application Discontinuation
- 2005-11-08 JP JP2007539712A patent/JP2008519029A/en not_active Withdrawn
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CN102427819A (en) * | 2009-05-17 | 2012-04-25 | 坎-菲特生物药物有限公司 | A3 adenosine receptor agonists for the reduction of intraocular pressure |
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AU2005302090A1 (en) | 2006-05-11 |
KR20070085839A (en) | 2007-08-27 |
EP1811982A1 (en) | 2007-08-01 |
MX2007005525A (en) | 2007-07-05 |
BRPI0517639A (en) | 2008-10-14 |
CA2586845A1 (en) | 2006-05-11 |
WO2006048884A1 (en) | 2006-05-11 |
JP2008519029A (en) | 2008-06-05 |
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