CN104869988B - The purposes of 3 carboxyl N ethyl ns, the ammonium of N dimethyl propylenes 1 or its pharmaceutically acceptable salt in treatment atherosclerosis - Google Patents

The purposes of 3 carboxyl N ethyl ns, the ammonium of N dimethyl propylenes 1 or its pharmaceutically acceptable salt in treatment atherosclerosis Download PDF

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CN104869988B
CN104869988B CN201380066810.0A CN201380066810A CN104869988B CN 104869988 B CN104869988 B CN 104869988B CN 201380066810 A CN201380066810 A CN 201380066810A CN 104869988 B CN104869988 B CN 104869988B
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ethyl
carboxy
ammonium
ammoniums
dimethyl propylene
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CN104869988A (en
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伊瓦尔斯·卡尔温斯
赖尼施·维尔斯克特斯
奥斯瓦尔迪斯·普戈威克斯
马尧伊·达姆布罗瓦
伊尔马斯·斯托南斯
亚尼斯·库卡
埃德加斯·利平斯
埃纳斯·洛扎
维克托斯·安德里亚诺夫斯
佐尔法伊格·格林贝里格
代娜·古斯丁娜
代娜·洛拉
马里纳·马克雷卡
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

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Abstract

The present invention relates to 3 carboxyl N ethyl ns, the ammonium of N dimethyl propylenes 1 and its pharmaceutically acceptable salt:3 carboxyl N ethyl ns, the ammonium difumarate of N dimethyl propylenes 1 and 3 carboxyl N ethyl ns, purposes of the ammonium dihydric phosphate of N dimethyl propylenes 1 in prevention and treatment atherosclerosis.

Description

3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums or its pharmaceutically acceptable salt Purposes in treatment atherosclerosis
Technical field
The present invention relates to 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums or its pharmaceutically acceptable salt, it is used for Prevent and treat atherosclerosis (atherosclerosis).The pharmacy of 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums Above the example of acceptable salt is:3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums difumarate and 3- carboxy-Ns-second Base-N, N- dimethyl propylene -1- ammonium dihydric phosphates.
Background technology
Atherosclerosis is the complicated chronic inflammation processes for the vascular wall that process lasts decades.Its feature is oxidation Low-density lipoprotein (LDL) is accumulated, the plump sexual involution of cell death increase and arterial wall, its cause vessel diameter narrow and because This hinders blood flow.It can occur in any region of body, but be when it develops in the blood vessel of heart or brain It is most important.Narrow be due to artery liner formation plaque (plaques) (raised patch) (raised patches).This A little plaques are by OxLDL ELISA, rotten muscle cell, fibr tissue, blood platelet, cholesterol agglomerate, macrophage, T Lymphocyte and frequently calcium composition.Atherosclerotic lesion generally develops and is most commonly in turbulent blood flow region People with high cholesterol concentration.The number and thickness of plaque with age, cause the loss of vascular smooth inner membrance and helped The formation of long thrombus (blood clotting).Sometimes thrombus fragment comes off and forms embolus, and it is advanced by blood flow and blocked smaller Blood vessel, therefore cause the ischemia injury of tissue.
Atherosclerosis and its clinical manifestation are morbidity and mortality main causes in modern society.It is related to coronal dynamic The atherosclerotic heart disease of arteries and veins (coronary cardiopathy) is dead most common reason, accounts for all dead three points One of.The atherosclerosis (apoplexy) for interfering with the blood supply of brain is the third-largest most common cause of death, with cancer Afterwards.Vascular insufficiency is another clinical manifestation of atherosclerosis, and it is such as led to by reducing other major arteries Blood flow in the artery of kidney, leg and intestines causes a large amount of serious diseases.
Unfortunately, atherosclerosis does not produce symptom, until serious to being enough limit blood stream to the destruction of artery It is dynamic.The blood flow limitation of cardiac muscle is flowed to as caused by atherosclerosis can cause angina pectoris or myocardial infarction (heart Onste).The blood flow limitation for flowing to leg muscle causes Charcot's syndrome (pain occurs in motion process leg, and passes through Rest is alleviated).Blood supply narrows to the artery of brain may cause transient ischemic attack (symptom of apoplexy and sign duration No more than 24 hours) and dizzy breaking-out, or finally cause apoplexy in itself.
3- carboxy-Ns, N, N- trimethyl propyl- 1- ammoniums (GBB) are known to be in most cases used as carnitine bioprecursor, its It is the key molecule in energy metabolism of myocardial regulation, and originally it be characterized as being a kind of noxious material, it accelerates breathing, causes stream Saliva and shed tears, pupil amplification, vessel retraction and cardiac arrest (LINNEWEH, W.Gamma- in the diastole Butyrobetain,Crotonbetain und Carnitin im tierischen Stoffwechsel.Hoppe- Seylers Zeitschrift fur physiologische Chemie.1929, volume 181, the 42-53 pages).Meanwhile, slightly 3- carboxy-Ns are had shown that in the paper a little later delivered, N, the administration of N- trimethyl propyl- 1- ammoniums does not induce any toxic action, Because its toxicity is low-down (LD5O 7000mg/kg,s.c.)(ROTZSCH,W.Iber die Toxizitat des Carnitins und einiger verwandter Stoffe.Acta biol.med.germ.1959, volume 3,28-36 Page).
WO2010/149654A disclosed in 29 days October in 2010 (GRINDEKS JSC) proposes 3- carboxy-Ns, N, N- tri- The combination of methyl propyl- 1- ammoniums and 3- (2,2,2- trimethyls hydrazine) propionate dihydrate is used to treat atherosclerosis.However, It does not report exclusive use 3- carboxy-Ns, and N, N- trimethyls propyl- 1- ammoniums treat the effect of atherosclerosis.
04 month 2011 WO2011/048201A disclosed in 28 days (GRINDEKS JSC) disclose 3- carboxy-Ns, N, N- tri- The new derivative of methyl propyl- 1- ammoniums, 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums, it is with cardioprotective activity Noval chemical compound.
Apolipoprotein E gene knocks out (ApoE-/-) mouse is being used for of being commonly used to assess the anti-atherogenics of test substances The experimental model of the atherosclerosis of hardening activity.
The content of the invention
The present invention relates to treat atherosclerosis by reducing the gross area and volume of atherosclerotic lesion.
By using 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums or its pharmaceutically acceptable salt:3- carboxy-Ns-second Base-N, N- dimethyl propylene -1- ammoniums difumarate or 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium biphosphate salts for treating (perhaps through lipid and cholesterol metabolic is changed) realizes the suppression for lesion process.
The therapeutically effective amount of 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums or its pharmaceutically acceptable salt is about 0.01 to 500mg/kg/ days, preferably 0.1 to 100mg/kg/ days.
Wondrous and it was unexpectedly observed that 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums and its is pharmaceutically acceptable Salt:3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums difumarate or 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- Ammonium dihydric phosphate possesses significant study of anti-atherogenic effect.
3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums, 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium fumaric acid The anti-atherosclerotic activity of hydrogen salt or 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium dihydric phosphates can be by commenting Estimate these compounds for the influence of the aorta face part covered by atherosclerotic lesion to determine.
3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums can combine use with pharmaceutically acceptable carrier or diluent In the pharmaceutical preparation comprising the compound or its pharmaceutically acceptable salt.Suitable pharmaceutically acceptable carrier includes lazy Property solid-filling agent or diluent and sterile aqueous or organic solution.Therefore, for be administered orally, the compound can with it is suitable Solid or liquid-carrier or diluent combination to form capsule, tablet, pulvis, syrup, solution, suspension etc..If desired, Pharmaceutical composition can contain additional component such as flavor enhancement, sweetener, excipient etc..For parenterai administration, the compound It can combine to form the solution or suspension of injectable with sterile aqueous or organic media.Then, the Injectable solution can be with By vein, it is intraperitoneal, be subcutaneously or intramuscularly administered.
Anti-atherosclerotic activity
By body weight 18-20g ApoE-/-Female mice be maintained at 12 hours it is dark/12 small time circulation air-conditioned room in (22.5 ± 0.5 DEG C, 50 ± 5% humidity), and it is unrestrictedly obtained food and water.
Before the study began, mouse is made to adapt to local condition with week age.During 8 week old, mouse is randomized to either five Individual equal-sized group (n=10).For inducing experimental atherosclerosis (atherosclerotic lesion in sustainer), institute There is WESTERN RD (P) diet (Cat 82316) feeding 4 that group animal is provided with Special Diets Services (Britain) Individual month.During this 4 months, the mouse of different experiments group receives following treat:
1. control group --- drinking water;
2.3- carboxy-Ns, N, N- trimethyl propyl- 1- ammonium groups --- 10mg 3- carboxy-Ns, N, N- front threes in per kg drinking water Base propyl- 1- ammoniums;
3.3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium groups --- 10mg 3- carboxy-Ns-second in per kg drinking water Base-N, N- dimethyl propylene -1- ammoniums;
4.3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium difumarate groups --- 17.5mg in per kg drinking water 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium difumarate;
5.3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium dihydric phosphate groups --- 16.8mg in per kg drinking water 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium dihydric phosphates.
The dosage of adjustment test substances has 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums with 10mg/kg dosage There is equimolar.
By the consumptions of every 2 days measurement drinking water and adjust the concentration of supplementation material and determine the agent of test compound Amount.
After 4 months, injection 1000UI heparin i.p. and lower execution (yellow Jackets, 50mg/kg of anesthesia in mouse peritoneal i.p.)。
Determine the size of the atherosclerotic lesion in whole sustainer.Sustainer is cleaned from bow portion to furcation Surrounding tissue, cuts out and is fixed in 4% formaldehyde.It is then that whole sustainer is longitudinally opened, it is pinned on silicon plate and uses the Sudan IV dyes lipid.Aorta images are obtained using digital camera and calculate diseased region using the softwares of Image-Pro Plus 6.3 The gross area.Atherosclerosis is expressed as percentage of the aorta face relative to total aorta face that lesion is covered Than.
All analyses to treatment group information by blind observer is set by being carried out.
After Western RD diet by contact 4 months, apoE-/-There is significant atherosclerotic lesion in mouse.The Sudan IV dyes the total aorta face of area average out to of the atherosclerotic lesion in the analysis shows of sustainer, control group 14-16%.Using 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums that the dosage of 4 months are 10mg/kg, dosage is 17.5mg/kg 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium difumarate, the 3- carboxyls that dosage is 16.8mg/kg - N- ethyls-N, N- dimethyl propylene -1- ammoniums dihydric phosphate (both rear 3- carboxy-Ns-ethyl-N, N- bis- having with 10mg/kg The equimolar of methyl propyl- 1- ammoniums) cause atherosclerotic lesion size that there is significant reduction on statistical significance.3- carboxylics Base-N, N, N- trimethyl propyl- 1- ammoniums (10mg/kg) do not influence on the size of atherosclerotic lesion.
Use 3- carboxy-Ns, N, N- trimethyl propyl- 1- ammoniums, 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums, 3- carboxyls - N- ethyls-N, N- dimethyl propylene -1- ammoniums difumarate and 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium biphosphates Salt is to apoE-/-The curative effect that the atherosclerotic lesion region of mouse aorta carries out treatment in 4 months is listed in Table 1 below.
Table 1.3- carboxy-Ns, N, N- trimethyl propyl- 1- ammoniums, 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums, 3- carboxylics Base-N- ethyls-N, N- dimethyl propylene -1- ammoniums difumarate and 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammonium phosphoric acid Effect of the dihydric salt for atherosclerotic lesion region
Numerical value is provided with average value ± SEM.Statistical analysis is carried out by Student ' s t-test;*p<0.05 relative to Control group and #p<0.05 relative to 3- carboxy-Ns, N, N- trimethyl propyl- 1- ammonium groups;N=10.
As a result the percentage relative to control group is expressed as, the value of control group is appointed as 100%.
The result being listed in Table 1 below shows, 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums, 3- carboxy-Ns-ethyl-N, N- dimethyl propylenes -1- ammoniums difumarate and 3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums dihydric phosphate for apoE-/-The formation of atherosclerotic lesion in mouse aorta has protective effect.On the contrary, 3- carboxy-Ns, N, N- front threes Base propyl- 1- ammoniums do not have effect.

Claims (3)

1.3- carboxy-Ns-ethyl-N, N- dimethyl propylene -1- ammoniums or its pharmaceutically acceptable salt, which are used to prepare to prevent and treat, to be moved The purposes of the medicament of pulse atherosclerosis.
2. purposes according to claim 1, wherein the pharmaceutically acceptable salt is 3- carboxy-Ns-ethyl-N, N- bis- Methyl propyl- 1- ammonium difumarate.
3. purposes according to claim 1, wherein the pharmaceutically acceptable salt is 3- carboxy-Ns-ethyl-N, N- bis- Methyl propyl- 1- ammonium dihydric phosphates.
CN201380066810.0A 2012-12-20 2013-12-19 The purposes of 3 carboxyl N ethyl ns, the ammonium of N dimethyl propylenes 1 or its pharmaceutically acceptable salt in treatment atherosclerosis Active CN104869988B (en)

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