DK145857B - ANALOGY PROCEDURE FOR PREPARING DI-3,4,5-TRIMETHOXYBENZOIC ACID ESTATE OF PYRIDINE-2,6-DIMETHANOL - Google Patents

ANALOGY PROCEDURE FOR PREPARING DI-3,4,5-TRIMETHOXYBENZOIC ACID ESTATE OF PYRIDINE-2,6-DIMETHANOL Download PDF

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DK145857B
DK145857B DK137674AA DK137674A DK145857B DK 145857 B DK145857 B DK 145857B DK 137674A A DK137674A A DK 137674AA DK 137674 A DK137674 A DK 137674A DK 145857 B DK145857 B DK 145857B
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pyridine
dimethanol
cholesterol
trimethoxybenzoic acid
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J P Cochs
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Instintersa Inst Int Terapeut
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    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D213/00Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
    • C07D213/02Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
    • C07D213/04Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D213/24Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with substituted hydrocarbon radicals attached to ring carbon atoms
    • C07D213/28Radicals substituted by singly-bound oxygen or sulphur atoms
    • C07D213/30Oxygen atoms
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Description

(is) DANMARK (w) ± \Ra/(is) DENMARK (w) ± \ Ra /

ij® (12) FREMLÆGGELSESSKRIFT od 1^5857Bij® (12) PUBLICATION WRITE od 1 ^ 5857B

DIREKTORATET FOR PATENT- OG VAREMÆRKEVÆSENETDIRECTORATE OF THE PATENT AND TRADEMARKET SYSTEM

(21) Ansøgning nr. 1376/74 (51) IntCI.3 C 07 D 213/30 (22) Indieveringsdag 13· mar. 1974 (24) Løbedag 13· mar. 1974 (41) Aim. tilgængelig 15· S ep. 1974 (44) Fremlagt 21 . mar. 1983 (86) International ansøgning nr.(21) Application No. 1376/74 (51) IntCI.3 C 07 D 213/30 (22) Filing Day 13 · Mar. 1974 (24) Race day 13 · Mar. 1974 (41) Aim. available 15 · S ep. 1974 (44) Presented 21. March 1983 (86) International application no.

(86) International indleveringsdag (85) Videreførelsesdag - (62) Stamansøgning nr. -(86) International filing day (85) Continuation day - (62) Master application no. -

(30) Prioritet l4. mar. 1973, 412609, ES(30) Priority l4. March 1973, 412609, ES

(71) Ansøger INSTINTERSA INSTITUTO INTERNACIONAL TERAPEUTICO S.A., Bar» celona, ES.(71) Applicant INSTINTERSA INSTITUTO INTERNACIONAL THERAPEUTICO S.A., Bar »celona, ES.

(72) Opfinder José Prous Ciochs, ES.(72) Inventor José Prous Ciochs, ES.

(74) Fuldmægtig Ingeniørfirmaet Budde, Schou & Co.(74) Associate Engineering Company Budde, Schou & Co.

(54) Analogifremgangsmåde til fremstil» ling af di-3,4,5-trimethoxybenzoe= syreesteren af pyridin-2,6-dimet= hanol.(54) Analogous procedure for the preparation of di-3,4,5-trimethoxybenzoate = the acid ester of pyridine-2,6-dimeth = hanol.

Den foreliggende opfindelse angår en analogifremgangs-måde til fremstilling af di-3,4,5-trimethoxybenzoesyreesteren af pyridin-2,6-dimethanol med formlenThe present invention relates to an analogous process for the preparation of the di-3,4,5-trimethoxybenzoic acid ester of pyridine-2,6-dimethanol of the formula

Hoc° | I OCH- ^ h3co-// ^-cooci^ ch2ooc-/ \\-och3 -O H,CO ^OCH, J· 3 3 hvilken fremgangsmåde er ejendommelig ved, at 3,4,5-trimethoxy- ^ benzoesyrechlorid omsættes med pyridin-2,6-dimethanol ifølge Ω følgende reaktionsskema: 2 145857 H3C0 H,CO-/"\-COCl + I fl -» 3 >=/ ,ΑνΑ H3CO/ H0H2C ^2°11 H,CO OCH- —► \—, 15^20-(/ \\ -COOCH2 CH2OOC-</ \>-OCH3 + 2HC1 H3CO X°CH3 i et indifferent, organisk opløsningsmiddel i nærværelse af en tertiær amin, der optræder som syreacceptor for den under reaktionen dannede saltsyre, hvorefter det rå produkt fraskilles ved udhældning af reaktionsmassen på vand og omkrystalliseres fra opløsningsmidler, der er blandbare med vand.Hoc ° | In the OCH- ^ h3co - // ^ -cooci ^ ch2ooc- / \\ - och3 -OH, CO ^ OCH, J · 3, which process is characterized by reacting 3,4,5-trimethoxy-benzoic acid chloride with pyridine -2,6-Dimethanol according to the following reaction scheme: H3 CO0 H, CO - / - COCl + I fl - »3> = /, ΑνΑ H3CO / H0H2C ^ 2 ° 11 H, CO OCH- --► \ - In a inert organic solvent in the presence of a tertiary amine which acts as an acid acceptor for the hydrochloric acid formed during the reaction. the crude product is separated by pouring the reaction mass onto water and recrystallized from water miscible solvents.

Udgangsmaterialet 3,4,5-trimethoxybenzoesyrechlorid fremstilles ved omsætning af den tilsvarende syre med et overskud af thionylchlorid. Det fremstillede syrechlorid kan anvendes direkte i rå tilstand og kræver ikke rensning ved destillation.The starting material 3,4,5-trimethoxybenzoic acid chloride is prepared by reacting the corresponding acid with an excess of thionyl chloride. The acid chloride produced can be used directly in the raw state and does not require purification by distillation.

Ved den her omhandlede omsætning anvendes der 3 mol 3,4,5-trimethoxybenzoesyrechlorid pr. mol pyridin-2,6-dimethanol.For this reaction, 3 moles of 3,4,5-trimethoxybenzoic acid chloride are used per liter. mole of pyridine-2,6-dimethanol.

Som tertiær amin kan der f.eks. anvendes triethylamin, pyridin og tri-n-butylamin. Der opnås gode resultater ved anvendelse af pyridin, idet dette samtidigt virker som opløsningsmiddel og binder saltsyre. Pyridin anvendes i en mængde på mellem 9 og 10,8 liter pr. kg pyridin-2,6-dimethanol.As tertiary amine, e.g. triethylamine, pyridine and tri-n-butylamine are used. Good results are obtained using pyridine, as it simultaneously acts as a solvent and binds hydrochloric acid. Pyridine is used in an amount of between 9 and 10.8 liters per liter. kg of pyridine-2,6-dimethanol.

Ved den her omhandlede fremgangsmåde udføres reaktionen fortrinsvis ved blanding af pyridin-2,6-dimethanol-opløsningen med syrechloridet ved omgivelsernes temperatur, hvorpå reaktionsmassen opvarmes til ca. 80°C ved hjælp af et varmebad i det tidsrum, der er nødvendigt for at tilendebringe reaktionen, sædvanligvis mellem 2 og 3 timer. Når reaktionen er forbi, tilsættes der vand. Derefter filtreres reaktionsmassen, og råproduktet opsamles på filteret og omkrystalliseres. På denne måde fås et udbytte ved reaktionen, der varierer mellem 60 og 68%.In the process of the present invention, the reaction is preferably carried out by mixing the pyridine-2,6-dimethanol solution with the acid chloride at ambient temperature, whereupon the reaction mass is heated to ca. 80 ° C by means of a hot bath for the time needed to complete the reaction, usually between 2 and 3 hours. When the reaction is over, water is added. The reaction mass is then filtered and the crude product is collected on the filter and recrystallized. In this way, a reaction is obtained which varies between 60 and 68%.

For at få en ester af god kvalitet, er det vigtigt at skylle det rå reaktionsprodukt med vand for at fjerne de farvede urenheder, der sædvanligvis fremkommer ved reaktionen, og som er vanskelige at fjerne senere ved omkrystallisation, 3 145857 selv ved anvendelse af aktivt kul.In order to obtain a good-quality ester, it is important to rinse the crude reaction product with water to remove the colored impurities usually produced by the reaction, which are difficult to remove later by recrystallization, even using activated carbon .

Den til slut foretagne omkrystallisation af råproduktet udføres i forskellige typer af opløsningsmidler, idet der fortrinsvis ved denne operation anvendes methanol, ethanol og isopropanol, hvor det må tages i betragtning, at produktets opløselighed stiger med temperaturen fra methanol til isopro-panol.Finally, the recrystallization of the crude product is carried out in various types of solvents, with methanol, ethanol and isopropanol being preferably used in this operation, where it is considered that the solubility of the product increases with the temperature from methanol to isopropanol.

Strukturen af den omhandlede diester er blevet bekræftet ved undersøgelse af dens NMR- og IR-spektre.The structure of the present diester has been confirmed by examination of its NMR and IR spectra.

Nært beslægtede pyridinmethanolestere er kendt fra dansk patentskrift nr. 69.137 og 116.942, USA patentskrift nr. 2.524.838 og DE fremlæggelsesskrift nr. 1.645.918. Disse kendte pyrdinmethanolestere er vasodilatorisk virksomme.Closely related pyridine methanol esters are known from Danish Patent Nos. 69,137 and 116,942, United States Patent Nos. 2,524,838 and DE Publication No. 1,645,918. These known pyrdine methanol esters are vasodilatorally effective.

Di-3,4,5-trimethoxybenzoesyreesteren af pyridin-2,6--dimethanol har derimod vist sig at have en uventet, kraftig hypolipidæmisk virkning samtidig med en nedsættende virkning på forøget blodpladeaggregation både hos forsøgsdyr og mennesker. Den hypolipidæmiske virkning viser sig ved en specifik sænkning af lav-densitets-lipoproteiner. Disse terapeutiske virkninger er påvist som beskrevet i det følgende.The di-3,4,5-trimethoxybenzoic acid ester of pyridine-2,6-dimethanol, on the other hand, has been found to have an unexpected, potent hypolipidemic effect, together with a decreasing effect on increased platelet aggregation in both test animals and humans. The hypolipidemic effect is evidenced by a specific lowering of low-density lipoproteins. These therapeutic effects are demonstrated as described below.

Den brede anvendelse af kaniner ved eksperimentelt fremkaldt atherosklerose har udgjort grundlaget for sammenlignende undersøgelser, jfr. P. Constantinides, J. Booth og G. Carlson: Production of advanced cholesterol atherosclerosis in the rabbits, Arch. Path., 70. (I960), s. 712? G.L. Duff og G.C. MacMillan: The effect of alloxan diabetes on experimental cholesterol atherosclerosis in the rabbits, J. Exp. Med., 89^ (1949), s. 611* D. Kritchevsky, J.L. Moynihan, J. Langan, S.A. Tepper og M.L. Sachs: Effect of D- and L-thyroxine and of D- og L-3,5,5'-triiodothyronine on development and regression of experimental atherosclerosis in rabbits* J· Atheroschler. Res., 1 (1961), s. 211^ og M.R. Parwaresch, Ch. Mader, W. Hill og K. Wiswedel: Ein kombinertes Verfahren zur Erzeugung von Arteriosklerose bei Kaninchen in Kurzzeitversuchen,The wide use of rabbits in experimentally induced atherosclerosis has provided the basis for comparative studies, cf. P. Constantinides, J. Booth, and G. Carlson: Production of advanced cholesterol atherosclerosis in the rabbits, Arch. Path., 70. (I960), pp. 712? GL Duff and G.C. MacMillan: The effect of alloxan diabetes on experimental cholesterol atherosclerosis in the rabbits, J. Exp. Med., 89 ^ (1949), p. 611 * D. Kritchevsky, J.L. Moynihan, J. Langan, S.A. Carpets and M.L. Sachs: Effect of D- and L-thyroxine and of D- and L-3,5,5'-triiodothyronine on development and regression of experimental atherosclerosis in rabbits * J · Atheroschler. Res., 1 (1961), pp. 211 ^ and M.R. Parwarish, Ch. Mader, W. Hill and K. Wiswedel: A Combined Procedure for Producing Arteriosclerosis in Rabbits in Short-Time Trials,

Res. Exp. Med., 160 (1973), s. 269.Res. Exp. Med., 160 (1973), p. 269.

Kaniner, der holdes på en atherogen diæt, udvikler hyper- lipidæmi med forhøjelse af β-zone-lipoproteiner (d< 1,063 g/ml) og sænkning af α-lipoproteiner, jfr. L. Mettler og M.R. Parwaresch: Morphologische und biochemische Untersuchungen iiber die pråventive Wirknung von Oestrogen (Oestradiol) auf eine lipidinduzierte 4 145857Rabbits maintained on an atherogenic diet develop hyperlipidemia with elevation of β-zone lipoproteins (d <1.063 g / ml) and decrease of α-lipoproteins, cf. L. Mettler and M.R. Parvary: Morphological and Biochemical Investigations Concerning the Preventive Effect of Estrogen (Oestradiol) on a Lipid Induced 4 145857

Arteriosklerose, Geburtsh.Frauenheilk., ^2 (1972), s. 426. Graden af den resulterende atherosklerose kan angives kvantitativt som det påvirkede aorta- overfladeareal (jfr. M.r. Parwaresch et al. ovenfor) eller cholesterolindholdet i aortaer, der er frigjort fra det omgivende bløde væv (jfr. P. Constantinides et al. og D. Kritschevsky et al. ovenfor).Arteriosclerosis, Geburtsh.Frauenheilk., 2 (1972), p. 426. the surrounding soft tissue (cf. P. Constantinides et al. and D. Kritschevsky et al. above).

Den hypolipidæmiske og antiatherogene virkning af di--3,4,5-trimethoxybenzoesyreesteren af pyridin-2,6-dimethanol (MBP) gennemføres på følgende måde: 145 hanlige hvide udavlede New Zealand-kaniner med en alder på 6 måneder og en vægt på 3212 - 480 g deles i 3_ grupper. Forbindelsen anvendes suspenderet med en koncentration på 75 g/liter 1 30% ethanol. Kontrolgrupperne (1 og 2) indgives daglig 1 ml 30%'s ethanol. Hver fjerde uge udtages fra ørevener blodprøver til cholesterolbestemmelse. En fuldstændig analyse af lipid og lipo-proteiner gennemføres kun ved forsøgets slutning.The hypolipidemic and antiatherogenic effect of the di-3,4,5-trimethoxybenzoic acid ester of pyridine-2,6-dimethanol (MBP) is carried out as follows: 145 male white bred New Zealand rabbits with a age of 6 months and a weight of 3212 - 480 g is divided into 3 groups. The compound is used suspended at a concentration of 75 g / liter in 30% ethanol. The control groups (1 and 2) are administered daily 1 ml of 30% ethanol. Every four weeks, blood samples are taken from ear veins for cholesterol determination. A complete analysis of lipid and lipo proteins is performed only at the end of the experiment.

Efter 12 ugers forløb afblødes og dræbes kaninerne, og alle dyrene underkastes en grundig dissektion. Aortaerne fjernes fra det omgivende bløde væv. Der udtages straks prøver af coronar-arterierne subostialt ved begyndelsen af de tre hovedgrene og fremstilles histologiske præparatglas på sædvanlig måde. Aortaerne fotograferes, og det påvirkede overfladeareal måles planimetrisk.After 12 weeks, the rabbits are bled and killed, and all animals are subjected to a thorough dissection. The aortas are removed from the surrounding soft tissue. Samples of the coronary arteries are immediately taken subostially at the beginning of the three main branches and histological specimen vials are prepared in the usual manner. The aortas are photographed and the affected surface area is measured planimetrically.

På lignende måde bestemmes det stenotiske overfladeareal af den coronare lysning planimetrisk under anvendelse af et skalatilpasset Zeiss-mikroskop. Aortaerne fryses i tøris og acetone, og der fremstilles et acetone-pulver, der vejes og suspenderes i 2 ml chloroform/methanol i volumenforholdet 2:1.Similarly, the stenotic surface area of the coronary lumen is determined planimetrically using a scaled Zeiss microscope. The aortas are frozen in dry ice and acetone, and an acetone powder is prepared and weighed and suspended in 2 ml of chloroform / methanol in 2: 1 v / v.

Lipiderne ekstraheres som beskrevet af J. Folch, M.Lees og G.H. Stanley: A simple method for the isolation and purification of total lipids from animal tissues, J. Biol. Chem., 226 (1975), s. 497, og cholesterolmængden i disse ekstrakter bestemmes. Der måles total cholesterol (TCh), forestret cholesterol (ECh) og fri cholesterol (Ch) ved anvendelse af den enzymatiske metode ifølge P. Eøcklau, Ξ. Bernt og W. Gruber: Enzymatische Bestiimiung des Gesamb-Cholesterins im Serum, Z. Klin. Chem. Klin. Biochem., 12 (1974), s. 403. Serum-lipoproteiner .(EP) adskilles ved densitetsgradient-ultracentrifugering, jfr. F.T. Hatsch og R.S. Lees: Practical methods for plasma lipoprotein analysis,The lipids are extracted as described by J. Folch, M.Lees and G.H. Stanley: A simple method for the isolation and purification of total lipids from animal tissues, J. Biol. Chem., 226 (1975), p. 497, and the amount of cholesterol in these extracts is determined. Total cholesterol (TCh), esterified cholesterol (ECh) and free cholesterol (Ch) are measured using the enzymatic method of P. Eøcklau, Ξ. Bernt and W. Gruber: Enzymatic Determination of Gesamb-Cholesterins im Serum, Z. Klin. Chem. Klin. Biochem., 12 (1974), p. 403. Serum lipoproteins (EP) are separated by density gradient ultracentrifugation, cf. F.T. Hatsch and R.S. Read: Practical methods for plasma lipoprotein analysis,

Adv. Lipid Res., (1968), s. 1. LP med d< 1,063 g/ml betegnes lav-densitets-LP (LDL) eller β-zone-LP, efter at chylomicroner c 145857Adv. Lipid Res., (1968), p. 1. LP with d <1.063 g / ml is designated low-density LP (LDL) or β-zone LP after chylomicrons c 145857

DD

og VLDL (LP med meget lav densitet) er fjernet under anvendelse af en densitetsgradient på d = 1,006 g/ml. LP med d>· 1,063 g/ml betegnes høj-densitets-LP (HDL) eller α-zone-LP. Renheden af LP--fraktionerne undersøges ved polyacrylamid-diskelektroforese af forud farvede LP-fraktioner, jfr. M.R. Parwaresch, H.J. Radzon og Ch. Måder: Diagnose primårer Hypolipoproteinåmien in Nabelschnur blut, Nachr. Kinderheilk., 125 (1977). s. 865. Til kvantitativ bedømmelse sammenlignes middelværdierne under anvendelse af Student's t-test for uafhængige populationer. Værdiernes spredning udtrykkes ved 95%'s øvre og nedre konfidensgrænser.and VLDL (very low density LP) were removed using a density gradient of d = 1.006 g / ml. LPs with d> · 1.063 g / ml are referred to as high-density LP (HDL) or α-zone LP. The purity of LP fractions is investigated by polyacrylamide disk electrophoresis of pre-stained LP fractions, cf. M.R. Parwaresch, H.J. Radzon and Ch. Ways: Diagnosis of Primary Hypolipoproteinemia in Nabelschnur blut, Nachr. Children's Saints, 125 (1977). p. 865. For quantitative assessment, mean values are compared using Student's t-test for independent populations. The distribution of values is expressed at 95% upper and lower confidence limits.

Resultater.Results.

Resultaterne af forsøget er anført i tabel I. Dødeligheden overskrider ikke 10% i nogen af grupperne. ' Kaniner, der holdes på normalt foder (gruppe 1), udviser ikke nogen forandring af lipid-værdierne under: forsøget. Den atherogene diæt hos gruppe 2 af dyrene fører til en massiv forhøjelse af serumcholesterol og LDL-cholesterol med middelværdier på hhv. 958 og 939 mg/dl ved forsøgsperiodens slutning. Disse dyr udvikler en svær athero-sklerose. I gennemsnit påvirkes 57% af aortaoverfladen. De planimetriske undersøgelser af coronararterierne viser en atheromatøs stenose, der i gennemsnit optager 37% af karrenes lysning. Det intramurale cholesterolindhold i aorta er i god overensstemmelse med omfanget af vaskulære læsioner.The results of the experiment are listed in Table I. The mortality rate does not exceed 10% in any of the groups. Rabbits kept on normal feed (group 1) did not show any change in lipid values during: the experiment. The atherogenic diet in group 2 of the animals leads to a massive increase in serum cholesterol and LDL cholesterol with mean values of respectively. 958 and 939 mg / dl at the end of the experimental period. These animals develop severe atherosclerosis. On average, 57% of the aortic surface is affected. The planimetric studies of the coronary arteries show an atheromatous stenosis, which, on average, occupies 37% of the vessel's lumen. The intramural cholesterol content of the aorta is in good agreement with the extent of vascular lesions.

Gruppen,der holdes på MPB, viser en signifikant lavere grad af atherosklerose i aortaer og coronararterier end kontrolgruppen 2. Cholesterolindholdet i aorta og serumcholesterolniveauet er i overensstemmelse med karforandringerne. Dyr behandlet med MPB viser cholesterolværdier på 481 mg/dl.The group maintained on the MPB shows a significantly lower rate of atherosclerosis in aorta and coronary arteries than the control group 2. Cholesterol levels in the aorta and serum cholesterol levels are consistent with the vessel changes. Animals treated with MPB show cholesterol values of 481 mg / dl.

145857 6145857 6

Tabel ITable I

Hæmmende virkning af MPB på eksperimentel hypercholeste-rolæmi og atherosklerose hos kaniner efter en forsøgsperiode på 3 uger.Inhibitory effect of MPB on experimental hypercholesterolaemia and atherosclerosis in rabbits after a 3-week experimental period.

Procent påvirket overfladearealPercent affected surface area

Gruppe nr. Serum HDL-TCh/ Aorta- Aorta Coronar- Døde- Behand- TCh LDL-TCh Aorta-ChECh over- lysning lighed ling (ml/dl) forhold TCh forhold flade _ χ NR 59 22/37 7 6,7/0,4 0 0 0/10 (50-68) 0,59 (5-9) 16,7 2D 958 19/939 85 31/53 57 37 3/29 (868-1049) 0,02 (76-93) 0,6 (51-62) (32-42) 3 D/MBP 481 87/394 46 24/21 30 13 2/30 (408-533) 0,22 (40-52) 1,19 (24-23) (10-16) NR = normalt foder. D = atherogen diæt. TCh = total cholesterol.Group No. Serum HDL-TCh / Aortic Aortic Coronary- Death- Treat- TCh LDL-TCh Aortic-ChECh Disclosure Similarity (ml / dl) Ratio TCh Ratio Flat _ χ NO 59 22/37 7 6.7 / 0.4 0 0 0/10 (50-68) 0.59 (5-9) 16.7 2D 958 19/939 85 31/53 57 37 3/29 (868-1049) 0.02 (76-93) ) 0.6 (51-62) (32-42) 3 D / MBP 481 87/394 46 24/21 30 13 2/30 (408-533) 0.22 (40-52) 1.19 (24- 23) (10-16) NR = normal feed. D = atherogenic diet. TCh = total cholesterol.

ECh = forestret cholesterol.ECh = esterified cholesterol.

De anførte værdier er middelværdier. Værdierne i parentes er 95%'s øvre og nedre konfidensgrænser.The values indicated are averages. The values in parentheses are 95% upper and lower confidence limits.

Resultaterne viser den tydelige cholesterolsænkende virkning af HPB, der hæmmer udviklingen af eksperimentelt fremkaldt atherosklerose hos kaniner.The results show the distinct cholesterol-lowering effect of HPB that inhibits the development of experimentally induced atherosclerosis in rabbits.

Virkning af MPB på atherogene risikofaktorer hos mennesker.Effect of MPB on atherogenic risk factors in humans.

1. Virkning på blodpladeaggregation.1. Effect on Platelet Aggregation.

2. Virkning på lipider og lipoproteiner ved primær type II a hyperlipoproteinæmi (hyperbetalipoproteinæmi).2. Effect on lipids and lipoproteins in primary type II a hyperlipoproteinemia (hyperbetalipoproteinemia).

Ved forsøg med kaniner udviser MBP en klar anti-atheroskle-rotisk virkning. Det er blevet antaget, at den antiatherosklerotiske virkning skyldes en mulig,, hypolipæmisk virkning. Denne hypotese er undersøgt som beskrevet i det følgende.In rabbit experiments, MBP exhibits a clear anti-atherosclerotic effect. It has been thought that the antiatherosclerotic effect is due to a possible, hypolipemic effect. This hypothesis has been investigated as described below.

24 Patienter (begge køn, gennemsnitlig alder: 48 år) med en endogen hyperbetalipoproteinæmi, der klassificeres som hyper-lipoproteinæmi type II a ifølge et WHO-forslag, indgives en dosis på 25 mg MBP/kg legemsvægt pr. dag i 42 dage.24 Patients (both sexes, mean age: 48 years) with an endogenous hyperbetalipoproteinemia classified as type IIa hyper-lipoproteinemia according to a WHO proposal are given a dose of 25 mg MBP / kg body weight per day. day for 42 days.

7 1458577 145857

Lipid- og lipoproteinanalysen samt blodpladeaggregations-testen gennemføres før (0) og 7, 14, 21, 28 og 42 dages medicinsk behandling. De samme undersøgelser foretages 1, 2 og 3 uger efter erstatning af det medicinske præparat med placebo.The lipid and lipoprotein assay as well as the platelet aggregation test are performed before (0) and 7, 14, 21, 28 and 42 days of medical treatment. The same studies are performed 1, 2 and 3 weeks after replacing the medicinal product with placebo.

Der udtages blodprøver efter 12 timers faste, og disse underkastes en modificeret blodpladeaggregationstest ifølge Breddin, hvorved den procentiske andel af aggregerede blodplader bestemmes.Blood samples are taken after 12 hours of fasting and subjected to a modified platelet aggregation test according to Breddin, which determines the percentage of aggregated platelets.

Serumprøver underkastes en gravimetrisk bestemmelse af total lipid (TL) og en enzymatisk bestemmelse af frit og fores tret cholesterol (Ch, ECh) og af triglycerider (TG). Endvidere bestemmes phospholipider (Ph) og ikke-forestrede fede syrer (UFA) ved tyndtlagschromatografi.Serum samples are subjected to gravimetric determination of total lipid (TL) and enzymatic determination of free and fed cholesterol (Ch, ECh) and of triglycerides (TG). Furthermore, phospholipids (Ph) and non-esterified fatty acids (UFA) are determined by thin layer chromatography.

Efter ultracentrifugerings-fraskillelse af chylomicroner (d·^ 0,93) VLDL (d^l,006), LDL (d-cl,063) og HDL (d-^1,12) ved en gradientfraktionering bestemmes de ovennævnte lipider (TL, ECh,After ultracentrifugation separation of chylomicrons (d · 0.93) VLDL (d ^ l, 006), LDL (d-cl, 063) and HDL (d-1.12) by a gradient fractionation, the above lipids (TL , ECh,

Ch, Ph, TG og UFA) i de fraskilte fraktioner.Ch, Ph, TG and UFA) in the separated fractions.

Resultater:results:

Blodpladeaggregationsforsøg:Blodpladeaggregationsforsøg:

Forbindelsen MBP viser en klar virkning på blodpladeaggre-gationstilbøjeligheden, hvor der er tale om forøget blodplade-aggregation. I tabel II er sammenfattet de individuelle værdier i medicinbehandlingsperioden, begyndelsesværdierne og værdierne, der fås efter 3 ugers indgivelse af placebo. Forskellene, der bedømmes ved anvendelse af en fordelingstest ifølge Wilcoxon (modificeret ifølge Mann og Withney) er signifikant ved p-£0,05.The compound MBP shows a clear effect on the platelet aggregation tendency, where there is increased platelet aggregation. Table II summarizes the individual values during the drug treatment period, baseline values, and values obtained after 3 weeks of placebo administration. The differences assessed using a distribution test according to Wilcoxon (modified according to Mann and Withney) are significant at p- £ 0.05.

Tabel IITable II

Aggregerede thrombocyter i % af begyndelsesværdierne.Aggregated platelets in% of initial values.

Placebo i 0 dage 7 dage 14 dage 21 dage 28 dage 3 uger 88 36 33 59 65 92 87 30 31 36 32 86 76 30 28 31 32 79 63 28 25 25 31 68 60 28 22 20 31 68 60 23 20 20 28 66 52 22 20 18 18 58 30 18 20 18 18 23 16 18 18 15 17 18 13 12 18 11 15 18 11 10 18 11 12 15 8 145857Placebo for 0 days 7 days 14 days 21 days 28 days 3 weeks 88 36 33 59 65 92 87 30 31 36 32 86 76 30 28 31 32 79 63 28 25 25 31 68 60 28 22 20 31 68 60 23 20 20 28 66 52 22 20 18 18 58 30 18 20 18 18 23 16 18 18 15 17 18 13 12 18 11 15 18 11 10 18 11 12 15 8 145857

Af lipidværdierne i tabel III er LDL-estercholesterol stærkt forhøjet inden den medicinske behandling. Allerede i den første uge af behandlingen falder denne værdi i gennemsnit 14%.Of the lipid values in Table III, LDL ester cholesterol is greatly elevated prior to medical treatment. Already in the first week of treatment, this value falls on average 14%.

Det fremgår af forsøgsresultaterne, at forbindelsen MBP klart hæmmer en forøget blodpladeaggregation. Resultaterne er statistisk signifikante.It is evident from the test results that the MBP compound clearly inhibits increased platelet aggregation. The results are statistically significant.

Hovedvirkningen af MBP på serumlipider og lipoproteiner er en sænkende virkning på forhøjede LDL-ECh-værdier. Resultaterne er statistisk signifikante.The main effect of MBP on serum lipids and lipoproteins is a lowering effect on elevated LDL-ECh values. The results are statistically significant.

Resultaterne beviser, at forbindelsen har en nyttig anti-atherogen virkning, der hovedsagelig skyldes dens virkning mod de to væsentligste faktorer, der er ansvarlige for thrombotiske komplikationer.The results prove that the compound has a useful anti-atherogenic effect, which is mainly due to its action against the two main factors responsible for thrombotic complications.

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Fremgangsmåden ifølge opfindelsen illustreres i de følgende eksempler.The process of the invention is illustrated in the following examples.

Eksempel 1.Example 1.

15 kg (70,7 mol) 5,4,5-trimethoxybenzoesyre og 65 liter benzen fyldes i en reaktor, og til denne blanding sættes der 27,4 liter thionylchlorid. Massen opvarmes til 56-70°C i 5 timer. Overskuddet af benzen og thionylchlorid afdestilleres under vakuum. Remanensen holdes under vakuum ved 120-123°C i 1 time, hvorved der fås et hårdt, krystallinsk, fast stof.15 kg (70.7 mole) of 5,4,5-trimethoxybenzoic acid and 65 liters of benzene are charged to a reactor and 27.4 liters of thionyl chloride are added to this mixture. The mass is heated to 56-70 ° C for 5 hours. The excess benzene and thionyl chloride are distilled off under vacuum. The residue is kept under vacuum at 120-123 ° C for 1 hour to give a hard crystalline solid.

En opløsning af 3,24 kg (23,3 mol) pyridin-2,6-dimethanol i 35 liter ren pyridin sættes til remanensen, og massen opvarmes til 80°C i 2,5 timer. Reaktionsmassen får en brun farve. Det således dannede pyridin-hydrochlorid afkøles og udkrystalliseres. Derefter udhældes den herved fremkomne reaktionsmasse i vand, og det fremkomne bundfald filtreres fra og skylles derefter gentagne gange med vand. Til slut opløses det i 400 liter methanol, og den fremkomne opløsning filtreres med aktivt kul. Fra dette filtrat afdestilleres 50 liter methanol ved atmosfæretryk og der henstilles til krystallisation. Der fås 8,35 kg (15,8 mol) af di-3,4,5-trimethoxybenzoe-syreesteren af pyridin-2,6-dimethanol, svarende til et udbytte på 68%.A solution of 3.24 kg (23.3 mol) of pyridine-2,6-dimethanol in 35 liters of pure pyridine is added to the residue and the mass is heated to 80 ° C for 2.5 hours. The reaction mass is a brown color. The pyridine hydrochloride thus formed is cooled and crystallized. Then, the resulting reaction mass is poured into water and the resulting precipitate is filtered off and then repeatedly rinsed with water. Finally, it is dissolved in 400 liters of methanol and the resulting solution is filtered with activated carbon. From this filtrate, 50 liters of methanol are distilled off at atmospheric pressure and crystallized. 8.35 kg (15.8 moles) of the di-3,4,5-trimethoxybenzoic acid ester of pyridine-2,6-dimethanol are obtained, corresponding to a 68% yield.

Produktet er et hvidt, krystallinsk, fast stof, der smelter ved 119-126°C. Efter omkrystallisation fra methanol fås et produkt, der smelter ved 126-127°C. En elementæranalyse heraf giver følgende resultater: C = 6l,24$, H = 5,46$, N = 2,82$, mens de beregnede værdier for formlen ^27Η29Ν010 er: C = 6l,47$, H = 5,54$, N = 2,65$. IR-spektrum: Esterstrukturen bekræftes af et C=0-absorptionsbånd ved 1720 cm""·*· og af kraftig absorption af C-O-C. Båndet ved 760 cm-^ tillægges de 3 hydrogenatomer på pyridinringen.The product is a white crystalline solid which melts at 119-126 ° C. After recrystallization from methanol, a product is obtained which melts at 126-127 ° C. An elemental analysis of this gives the following results: C = 6l, 24 $, H = 5.46 $, N = 2.82 $, while the calculated values for formula ^ 27Η29Ν010 are: C = 6l, 47 $, H = 5.54 $, N = $ 2.65. IR spectrum: The ester structure is confirmed by a C = O absorption band at 1720 cm @ + and strong absorption by C-O-C. The band at 760 cm 2 is added to the 3 hydrogen atoms on the pyridine ring.

NMR-spektrum: (CDC1,, TMS): 3,94T singlet -OCHy 5,52 Τ’ singlet -OCHgj 8,00 - 7,27T multiplet aromatiske protoner.NMR Spectrum: (CDCl3, TMS): 3.94T singlet -OCHy 5.52 Τ 'singlet -OCH₂ 8.00 - 7.27T multiplied aromatic protons.

Eksempel 2.Example 2.

15 kg (70,7 mol) 3,4,5-trimethoxybenzoesyre og 65 liter benzen fyldes i en reaktor, og der tilsættes derefter 27,4 liter thionylchlorid. Massen opvarmes til 65-70°C i 5 timer. Overskuddet 11 145857 af benzen og thionylehlorid afdampes under vakuum. Remanensen opvarmes under vakuum i 1 time ved 120-123°C, hvorved der fås et hårdt, krystallinsk, fast stof.15 kg (70.7 mol) of 3,4,5-trimethoxybenzoic acid and 65 liters of benzene are charged to a reactor and then 27.4 liters of thionyl chloride are added. The mass is heated to 65-70 ° C for 5 hours. The excess benzene and thionyl chloride are evaporated under vacuum. The residue is heated under vacuum for 1 hour at 120-123 ° C to give a hard crystalline solid.

Den fremkomne remanens opløses i 60 liter benzen, og hertil sættes 3,24 kg (23,3 mol) pyridin-2,6-methanol og 8 liter pyridin. Massen opvarmes under tilbagesvaling i 5 timer. Derpå fjernes opløsningsmidlerne ved destillation under vakuum, og remanensen udhældes i vand. Det herved dannede bundfald frafiltreres og skylles gentagne gange med vand, hvorefter der opløses i 400 liter methanol, og den fremkomne opløsning filtreres med aktivt kul (trækul).The resulting residue is dissolved in 60 liters of benzene, to which is added 3.24 kg (23.3 moles) of pyridine-2,6-methanol and 8 liters of pyridine. The mass is heated at reflux for 5 hours. The solvents are then removed by distillation under vacuum and the residue is poured into water. The resulting precipitate is filtered off and rinsed repeatedly with water, then dissolved in 400 liters of methanol and the resulting solution is filtered with activated charcoal (charcoal).

Pra filtratet sidestilleres 50 liter methanol ved atmosfæretryk og der henstilles til krystallisation. På denne måde fås 8,98 kg (17 mol) af di-3,4,5-trimethoxybenzoesyreesteren af pyridin-2,6--dimethanol, svarende til et udbytte på 73%. Efter omkrystalli-sation fra methanol fås et produkt med et smeltepunkt på 126--127°C. Ved elementæranalyse fås følgende resultater: C = 61,24$, H = 5,46$, N = 2,82$ mod de beregnede værdier for formlen C27H29N010: C = 61,47$, H = 5,54$, N = 2,65$.For the filtrate, 50 liters of methanol are equilibrated at atmospheric pressure and crystallized. In this way, 8.98 kg (17 moles) of the di-3,4,5-trimethoxybenzoic acid ester of pyridine-2,6-dimethanol is obtained, corresponding to a yield of 73%. After recrystallization from methanol, a product having a melting point of 126--127 ° C is obtained. Elemental analysis gives the following results: C = 61.24 $, H = 5.46 $, N = 2.82 $ against the calculated values of formula C27H29N010: C = 61.47 $, H = 5.54 $, N = 2,65 $.

DK137674A 1973-03-14 1974-03-13 ANALOGY PROCEDURE FOR PREPARING DI-3,4,5-TRIMETHOXYBENZOIC ACID ESTATE OF PYRIDINE-2,6-DIMETHANOL DK145857C (en)

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ES412609A ES412609A1 (en) 1973-03-14 1973-03-14 Method of preparing bis-3,4,5-trimethoxybenzoate of pyridine -2,6-dimethanol
ES412609 1973-03-14

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IE38974B1 (en) 1978-07-05
GB1401608A (en) 1975-07-16
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AT332403B (en) 1976-09-27
CH581109A5 (en) 1976-10-29
FR2221149A1 (en) 1974-10-11
NO740885L (en) 1974-09-17
DK145857C (en) 1983-09-05
ES412609A1 (en) 1976-01-01
NO144148C (en) 1981-07-01
IE38974L (en) 1974-09-14
BE812127A (en) 1974-07-01

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