CN101257901A - 可溶性鸟苷酸环化酶活化剂用于治疗再输注损伤的用途 - Google Patents

可溶性鸟苷酸环化酶活化剂用于治疗再输注损伤的用途 Download PDF

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CN101257901A
CN101257901A CNA200680024418XA CN200680024418A CN101257901A CN 101257901 A CN101257901 A CN 101257901A CN A200680024418X A CNA200680024418X A CN A200680024418XA CN 200680024418 A CN200680024418 A CN 200680024418A CN 101257901 A CN101257901 A CN 101257901A
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reperfusion damage
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T·克拉恩
J·-P·斯塔施
G·韦曼
W·蒂勒曼
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Abstract

本发明涉及化合物用于制造预防和/或治疗再输注损伤的药物产品/药物的用途。

Description

可溶性鸟苷酸环化酶活化剂用于治疗再输注损伤的用途
本发明涉及化合物用于制造预防和/或治疗再输注损伤的药物产品/药物的用途。
再输注损伤通常在长期局部缺血末期,例如,由于血流恢复和/或钙离子大量释放之后在可兴奋细胞中侵入和累积的毒性代谢物而产生。当补偿地侧支循环不足(所谓梗塞)时,这种损伤通常在血管闭塞之后产生,特别是地在急性动脉闭塞之后产生。最熟知的形式为心肌梗塞和脑梗塞(中风)。然而,在暂时地局部缺血之后,通过血栓溶解早期恢复血流可以预防或者降低细胞损伤的程度(梗塞面积),不过,再输注可能会导致某种程度的功能障碍,例如心脏功能障碍或者细胞死亡。由此,在再输注期间和在多种心外科手术类型期间,发现保持例如心脏正常功能的药物有重大的临床价值。
已知缺血性再输注损伤和与之相关的细胞损伤的发生例如与以下疾病相关:心肌梗塞、冠状动脉血管的替换,特别是开膛心外科手术、心绞痛、末梢血管闭塞疾病、中风、组织和器官移植(例如,心脏、肝、肾、肺)、普通外科手术、急性肾衰竭和器官灌注不足(例如肺、心脏、肝、肠、胰脏、肾、四肢或者大脑)。
众所周知,如果在缺血阶段之前开始或者在一些情形中在缺血期间用这些物质进行治疗,导致胞内信使cGMP增加的机制(例如,NO-释放物质)还可能导致再输注损伤降低。在缺血时期之前的使用通常称为预防/保护和/或预处理,并且包括细胞保护,特别是保护可兴奋细胞(例如神经和肌细胞)。在缺血时期之后的治疗相应地称为后处理。
升高的cGMP水平会导致细胞、组织和器官不受再输注损伤。可溶性鸟苷酸环化酶的活化(激动剂)导致胞内信使cGMP升高。现已惊人地发现,本发明的可溶性鸟苷酸环化酶活化剂化合物(式I~IV化合物)特别适于制造用于预防和/或治疗和限制哺乳动物(特别是人类)中再输注损伤的药物物质/药剂。
化合物(I)对应于下式:
Figure A20068002441800051
化合物(I)、其制备和作为药物的用途已经公开于WO 01/19780中。
化合物(II)对应于下式:
Figure A20068002441800052
化合物(II)、其制备和作为药物的用途已经公开于WO 00/06569中。
化合物(III)对应于下式:
化合物(III)、其制备和作为药物的用途已经公开于WO 00/06569和WO 02/42301中。
化合物(IV)对应于下式:
Figure A20068002441800062
化合物(IV)、其制备和作为药物的用途已经公开于WO 00/06569和WO 03/095451中。
化合物(IVa)对应于下式:
Figure A20068002441800071
化合物(IVa)、其制备和作为药物的用途已经公开于WO 00/06569和WO 03/095451中。
化合物(V)对应于下式:
化合物(VI)对应于下式:
Figure A20068002441800073
化合物(V)和(VI)、其制备和作为药物的用途已经公开于WO00/02851中。
本发明的主题在于式(I-VI)化合物及其盐、水合物、盐的水合物用于制造治疗再输注损伤药物的用途。
本发明的另一例证性实施方案包括通过使用至少一种式(I-VI)化合物预防和/或治疗再输注损伤的方法。
本发明的另一主题在于含有至少一种本发明化合物和至少一种或者多种其它活性成分的药物,特别是用于治疗和/或预防上述病症的其它活性成分。
本发明化合物可以具有全身性和/或局部作用。对于该目的,它们可以以适宜的方法给药,比如,例如,通过口服、胃肠外、肺部、鼻、舌下、舌、颊、直肠、皮肤、经皮、结膜或者耳途径给药或者作为植入片或者支架(Stent)。
对于这些给药途径,本发明化合物可以以适宜的给药形式进行给药。
适于口服给药的给药形式是根据现有技术并且以快速起效和/或改性方式递送本发明化合物并且含有结晶和/或无定形和/或溶解形式的本发明化合物的那些给药形式,比如,例如,片剂(未包衣或者包衣片剂,例如用抗胃液或者溶解缓慢或者不溶性并且控制本发明化合物释放的包衣涂覆)、在口腔中迅速崩解的片剂、或者膜剂/板片、膜剂/冻干剂、胶囊(例如硬或者软明胶胶囊)、糖衣片、粒剂、丸剂、粉剂、乳剂、混悬剂、气雾剂或者溶液。
胃肠外给药可以以绕过吸收步骤的方式(例如静脉内、动脉内、心脏内、脊柱内或者腰椎内给药)进行或者以包括吸收步骤的方式进行(例如肌内、皮下、皮内、经皮或者腹膜内给药)。适于胃肠外给药的给药形式尤其是溶液、混悬剂、乳剂、冻干剂或者无菌粉剂形式的注射和输注制剂。
适于其它给药途径的实例为,用于吸入的剂型(尤其是粉末吸入器、雾化器)、滴鼻剂、滴鼻液、鼻喷剂;用于舌、舌下或者颊给药的片剂、膜剂/板片或者胶囊、栓剂、用于耳或者眼部的制剂、阴道胶囊、水悬剂(洗剂、振摇混合物)、亲油混悬剂、膏剂、乳膏剂、经皮治疗系统(比如,例如贴片)、乳剂、浆剂、泡沫、扑粉、植入片或者支架。
本发明化合物可以被转化为所述给药形式。这可以以本身已知的方式通过与惰性、无毒、药学上适宜的助剂混合得到。这些助剂包括,尤其是载体(例如微晶纤维素、乳糖、甘露醇)、溶剂(例如液体聚乙二醇)、乳化剂和分散剂或者润湿剂(例如十二烷基硫酸钠、聚氧山梨糖醇酐油酸酯)、结合剂(例如聚乙烯吡咯烷酮)、合成和天然聚合物(例如白蛋白)、稳定剂(例如抗氧化剂,比如,例如抗坏血酸)、着色剂(例如无机颜料,比如,例如氧化铁)和味道和/或气味矫正剂。
本发明的另一主题在于含有通常与一种或者多种惰性、无毒、药学上适宜的赋形剂一起的至少一种本发明化合物的药物,和其用于上述目的的用途。
为了实现有效结果,通常证实约0.01~5000mg/kg体重/天的给药量是有利的,优选约0.5~1000mg/kg体重/天。
不过,可能需要背离所述量,特别是考虑到体重、给药途径、个体对活性成分的行为、制剂类型和进行给药的时间点或者时间间隔时。由此,在一些情况下用低于上述最低量的量足以达到目的,而在其它情形中,必须要超过上述上限。当给药较大量时,可以在给药当天将其适当地分成多个单独剂量。
在合适的手术期间,所述制剂可以包括0.1~99%活性成分的活性物质,在片剂和胶囊的情况下,适宜地为25-95%,和在液体制剂的情况下,适宜地为1-50%,即,活性成分应以足以获得所述剂量范围的量存在。
本发明的另一例证性实施方案是一种或者多种本发明化合物与一种或者多种其它物质的组合的用途。适宜的物质组合例如为用于预防和/或治疗梗塞和再输注损伤的物质。就此而论,例如并且优选为cGMP-升高物质,比如NO-释放物质、磷酸二酯酶抑制剂、溶栓剂和腺苷激动剂。
具体实施方式
实验部分:
通过给药NO-无关的可溶性鸟苷酸环化酶活化剂对分离的心脏的梗塞面积的降低作用和另外的再输注损伤的降低作用。
梗塞面积的测定和实验过程按照Zhang等人,J.Cardiovasc.Pharmacol.,42,764-771,2003所述的方法进行。
用戊巴比妥钠(30mg/kg,i.v.)使两种性别的白色新西兰繁殖的兔(2-3kg体重)麻醉并且使其通气。按照外科方法,将分离的心脏迅速转入Langendorff装置中。在这种情形中,将分离的心脏固定在主动脉根并且用Krebs缓冲液对其进行逆输注,所述缓冲液由以下组成(单位mM):NaCl 118.5;KCl 4.7;MgSO4 1.2;KH2PO4 1.2;NaHCO3 24.8;CaCl2 2.5和葡糖10。在7.35-7.45的pH值和38℃的温度下,向缓冲液中充入95%O2和5%CO2的混合物。在开始试验方案之前,所有心脏都能平衡至少30分钟。
在试验结束时,通过从Langendorff装置中迅速除去分离的心脏,对梗塞面积进行确定。在生理盐水中进行洗涤步骤之后,为了将危险区域或者缺血区域显示为非荧光组织,将冠状动脉再次闭合,并且将荧光微球输入到心脏中。在将心脏称重并且将其深度冷冻之后,可以将其切成2mm厚的片。在37℃下,在1%氯化三苯基四唑鎓(TTC)的磷酸钠缓冲液中,将这些切片培养20分钟。在此期间,存活的组织被着色为暗红色,而坏死组织未被着色,呈现出褐色。
使所有心脏(在所有情况下,每组n=6)经受通过冠状动脉结扎30分钟局部缺血和120分钟再输注阶段。对照心脏仅仅进行局部缺血和再输注。在处理组中,用NO-无关的可溶性鸟苷酸环化酶活化剂对心脏进行再输注。结论可以概述如下,可溶性鸟苷酸环化酶活化剂适于降低梗塞面积和减弱再输注损伤。

Claims (7)

1.式(I-VI)化合物及其盐、水合物、盐的水合物用于制造预防和/或治疗再输注损伤的药物的用途
Figure A20068002441800021
Figure A20068002441800031
2.如权利要求1中所述的用途,其中所述药物用于口服剂型。
3.如权利要求1中所述的用途,其中所述药物静脉内给药。
4.如权利要求1中所述的用途,其中所述药物是预防性的。
5.如权利要求1中所述的用途,其中所述药物用于预防和/或治疗再输注损伤。
6.一种用于治疗再输注损伤的药物组合物,其包含至少一种如权利要求1所述的物质。
7.如权利要求6中所述的药物组合物,其另外包含选自磷酸二酯酶抑制剂、溶栓剂和腺苷激动剂的药物。
CNA200680024418XA 2005-07-06 2006-07-06 可溶性鸟苷酸环化酶活化剂用于治疗再输注损伤的用途 Pending CN101257901A (zh)

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CN103906752A (zh) * 2011-07-06 2014-07-02 拜耳知识产权有限责任公司 杂芳基取代的吡唑并吡啶及其用作可溶性鸟苷酸环化酶刺激剂的用途
CN105026405A (zh) * 2013-03-01 2015-11-04 拜耳制药股份公司 苄基-取代的吡唑并吡啶及其用途

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CN103906752A (zh) * 2011-07-06 2014-07-02 拜耳知识产权有限责任公司 杂芳基取代的吡唑并吡啶及其用作可溶性鸟苷酸环化酶刺激剂的用途
CN105026405A (zh) * 2013-03-01 2015-11-04 拜耳制药股份公司 苄基-取代的吡唑并吡啶及其用途
CN105026405B (zh) * 2013-03-01 2017-08-08 拜耳制药股份公司 苄基‑取代的吡唑并吡啶及其用途

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JP2009500365A (ja) 2009-01-08
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US20090298822A1 (en) 2009-12-03
RU2008103549A (ru) 2009-08-20
BRPI0612685A2 (pt) 2010-11-30
DE102005031576A1 (de) 2007-01-25
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CA2614088A1 (en) 2007-03-08
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