DE102010027595A1 - Clinical application of adenosine derivative, preferably (dihydroxyphenyl)ethyl-amino-purin-9-yl-(hydroxymethyl)oxolane-diol, for reducing body temperature during impending ischemia of brain vessels, which occur during heart attacks - Google Patents
Clinical application of adenosine derivative, preferably (dihydroxyphenyl)ethyl-amino-purin-9-yl-(hydroxymethyl)oxolane-diol, for reducing body temperature during impending ischemia of brain vessels, which occur during heart attacks Download PDFInfo
- Publication number
- DE102010027595A1 DE102010027595A1 DE102010027595A DE102010027595A DE102010027595A1 DE 102010027595 A1 DE102010027595 A1 DE 102010027595A1 DE 102010027595 A DE102010027595 A DE 102010027595A DE 102010027595 A DE102010027595 A DE 102010027595A DE 102010027595 A1 DE102010027595 A1 DE 102010027595A1
- Authority
- DE
- Germany
- Prior art keywords
- body temperature
- ethyl
- dihydroxyphenyl
- purin
- oxolane
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/14—Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
- A61P25/16—Anti-Parkinson drugs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs 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
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Chemical & Material Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- Organic Chemistry (AREA)
- Biomedical Technology (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurosurgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Epidemiology (AREA)
- Urology & Nephrology (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Psychology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Wie sich seit einiger Zeit abzeichnet, können insbesondere chirurgische Operationen am offenen Herzen besonders effektiv durchgeführt werden, wenn der Organismus des Patienten durch ein Kühlbad auf eine Körpertemperatur von ca. 28°C herunter gekühlt wird. Bei dieser herabgesetzten Körpertemperatur minimalisiert man effektiv die Folgeschäden, die auf Grund von Sauerstoffmangel (Ischämie) im Gehirn auftreten können. Gleichermaßen können solche Spätschäden im Gehirn auch nach Herzinfarkten oder Schlaganfällen durch eine solche Abkühlung des Körpers dramatisch vermindert werden. (Vergl.
Gegenstand dieser Patentanmeldung ist also die pharmakologische Anwendung der Adenosin-Derivate der allgemeinen Formel 2 insbesondere aber des Adenosin-Derivats 1 bei länger andauernden chirurgischen Eingriffen wie in der Herz-Chirurgie, bei Kreislauf-Problemen wie Herzinfarkten oder Schlaganfällen sowie bei Parkinson-Patienten. Diese Pharmaka wie 1 oder 2 können oral gegeben oder als isotonische oder Kochsalz-Lösung intravenös infundiert oder intraperitonal bzw. intramuskulär injiziert werden.The subject of this patent application is therefore the pharmacological application of the adenosine derivatives of the general formula 2 but especially of the adenosine derivative 1 in prolonged surgical interventions such as in cardiac surgery, in circulatory problems such as heart attacks or strokes and Parkinson's patients. These drugs, such as 1 or 2, may be given orally, infused intravenously as an isotonic or saline solution, or injected intraperitoneally or intramuscularly.
Da insbesondere das kristalline N6-[2-(3,4-Dihydroxyphenyl)ethyl]adenosin 1 bei Verabreichung an Versuchstieren wie Mäusen die Körpertemperatur der Versuchstiere um bis zu 20°C senkt, sind 1 bzw. die in der allgemeinen Formel 2 aufgeführten Adenosin-Analoga 2, hervorragend geeignet, nach Herzinfarkten oder Schlaganfällen wie auch bei längeren chirurgischen Eingriffen wie z. B. bei der Herzchirurgie die Körpertemperatur von Patienten zu senken und dadurch häufig auftretende schwerwiegende neurologische Spätschäden zu vermeiden oder gänzlich zu verhindern.In particular, since the crystalline N 6 - [2- (3,4-dihydroxyphenyl) ethyl] adenosine 1, when administered to experimental animals such as mice, lowers the body temperature of the experimental animals by up to 20 ° C, 1 or those listed in general formula 2 Adenosine analogues 2, excellent after heart attacks or strokes as well as during prolonged surgical procedures such. B. in cardiac surgery to lower the body temperature of patients and thereby avoid frequently occurring serious neurological late damage or prevent it altogether.
Da das Adenosin-Derivat 1 die Blutgehirn-Barriere mühelos passiert und aus 1 im Gehirn anscheinend Dopamin freigesetzt wird, ist 1 auch für den Dopamin-Transport ins Gehirn d. h. für die Therapie von Parkinson-Patienten geeignet.Since the adenosine derivative 1 passes the blood-brain barrier effortlessly and 1 apparently releases dopamine in the brain, 1 is also responsible for the transport of dopamine to the brain d. H. suitable for the treatment of Parkinson's patients.
Die aufgeführten Substanzen wie 1 oder 2 mit R1 = H, R2 = OH bzw. R1 = H; R2 = OPO(OH)ONa oder R1 = NH2; R2 = OH oder OPO(OH)ONa lassen sich durch Silylierung-Aminierung von Inosin oder Inosin-5'-O-phosphat, Guanosin oder Guanosin-5'-O-phosphat bzw. Xanthosin oder Xanthosin-5'-O-phosphat mit Dopamin-Hydrochlorid, 3,4-Dimethoxyphenäthylamin-Hydrochlorid, Histamin-Hydrochlorid oder Tryptamin-Hydrochlorid in Gegenwart von überschüssigen Hexamethyldisilazan (HMDS) und Erhitzen auf ca. 140–160° und anschließender Transsilylierung der aliphatischen wie aromatischen O-SiMe3-Gruppen mit kochendem überschüssigen Methanol sehr einfach herstellen. (
Die Adenosin-5'-Nukleotid-Analoga mit freien 5'-O-Phosphaten werden anschließend mit verdünnter NaOH in ihre entsprechenden Mono-Natrium Salze überführt. An Stelle der Natrium Salze lassen sich durch Zugabe anderer Alkali- oder Erdalkali-Basen wie auch von Ammoniak, primären, sekundären wie tert. Aminen, Amidinen oder Guanidinen oder freien, insbesondere basischen, Aminosäuren wie Lysin zu freien 5'-O-Phosphaten die entsprechenden alternativen Salze der 5'-O-Phosphate herstellen, die ebenfalls Gegenstand dieser Patentanmeldung sind. Durch Acylierung z. B. mit Acetanhydrid oder aktivierten Derivaten z. B. der Palmetinsäure, Stearinsäure oder ungesättigten C4-C20 Karbonsäuren wie Elaidinsäure können die freien aliphatischen und phenolischen Hydroxylgruppen in 1 oder 2 in die entsprechenden lipophilen Derivate z. B. mit R4 = COCH3, R4 = COC15H33,. R4 = COC17H35 bzw. R4 = COC17H33 überführt werden.The adenosine 5'-nucleotide analogs with free 5'-O-phosphates are then converted into their corresponding mono-sodium salts with dilute NaOH. In place of the sodium salts can be by adding other alkali or alkaline earth bases as well as ammonia, primary, secondary, such as tert. Amines, amidines or guanidines or free, especially basic, amino acids such as lysine to produce free 5'-O-phosphates, the corresponding alternative salts of 5'-O-phosphates, which are also the subject of this patent application. By acylation z. B. with acetic anhydride or activated derivatives z. As the palmetic acid, stearic acid or unsaturated C4-C20 carboxylic acids such as elaidic acid, the free aliphatic and phenolic hydroxyl groups in 1 or 2 in the corresponding lipophilic derivatives z. B. with R 4 = COCH 3 , R 4 = COC 15 H 33 ,. R 4 = COC 17 H 35 or R 4 = COC 17 H 33 are transferred.
Pharmakologische Resultate:Pharmacological results:
Das N6-[2-(3,4-Dihydroxyphenyl)ethyl]adenosin 1 ist gut löslich in heißem Wasser (5 mg/ml H2O bei 100°) und bewirkt bei Mäusen bei i. p. Applikation eine 30fach stärkere Senkung der Körpertemperatur im Vergleich mit Chlorpromazin-Hydrochlorid als Standard, während z. B. das N6-[2-(3,4-Dimethoxyphenyl)ethyl]adenosin oder das N6-[2-(4-imidazolyl)ethyl]adenosin nur eine ca. 10fach stärkere Senkung der Körpertemperatur im Vergleich mit Chlorpromazin-Hydrochlorid erzeugen. Während diese Adenosin-Analoga 2 auch bei Katzen wirksam sind, haben sie bei Ratten keinen Einfluss auf die Körpertemperatur. Bei Katzen wurde neben dem hypothermischen Effekt noch eine sedative und analgetische Wirkung von 1 beobachtet.The N 6 - [2- (3,4-dihydroxyphenyl) ethyl] adenosine 1 is readily soluble in hot water (5 mg / ml H 2 O at 100 °) and causes a 30-fold greater reduction in body temperature in mice in ip administration Comparison with chlorpromazine hydrochloride as standard, while z. B. N 6 - [2- (3,4-dimethoxyphenyl) ethyl] adenosine or N 6 - [2- (4-imidazolyl) ethyl] adenosine only an approximately 10-fold greater reduction in body temperature in comparison with chlorpromazine hydrochloride produce. While these adenosine analogues 2 are also effective in cats, they have no effect on body temperature in rats. In cats, in addition to the hypothermic effect, a sedative and analgesic effect of 1 was observed.
ZITATE ENTHALTEN IN DER BESCHREIBUNG QUOTES INCLUDE IN THE DESCRIPTION
Diese Liste der vom Anmelder aufgeführten Dokumente wurde automatisiert erzeugt und ist ausschließlich zur besseren Information des Lesers aufgenommen. Die Liste ist nicht Bestandteil der deutschen Patent- bzw. Gebrauchsmusteranmeldung. Das DPMA übernimmt keinerlei Haftung für etwaige Fehler oder Auslassungen.This list of the documents listed by the applicant has been generated automatically and is included solely for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.
Zitierte Nicht-PatentliteraturCited non-patent literature
- „Der Spiegel” 2010, 27, 114–116 [0001] "Der Spiegel" 2010, 27, 114-116 [0001]
- H. Vorbrüggen und K. Krolikiewicz, Liebigs Annalen 1976, 745–761 [0005] H. Vorbrüggen and K. Krolikiewicz, Liebigs Annalen 1976, 745-761 [0005]
- Nucleic Acid Chemistry, Part TWO, Edited by L. B. Townsend and R. S. Tipson, J. Wiley N. Y. Page 533–535 [0005] Nucleic Acid Chemistry, Part TWO, Edited by LB Townsend and RS Tipson, J. Wiley NY Page 533-535 [0005]
Claims (2)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102010027595A DE102010027595A1 (en) | 2010-07-23 | 2010-07-23 | Clinical application of adenosine derivative, preferably (dihydroxyphenyl)ethyl-amino-purin-9-yl-(hydroxymethyl)oxolane-diol, for reducing body temperature during impending ischemia of brain vessels, which occur during heart attacks |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102010027595A DE102010027595A1 (en) | 2010-07-23 | 2010-07-23 | Clinical application of adenosine derivative, preferably (dihydroxyphenyl)ethyl-amino-purin-9-yl-(hydroxymethyl)oxolane-diol, for reducing body temperature during impending ischemia of brain vessels, which occur during heart attacks |
Publications (1)
Publication Number | Publication Date |
---|---|
DE102010027595A1 true DE102010027595A1 (en) | 2012-01-26 |
Family
ID=45443298
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
DE102010027595A Withdrawn DE102010027595A1 (en) | 2010-07-23 | 2010-07-23 | Clinical application of adenosine derivative, preferably (dihydroxyphenyl)ethyl-amino-purin-9-yl-(hydroxymethyl)oxolane-diol, for reducing body temperature during impending ischemia of brain vessels, which occur during heart attacks |
Country Status (1)
Country | Link |
---|---|
DE (1) | DE102010027595A1 (en) |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB2144038A (en) * | 1980-04-22 | 1985-02-27 | Bioresearch Spa | Adenosine derivatives of antiinflammatory and analgesic activity and therapeutic compositions containing them |
EP0821964A2 (en) * | 1990-05-10 | 1998-02-04 | FUKUNAGA, Atsuo F. | Use of adenosine and adenosine derivatives for analgesia and attenuation of stress or stress responses |
WO2010015260A2 (en) * | 2008-08-07 | 2010-02-11 | Neurokey A/S | Administration by infusion for the treatment of ischemic effects |
-
2010
- 2010-07-23 DE DE102010027595A patent/DE102010027595A1/en not_active Withdrawn
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB2144038A (en) * | 1980-04-22 | 1985-02-27 | Bioresearch Spa | Adenosine derivatives of antiinflammatory and analgesic activity and therapeutic compositions containing them |
EP0821964A2 (en) * | 1990-05-10 | 1998-02-04 | FUKUNAGA, Atsuo F. | Use of adenosine and adenosine derivatives for analgesia and attenuation of stress or stress responses |
WO2010015260A2 (en) * | 2008-08-07 | 2010-02-11 | Neurokey A/S | Administration by infusion for the treatment of ischemic effects |
Non-Patent Citations (11)
Title |
---|
"Der Spiegel" 2010, 27, 114-116 |
DALY J W [et al.]: Structure-activity relationships for N6-substituted adenosines at a brain A1-adenosine receptor with a comparison to an A2-adenosine receptor regulating coronary blood flow. In: Biochemical Pharmacology Vol. 35(15), 1986, S. 2467-2481. ISSN 0006-2952. * |
DALY J W [et al.]: Structure-activity relationships for N6-substituted adenosines at a brain A1-adenosine receptor with a comparison to an A2-adenosine receptor regulating coronary blood flow. In: Biochemical Pharmacology Vol. 35(15), 1986, S. 2467–2481. ISSN 0006-2952. |
H. Vorbrüggen und K. Krolikiewicz, Liebigs Annalen 1976, 745-761 |
H. W. HAMILTON [et al.]: Correlation of adenosine receptor affinities and cardiovascular activity. In: Life Sciences, Vol. 41(20), 1987, S. 2295-2302. ISSN 0024-3205. * |
Kinga K. BOROWICZ, Zdzislaw KLEINROK, Stanislaw J. CZUCZWAR: N6-2-(4-Aminophenyl) ethyl-adenosine enhances the anticonvulsive activity of antiepileptic drugs. In: European Journal of Pharmacology. Vol. 327(2-3), 1997, S. 125-133. * |
Kinga K. BOROWICZ, Zdzisław KLEINROK, Stanisław J. CZUCZWAR: N6-2-(4-Aminophenyl) ethyl-adenosine enhances the anticonvulsive activity of antiepileptic drugs. In: European Journal of Pharmacology. Vol. 327(2-3), 1997, S. 125-133. |
Matinder MALHOTRA, Yogendra K. GUPTA: Effect of adenosine receptor modulation on pentylenetetrazole-induced seizures in rats. In: Br. J. Pharmacol. Vol. 120(2), 1997, S. 282-288. * |
Nucleic Acid Chemistry, Part TWO, Edited by L. B. Townsend and R. S. Tipson, J. Wiley N. Y. Page 533-535 |
Rainer LENHARDT [et al.]: Suppression of shivering during hypothermia using a novel drug combination in healthy volunteers. In: Anesthesiology, Vol. 111(1), 2009, S. 110-115. * |
Shozo KUSACHI [et al.]: Dog Coronary Artery Adenosine Receptor: Structure of the N6-Alkyl Subregion. In: J. Med. Chem. Vol. 29(6), 1986, S. 989-996. ISSN 0022-2623. * |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
JP2018076328A5 (en) | ||
US9744186B2 (en) | Substituted gemcitabine aryl amide analogs | |
CN103251579A (en) | Substituted acylanilides and methods of use thereof | |
JP2006515859A5 (en) | ||
BR0011823A (en) | Benzimidazole derivative, compound, pharmaceutical composition, use of a benzimidazole derivative, and, method for treating, preventing or relieving a disease or disorder or condition of a living animal body | |
RU2019121667A (en) | AMINOPYRAZOLES AS SELECTIVE INHIBITORS OF JANUS KINASE | |
CA2552855A1 (en) | Azabicyclooctan-3-one derivatives and use thereof | |
DE60301878T2 (en) | PHARMACEUTICAL COMPOSITION CONTAINING ALPHA-KETOALKANIC ESTER OR AMID AND MILKY ACID OR MILKIC ACID SALT | |
EP3006022B1 (en) | Osmolytes for the treatment of viral respiratory diseases | |
CN110167595A (en) | The prevention of non-alcohol fatty liver and medicine | |
JP2016513707A (en) | How to give optic nerve protection | |
Harstrick et al. | A phase I dose escalation trial of intravenous treosulfan in refractory cancer | |
DE102010027595A1 (en) | Clinical application of adenosine derivative, preferably (dihydroxyphenyl)ethyl-amino-purin-9-yl-(hydroxymethyl)oxolane-diol, for reducing body temperature during impending ischemia of brain vessels, which occur during heart attacks | |
CN1872067A (en) | Non-sedating barbiturate compounds as neuroprotective agents | |
DE3875016T2 (en) | THERAPEUTIC FOR TREATING AIDS. | |
DE2708826A1 (en) | SUBSTITUTED 8-AZAPURINE AND METHOD FOR PRODUCING IT | |
JP5570429B2 (en) | Method for administering an antitumor agent containing a deoxycytidine derivative | |
EP0028660A1 (en) | Xanthinoxydase inhibitors and utilization of benzotriazine derivatives | |
CN113350358A (en) | Application of polygala tenuifolia sapogenin single or combined with hydroxysafflor yellow A in preparation of medicine for improving cognitive impairment after ischemic stroke | |
US9192602B2 (en) | Indication of anthra[2,1,c][1,2,5]thiadiazole-6,11-dione compound in alleviating pain | |
JPH07126162A (en) | Intracerebral administration agent of ascorbic acids | |
JP2007186477A (en) | Therapeutic agent for neurogenic pain | |
Klapetek | An early stage of a brain abscess discovered and correctly located by electroencephalographic examination | |
Venkatarathnamma et al. | Jagadish basavaih (2013) Phenytoin Induced Cerebellar Ataxia and Orofacial Dyskinesia in a Case of Disseminated Cysticercosis: A Case Report | |
van Gorkom et al. | Gadolinium deposition in tissue after long-term IP GBCA injection in rats–in vitro studies |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
R016 | Response to examination communication | ||
R119 | Application deemed withdrawn, or ip right lapsed, due to non-payment of renewal fee |
Effective date: 20130201 |