TW200524874A - Amidomethyl-substituted 1-(carboxyalkyl)-cycolpentylcarbonylamino-benzazepine-n-acetic acid derivatives, process and intermediate products for their preparation and medicaments containing these compounds - Google Patents

Amidomethyl-substituted 1-(carboxyalkyl)-cycolpentylcarbonylamino-benzazepine-n-acetic acid derivatives, process and intermediate products for their preparation and medicaments containing these compounds Download PDF

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TW200524874A
TW200524874A TW093128652A TW93128652A TW200524874A TW 200524874 A TW200524874 A TW 200524874A TW 093128652 A TW093128652 A TW 093128652A TW 93128652 A TW93128652 A TW 93128652A TW 200524874 A TW200524874 A TW 200524874A
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carbon atoms
group
disease
acid
general formula
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TWI332947B (en
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Dagmar Holtje
Yvan Fischer
Dieter Ziegler
Michael Weske
Katrin Michaelis
Karimi-Nejad Yasmin
Messinger Josef
Pahl Axel
Ikonomidou Hrissanthi
Turski Lechoslwa
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Solvay Pharm Gmbh
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Abstract

Described are novel compounds with neutral endopeptidase (NEP) and/or human soluble endopeptidase (hSEP ) inhibitory activity of the general formula I, wherein the substituents R1, R2, R3 and R4 have the meanings given in the description and also medicaments containing these compounds, in particular medicaments suitable for treating or preventing cardiovascular diseases, sexual dysfunction and/or adverse conditions associated with apoptosis.

Description

200524874 九、發明說明: 【發明所屬之技術領域】 本發明係關於一種全新之由醯胺甲基所取代之1-(羧基烷 基)-環戊基碳醯胺基-苯環氮己三烯-N·醋酸衍生物,其可以有效 利用於例如心血管疾病或病症之預防及/或治療,尤其是心臟功 能不全,特別是充血性心臟衰竭;高血壓,包含高血壓之第二 型’諸如原發性高血壓、腎臟高血壓及/或肺臟高血壓,及/或有 效利用於預防及/或治療性功能障礙及/或有效利用於預防及/或 治療與細胞凋亡有關之不良症,以及同時也關係到含有該等化 合物之藥品。再者,本發明係關於一種製備該全新之由醯胺甲 基(amidomethyl)所取代之苯環氮己三烯(benzazepine)-N-醋酸衍 生物之方法以及該方法之中間產物。 性功能障礙(SD)乃是對男性及女性產生影響之重大臨床問 題。性功能障礙之原因可能為器官性及心理方面之因素。性功 能障礙器官性方面典型是由以下血管疾病所引起,諸如與高血 壓或是糖尿病有關之血管疾病,由處方藥物及/或精神疾病如憂 徵症。心理方面之因素包含有恐懼,表現焦慮,以及人際衝突。 性功能障礙減損性能力之表現、贬低自尊、以及使個人關係破 裂,其包含個人痛苦。 細胞洞亡與在發育過程中之形體發育及組織發育、體内環 境恒定之維持、以及生物防禦有密切關連,且其細胞死亡於維 持個體生命上具重要角色。當由基因所調控之死亡程序因先天 或是後天因素受阻時,細胞凋亡便過度诱導或抑制而引起不同 器官之功能性障礙,於是產生病症。具有抑制細胞凋亡作用之 藥物可以做為具有預防及治療由細胞凋亡驅動所促成病症之藥 200524874 【先前技術】 對心血管具有活性之苯環氮己三烯-、苯並環氮己三烯_ (benzoxazepine)、以及苯並塞環氮己三烯 酸衍生物,其對於中性肤鏈内切酶(neutral endopeptidase,NEP) 有明顯之抑制作用,已由EP 0 733 642 A1(=US 5,677,297)之專 利案得悉。此外,於該文中所敘述之化合物具有對内皮素轉化g每 (endothelin-converting enzyme,ECE)較少之抑制性質。落在 ep 0 733 642 A1結構式範圍内化合物其他有利之藥理性質則是由 EP 0 830 863 Al(= US 5,783,53) > WO 00/48601 A1 (= US 6,482,820)以及 WO 01/03699 A1 (= US-2003_0040512-A1)等專利 案所得悉。 由磷酸所取代之苯環氮己三錦r酮(benzazepinone)-N_醋酸衍 生物,具有在中性肽鏈内切酶及内皮素轉化酶合併抑制作用, 揭露於專利案 EP 0 916 679 A1(=US 5,952,327)。 由WO 02/094176 A2專利案所得悉之藥劑,其含有化合 物,其具備有一種有利之合併抑制金屬蛋白水解g每酵素中性月太 鏈内切S每及IGS5作用,且具有尤其是對心血管具有活性之性 質。適合做為該組合性製劑之化合物亦為落在EP 〇 733 642 A1 以及EP 0 916 679 A1專利說明範圍内之化合物。酵素igs5將於 本發明内文中瞭解,及其與心臟血管病症有關之生理角色,本 質上乃由WO 01/36610 A1專利案得悉。上述所提之酵素igS5也 以「人類可溶性肽鏈内切酶」(human soluble endopeptidase,hSEP) 為人所熟知。 由專利案WO 99/55726 A1得悉某些内皮素轉化g条之硫醇 (thiol)抑制劑在治療或是抑制尤其是勃起功能障礙上是有效用 200524874 專利案EP 1 097 719 A1揭露利用中性月太鏈内切酶抑制劑做 為治療女性之性功能障礙(FSD)。 專利案WO 02/06492 A1揭露尤其一種專一性多縮胺基酸之 抗體及抑制劑,其具有可溶性分泌之狀鏈内切g每(=SEP)活性。 於專利申請案US 20030045449中敘述,基質-金屬蛋白水解 @每抑制劑在治療神經變質病症上是有效用的。而與該發明有關 之問題,第一是基質-金屬蛋白水解酉每抑制劑包含一廣泛之蛋白 水解脒抑制劑族群,第二是根據所言之申請案該等金屬蛋白水 解酶必須使用在亦含有N-NOS抑制劑之藥劑組成中。 公告之專利申請案US 2〇02/0013307教導使用血管月太S条抑 制劑治療或是舒緩認知功能障礙之進展,以及治療及/或預防癡 呆症。 M· Sumitomo 等人(請參閱 Clinical Cancer Research 1Q (2004) 260-266)描述以中性肽鏈内切酶使與雄性激素(androgen)無關之 如列線癌產生化學之致敏感作用(chemosensitization)。 【發明内容】 本發明之一目的為,提供全新之具備有合併作用型抑制中 性月太鏈内切酶、人類可溶性月太鏈内切酶以及内皮素轉化酶等 酵素之活性物負’其尤其適合做為預防及/或治療心臟血管疾病 或是病症,尤其是心臟功能不全,特別是充血性心臟衰竭;高 血壓,包含高血壓之第二型諸如原發性高血壓、腎臟高血壓及/ 或肺臟高血壓;及/或預防及/或治療性功能障礙,及/或預防及/ 或治療與細胞凋亡有關之不良症。 目前訝異地發現到一組根據本發明之全新之由醯胺甲基所 取代之1-(羧基烷基)-環戊基碳醯胺基_苯環氮己三烯_N-醋酸衍 生物,其特徵為其抑制中性月太鏈内切酉条以及人類可溶性内切 200524874 月太鏈内切酉每等酵素之作用特徵圖,而且也對内皮素轉化酉每產生 某種程度之抑制作用,因此似乎適合於做為預防及/或治療心臟 血管疾病或是病症,尤其是心臟功能不全,特別是充血性心臟 衰竭;高血壓,包含高血壓之第二型諸如原發性高血壓、腎臟 高血壓及/或肺臟高血壓;及/或預防及/或治療性功能障礙,及/ 或適合及/或治療與細胞凋亡有關之不良症。 本發明之標的為通式I之全新之由醯胺甲基所取代之μ(羧 基烷基)-環戊基碳醯胺基_苯環氮己三婦醋酸衍生物,200524874 IX. Description of the invention: [Technical field to which the invention belongs] The present invention relates to a new type of 1- (carboxyalkyl) -cyclopentylcarbamido-phenylcycloazepinetriene substituted by amidinomethyl. -N · acetic acid derivatives, which can be effectively used, for example, in the prevention and / or treatment of cardiovascular diseases or conditions, especially cardiac insufficiency, especially congestive heart failure; hypertension, including type 2 hypertension such as hypertension Essential hypertension, renal hypertension, and / or pulmonary hypertension, and / or effective use in the prevention and / or treatment of sexual dysfunction and / or effective use in the prevention and / or treatment of apoptotic-related disorders, And also related to medicines containing these compounds. Furthermore, the present invention relates to a method for preparing the novel benzazepine-N-acetic acid derivative substituted with amidomethyl and an intermediate product of the method. Sexual dysfunction (SD) is a major clinical problem affecting men and women. Sexual dysfunction may be caused by organ sexual and psychological factors. The sexual aspect of sexual dysfunction organs is typically caused by vascular diseases such as those associated with high blood pressure or diabetes, by prescription drugs and / or mental illnesses such as anxiety disorders. Psychological factors include fear, performance anxiety, and interpersonal conflict. Sexual dysfunction detracts from sexual performance, degrades self-esteem, and disrupts personal relationships, which include personal suffering. Cell death is closely related to the physical and tissue development during the development process, the maintenance of constant internal environment, and biological defense, and its cell death plays an important role in maintaining the life of an individual. When the death process regulated by genes is blocked by innate or acquired factors, apoptosis is over-induced or inhibited, which causes dysfunction of different organs, resulting in illness. Drugs with an inhibitory effect on apoptosis can be used as drugs with the ability to prevent and treat diseases caused by apoptotic driving 200524874 [Prior art] Benzcycloazepine- and benzocycloazepine that are active on cardiovascular Benzene (benzoxazepine) and benzoxazepine derivatives, which have a significant inhibitory effect on neutral endopeptidase (NEP), have been regulated by EP 0 733 642 A1 (= US 5,677,297). In addition, the compounds described in this article have less inhibitory properties on endothelin-converting enzyme (ECE). Other advantageous pharmacological properties of compounds falling within the structural range of ep 0 733 642 A1 are given by EP 0 830 863 Al (= US 5,783,53) > WO 00/48601 A1 (= US 6,482,820) and WO 01/03699 A1 (= US-2003_0040512-A1) and other patent cases. Benzozepinone-N-acetic acid derivative substituted by phosphoric acid, which has a combined inhibitory effect on neutral peptide endonuclease and endothelin converting enzyme, disclosed in patent case EP 0 916 679 A1 (= US 5,952,327). The medicament obtained from the WO 02/094176 A2 patent contains a compound which has a beneficial combination of inhibiting the hydrolysis of metal proteolysis, per enzyme, neutral moon chain incision, and IGS5, and has a particular effect on the heart. Blood vessels are active in nature. Compounds suitable as the combination preparation are also compounds falling within the scope of EP 0 733 642 A1 and EP 0 916 679 A1. The enzyme igs5 will be understood in the context of the present invention and its physiological role in relation to cardiovascular disorders, which is essentially known from the patent WO 01/36610 A1. The aforementioned enzyme igS5 is also known as "human soluble endopeptidase" (hSEP). It is learned from patent case WO 99/55726 A1 that certain thiol inhibitors that convert endothelin to G-strip are effective in treating or inhibiting erectile dysfunction in particular. 200524874 Patent case EP 1 097 719 A1 discloses utilization Endoenzyme inhibitors are used to treat female sexual dysfunction (FSD). Patent case WO 02/06492 A1 discloses a specific polyamino acid antibody and inhibitor, which has a soluble secreted endogenous chain-cutting g (= SEP) activity. It is described in patent application US 20030045449 that matrix-metal proteolysis @per inhibitor is effective in treating neurodegenerative disorders. The problems related to the invention are the first is matrix-metal proteolysis, each inhibitor contains a broad proteolysis 脒 inhibitor family, and the second is that according to the application, these metal proteolytic enzymes must be used In a pharmaceutical composition containing an N-NOS inhibitor. The published patent application US 2 002/0013307 teaches the use of vasostatin S inhibitors to treat or soothe the progress of cognitive dysfunction, and to treat and / or prevent dementia. M. Sumitomo et al. (See Clinical Cancer Research 1Q (2004) 260-266) describe the use of a neutral peptide endonuclease to cause chemosensitization of androgen-independent, such as line cancer, chemosensitization . [Summary of the Invention] An object of the present invention is to provide a novel active substance having a combined effect of inhibiting enzymes such as neutral moon-chain endonuclease, human soluble moon-chain endonuclease, and endothelin converting enzyme. Particularly suitable for the prevention and / or treatment of cardiovascular diseases or disorders, especially cardiac insufficiency, especially congestive heart failure; hypertension, including the second type of hypertension such as essential hypertension, renal hypertension and / Or pulmonary hypertension; and / or prevention and / or treatment of sexual dysfunction, and / or prevention and / or treatment of apoptosis-related adverse symptoms. Surprisingly, a new group of 1- (carboxyalkyl) -cyclopentylcarbamidoamino_benzenecycloazepinetriene_N-acetic acid derivatives substituted with amidomethyl according to the present invention has been surprisingly found. It is characterized by its inhibitory effect on neutral moon-chain incision noodles and human soluble endokines. 200524874 Moon-chain incision on each type of enzyme, and it also has a certain degree of inhibition on endothelin conversion. , So it seems suitable for the prevention and / or treatment of cardiovascular diseases or conditions, especially cardiac insufficiency, especially congestive heart failure; hypertension, including the second type of hypertension such as essential hypertension, kidney Hypertension and / or pulmonary hypertension; and / or prevention and / or treatment of sexual dysfunction, and / or suitability and / or treatment of apoptotic-related disorders. The subject of the present invention is a brand new μ (carboxyalkyl) -cyclopentylcarbamido-phenylcycloazepine-triacetic acid derivative substituted by amidinomethyl, of general formula I,

其中 R1為氫原子或是一形成生物不安定酯類之官能基, R2為氫原子;含有1至4個碳原子之烷基或含有1至4個碳 原子之氫氧烷基,其中之氫氧基部份可隨意由含有2至4 個碳原子之烷醯基或一胺基酸殘基所酯化,及 R3為含有1至4個碳原子之烷基;含有1至4個碳原子之烷 氧基-含有1至4個碳原子之烷基;含有1至4個碳原子之 氫氧烷基,其可隨意由第二個氫氧基所取代,且其氫氧基 部份每個皆可隨意由含有2至4個碳原子之烷醯基或是一 胺基酸殘基所酯化;(含有〇至4個碳原子之烷基)2胺基- 200524874 含有1至4個碳原子之烷基;含有3至7個碳原予之環蝝 基;含有3至7個碳原子之環烷基-含有1至4個碳原子之 烷基;苯基-含有1至4個碳原子之烷基,其中之苯基部份 可隨意選擇被含有1至4個碳原子之烷基、含有1至4侗 碳原子之烷氧基及/或i素做1至2次之取代;萘基-含宥1 至4個碳原子之烷基;含有3至6個碳原子之氧代烷裊 (oxoalkyl);苯碳醯甲基(phenylcarbonylmethyl),其中之苯秦 部份可隨意選擇被含有1至4個碳原子之烷基、含有1多 4 4個碳原子之烷氧基及/或!|素,或2-環氮己烷 oxoazepanyl)做1至2次之取代,或 R2及R3共同為含有4至7個碳原子之烷撐基,該甲撐基部份圩 隨意選擇被碳醯基、氮原子、氧原子及/或硫原子做1至2次之 取代,而且其可隨意選擇被氫氧基做1次之取代,其可隨意遽 擇被含有2至4個碳原子之燒醯基(alkanoyl)或是一胺基酸殘矣 所酯化;含有1至4個碳原子之烷基;含有1至4個碳原子之 氫氧烷基,該氫氧基部份可隨意選擇被含有2至4個碳原子之 烷醯基或一胺基酸殘基所酯化;苯基或苯甲基,及 φ R4為氫原子或是一形成生物不安定酯類之官能基, 以及通式I之酸在生理學上可以互容之鹽類,及/或通式I之化合物 於生理學上可以互容之酸加成鹽類。再者,本發明之一標的為含有 通式I化合物之藥品。再者,本發明之一標的為用以製備通式I化 合物之方法以及該方法之中間產物。 本發明内容所描述之通式I之化合物或其他之化合物中之 取代基為含有1至4個碳原子之烷基,該等取代基每一個皆可 為直鏈型或是分叉型。而於通式I化合物中之取代基代表函素, 故合適者為氟、氯或是溴。而以氯較受偏好。而取代基含有具2 11 200524874 至4個礙原子之fe縫基者’此取代基可以為直鍵型或是分叉型。 乙酸基是較受偏好之含有具2至4個碳原子之燒驢基。 於通式I化合物中氫氧基被胺基酸殘基酯化,該等胺基酸殘 , 基可以源自於天然或是非天然之α-或β-胺基酸。可以做為範例 ^ 之適合胺基酸乃選自該組’其含有丙胺酸(alanine)、2-胺基己酸(== 正白胺酸’ norleucine)、2-胺基戊酸(=正纟頡胺酸,norvaline)、精 胺酸(arginine)、天冬酸胺(asparagine)、天冬胺酸(aspartic acid)、半 胱胺酸(cysteine)、3,4-二氫苯丙胺酸(=多巴,dopa)、麩醯胺 (glutamine)、麩胺酸(glutamic acid)、甘胺酸(glycine)、組織胺酸 (histidine)、異白胺酸(isoleucine)、白胺酸(leucine)、離胺酸(lysine)、 甲硫胺酸(methionine)、鳥胺酸(ornithine)(= 2, 5-二胺基戊酸)、5-氧代-2-冲b格碳酸(=焦越胺酸,pyr〇giutamic acid)、苯丙胺酸 (phenylalanine)、脯胺酸(proline)、絲胺酸(serine)、蘇胺酸 (threonine)、曱狀腺胺酸(thyronine)、色胺酸(tryptophan)、酷胺酸 (tyrosine)以及纈胺酸(valine)。較受偏好者為選自丙胺酸、天冬醯 胺、麩醯胺、甘胺酸、異白胺酸、白胺酸、離胺酸、鳥胺酸、 苯丙胺酸、脯胺酸以及纈胺酸等之胺基酸殘基。 通式I之化合物代表二羧基酸衍生物,其可隨意選擇被形成 生物不安定酯類之官能基所酯化。通式I之生物不安定酯類通常 指可以施與之自由酸之前趨物質(=「前趨藥物」)而言。接著即 可產生通式I化合物之單酯類或是雙酯類。視所施與之形式,較 受偏好者為生物不安定酯類或是自由酸,後者特別適合施行靜 脈内(=i.v.)給藥。 可以在體内生理條件下被切斷並釋放出通式〗化合物之生 物可利用衍生物之官能基,以形成生物不安定酯類之官能基Ri 及R4為適合者。此情形適合之範例為含有1至4個碳原子之烷 12 200524874 基,特別是甲基、乙基、η-丙基以及異丙基;含有1至4個碳原 子之烷氧基-含有1至4個碳原子之烷氧基-含有1至4個碳原子 之烷基,特別是甲氧基乙氧基甲基(〇^11(^}^11〇\)^^1^1);含有3 至7個碳原子之環烷基,特別是環己烷基;含有3至7個碳原 子之環烷基-含有1至4個碳原子之烷基,特別是環丙基甲基; Ν,Ν-二-(含有1至4個碳原子之烷基)胺基-含有1至4個碳原子 之烷基;苯基或是苯基-含有1至4個碳原子之烷基,其可隨意 選擇在苯環上由自素、含有1至4個碳原子之烷基或是含有1 至4個碳原子之烷氧基做1至2次之取代,或是被一連結於兩 相鄰之碳原子含有1至4個碳原子之烷撐鏈所取代;二噁烷基 甲基(dioxolanylmethyl),其可隨意選擇在二喘燒環上被含有1至 4個碳原子之烷基所取代;含有2至6個碳原子之烷醯氧基 (alkanoyloxy)-含有1至4個碳原子之烷基,其可隨意選擇在氧-含有1至4個碳原子之烷基上被含有1至4個碳原子之烷基所 取代;雙酯類如1-[[(含有1至4個碳原子之烷基)碳醯基]氧]含 有1至4個碳原子之燒基醋類,例如(RS)-l-[[(異丙基)碳Si基] 氧]乙基或是(RS)-l-[[(乙基)碳醯基]氧]-2-甲丙基(製備用請參閱 例如 F· W· Sum·等人,Bioorg· Med· Chem· Lett· 2(1999)1921-1926) 或是 Υ· Yoshimura 等人,The Journal of Antibiotics 翌/9 (1986)1329-1342);羧基酸酯類如l-[[(含有4至7個碳原子之環烷 氧基)碳醯基]氧]含有1至4個碳原子之烷基酯類,較偏好者為 (RS)小[[(環己烷氧基)碳醯基]氧]乙基(=cilexetil ;製備用請參閱 例如 K· Kubo 等,J· Med· Chem· Μ (1993) 2343-2349,下文中以 「Kubo等人」援引)或是2_氧代-1,3-二噁斗烯基-含有1至4個 碳原子之烷基酯類,其可隨意選擇在二噁烷環上含有一個雙 鍵,較受偏好者為5-甲基-2-氧代-1,3-二噁冰烯基-甲基(== 13 200524874 medoxomil ’製備用請參閱例如Kubo等人)或是2-氧代^ 3 一牵 -4-缔基-甲基(=(甲基)乙撐羧酸)。若形成生物不安定酷麵之;^ 基意指一可隨意選擇被取代之苯基-含有1至4個碳原予之^$ 者,此官能基可能含有一烷撐鏈,其含有1至4個,較偏好為1 個碳原子,而且較偏好代表可隨意選擇被取代之苯甲基,尤其 是代表2-氯苯甲基或是4-氯苯甲基。若形成生物不安定g旨類^ 官能基意指一可隨意選擇被取代之苯基者,其中該官能基之苯 環被一含低碳數之烷撐鏈所取代,此官能基可能含有3至4個,Wherein R1 is a hydrogen atom or a functional group that forms a biostable ester, R2 is a hydrogen atom; an alkyl group containing 1 to 4 carbon atoms or a oxyalkyl group containing 1 to 4 carbon atoms, of which hydrogen The oxo moiety can be optionally esterified with an alkyl or monoamino acid residue containing 2 to 4 carbon atoms, and R3 is an alkyl group containing 1 to 4 carbon atoms; containing 1 to 4 carbon atoms Alkoxy group-an alkyl group containing 1 to 4 carbon atoms; a hydroxyalkyl group containing 1 to 4 carbon atoms, which may be optionally substituted by a second hydroxyl group, and the hydroxyl portion of each Each can be optionally esterified by an alkyl or amine residue containing 2 to 4 carbon atoms; (alkyl group containing 0 to 4 carbon atoms) 2 amino group-200524874 containing 1 to 4 Carbon alkyl groups; Cyclofluorenyl groups containing 3 to 7 carbon atoms; Cycloalkyl groups containing 3 to 7 carbon atoms-alkyl groups containing 1 to 4 carbon atoms; Phenyl-containing 1 to 4 Carbon atom alkyl group, the phenyl portion of which can be optionally substituted by alkyl groups containing 1 to 4 carbon atoms, alkoxy groups containing 1 to 4 carbon atoms, and / or i elements 1 to 2 times ; Naphthyl-containing fluorene 1 to 4 Carbon alkyl groups; oxoalkyl groups containing 3 to 6 carbon atoms; phenylcarbonylmethyl groups, of which the phenylene moiety can be freely chosen to be alkyl groups containing 1 to 4 carbon atoms Group, alkoxy groups containing 1 to 4 4 carbon atoms, and / or oxoazepine, or 2-cycloazahexane oxoazepanyl) are substituted 1 or 2 times, or R2 and R3 together contain 4 to 7 carbons Atomic alkylene group, the methylenyl group is optionally substituted by carbofluorenyl, nitrogen, oxygen, and / or sulfur atoms 1 to 2 times, and it can be optionally selected to be 1 time by hydroxyl groups It can be optionally substituted by alkanoyl or monoamino acid residues containing 2 to 4 carbon atoms; alkyl groups containing 1 to 4 carbon atoms; containing 1 to 4 Hydroxyalkyl group of 2 carbon atoms, the hydroxy group can be optionally esterified with alkyl or monoamino acid residues containing 2 to 4 carbon atoms; phenyl or benzyl, and φ R4 is a hydrogen atom or a functional group forming a biostable ester, and the physiologically compatible salts of the acid of the general formula I, and / or the physiologically acceptable compounds of the general formula I Salts are added with mutual compatible acids. Furthermore, one subject of the present invention is a pharmaceutical product containing a compound of general formula I. Furthermore, one object of the present invention is a method for preparing a compound of the general formula I and an intermediate product of the method. The substituents in the compound of the general formula I or other compounds described in the summary of the present invention are alkyl groups containing 1 to 4 carbon atoms, and each of the substituents may be linear or branched. The substituents in the compounds of the general formula I represent functional elements, so the suitable ones are fluorine, chlorine or bromine. Chlorine is preferred. Where a substituent contains 2 11 200524874 to 4 atomic interfering radicals, the substituent may be a straight bond type or a branched type. Acetate is the preferred group of burned donkeys with 2 to 4 carbon atoms. In the compound of the general formula I, the hydroxyl group is esterified with amino acid residues, and these amino acid residues may be derived from natural or unnatural α- or β-amino acids. A suitable amino acid that can be used as an example ^ is selected from the group 'which contains alanine, 2-aminohexanoic acid (== n-leucine' norleucine), 2-aminovaleric acid (= n Norine (norvaline), arginine, asparagine, aspartic acid, cysteine, 3,4-dihydrophenylalanine (= Dopa, dopa), glutamine, glutamic acid, glycine, histidine, isoleucine, leucine, Lysine, methionine, ornithine (= 2, 5-diaminovaleric acid), 5-oxo-2-chrysene carbonate (= pyroglycine) Acid, pyrogiutamic acid), phenylalanine, proline, serine, threonine, thyronine, tryptophan , Tyrosine, and valine. Preferred are selected from alanine, asparagine, glutamine, glycine, isoleucine, leucine, lysine, guanine, phenylalanine, proline, and valine And other amino acid residues. The compound of the general formula I represents a dicarboxylic acid derivative, which can optionally be esterified with a functional group forming a bio-labile ester. Biologically labile esters of the general formula I generally refer to free acid precursors (= "prodrugs") to which they can be administered. Monoesters or diesters of the compounds of formula I can then be produced. Depending on the form of administration, the more preferred ones are biostable esters or free acids, the latter being particularly suitable for intravenous (= i.v.) Administration. The functional group of the bioavailable derivative which can be cut off under physiological conditions in vivo and releases the compound of the general formula, and the functional groups Ri and R4 which form bio-labile esters are suitable. A suitable example in this case is an alkane 12 200524874 group containing 1 to 4 carbon atoms, especially methyl, ethyl, η-propyl and isopropyl; an alkoxy group containing 1 to 4 carbon atoms-containing 1 Alkoxy to 4 carbon atoms-an alkyl group containing 1 to 4 carbon atoms, especially methoxyethoxymethyl (〇 ^ 11 (^) ^ 11〇 \) ^^ 1 ^ 1); Cycloalkyl containing 3 to 7 carbon atoms, especially cyclohexane; cycloalkyl containing 3 to 7 carbon atoms-alkyl containing 1 to 4 carbon atoms, especially cyclopropylmethyl; N, N-di- (alkyl group containing 1 to 4 carbon atoms) amine group-alkyl group containing 1 to 4 carbon atoms; phenyl or phenyl-alkyl group containing 1 to 4 carbon atoms, It can optionally be substituted on the benzene ring by a prime, an alkyl group containing 1 to 4 carbon atoms or an alkoxy group containing 1 to 4 carbon atoms, or substituted by one or two Adjacent carbon atoms containing 1 to 4 carbon atoms replaced by alkylene chain; dioxolanylmethyl (dioxolanylmethyl), which can optionally be selected on the asthma ring by alkyl groups containing 1 to 4 carbon atoms Substituted; alkoxyl groups containing 2 to 6 carbon atoms (alk anoyloxy)-an alkyl group containing 1 to 4 carbon atoms, which can optionally be substituted on the oxygen-alkyl group containing 1 to 4 carbon atoms by an alkyl group containing 1 to 4 carbon atoms; diesters such as 1-[[(alkyl groups containing 1 to 4 carbon atoms) carbofluorenyl] oxy] alkyl alcohols containing 1 to 4 carbon atoms, such as (RS) -1-[[(isopropyl) carbons Si group] oxy] ethyl or (RS) -l-[[(ethyl) carbamyl] oxy] -2-methylpropyl (for preparation, please refer to, for example, F · W · Sum · et al., Bioorg · Med · Chem · Lett · 2 (1999) 1921-1926) or Υ · Yoshimura et al., The Journal of Antibiotics 翌 / 9 (1986) 1329-1342); carboxylic acid esters such as l-[[(containing 4 to Cycloalkoxy with 7 carbon atoms) Carbofluorenyl] oxy] Alkyl esters containing 1 to 4 carbon atoms, which is smaller than (RS) [[(Cyclohexaneoxy) Carbofluorenyl] Oxy] ethyl (= cilexetil; for preparation, see, for example, K. Kubo et al., J. Med. Chem. M (1993) 2343-2349, hereinafter referred to as "Kubo et al.") Or 2_oxo-1 , 3-Dioxadienyl-alkyl esters containing 1 to 4 carbon atoms, which can optionally contain a double bond on the dioxane ring, the preferred one is 5- 2-oxo-1,3-dioxalenyl-methyl (== 13 200524874 medoxomil 'for preparation see Kubo et al.) Or 2-oxo ^ 3 1-pin-4-enyl -Methyl (= (methyl) ethylene carboxylic acid). If the formation of biological instability; ^ group means a phenyl group that can be optionally substituted-containing 1 to 4 carbon atoms, this functional group may contain an alkylene chain, which contains 1 to 4, prefers one carbon atom, and prefers to represent benzyl which can be substituted at will, especially 2-chlorobenzyl or 4-chlorobenzyl. If a biostable group is formed, a functional group means a phenyl group that can be optionally substituted, wherein the benzene ring of the functional group is replaced by an alkylene chain with a low carbon number. This functional group may contain 3 Up to 4,

較偏好為3個碳原子及尤其在茚滿基(indanyl)。而若形成生物不 安定酯類之官能基意指一可隨意選擇被取代含有2至6個碳原 子之燒疏氧基-含有1至4個碳原子之垸基者’則該含有2至6 個碳原子之烷醯基可為直鏈型或是分叉型。 R1較受偏好之含意為氫原子、乙基、甲氧基乙氧基甲基、 (RS)-l-[[(異丙基)碳醯基]氧]乙基、(RS)_H[(乙基)碳醯基]氧]-2_ 甲丙基、(RS)-l-[[(環己烷氧基)碳醯基]氧]乙基、5·甲基冬氧代 -1,3_二噁-4-烯基-甲基、2-氧代-1,3-二噁-4-烯基·甲基或是Preference is given to 3 carbon atoms and especially in indanyl. And if the functional group that forms a biostable ester means a sulfonyl group containing 2 to 6 carbon atoms-a fluorenyl group containing 1 to 4 carbon atoms can be optionally substituted, it should contain 2 to 6 Alkyl groups of one carbon atom can be linear or branched. The preferred meanings of R1 are hydrogen atom, ethyl group, methoxyethoxymethyl group, (RS) -1-[[(isopropyl) carbamyl] oxy] ethyl group, (RS) _H [( (Ethyl) carbofluorenyl] oxy] -2_methylpropyl, (RS) -l-[[(cyclohexaneoxy) carbofluorenyl] oxy] ethyl, 5 · methyl orthooxo-1,3 _Diox-4-enyl-methyl, 2-oxo-1,3-diox-4-enylmethyl, or

(RS)_l-[[(乙氧基)碳醯基]氧]乙基。 R2較受偏好之含意為氫原子、甲基、乙基、2-氫氧乙基或 是3-氫氧丙基,每個氫氧基皆可隨意選擇被含有2至4個碳原 子之烷醯基或是一胺基酸殘基所酿化。 若R3之含意為(含有〇至4個碳原子之烷基)2胺基—含有1 至4個碳原子之烷基時,則一或二個含有〇至4個碳原子之燒 基可以彼此互不影響地出現。再更清楚者’該「(含有G至4個 碳原子之燒基)2胺基_含有1至4個碳原子之概基」表"^包含其 意為「(不含碳原子)2燒基胺基_含有1至4個碳原子之燒基」、 「(不含碳原子)(含有1至4减原子博基胺基·含有1至4個 14 200524874 碳原子之烷基」以及「(含有1至4個碳原子)2_烷基胺基-含有1 至4個碳原子之烷基」。「(不含碳原子)2_烷基胺基-含有丨至4 個碳原子之烷基」意在命名一個未被取代之初級胺基(=NH2)連 接於含有1至4個碳原子之烷(撐)基;「(不含碳原子)(含有1 至4個碳原子)烷基胺基-含有1至4個碳原子之燒基」意在命名 一個二級胺基,其被一個(含有1至4個碳原子)-燒基所取代, 而且連接於含有1至4個碳原子之烷(撐)基;「(含有1至4個 碳原子)2_烷基胺基-含有1至4個碳原子之烷基」意在命名一個 三級胺基,其被含有1至4個碳原子之燒基所取代,而且連接 於含有1至4個碳原子之烷(撐)基。R3較受偏好之含意為異丙 基;曱氧基乙基;2-氫氧乙基或是3-氫氧丙基,每個氫氧基皆 可隨意選擇被含有2至4個碳原子之燒醯基或是一胺基酸殘基 所酯化;3-乙醯氧基丙基;環丙基甲基;2·甲氧基苯曱基、4-曱氧基苯曱基;4-曱氧基苯乙基;2,4-二甲氧基苯甲基;丨_萘基 曱基;3-氧代-1,1-二甲基丁基;苯基-2-氧代乙基;2-(4-甲氧基 苯基)-2-氧代乙基;3-(2-環氮己烷);(含有0至4個碳原子之烷 基)2胺基-含有1至4個碳原子之烷基,尤其是二曱基胺基-η-丙 基,(甲基)胺基乙基或是胺基-η-丙基。 右R以及R3共同為含有4至7個碳原子之燒撐基時,則其 中之甲撐基部份可隨意選擇被置換或是可隨意選擇被取代,於 每一種情況下可隨意選擇嗎4(morph〇line);略啶(piperidine); 4-酮基哌咬;4-氫氧基哌啶,於該氫氧基上可隨意選擇被含有2 至4個碳原子之烷醯基或是一胺基酸殘基所酯化;較受偏好者 為浪嗓(piperazine)、p比洛燒(pyrrolidine)。 R4較受偏好之含意為氫原子、含有1至4個碳原子之烷基、 對-曱氧基苯曱基、N,N-二-(含有1至4個碳原子之烷基)胺基- 15 200524874 含有1至4個碳原子之烷基,(RS)小[[(異丙基)碳醯基]氧]乙基、 (RS)-H[(乙基)破醯基]氧>2-甲丙基、(rs)-1_[[(環己烷氧基)碳醯 基]氧]乙基、5-甲基二嗔-4-晞基-曱基、2-氧代-1,3-二嗤-4-晞基-曱基或(RS)_l-[[(乙氧基)碳||基]氧]乙基。 # 通式1之化合物特別受到偏好者為選自該組,其組成由 2-{[1-({[1-(叛基甲基)-2•氧代-2,3,4,5-四氫-1//-1_苯環氮己 三晞-3-晞基]胺基}碳酸基)環戊基]甲基卜4-[異丙基(甲基)胺 基]-4-氧代丁酸(32); 2_{[1-({[1-(羧基甲基)-2-氧代-2,3,4,5·四氫苯環氮己 三烯-3_婦基]胺基}碳醢基)環戊基]甲基卜4-(二甲基胺基)_4_氧代 丁酸(54); 2-{[1-({[1-(幾基曱基)-2-氧代-2,3,4,5-四氫-1凡1_苯環氮己 三烯_3_綿·基]胺基}碳醯基)環戊基]甲基卜‘(二乙基胺基)_4_氧代 丁酸(55); 2_{[1-({[1-(羧基曱基)-2-氧代_2,3,4,5-四氫_1払1_苯環氮己 三烯_3_晞基]胺基}碳醯基)環戊基]甲基卜4-[(2_氫氧乙基)(甲基) 胺基>4-氧代丁酸(43); ^{[^({0(羧基甲基)_2_氧代-2,3,4,5-四氫-1//_1_苯環氮己 三烯-3_埽基]胺基}碳醯基)環戊基]甲基}_4_[(3-氫氧丙基)(甲基) 胺基]·‘氧代丁酸(56); 2_{[1-({[1-(羧基甲基)-2-氧代-2,3,4,5-四氫-1//_1_苯環氮己 三晞-3-埽基]胺基卜碳醯基)環戊基]甲基卜4_(4_氫氧裱啶-;1_烯 基)4·氧代丁酸(57); 2_{|>({|>(羧基曱基)-2-氧代-2,3,4,5-四氫_1//_1_苯環氮己 三烯_3_埽基]胺基卜碳醯基)環戊烷基]曱基卜4_氧代_4_[4_(l_纈胺 醯氧基)喊啶-1-烯基]丁酸(68); 16 200524874 2-{[丨-({[1-(幾基甲基)_2_氧代_2,3,4,5-四氫_1私1_苯環氮已 三烯_3_烯基]胺基卜碳醯基)環戊基]甲基}_4_嗎啉_4_締基斗氧代 丁酸(66); 2_{[1_({[1_(羧基甲基)_2·氧代-2,3,4,5-四氫_1凡1_苯環氮已 二晞晞基]胺基卜碳醯基)環戊基]甲基}-4_氧代_4_(4_氧代派咬 -1·烯基)丁酸(45); 4-[ 一(2-氫氣乙基)胺基]-2-{[1-({[1-(羧基甲基)_2_氧代 -2,3,4,5-四氫-1//小苯環氮己三烯_3-晞基]胺基}碳醯基)環戊基] 甲基卜4-氧代丁酸(58); 2_{[1_({[1-(羧基甲基)-2-氧代-2,3,4,5·四氫-1/M_苯環氮己 三晞各晞基]胺基}碳醯基)環戊基]甲基}-4_{乙基(乙基胺基) 丙基]胺基卜4-氧代丁酸(52),以及 2-{[1-({[1-(羧基甲基)-2-氧代-2,3,4,5-四氫-1//_1_苯環氮己 三埽各烯基]胺基卜碳醯基)環戊基]甲基}_4_[[2-(二甲基胺基)乙 基](甲基)胺基]_4·氣代丁酸(59), 4_[(3_胺基丙基)(乙基)胺基]_2_{[1_({[1-(羧基甲基)1氧代 -2’3,4’5-四氫苯環氮己三烯_3_烯基]胺基}碳醯基)環戊基] 甲基}-4-氧代丁酸(67),以及 羧基甲基)_2_氧代-2,3,4,5-四氫_1凡1-苯環氮己 二烯各烯基]胺基}_碳醯基)環戊基]甲基卜4_{甲基[2_(甲基胺基) 乙基]胺基}_4_氧代丁酸(68), 連同該等通式I化合物之酸之生理學互容之魏及其生物不安 定酯類,及/或該等通式Ϊ之化合物於生理學互容之酸加成鹽類。 根據本發明,通式!全新之化合物及其鹽類之取得乃是將通 式II之一種化合物, 17 200524874(RS) -1-[[(ethoxy) carbofluorenyl] oxy] ethyl. R2 is more preferably meaning hydrogen atom, methyl group, ethyl group, 2-hydroxyethyl group or 3-hydroxypropyl group. Each hydroxyl group can be freely chosen to be an alkane containing 2 to 4 carbon atoms. Amido or monoamino acid residues. If the meaning of R3 is (alkyl group containing 0 to 4 carbon atoms) 2 amine group-alkyl group containing 1 to 4 carbon atoms, one or two alkyl groups containing 0 to 4 carbon atoms may be mutually Appear without affecting each other. To make it clearer, the "(Aromatic group containing G to 4 carbon atoms) 2 amine group_probable group containing 1 to 4 carbon atoms" table " ^ contains the meaning "(excluding carbon atoms) 2 "Alkylamino_Alkyl containing 1 to 4 carbon atoms", "(without carbon atoms) (1 to 4 minus atomic bolylamino · alkyl containing 1 to 4 14 200524874 carbon atoms", and " (Contains 1 to 4 carbon atoms) 2-alkylamino group-alkyl group containing 1 to 4 carbon atoms "." (Without carbon atoms) 2-alkylamino group-group containing 丨 to 4 carbon atoms "Alkyl" is intended to name an unsubstituted primary amine group (= NH2) attached to an alkane (s) group containing 1 to 4 carbon atoms; "(without carbon atoms) (containing 1 to 4 carbon atoms) "Alkylamino group-alkyl group containing 1 to 4 carbon atoms" is intended to name a secondary amine group which is replaced by a (containing 1 to 4 carbon atoms)-alkyl group and is attached to a group containing 1 to 4 Alkane group of 1 carbon atom; "(containing 1 to 4 carbon atoms) 2-alkylamino group-alkyl group containing 1 to 4 carbon atoms" is intended to name a tertiary amine group, which is contained 1 to 4 carbon atoms, and substituted For alk (phenyl) groups containing 1 to 4 carbon atoms. R3 is more preferably meaning isopropyl; methoxyethyl; 2-hydroxyethyl or 3-hydroxypropyl, each hydrogen The oxy group can be optionally esterified by a sulfanyl group or a monoamino acid residue containing 2 to 4 carbon atoms; 3-ethoxyloxypropyl; cyclopropylmethyl; 2 · methoxy Phenylfluorenyl, 4-Methoxyphenylfluorenyl; 4-Methoxyphenethyl; 2,4-Dimethoxybenzyl; 丨 naphthylfluorenyl; 3-oxo-1,1- Dimethylbutyl; phenyl-2-oxoethyl; 2- (4-methoxyphenyl) -2-oxoethyl; 3- (2-cycloazahexane); (containing 0 to Alkyl group of 4 carbon atoms) 2 amine group-alkyl group containing 1 to 4 carbon atoms, especially difluorenylamino group-η-propyl, (meth) aminoethyl or amine group-η -Propyl. When the right R and R3 are a sintered group containing 4 to 7 carbon atoms, the methylenyl group can be substituted or substituted at will. In each case, Are you free to choose 4 (morph〇line); piperidine (piperidine); 4-ketopiperidine; 4-hydroxypiperidine, on this hydroxyl group can be freely selected to contain 2 It is esterified with alkanoyl or monoamino acid residues up to 4 carbon atoms; the preferred ones are piperazine and prololidine. The preferred meaning of R4 is hydrogen atom, Alkyl groups containing 1 to 4 carbon atoms, p-methoxyphenylphenyl, N, N-di- (alkyl groups containing 1 to 4 carbon atoms) amino groups-15 200524874 containing 1 to 4 carbon atoms Alkyl group, (RS) small [[(isopropyl) carbofluorenyl] oxy] ethyl, (RS) -H [(ethyl) hydrocarbyl] oxy]> 2-methylpropyl, (rs) -1 _ [[(cyclohexaneoxy) carbofluorenyl] oxy] ethyl, 5-methyldifluoren-4-yl-fluorenyl, 2-oxo-1,3-difluoren-4-fluorene -Amidino or (RS) _1-[[(ethoxy) carbon || yl] oxy] ethyl. # Compounds of general formula 1 are particularly favored by those selected from this group, whose composition consists of 2-{[1-({[1- (retylmethyl) -2 • oxo-2,3,4,5- Tetrahydro-1 //-1_benzenecycloazepinetrisamidine-3-fluorenyl] amino} carbonate) cyclopentyl] methylbull 4- [isopropyl (methyl) amino] -4- Oxobutanoic acid (32); 2 _ {[1-({[1- (carboxymethyl) -2-oxo-2,3,4,5 · tetrahydrobenzenecycloazahexatriene-3_yl ] Amine} Carbofluorenyl) cyclopentyl] methyl 4- (dimethylamino) -4-oxobutanoic acid (54); 2-{[1-({[1- ( ) -2-oxo-2,3,4,5-tetrahydro-1 where 1_benzenecycloazahexatriene_3_mianyl} amino} carbofluorenyl) cyclopentyl] methylb ' (Diethylamino) _4-oxobutanoic acid (55); 2 _ {[1-({[1- (carboxyfluorenyl) -2-oxo_2,3,4,5-tetrahydro_1払 1_benzenecycloazepinetriene_3_fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl 4-[(2-Hydroxyethyl) (methyl) amino> 4- Oxobutanoic acid (43); ^ {[^ ({0 (carboxymethyl) _2_oxo-2,3,4,5-tetrahydro-1 // _ 1_benzenecycloazahexatriene-3_ Fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl} _4 _ [(3-hydrooxypropyl) (methyl) amino] '' oxobutanoic acid (56); 2 _ {[1- ( {[1- (carboxymethyl) -2-oxo-2,3,4,5-tetrahydro-1 // _ 1_benzenecycloazepine -3-fluorenyl] aminocarbonylcarbamyl) cyclopentyl] methyl-4- (4-hydroxide-imidin-; 1-alkenyl) 4-oxobutanoic acid (57); 2_ {| > ((| > (Carboxyfluorenyl) -2-oxo-2,3,4,5-tetrahydro_1 // _ 1_benzenecycloazepinetriene_3_fluorenyl) amino ) Cyclopentyl] fluorenyl 4-oxo_4_ [4_ (l_valaminefluorenyloxy) hexidine-1-enyl] butanoic acid (68); 16 200524874 2-{[丨-({ [1- (Chlorylmethyl) _2_oxo_2,3,4,5-tetrahydro_1private-1_benzenecycloazatriene_3_alkenyl] aminopentacarbyl) cyclopentyl [Methyl] methyl} _4_morpholine_4_alkenyloxyoxobutanoic acid (66); 2 _ {[1 _ ({[1_ (carboxymethyl) _2 · oxo-2,3,4,5-tetra Hydrogen_1fan 1_benzenecyclonitrodifluorenyl] aminocarbanyl) cyclopentyl] methyl} -4_oxo_4_ (4_oxopyridine-1 · alkenyl) butane Acid (45); 4- [mono (2-hydrogenethyl) amino] -2-{[1-({[1- (carboxymethyl) _2_oxo-2,3,4,5-tetra Hydrogen-1 // small benzenecycloazahexatriene_3-fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl 4-oxobutanoic acid (58); 2 _ {[1 _ ({[1 -(Carboxymethyl) -2-oxo-2,3,4,5 · tetrahydro-1 / M_benzenecycloazepine hexamethylene group] amino group} carbofluorenyl group) cyclopentyl] methyl group } -4_ {ethyl (ethylamino) propyl] amino group 4-oxobutanoic acid (52), And 2-{[1-({[1- (carboxymethyl) -2-oxo-2,3,4,5-tetrahydro-1 // _ 1_benzenecycloazepine trisene alkenyl] amine Carbocarbyl) cyclopentyl] methyl} _4 _ [[2- (dimethylamino) ethyl] (methyl) amino] _4 · Arobutyric acid (59), 4 _ [(3_ Aminopropyl) (ethyl) amino] _2 _ {[1 _ ({[1- (carboxymethyl) 1oxo-2'3,4'5-tetrahydrobenzenecycloazahexatriene_3_ene Group] amino} carbofluorenyl) cyclopentyl] methyl} -4-oxobutanoic acid (67), and carboxymethyl) _2_oxo-2,3,4,5-tetrahydro_1fan 1-benzenecycloazepinediene alkenyl] amino} _carbofluorenyl) cyclopentyl] methylbu 4_ {methyl [2_ (methylamino) ethyl] amino} _4_oxobutane Acid (68), together with the physiologically compatible acids of the compounds of the general formula I and their bio-labile esters, and / or the physiologically compatible acid addition salts of the compounds of the general formula Ϊ . According to the invention, the general formula! The acquisition of a brand new compound and its salts is a compound of formula II, 17 200524874

其中r1g1及r4G1,彼此各自獨立,每個皆為/種酸保護基, 與通式III化合物相互反應,Among them, r1g1 and r4G1 are independent of each other, each of which is an acid protecting group, and reacts with the compound of the general formula III,

IIIIII

其中R2及R3具有上述所指之含意,若R2及/或r3含有自由 之氫氧基時,於有必要時,該等官能基便與通式IV之化合物 相互反應,Where R2 and R3 have the meanings mentioned above, if R2 and / or r3 contain a free hydroxyl group, these functional groups will react with the compound of general formula IV if necessary,

0^3-0(0)^ iv 其中X代表一個脫離基(leaving group),或是與一種由一適當保 護基所保護之胺基酸衍生物相互反應, 若R101及/或R4G1不代表所要求之形成生物不安定酯類及/或若R2 及/或R3含有保護基於任何存在之胺基酸殘基上時,該等官能基 於所生成之化合物中在任何要求之順序下,以同時進行或是個 別進行之方式連續切除,而且於有必要時,於每種情況下所示 18 200524874 出之酸官能基轉換成生物不安定酯類官能基, 而且於必要時,通式I所生成之酸類轉換成其在生理學互容之鹽 類,或是通式I之酸類之鹽類轉換成自由酸及/或通式〗之鹼類 被轉換成其酸加成鹽類,或是酸加成鹽類被轉換成通式〗之自由 驗。 於每種情況下,通式I之酸類之在生理學互容之鹽類合適者 有,其鹼金族金屬、鹼土族金屬或是銨鹽類,例如,其鈉、卸 或疋鈣鹽,其於生理學上呈互容,藥理學上呈中性之有機鹽與 胺類諸如胺水、二乙胺、三級丁胺、甲基葡萄胺、膽鹼,或 是與胺基酸諸如精胺酸所形成之鹽類。若於通式J之化合物中之 取代基R2及/或R3含有鹼性官能基,尤其是氮原子時,則該等 通式I之化合物可以以酸加成鹽類之形式存在。通式j之化合物 於生理學上可互容之酸加成鹽類有其傳統上與無機酸,例如與 硫酸、磷酸或是氫_酸,較偏好氫氯酸,或是與有機酸,例如 含低碳數脂肪單羧基酸、二羧基酸或是三羧基酸,諸如順丁缔 二酸(maleic acid)、反丁 烯二酸(fumaric acid)、酒石酸(tartaric acid)、 檸檬敗(citric acid),或是與績酸細肿⑽记acid),例如含低碳數之 少元石買酸(alkanesulphonic acid) ’ 諸如甲燒橫酸(methanesulphonic acid) 所形成之鹽類。 傳統上做為保護羧基酸官能基之保護基可以選擇酸保護基 R1G1及R4G1,其可以接著以習知之方法再加以切除。適合做為羧 基酸之保護基者乃得悉自’例如McOmie,「Protective Groups in Organic Chemistry」,Plenum Press (下文中以「McOmie」引證),以 及 Greene,Wuts,「Protective Groups in Organic Synthesis」,Wiley Interscience Publication (下文中以「Greene」引證),每種皆為最新 之版本。形成生物不安定醋類之官能基也可以被做為酸保護基 19 200524874 使用。在該等情況中由通式II之化合物朗式III之化合物反應 後所取得之化合物代表根據本發明通式〗之酿類。 合適之酸保護基尤其為該類官能基,其可以有選 擇I*生切除或疋有選擇性置人,而彼此獨立。可以在不同之條 件了被婦,而且也可以代麵成生物不安定_官能基之酸 保護基la例者有:不分叉之低碳數絲,如乙基,其可以在驗 I*生之條件下相當容易地被切除;分又之低碳數燒基如三級丁 基其可以用酸如二氟醋酸容易地加以切除;可隨意選擇在苯 環f做取代之苯^基如料基,其可以關分解(hyd零n〇iysis) 或=選擇在祕條件下科地加以切除;在苯環上被低碳數之 烷氧基取代一次以上之苯甲基,如對_曱氧苯甲基 (=eth〇Xy^nzyl),其可以在氧化之條件下,例如在2, 二氯5,卜 氰1,4本一酮(- DDQ)或是硝酸高錦銨(從咖amm〇nium nitrate) 之作用下相當谷易地切除;或是所熟知含矽之保護基,其可以 用氣離子容易地加以切除。熟悉本技術之人士熟悉選擇適當之 保護基以得到一所要求之取代形式。 通式I之化合物含有兩個不對稱碳原子,亦即是在苯環氮己 二埽三烯之骨幹第三個位置上具有醯胺支鏈之碳原子卜仏*)以 及具有「-COOR1」原子團之碳原子(=Ca*)。該等化合物因此可 以以總共四種之i體異構物之形式存在。本發明包含有立體異 構物以及鏡像異構物兩種混合物,而且也包含異構物上純質之 通式I化合物。較受偏好者為異構物上純質之通式〗化合物。特 別雙偏好者為通式I化合物,其中在苯環氮己三埽之骨幹第三個 位置上具有醯胺支鏈之碳原子為rs」構型。至於具有「_c〇〇Rl」 原子图之不對稱碳原子「*Ca」,根據本發明於本發明内容中所 偏好之通式I化合物之構型臨時被給與構型rreU」名稱(請參閱 200524874 實驗部份)。不對稱碳原子「*Ca」上所偏好之「rell」構型很有 可能同樣為「S」構型可以追溯至對適當且已知構型之化合物所 做類似之觀察。 通式II之酸類與通式III之胺類之反應可以根據傳統上用以 由胺基醯化法(aminoacylation)生成醯胺基之方法來進行。通式η 之羧基酸類或是其具反應力之衍生物可以做為醯化劑使用。特 別是混合之酸奸類以及酸之_化物為合適之具反應力之衍生 物。所以,諸如通式II酸類之酸氣化物或是酸溴化物,或是通 式II酸類與有機磺酸類,例如與含低碳數且可隨意選擇被齒素 取代之績酸,例如甲燒績酸或是三氟甲燒確酸,或是與芳香 烴磺酸,例如苯磺酸,或是與被低碳數之烷基或是_素所取代 之笨磺酸類,例如甲苯磺酸(toluenesulphonic acid)或是溴苯磺酸 (bromobenzenesulphonic acid),所混合生成之酯類皆可使用。醯化 反應可以在一種有機溶劑中進行,其在_2〇°c及室溫(=rt)間之溫 度反應條件下呈現惰性現象(inert)。適合之溶劑有含有画素之碳 氫化合物’諸如二氯甲烷或是芳香烴碳氫化合物,諸如苯或是 曱苯’或是環醚類,諸如四氫呋喃匕THF)或是二噁烷或是該等 溶劑之混合物。 酿化反應可以在酸結合劑之存在下操作較為方便,特別是 如果一種由通式Π酸類與一種磺酸類所混合生成之酐類被做為 酸化劑使用時。適合做為酸結合劑之範例為有機鹼類,其可溶 於諸如三級氮驗類,例如三級低碳數之烷胺類以及吡啶類,如 二乙胺、三丙胺、N_甲基嗎琳、吡啶、4-二甲基胺基呲啶、4-一乙基胺基p比咬或是4-p比p各燒p比咬(4-pynOiidinopyridine)之反應 混合物中。過量使用之有機鹼類也可以同時做為溶劑使用。 倘若通式II之酸類本身被做為醯化劑使用時,則通式m 21 200524874 之胺基化合物與通式π之羧基酸類之反應也可以較為方便地在 得悉自例如肽化學且適用於醯胺生成之偶聯劑(C0Upling reagents) 之存在下進行。藉由與自由酸在原位反應而生成一具有反應力 之酸衍生物來促成與自由酸生成醯胺類之偶聯劑範例尤其是: 乙基氯甲酸酯、燒基碳酿二醯亞胺(也;冲^1130仙111丨(16),例如環统 基碳醯二醯亞胺(cycloalkylcarbodiimide),如二環己基碳醯二醯亞 月i或疋N-(3-一甲基胺基丙基)-N’-乙基碳酿二酿亞胺(=EDC)’碳 醯二咪唑(carb〇nyldiimidazole)以及N低碳數烷基-2-鹵素毗啶鹽 (N-lower alkyl_2-halopyridinium salt),尤其是鹵鹽或是甲苯石黃酸 鹽。在偶聯劑存在下之反應可以在_3〇。(:至+5〇。(:之溫度下於諸 如含有卣素之碳氫化合物之溶劑及/或芳香烴溶劑中,而且可以 隨意選擇在上述之酸結合胺類之存在下方便地加以操作。 由通式II之化合物與通式III之化合物,其中R2及/或R3 含有自由之氫氧基,反應所得到之化合物中,該等化合物可以, 如有必要時,以習知之方法與通式IV之化合物反應。於通式IV 之化合物中,脫離基X例如代表自素,較偏好代表氯原子。 由通式Π之化合物與通式III之化合物,其中r2及/或r3 含有自由之氫氧基,反應所得到之化合物中,該等化合物可以, 如有必要時,以習知之方法與一受到適當保護基所保護之胺基 酸衍生物反應。適用之胺基酸保護基以及將其置入或是選擇性 將其切除之方法在技術上乃得悉於例如McOmie或是Greene。 受適當保護之胺基酸衍生物可從市場上購得,或可以用習知之 方法製備而得。 保護基R與R ,倘若二者不代表任何所要求之形成生 物不安定酯類之官能基,及/或保護基,其可存在於任何現存在 R2及/或R3之胺基酸部份,可以用習知方法切除,而且於必要時 22 200524874 有選擇性地從由通式r化合物與通式ΙΠ之化合物反 之化合物。 ~ 通式I之化合物可以狀應齡齡_得,而且在有 •時可用習知之方法,例如用高效能液體層析儀(=HPLC)純化。 * 狀11之起始化合物為全新之化合物,其適合作為中間產 物,用於製備全新之活性物質,例如·製備通式τ之化合物。 通式II之化合物可以由通式V之反應化合物製備而得,0 ^ 3-0 (0) ^ iv where X represents a leaving group or reacts with an amino acid derivative protected by a suitable protecting group, if R101 and / or R4G1 does not represent The required formation of biolabile esters and / or if R2 and / or R3 contain protection based on any amino acid residues present, these functions are performed simultaneously in any required order in the resulting compound Or it can be continuously excised separately, and if necessary, the acid functional group shown in 18 200524874 is converted into a bio-labile ester functional group in each case, and if necessary, the general formula I Acids are converted to physiologically compatible salts, or salts of acids of general formula I are converted to free acids and / or bases of general formula are converted to acid addition salts, or acid additions Salts are converted into free formulas of general formula. In each case, suitable salts of the physiologically compatible acids of the acids of the general formula I are alkali metal, alkaline earth metal or ammonium salts, for example, the sodium, sodium or calcium salts thereof, It is physiologically compatible, pharmacologically neutral organic salts and amines such as amine water, diethylamine, tertiary butylamine, methylgranine, choline, or with amino acids such as sperm Salts formed by amino acids. If the substituents R2 and / or R3 in the compound of the general formula J contain a basic functional group, especially a nitrogen atom, the compounds of the general formula I may exist in the form of acid addition salts. Physiologically compatible acid addition salts of compounds of general formula j are traditionally associated with inorganic acids, such as with sulfuric acid, phosphoric acid, or hydrogen acid, prefer hydrochloric acid, or with organic acids, such as Contains low-carbon fatty mono-, di- or tri-carboxylic acids such as maleic acid, fumaric acid, tartaric acid, citric acid ), Or with acid swollen, remember acid), such as low carbon number of alkanesulphonic acid (alkanesulphonic acid) 'such as methanesulphonic acid salts. Traditionally, as the protecting group for protecting the carboxylic acid functional group, the acid protecting groups R1G1 and R4G1 can be selected, which can then be removed by conventional methods. Those who are suitable as protecting groups for carboxylic acids are known from 'e.g. McOmie, "Protective Groups in Organic Chemistry", Plenum Press (hereinafter referred to as "McOmie"), and Greene, Wuts, "Protective Groups in Organic Synthesis", Wiley Interscience Publication (hereafter referred to as "Greene"), each of which is the latest version. Functional groups that form bio-labile vinegars can also be used as acid protecting groups. 19 200524874 In these cases, the compounds obtained after the reaction of the compounds of formula II and formula III represent compounds according to the general formula of the invention. Suitable acid-protecting groups are especially such functional groups, which can be selectively removed or selectively implanted, and are independent of each other. It can be used in different conditions, and it can also be used as a biological instability _ functional acid protecting group. Examples include: non-branching low-carbon number filaments, such as ethyl, which can be tested in I * It can be easily cut off under the conditions of low carbon number, such as tertiary butyl, which can be easily cut off with an acid such as difluoroacetic acid; the phenyl group can be optionally substituted in the benzene ring f as desired. Group, which can be decomposed (hyd zero noiysis) or = choose to be cut off under secret conditions; benzyl substituted on the benzene ring with a low-carbon alkoxy group more than once, such as Phenylmethyl (= ethOXy ^ nzyl), which can be oxidized, for example, at 2, dichloro5, cyano 1,4-benzone (-DDQ) or ammonium nitrate (from coffee ammomium) It can be easily removed under the action of nitrate), or the well-known silicon-containing protective group can be easily removed with gas ions. Those skilled in the art are familiar with selecting the appropriate protecting group to obtain a desired substitution form. The compound of the general formula I contains two asymmetric carbon atoms, that is, a carbon atom having an amidine branch at the third position of the backbone of benzenecycloazepine ditriene (*) and a "-COOR1" Carbon atom of a radical (= Ca *). These compounds can therefore exist as a total of four isomers. The invention includes two mixtures of stereoisomers and mirror isomers, and also includes compounds of the general formula I which are pure on the isomers. More preferred are the compounds of the general formula that are pure on isomers. The special double preference is a compound of the general formula I, in which the carbon atom having the amidine branch at the third position of the backbone of the benzazepine has a rs "configuration. As for the asymmetric carbon atom "* Ca" having the atom chart of "_c〇〇〇1", the configuration of the compound of the general formula I preferred in the context of the present invention is temporarily given the configuration rreU "(see 200524874 experimental part). The preferred "rell" configuration on the asymmetric carbon atom "* Ca" is likely to be the same as the "S" configuration, which can be traced to similar observations made on compounds of appropriate and known configuration. The reaction of the acids of the general formula II with the amines of the general formula III can be carried out according to a method conventionally used to generate an amido group by aminoacylation. Carboxylic acids of the general formula η or their reactive derivatives can be used as amidines. Especially mixed acids and acid compounds are suitable reactive derivatives. Therefore, acid gaseous compounds or acid bromides such as acids of the general formula II, or acids and organic sulfonic acids of the general formula II, for example, with acids having a low carbon number and can be optionally substituted by dentin, such as formic acid The acid is either trifluoromethane, or with an aromatic hydrocarbon sulfonic acid, such as benzenesulfonic acid, or with a stupid sulfonic acid substituted by a low-carbon alkyl or sulfone, such as toluenesulphonic acid) or bromobenzenesulphonic acid, the esters produced by mixing can be used. The tritiation reaction can be carried out in an organic solvent, which exhibits an inert phenomenon under the temperature reaction conditions between -20 ° C and room temperature (= rt). Suitable solvents are pixel-containing hydrocarbons such as methylene chloride or aromatic hydrocarbons such as benzene or toluene, or cyclic ethers such as tetrahydrofuran or THF) or dioxane or the like A mixture of solvents. The fermentation reaction can be operated conveniently in the presence of an acid binder, especially if an anhydride formed by mixing a general formula II acid and a sulfonic acid is used as an acidifying agent. Examples of suitable acid binding agents are organic bases, which are soluble in tertiary nitrogen tests, such as tertiary low-carbon alkylamines and pyridines, such as diethylamine, tripropylamine, N_methyl Morine, pyridine, 4-dimethylaminopyridine, 4-monoethylamino p-bite or 4-pn-p-pyridine (4-pynOiidinopyridine) in a reaction mixture. Organic bases used in excess can also be used as solvents at the same time. If the acids of the general formula II are used as hydrating agents, the reaction between the amine compounds of the general formula m 21 200524874 and the carboxylic acids of the general formula π can also be easily learned from, for example, peptide chemistry and applicable to It is carried out in the presence of CO Upling reagents. Examples of coupling agents that promote the formation of amidoamines with free acids by reacting with free acids in situ to form a reactive acid derivative. In particular: ethyl chloroformate, carbon-based diamine Amines (also; ^ 1130 仙 111 丨 (16), such as cycloalkylcarbodiimide, such as dicyclohexylcarbamidine diamidine i or 疋 N- (3-monomethylamine Propyl) -N'-ethyl carbodiimide (= EDC) 'carbonidiimidazole and N-lower alkyl_2- halopyridinium salt), especially a halide or toluene xanthate. The reaction in the presence of a coupling agent can be at _30. (: to +50.) (: hydrocarbons such as halogen containing halogen In the solvent of the compound and / or the aromatic hydrocarbon solvent, and optionally can be conveniently operated in the presence of the above-mentioned acid-binding amines. The compound of the general formula II and the compound of the general formula III, wherein R2 and / or R3 contains Free hydroxyl group, among the compounds obtained by the reaction, these compounds can be, if necessary, conventionally converted to the general formula IV Compounds of the general formula IV. For example, the leaving group X represents an autogen, and more preferably represents a chlorine atom. The compound of the general formula Π and the compound of the general formula III, wherein r2 and / or r3 contains free oxygen Among the compounds obtained by the reaction, these compounds can, if necessary, be reacted in a conventional manner with an amino acid derivative protected by an appropriate protecting group. Suitable amino acid protecting groups and their Methods for the removal or selective removal of these are technically known from, for example, McOmie or Greene. Appropriately protected amino acid derivatives are commercially available or can be prepared by conventional methods. Protection R and R, provided that they do not represent any of the required functional groups for the formation of biostable esters, and / or protecting groups, which may be present in any of the amino acid moieties present in R2 and / or R3, may Excision with conventional methods and, if necessary, 22 200524874 selectively from compounds of general formula r and compounds of general formula II. ~ Compounds of general formula I can be obtained at appropriate ages, and when Available The method is, for example, purification with high-performance liquid chromatography (= HPLC). * The starting compound of state 11 is a completely new compound, which is suitable as an intermediate product for the preparation of a completely new active substance, such as the preparation of the general formula τ Compounds: Compounds of general formula II can be prepared from reaction compounds of general formula V,

其中R為一酸保護基,且R1G1具有上述之含意,與通式VI化合Wherein R is an acid protecting group, and R1G1 has the above meaning, and is combined with the general formula VI

、 具有上述之含意,加以反應’接著用習知之方法再將 酸保遵基R5切除後製備而得。該反應可以在習知做為胺基醯化 心之方去下進行,例如根據上述做為通式η化合物與通式in 23 200524874 化合物反應之方法。為避免非所願之二級反應,利用一種不用 在鹼性溶液中操作之方法來切除酸保護基R5,然後選擇相應適 用之酸保護基R5可能是有利的。 ~ 通式III之胺類基本上已經為人所知,或是可以用習知之方 法從習知之化合物製備而得。 通式IV具有反應力之酸衍生物基本上已經為人所知,或是 可以用習知之方法從習知之化合物製備而得。該等化合物為直 鏈型或是分叉,含有1至4個碳原子之幾基酸衍生物。 通式V化合物之製備可以由通式VII之丙埽酸酯(acrylic ester)彳汗生物,It has the above-mentioned meaning, and is prepared by reacting it, and then cutting the acid saccharyl R5 by a conventional method. This reaction can be carried out in a conventional manner as an aminoamidine, for example, as the method for reacting a compound of the general formula η with a compound of the general formula in 23 200524874 according to the above. To avoid undesired secondary reactions, it may be advantageous to remove the acid-protecting group R5 by a method that does not require operation in an alkaline solution, and then select the appropriate acid-protecting group R5. ~ The amines of the general formula III are basically known or can be prepared from conventional compounds by conventional methods. Reactive acid derivatives of the general formula IV are basically known or can be prepared from conventional compounds by conventional methods. These compounds are linear or branched and contain several carboxylic acid derivatives of 1 to 4 carbon atoms. Compounds of general formula V can be prepared from acrylic esters of general formula VII,

VII 其中R1G1及R5具有上述之含意,與環戊烷痠基酸 (cydopentanecarboxylic acid)反應而得。該反應可以用習知方法在 Michael縮合反應條件下於一有機溶劑内進行,該溶劑在反應條 件下呈現惰性現象,即指環戊烷羧基酸與一能夠形成環戊烷羧 基酸雙陰離子之強鹼之反應,以及接著與通式VII之丙晞酸酯 衍生物之反應。適用之溶劑為醚類,尤其是如THF之環醚類。 適用之強鹼為非親核性(non-nucleophilic)之有機鹼金屬醯胺類或 是鹼金屬低碳數之烷類,如鋰二異丙基醯胺或是η-丁基鋰鹽。 方便之操作法為將環戊烷羧基酸於THF中與兩倍當量之丁基 鋰鹽反應,然後將反應混合物進一步與通式VII之化合物反應。 24 200524874 該反應之溫度可介於-80°C至0°C之間。 通式VI之化合物乃得悉自例如專利案Ep 〇 733 642 A1,而 且可以其消旋物(racemates)之形式或選擇異構物上純質形式根據 , 該文所述之方法或是與其相似之方法製備而得。 • 通式VII之化合物可以由通式VIII之化合物,VII wherein R1G1 and R5 have the above meanings and are obtained by reacting with cydopentanecarboxylic acid. The reaction can be carried out in a conventional method under Michael condensation reaction conditions in an organic solvent. The solvent is inert under the reaction conditions, that is, cyclopentanecarboxylic acid and a strong base capable of forming a cyclopentanecarboxylic acid dianion Reaction and subsequent reaction with a propionate derivative of general formula VII. Suitable solvents are ethers, especially cyclic ethers such as THF. Suitable strong bases are non-nucleophilic organic alkali metal amines or low-carbon-alkanes such as lithium diisopropylamide or η-butyl lithium salts. A convenient procedure is to react cyclopentanecarboxylic acid in THF with twice the equivalent of the butyl lithium salt, and then further react the reaction mixture with a compound of formula VII. 24 200524874 The temperature of the reaction can be between -80 ° C and 0 ° C. Compounds of general formula VI are known from, for example, patent EP 0733 642 A1, and can be based on their racemates or on pure forms of the selected isomers. The method described in this article is similar to this Prepared by the method. • Compounds of general formula VII can be composed of compounds of general formula VIII,

HOOC〆^HOOC〆 ^

VIII 其中R5代表一酸保護基,用習知之方法與一所求之醇類加以酯 化而製得。 通式VIII之化合物例如可以由甲叉丁二酸肝(itaeonic aeid anhydride)在習知打開酸酐基之條件下,與一能夠形成酸保護基 R5之試劑,諸如一種被對應取代之醇類,反應而得。 於上述之反應中,通式V及通式VI之起始化合物之不對稱 中心未改變,是故要由起始化合物之類型來決定最後可以獲得 異構物上質純之通式I化合物或是異構物之混合物。欲製備立體 化學上均質之通式I化合物,方便之操作方法為,將通式V之 立體化學均質化合物與通式VI之立體化學均質化合物反應。倘 若一種通式V之純質鏡像異構化合物與一種通式VI之消旋異構 化合物反應,或者是一種通式V之消旋異構化合物與一種通式 VI之純質鏡像異構化合物反應時,於每種情況中皆會得到兩種 順反異構物(diastereomers)之混合物,其於通式II化合物之階段 或是於通式I化合物之階段,如有必要時,便可以習知之方法分 25 200524874 ^式v之消旋異構化合物與VI切旋異構化合物 出四種異構物相應之混合物,其可以分離,如有必要時用已知 万法’例如使用在可能不對稱之分離材質上之肌c分離方法。 「具有一個不對稱中心於帶有原子圏 」《碳原子上,而且可由通式VII其消旋異構化合物 形式_衍生物合成而獲得。具有旋光性之化合物原則 上可以由消旋異構混合物㈣本上已經為人所悉之方法,例如 使用在不對· _質上之層析分雜,或是錢當具有旋光 性之驗類,如α_甲絲甲胺、辛可尼T(dnehGnidine)或是假麻黃 鹼相互反應,以及藉由所得之鹽類做分別結晶(fracti〇nai crystallisation)以分離成其旋光之對映體(antip〇de)而獲得。 通式I之化合物及其於藥理學上互容之鹽類,其特徵為有利 之藥理性質。特別之處為該等物質抑制酵素中性月太鏈内切酶。 中性肤鏈内切s每為一種酵素,其切斷内生性之利尿鈉(natriuretic) 肽,例如心房利尿鈉肽(=ANP)。由於其對中性肽鏈内切酶之 活性具有抑制作用,故該等物質能夠改善會受到中性月太鏈内切 酶攻擊之利尿鈉爿太,尤其是心房利尿鈉肤之生物活性及其有效 用之壽命’因此適用於治療受到該類荷爾蒙作用之正面影響之 病理毛病’最重要的是治療心臟血管毛病,尤其是心臟功能不 全,特別是充血性心臟衰竭。 就充血性心臟哀竭而言,因反射而增加之末稍血管阻力會 因為心臟病症所誘導之排出部份減少而發生。此意味著心肌不 得不開始逆著上升之後負荷收縮輸送血液。此情形導致惡性循 環而使心臟過勞增加,並且使得情況更加惡化。末稍血管阻力 之增加還有是因作用於血管之月太,内皮素(=ET-1)所促成。内皮 素乃是目前所知作用力最強之内生性血管收縮物質,而且是由 26 200524874 前趨物質大内皮素(=Big-ET-l)所生成。根據先前技術,有許多 不同之酵素參與在大内皮素轉換成内皮素之步I聚中,尤其是酵 素内皮素轉化酶及人類可溶性鏈内切酶等(請參閱,例如w〇 02/094176)。 就充血性心臟衰竭而言,因為心臟輸出減少以及末稍血管 阻力增加,血液產生逆壓現象會發生在肺循環以及心臟本身之 中。因此,心臟肌肉之壁張力增加之情形會在心耳及心室之區 域發生。於此情況下,心臟展現做為内分泌器官之功能,而且 分泌尤其是心房利尿鈉月太至血流中。由於其顯著之血管擴張以 及利尿納/利尿之作用’心房利尿納月太促使末稍血管阻力之下降 以及循環中之血液體積減少。此結果乃是前負荷以及後負荷明 顯減少。此即構成一内生性之心臟保護機制。此正面之内生性 機制受到限制,乃是因為心房利尿鈉肽於血漿中僅有非常短暫 之半衰期。此現象之理由乃是該荷爾蒙非常迅速被中性月太鏈内 切酶所分解。 根據本發明之化合物乃藉由抑制内皮素轉化g每之活性,此 外也抑制人類可溶性肽鏈内切酶之活性,而減少内皮素之製 造’所以反制末稍血管阻力增加,其最後會造成心肌過勞現象 舒緩。該等結果更進一步說出,根據本發明之物質因抑制中性月太 鏈内切S每之活性造成更高濃度之心房利尿鈉月太,以及心房利尿 鈉月太之作用時間延長。此情況應該會造成心房利尿鈉月太所主導 之心臟保護作用之内生性機制受到強化,並且賦予通式I之物質 在鈿化心房利尿鋼II太所誘導之利尿/利尿納活性上之咼效用。 中性肽鏈内切酶不僅參與在心房肽鏈内切酶之分解,而 且也參與在内皮素之分解。由此可見,純粹之中性月太鏈内切酉每 抑制作用,除所欲之心房利尿鈉月太濃度增加以外,也會造成内 27 200524874 皮素濃度不利之增加。由此緣故,一種混合中性月太鏈内切酉每、 人類可溶性鏈内切酶以及某種比例之内皮素轉化酶抑制作 用特徵圖應該視為特別有效益,因為其抑制利尿鈉/利尿心房利 • 尿鈉月太之分解(因中性月太鏈内切輯每被抑制),而且同時抑制内皮 , 素之生成(因人類可溶性肽鏈内切®条以及内皮素轉化酶被抑 制)。因此,正面之影響力可能會發生純粹中性月太鏈内切固条抑制 劑不良之伴隨作用(即内皮素濃度非所願之增加)。 通式I化合物做為中性月太鏈内切酶、人類可溶性肽鏈内切 酉每之抑制劑以及較少部份做為内皮素轉化g每抑制劑之合併作用 特徵圖,使得根據本發明之化合物似乎特別適用於預防及/或治 療病理毛病,如毛病或是病症,如心臟血管毛病或是病症,尤 其是心臟功能不全,包括急性心臟衰竭與慢性心臟衰竭,以及 特別是充血性心臟衰竭;還有高血壓,包含高血壓之第二型諸 如原發性高血壓、腎臟高血壓及/或肺臟高血壓;心臟衰竭、狹 心症、心律不整、心肌栓塞、周園手術所引起之心肌栓塞、心 肌栓塞預後不良、心臟肥大、充血性心肌病、肥大性阻塞心肌 病、肥大性非阻塞心肌病、原發性心肌病、心肌炎、心包炎及/ 或較大型哺乳動物,尤其是人類之心内膜炎。通式Z之化合物也 可以有益地使用於預防及/或治療心臟上之受損,尤其是心肌之 文損,其文藥物,尤其是細胞抑制劑,較偏好細胞抑制抗生素 或疋化學藥品對心臟產生毒性之劑量所誘發而引起;腹絞痛、 大腦缺血、末稍血管病症、下蜘蛛網膜出血、慢性阻塞性肺病(= COPD)、氣喘、腎臟病(腎衰竭)、動脈硬化症、以及較大型哺乳 動物,尤其是人類因節直腸癌或是前列腺癌之疼痛。 顯著之處為通式I化合物因其調節血壓之作用,尤其是其調 節高血壓之作用於靜脈給藥之後產生令人訏異地良好之效用。 28 200524874 藥理試驗方法描述 所引用到之範例號碼係關於下 作用為5減本發明之㈣射性狀_切酶具有抑制之 對多肽 Mea_Asp_iieAia_Trp_phe_DpaT__ ^^al_Val_PrO_Tyf_Gly_Leu_Gly_c〇〇H 因中性月太鍵内切酶酵 ^ 4而發生之轉作用’於體外標準試驗中被研究。在該試 =、、’受測物質抑制作用之測量值為其%。數值。—具有抑制 \、活性受試物質之IQo數值乃為該受試物質於中性肽鏈内切 酶酵素活性50%被抑制時之濃度。 試驗緩衝溶液:l〇〇mMTrispH7(),25()mMNaa 酵素:可溶性,人類重組中性肽鏈内切酶 Crine教授,加拿大蒙特婁大學 母溶液:lOOpg/ml 於 20 mM Tris pH 7·0 中, 操作溶液:母溶液用試驗緩衝溶液稀釋至2gg/ml 义質· Mca*-Asp-Ile-Ala-Trp-Phe-Dpa**-Thr-Pro-Glu-His-Val-Val-P roTyr-Gly-Leu-Gly-COOH ; —種使螢光淬滅之大内皮素 (Big-ΕΤ-Ι)類似物,亦即一種金屬蛋白水解酶,尤其是 中性月太鏈内切酶及ECE-1之受質,其可由螢光訊號偵 測得到。MCA螢光發色團之螢光於初期時便因“淬滅 劑”Dpa之存在而使之消失。 *Mca = (7-甲氧基香豆素-4-烯基) **Dpa = (3-[2, 4-二硝基苯基]-L-2, 3-二胺基丙酿基) 來自德國 Wolfenbtittel 之 Polypeptide Laboratories 母溶液:ΙΟΟμΜ於試驗緩衝溶液中 文試物質:所有該等物質皆溶於DMSO之中(10 mM),並以試 29 200524874 驗緩衝溶液稀釋至受測試之濃度。 7〇μ1試驗緩衝溶液,1 Ομί酵素操作溶液以及1 Ομί受試物質溶 液混合於一 Eppendorf容器中,並且預先在37。(:下培育15分鐘(= min·)。然後將1〇μ1受質母溶液加入,並將此批受試組置於37°C 下培育60分鐘。加熱至95 C 5分鐘以終止酵素之反應。離心 (HeraeusBiofugeB,3分鐘)之後,液體上清液部份以HPLC根據 下列之說明加以研究。 受質乃是利用逆相 HPLC (CC 125/4 Nucleosil 300/5 C18 RP 管 柱’連同CC 8/4 Nucleosil 100/5 Cm預管柱,來自德國Dtiren之 Macherey-Nagel)由裂解產物分離而得。於此,將60μ1之受試混合 物注入HPLC之樣本注入處,以及將管柱以1 ml/分鐘之流速以 下列之坡度沖提:VIII wherein R5 represents an acid protecting group, and is prepared by esterifying a desired alcohol with a conventional method. Compounds of general formula VIII can be reacted, for example, from itaeonic aeid anhydride under conditions known to open acid anhydride groups, with a reagent capable of forming an acid protecting group R5, such as a correspondingly substituted alcohol, To get. In the above reactions, the asymmetric centers of the starting compounds of the general formula V and VI have not changed. Therefore, the type of the starting compound should be used to determine whether the compound of the general formula I can be obtained in the form of pure isomeric compounds. A mixture of isomers. To prepare a stereochemically homogeneous compound of general formula I, a convenient method is to react a stereochemically homogeneous compound of general formula V with a stereochemically homogeneous compound of general formula VI. If a pure mirror image isomer compound of the general formula V is reacted with a racemic isomer compound of the formula VI, or a racemic isomer compound of the general formula V is reacted with a pure mirror image isomer of the general formula VI In each case, a mixture of two cis-trans isomers (diastereomers) will be obtained in the stage of the compound of the general formula II or the stage of the compound of the general formula I, if necessary, it can be known The method is divided into 25 200524874 ^ racemic isomers of formula v and VI cycloisomers yield a corresponding mixture of four isomers, which can be separated, if necessary, using known methods' for example, may be asymmetric The separation method of the muscle c on the separation material. "Has an asymmetric center on the atom A" and "carbon atom", and can be obtained by the synthesis of the racemic isomer compound form _ derivative of the general formula VII. In principle, optically active compounds can be obtained from racemic isomeric mixtures in a way that is already known, such as the use of chromatographic separations that are misaligned or qualitative, or money that is optically active. For example, α-methylsmethylamine, dnehGnidine or pseudoephedrine react with each other, and the obtained salts are separately crystallized (fractionai crystallisation) to separate into its optical enantiomers ( antipode). Compounds of general formula I and their pharmacologically compatible salts are characterized by advantageous pharmacological properties. What is special is that these substances inhibit the enzyme neutral moon chain endonuclease. Each of the neutral skin chain incisions is an enzyme that cuts off endogenous natriuretic peptides, such as atrial natriuretic peptide (= ANP). Due to their inhibitory effects on the activity of neutral endonucleases, these substances can improve the biological activity of natriuretic peptides, especially atrial natriuretic peptides, which are attacked by neutral moon chain endonucleases. Effective lifespan 'is therefore suitable for treating pathological problems that are positively affected by this type of hormones'. The most important thing is to treat cardiac vascular problems, especially cardiac insufficiency, especially congestive heart failure. In the case of congestive heart failure, the increased vascular resistance due to reflexes can occur due to a decrease in the excretion portion induced by a cardiac disorder. This means that the heart muscle has to start pumping blood against the load after the rise. This situation leads to a vicious cycle that increases heart strain and makes the situation worse. The increase in the terminal vascular resistance is also due to the effect of Yueta, an endothelin (= ET-1) on the blood vessels. Endothelin is currently the most potent endogenous vasoconstrictor substance, and is produced by 26 200524874 pro-progressive substance endothelin (= Big-ET-l). According to the prior art, there are many different enzymes involved in the step I polymerization of large endothelin into endothelin, especially the enzyme endothelin converting enzyme and human soluble endonuclease, etc. (see, for example, WO 02/094176) . In the case of congestive heart failure, as the cardiac output decreases and the terminal vascular resistance increases, the back pressure of the blood can occur in the pulmonary circulation and in the heart itself. Therefore, an increase in the wall tension of the heart muscle can occur in the area of the auricles and ventricles. In this case, the heart exhibits its function as an endocrine organ, and the secretion of sodium, especially atrial diuretic, is too high in the bloodstream. Due to its significant vasodilatation and diuretic / diuretic effects, atrial diuretic natriurea causes a decrease in terminal vascular resistance and a decrease in blood volume in circulation. The result is a significant reduction in preload and postload. This constitutes an endogenous cardioprotective mechanism. This positive endogenous mechanism is limited because atrial natriuretic peptide has only a very short half-life in plasma. The reason for this phenomenon is that the hormone is very quickly broken down by the neutral moon-chain endonuclease. The compounds according to the present invention reduce the production of endothelin by inhibiting the activity of endothelin converting g, and also inhibiting the activity of human soluble peptide endonucleases. Myocardial overwork relieves. These results further stated that the substance according to the present invention caused a higher concentration of atrial natriuretic sodium hexamidine due to the inhibition of the activity of the neutral menstrual chain incision S, and the prolonged action time of atrial sodium diuretic sodium. This condition should cause the endogenous mechanism of the cardioprotective effect dominated by atrial natriuretic natrium and strengthen the diuretic / diuretic activity of substances of general atrial diuretic steel II. . Neutral endonucleases are involved not only in the degradation of atrial endonucleases, but also in the degradation of endothelin. It can be seen that each inhibitory effect of pure neutral menstrual chain incisions will not only increase the concentration of atrial natriuretic natriuretic levels, but also cause an unfavorable increase in endothelin concentration. For this reason, a characteristic map of the inhibitory effect of a mixed neutral moon chain endonuclease, human soluble endonuclease, and a certain proportion of endothelin-converting enzyme should be considered particularly beneficial because it inhibits sodium diuretic / diuretic atrial • Digestion of urinary sodium and sodium too (because it is inhibited due to the neutral moon-chain incision), and at the same time inhibit the production of endothelium and hormones (inhibited by the human soluble peptide endonuclease® and endothelin converting enzyme). Therefore, the positive influence may occur with the concomitant effect of a purely neutral moon-chain incision inhibitor (ie, an undesired increase in endothelin concentration). Characteristic map of the combined action of compounds of general formula I as neutral moon-chain endonucleases, human soluble peptide endonucleases, and a smaller part as endothelin-converting g inhibitors, so that according to the present invention The compounds appear to be particularly suitable for the prevention and / or treatment of pathological problems, such as problems or conditions, such as cardiovascular diseases or conditions, especially cardiac insufficiency, including acute and chronic heart failure, and especially congestive heart failure ; And high blood pressure, including the second type of hypertension such as essential hypertension, renal hypertension and / or pulmonary hypertension; heart failure, stenosis, arrhythmia, myocardial embolism, myocardium caused by peripheral surgery Embolism, poor prognosis of myocardial embolism, cardiac hypertrophy, congestive cardiomyopathy, hypertrophic obstructive cardiomyopathy, hypertrophic non-obstructive cardiomyopathy, primary cardiomyopathy, myocarditis, pericarditis, and / or larger mammals, especially humans Endocarditis. Compounds of general formula Z can also be beneficially used for the prevention and / or treatment of heart damage, especially myocardial damage, and their traditional medicines, especially cytostatics, prefer cytostatic antibiotics or tritium chemicals to the heart. Caused by toxic doses; abdominal colic, cerebral ischemia, terminal vascular disease, hypoarachnoid hemorrhage, chronic obstructive pulmonary disease (= COPD), asthma, kidney disease (renal failure), arteriosclerosis, and Large mammals, especially humans, have pain due to colorectal or prostate cancer. What is remarkable is that the compounds of the general formula I produce surprisingly good effects after intravenous administration due to their effect on regulating blood pressure, especially their effect on regulating hypertension. 28 200524874 Pharmacological test method description The example number cited refers to the effect of 5 minus the radiant trait of the present invention _ Dicer inhibits the peptide Mea_Asp_iieAia_Trp_phe_DpaT__ ^^ al_Val_PrO_Tyf_Gly_Leu_Gly_co-H ^ 4 The effect of 'transformation' was studied in in vitro standard tests. In this test, the measured value of the inhibitory effect of the test substance is its%. Value. —The IQo value of the test substance with inhibitory activity is the concentration at which the test substance is inhibited by 50% of the neutral peptide enzyme activity. Test buffer solution: 100 mM Tris pH 7 (), 25 () mM Naa Enzyme: Soluble, human recombinant neutral peptide endonuclease Professor Crine, University of Montreal Canada Mother solution: 100 pg / ml in 20 mM Tris pH 7.0 Operating solution: The mother solution is diluted to 2gg / ml with test buffer solution. Mca * -Asp-Ile-Ala-Trp-Phe-Dpa **-Thr-Pro-Glu-His-Val-Val-P roTyr- Gly-Leu-Gly-COOH; a large endothelin (Big-ET-1) analogue that quenches fluorescence, that is, a metal proteolytic enzyme, especially the neutral endoprotease and ECE- The mass of 1 can be detected by the fluorescent signal. The fluorescence of the MCA fluorescent chromophore disappears in the early stage due to the presence of the "quenching agent" Dpa. * Mca = (7-methoxycoumarin-4-enyl) ** Dpa = (3- [2, 4-dinitrophenyl] -L-2, 3-diaminopropanyl) Polypeptide Laboratories mother solution from Wolfenbtittel, Germany: 100 μM in test buffer solution Chinese test substance: All these substances are dissolved in DMSO (10 mM) and diluted with test 29 200524874 test buffer solution to the concentration tested. 70 μ1 of test buffer solution, 10 μl of enzyme operation solution and 10 μl of test substance solution were mixed in an Eppendorf container, and were preliminarily at 37 ° C. (: Incubate for 15 minutes (= min ·). Then add 10 μ1 of the substrate solution and incubate the test group at 37 ° C for 60 minutes. Heat to 95 C for 5 minutes to terminate the enzyme Reaction. After centrifugation (Heraeus BiofugeB, 3 minutes), the liquid supernatant was studied by HPLC according to the following instructions. The mass was obtained using reverse-phase HPLC (CC 125/4 Nucleosil 300/5 C18 RP column 'with CC 8/4 Nucleosil 100/5 Cm pre-column, Macherey-Nagel from Dtiren, Germany) was separated from the lysate. Here, 60 μ1 of the test mixture was injected into the sample injection site of the HPLC, and the column was injected with 1 ml The flow rate per minute is charged at the following slope:

移動相 A : 100% Η20 + 0·5 M H3P04 pH 2.0 移動相 B ·· 100% 乙氰(acet〇nitrile) + 0.5 M H3P04 0至2分鐘20%B 8至10分鐘 60至90%BMobile phase A: 100% Η20 + 0.5 M H3P04 pH 2.0 Mobile phase B 100% acetonitrile + 0.5 M H3P04 0 to 2 minutes 20% B 8 to 10 minutes 60 to 90% B

2至6分鐘20至60% B 10至13分鐘90% B 6至8分鐘60% B 13至15分鐘 90至20% B 所有月太之測試乃是以在214 nm下之吸收,以及用激發波長 328 nm和釋放波長393 nm之螢光所量得。 當酵素切斷之時,螢光發色團(=Mca)以及淬滅劑抵銷於 不同月太斷片中,其減低淬滅之效用,此造成螢光增加。含有未 淬滅之Mca螢光發色團之狀,其册!^波峰增加中之螢光訊號 (相應於表面,A)作為進一步之計算。該訊號被用來與含有卜a抑 制)或是不含(=A_)通式I受試物質之樣本做比較。「%抑制」之 數值乃是根據個別波導之面積以下列之公式計算而得: %抑制=100* (1- A抑制/ A對照) 200524874 所有(樣本皆是以二重複剛量,並由此計算出平均值。標 準抑制劑(10 nM thiorphan)以及溶劑對照(〇1% DMS〇)如同在每 次進行時之品質管控一樣被測量。 ’列在下表中之通式I之受試物質具有以下 所述之IC5G數值: 範例號碼 $5〇(中性月太鏈内切酶) 3 17.9 10 37 16 20.0 17 <1 19 , 18.2 20 12.9 21 ——---—- 16.9 23 10.6 24 11.1 25 15.5 27 7.8 31 4.0 32 13.8 43 3.2 59 12 63 9 人類可溶性|鏈内t制作用之體外試驗 為證明根據本發明之物質對人類可溶性月太鏈内切酶具有 31 2. 200524874 抑制之作用’該等物質抑制對多狀Mca_Asp_Ile_Ala_Trp_phe_Dpa_2 to 6 minutes 20 to 60% B 10 to 13 minutes 90% B 6 to 8 minutes 60% B 13 to 15 minutes 90 to 20% B All monthly tests are based on absorption at 214 nm and excitation Measured at 328 nm and 393 nm. When the enzyme is cut off, the fluorescent chromophore (= Mca) and the quencher are offset in different lunar rupture slices, which reduce the quenching effect, which results in an increase in fluorescence. In the case of unquenched Mca fluorescent chromophores, the fluorescence signal (corresponding to the surface, A) in the peak increase is used as a further calculation. This signal is used for comparison with samples containing the test substance of Formula I or containing (= A_) the test substance of formula I. The value of "% suppression" is calculated by the following formula based on the area of individual waveguides:% suppression = 100 * (1-A suppression / A control) 200524874 All (samples are based on two repeated stiffnesses, and from this The average value was calculated. The standard inhibitor (10 nM thiorphan) and the solvent control (〇1% DMS〇) were measured as well as the quality control on each run. The IC5G values described below: Example number $ 5〇 (neutral moon-chain endonuclease) 3 17.9 10 37 16 20.0 17 < 1 19, 18.2 20 12.9 21 ------------ 16.9 23 10.6 24 11.1 25 15.5 27 7.8 31 4.0 32 13.8 43 3.2 59 12 63 9 Human soluble | In vitro testing for the production of in-chain t is to prove that the substance according to the present invention has 31 2. 200524874 inhibitory effect on human soluble endoglucanase. And other substances inhibit the polymorphic Mca_Asp_Ile_Ala_Trp_phe_Dpa_

Thr-Pro_Glu-His_Val-Val-Pro_Tyr-Gly_Leu-Gly-COOH 因人類可溶性 肽鏈内切酶酵素活性而發生之轉仙,於體外鮮試驗中被 研究。在該試驗中,受測物質抑制作用之測量值為其IC%數值。 -具有抑制酵素活性受試物質之1(:5()數值乃為該受試物質於人 類可溶性肽鏈内切酶酵素活性5〇%抑制時之濃度。 試驗緩衝溶液:100mMTrispH7.0,250mMNaei 酵素:加上His6之人類可溶性肽鏈内切酶之外侧部位 來自比利時,Ghent之Innogenetics 母溶液:53 mg/ml 於 20 mM HEPES pH 7.2,5%甘油, 0.005%Tween20,100mM 純度高於 99%之 NaCl 中, 操作溶液··母溶液用試驗缓衝溶液稀釋至10mg/mlThe conversion of Thr-Pro_Glu-His_Val-Val-Pro_Tyr-Gly_Leu-Gly-COOH due to the activity of human soluble endopeptidase enzymes has been studied in in vitro freshness tests. In this test, the measured value of the inhibitory effect of the test substance is its IC% value. -The value of 1 (: 5 () of the test substance with inhibitory enzyme activity is the concentration of the test substance when the human soluble peptide endonuclease enzyme activity is inhibited by 50%. Test buffer solution: 100mM TrispH7.0, 250mM Naei enzyme : The outer part of human soluble peptide endonuclease with His6 is from Belgium, Gnoent's Innogenetics mother solution: 53 mg / ml in 20 mM HEPES pH 7.2, 5% glycerol, 0.005% Tween20, 100mM purity is higher than 99% In NaCl, the operating solution ·· master solution is diluted to 10 mg / ml with the test buffer solution

受質:Mca-Asp-Ile-Ala-Trp-Phe_Dpa-Thr-Pro_Glu_His_Val-Val_Pr(>T yr-Gly_Leu-Gly-COOH ; —種使螢光淬滅之大内皮素 (Big-ΕΤ-Ι)類似物 母溶液:ΙΟΟμΜ於試驗緩衝溶液中 來自德國 Wolfenbtittel 之 Polypeptide Laboratories 受試物質:所有該等物質皆溶於DMSO之中(i〇mM),並以試驗 緩衝溶液稀釋至受測試之濃度。 試驗以及HPLC方法之操作乃依照上述用以測定受試物質 對中性肽鏈内切酶體外之抑制作用方法進行。1〇 nM之 phosphoramidon於HPLC方法中做為標準抑制劑。 在本試驗模型中,列於下文表2中之通式I受試物質具有下 述之IC5〇數值: : i試物質於體鏈内切 32 200524874 範例號碼 IC50 (人類可溶性月太鏈内切g每) 2 21.4 3 7.8 10 25.3 16 15.0 17 24.0 19 , 9.5 20 36.3 23 17.3 24 27.0 25 3.4 27 26.8 28 11.9 31 12.3 43 2.9 56 2.5 59 4.0Substance: Mca-Asp-Ile-Ala-Trp-Phe_Dpa-Thr-Pro_Glu_His_Val-Val_Pr (> T yr-Gly_Leu-Gly-COOH;-a large endothelin that quenches fluorescence (Big-ΕΤ-1) Analogue mother solution: 100 μM Polypeptide Laboratories from Wolfenbtittel, Germany in test buffer solution Test substance: All these substances are dissolved in DMSO (10 mM) and diluted with the test buffer solution to the concentration tested. Test The operation of the HPLC method was performed according to the method for measuring the inhibitory effect of the test substance on the neutral peptide endonuclease in vitro. 10 nM phosphoramidon was used as the standard inhibitor in the HPLC method. In this test model, The test substances of the general formula I listed in Table 2 below have the following IC50 values:: i Test substance inscribed in the body chain 32 200524874 Example number IC50 (human soluble moon-chain incision g per) 2 21.4 3 7.8 10 25.3 16 15.0 17 24.0 19, 9.5 20 36.3 23 17.3 24 27.0 25 3.4 27 26.8 28 11.9 31 12.3 43 2.9 56 2.5 59 4.0

3· •物负對太鼠體内内皮素(Big_ET-l)生成内皮素(ΕΤ_η 抑制作用之體外% 為證明根據本發明之物質對由大内皮素生成内皮素具有抑 制之作用,該等物質抑制大内皮素轉換成内皮素因内皮素轉化 酶以及相關酵素如人類可溶性肽鏈内切酶酵素活性而發生之 水解作用,於體外標準試驗中研究。内皮素為一種内生性之強 烈血管收縮物質。血中内皮素濃度增加會造成血壓之增加。當 注射輸入大内皮素時,血壓之上升之程度乃依由大内皮素因酵 33 200524874 素催化切斷大内皮素所產生之内皮素而定。測定該等物質對因 注射輸入大内皮素而誘發血壓升高之抑制作用以做為對該等物 質抑制酵素作用之測量。 大鼠(Sprague-Dawley,CRLD = Charles River)以 j mg/kg3. · Inhibition of endothelin (ET_η) in vitro by endotoxin (Big_ET-l) in mice in vitro. In order to prove that the substance according to the present invention has an inhibitory effect on endothelin produced by large endothelin, these substances Inhibition of the conversion of large endothelin into endothelin due to endothelin converting enzyme and related enzymes such as human soluble peptide endonuclease enzyme activity hydrolysis studies in standard experiments in vitro. Endothelin is an endogenous strong vasoconstriction substance. Increased blood endothelin concentration will increase blood pressure. The degree of increase in blood pressure when large endothelin is injected is determined by the endothelin produced by large endothelin due to enzyme 33 200524874. The inhibitory effect of other substances on the increase in blood pressure induced by injection of large endothelin was used as a measure of the inhibitory effect of these substances on rats. (Sprague-Dawley, CRLD = Charles River) at j mg / kg

Rompun/ Ketavet 1:1被麻醉。將一血壓傳導器(Statham)#入頸動 脈中以偵測血壓。將一條頸靜脈插入一套管以施予受試物質, 另外一條頸靜脈則用於施予大内皮素。在2〇分鐘之休息時間過 後,大鼠被給予通式I相應之受試物質,濃度通常為10pm〇1/kg, 或是一種賦形藥。5分鐘過後,以丨分鐘之時間注射輸入Q5 nmol/kg之大内皮素。收縮(SAP =收縮動脈壓)以及舒張(DAp = 舒張動脈壓)血壓以及心跳速率,每一種在施予受試物質之前或 施予大内皮素之前測量,而且於每一項試驗在施予大内皮素之 後即用習知方法用血壓傳導器每5分鐘測量一次争逵 分鐘之久。大内皮素所誘發之血壓上升之最大值以率0 下降<取大值乃是由測量值計算出在大内皮素作用發揮至最大 時所測量到之數值(典^是在5分鐘後)以及注射輸人大内皮素 之前所測量狀紐其間之差異。騎,於大内皮素影響下血 壓曲線之積分值制定達3〇分鐘之久(就=麟下之面積)。 AUC數值提供有關於大内皮素整個作用之程度及作用時間之訊 心’或是提供大内皮素之作㈣受試物質而減低之訊息;所以 數值,p余提供大内皮素作用之最大值以夕卜,還能夠提供有 =受,物質作用之訊息,例如於該事項上,即受試物質例如 、:或疋僅僅些微影響到大内皮素之作用,然而卻大幅加速 退大内皮素之作用。 a ^内皮素對收縮動脈血壓(SAP)之最大作用於靜脈内施予 物f後_生之㈣百分比,與施予_麵做之比較, 34 200524874 敘述於下文表3 : 表3 :受試物質抗高血壓性質之體外試驗 範例號碼 大内皮素對收縮動脈血壓所產生之最大作 用被相關受試物質之抑制%,相較於對照組 2 -53 3 _94 4 -95 8 -113 14 _59 (3μηιο1) 16 -45 17 -46 20 -67 21 -43 23 -40 24 -54 26 -53 29 - 49 32 -52 34 -78 35 -63 38 _48 (3μηιο1) 44 -75 59 -98 67 -109 68 -108 35 200524874 、通式i之化合物也同樣表現出對内皮素轉化酶某種程度上 《抑制作用。通式I物質對内皮素轉化酶之抑制作用可以在體 外標準試驗中被證明。 通式I之化合物為雙重作用之化合物,其能夠抑制中性肤 鏈内切酶和人類可落性肽鏈内切_,而且也適用於預防及/或 治療性功能障礙。 在臨床上,性功能障礙已區分成女性性功能障礙(FSD)病症 以及男性性功能障礙(MSD)病症(請參閱Mdman,Α· & Gingell,J. C. (1999). The epidemiology and pathophysiology of erectile dysflmction. JUrology 101:5-11,下文中以 rMelman 等人 1999」引 證)。本發明具有雙重作用之化合物,其能夠抑制中性月太鏈内切 酶和人類可溶性爿太鏈内切g条,尤其是通式化合物,特別有 益處於預防及/或男性性功能障礙(例如男性勃起功能障礙 -MED)。通式I之化合物於此適應症之另一優點為其作用特徵圖 上對内皮素轉化g条佔有某種程度之抑制作用。 男性性功能障礙大致上與勃起功能障礙有關,亦即是所知 之男性勃起功能障礙(=MED)(請參閱Benet,A· E.等人(1994), Male erectile dysfunction assessment and treatment options. C07Sp. TheY.20:669-673)下文中以「Benet等人1994」引證)。男性勃起 功能障礙定義為:「不能夠達到及/或維持陰莖勃起以滿足性行 為之表現(請參閱 NIH Consensus Development Panel on Impotence (1993). NIH Consensus Conference Impotence· JA. M. A. 270: 83)」〇 已經有評估過所有程度(輕度、中度以及完全陽痿)之勃起功能障 礙(=ED)之盛行率在四十歲至七十歲之男性達52%,而在超過七 十歲之男性則比率上更高(Melman等人1999)。此病症對於該患 者與其伴侣之生活之品質有著顯著負面影響,時常會造成焦慮 36 200524874 及緊張增加,其導致憂鬱症及缺乏自尊。在二十年前,男性勃 起功能障礙主要被認為是一種心理上之病症(Benet等人1994), 而今天大家都知道對於大多數之患者而言,有基礎上器官性之 原因。因此,在鑑識正常陰莖勃起之機制以及男性勃起功能障 礙之病理上有著許多之進展。 倘若本發明之雙重作用之化合物能夠抑制中性肽鏈内切 酶和人類可溶性I太鏈内切酶,尤其是通式I之化合物,且其使 用於治療女性性功能障礙時,則以治療女性之性冷感(sexual arousal disorder) (= FSAD)較為偏好。 女性性功能障礙最佳之定義為,女性在性愛中有固難或是 無法尋得滿足。女性性功能障礙為一代表數種不同女性性功能 障礙之統稱性術 g吾(Leiblum,S. R· (1998). Definition and classification of female sexual disorders. Int. J. Impotence Res., 10, S104-S106; Berman,J· R” Berman,L· & Goldstein,I· (1999)· Female sexual dysfunction: Incidence, pathophysiology, evaluations and treatment options· Urology,54, 385-391)。女性可能缺乏性慾,有興 奮或是高潮方面之困難,性交疼痛或是以上問題之組合。有幾 種類型之病症、藥物、傷害或是生理問題會造成女性性功能障 礙。仍在發展中之治療方法乃鎖定在治療特殊之女性性功能障 礙亞型,主要是性慾以及性冷感。女性性功能障礙之範疇最佳 定義藉由與正常女性性反應之階段:性慾、興奮以及高潮作比 對(Leiblum,S· R. (1998). Definition and classification of female sexual disorders. Int. J. Impotence Res” 10, SI04-S106) o 性慾或是慾望為性愛之原動力。其表象常常包含當和覺得 有意思之伴侣在一起時,或是當暴露在其他之性刺激時所產生 之性意念。 37 200524874 興奮乃是血管對性刺激之反應。而其一種重要因素為生殖 器充血,而且包括陰道分泌潤滑液,陰道延長以及生殖器敏感 度增加。 ~ 高潮乃是在興奮期間達至顛峰狀態之性緊繃之舒解。因 此,當女性在該等階段中任何階段中無法有足夠或是滿足之反 應’通常是性慾、興奮或是高潮時,即出現女性性功能障礙。 女性性功能障礙之範疇包括性慾活力不足障礙、性冷感、 高潮障礙以及性行為疼痛障礙。 雖然本發明之化合物會改善生殖器對於性刺激之反應(如女 性之性冷感)’當如此為之時,該等化合物也可以改善伴隨之疼 痛,性交所伴隨之緊張和不舒服,而因此治療其他類型之女性 性功能障礙。因此,根據本發明之一特殊觀點,有提供使用本 發明之化合物於製備-鶴品用以治療或是獅性慾活力不足 障礙、性冷感、性高潮障礙以及性行為疼痛障礙,更偏好用於 治療或是預防性冷感、性高潮障礙以及性行為疼痛,較偏好治 療或是預防性冷感。如果女性對於性沒有或是鮮少慾望,而且 沒有或是鮮少性意念或是幻想時,即存在性慾活力不足障礙。 該類型之女性性功能障礙可能是由導因於自然之停經或是手術 造成之停經而使睪固酮濃度過低所導致。其他之原因還包括疾 病、藥物、倦怠、憂鬱以及焦慮。 女性之性冷感,其特徵為性器官對於性刺激沒有足夠之反 應生殖器έ未經過正常性興奮特徵上之充血。陰道壁之潤滑 度不良,因此造成性交時疼痛之現象。高潮可能受到阻礙。冷 感可能是因為在停經時或是分娩後以及泌乳期間雌激素分泌減 少,以及因為血管因素方面之疾病,如糖尿病及動脈硬化症所 致。其他之原因還有接受利尿劑、抗組織胺、抗憂鬱症之藥物, 38 200524874 例如具有選擇性之血清素(ser〇t〇nin)重吸收之抑制劑(=Μ沿S)咬 是抗南血壓劑之治療。 性行為疼痛障礙(包括性交疼痛以及陰道痙攣)之特徵為,因 插入而引起之疼痛,而且可能是因減少潤滑液分泌之藥物、予 宮内膜組織異位、骨盆腔發炎病症、發炎性大腸病症或是尿道 之問題所引起。女性性功能障礙之盛行率難以被估量,因為該 術語涵蓋數種類型之問題,而其中一些障礙症有統計上之= 難,而且因為對於治療女性性功能障礙之興趣乃非常最近之事。 許多女性之性問題不是直接與女性老化之過程有關,即是 與漫性病如糖尿病或是高血壓有關。由於女性性功能障礙包本 有數種亞型,其表現出徵狀於性反應循環不同之階段,故 單一種之療法。 目前治療女性性功能障礙主要之焦點集中在心理上或是關 係之問題。女性性功能障礙之治療正在逐漸發展中,因為愈來 愈多之臨床及基礎之科學研究投入該醫學問題之探討。女性對 性方面之訴苦在病理生理學上並非全然是心理上之問題,尤其 是對於該等可能具有成觸有女雜方面訴苦顧之血管發^ 功,不全(vasculogeneic dysfuncti〇n)(例如女性性冷感)因素之個體 而吕。截至目前為止,尚未有獲得許可被用來治療女性性功能 障礙H鎌上之藥物治療包含有施?雌激素(局部性或是 作為荷爾蒙替代療法)、雄性激素或是改變情緒之藥物,諸如 buspi_e或是trazodone。該等治療之選擇由於低效 接受之副制而常常是令人難以滿意。因補骑於以藥^皮 万法來治療如陳功能障礙產生興趣,治療核包含下列數 點·〜理諮商、不需醫師處方而取得之性行為潤滑劑、以及研 究中之候選藥物’包括已經核准做為其他毛病治療之藥物。該 39 200524874 等藥物包括有荷爾蒙製劑、睪固酮或是雌激素與睪固酮之組 合、以及新近已被證明對男性勃起功能障礙有效之血管藥物。 然而該等藥物中尚未有任何一種已被證明對於治療女性性功能 障礙具有成效。 美國精神科學會之診斷與統計手冊(DSM) IV將女性性冷感 定義為··「持續性或是復發性之無能力達到或是維持直到完成 性行為時足夠之性興奮潤滑膨脹反應。此障礙必定會引起明顯 之痛苦與人際社交上之困難」。興奮反應包含骨盆腔血管充 血,陰道分泌潤滑液,以及外生殖器官之膨脹變大。此障礙引 起明顯之痛苦及/或人際社交上之困難。探討夫妻性功能障礙之 研究指出有達到76%之女性抱怨有性功能上之障礙,而且在美 國有30至50%之女性有過女性性功能障礙之經驗(Berman,j. R.,Rompun / Ketavet was anesthetized 1: 1. A blood pressure transmitter (Statham) # was inserted into the cervical artery to detect blood pressure. One jugular vein was inserted into a tube to administer the test substance, and the other jugular vein was used to administer macroendothelin. After a 20-minute rest period, the rats are given the corresponding test substance of general formula I, usually at a concentration of 10 pmol / kg, or an excipient. After 5 minutes, Q5 nmol / kg of large endothelin was injected by 丨 minutes. The systolic (SAP = systolic arterial pressure) and diastolic (DAp = diastolic arterial pressure) blood pressure and heart rate are each measured before the test substance is administered or before the endothelin is administered, and each test is administered before Endothelin was then measured every 5 minutes using a blood pressure transmitter using conventional methods. The maximum value of the increase in blood pressure induced by large endothelin decreases at a rate of 0 < taking a large value is calculated from the measured value when the effect of large endothelin is exerted to the maximum (typically after 5 minutes) And the difference between the measured parameters before the injection of human endothelin. Riding, the integral value of the blood pressure curve under the influence of large endothelin was established for 30 minutes (just = the area under the forest). The AUC value provides information on the extent and duration of the action of macroendothelin, or provides information on the decrease of the role of macroendothelin as a test substance; therefore, the value of p, provides the maximum value of In addition, it can also provide information about the effects of substances, such as on this matter, that is, the test substance such as: or 疋 only slightly affects the effect of large endothelin, but it greatly accelerates the effect of withdrawing endothelin. . a ^ The greatest effect of endothelin on systolic arterial blood pressure (SAP) is the percentage of 生 生 born after intravenous administration of f, compared with the administration, 34 200524874 is described in Table 3 below: Table 3: Tests Example of in vitro test of antihypertensive properties of substances: The greatest effect of large endothelin on systolic arterial blood pressure is inhibited by the relevant test substance%, compared with the control group 2 -53 3 _94 4 -95 8 -113 14 _59 ( 3μηιο1) 16 -45 17 -46 20 -67 21 -43 23 -40 24 -54 26 -53 29-49 32 -52 34 -78 35 -63 38 _48 (3μηιο1) 44 -75 59 -98 67 -109 68 -108 35 200524874, the compound of general formula i also shows a certain degree of "inhibitory effect on endothelin converting enzyme." The inhibitory effect of substances of general formula I on endothelin converting enzyme can be demonstrated in standard tests in vitro. The compound of the general formula I is a dual-acting compound capable of inhibiting neutral skin endonuclease and human falling peptide endonuclease, and is also suitable for preventing and / or treating sexual dysfunction. Clinically, sexual dysfunction has been divided into female sexual dysfunction (FSD) disorders and male sexual dysfunction (MSD) disorders (see Mdman, A. & Gingell, JC (1999). The epidemiology and pathophysiology of erectile dysflmction Jurology 101: 5-11, cited below by rMelman et al. 1999 "). The compound of the present invention has dual effects, which can inhibit neutral endoprotease and human soluble tauronic acid endocutase g, especially the compound of the general formula, which is particularly beneficial for prevention and / or male sexual dysfunction (such as male Erectile Dysfunction-MED). Another advantage of the compound of general formula I in this indication is that it has a certain degree of inhibitory effect on endothelin-converting g-strips on the action profile. Male sexual dysfunction is generally related to erectile dysfunction, which is known as erectile dysfunction (= MED) (see Benet, A. E. et al. (1994), Male erectile dysfunction assessment and treatment options. C07Sp TheY.20: 669-673) (hereinafter cited by "Benet et al. 1994"). Male erectile dysfunction is defined as: "Inability to achieve and / or maintain penile erections to meet sexual performance (see NIH Consensus Development Panel on Impotence (1993). NIH Consensus Conference Impotence · JA. MA 270: 83)" has been The prevalence of erectile dysfunction (= ED) with all degrees assessed (mild, moderate, and complete impotence) was 52% among men aged 40 to 70, compared to men aged over 70 Higher (Melman et al. 1999). This condition has a significant negative impact on the quality of life of the patient and his partner, and often causes anxiety 36 200524874 and increased stress, which leads to depression and lack of self-esteem. Twenty years ago, male erectile dysfunction was mainly considered a psychological disorder (Benet et al. 1994), and today it is known that for most patients, there are fundamental organic causes. Therefore, many advances have been made in identifying the mechanisms of normal penile erections and the pathology of male erectile dysfunction. If the dual-acting compound of the present invention can inhibit neutral peptide endonuclease and human soluble I-chain endonuclease, especially the compound of general formula I, and it is used to treat female sexual dysfunction, then treat women Sexual arousal disorder (= FSAD) is preferred. The best definition of female sexual dysfunction is when a woman has difficulty or cannot find satisfaction in sex. Female sexual dysfunction is a collective term for several different types of female sexual dysfunction. Leiblum, S.R. (1998). Definition and classification of female sexual disorders. Int. J. Impotence Res., 10, S104 -S106; Berman, J.R. Berman, L. & Goldstein, I. (1999). Female sexual dysfunction: Incidence, pathophysiology, evaluations and treatment options. Urology, 54, 385-391). Women may lack sexual desire, Have difficulty with excitement or orgasm, pain during intercourse, or a combination of the above problems. There are several types of illnesses, drugs, injuries, or physical problems that can cause female sexual dysfunction. Therapeutic methods that are still under development are focused on treatment The special subtypes of female sexual dysfunction are mainly sexual desire and sexual coldness. The category of female sexual dysfunction is best defined by comparing the stages of sexual response with normal women: sexual desire, excitement and orgasm (Leiblum, S.R. (1998). Definition and classification of female sexual disorders. Int. J. Impotence Res ”10, SI04-S106) o Sexual desire or desire is the source of sex Force. The appearance often includes sexual thoughts when you are with a partner you find interesting, or when exposed to other sexual stimuli. 37 200524874 Excitation is the response of blood vessels to sexual stimulation. One important factor is genital congestion, which includes vaginal secretion of lubricating fluid, vaginal extension, and increased genital sensitivity. ~ Orgasm is the relief of sexual tension that reaches its peak during excitement. Therefore, female sexual dysfunction occurs when a woman's inadequate or satisfying response at any of these stages is usually sexual desire, excitement, or orgasm. The categories of female sexual dysfunction include insufficiency of sexual desire, sexual coldness, orgasm, and pain in sexual behavior. Although the compounds of the present invention improve the genital response to sexual stimuli (such as sexual cold in women) 'When so, these compounds can also improve the accompanying pain, the tension and discomfort associated with sexual intercourse, and therefore treat Other types of female sexual dysfunction. Therefore, according to a special point of view of the present invention, there is provided the use of the compound of the present invention in the preparation-Crane for treatment or lion sexual insufficiency disorder, sexual cold feeling, orgasm disorder, and sexual behavior pain disorder, more preferably for treatment Or prevent cold chills, orgasm disorders, and pain during sexual behavior, prefer treatment or prevent cold chills. If women have no or little desire for sex, and no or little sexual thoughts or fantasies, there is an impediment to sexual desire. This type of female sexual dysfunction may be caused by too low testosterone levels due to natural menopause or menopause caused by surgery. Other causes include illness, drugs, burnout, depression, and anxiety. Sexual coldness in women is characterized by the sexual organs not responding sufficiently to sexual stimulation. The genitals do not undergo congestion with normal sexual arousal characteristics. Poor lubrication of the vaginal wall can cause pain during intercourse. Orgasm may be hindered. Cold sensation may be due to decreased estrogen secretion during menopause or after childbirth and during lactation, and due to vascular diseases such as diabetes and arteriosclerosis. Other reasons include receiving diuretics, antihistamines, and antidepressants. 38 200524874 For example, selective inhibitors of serotonin resorption (= M along S). Treatment of blood pressure agents. Pain in sexual behavior (including pain during intercourse and vaginal spasms) is characterized by pain caused by insertion and may be due to drugs that reduce the secretion of lubricating fluid, ectopic endometrial tissue, inflammatory conditions of the pelvic cavity, and inflammatory large bowel conditions Or caused by problems with the urethra. The prevalence of female sexual dysfunction is difficult to estimate because the term covers several types of problems, some of which are statistically = difficult, and because interest in treating female sexual dysfunction is very recent. Many women's sexual problems are not directly related to the aging process of women, but also to diffuse diseases such as diabetes or hypertension. Because there are several subtypes of female sexual dysfunction, they show symptoms at different stages of the sexual response cycle, so a single treatment. At present, the main focus of treating female sexual dysfunction is psychological or relationship problems. The treatment of female sexual dysfunction is gradually being developed, as more and more clinical and basic scientific research has been devoted to the discussion of this medical problem. Women's complaints about sex are not entirely psychological problems in pathophysiology, especially for those vasculogeneic dysfunctión (such as women) Sexual cold)). So far, no drug has been licensed for the treatment of female sexual dysfunction. Estrogen (locally or as a hormone replacement therapy), androgens or mood-changing drugs, such as buspi_e or trazodone. The choice of these treatments is often unsatisfactory due to the inefficiency of the accepted system. Because of his interest in using drugs to treat dysfunction such as Chen, the treatment core includes the following points: ~ counseling, sexual lubricants obtained without a doctor's prescription, and drug candidates in the study 'include Has been approved as a medicine for other problems. The 39 200524874 and other drugs include hormonal preparations, testosterone or a combination of estrogen and testosterone, and vascular drugs that have recently been proven effective for male erectile dysfunction. However, none of these drugs has been shown to be effective in treating female sexual dysfunction. The American Psychiatric Association's Diagnostic and Statistical Manual (DSM) IV defines female coldness as ... "Sustained or recurrent inability to reach or maintain sufficient sexual excitement to lubricate the expansion response until completion of sexual activity. This disorder It will definitely cause obvious pain and social difficulties. " Excitatory responses include pelvic vascular congestion, vaginal secretion of lubricating fluid, and swelling of the external reproductive organs. This disorder causes significant pain and / or social difficulties. Studies examining couple sexual dysfunction Studies have shown that 76% of women complain of sexual dysfunction, and 30 to 50% of women in the United States have experience with female sexual dysfunction (Berman, j. R.,

Berman,L· A”Werbin,T J·等人(1999),Female sexual dysfunction:Berman, L.A. "Werbin, T.J. et al. (1999), Female sexual dysfunction:

Anatomy, physiology, evaluation and treatment options. Curr Opin Urology,9,563-568)。女性之性冷感為一種盛行率極高之性功能障 礙,其影響著停經前、停經期間以及停經後(荷爾蒙取代療法 (HRT))之女性。其相關之伴隨病症諸如有憂鬱症、心臟血管病 症、糖尿病以及生殖泌尿方面之病症。女性之性冷感主要之結 果為缺乏充血/膨脹,缺乏潤滑以及缺乏生殖器上歡愉之感覺。 女性之性冷感次要之結果為性慾減低,性交時疼痛,以及難以 達到高潮等。最近已有假設認為血管因素可以作為至少一部份 有女性性冷感症狀患者之根據(Goldstein等人,Int. J. Impot. Res., 10, S84_S9〇, 1998),且動物實驗上之數據支持此一觀點(Park等 人 ’ Int· J· Impot· Res” 9, 27-37, 1997)。 已知可溶性肽鏈内切酶之抑制劑會提高由骨盆神經所刺 激以及由作用於血管之腸月太p VIP)所誘發之陰道及陰蒂血流 200524874 之ί曰加㈤JL也知道可溶性月太鏈内士刀酶之抑制劑會提高由作用 於血管之腸月太以及由神經所促成被分離之陰道壁之鬆弛。因 此,本發明之優點為其有助於提供一種方法作為重新建立一正 常之性興奮之反應,亦即是增加生殖器之血流以促使陰道、陰 蒂以及陰唇充血。而此現象將會造成陰道經由漿液滲漏流出方 式增加潤滑液之分泌,陰道順應性增加以及陰道之敏感性增 加。因此,本發明提供一種方法用以重新建立或是增強正常之 性興奮之反應。對本文中之女性生殖器而言,其意為「生殖器 官乃由一内部以及外部群體組成。内部之器官位在於骨盆腔 内,而且由卵巢、輸卵管、子宮以及陰道所組成。而外部之器 官則位在於泌尿生殖器隔膜之外表以及骨盆弓之下方。其包含 有陰阜、大陰唇及小陰唇、陰蒂、陰道前庭、陰道前庭球、以 及更大之别庭腺體」(Gray’s Anatomy,C. D· Clemente,13th AmericanAnatomy, physiology, evaluation and treatment options. Curr Opin Urology, 9, 563-568). Sexual coldness in women is a highly prevalent sexual dysfunction that affects women before, during and after menopause (hormonal replacement therapy (HRT)). Related concomitant conditions such as depression, cardiovascular disease, diabetes, and genitourinary conditions. The main results of female sexual coldness are lack of congestion / swelling, lack of lubrication, and lack of genital pleasure. The secondary consequences of female sexual coldness are decreased sexual desire, pain during intercourse, and difficulty reaching orgasm. Recently, it has been hypothesized that vascular factors can be used as a basis for at least some patients with female cold symptoms (Goldstein et al., Int. J. Impot. Res., 10, S84_S90, 1998), and data from animal experiments Support this view (Park et al. 'Int · J · Imot · Res' 9, 27-37, 1997). It is known that inhibitors of soluble endopeptidases increase the stimulation by the pelvic nerve and by the action on blood vessels. Vaginal and clitoral blood flow induced by intestinal moon too (V VIP) 200524874, JL also knows that soluble inhibitors of tsuki enzymes in the moon chain will increase the isolation of the intestinal moon that acts on blood vessels and that it is caused by nerves. The relaxation of the vaginal wall. Therefore, the advantage of the present invention is that it helps to provide a method as a response to re-establish a normal sexual excitement, that is, to increase blood flow of the genitals to promote vaginal, clitoral and labial congestion. Phenomenon will cause the vagina to increase the secretion of lubricating fluid, increase vaginal compliance and increase vaginal sensitivity through the leakage of serous fluid. Therefore, the present invention provides a method for re-establishing or Strong normal sexual excitement. For the female genitals in this article, it means "the reproductive organs are composed of an internal and external group. The internal organs are located in the pelvic cavity and are composed of the ovaries, fallopian tubes, uterus and vagina The external organs are located on the outer surface of the genitourinary diaphragm and below the pelvic arch. It contains the clitoris, labia majora and labia minora, clitoris, vaginal vestibule, vaginal vestibule, and larger other vestibular glands. "(Gray's Anatomy, C. D. Clemente, 13th American

Editi〇n”R.J.LeVin教導,因為「男性與女性生殖器官在胚胎學 上乃是從共同之組織原基發育而來,且男性與女性生殖器官之 構造被主張為彼此互為同源。因此,陰蒂與陰莖同源,而陰唇 則與陰囊同源」(Levin,R· J· (1991),Exp.Clin· Efzdocrinol·,98, 6169)。 有關男性性功能障礙,特別是男性勃起功能障礙而言,陰 莖勃起為一血液動力學之事件,其端賴於海綿體平滑肌收縮與 鬆弛之平衡以及陰莖血管之分布(請參閱Lerner,S.E·等人(1993)。 A review of erectile dysfunction: new insights and more questions. J. Urology 149·· 1246-1255)。海綿體平滑肌於本文中亦稱之為體平滑 肌(corporal smooth muscle)或是多覺海、綿體(plural sense corpus cavernosa)。海綿體平滑肌之鬆弛造成流入海綿體小樑空間内之 血液增加,而使其朝周圍之被膜擴張,並且壓縮洩流之靜脈。 此情況造成海綿體血壓大幅升高,其導致勃起(請參閱Naylor,A· 41 200524874 Μ. (1998) 〇 Endogenous neurotransmitters mediating penile erection. Br. J. Urology 81: 424-431),下文中以「Nayl〇r,1998」引證)。在勃起 過程中所發生之變化是複雜的,而且需要涉及到周圍及中樞神 經系統以及内分泌系統彼此間高度相互協調控制⑼ayl〇r, 1998)。體平滑肌之收縮是由交感正腎上腺素之神經支配藉由活 化胞A接合後之α-%上腺素焚體而受調節。男性勃起功能障礙 可能和海綿體内生性之平滑肌緊張度之增加有關。然而,體平 滑肌之鬆弛過程部分是由非腎上腺素、非膽鹼(=NANC)之神經 傳導所主導。在陰莖之中發現到許多其他除氮氧化物(=N〇)以外 之NANC神經傳導物質,例如與抑鈣素(caicit〇nin)基因有關之肽 (=CGRP)以及作用於血管之腸月太(VIP)。主要負貴主導此鬆弛作 用之鬆弛因子為NO,其由氮氧化物合成g每(=;^〇8)自L-精胺酸 所合成(請參閱例如 Taub,H· C.等人(1993),Relationship between contraction and relaxation in human and rabbit corpus cavemosum. Urology 42: 698_704)。有人認為減低體平滑肌緊張度可能有助於 NO去誘發海綿體之鬆弛。當男性處於性興奮期間,N〇便從神 經元細胞以及内皮細胞被釋放出來,並且與位在於平滑肌細胞 及内皮細胞内之可溶性鳥苷酸環化@条(8〇(:)結合且將之活化,而 造成細胞内環狀鳥苷酸3,,5,-單磷酸(cGMP)之濃度上升。該 cGMP濃度之上升導致海綿體黎弛,此乃由於細胞内赶離子之濃 度([Ca2+]i)減少,其透過原因不明之機制,其被認為是與蛋白質 活化酵素G (protein kinase G)之活化有關(可能是由於Ca2+幫浦以 及被Ca2+所活化之κ+通道受到活化)。 最近已經指出c型之利尿鈉月太(=CNP)在男性勃起功能障礙 上亦扮演角色,其與固定在細胞膜上之鳥苷酸環化g条B(=GC-B) 作用,該酵素被表現在人類之海綿體組織中。刺激鳥苷酸環化 42 200524874 酶B會造成細胞内之cGMP增加,而結果導致平滑肌之鬆弛。 腦抑制劑,如sildenafll,會抑制cGMp分解而使海綿體組織 細胞内之cGMP增加。P脇抑制劑在無生成c(}Mp之刺激劑存 在下’例如在無NO之存在下,是沒有活性❸。該項發現說明海 綿體組織内eGMP生成之基本(未受繼)料相當之低,故由 PDE-5抑制劑所抑制cGMP之分解在沒有同時刺激鳥芬酸環化 酶下是不;1以作為勃起反應的。增加利㈣肽之濃度會因 cGMP《生成增加而造成細胞岐沿⑽濃度升高。因此,升高 海綿體組_利赖肽之濃度雜耻將會有和㈣pDE_5相 似惑效果。但由於其等不同之作用機制,亦即是增加cGMp之生 成對比於抑制cGMP之分解,抑制PDE_5或是分解納利尿肽之 方法分別被認為是有加成性的,因此做出一合理之假設,即組 合該兩種作鋪料僅料酸_5抑麵桃反應之患者將 會特別有效果。 主現作用於血管之腸月太陽性之神經纖維已經在海綿體之小 樑之網狀組織中發現,說明作用於血管之腸肽之釋出在陰莖勃 起上之角色。作用於血管之腸月太,其作用被認為是經由cAMp <增加所促成,因此補足提升cGMP濃度藥品之作用。在勃起功 能障礙患者之海綿體内注射作用於血管之腸月太(合併使用心腎 上腺素受體拮抗劑phentdamine)發現為一種既安全又有效之治 療方法’其有反應之比率達到67% (足以性交之勃起)。 月太鏈内切酉条,中性月太鏈内切酶以及人類可溶性月太鏈内切 酉条’兩者皆會分解c型之利尿鈉月太以及作用於血管之腸月太,因 此侷限c型之利尿鈉肽以及作用於血管之腸肽對海綿體平滑肌 之作用。抑制c型利尿鈉月太以及作用於血管腸月太之分解作用將 會造成該等血管鬆弛因子之可利用率增加,因而使流入海綿體 43 200524874 之血液增加,其最終應該會導致勃起功能之改善。由兔子身上 之實驗數據,其顯示海绵體内之血壓以及雌性生殖器之血流於 施給一種中性月太鏈内切酶抑制劑之後有顯著之增加(請參閱專 利案W002/079143),可以找到此項論點之支持。再者,一條編 有内生性抑制劑sialorphine前-狀密碼之基因(SMR1)被發現到Editi〇n "RJLeVin teaches that, because" male and female reproductive organs are embryologically developed from a common tissue primordium, and the structures of male and female reproductive organs are claimed to be homologous to each other. Therefore, The clitoris is homologous to the penis, while the labia is homologous to the scrotum "(Levin, R.J. (1991), Exp. Clin. Efzdocrinol., 98, 6169). Regarding male sexual dysfunction, especially male erectile dysfunction, penile erection is a hemodynamic event, which depends on the balance between the contraction and relaxation of the cavernous smooth muscle and the distribution of penile blood vessels (see Lerner, SE ·, etc. (1993). A review of erectile dysfunction: new insights and more questions. J. Urology 149 ·· 1246-1255). Cavernous smooth muscle is also referred to herein as corporate smooth muscle or multiple sense corpus cavernosa. The relaxation of the corpus cavernosum smooth muscle causes an increase in the blood flowing into the trabecular space of the corpora cavernosa, which causes it to expand toward the surrounding capsule and compress the bleeding veins. This condition results in a significant increase in cavernosal blood pressure, which results in an erection (see Naylor, A. 41 200524874 M. (1998) 〇 Endogenous neurotransmitters mediating penile erection. Br. J. Urology 81: 424-431), hereinafter referred to as " (Naylor, 1998). The changes that occur during the erection are complex and need to involve a highly coordinated control of the surrounding and central nervous system and endocrine system with each other (aylor, 1998). The contraction of body smooth muscle is regulated by the neuron innervation of sympathetic epinephrine through α-% adrenaline burned after activation of activated cell A. Erectile dysfunction in men may be related to increased smooth muscle tension in the cavernous body. However, the relaxation process of body smooth muscle is partly dominated by non-adrenaline and non-choline (= NANC) nerve conduction. Many other NANC neurotransmitting substances other than nitrogen oxides (= N〇) were found in the penis, such as peptides (= CGRP) related to the caictotonin gene and intestinal function of blood vessels (VIP). The relaxation factor that mainly dominates this relaxation is NO, which is synthesized from nitrogen oxide synthesis g per (=; ^ 〇8) from L-arginine (see, for example, Taub, H.C. et al. (1993 ), Relationship between contraction and relaxation in human and rabbit corpus cavemosum. Urology 42: 698_704). Some people think that reducing body smooth muscle tension may help NO to induce relaxation of the cavernous body. When men are sexually excited, NO is released from neuronal cells and endothelial cells, and binds to and binds to soluble guanylate cyclization @ 条 (8〇 (:) located in smooth muscle cells and endothelial cells. Activation, resulting in an increase in the concentration of cyclic guanylate 3,5, -monophosphate (cGMP) in the cell. This increase in cGMP concentration leads to relaxation of the cavernous body, which is due to the concentration of intracellular ions ([Ca2 +] i) Reduction, through an unexplained mechanism, which is thought to be related to the activation of protein kinase G (probably due to activation of Ca2 + pumps and activation of κ + channels activated by Ca2 +). It is pointed out that c-type diuretic sodium Yuetai (= CNP) also plays a role in male erectile dysfunction, and it interacts with guanylate cyclization g bar B (= GC-B) fixed on the cell membrane. This enzyme is expressed in In human cavernous tissue. Stimulation of guanylate cyclization 42 200524874 Enzyme B will increase cGMP in cells and result in relaxation of smooth muscle. Brain inhibitors, such as sildenafll, will inhibit cGMp decomposition and cause intracellular cavernous tissue CGMP increase The P inhibitor is inactive in the absence of a c (} Mp-producing stimulant, for example, in the absence of NO, and is not active.) This finding indicates that the basic (unsuccessful) composition of eGMP production in cavernous tissue is comparable. Low, so cGMP degradation inhibited by PDE-5 inhibitors is not without stimulating ornithine cyclase at the same time; 1 as an erectile response. Increasing the concentration of risperidin will be caused by the increase in cGMP production The concentration of qi in cells is increased. Therefore, increasing the concentration of cavernosal group _ riliside will have a similar effect to ㈣ pDE_5. However, due to their different mechanism of action, that is, increasing cGMp production compared to The methods of inhibiting the decomposition of cGMP, inhibiting PDE_5, or degrading naldiuretic peptides are considered additive, respectively. Therefore, a reasonable assumption is made, that is, the combination of the two materials is only acid_5 and the peach reaction is suppressed. Patients will be particularly effective. The nerve fibers that currently act on the intestines of the blood vessels have been found in the reticular tissue of the cavernous body, indicating that the release of intestinal peptides on the blood vessels affects penile erections. Role, acting on the vascular intestine Yuetai, its effect is believed to be promoted by the increase in cAMp < increase the cGMP concentration of drugs. Injection in the cavernous body of patients with erectile dysfunction to enter the blood vessel intestine Yuetai (combined use of adrenaline receptor Antagonist (phentdamine) was found to be a safe and effective treatment, with a response rate of 67% (sufficient for sexual intercourse erections). Moon-chain endogenous purlins, neutral moon-chain endonucleases, and human soluble moons Both of the tai-chain incision noodles break down c-type diuretic natriuretic peptides and ileal natriuretic peptides that act on blood vessels. Therefore, c-type natriuretic peptides and intestinal peptides that act on blood vessels have limited effects on corpus cavernosum smooth muscle. Inhibition of c-type diuretic sodium moonlight and its degrading effect on vascular intestinal moonlight will increase the availability of these vascular relaxation factors, thus increasing blood flow into the cavernous body 43 200524874, which should eventually lead to erectile function improve. Based on experimental data on rabbits, it is shown that blood pressure in the cavernous body and blood flow in the female genital organs have significantly increased after administration of a neutral endoprotease inhibitor (see patent case W002 / 079143). Find support for this argument. Furthermore, a gene encoding the endogenous inhibitor sialorphine (SMR1) was discovered

(請參閱 User,Η· M·,Zelner D· J·,McKenna Κ· E·,Me Vary Κ· T (2003) 〇 Microarray analysis and description of SMR1 gene in rat penis in a post-radical prostatectomy model of erectile dysfunction. J Urol.· 170(1):298-301)在神經發生之勃起功能障礙之大氣模型中被明顯 向下調節(大於80倍),說明在該病症中,可能強化中性月太鏈内 切商每之活性,而且成為發展勃起功能障礙之原因。 藥理學試驗方法敘述 所引用到之範例號碼係關於下文所述之製備範例。 由根據本發明所使用之化合物對c型利尿鈉月太以及作用於 血管之腸月太之酵素分解抑制作用乃根據下列方法以體外酵素試 驗測量: 酵素· a)人類可溶性狀鏈内切酶(sol hu)(his)6 ;或:加上His6 之人類可溶性ϋ太鏈内切酶之外側部位 母溶液:53 pg/ml 於 20 mM HEPES pH 7.2,5%甘油, 0.005%Tween 20,1〇〇 mM 純度高於 99%之 NaQ, 操作溶液:母溶液用試驗緩衝溶液稀釋至5 pg/ml 供應商:比利時,Ghent之Innogenetics。該蛋白質之 製備及純化之操作如WO 02/094176中所述 b)中性肽鏈内切酶(從豬腎臟之皮質所製備) 母溶液· 120 pg/mi於20 mM bis Tris,純度高於95% 操作溶液:母溶液用試驗緩衝溶液稀釋至5 pg/ml 44 200524874 供應者·· PhilippeCrine博士,加拿大蒙特婁大學 受質·· a)作用於血管之腸肽 b)c型利尿鈉肽(32-53) 母洛液· 100 jiM於試驗緩衝溶液中 供應商··德國,菜菌河畔Weil之Bachem 試驗緩衝溶液:100mMTrispH7.0,250mMNaCl 所有受試物質皆溶於DMSO之中至i〇mM,並以試驗緩衝 溶液進一步稀釋。 活性試驗方法 80 μΐ試驗緩衝溶液,1〇μ1酵素操作溶液(中性肽鏈内切酶或 人類可溶性月太鏈内切酶)以及ίο μΐ肽母溶液(作用於血管之腸 月太或c型利尿鋼狀)混合於一 Eppen(jorf容器中,並且在yc下 培育120分鐘。加熱至95°C 5分鐘以終止酵素之反應。離心 (HeraeusBiofogeB ’ 3分鐘)之後,液體上清液部份以jjplc分析。 抑制試驗方法 70 μΐ試驗緩衝溶液,1〇 μΐ酵素操作溶液(中性肽鏈内切酶或 是人類可溶性月太鏈内切酶)以及1〇 μ1 一種受試化合物母溶液混 合於一 Eppendorf容器中,並且在37°C下預先培育15分鐘。然 後將10 μΐ肽母溶液(作用於血管之腸肽或是c型利尿鈉肽)加 入,並將此反應混和物置於37°C下培育60分鐘以使酵素水解反 應進行。加熱至95°C 5分鐘以終止酵素之反應。離心(Heraeus BiofbgeB,3分鐘)之後,液體上清液部份以HPLC分析。 從分解產物中分離出剩餘之受質方面,使用到逆相HPLC技 術,其具備有 CC 125/4 Nucleosil 300/5 C!8 RP 管柱,以及 CC 8/4 Nucleosil 100/5 C18 預管柱(來自德國]3iiren 之 Macherey-Nagel)。 於此,將60 μΐ之反應樣本注入HPLC,接著管柱以lml/分鐘之 45 200524874 流速以下列之坡度沖提: 溶液 A : 100%Η2Ο + 0·5 Μ H3P04 pH 2.0 溶液 B : 100% 乙氰(acetonitrile)十 〇·5 Μ H3P04 0至2分鐘 5%Β 8至10分鐘 90% Β 2至7分鐘 5至50%Β 10至12分鐘90至5%Β 7至8分鐘 50至90%Β 所有爿太乃是以在214 nm (紫外線光譜分析)下之吸收被偵 測。 水解百分比(=%)乃是依照對含樣本γ之酵素未被分解爿太之 波峰面積相關於一含有相同濃度S太而不含酵素之樣本(空白組) 由以下之方程式計算而得: °/〇水解作用=1〇〇*(空白組-γ) 根據%抑制之計算,一種含有樣本X之抑制劑其未被分解生 太(作用於血管之腸爿太或是c型利尿鈉爿太)之波峰面積與僅含有 肽(空白組)之樣本或是不含抑制劑之肽及酵素(對照組)相比 由以下之方程式計算而得: %抑制=100*(χ_對照組)/ (空白組_對照組) 所有之樣本皆是以二重複操作,而且使用平均值。一溶劑 對照(0.1°/dDMSO)被加至每個等待進行之試驗中。 c型利尿納月太以及作用於血管之腸月太在體外被中性月太鏈内 切酶及人類可溶性肽鏈内切酶所切斷。人類可溶性肽鏈内切 酶切斷兩種肽之速度快過於中性肽鏈内切酶,如下表4中所顯 示: ’ 產d:作用於血管之腸肤(=VIP)以及C型利尿鈉肤(;=CNp) 被中性肽鏈内切酶(=NEP)或是人類可溶性肽鏈内切酶(== hSEP)分解之速率 200524874(See User, Η · M ·, Zelner D · J ·, McKenna κ ··, Me Vary κ · T (2003) 〇 Microarray analysis and description of SMR1 gene in rat penis in a post-radical prostatectomy model of erectile dysfunction. J Urol. · 170 (1): 298-301) was significantly down-regulated (more than 80 times) in the atmospheric model of erectile dysfunction of neurogenesis, indicating that in this disease, the neutral moon-chain may be strengthened The activity of endogenous quotients is also the cause of developing erectile dysfunction. Description of Pharmacological Test Methods The example numbers cited refer to the preparation examples described below. The inhibitory effect of the compounds used in accordance with the present invention on the degradation of c-type diuretic sodium moonlight and intestinal moonlight acting on blood vessels is measured in an in vitro enzyme test according to the following methods: Enzymes · a) Human soluble endo-endonuclease ( sol hu) (his) 6; or: Human soluble masterbatch endothelial endonuclease outside solution with His6: 53 pg / ml at 20 mM HEPES pH 7.2, 5% glycerol, 0.005% Tween 20, 10. MM NaQ with a purity of more than 99%. Operating solution: the mother solution was diluted to 5 pg / ml with test buffer solution. Supplier: Innogenetics, Ghent, Belgium. The preparation and purification of this protein are as described in WO 02/094176 b) Neutral peptide endonuclease (prepared from the cortex of pig kidney) Mother solution · 120 pg / mi at 20 mM bis Tris, purity higher than 95% operating solution: The mother solution was diluted to 5 pg / ml with the test buffer solution. 44 200524874 Supplier · Dr. Philippe Crine, University of Montreal, Canada · a) Intestinal peptide acting on blood vessels b) Type c natriuretic peptide ( 32-53) Ma Luo solution · Supplier of 100 jiM in test buffer solution · Germany, Bachem test buffer solution at Weil riverside, Germany: 100 mM Tris pH 7.0, 250 mM NaCl All test substances are dissolved in DMSO to imM And further diluted with test buffer solution. Activity test method 80 μΐ test buffer solution, 10 μ1 enzyme operation solution (neutral peptide endonuclease or human soluble moon chain endonuclease) and Ιο μΐ peptide mother solution (acting on the blood vessel intestinal month or type c) Diuretic steel) was mixed in an Eppen (jorf container and incubated at yc for 120 minutes. Heated to 95 ° C for 5 minutes to stop the enzyme reaction. After centrifugation (Heraeus BiofogeB '3 minutes), the liquid supernatant portion was jjplc analysis. Inhibition test method 70 μΐ test buffer solution, 10 μΐ enzyme operation solution (neutral peptide endonuclease or human soluble moon chain endonuclease) and 10 μ1 of a test compound mother solution mixed in one Eppendorf container and pre-incubate for 15 minutes at 37 ° C. Then add 10 μΐ peptide mother solution (intestinal peptide acting on blood vessels or c-type natriuretic peptide), and place the reaction mixture at 37 ° C Incubate for 60 minutes to allow the enzyme hydrolysis reaction to proceed. Heat to 95 ° C for 5 minutes to stop the enzyme reaction. After centrifugation (Heraeus BiofbgeB, 3 minutes), the liquid supernatant portion is analyzed by HPLC. The residue is separated from the decomposition products In terms of quality, reverse-phase HPLC technology is used, which has CC 125/4 Nucleosil 300/5 C! 8 RP columns and CC 8/4 Nucleosil 100/5 C18 pre-columns (from Germany) 3iiren's Macherey -Nagel). Here, 60 μ60 of the reaction sample was injected into the HPLC, and then the column was stripped at a flow rate of 45 200524874 at 1 ml / min with the following gradient: Solution A: 100% Η20 + 0.5 μM H3P04 pH 2.0 Solution B : 100% acetonitrile 10.5 Μ H3P04 0 to 2 minutes 5% B 8 to 10 minutes 90% Β 2 to 7 minutes 5 to 50% B 10 to 12 minutes 90 to 5% B 7 to 8 minutes 50 to 90% Β All diethyl ether is detected by absorption at 214 nm (ultraviolet spectral analysis). The percentage of hydrolysis (=%) is based on the peak area of the diethyl ether that has not been decomposed by diethyl ether. In a sample containing the same concentration of S but no enzyme (blank group), it is calculated by the following equation: ° / 〇Hydrolysis = 100 ** (blank group-γ) Based on the calculation of% inhibition, a sample containing The inhibitor of X has not been decomposed to produce too much (intestinal tract that acts on blood vessels or c-type diuretic natriuretic peptide). Samples from the (blank group) or peptides and enzymes (control group) without inhibitors are calculated from the following equation:% inhibition = 100 * (χ_control group) / (blank group_control group) All All samples are duplicated and the average is used. A solvent control (0.1 ° / dDMSO) was added to each pending test. The c-type diuretic naloxone and the intestinal moonlight acting on blood vessels are cut off in vitro by a neutral moonchain endonuclease and a human soluble peptide endonuclease. Human soluble peptide endonuclease cuts two peptides faster than neutral peptide endonuclease, as shown in Table 4 below: 'Production d: intestinal skin (= VIP) acting on blood vessels and type C diuretic Skin (; = CNp) Degradation rate by neutral peptide endonuclease (= NEP) or human soluble peptide endonuclease (== hSEP) 200524874

VIP之分解 hSEP__Νβρ 根據本發日狀料化 ,-/ w 4 I jt. I w r/4 ihj^l yi jr 可溶性肽鍵内切酶兩者對c型利尿鈉肽以及作用於血管之 肽之分解。在本試驗模型中,列於下表5之通式〗之受試 具有下面所列之ic5G數值: 產受試物質對於分解C型利尿鈉月太(=CNP)以及作用於 血管之腸肤(=vip)之抑制 、 由樣本號 碼分解之 抑制 CNP之分解 hSEP NEP IC5〇 (nM) IC.n (nlU) VIP之分解 hSEP NEP IC5〇 (nM) IC5〇 (nM) 4 1.0 10.1 3.1 3.1 通式I之化合物亦適用於預防及/或治療與細胞凋亡有關之 不良症。 所吕之疾病例如為:神經變質病症,諸如缺血性中風、大 腦缺血、外傷性腦部受傷、急性散布性腦脊髓炎、肌肉萎縮性 脊髓侧索硬化(ALS)、色素性視網膜炎、輕度認識能力受損、阿 錄海默氏症、皮克氏症(Pick’s disease)、老年疲呆症、進行性核上 麻痺、皮質下癡呆症、威爾森病症(Wilson disease)、多發性梗塞 病症、動脈硬化性癡呆症、與AIDS有關之癡呆症、大腦變質病 症、大腦脊髓變質徵候群、弗雷德瑞克氏運動失調症(Friedrdchs ataxia)、失調性毛細血管擴張、與癲癇有關之腦部受損、脊髓受 損、腿急迫移動症候群(restless legs syndrome)、杭亭頓氏症 (Huntington’s disease)以及巴金森氏症(Parkinson’s disease)、紋狀黑 質變質病症、大腦血管炎、粒腺體性大腦肌肉症、神經性質蟻 200524874 脂褐質病(neuronal ceroid lipofoscinosis)、脊柱肌肉萎縮、與牵涉中 樞神經系統有關之溶素體儲藏病症、腦白質障礙症、尿素循環 缺陷病症、肝腦病、腎腦病、新陳代謝腦病、紫質症、細菌性 或疋病毒性腦膜炎以及腦膜腦炎、蛋白質體感染⑦^。…病症、神 母性化合物中毒、基朗巴爾徵候群(Guillain Barre syndrome)、慢 性發炎性神經病症、多發性肌肉炎、皮膚肌肉炎、因輻射謗發 之腦邵受損;胃腸病,如刺激性大腸症、以及發炎性大腸症、 克隆氏症(Crohn’s disease)以及潰瘍性結腸炎、腹腔病症、螺旋桿 菌性幽門胃炎以及其他感染性之胃炎、壞死性小腸結腸炎、偽 膜性小腸結腸炎、因輻射謗發之小腸結腸炎、淋巴球性胃炎、 移植物抗宿主之病症、急慢性胰臟炎;肝病,如酒精性肝炎、 病毒性肝炎、新陳代謝性肝炎、自體免疫性肝炎、因輻射謗發 之肝炎、肝硬化、溶血性尿毒症、腎小球性腎炎、狼瘡性腎炎; 病毒性病症,如猛爆性肝炎;關節病症,如外傷以及骨關節炎; 免疫功能受抑制或是免疫功能不全病症,尤其是自體免疫病 症,如原發性發炎性肌肉病症、慢性嗜中性白血球減少症、血 栓性血小板減少紫斑病、風濕性關節炎、原發性血小板減少紫 斑病、自體免疫溶血症候群、抗磷脂質抗體症候群、心肌炎、 多發性硬化症及其於診斷上屬次分類之復發-緩解多發性硬化 症、弟二級進行性多發性硬化症、原發性進行性多發性硬化症、 進行性復發多發性硬化症、急性多發性硬化症、良性復發多發 性硬化症或是無症狀性多發性硬化症、視神經髓質炎(大衛克氏 病症,Devic’s Syndrome)、淋巴球性腦下垂體炎、格雷佛氏病症 (Grave’s disease)、愛地生氏病症(Addison’s disease)、副甲狀腺功能 不足症、糖尿病第一型、全身性紅斑狼瘡、尋常性天疱瘡、大水 泡性天疱瘡、牛皮癬性關節炎、子宮内膜組織異位、自體免疫性 48 200524874 睪丸炎、自體免疫性勃起功能障礙、肉狀瘤病、魏格納氏 (Wegener’s)肉芽腫病、自體免疫性耳聾、史約荷瑞氏(柳 症、自體免疫性葡萄膜視網膜炎、間質性膀胱炎、固德巴斯德 氏(Goodpasture’s)症候群以及纖維肌肉疼痛;脊錄發育不良症, 如發育不全性貧血;皮膚科方面之病症,包括尋常性天泡瘡、皮 膚肌肉炎、異位性皮膚炎、黑諾赫-休奈(Henoch_Schonlein)紫斑 症、粉刺、全身性硬化症、皮脂漏出角質層病症、皮膚肥胖細 胞過多症、慢性增生性皮膚炎、角質化不良症、皮膚硬化症、 間兔性肉茅腫皮膚病、牛皮癖、皮膚之細菌性感染、皮癖病、 痲瘋病、皮膚利什曼病(leishmaniasis)、白斑病、毒性表皮壞死溶 解病、史蒂芬強生(Steven Johnson)症候群、皮脂腺瘤、禿髮、皮 膚之光傷害、硬化萎縮性苔癬、急性皮膚傷口、色素失調症 (incontinentiaPigmenti)、皮膚之熱傷害、發疹性膿疱病、苔蘚狀皮 膚病、皮膚過敏性血管炎、細胞中毒性皮膚炎;内耳方面之病 症’如聽覺外傷所謗發之聽覺有毛細胞死亡以及聽力喪失、由 胺基配醣體所誘發之聽覺有毛細胞死亡以及聽力喪失、由耳毒 性藥物所誘發之聽力喪失、淋巴周圍瘻管、膽硬脂瘤、耳蜗或是 如庭缺血、梅尼氏(Meniere’s)症、因輻射謗發之聽力喪失、因細 菌或是病毒感染所誘發之聽力喪失以及原發性之聽力喪失;移 植方面,如移植物對宿主之病症、急慢性心臟、肺臟、腎臟、 皮膚、角膜、骨髓或是肝臟等移植器官之排斥;傷口癒合以及 組織排斥。 通式I由醯胺甲基所取代之1_(羧基烷基)-環戊基碳醯胺基-苯環氮己三烯醋酸衍生物於預防及治療與細胞凋亡有關之不 良症之效用能夠在預測抗細胞凋亡活性之適當動物模型中加以 證明。 49 200524874 藥理試驗方法描述 所引用到之範例號碼係關於下文所述之製備範例。 1 ·外·傷性腦部_傷,.害經細胞死亡 挫傷裝置:挫傷裝置之組成為一不銹鋼管,長度40公分, 且以相距1公分之間距鑿孔以防止空氣被壓縮在管内。將23〇 至270公克之Wistar成鼠用水化氯醛(ehl〇rai hydrate),以靜脈内 注射400mg/kg,加以麻醉,並將右半邊大腦上之頭顱骨切開, 接著將導引一塊砝碼掉落於靠在硬膜表面之底板上面之裝置擺 置成與顱骨表面垂直’然後選擇由一塊20公克之結碼所產生380 公克X公分之力去製造腦部挫傷。腦部表面最大為2·5毫米之創 傷可避免腦硬膜之機械性刺傷。就三維空間立體趨向性而言, 底板之中心位在於前1¾後方1·5毫米以及前囪侧面2.5毫米處。 大乳在細β受彳努後3天用一種含有4%之聚甲酸(paraformaldehyde) 溶於磷酸緩衝液之溶液施行灌注固定手術。 腦室内注射:利用Hamiton注射器將5至15 μΐ之化合物由 腦室内(=i· c· V·)施予。注射進行之時間達5分鐘,於外傷後15 分鐘至8小時利用下列三維空間立體趨向性之座標:以前囪 (bregma)為關連,AP = _0.5 mm,L = -2 mm,以及 V = -5.5 (Swanson, L. W. (1992) Brain Maps: Structure of the Rat Brain, Elsevier, Amsterdam) ° 海馬之型態測定分析:海馬(hippocampus) CA3次區域之傷害 乃利用三維空間立體學方法(stereologically)於外傷傷害後三天在 五種不同尾嘴(rostrocaudal)之層次上,從10.21延伸至11.21毫米 (Swanson, L. W. (1992) Brain Maps: Structure of the Rat Brain, Elsevier, Amsterdam)以及遍及其中外侧軸加以測定。為定量評估出海馬 中神經細胞之受損,三維空間立體學上之雙扇形(disector)技術 50 200524874 (Cruz-Orive,L· Μ· & Weibel,E. R· (1990) Am. J. Physiol· 258, L148-L156)用其估計錐狀神經細胞數字上之濃度(Nv)。一種無偏 差之计算框架(0·05 mm X 0.05 mm,雙肩形之南度為〇·〇ι mm以及 一種高口徑之目鏡(X 40)用做取樣。鑑別正常之神經細胞乃是由 其存在有典型之細胞核,其具有清楚之核質以及由含有Nissl* 質之細胞質所包圍住明顯之核仁。CA2以及CA3次區域間之界 線被認為是鬆散排列之大錐狀細胞進入CA3次區域排列緊密之 錐狀細胞之處。連接齒狀顆粒細胞層兩端之獨斷線被認為是CA3 以及CA4次區域間之銜接處。 於本試驗模型中,範例3之受試物質引出劑量相關性之神 經保護作用。當範例3之受試物質於外傷後達8小時由腦室内 施予時,仍然有明顯之神經保護作用。 範例3之受試物質於外傷後15分鐘由腦室内施予成 鼠時,其神經保護作用之劑量反應被測量。CA3海馬次區域之 神經細胞濃度之測定如方法中所述。在以賦形劑治療之大鼠其 未觉到外傷之左侧,以及在以賦形劑治療之大鼠其受到外傷之 右側,以及在以範例3之受試物質治療之大鼠等六種三維空間 立體趨向性(stereotactic)2層次上CA3神經細胞濃度士測量標 準差(=SEM)被測量,而且其結果列於下表6中。 在所有下難巾,數字(“η”)表示雜可制大鼠之數目。 4^ : CA3海馬神經細胞濃度,細胞χ 1〇3/mm3 趨向三 維空間 立體性 層次 賦形劑左 側; (n= 10) 賦形劑右 側; (n= 10) 範例3化 合物,3 (η= 10) 範例3化 合物,10 pg (n= 10) 範例3化合 物,30 pg (n= 10) 51 200524874 10.21 159.00i3.62 9L20 土 7.60 98.40rb4.39 108.60土 4.30 108 40土3 15 10.41 158.20±3.03 87.20士8.17 89.00±5.05 108.60±5.34 105 20士5·76 10.61 157.20dz2.88 66.80土 7.68 72.80i6.01 111.40土7.09 94 20士5 10 10.81 159.60土 2.99 56.80±5.96 84.20土 6·47 112·00±6·42 ίΠ 20土7 10 11.01 152.40±2.99 51.40±6.89 86.00士 7.44 111.40 士 7.11 δ〇 90+7 4S 11.21 151.60±2.47 71.60 土 8.22 95.40±6.96 119.20 士 3.70 otuu 工 / ·υ 90.00土 9.24 注射賦形劑造成CA3海馬中神經細胞濃度減少達對照值之 35%,而注射3、10或是30 pg之範例3之受試物質部分抑制海 馬中神經細胞之損失,其劑量以1〇吨最為有效果。由變異數分 析(“ANOVA”)結果顯示範例3 (ρ < 0·001 ;每組η = 1〇)之受試物 質所有三種受姻量在治療CA3海馬中神經細胞之損失具有顯 著意義之保護效果。此外,AN0VA亦顯示1〇咫之劑量比3咫 或是3〇 pg之劑量有顯著意義更好之神經保護作用。 •範例3受試物質於外傷後2、4或是8小時由腦室内施予 Wistar成鼠時,測量其神經保護作用之時間窗仲加。⑽ 海馬次區域中神經細胞濃度之測定如方法中所述。測量以賦形 劑或是,3化合物治療之大鼠其受到外傷之右射,六種趨 向f維空間立體性(st隱滅狀層次上⑵神經細胞濃度士測 量標準差,而且其結果列於下表7中。 M : CA3海馬神經細胞濃度,細胞χ l〇Vmm3 賦形劑右 側;(n= 8) 範例3化合 物,2小時; (n=8) 範例3化合 物,4小時; (η= 8) 範例3化合 物,8小時; (n= 8) 72·30±4·80 ------— J22〇±5.70 62.00士 4.90 趨 向 ^ i 維 空 間 立 體 性 層次 10.21 5^21±5.81 52 200524874 10.41 50.65土 7.30 68.10 土 6.30 65.90±8.80 53.00土 6·44 10.61 49.35土 8·76 60.80士 5.60 63.00 土 6.30 53·00±6·00 10.81 51.2U7.97 60.20士 9.40 60·50±10.50 52·50 士 4.48 11.01 54.80士 10.30 63.00士 11.70 62.20±13.50 61.80 土 4·48 11.21 60.00土 13.00 67.70土 14.00 6630±15.90 65.90±4.90 注射賦形劑造成CA3海馬中神經細胞濃度減少達對照值之 35%。而腦室内注射1〇 pg之範例3受試物質部分遏止海馬中神 經細胞之損失。由ANOVA結果顯示在所有三個時間點上用範 例3之受試物質對於CA3海馬中神經細胞之損失具有顯著意義 之治療效果(在2小時及4小時,ρ<0·001 ;在8小時,ρ<0·01)。 2.Adriamycin之基性:抗細胞凋亡活性之測定 重200至250公克之Wistar大鼠以水化氯醢,4〇〇 mg/ kg, 麻醉,並且將Alzet滲透性迷你幫浦(2ML1)由皮下(==s· e·)植入。 幫浦已經填入賦形劑或是含有本發明化合物適當濃度之溶液, 而且在植入之前即裝入。動物接著在第一、第二及第三天接受 &(1也11^丨11三次相等之每日劑量,5 11^/1^腹腔内注射。大鼠在 第一次注射adriamycin之後5天被安樂死,且全身饰滿含有4〇/0 聚甲醛(paraformaldehyde)於磷酸緩衝液之溶液。心臟、肝臟以及 腎臟接著被摘除,並且埋入石蠟中。 TUNEL染色法:至於以末端去氧核苷酸轉移轉所促成dUTp 缺口端標記法(TUNEL)為根據之組織學分析,器官被固定於4〇c 下5天’並且被埋入石蠘中。TUNEL染色法根據製造商說明書 在ΙΟμιη厚之石蠟切片上利用ApopTag過氧化氫轉德國, 海德堡,Oncor Appligene,S 7100)進行。簡單敘述如下,在預先 用蛋白質水解酉每K處理以及在内生性之過氧化氫酉每被消除之 後’切片在平衡之緩衝液中培育,接著以TdT酵素操作(標記為 53 200524874 digoxigenin 之 dUTP 核苷酸加至 DNA 之自由 3,-OH 端),(37°C,1 小時)。切片在終止/洗滌之緩衝液中(37°C,30分鐘),然後用抗 digoxigenin之抗體接合體(30分鐘),再用DAB受質(德國, Deisenhofen,Sigma)呈色,並且用甲基綠(methylgreen)稍微做反向 染色。 於本試驗模型中,範例4之受試物質給予顯著意義之保護 心臟、肝臟以及腎臟不受adriamycin之毒性,因為該物質明顯減 少三種器官之中呈TUNEL陽性細胞之密度。此效果於劑量為100 mg/kg時呈現劑量相關性,而且以日為最佳效果。The decomposition of VIP hSEP__Νβρ According to the current situation,-/ w 4 I jt. I wr / 4 ihj ^ l yi jr Soluble peptide endonuclease decomposes c-type natriuretic peptide and peptides acting on blood vessels . In this test model, the subjects listed in the general formula in Table 5 below have the ic5G values listed below: The test substances produced are useful for the decomposition of C-type diuretic sodium month (= CNP) and the intestinal skin that acts on blood vessels ( = vip), decomposition by sample number inhibition of CNP decomposition hSEP NEP IC5〇 (nM) IC.n (nlU) VIP decomposition of hSEP NEP IC5〇 (nM) IC50 (nM) 4 1.0 10.1 3.1 3.1 General formula The compounds of I are also suitable for the prevention and / or treatment of apoptotic-related diseases. The diseases mentioned are, for example, neurodegenerative disorders such as ischemic stroke, cerebral ischemia, traumatic brain injury, acute disseminated encephalomyelitis, amyotrophic lateral sclerosis (ALS), pigmented retinitis, Mild impaired cognitive ability, Alzheimer's disease, Pick's disease, Alzheimer's disease, progressive supranuclear palsy, subcortical dementia, Wilson disease, multiple Infarct, arteriosclerotic dementia, AIDS-related dementia, brain degeneration, cerebral spinal cord deterioration syndrome, Friedrdchs ataxia, maladjusted telangiectasia, and epilepsy Brain damage, spinal cord damage, restless legs syndrome, Huntington's disease and Parkinson's disease, striatum nigra degeneration, cerebral vasculitis, Glandular cerebral myopathy, neurotic ant 200524874 neurocemic lipofoscinosis, spinal muscular atrophy, and involvement of the central nervous system Ferrite storage disorders, white matter disorders, urea cycle defect disorders, hepatic encephalopathy, kidney encephalopathy, metabolic encephalopathy, porphyria, bacterial or viral meningitis and Piece Goods meningoencephalitis, protein infection ⑦ ^. … Illnesses, intoxication with divine compounds, Guillain Barre syndrome, chronic inflammatory neurological disorders, polymyositis, dermatomyositis, brain damage due to radiation; gastrointestinal diseases such as irritant Colon disease, as well as inflammatory colitis, Crohn's disease and ulcerative colitis, celiac disease, Helicobacter pylori gastritis and other infectious gastritis, necrotizing enterocolitis, pseudomembrane enterocolitis, causes Enterocolitis, lymphocytic gastritis, graft-versus-host disease, acute and chronic pancreatitis, radiation sickness, liver diseases such as alcoholic hepatitis, viral hepatitis, metabolic hepatitis, autoimmune hepatitis, radiation sickness Hepatitis, cirrhosis, hemolytic uremia, glomerulonephritis, lupus nephritis; viral disorders, such as explosive hepatitis; joint disorders, such as trauma and osteoarthritis; suppressed immune function or immune function Incomplete disorders, especially autoimmune disorders, such as primary inflammatory muscle disorders, chronic neutropenia, blood Thrombocytopenic purpura, rheumatoid arthritis, primary thrombocytopenic purpura, autoimmune hemolytic syndrome, antiphospholipid antibody syndrome, myocarditis, multiple sclerosis and its recurrence in the sub-categories of diagnosis-remission of multiple Multiple sclerosis, second grade multiple multiple sclerosis, primary progressive multiple sclerosis, progressive relapsing multiple sclerosis, acute multiple sclerosis, benign relapsing multiple sclerosis, or asymptomatic multiple Sclerosis, Optic Neuromedulitis (Devic's Syndrome), Lymphocytic Pituitary Inflammation, Grave's Disease, Addison's Disease, Parathyroid Insufficiency Disease, type 1 diabetes, systemic lupus erythematosus, pemphigus vulgaris, bullous pemphigoid, psoriasis arthritis, endometrial tissue ectopic, autoimmune 48 200524874 testicular inflammation, autoimmune erectile function Disorders, sarcoidosis, Wegener's granulomatosis, autoimmune deafness, Sjohori (willow, autologous Epidemic uve retinitis, interstitial cystitis, Goodpasture's syndrome, and fibromyalgia; spinal hypoplasia, such as hypoplastic anemia; dermatological conditions, including vulgaris Sores, dermatomyositis, atopic dermatitis, Henoch_Schonlein purpura, acne, systemic sclerosis, sebum leakage, stratum corneum disorder, skin obesity cell hyperplasia, chronic proliferative dermatitis, Keratosis, Dermatosclerosis, Sarcoidosis, Psoriasis, Bacterial infections of the skin, Dermatosis, Leprosy, Leishmaniasis of the skin, White spot disease, Toxic epidermal necrosis Lytic disease, Steven Johnson syndrome, sebaceous adenoma, baldness, light damage to the skin, sclerosing atrophic lichen, acute skin wounds, incontinentia Pigmenti, heat damage to the skin, eruptive impetigo, Lichen-like skin disease, skin allergic vasculitis, cytotoxic dermatitis; diseases in the inner ear 'as heard by hearing trauma Perceived hair cell death and hearing loss, auditory hair cell death and hearing loss induced by amine glycosides, hearing loss induced by ototoxic drugs, perilymphatic fistula, cholesteatoma, cochlea or Ischemia, Meniere's, hearing loss due to radiation, hearing loss due to bacterial or viral infections, and primary hearing loss; transplantation, such as the pathology of the graft to the host, Rejection of transplanted organs such as acute and chronic heart, lung, kidney, skin, cornea, bone marrow or liver; wound healing and tissue rejection. The effect of 1- (carboxyalkyl) -cyclopentylcarbamido-phenylcycloazatriene acetate derivative substituted by amidomethyl in general formula I in the prevention and treatment of apoptotic-related ailments can be Proven in appropriate animal models for predicting anti-apoptotic activity. 49 200524874 Description of pharmacological test methods The referenced example numbers refer to the preparation examples described below. 1 · Extra-traumatic brain_injury, dysmenorrhea cell death Contusion device: The contusion device consists of a stainless steel tube with a length of 40 cm, and a hole is drilled at a distance of 1 cm to prevent air from being compressed in the tube. Wistar adult rats from 23 to 270 grams of ehlolai hydrate were injected intravenously at 400 mg / kg, anesthetized, and the skull on the right half of the brain was incised, followed by a weight guide The device dropped on the bottom plate resting on the surface of the dura is placed perpendicular to the surface of the skull ', and then the force of 380 grams X cm generated by a 20-gram knot code was selected to create a brain contusion. Injuries up to 2.5 mm on the surface of the brain can prevent mechanical puncture of the dura mater. In terms of three-dimensional spatial stereotacticity, the center of the bottom plate is 1.5 mm in front 1¾ and 2.5 mm in the side of the front chimney. Large breasts were perfused and fixed with a solution containing 4% paraformaldehyde dissolved in phosphate buffer solution 3 days after the fine beta was received. Intraventricular injection: 5 to 15 μΐ of the compound is administered from the intraventricular (= i · c · V ·) using a Hamilton syringe. The injection was performed for 5 minutes, and the following three-dimensional spatial stereotactic coordinates were used from 15 minutes to 8 hours after trauma: the former was related, AP = _0.5 mm, L = -2 mm, and V = -5.5 (Swanson, LW (1992) Brain Maps: Structure of the Rat Brain, Elsevier, Amsterdam) ° Hippocampal type determination analysis: Hippocampus CA3 subregional damage is stereologically applied to Three days after trauma injury, it was extended from 10.21 to 11.21 millimeters on five different levels of rostrocaudal (Swanson, LW (1992) Brain Maps: Structure of the Rat Brain, Elsevier, Amsterdam) and applied across its medial and lateral axes Determination. In order to quantitatively evaluate the damage of neurons in the hippocampus, the three-dimensional spatial stereology of the dual sector technology 50 200524874 (Cruz-Orive, L.M. & Weibel, E.R. (1990) Am. J. Physiol. 258, L148-L156) used it to estimate the numerical concentration of cone neurons (Nv). An unbiased calculation frame (0.05 mm X 0.05 mm, the south of the shoulders is 0.00 mm and a high-aperture eyepiece (X 40) is used for sampling. Normal nerve cells are identified by it There is a typical nucleus with a clear nucleus and a distinct nucleoli surrounded by a cytoplasm containing Nissl *. The boundary between the CA2 and CA3 subregions is considered to be a loosely arranged large cone-shaped cell entering the CA3 subregion. Where tightly arranged cone-shaped cells. The solitary line connecting the two ends of the dentate granular cell layer is considered to be the junction between the CA3 and CA4 subregions. In this experimental model, the dose-correlation of the test substance of Example 3 elicited Neuroprotective effect. When the test substance of Example 3 was administered from the ventricle up to 8 hours after trauma, the neuroprotective effect was still significant. When the test substance of Example 3 was administered from the ventricle to adult rats 15 minutes after trauma, The dose-response of its neuroprotective effect was measured. The nerve cell concentration in the CA3 hippocampal sub-region was determined as described in the method. On the left side of the rats treated with excipients, the left side was not perceived, and CA3 nerve cell concentration ± standard deviation (= SEM) on the right side of the traumatized rats on the right side of the trauma and on the six three-dimensional stereotactic 2 levels of rats treated with the test substance of Example 3 ) Were measured, and the results are listed in Table 6 below. In all cases, the number ("η") indicates the number of heterozygous rats. 4 ^: CA3 hippocampal nerve cell concentration, cell x 103 / mm3 tends to the left of the three-dimensional dimensional hierarchy excipient; (n = 10) the right of the excipient; (n = 10) Example 3 compound, 3 (η = 10) Example 3 compound, 10 pg (n = 10) Example 3 Compound, 30 pg (n = 10) 51 200524874 10.21 159.00i3.62 9L20 soil 7.60 98.40rb4.39 108.60 soil 4.30 108 40 soil 3 15 10.41 158.20 ± 3.03 87.20 ± 8.17 89.00 ± 5.05 108.60 ± 5.34 105 20 ± 5.76 10.61 157.20dz2.88 66.80 soil 7.68 72.80i6.01 111.40 soil 7.09 94 20 ± 5 10 10.81 159.60 soil 2.99 56.80 ± 5.96 84.20 soil 6.47 112 · 00 ± 6 · 42 ί 20 soil 7 10 11.01 152.40 ± 2.99 51.40 ± 6.89 86.00 ± 7.44 111.40 ± 7.11 δ〇90 + 7 4S 11.21 151.60 ± 2.47 71.60 soil 8.22 95.40 ± 6.9 6 119.20 ± 3.70 otuu Gong / · 90.00 soil 9.24 Injection of excipients reduced the concentration of nerve cells in CA3 hippocampus by 35% of the control value, and injection of 3, 10 or 30 pg of the test substance of Example 3 partially inhibited the hippocampus The loss of mesangial cells is most effective at a dose of 10 tons. Analysis of the variance ("ANOVA") results show that all three marriages of the test substance of Example 3 (ρ <0.001; η = 10) have significant significance in the treatment of neuronal loss in the hippocampus of CA3. Protection effect. In addition, AN0VA also showed significantly better neuroprotective effect than the dose of 10 or 30 pg. • Example 3 When the test substance was administered to Wistar adult rats from the ventricle at 2, 4, or 8 hours after trauma, the time window for measuring its neuroprotective effect was increased.神经 The nerve cell concentration in the hippocampal subregion was determined as described in the method. For rats treated with excipients or 3 compounds, they were shot right after trauma. Six tendencies in the f-dimensional space were measured (standardized deviations of the concentration of phrenic nerve cells on the level of stupidity, and the results are listed in In Table 7 below: M: CA3 hippocampal nerve cell concentration, cell x 10Vmm3 to the right of the excipient; (n = 8) Example 3 compound, 2 hours; (n = 8) Example 3 compound, 4 hours; (η = 8) Compound of Example 3, 8 hours; (n = 8) 72 · 30 ± 4 · 80 ------— J22〇 ± 5.70 62.00 ± 4.90 Trend ^ i-dimensional spatial stereo level 10.21 5 ^ 21 ± 5.81 52 200524874 10.41 50.65 soil 7.30 68.10 soil 6.30 65.90 ± 8.80 53.00 soil 6.44 10.61 49.35 soil 8.76 60.80 ± 5.60 63.00 soil 6.30 53 · 00 ± 6 • 10.81 51.2U7.97 60.20 ± 9.40 60 · 50 ± 10.50 52 · 50 ± 4.48 11.01 54.80 ± 10.30 63.00 ± 11.70 62.20 ± 13.50 61.80 ± 4.48 11.21 60.00 ± 13.00 67.70 ± 14.00 6630 ± 15.90 65.90 ± 4.90 The injection of excipients resulted in a decrease in the concentration of nerve cells in the hippocampus of CA3 by 35%. Intraventricular injection of 10 pg of Example 3 test substance partially inhibited the hippocampus Cell loss. ANOVA results show that the use of the test substance of Example 3 at all three time points has a significant therapeutic effect on the loss of nerve cells in the hippocampus of CA3 (at 2 and 4 hours, ρ < 0.001 At 8 hours, ρ < 0.01). 2. Basicity of Adriamycin: determination of anti-apoptotic activity. Wistar rats weighing 200 to 250 grams were anesthetized with chlorohydrazine hydrate, 400 mg / kg, And the Alzet permeable minipump (2ML1) was implanted subcutaneously (== s · e ·). The pump has been filled with excipients or a solution containing an appropriate concentration of the compound of the present invention, and it is ready to be installed Animals then received & (1 also 11 ^ 丨 11 three equal daily doses, 5 11 ^ / 1 ^ intraperitoneal injection on the first, second and third days. Rats received the first injection of adriamycin He was euthanized for 5 days, and the whole body was decorated with a solution containing 4/0 paraformaldehyde in phosphate buffer solution. The heart, liver, and kidneys were then removed and buried in paraffin. TUNEL staining method: As for the histological analysis based on the dUTp Notch End Labeling Method (TUNEL) promoted by terminal deoxynucleotide transfer, the organs were fixed at 40 ° C for 5 days' and buried in the stone ballast. TUNEL staining was performed on 10 μm thick paraffin sections using ApopTag hydrogen peroxide (Germany, Heidelberg, Oncor Appligene, S 7100) according to the manufacturer's instructions. A brief description is as follows. After pretreatment with proteolytic enzymes and peroxidase and elimination of endogenous hydrogen peroxide, the sections are incubated in a balanced buffer, followed by manipulation with TdT enzyme (labeled 53 200524874 digoxigenin dUTP core). Add the nucleotide to the free 3, -OH end of the DNA), (37 ° C, 1 hour). Sections were stopped / washed in buffer (37 ° C, 30 minutes), then conjugated with anti-digoxigenin (30 minutes), and then DAB substrate (Germany, Deisenhofen, Sigma) was developed and methylated The green (methylgreen) is slightly reversed. In this test model, the test substance of Example 4 gave significant protection to the heart, liver, and kidneys from the toxicity of adriamycin, as it significantly reduced the density of TUNEL-positive cells in the three organs. This effect was dose-dependent at a dose of 100 mg / kg, with daily best results.

Wistar大鼠於靜脈内施予adriamycin,15 mg/kg之最高劑量。 範例4之受試物質以每日劑量20、50或是100 mg/ kg,且藉由 Alzet滲透性迷你幫浦總共為期5天經由皮下施予。動物在第一 次注射adriamycin之後5天被安樂死,並且被灌流入心臟,且心 臟、肝臟以及腎臟接著被處理以作為TUNEL染色。呈TUNEL ㈣性細胞之游度其測定如方法中所述。每一器官(心臟、肝臟、 腎臟)之結果以對照組和不同試驗組(範例4受試物質每日20、50 或是100 mg/kg)呈TUNEL陽性細胞之平均密度士測量標準差被 測量,而且被列於下表8中。 產j :呈TUNEL陽性細胞/ mm3 χ 1〇2 心臟 肝臟 腎臟 Adriamycinb (η = 24) 5·417±0·146 10.420士 0.275 9.438士 0·198 +範例4化合物 4.350±0.248*** 8.750士 0.301** 7.900±0.306*** 20 mg/kg (n= 10) +範例4化合物 3.700土0.260*** 8.250±0.271*** 7.850土0.587** 50 mg/kg (η = 10) 54 200524874 +範例4化合物 3.550土 0·157*** 7.450土0.329*** 6.300土0.260*** 100 mg/kg Γη = 10) 範例4受試物質在所有三種器官中皆依劑量相關性減少 adriamycin之細胞毒性。實驗組間之比較以student’s試驗方法行 之(**Ρ<0·01 ; ***Ρ<〇·〇〇1相較於用賦形劑治療之大鼠)。 本發明亦提供一種治療或是預防哺乳動物及人類心臟血管 病症及/或與細胞凋亡有關之不良症之方法,其包含施予有該種 需求對象一有效量之通式I化合物。 本發明進一步提供一種治療或是預防哺乳動物及人類性功 能障礙症之方法,其包含施予有該種需求對象一有效量能夠抑 制中性月太鏈内切酶或是人類可溶性月太鏈内切酶之雙作用化合 物,尤其是一種根據本發明之通式I化合物。 通式I之化合物可以用傳統製藥上之組合物來施予。而所使 用之劑量可以依個人情況來改變,且自然會依照所要治療病況 及所使用藥物之類型來改變。然而一般而言,含有主成分物質 含里〇·2至500毫克’尤其是1〇至200毫克之藥物形式,每個 別劑量之主成分適用於施予人類及較大型哺乳動物。本發明之 藥物也可以用靜脈内注射方式施予,劑量可能在〇·⑼1至 mg/kg/hr之範圍。以上之劑量是以一般情形為例做說明。該等化 合物可以和傳統製藥上之輔助劑及/或賦形劑一同包含,根據本 發明,在固體或是液體之製藥組合物中。固體製藥組合物之範 例為可以口服之組合物,如錠片、裹上外衣之錠片、膠囊、粉 末或疋顆粒,或疋栓劑。该等製藥上之組合物,除傳統製藥用 之輔助劑,例如潤滑劑或是錠片破碎劑之外,可以含有傳統製 藥用之無機及/或有機賦形劑,如滑石粉、乳糖或是殿粉。液體 製藥組合物,如主成分之懸浮液或是乳化液可以含有常見之稀 55 200524874 、油’及/或懸浮劑,如聚乙二醇等。其他還可以加 (輔助劑,如防腐劑、矯味劑等。 可以和㈣用之辅關及/或_劑以習知之方法混 處方。就製備固體劑型而言,主成分例如可以和輔 」賦_以傳統之方法混合,而且可以㈣式或乾式造 粒万法&成顆粒。而該顆粒或粉末可以用傳統之方法直接倒入 膠囊中或是壓成键片核。如有必要時,該等錠片可 加上外衣。Wistar rats were administered intravenous adriamycin at the highest dose of 15 mg / kg. The test substance of Example 4 was administered subcutaneously for a total of 5 days at a daily dose of 20, 50, or 100 mg / kg via Alzet osmotic minipumps. Animals were euthanized 5 days after the first injection of adriamycin, and were perfused into the heart, and the heart, liver, and kidneys were then processed for TUNEL staining. The mobility of TUNEL ㈣ cells was determined as described in the method. The results of each organ (heart, liver, kidney) were measured in the control group and different test groups (Example 4 Test substance 20, 50, or 100 mg / kg daily) Mean density ± standard deviation of TUNEL positive cells And are listed in Table 8 below. Yield: TUNEL-positive cells / mm3 χ 1〇2 Adriamycinb (η = 24) 5.417 ± 0 · 146 10.420 ± 0.275 9.438 ± 0 · 198 + Example 4 compound 4.350 ± 0.248 *** 8.750 ± 0.301 ** 7.900 ± 0.306 *** 20 mg / kg (n = 10) + Example 4 compound 3.700 soil 0.260 *** 8.250 ± 0.271 *** 7.850 soil 0.587 ** 50 mg / kg (η = 10) 54 200524874 + Example 4 Compound 3.550 ± 0.157 *** 7.450 ± 0.329 *** 6.300 ± 0.260 *** 100 mg / kg Γη = 10) Example 4 The test substance reduced adriamycin cells in a dose-dependent manner in all three organs toxicity. The comparison between the experimental groups was performed by the student's test method (** P <0.01; *** P < 0.001 compared to rats treated with excipients). The invention also provides a method for treating or preventing cardiac and vascular disorders and / or apoptosis-related ills in mammals and humans, which comprises administering to a subject in need thereof an effective amount of a compound of formula I. The present invention further provides a method for treating or preventing sexual dysfunction in mammals and humans, which comprises administering to a subject in need thereof an effective amount capable of inhibiting a neutral moon-chain endonuclease or a human soluble moon-chain chain. Di-acting double-acting compounds, especially a compound of formula I according to the invention. Compounds of general formula I may be administered using conventional pharmaceutical compositions. The dosage used may vary according to individual circumstances, and will naturally vary according to the condition to be treated and the type of drug used. In general, however, the main ingredient contains a pharmaceutical form of 0.2 to 500 mg ', especially 10 to 200 mg. Each dose of the main ingredient is suitable for administration to humans and larger mammals. The medicament of the present invention can also be administered by intravenous injection, and the dose may range from 0.1 to 1 mg / kg / hr. The above doses are taken as examples to illustrate the general situation. These compounds may be included with traditional pharmaceutical adjuvants and / or excipients, according to the present invention, in solid or liquid pharmaceutical compositions. Examples of solid pharmaceutical compositions are compositions which can be taken orally, such as tablets, coated tablets, capsules, powder or tincture granules, or tincture suppositories. These pharmaceutical compositions may contain, in addition to traditional pharmaceutical adjuvants, such as lubricants or tablet breakers, inorganic and / or organic excipients such as talc, lactose or Temple powder. Liquid pharmaceutical compositions, such as suspensions or emulsions of the main ingredients, may contain common thinners 55 200524874, oil's and / or suspending agents such as polyethylene glycol and the like. Others can also be added (adjuvants, such as preservatives, flavoring agents, etc.) can be mixed with the auxiliary and / or agents used in conventional methods. For the preparation of solid dosage forms, the main ingredients can be combined with auxiliary _Mixed by traditional methods, and can be pulverized or dry granulated & granulated. And the particles or powder can be directly poured into capsules or pressed into cores by traditional methods. If necessary, The tablets may be coated.

【實施方式】 以下之範例目的在進一步說明本發明,而沒有限制其範圍。 質量光譜之測量係使用下列之方法:[Embodiment] The purpose of the following examples is to further illustrate the present invention without limiting its scope. The mass spectrum is measured using the following methods:

HPLC_MS : API100 Quadrupol 質譜儀(PE Applied Biosystems)連接 一 LC200 幫浦(PE)。電子噴式離子化(Electrospray ionis-ation),正向操作模式。掃描範圍m/z wo至1〇〇〇。軟 體 MassChrom 1.2。Xterra®管柱(4·6 mm X 50 mm,2·5 m) 溶劑系統:水(10 mM醋酸銨,pH 5)以及乙氰,線性坡度於10 分鐘内由5%乙氰至95%。HPLC_MS: API100 Quadrupol mass spectrometer (PE Applied Biosystems) connected to an LC200 pump (PE). Electron spray ionization (Electrospray ionis-ation), forward operation mode. The scanning range is from m / z to 1000. Software MassChrom 1.2. Xterra® column (4 · 6 mm X 50 mm, 2.5 m) Solvent system: water (10 mM ammonium acetate, pH 5) and cyanocyanine, linear slope from 5% cyanohydrin to 95% in 10 minutes

SiLLL 乙基-2-{[(3S)-l-({[l-(2-三級丁氧基-2-氧代乙基)-2-氧代-2, 3,4,5-四氫_ι//_ι_苯環氮己三晞_3•晞基]胺基}碳醯基)環戊基]甲 基卜4_(異丙基胺基)斗氧代丁酸鹽SiLLL ethyl-2-{[(3S) -l-({[l- (2-tertiary butoxy-2-oxoethyl) -2-oxo-2, 3,4,5-tetra Hydrogen_ι // _ ι_benzenecycloazepinetris_3 • fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl 4- (isopropylamino) oxobutyrate

200524874 A) 將9L9毫升之苯曱醇加至99 〇7公克之 (itaconic acid anhydride),並將該混合物在 65t 下 了 h)。於冷卻時所產生之結晶用35毫升n_己燒/二4^y 之混合液做成泥餘,並將_縣去除。所得 溶解於150愛升溫暖狀態下之二乙酸中,並加入肋 = 再次結晶。合併之母驗液依照上述方法: 70 得之結晶最後加至主要之產量。取得12〇公克之。:甲且 2-氧代乙基]丙晞酸,其不需進_步純化而直接用於下反 應,1H-NMR (CDC13): 7.35, m,[5]; 6.47, s,[1]; 5.83, s『n•川 [2]; 3.40, s,[2] ppm。 ’ L』’ · ’, B) 將100公克上面所取得之苯甲氧基氧代乙基] 丙晞酸懸浮在1〇〇毫升之甲基_三級丁醚(=MTBE)中,並將〇5 毫升之吡啶加入其中。然後將47毫升之氯化氧硫基(thi〇nyi chloride)以滴流方式加入其中,而所得到之混合物在回流冷卻下 加熱1.5小時至沸騰。在冷卻至室溫後,其在減壓下蒸發大約至 乾燥。所得到之殘留物被溶解於5〇毫升之二氯甲烷,並且在〇 至5°C以滴流方式加入一納受溶液中,其由16毫升之乙醇及36·5 毫升之三乙胺於150毫升之二氯f烷中所組成。當加入之動作 完成後,繼續在大約〇°C下攪拌1小時。然後,其以每次25〇毫 升之水連續洗滌2次,一次用1〇0毫升之稀碳酸氫鈉水溶液洗 條,最後一次用飽和之共同鹽水溶液洗滌。有機相置於硫酸鈉 上乾燥,而且在減壓下儘可能將之蒸發。於0.015毫巴及l50t: 下蒸餾所得到之殘留物產生56.3公克之2-亞甲基琥珀酸-4-苯甲 基酯-1-乙酯,其不需進一步純化或是鑑別而直接被用於下一步 之反應。 C) 將118毫升之二異丙胺(diisopropylamine)於氮氣壓下 57 200524874 溶解於3公升乾燥之四氫呋喃(=THF)中,並將該溶液冷卻至〇 C。將340毫升2·5 Μ之η_丁基經(n-butyllithium)於η-己燒溶液 加入該納受溶液中,並且在加入之動作完成之後,繼續在〇它下 攪拌45分鐘。然後將一由45公克之環戊烷羧基酸 (cyclopentanecarboxylic acid)溶於100毫升乾燥四氫吱喃所成之 溶液用滴流之方式於0至5°C下滴入所生成之混合物中,且該混 合物然後在0°C下攪拌2小時。冷卻該混合物至-8(TC,將一由 72.6公克如上所取得之2-亞曱基琥珀酸-4-苯甲基酯-1-乙酯(由 數批次之總量)溶於100毫升四氫呋喃所成之溶液用滴流之方式 加入其中。該混合物然後在-75°C下繼續攪拌2小時,然後加入 1·5公升之2N鹽酸水溶液。在解束與相分離之後,水相用乙酸 乙酉旨(==ΕΑ)萃取2次,有機相則被合併,並置於硫酸納上乾燥。 溶劑則在減壓下被蒸發,而揮發性物質則用蒸餾法於0.02毫巴 及140°C下分離去除。將蒸餾之後所剩餘之殘留物在矽膠上做色 層分析(移動相:乙酸乙酯/η-己燒1:6至1:7 v/v),結果得到22.8 公克之1-[4-(苯甲氧基)-2-(乙氧基碳酸基)·4_氧代丁基]環戊燒羧 基酸;^-NMR (CDC13): 7.33, m,[5]; 5.10, s,[2]; 4.04, m,[2]; 2·88, m,[1]; 2.80-2.48, AB-Q·,[2]; 2·2-2·1,m,[2]; 1·7-1·4, m,[6]; 1.20, tr,[3]。 D) 將49·5公克如上所取得之l-[4·(苯甲氧基)-2-(乙氧基 碳醯基)-4-氧代丁基]環戊烷羧基酸(由數批次之總量)溶於435毫 升之二氯甲烷中。將39.5公克之三級丁基_[(38)_3_胺基_2_氧代-2, 3,4,5-四氫]-1//-苯環氮己三烯-1_埽基]醋酸鹽(製備用請參閱EP 0 733 642 A1),18·3 公克之氫氧基苯並三卩坐(hydroxybenzotriazole) 以及60毫升之嗎琳加至該納受溶液中。然後將52公克之 EDCxHCl以一次份量方式加至所形成之混合物,接著在室溫下 58 200524874 終夜攪拌。然後將溶劑在減壓下蒸發,而剩餘之殘留物質則溶 於750毫升之乙酸乙酯中。有機相每次以1〇〇毫升之2N鹽酸水 溶液連續洗滌2次,每次以100毫升之水連續洗滌2次,以及 以100毫升飽和之共同鹽水溶液洗滌1次,並置於硫酸鈉上乾 燥。溶劑在減壓下蒸發,並將剩餘之殘留物在油幫浦真空下(5χ 10毫巴)乾燥’結果產生87·9公克之2_{[(38)-1_({[(1-(2-三級丁 氧基-2-氧代乙基)-2_氧代-2, 3, 4, 5-四氫苯環氮己三埽| 烯基)胺基]碳醯基}環戊基)甲基)琥j白酸_4_苯甲基@旨-1-乙酯,呈 淡黃色油狀物,其不需進一步純化或是鑑別而直接用於下一步 之反應。 Ε)將87.9公克上面所取得之2-{[(3S)-l-({[l-(2-三級丁氧基 -2-氧代乙基)-2-氧代-2, 3, 4, 5-四氫-1从1-苯環氮己三烯-3-烯基] 胺基}碳醯基)環戊基]甲基}琥珀酸_4_苯曱基酯小乙酯溶解於 600毫升之乙酸乙酯(=EA)中,並且將20公克之活化碳鈀 (palladium on activated carbon,Pd/C)加入其中。然後該混合物在 1巴之氫氣壓力下進行氫化作用2小時,接著該反應混合物在 Cellite上過濾。過濾之軟塊(cake)接下來用1.5公升之乙酸乙酯 洗滌,而合併之有機相則在減壓下非常大量地被蒸發掉。殘留 物則溶解於500毫升之乙酸乙酯/環己烷(1 : 1,v/v)中,每次用 200毫升半飽和之碳酸鈉溶液萃取2次。而水相則用濃硫酸氫鉀 溶液酸化,每次用200毫升之乙酸乙酯萃取3次。在置於硫酸 鈉上乾燥之後,其在減壓下蒸發。將剩餘之殘留物在油幫浦真 空下乾燥,結果產生71公克之3-{[l-({[(3S)-l-(2-三級丁氧基-2-氧代乙基)_2_氧代-2, 3, 4, 5-四氫笨環氮己三晞-3-烯基]胺 基}碳醯基)環戊基]甲基}-4-甲氧基-4-氧代丁酸,呈白色泡沫 狀;1H-NMR (CDC13): 7.31-7.17, m5 [3]; 7.11,d,[0.5]; 7·08, d, 59 200524874 [〇·5]; 6.81,d,[0.5];6.73,d,[0.5]。 一於此個案中所取得之中間產物可以,如有必要時,用製備 型高效能液體層析儀卜HPLC)分離成其順反異構物上純質之組 成份。上述所取得之70公克之中間產物利用下面所說明之= 分離。 管柱:LC80-1,23.4 X 8公分;固定相:74〇公克之 ChiralpakAD,2〇 μ ;移動相:庚燒/異丙醇(μ :⑼;紫外線偵 分析:固定相:ChiralpakAD,20μ ;移動相··庚烷/異丙醇 9 ·· 1 (ν/ν);流速:2毫升/分鐘;循環時間·· 15分鐘。 在滯留時間(retention time)為11.6分鐘時,取得第一種立體 異構物30公克,其被賦予「reU」名稱,與攜帶有_c〇〇Rl官= 基 < 不對稱中心「*ca」有關,該異構物為 三級丁氧基_2_氧代乙基)_2_氧代_ 2,3,4,5-四氫-1//小苯環氮己三婦_3_晞基]胺基}碳醯基)環戊基] 甲基}_4_乙氧基_4·氧代丁酸;iH-NMR^CDClJ: 7.31_mm PI. 7·〇9, d,[1]; 6.74, d,[1]; 4.53, 4.48, 4.37, 4.32, AB-Q·,[2]; 4·48, m, [1] ;4.11,m,[1]。 5 在滯留時間(retention time)為6·5分鐘時,取得第二種立體 異構物33公克,賦予其「re12」名稱,與攜帶有_c〇〇Ri官能基 之不對稱中心「*Ca」有關,該異構物為(3“rel2’’)-3-{[l-({[(3S)-l_ (2-二級丁氧基-2-氧代乙基)-2-氧代_2,3,4,5-四氫-1//小苯環氮己 三烯-3-晞基]胺基}碳醯基)環戊基]乙基卜4_乙氧基冰氧代丁 酸;1H-NMR (CDC13)·· 7.31-7.17, m,[3]; 7.11,d,[2]; 6.81,d,[1];200524874 A) 9 L of 9 ml of benzalcohol was added to 99 07 g of itacic acid anhydride, and the mixture was subjected to 65 t at h). The crystals generated during cooling were made into mud with 35 ml of a mixture of n_hexane and 2 ^^ y, and the county was removed. The obtained was dissolved in 150 liters of diacetic acid in the warm state, and ribs were added to recrystallize. The combined mother test solution is in accordance with the above method: 70% of the obtained crystals are finally added to the main yield. Get 120 grams. : Methyl and 2-oxoethyl] propanoic acid, which is used directly in the next reaction without further purification, 1H-NMR (CDC13): 7.35, m, [5]; 6.47, s, [1] 5.83, s [n • chuan [2]; 3.40, s, [2] ppm. 'L' '·', B) 100 g of the benzyloxyoxoethyl] propionic acid obtained in the above was suspended in 100 ml of methyl tertiary butyl ether (= MTBE), and 05 ml of pyridine was added thereto. Then 47 ml of thiony chloride was added dropwise thereto, and the resulting mixture was heated under reflux for 1.5 hours to boil. After cooling to room temperature, it was evaporated to dryness under reduced pressure. The obtained residue was dissolved in 50 ml of dichloromethane and added dropwise to a receiver solution at 0 to 5 ° C. It consisted of 16 ml of ethanol and 36.5 ml of triethylamine in 150 ml. Composition in ml of dichlorofane. When the addition was completed, stirring was continued at about 0 ° C for 1 hour. Then, it was washed twice with 250 ml of water each time, once with 100 ml of a dilute sodium bicarbonate aqueous solution, and finally with a saturated common saline solution. The organic phase was dried over sodium sulfate and evaporated as much as possible under reduced pressure. The residue obtained by distillation at 0.015 mbar and 150 t: yielded 56.3 g of 2-methylenesuccinic acid 4-benzyl ester-1-ethyl ester, which was used directly without further purification or identification. Response in the next step. C) Dissolve 118 ml of diisopropylamine under nitrogen pressure 57 200524874 in 3 liters of dry tetrahydrofuran (= THF), and cool the solution to 0 ° C. 340 ml of 2.5 M n-butyllithium in n-hexane solution was added to the nanoreceptor solution, and after the addition was completed, stirring was continued at 0 ° C for 45 minutes. Then, a solution of 45 g of cyclopentanecarboxylic acid dissolved in 100 ml of dry tetrahydrocran was dripped into the resulting mixture at 0 to 5 ° C, and The mixture was then stirred at 0 ° C for 2 hours. Cool the mixture to -8 ° C, dissolve a 72.6 g 2-benzylidene succinate-4-benzyl ester-1-ethyl ester (from a total of several batches) as obtained above in 100 ml The solution formed by tetrahydrofuran was added dropwise. The mixture was then stirred at -75 ° C for 2 hours, and then 1.5 liters of 2N aqueous hydrochloric acid solution was added. After debinding and phase separation, the aqueous phase was treated with acetic acid. The extract was extracted twice with ethyl acetate (== ΕΑ), and the organic phases were combined and dried over sodium sulfate. The solvent was evaporated under reduced pressure, and the volatile substances were distilled by distillation at 0.02 mbar and 140 ° C. It was separated and removed. The residue after distillation was analyzed on silica gel (mobile phase: ethyl acetate / η-hexane: 1: 6 to 1: 7 v / v), and the result was 22.8 g of 1- [ 4- (Benzyloxy) -2- (ethoxycarbonyl) · 4-oxobutyl] cyclopentanecarboxylic acid; ^-NMR (CDC13): 7.33, m, [5]; 5.10, s , [2]; 4.04, m, [2]; 2.88, m, [1]; 2.80-2.48, AB-Q ·, [2]; 2 · 2-2 · 1, m, [2]; 1 · 7-1 · 4, m, [6]; 1.20, tr, [3]. D) 49.5 g of l- [4 · (benzyloxy) -2- (ethoxy) obtained as above base Carbofluorenyl) -4-oxobutyl] cyclopentanecarboxylic acid (from a total of several batches) was dissolved in 435 ml of dichloromethane. 39.5 grams of tertiary butyl _ [(38) _3_amino group_2_oxo-2, 3,4,5-tetrahydro] -1 //-benzenecycloazahexatriene-1_fluorenyl ] Acetate (refer to EP 0 733 642 A1 for preparation), 18.3 g of hydroxybenzotriazole and 60 ml of morphine were added to the receiving solution. 52 grams of EDCxHCl was then added to the resulting mixture in one portion, followed by stirring at room temperature 58 200524874 overnight. The solvent was then evaporated under reduced pressure, and the remaining residue was dissolved in 750 ml of ethyl acetate. The organic phase was washed twice with 100 ml of a 2N aqueous hydrochloric acid solution each time, twice with 100 ml of water each time, and once with 100 ml of a saturated common saline solution, and dried over sodium sulfate. The solvent was evaporated under reduced pressure, and the remaining residue was dried under an oil pump vacuum (5 x 10 mbar) ', resulting in 87.9 g of 2 _ {[(38) -1 _ ({[((1- (2 -Tertiary butoxy-2-oxoethyl) -2_oxo-2,3,4,5-tetrahydrobenzenecycloazepine triamidine | alkenyl) amino] carbofluorenyl} cyclopentyl ) Methyl) succinic acid_4_benzyl @@-1-ethyl ester, which is a pale yellow oil, which is used directly in the next reaction without further purification or identification. Ε) 87.9 g of 2-{[(3S) -l-({[l- (2-tertiary butoxy-2-oxoethyl) -2-oxo-2, 3, 4, 5-tetrahydro-1 dissolves from 1-benzenecycloazepinetrien-3-enyl] amino} carbofluorenyl) cyclopentyl] methyl} succinic 4-phenylphenyl ester In 600 ml of ethyl acetate (= EA), and 20 grams of activated carbon palladium (Pd / C) was added thereto. The mixture was then hydrogenated under a hydrogen pressure of 1 bar for 2 hours, and then the reaction mixture was filtered on Cellite. The filtered cake was then washed with 1.5 liters of ethyl acetate, and the combined organic phases were evaporated in large amounts under reduced pressure. The residue was dissolved in 500 ml of ethyl acetate / cyclohexane (1: 1, v / v) and extracted twice with 200 ml of a half-saturated sodium carbonate solution each time. The aqueous phase was acidified with a concentrated potassium hydrogen sulfate solution and extracted three times with 200 ml of ethyl acetate. After drying on sodium sulfate, it was evaporated under reduced pressure. The remaining residue was dried under an oil pump vacuum, resulting in 71 g of 3-{[l-({[((3S) -1- (2-tertiary butoxy-2-oxoethyl) _2 _Oxo-2, 3, 4, 5-tetrahydrobenzylazepinetrien-3-enyl] amino} carbofluorenyl) cyclopentyl] methyl} -4-methoxy-4-oxy Butanoic acid, white foam; 1H-NMR (CDC13): 7.31-7.17, m5 [3]; 7.11, d, [0.5]; 7.08, d, 59 200524874 [〇 · 5]; 6.81, d [0.5]; 6.73, d, [0.5]. The intermediate product obtained in this case can be separated into the pure components of the cis-trans isomers by preparative high performance liquid chromatography (HPLC) if necessary. The 70 g of intermediate product obtained above was isolated using the following = separation. Column: LC80-1, 23.4 X 8 cm; Stationary phase: 74.0 g ChiralpakAD, 20 μ; Mobile phase: Heptane / isopropanol (μ: Er; UV detection analysis: Stationary phase: Chiralpak AD, 20 μ; Mobile phase · Heptane / isopropanol 9 · 1 (ν / ν); flow rate: 2 ml / min; cycle time · 15 minutes. When the retention time is 11.6 minutes, the first type is obtained 30 grams of stereoisomers, which is given the "reU" name, and is related to the _c00Rl = asymmetric center "* ca", which is a tertiary butoxy_2_ (Oxoethyl) _2_oxo_ 2,3,4,5-tetrahydro-1 // small benzene ring nitrogen trimethyl_3_fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl } _4_ethoxy_4 · oxobutanoic acid; iH-NMR ^ CDClJ: 7.31_mm PI. 7.0 · 9, d, [1]; 6.74, d, [1]; 4.53, 4.48, 4.37, 4.32 , AB-Q ·, [2]; 4.48, m, [1]; 4.11, m, [1]. 5 When the retention time was 6.5 minutes, 33 grams of the second stereoisomer was obtained, given the "re12" name, and the asymmetric center "* Ca" carrying the _c〇〇〇i functional group "Related, the isomer is (3" rel2 ")-3-{[l-({[((3S) -l_ (2-secondary butoxy-2-oxoethyl) -2-oxo _2,3,4,5-tetrahydro-1 // small benzenecycloazetadiene-3-fluorenyl] amino} carbofluorenyl) cyclopentyl] ethylbuthyl 4-ethoxyloxy Butyric acid; 1H-NMR (CDC13) · 7.31-7.17, m, [3]; 7.11, d, [2]; 6.81, d, [1];

4.6054.56,4.35,4.31,AB-Q.,[2];4.48,mJl];4.1〇,m Γ11·「α1 I _136°(1%溶於曱醇中)。 ’ ,〇 200524874 F)將4公克由上述取得之3-{[1-({[(3S)-1-(2-三級丁氧基_2_ 氧代乙基)-2-氧代-2,3,4,5-四氫-1凡1-苯環氮己三烯_3_晞基]胺基} 碳醯基)環戊基]甲基}_4_乙氧基_4_氧代丁酸溶解於15毫升之二 • 氯甲烷中。在該納受溶液冷卻至〇°C之後,將1.12毫升之三乙 • 基胺以及0·77毫升之乙基氯甲酸酯(ethyl chloroformate)緩慢地 以滴流之方式持續加入其中,然後該混合物在〇七下攪拌3〇分 鐘。接著將0.94毫升之異丙基胺加入其中,並在〇〇c下繼續攪 拌3小時。溶劑在減壓下大量地蒸發掉,且剩餘之殘留物則被 洛解於100晕升之乙酸乙酯中。有機相一次用5〇毫升飽和之硫 酸氫鉀水溶液洗滌,一次用飽和共同鹽水溶液,並且置於硫酸 鈉上乾燥,且溶劑在減壓下非常大量地被蒸發掉。將剩餘之殘 留物在油f浦真空下絲,結果產生4·29公克之標題化合物, 其呈淡黃色油狀物,MS:[M+H广586; m/z: 530; 484; 425。 範例2 ·· 一 2-{[(3S)小({[1-(羧甲基峰氧代_2,3,4,5_四氯苯環氮 己三晞_3_稀基]胺基}_碳驢基)環戊基]甲基M_(異丙胺基 代丁酸4.6054.56, 4.35, 4.31, AB-Q., [2]; 4.48, mJl]; 4.10, m Γ11 · "α1 I _136 ° (1% dissolved in methanol). ', 〇200524874 F) will 4 g of 3-{[1-({[(3S) -1- (2-tertiary butoxy_2_oxoethyl) -2-oxo-2,3,4,5- Tetrahydro-1 where 1-benzenecycloazepinetriene_3_fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl} _4_ethoxy_4_oxobutanoic acid is dissolved in 15 ml of Dichloromethane. After the receiver solution is cooled to 0 ° C, 1.12 ml of triethylamine and 0.77 ml of ethyl chloroformate are slowly continued in a trickle manner. It was added thereto, and the mixture was stirred at 307 for 30 minutes. Then 0.94 ml of isopropylamine was added thereto, and stirring was continued at OOc for 3 hours. The solvent was largely evaporated under reduced pressure, and the remaining The residue was dissolved in 100 ml of ethyl acetate. The organic phase was washed once with 50 ml of a saturated aqueous solution of potassium hydrogen sulfate, once with a saturated common salt solution, and dried over sodium sulfate, and the solvent was Evaporated very much under reduced pressure. The retentate was threaded under a vacuum of oil f, which resulted in 4.29 g of the title compound as a pale yellow oil, MS: [M + H 广 586; m / z: 530; 484; 425. Example 2 · A 2-{[(3S) small ({[1- (carboxymethyl peak oxo_2,3,4,5_tetrachlorobenzenecycloazepine hexamethylene_3_diluted] amine group) _carbon Donkey) cyclopentyl] methyl M_ (isopropylaminobutyric acid

將9.97公克由上述1E)中所取得之乙基2·([⑽小 二級丁乳基-2-氧代乙基)_2·氧代_2,3,4,5_四氫仙小苯環氮己三 埽_3·埽基]胺基}-碳醯基)環戊基]甲基}冰(異丙胺基)冰氧代丁 奴鹽落解於20G毫升之水/乙醇混合液(1:1,v/v)中,並將6料公 61 200524874 克固體之氫氧化鈉以攪拌方式加入其中。攪拌持續整夜,該溶 劑則在減壓下非常大量地蒸發掉,且剩餘之殘留物溶解於100 毫升之乙酸乙酯中。該水相用飽和之硫酸氫鉀水溶液中和’並 且用乙酸乙酯萃取3次。合併之有機相則用100毫升飽和共同 鹽水溶液洗滌,並且置於硫酸鈉上乾燥。在減壓下蒸發該溶劑, 並將剩餘之殘留物在油幫浦真空下乾燥,結果產生5.59公克之 標題化合物。 範例3 : (2“rell”)-2_{[(3S)-l-({[K 羧甲基)-2_ 氧代-2,3,4,5-四氫 -1/M·苯環氮己三晞_3_烯基]胺基碳醯基)環戊基]甲基}_4-(異 丙胺基)-4-氧代丁酸Add 9.97 g of ethyl 2 · ([⑽ small secondary butyl butyl-2-oxoethyl) _2 · oxo_2,3,4,5_tetrahydroxan benzene obtained from the above 1E) Cyclohexanehexamidine_3 · fluorenyl] amino} -carbofluorenyl) cyclopentyl] methyl} ice (isopropylamino) ice oxobutano salt dissolves in 20G ml of water / ethanol mixed solution ( 1: 1, v / v), and add 6 ingredients 61 200524874 grams of solid sodium hydroxide to it with stirring. Stirring was continued overnight, and the solvent was evaporated in large amounts under reduced pressure, and the remaining residue was dissolved in 100 ml of ethyl acetate. This aqueous phase was neutralized with a saturated aqueous solution of potassium hydrogen sulfate and extracted three times with ethyl acetate. The combined organic phases were washed with 100 ml of a saturated common saline solution and dried over sodium sulfate. The solvent was evaporated under reduced pressure, and the remaining residue was dried under oil pump vacuum, resulting in 5.59 g of the title compound. Example 3: (2 "rell")-2 _ {[(3S) -l-({[K carboxymethyl) -2_ oxo-2,3,4,5-tetrahydro-1 / M · benzene ring nitrogen Hexamidine_3_alkenyl] aminocarbanyl) cyclopentyl] methyl} _4- (isopropylamino) -4-oxobutanoic acid

將400毫克由上述範例2中所取得之順反異構物混合物用 HPLC依照下面說明之方法加以分離: 管柱:LC80-l,25x8 公分;固定相:ChiralpakAD,20μ ; 移動相:庚燒/異丙醇85 : 15 (ν/ν) + 0.1% ν/ν三氟乙酸(=TFA); 紫外線偵測,流速· 1毫升/分鐘;循環時間·· 15分鐘; 分析··管柱·· DAICEL Chiralpak AD ;長度:250毫米;直 徑:4.6毫米;移動相:n-庚烷800毫升,孓丙醇2〇〇毫升,三 氟乙酸2毫升;流速:0.8毫升/分鐘;分析時間:3〇分鐘。 62 200524874 在滯留時間(retention time)為13·5分鐘時,取得到該等條件 下第一種立體異構物(=標題化合物)13〇毫克,賦予其「reli」名 稱,與攜帶有-C00R1官能基之不對稱中心「*Ca」有關,呈白 色固體狀,其沈澱自 EE; W-NMR (甲醇):7.37-7e2,m,[4];4/76, 4·71,4.43, 4·38, AB-Q·; 4.4, m,[1]; 3·90, m,[1]; 3.40, m,[1]; 2·22-2·60, m,[2] ; 2.48-2.0, m,[12]; U〇, d,[6] ; [α]Β = -90°(0·5% 溶於甲醇中);熔點:145°C。 在滞留時間(retention time)為16.2分鐘時,取得到該等條件 下第二種立體異構物,賦予其「re12」名稱,與攜帶有_c〇〇Ri 官能基之不對稱中心「*Ca」有關。 範例4 : {(38)-3-[({1-[(2“代11”)-2-(乙氧基碳醯基)-4-(異丙胺基)_4-氧 代丁基]%戊基卜碳酼基)胺基]_2·氧代_2,3,4,5·四氫]私1_苯環氮 己三烯-1-稀·基}醋酸400 mg of the cis-trans isomer mixture obtained in the above Example 2 was separated by HPLC according to the method described below: column: LC80-1, 25x8 cm; stationary phase: ChiralpakAD, 20 μ; mobile phase: heptane / Isopropanol 85: 15 (ν / ν) + 0.1% ν / ν trifluoroacetic acid (= TFA); UV detection, flow rate · 1 ml / min; cycle time · 15 minutes; analysis · · column · · DAICEL Chiralpak AD; Length: 250 mm; Diameter: 4.6 mm; Mobile phase: 800 ml of n-heptane, 200 ml of propanol, 2 ml of trifluoroacetic acid; Flow rate: 0.8 ml / min; Analysis time: 3 minute. 62 200524874 When the retention time was 13.5 minutes, 130 mg of the first stereoisomer (= title compound) was obtained under these conditions, given its "reli" name, and carrying -C00R1 The asymmetric center "* Ca" of the functional group is related to a white solid, which is precipitated from EE; W-NMR (methanol): 7.37-7e2, m, [4]; 4/76, 4 · 71, 4.43, 4 · 38, AB-Q ·; 4.4, m, [1]; 3.90, m, [1]; 3.40, m, [1]; 2.22-2 · 60, m, [2]; 2.48- 2.0, m, [12]; U〇, d, [6]; [α] B = -90 ° (0.5% in methanol); melting point: 145 ° C. When the retention time was 16.2 minutes, the second stereoisomer was obtained under these conditions, given the "re12" name, and the asymmetric center "* Ca" carrying the _c〇〇〇i functional group "related. Example 4: {(38) -3-[({1-[(2 "Generation 11")-2- (ethoxycarbamido) -4- (isopropylamino) _4-oxobutyl]% Pentylbucarboxenyl) amino group] _2 · oxo_2,3,4,5 · tetrahydro] private-1_benzenecycloazepinetrien-1-diyl} acetic acid

將4.29公克之乙基三級丁氧基 -2-氧代乙基)-2•氧代-2,3,4,5-四氫-1//-1-苯環氮己三烯-3_埽基] 胺基}破醯基)%戊基]甲基卜4-(異丙胺基)-4-氧代丁酸鹽(仿照範 例1製備,但是與由HPLC分離所取得之(3“rell,,)-3-{[lW[(3S)_ l-(2-二級丁氧基-2-氧代乙基)-2-氧代-2,3,4,5-四氫-1/7-1-苯環氮 63 200524874 己三烯-3-烯基]胺基}碳醯基)環戊基]甲基}_4_乙氧基_4_氧代丁 酸一起做為步驟1E之中間產物),溶解於30毫升之二氣甲烷, 並加入^毫升之三氟乙酸。將該混合物隔夜靜置,然後溶劑與 過量之三氟乙酸在減壓下蒸發。剩餘之殘留物溶解於1〇〇毫; 之乙酸乙酯中,而有機相顧水絲至其成為pH巾性。有機相 置於硫酸^,燦,然歸劑在減壓下非常大量地蒸發。30毫 ^^每次加入至殘留物及混合物再度於減壓下蒸 發,剩叙Μ物在油f浦真空下麟,結果產生2·8公从 W化口物’其呈白色泡沫狀;1h_nmr仰7 6.825d? [1]; 5.86 η m , ? L J? 3.20, m, [1]; U3 ^ 1]; 4·4^ 4*42> AB'Q^ 产 ,Pj,1.09, [6] ; [a]D: ·155 (1〇/0溶於曱醇中)。 ^ ^ T ^ ^ 祕其、摄m田,,風 本環氮己三埽冬婦基]胺基}碳 土 土基P4_[(3·氫氧基丙基)胺基]-4-氧代丁酸鹽。4.29 g of ethyl tertiary butoxy-2-oxoethyl) -2 • oxo-2,3,4,5-tetrahydro-1 //-1-phenylcycloazepinetriene-3 _Fluorenyl] amine} amyl)% pentyl] methyl 4- (isopropylamino) -4-oxobutanoate (prepared following Example 1 but separated from that obtained by HPLC (3 " rell ,,)-3-{[lW [(3S) _ l- (2-secondary butoxy-2-oxoethyl) -2-oxo-2,3,4,5-tetrahydro- 1 / 7-1-benzene ring nitrogen 63 200524874 Hexatriene-3-enyl] amino} Carbofluorenyl) cyclopentyl] methyl} _4_ethoxy_4_oxobutanoic acid as a step 1E intermediate product), dissolved in 30 ml of digas methane, and ^ ml of trifluoroacetic acid was added. The mixture was left overnight, and then the solvent and excess trifluoroacetic acid were evaporated under reduced pressure. The remaining residue was dissolved In 100 mM ethyl acetate, while the organic phase looks at the silk until it becomes pH-stable. The organic phase is placed in sulfuric acid ^, bright, and the reducing agent evaporates in a very large amount under reduced pressure. 30mmol ^^ each Added to the residue and the mixture was evaporated again under reduced pressure, and the remaining residue was exposed to oil and vacuum under vacuum, resulting in 2 · 8 males, which were white foam; 1h_nmr 7 6.825d? [1]; 5.86 η m,? LJ? 3.20, m, [1]; U3 ^ 1]; 4 · 4 ^ 4 * 42 > AB'Q ^ product, Pj, 1.09, [6]; [a] D: · 155 (1/10/0 dissolved in methanol). ^ ^ T ^ ^ Miqi, photo field, wind, cyclazine, and hydrazine] amine group} carbon soil soil group P4 _ [(3. Hydroxypropyl) amino] -4-oxobutanoate.

破醯基)環戊基]甲基’四t笨環氮CL缔基]胺基} 反異構物混合如,;”⑽基代了酸(依照範例1E製備順 物),接者用HPLC方法分離該順反異構物)被溶解 64 200524874 於30毫升之二氯曱烷中。將U7毫升之3-胺基小丙醇,235毫 克之二甲基胺基毗啶以及1.61公克之EDC於攪拌中加入該納受 溶液中。1小時後,將該混合物於減壓下大量蒸發,並將剩餘之 殘留物溶解於100毫升之乙酸乙酯中,而有機相每次用3〇毫升 之稀硫酸氫押水溶液萃取2次。有機相再次用30毫升之飽和共 同鹽水溶液洗條2次,並且置於硫酸納上乾燥,然後溶劑在減 壓下非常大量地被蒸發掉。將剩餘之殘留物在油曾浦真空下乾 燥’結果產生4公克之標題化合物,為白色泡沫狀樹脂, MS:[M+H]+:602; m/z: 546; 500; 425 ; ^-NMR (CDC13): 7.32-7.18, m,p]; 7·12, d,[2]; 6.63, d,[1]; 6·49, tr,[1]; 4.57, 4·63, 4.34, 4·30, AB-Q· [2]; 4·51,m,[1] ; 4·11,m,[2] ; 3.57, tr,[2]。 範例6 ·· 乙基(2“rdl’,)-4-{[3_(乙醯氧基)丙基]胺基卜 2_{[1_({[(38)-1_ (2-三級丁氧基-2-氧代乙基)-2_氧代-2,3,4,5-四氫-111_1-苯環氮己 二烯·_3_烯基]胺基}碳醯基)環戊基]甲基}_4_氧代丁酸鹽。Amidyl) cyclopentyl] methyl'tetratyl nitrogen nitrogen CL allyl] amine} inverse isomers are mixed, for example, "" Amidino substituted for acid (preparation of cis according to Example 1E), then HPLC was used. The method was used to isolate the cis-trans isomer.) 64 200524874 was dissolved in 30 ml of dichloromethane. U7 ml of 3-amino-propanol, 235 mg of dimethylaminopyridine and 1.61 g of EDC were dissolved. The stirred solution was added to the receiving solution. After 1 hour, the mixture was largely evaporated under reduced pressure, and the remaining residue was dissolved in 100 ml of ethyl acetate, and the organic phase was diluted with 30 ml each time. Extracted twice with a hydrogen sulfate aqueous solution. The organic phase was washed twice with 30 ml of a saturated common saline solution again, and dried over sodium sulfate, and then the solvent was evaporated in a very large amount under reduced pressure. The remaining residue was evaporated. Drying under Yuzenpo's vacuum resulted in 4 g of the title compound as a white foam resin, MS: [M + H] +: 602; m / z: 546; 500; 425; ^ -NMR (CDC13): 7.32-7.18, m, p]; 7.12, d, [2]; 6.63, d, [1]; 6.49, tr, [1]; 4.57, 4.63, 4.34, 4.30, AB -Q · [2]; 4.51, m , [1]; 4 · 11, m, [2]; 3.57, tr, [2]. Example 6 · Ethyl (2 "rdl ',)-4-{[3_ (ethoxy) propyl" ] Amine group 2 _ {[1 _ ({[(38) -1_ (2-tertiary butoxy-2-oxoethyl) -2_oxo-2,3,4,5-tetrahydro-111_1 -Benzenecycloazetadiene · 3-alkenyl] amino} carbofluorenyl) cyclopentyl] methyl} 4-oxobutyrate.

將1公克於上述範例5取得之乙基(2“reii,,)_2-{[i-({[(3S)_l-(2-三級丁氧基-2-氧代乙基从氧代_2,3,4,5_四氨·瓜卜苯環氮己 二烯-3-烯基]胺基]}碳醯基)環戊烷基]甲基]_4#3_氫氧基丙基 胺基冰氧代丁酸鹽落解於20毫升之二氯甲燒中,並將3卿】之 65 200524874 氣化乙醯加入其中。90分鐘之後,溶劑在減壓下大量蒸發,剩 餘之殘留物質則溶解於20毫升之二氯甲烷中,並且用10毫升 稀碳酸氫鈉水溶液洗滌。然後將其置於硫酸鎂上乾燥,而溶劑 則在減壓下非常大量地蒸發,且剩餘之殘留物在矽膠上被進行 色層分析(移動相:乙酸乙酯/η-己烷7:3 v/v)。將產物之部分在 油幫浦真空下(5 X 1(Γ2毫巴)乾燥,結果產生920公克之標題化合 物,其呈無色油狀物,MS:[M+H]:644; m/z: 588; 542; 482; 425。 範例7 : {(3“rell,,)-3-[({H(2SH_{[3-(乙醯氧基)丙基]胺基卜2-(乙氧 基碳醯基)-4-氧代丁基]環戊基}碳醯基)胺基]-2-氧代-2,3,4,5-四 氫-1H-1-苯環氮己三烯-1-締基}醋酸1 gram of ethyl (2 "reii ,,) _ 2-{[i-({[(3S) _1- (2-tertiary butoxy-2-oxoethyl) obtained from Example 5 above was removed from oxo _2,3,4,5_tetraammonium guabbenzenecycloazahexadien-3-enyl] amino]} carbofluorenyl) cyclopentyl] methyl] _4 # 3_hydroxypropane The aminoaminoglacial oxobutyrate was decomposed in 20 ml of dichloromethane, and the acetic acid was added to it. After 90 minutes, a large amount of the solvent was evaporated under reduced pressure, and the remaining The residual material was dissolved in 20 ml of dichloromethane and washed with 10 ml of a dilute aqueous solution of sodium bicarbonate. It was then dried over magnesium sulfate, and the solvent was evaporated in a very large amount under reduced pressure, and the remaining residue The material was subjected to chromatographic analysis on silica gel (mobile phase: ethyl acetate / η-hexane 7: 3 v / v). A portion of the product was dried under oil pump vacuum (5 X 1 (Γ2 mbar), The result was 920 g of the title compound as a colorless oil, MS: [M + H]: 644; m / z: 588; 542; 482; 425. Example 7: {(3 "rell ,,)-3 -[({H (2SH _ {[3- (Ethyloxy) propyl] aminophenyl 2- (ethoxycarbamido) -4-oxobutyl] cyclopentyl} Acyl) amino] -2-oxo-2,3,4,5-tetrahydro -1H-1- phenyl ring nitrogen hexatrienyl -1- associative yl} acetate

將929毫克於上述範例6所取得之乙基(2“代11,,)-4-{[3-(乙醯 氧基)丙基]胺基}-2_{[l-({[(3S)小(2-三級丁氧基_2_氧代乙基)-2- 氧代-2,3,4,5-四氫_111_1_苯環氮己三烯_3_烯基]胺基}碳醯基)-環 戊基]曱基}-4-氧代丁酸鹽溶解於1〇毫升之二氯曱烷中,遮將2·2 毫升之三氟乙酸加入其中。將該混合物隔夜靜置,然後溶劑在 減壓下大量蒸發,將剩餘之殘留物溶解於30毫升之乙酸乙酯 中。而有機相則用水洗滌至其成為pH中性,並且再次於減壓下 大量蒸發,而剩餘之殘留物則每次用10毫升之甲苯燻蒸2次。 66 200524874 結果取得750毫克之標題化合物,為白色泡沫狀樹脂,MS:[M+H]·· 588; m/z: 542, 482, 425 ; b-NMR (CDC13): 7·33-7·14, m,[4]; 6·67, d,[1]; 6·59, ti*,[1]; 4.69, 4·64, 4.35, 4.30, AB-Q” [2]; 4.63, m,[1]; 4·17, m,[1] ; 4.09, q,[2]; 3·33, m,⑴;3·15, m,[2]。 範例8 : ((3S)_3][(H2“relΓ’)-2-乙氧基碳醯基)-4-[(3_氫氧基丙基) 胺基]_4·氧代丁基]環戊基}_碳醯基)胺基]氧代_2,3,4>四氫 苯環氮己三埽_丨_浠基丨醋酸。929 mg of ethyl (2 "substituted 11 ,,)-4-{[3- (ethoxy) propyl] amino} -2 _ {[l-({[(3S ) Small (2-tertiary butoxy_2_oxoethyl) -2-oxo-2,3,4,5-tetrahydro_111_1_benzenecycloazettriene_3_alkenyl] amine Group} Carbofluorenyl) -cyclopentyl] fluorenyl} -4-oxobutanoate was dissolved in 10 ml of dichloromethane, and 2.2 ml of trifluoroacetic acid was added thereto. The mixture was added Allow to stand overnight, then the solvent is evaporated under reduced pressure, and the remaining residue is dissolved in 30 ml of ethyl acetate. The organic phase is washed with water until it becomes pH neutral, and evaporated again under reduced pressure. The remaining residue was fumigated twice with 10 ml of toluene each time. 66 200524874 Result: 750 mg of the title compound was obtained as a white foam resin. MS: [M + H] ·· 588; m / z: 542, 482, 425; b-NMR (CDC13): 7.33-7 · 14, m, [4]; 6.67, d, [1]; 6.59, ti *, [1]; 4.69, 4 · 64, 4.35, 4.30, AB-Q ”[2]; 4.63, m, [1]; 4.17, m, [1]; 4.09, q, [2]; 3.33, m, ⑴; 3. · 15, m, [2]. Example 8: ((3S) _3] [(H2 "relΓ ')-2-ethoxycarbamyl) -4-[(3_hydrooxypropyl) amino] _4 · oxobutyl] ring Amyl} _carbofluorenyl) amino] oxo_2,3,4 > tetrahydrobenzenecycloazepine hexamethylene_ 丨 _fluorenyl 丨 acetic acid.

將580毫克之乙基(2,,rdl,,卜小(2_三級丁氧基 氧代乙基>2_氧代_2,3,4,5-四氫_111-1-苯環氮己三晞_3-晞基] 月文基丨)碳酿基)環戊基]甲基]-4-[(3-氫氧基丙基)胺基-4-氧代丁酸 製備用請參閱範例5)與三氟乙酸依照上述於範例4中所說明 之^去相互反應。在用管柱層析方法(固定相:矽膠;移動相: 乙酸乙酿/甲醇9:1 (v/v))純化過所生成之粗產物之後,結果取得 宅克之標題化合物,為無色之樹脂,1H-NMR (CDC13): 7.34_7·15, m,[4]; 6.76, tr,[1]; 6.61,d,[1]; 4.75, 4.71,4.20, 4.16, 々·,[2]; 4.57,叫[1] ; 4·09, q,[2] ; MS: [M+H]+:546; [a]D = 溶於甲醇中)。 範例9 : 67 200524874 胺基]-4-氧代丁酸 2-{[l-({[(3S)-l-(羧基甲基)_2•氧代_2,3,4,5_四氨货小苯環 氮己三婦埽基]胺基[碳醯基)環戊基]甲基}冰[(3_氫氧基丙基)580 mg of ethyl (2 ,, rdl ,, bu Xiao (2-tertiary butoxyoxoethyl > 2-oxo_2,3,4,5-tetrahydro_111-1-benzene Cyclohexanehexamidine_3-fluorenyl] Wenyl 丨) Carbonyl) Cyclopentyl] methyl] -4-[(3-Hydroxypropyl) amino-4-oxobutanoic acid Please refer to Example 5) to interact with trifluoroacetic acid as described in Example 4 above. After purification of the resulting crude product by column chromatography (stationary phase: silicone; mobile phase: ethyl acetate / methanol 9: 1 (v / v)), the title compound was obtained as a colorless resin. , 1H-NMR (CDC13): 7.34_7 · 15, m, [4]; 6.76, tr, [1]; 6.61, d, [1]; 4.75, 4.71, 4.20, 4.16, 々 ·, [2]; 4.57, called [1]; 4.09, q, [2]; MS: [M + H] +: 546; [a] D = soluble in methanol). Example 9: 67 200524874 Amino] -4-oxobutanoic acid 2-{[l-({[((3S) -1- (carboxymethyl) _2 • oxo_2,3,4,5_tetraammonium Cargo small benzene ring nitrogen trimethyl amidinyl] amine [carbofluorenyl] cyclopentyl] methyl} ice [(3-hydroxyoxypropyl)

將6.43公克之乙基(剛-⑴谓坤傅三級丁氧基錢 代乙基)-2-乳代-2,3,4,5-四氫册u苯環氮己三缔_3_婦基]胺基} 錢基)環戊基]甲基卜啡·氫氧基丙細基M·氧代丁酸鹽(製 備用請參囉例5)_於14G毫升水與乙醇1:ι (v/v)之混合液 中,並將4·28公克之固體氫氧化鈉於攪拌下加入其中。15五小 時之後,溶劑在減壓下蒸發,殘留物則被溶解於1〇Q毫升乙酸 乙酯之中,並用50毫升之硫酸氫鈉水溶液洗滌丨次。水相則每 次用30毫升之乙酸乙酯萃取2次。所合併之有機相每次用3〇 毫升之共同鹽水溶液洗滌2次,然後置於硫酸鈉上乾燥。蒸發 掉該溶劑,結果產生5.41公克之標題化合物。 範例U : 羧基甲基)-2•氧代-2,3,4,5-四氫 苯環氮己三晞-3-烯基]胺基}碳醯基)環戊基]甲基}-Ζμ[(3_ 氫氧基丙基)胺基]-4-氧代丁酸 68 2005248746.43 grams of ethyl (gang-⑴Kunfu tertiary-butoxy-Chloroethyl) -2-lacto-2,3,4,5-tetrahydrobenzene Alkyl] Amine} Cycyl) Cyclopentyl] Methylbrphine · Hydroxypropionyl M · Oxobutyrate (v / v), and 4.28 g of solid sodium hydroxide was added thereto with stirring. After 15 hours, the solvent was evaporated under reduced pressure, and the residue was dissolved in 10 ml of ethyl acetate and washed with 50 ml of an aqueous sodium hydrogen sulfate solution. The aqueous phase was extracted twice with 30 ml of ethyl acetate each time. The combined organic phases were washed twice with 30 ml of common saline solution each time and then dried over sodium sulfate. Evaporation of the solvent gave 5.41 g of the title compound. Example U: carboxymethyl) -2 • oxo-2,3,4,5-tetrahydrobenzenecycloazepinetrien-3-enyl] amino} carbofluorenyl) cyclopentyl] methyl}- Zμ [(3-Hydroxypropyl) amino] -4-oxobutanoic acid 68 200524874

將800毫克於上述範例9中所取得之異構物混合物用HPLC 依照下面說明之方法加以分離: 固定相:Nucleosil 100-10 ;管柱··長度250毫米,直徑20 當米,流速:8毫升/分鐘;移動相:n_庚烷(8〇〇毫升),2_丙醇 (200毫升),三氟乙酸(1毫升)。 分析:固定相:EC 250/4 Nucleosil 100-10 ;管柱:長度 250 毫米’直控4毫米;流速:ι·5毫升/分鐘;移動相:卜庚垸(8〇〇 毫升,2丙醇(200毫升),三氟乙酸(;[毫升)。800 mg of the isomer mixture obtained in Example 9 above was separated by HPLC according to the method described below: Stationary phase: Nucleosil 100-10; column · 250 mm in length, 20 mm in diameter, flow rate: 8 ml / Minute; mobile phase: n-heptane (800 ml), 2-propanol (200 ml), trifluoroacetic acid (1 ml). Analysis: stationary phase: EC 250/4 Nucleosil 100-10; column: 250 mm in length, 4 mm in direct control; flow rate: ι · 5 ml / min; mobile phase: Bu Gengxi (800 ml, 2 propanol (200 ml), trifluoroacetic acid (; [ml).

在滯留時間(retention time)為7.89分鐘時,取得該等條件下 第一種立體異構物(=標題化合物)2〇〇毫克,賦予其rreu」名稱, 與攜帶有「-COOR1」官能基之不對稱中心「*ca」有關;^NMR (CD3OD): 7.38, m,[4]; 4.78, 4.73, 4·43, 4·38, AB-Q”[2]; 4.41,m, [1] ; 3·93, m,[1]; 3.56, tr,[2]; 3·40, m,[1]; 3·31,m,[1]; 3.22, m, [2] ;2.78,m,[l];2.65,m,[1]。 ’ 在滯留時間(retentiontime)為4.47分鐘時,取得該等條件下 第二種立體異構物,被賦予其「re12」名稱,與攜帶有「-C〇〇Rl^ 官能基之不對稱中心「*Ca」有關。 範例11 : 2-{[l-({[(3S)_l-(2-乙氧基 _2_ 氧代乙基)-2•氧代-2,3,4,5_ 四氣 -1//-1-冬環鼠己三晞-3-晞基]胺基}碳酸基)環戊基]甲基 69 200524874 氫氧基丙基)胺基]-4-氧代丁酸When the retention time was 7.89 minutes, 200 mg of the first stereoisomer (= title compound) under these conditions was obtained, given the "rreu" name, and the one carrying the "-COOR1" functional group Asymmetry center "* ca" is related; ^ NMR (CD3OD): 7.38, m, [4]; 4.78, 4.73, 4.43, 4.38, AB-Q "[2]; 4.41, m, [1] 3.93, m, [1]; 3.56, tr, [2]; 3.40, m, [1]; 3.31, m, [1]; 3.22, m, [2]; 2.78, m , [L]; 2.65, m, [1]. 'When the retention time is 4.47 minutes, the second stereoisomer under these conditions was obtained, given the name "re12", and carrying " -C〇〇Rl ^ Asymmetric center of the functional group "* Ca" is related. Example 11: 2-{[l-({[((3S) _l- (2-ethoxy_2_oxoethyl) -2 • oxo-2,3,4,5_ tetragas-1 //- 1-Cyclopentylhexamidine-3-fluorenyl] amino} carbonate) cyclopentyl] methyl 69 200524874 Hydroxypropyl) amino] -4-oxobutanoic acid

將800晕克根據上述範例9所取得之(羧基 甲基)冬氧代-2,3,4,5_四氫-1//七苯環氮己三婦_3_晞基]胺基}碳 醯基)裱戊基]f基}-4-[(3-氫氧基丙基)胺基]_4_氧代丁酸(異構物 混合物)溶解於15毫升之二甲基甲醯胺(=DMF)中。將3〇2·5毫 克之奴酸铯(CszCO3)以及169毫克之乙基溴於室溫及攪拌下加 入該納受溶液中。在隔夜攪拌之後,其用42毫升之水以及21 毫升之二氯甲烷加以稀釋,然後水相則用二氯曱烷萃取。溶劑 在減壓下被大量蒸發,殘留物則被利用管柱層析方法分離(固定 相:矽膠;移動相··乙酸乙酯(100%)對EE/甲醇7··3 〇八〇)。將 產物之部分在油幫浦真空下(5 X ΙΟ*"2毫巴)乾燥,結果產生241 公克之標題化合物,其呈泡沫狀樹脂’MS: [M+H]+:546; m/z: 453, 425, 379 ; 1H-NMR (CDC13): 7.34-7.1,m,[4]; 4·82, 4.77, 4·34, 4.29, AB-Q-· [2]; 3.62, m,[2]; 3·37, m,[3]。 範例12 : 2-{[l-({[(3S)-l-(2-三級丁氧基 氧代乙基)-2-氧代 _2,3,4,5- 四氫-1H小苯環氮己三晞-3-烯基]胺基碳酿基)環戊基]甲 基}-4-(異丙胺基)-4-氧代丁酸 200524874800 grams of (carboxymethyl) oxo-2,3,4,5_tetrahydro-1 // heptaphenazine trimethyl_3_fluorenyl] amino group obtained according to Example 9 above} Carbofluorenyl) pentyl] fyl} -4-[(3-hydrooxypropyl) amino] -4-oxobutanoic acid (isomer mixture) dissolved in 15 ml of dimethylformamide (= DMF). 300.5 mg of cesium succinate (CszCO3) and 169 mg of ethyl bromide were added to the receiving solution at room temperature with stirring. After stirring overnight, it was diluted with 42 ml of water and 21 ml of dichloromethane, and the aqueous phase was extracted with dichloromethane. The solvent was largely evaporated under reduced pressure, and the residue was separated by column chromatography (stationary phase: silica gel; mobile phase ·· ethyl acetate (100%) vs. EE / methanol 7.3080). A portion of the product was dried under oil pump vacuum (5 X 10 * " 2 mbar), which resulted in 241 g of the title compound as a foamy resin 'MS: [M + H] +: 546; m / z: 453, 425, 379; 1H-NMR (CDC13): 7.34-7.1, m, [4]; 4.82, 4.77, 4.34, 4.29, AB-Q- · [2]; 3.62, m, [2]; 3.37, m, [3]. Example 12: 2-{[l-({[(3S) -l- (2-tertiary butoxyoxoethyl) -2-oxo_2,3,4,5-tetrahydro-1H small Benzazepine, hexamethylenetrien-3-enyl] aminocarbinyl) cyclopentyl] methyl} -4- (isopropylamino) -4-oxobutanoic acid 200524874

將2.6公克之乙基2-{[(3S)-l-({[l-(2-三級丁氧基-2-氧代乙 基)-2-氧代-2,3,4,5-四氫-1//-1-苯緣氮己二缔-3-缔基]胺基}碳酿 基)環戊基]甲基(異丙胺基)冰氧代丁酸(製備用請參閱範例 1)溶解於52毫升之乙醇中。於該納受溶液中加入一由710毫 克之固體氫氧化鈉溶於52毫升之水所組成之溶液。30分鐘之 後,該溶液用稀硫酸氫鉀水溶液酸化至大約pH值2,然後水相 每次用50毫升之乙酸乙酯萃取3次。所合併之有機相被置於硫 酸鎂上乾燥,而溶劑則在減壓下非常大量地蒸發,剩餘之殘留 物在矽膠上進行色層分析(移動相:乙酸乙酯/環己烷2:1 v/v)。 將產物部分在油幫浦真空下(5 X 1〇_2毫巴)乾燥,結果產生2·2公 克之標題化合物,其為白色泡沫狀樹脂,MS: [M+H]+:558; m/z: 502, 425, 397, 323 〇 範例13 : 4-氯苯甲基-2-{[ 1-( {[(3 S)_ 1 _(2-三級丁氧基_2-氧代乙基)-2-氧代-2,3,4,5-四氫-1历1_苯環氮己三烯-3-埽基]胺基}_碳醯基)環 戊基]甲基}-4-(異丙胺基)-4-氧代丁酸鹽2.6 grams of ethyl 2-{[(3S) -l-({[l- (2-tertiary butoxy-2-oxoethyl) -2-oxo-2,3,4,5 -Tetrahydro-1 //-1-benzene edge azadiphenyl-3-enyl] amino group} carbon group) cyclopentyl] methyl (isopropylamino) glacial oxobutanoic acid Example 1) Dissolved in 52 ml of ethanol. A solution consisting of 710 mg of solid sodium hydroxide in 52 ml of water was added to the receiving solution. After 30 minutes, the solution was acidified with a dilute aqueous potassium hydrogen sulfate solution to a pH of about 2, and the aqueous phase was extracted three times with 50 ml of ethyl acetate each time. The combined organic phases were dried over magnesium sulfate, the solvent was evaporated in large amounts under reduced pressure, and the remaining residue was subjected to chromatography on a silica gel (mobile phase: ethyl acetate / cyclohexane 2: 1 v / v). The product portion was dried under oil pump vacuum (5 X 10-2 mbar), which resulted in 2.2 g of the title compound as a white foam resin, MS: [M + H] +: 558; m / z: 502, 425, 397, 323 〇 Example 13: 4-chlorobenzyl-2-{[1- ({[(3 S) _ 1 _ (2-tertiary butoxy_2-oxo (Ethyl) -2-oxo-2,3,4,5-tetrahydro-1 1-benzenecycloazahexatriene-3-fluorenyl] amino} _carbofluorenyl) cyclopentyl] methyl } -4- (isopropylamino) -4-oxobutyrate

71 200524874 將300毫克由上面所取得之2-{[i-({[(3S)小(2_三級丁氧基 -2-氧代乙基)-2-氧代_2,3,4,5-四氫-1/7-1-苯環氮己三婦_3_烯基] 胺基}碳醯基)環戊基]甲基}-4-(異丙胺基)·4-氧代丁酸溶解於5 毫升之二氯甲烷中。將33毫克之4-二甲基胺基吡啶(=DMAP), 85毫克之4-氯苯甲基醇以及124毫克之EDC X HC1加入該溶 液’然後進行終夜授拌。該混合液用5毫升之二氯甲烷稀釋, 有機相則連續用2毫升之稀硫酸氫鉀水溶液以及用飽和共同鹽 水溶液洗滌 1次。有機相被置於硫酸鎂上乾燥,而溶劑則在減 壓下非常大量地蒸發至乾燥,剩餘之殘留物在矽膠上被進行色 層分析(移動相:乙酸乙酯/環己烷3:2 v/v)。將產物部分在油寶 浦真空下(5 X 1(Τ2毫巴)乾燥,結果產生32〇公克之標題化合物, 其呈白色泡泳狀,MS: [Μ+Η]+: 682/684; m/z: 626/628; 576, 484, 425。 範例14 : {(3S)-3-[({l-|>{[(‘氯苯甲基)氧基]碳醯基卜4-(異丙基胺 基)-4-氧代丁基]環戊基}碳醯基)胺基]_2_氧代_2,3,4,5_四氯 苯環氮己三烯-1-烯基}醋酸71 200524874 300 mg of 2-{[i-({((3S) small (2-tertiary butoxy-2-oxoethyl) -2-oxo_2,3,4 , 5-tetrahydro-1 / 7-1-benzenecycloazepinetris_3_alkenyl] amino} carbofluorenyl) cyclopentyl] methyl} -4- (isopropylamino) · 4-oxo Butanoic acid was dissolved in 5 ml of dichloromethane. 33 mg of 4-dimethylaminopyridine (= DMAP), 85 mg of 4-chlorobenzyl alcohol, and 124 mg of EDC X HC1 were added to the solution 'and then stirred overnight. The mixture was diluted with 5 ml of dichloromethane, and the organic phase was washed once with 2 ml of a dilute aqueous potassium hydrogen sulfate solution and with a saturated common salt solution. The organic phase was dried over magnesium sulfate, and the solvent was evaporated to dryness under reduced pressure. The remaining residue was subjected to chromatography on a silica gel (mobile phase: ethyl acetate / cyclohexane 3: 2). v / v). The product portion was dried under a vacuum from Youbaopu (5 X 1 (T2 mbar)). As a result, 32 g of the title compound was produced. / z: 626/628; 576, 484, 425. Example 14: {(3S) -3-[({l- | > {[('chlorobenzyl) oxy] carbohydrazine 4- ( Isopropylamino) -4-oxobutyl] cyclopentyl} carbofluorenyl) amino] _2_oxo_2,3,4,5_tetrachlorobenzenecycloazahexatriene-1-ene Acetyl

將318公克由上面所取得之4-氯苯甲基_2_{[le({[(3S)-l-(2-三級丁氧基-2-氧代乙基)-2-氧代-2,3,4,5-四氫-1仏1_苯環氮己三 烯-3-烯基]胺基卜礙醯基)環戊烷基]甲基卜4_(異丙基胺基)冰氧 72 200524874 代丁酸鹽溶解於11毫升之二氯甲烷中,並將1〇8毫升之三氟乙 酞加入該溶液,且該混合液進行終夜授摔。溶劑然後在減壓下 大量蒸發,所剩餘之殘留物則溶解於10毫升之乙酸乙酯中。而 有機相則用水洗務至其成為pH中性。接著溶劑再次於減壓下大 量蒸發,而剩餘之殘留物則用5毫升之甲苯燻蒸i次。結果取 得305毫克之標題化合物,為白色泡沫狀樹脂,MS: [M+H]'· 626/628; m/z: 657, 484, 425 〇 範例15 : 〇甲氧基乙氧基)甲基三級丁氧基_^氧 代乙基)-2-氧代_2,3,4,5-四氳苯環氮己三婦-3-烯基]胺基} 碳醯基)環戊基]曱基}-4-(異丙基胺基)氧代丁酸318 g of 4-chlorobenzyl_2 _ {[le ({[((3S) -1- (2-tertiary butoxy-2-oxoethyl) -2-oxo- 2,3,4,5-tetrahydro-1′1-phenylcycloazahexatrien-3-enyl] amino group hinderyl) cyclopentyl] methyl group 4- (isopropylamino) Ice oxygen 72 200524874 The butyrate was dissolved in 11 ml of dichloromethane, and 108 ml of trifluoroacetylphthalein was added to the solution, and the mixture was subjected to overnight drop. The solvent was then evaporated under reduced pressure, and the remaining residue was dissolved in 10 ml of ethyl acetate. The organic phase is washed with water until it becomes pH neutral. The solvent was then evaporated again under reduced pressure, and the remaining residue was fumigated i times with 5 ml of toluene. As a result, 305 mg of the title compound was obtained as a white foam resin. MS: [M + H] '· 626/628; m / z: 657, 484, 425 〇 Example 15: 〇methoxyethoxy) methyl Tertiary butoxy_ ^ oxoethyl) -2-oxo_2,3,4,5-tetrafluorenylbenzeneazepine triammon-3-enyl] amino} carbofluorenyl) cyclopentyl ] Fluorenyl} -4- (isopropylamino) oxobutanoic acid

將300 ¾:克之2-{[l-({[(3S)]-(2-三級丁氧基氧代乙基 氧代-2,3,4,5_四氫他1_苯環氮己三埽_3_婦基]胺基}_碳醯基)環 戊基]曱基}冰(異丙基胺基)冰氧代丁酸(製備用請參閱範例⑵ 洛解於5 升〈二氯甲燒中。於該納受溶液中加人33毫克之 DMAP ’ 74 μΐ〈甲氧基乙氧基氯甲燒以及9〇 ^之三乙基胺。該 反應混合^後整夜攪拌,接著用5毫升之二氯甲輯釋,有 機相則連續用3毫升之稀硫酸缺水溶液以及用飽和共同鹽水 溶液洗=1,。有機相置於_鎂上贿,喊細在減壓下 非常大量地錯至乾燥,嶋之殘留物在郷上進行色層分析 (移動相:乙酸乙醋/環己垸2:1 ,。將產物部分在油幫浦真空 73 200524874300 ¾: grams of 2-{[l-({[(3S)]-(2-tertiary butoxyoxoethyloxo-2,3,4,5_tetrahydrotal 1-benzene ring nitrogen Hexatriol_3_woyl] amino} _carbofluorenyl) cyclopentyl] fluorenyl} ice (isopropylamino) glacial oxobutanoic acid (for example, please refer to example ⑵ for hydrolysis for 5 liters < Dichloromethane. 33 mg of DMAP '74 μΐ <methoxyethoxychloromethane and 90% triethylamine were added to the receiver solution. The reaction was mixed and stirred overnight, then Released with 5 ml of dichloroform, and the organic phase was successively washed with 3 ml of a dilute aqueous solution of sulfuric acid and a saturated common saline solution = 1. The organic phase was placed on _magnesium, and the amount was very large under reduced pressure. The ground was dried to dryness, and the residue of tritium was subjected to chromatographic analysis on tritium (mobile phase: ethyl acetate / cyclohexylhydrazone 2: 1 ,. The product was partially vacuumed in oil pump 73 200524874

下乾燥,結果產生191公多士押% ^ A 兄疋私題化合物,MS: [M+H]+: 646; m/z: 590, 540, 484, 425 〇 範例44 乙基(2 rell )_2_{[ι谓3S叫2_乙氧基氧代乙基化氧 ^^,四氫-咖笨環氮己三埽各晞細幻碳峨環戊 基]甲基}冬[(3-氫氧基丙基)胺基]冰氧代丁酸鹽After drying, the result is 191% of toast. ^ A Brother ’s private title compound, MS: [M + H] +: 646; m / z: 590, 540, 484, 425 〇 Example 44 ethyl (2 rell) _2 _ {[ι Said that 3S is called 2_ethoxy oxoethylated oxygen ^^, tetrahydro-cabenzylcyclohexane, hydrazine, each fluorene, carbocyclopentyl] methyl} dong [(3-hydrogen Oxypropyl) amino] glacial oxobutyrate

將 140 毫克之{(3s)_3_[({1_[(2“reii,,)_2_(乙氧基碳醯 基)4 (異丙&gt;基胺基&gt;4-氧代丁基]環戊基卜碳醯基)胺基碎氧代 -2’3’4,5_四氫_1//_1_苯環氮己三婦_1_埽基}醋酸(製備用請參閱範 例4)浴解於3毫升之乙醇巾,於該溶液巾加人5滴濃硫酸,炊 後該混合物於室溫下授拌2天。_接著在減壓下大量蒸發掉,、 =剩餘《殘留物則溶解於5毫升之乙酸乙酯中。有機相每次用2 毫升之硫酸氫麻溶液絲2次。於硫義上麟之後,而溶 劑在減壓下紐至乾燥,殘留物則树膠上進行色層分析(移動 相·乙酸乙酯/環己烷8:2 (ν/ν》。結果取得46毫克之標題化合 物,其呈白色泡沫狀,Ms: [M+H]+: 574; m/z: 528, 323 ; 1h_Nmr (CDC13): 7·33-7·11,m,[4]; 6.69, m,[1]; 6.44, m,[1]; 4.79, 4·75 4.34, 4.30, AB-Q'[2]; 4.48, m,[1]。 , 列於下表9中之通式〗之化合物也可以根據以上範例中所描 述之方法或是根據與其類似之方法製備: 200524874 盘2 :通式i其他之化合物 範例 號碼 R1 R2 R3 R4 c * 組構 cb* 組構 [M+H]+ 16 Η Η 甲氧基乙基 Η 消旋 S 518 17 Η Η 3 -(2-oxoazepanyl) Η 消旋 S 571 18 乙基 -(ch2)2-ckch2)2- Η 消旋 S 558 19 Η -(C h2)2-o-(ch2)2· Η Rell S 20 Η Η 4-甲氧基苯基-2-氧代乙基 Η 消旋 S 608 21 Η Η 3-氧代,1,1- 二甲基丁基 Η 消旋 S 558 22 Η Η 苯基-2-氧代乙 基 Η 消旋 S 578 23 Η Η 環丙烷甲基 Η 消旋 S 514 24 Η Η 4-甲氧基苯曱基 Η 消旋 S 580 25 Η Η 4-甲氧基苯乙基 Η 消旋 S 594 26 Η Η 2-甲氧基苯甲基 Η 消旋 S 580 27 Η Η 苯甲基 Η 消旋 S 550 28 Η Η 甲基 Η 消旋 S 474 29 乙基 Η 2-(4-甲氧基苯 基)-2-氧代乙基 Η 消旋 S 636 30 乙基 Η 甲氧基乙基 Η rell S 546 31 Η Η 2-甲氧基苯甲基 Η 消旋 S 580 32 Η 甲基 異丙基 Η 消旋 S 516 33 乙基 Η 3,4-二甲氧基苯 甲基 Η 消旋 S 638 200524874 34 乙基 Η 環丙基 Η 消旋 S 528 35 Et Η 2-氫氧基乙基 Η 消旋 S 532 36 Et Η 4-甲氧基苯甲基 Η 消旋 S 608 37 Et Η 1-萘甲基 Η 消旋 S 628 38 Et Η 4-曱氧基苯乙基 Η 消旋 S 622 39 異丙 Η 異丙基 Η 消旋 S 544 基 40 n_ 丁 Η 異丙基 Η 消旋 S 558 基 41 Η Η 異丙基 甲氧 消旋 S 590 基乙 氧基 甲基 42 2-氯 Η 異丙基 Η 消旋 S 627 苯甲 基 43 Η 曱基 2-氮氧基乙基 Η 消旋 S 518 44 參閱上面 45 Η -(ch2)2_co_(ch2)2- Η 消旋 S 542 46 Et -(CH2)2-CO-(CH2)2- Η 消旋 S 570 47 Et -(CH2)2-N(Bn)- (CH2)2- Η 消旋 S 647 48 Et -(ch2)2-s-(ch2)2- Η 消旋 S 574 49 Η -(ch2)4- Η 消旋 S 514 50 Η -(CH2)3-CH(CH2-OH)- Η 消旋 S 558 ch2- 200524874140 mg of {(3s) _3 _ [({1 _ [(2 "reii ,,) _ 2_ (ethoxycarbamoyl) 4 (isopropyl &gt; ylamino &gt; 4-oxobutyl] cyclopentyl (Carbocarbyl) amine oxo-2'3'4,5_tetrahydro_1 // _ 1_benzidine nitrogen trimethyl_1_fluorenyl} acetic acid (see Example 4 for preparation) bath Dissolve in 3 ml of ethanol towel, add 5 drops of concentrated sulfuric acid to the solution towel, and cook the mixture at room temperature for 2 days._ Then evaporate a large amount under reduced pressure, the remaining residue will dissolve In 5 ml of ethyl acetate. The organic phase was shredded 2 times with 2 ml of bisulfate solution. After the thiosulfate was added, the solvent was dried under reduced pressure, and the residue was colored on the gum. Layer analysis (mobile phase · ethyl acetate / cyclohexane 8: 2 (v / v). As a result, 46 mg of the title compound was obtained as a white foam, Ms: [M + H] +: 574; m / z : 528, 323; 1h_Nmr (CDC13): 7 · 33-7 · 11, m, [4]; 6.69, m, [1]; 6.44, m, [1]; 4.79, 4 · 75 4.34, 4.30, AB -Q '[2]; 4.48, m, [1]. The compounds of the general formula listed in Table 9 below can also be based on the methods described in the above examples or similar to them. Process Preparation: 200524874 Disk 2: Other compounds of general formula i Example number R1 R2 R3 R4 c * Structure cb * Structure [M + H] + 16 Η Η Methoxyethyl Η Racemic S 518 17 Η Η 3 -(2-oxoazepanyl) Η racemic S 571 18 ethyl- (ch2) 2-ckch2) 2- Η racemic S 558 19 Η-(C h2) 2-o- (ch2) 2 · · Rell S 20 Η Η 4-methoxyphenyl-2-oxoethyl Η racemic S 608 21 Η Η 3-oxo, 1,1-dimethylbutyl Η ΗS 558 22 Η 苯基 phenyl-2- OxoethylΗ Η S 578 23 Η Η Cyclopropanemethyl Η Η S 514 24 Η Η 4-methoxyphenyl 曱 曱 Η 旋 S 580 25 Η Η 4-methoxyphenethylΗ Η Η S 594 26 Η Η 2-methoxybenzyl Η racemic S 580 27 Η Η benzyl Η racemic S 550 28 Η Η methyl Η racemic S 474 29 ethyl Η 2- (4-methyl (Oxyphenyl) -2-oxoethyl Η racemic S 636 30 ethyl Η methoxyethyl Η rell S 546 31 Η Η 2-methoxybenzyl Η racemic S 580 32 Η methyl Isopropyl hydrazone S 516 33 ethyl hydrazone 3,4-dimethoxybenzyl hydrazone S 638 200524874 34 ethyl hydrazone cyclopropyl hydrazone S 528 35 Et Η 2-HydroxyethylΗ Η S 532 36 Et Η 4-methoxybenzylΗ Η S 608 37 Et Η 1-naphthylmethylΗ Η S 628 38 Et Η 4 -Methoxyphenethyl hydrazone S 622 39 isopropyl hydrazone isopropyl hydrazone S 544 radical 40 n_ butyl isopropyl hydrazone S 558 radical 41 Η isopropyl methoxy racemic S 590 Ethylethoxymethyl 42 2-chlorofluorene isopropyl hydrazone S 627 benzyl 43 fluorenyl 2-nitrooxyethyl hydrazone S 518 44 see above 45 45-(ch2) 2_co_ (ch2 ) 2- ΗS S 542 46 Et-(CH2) 2-CO- (CH2) 2- ΗS S 570 47 Et-(CH2) 2-N (Bn)-(CH2) 2- ΗS 647 48 Et-(ch2) 2-s- (ch2) 2- Η Racemic S 574 49 Η-(ch2) 4- Η Racemic S 514 50 Η-(CH2) 3-CH (CH2-OH)-Η Racem S 558 ch2- 200524874

51 Η 甲基 -CH2-(CHOH)- ch2oh Η 消旋 S 548 52 Η 乙基 -(ch2)3-nh -c2H5 Η 消旋 S 573 53 Et 2-氮乳 乙基 2-氯氧乙基 Η 消旋 S 576 54 Η 甲基 甲基 Η 消旋 S 488 55 Η 乙基 乙基 Η 消旋 S 516 56 Η 甲基 3-氯氧丙基 Η 消旋 S 532 57 Η -(CH2)2-CH(OH)-(CH2)2- Η 消旋 S 544 58 Η 2-氫氧 乙基 2-氫氧乙基 Η 消旋 S 548 59 Η 甲基 -(ch2)2_n(ch3)2 Η rell S 545 60 Η 甲基 -(CH2)3-N(CH3)2 Η 消旋 S 559 61 Et -(CH2)2-CH(-0-valine)- (CH2)2- Η 消旋 S 671 62 Et 甲基 -(CH2)3-0-valine Η 消旋 S 659 63 Η 甲基 異丙基 Η rell S 516 64 Η 甲基 -(CH2)rN(CH3)2 Η rell S 559 65 Η 甲基 -(CH2)rNH2 Η 消旋 S 531 66 Η -(CH2)-0-(CH2)2 Η 消旋 S 530 67 Η 乙基 _(CH2)3媽 Η 消旋 S 68 Η 甲基 -(ch2)2_nh(ch3) Η 消旋 S 表9續:rac =消旋;Bn =苯甲基 200524874 範例69 : 三級丁基2-{[l-({[(3S)小(2-三級丁氧基1氧代乙基)-2-氧 代-2,3,4,5-四氫-1//小苯環氮己三烯冬晞基]胺基}碳醯基)環戊 基]甲基卜4-(4•氫氧哌啶小烯基)氧代丁酸鹽51 Η Methyl-CH2- (CHOH)-ch2oh Η Racemic S 548 52 乙基 Ethyl- (ch2) 3-nh -c2H5 Η Racemic S 573 53 Et 2-Azoethyl-2-chlorooxyethylΗ Racemic S 576 54 Η Methyl methyl Η Racemic S 488 55 Η Ethyl ethyl Η Racemic S 516 56 Η Methyl 3-chlorooxypropyl Η 旋 S 532 57 Η-(CH2) 2-CH (OH)-(CH2) 2- Η Racemic S 544 58 Η 2-Hydroxyethyl 2-hydrooxyethyl Η Racemic S 548 59 Η Methyl- (ch2) 2_n (ch3) 2 Η rell S 545 60 Η methyl- (CH2) 3-N (CH3) 2 Η racemic S 559 61 Et-(CH2) 2-CH (-0-valine)-(CH2) 2- Η racemic S 671 62 Et methyl -(CH2) 3-0-valine Η Racemic S 659 63 Η Methyl isopropyl Η rell S 516 64 甲基 Methyl- (CH2) rN (CH3) 2 Η rell S 559 65 Η Methyl- (CH2) rNH2 Η Racemic S 531 66 Η-(CH2) -0- (CH2) 2 Η Racemic S 530 67 Η Ethyl_ (CH2) 3 Ma Η Racemic S 68 Η Methyl- (ch2) 2_nh (ch3) Η Racemic S Table 9 continued: rac = racemic; Bn = benzyl 200524874 Example 69: tertiary butyl 2-{[l-({[(3S) small (2-tertiary butoxy 1 oxo (Ethyl) -2-oxo-2,3,4,5-tetrahydro-1 // small benzenecycloazetadienetrifluorenyl] amino} carbofluorenyl) ring Yl] methyl Ji Bu 4- (4 • piperidin hydroxide small enyl) oxobutanoate

((

A) 將100公克之2-[(2-苯甲基氧基)-2-氧代乙基]丙婦酸 (欲製備請參閱範例1A)與47毫升之亞硫醯氯,43毫升之三級丁 醇以及110毫升之毗啶根據範例1B)中所描述之方法相互反應, 結果產生69.8公克之2-亞曱基琥珀酸-4-苯甲基酯-1-三級丁基 酯,[M+H]+ : 277。 B) 將29.6公克由上面所取得之2_亞甲基琥珀酸-4-苯甲 基酉旨-1-三級丁基酯與41.4毫升之二異丙基胺,200毫升1.6M之 n_丁基li(n-butyllithium)溶於η-己烷之溶液以及12毫升之環戊 少元幾酸根據在範例1C)中所描述之方法相互反應,結果產生24.5 公克之1_[4-(苯甲基氧基)_2_(三級丁氧基碳醯基)斗氧代丁基]環 戊烷羧基酸。 c) 將公克由上面所取得之苯甲基氧基)_2-(三 級丁氧基碳酿基)_4_氧代丁基]環戊烷羧基酸與1175公克之三級 丁基_[(3S)-3_(胺基_2_氧代^,❻西氫卜放苯環氮己三埽小烯 基]醋酸鹽(欲製備請參閱EP 0 733 642 A1)根據在範例1D)中所 78 200524874 描述之方法相互反應,結果產生21公克之三 級丁氧基_2_氧代乙基)-2-氧代j,3,4,5-四氬-1//-苯環氮己三烯-3- 晞基]胺基}碳醯基)環戊基]甲基}琥珀酸冰苯甲基酯+三級丁基 酯。 D)將21公克由上述所取得之2_{[(3S)-1-({[1_(2-三級丁 氧基-2-氧代乙基)-2-氧代_2,3,4,5-四氫-1//-苯環氮己三晞-3-晞基] 胺基}碳醯基)環戊基]甲基}琥珀酸4-苯甲基酯ο-三級丁基酯根 據在範例1E)中所描述之方法用6公克之活化碳把(paiia(jium on activated carbon)處理,並且在ι·3巴之氫氣壓下水合反應12小 時,結果產生10公克之4-三級丁氧基_3_{[l-({[(3S)-l-(2-三級丁 氧基-2-氧代乙基)_2_氧代_2,3,4,5-四氫_1//小苯環氮己三烯_3-埽 基]胺基}碳醯基)環戊基]甲基}_4_氧代丁酸;MS: [M+H]+: 573; m/z: 517, 461 ; b-NMR (CDC13): 7·31-7·17, m,[3]; 7·10, m,[1]; 6.80, d,[0·5]; 6·72, d,[0·5]; 4.60-4.30, m,[3]; 3·30, m,[0·5]; 3·17, m,[0·5]。 Ε) 將1·11公克由上述所取得之4-三級丁氧基·3-{[1_({[(3S)_1_(2-三級丁氧基-2-氧代乙基&gt;2-氧代-2,3,4,5_四氫 小苯環氮己三晞_3_烯基]胺基}碳醯基)環戊基]曱基}冰氧代 丁酸溶解於7.8毫升之二氯曱烷中,並加入3〇〇 μ1之三乙基胺。 當於冰浴中冷卻至〇。〇時,將222 μΐ之氯甲酸乙酯以滴流之方式 加入該納受溶液中。該混合物被攪拌30分鐘,然後將216毫克 之4-氫氧哌啶加入該溶液,接著混合液整夜攪拌。用乙酸乙酯 稀釋該混合液,並且用硫酸氫鉀水溶液以及鹽水洗滌。將有機 層在硫酸鎂上乾燥,並在矽膠上進行管柱色層分離(液體相:乙 酸乙g旨/環己烷1:1 (ν/ν),改變成純質之乙酸乙酯,變成為乙酸 乙酯/甲醇4:1 (v/v)),結果產生550毫克之標題化合物,其呈白 79 200524874 色泡沫狀 ’ MS: [M+H]+: 656; m/z: 425, 397, 323。 範例70 ·一 2-{[1-({[1-(叛基甲基)-2_氧代-2,3,4,5-四氮-1//-1_苯環氮己 三晞-3-晞基]胺基}碳醯基)環戊基]甲基}_4_氧代-4_[4_(L_纈胺醯 氧基)喊淀-I-婦基]丁酸A) 100 grams of 2-[(2-benzyloxy) -2-oxoethyl] propionic acid (see Example 1A for preparation) and 47 ml of thionyl chloride, 43 ml of three Butanol and 110 ml of pyridine were reacted with each other according to the method described in Example 1B), which resulted in 69.8 g of 2-methylenesulfinyl-4-benzyl-1-tert-butyl ester, [ M + H] +: 277. B) 29.6 g of 2-methylene succinic acid-4-benzylhydrazone-1-tertiary-butyl ester and 41.4 ml of diisopropylamine, 200 ml of 1.6 M n- A solution of butyl li (n-butyllithium) in η-hexane and 12 milliliters of cyclopentanosinic acid react with each other according to the method described in Example 1C), resulting in 24.5 grams of 1_ [4- (benzene (Methyloxy) _2_ (tertiary butoxy carbofluorenyl) oxobutyl] cyclopentanecarboxylic acid. c) g of benzyloxy) _2- (tertiary butoxy carbon) obtained from the above-mentioned 4-oxobutyl] cyclopentanecarboxylic acid and 1175 g of tertiary butyl _ [( 3S) -3_ (Amine_2_oxo ^, diazepam, benzocycloazepine, tris- small alkenyl) acetate (for preparation see EP 0 733 642 A1) according to 78 in Example 1D) 200524874 The methods described react with each other, resulting in 21 g of tertiary butoxy_2_oxoethyl) -2-oxoj, 3,4,5-tetraargine-1 //-benzenecycloazepine Ene-3-fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl} benzyl succinate + tert-butyl ester. D) 21 grams of 2 _ {[(3S) -1-({[1_ (2-tertiary butoxy-2-oxoethyl) -2-oxo_2,3,4 , 5-tetrahydro-1 //-benzenecycloazepinetrisamidine-3-fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl} 4-benzyl succinate ο-tertiary butyl The ester was treated with 6 grams of activated carbon (paiia (jium on activated carbon) according to the method described in Example 1E), and hydrated for 12 hours under a hydrogen pressure of ι · 3 bar, resulting in 10 grams of 4- Tertiary butoxy_3 _ {[l-({[(3S) -l- (2-tertiary butoxy-2-oxoethyl) _2_oxo_2,3,4,5-tetra Hydrogen_1 // small benzenecycloazepinetriene_3-fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl} _4_oxobutanoic acid; MS: [M + H] +: 573; m / z: 517, 461; b-NMR (CDC13): 7.31-7 · 17, m, [3]; 7.10, m, [1]; 6.80, d, [0 · 5]; 6 · 72, d, [0 · 5]; 4.60-4.30, m, [3]; 3 · 30, m, [0 · 5]; 3.17, m, [0 · 5]. Ε) will be 1 · 11 grams of 4-tertiary butoxy obtained from the above 3-3-[[1 _ ({[((3S) _1_ (2-tertiary butoxy-2-oxoethyl> &gt; 2-oxo-2 , 3,4,5_tetrahydro small benzenecycloazepinetris_3_alkenyl] amino} carbofluorenyl) cyclopentyl] fluorenyl} glacial oxobutanoic acid dissolved in 7.8 mmol 2,000 μΐ of triethylamine was added to the dichloromethane. When cooled to 0.0 in an ice bath, 222 μΐ of ethyl chloroformate was added dropwise to the receiving solution. The mixture was stirred for 30 minutes, and then 216 mg of 4-hydropiperidine was added to the solution, followed by stirring the mixture overnight. The mixture was diluted with ethyl acetate, and washed with an aqueous potassium hydrogen sulfate solution and brine. The organic The layer was dried over magnesium sulfate, and column chromatography was performed on silica gel (liquid phase: ethyl acetate / cyclohexane 1: 1 (ν / ν), changed to pure ethyl acetate, and changed to acetic acid. Ethyl ester / methanol 4: 1 (v / v)), which resulted in 550 mg of the title compound as a white 79 200524874 colored foam. MS: [M + H] +: 656; m / z: 425, 397, 323. Example 70-A 2-{[1-({[1- (Suptilylmethyl) -2_oxo-2,3,4,5-tetrazol-1 //-1_benzenecyclohexane Triamidine-3-fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl} _4_oxo-4_ [4_ (L_valaminefluorenyloxy) -Hydroxy-I-Foyl] butanoic acid

A) 將548毫克於範例67所取得之三級丁基 2_{[卜({[(38)-1-(2-三級丁氧基_2_氧代乙基)_2_氧代_2,3,4,5-四氫 •1/M-苯環氮己三烯烯基]胺基}碳醯基)環戊基]甲基卜冬(冬氬 氧哌啶_1_晞基)-4-氧代丁酸鹽溶解於3毫升之二氯甲烷。然後於 該溶液中加入51毫克之DAMP,182毫克之BOC-L-纈胺酸以及 176毫克之EDC。在攪拌3小時之後,用乙酸乙酯稀釋該混合 物,接著用硫酸氫鉀水溶液以及鹽水洗滌。將有機層在硫酸鎂 上乾燥’並在石夕膠上進行管柱色層分離(液體相:乙酸乙酯/環己 垸1:1 (v/v),改變成純質之乙酸乙酯),結果產生551毫克之1-(4-三級丁氧基)-3-{[l-({[(3S)-l-(2-三級丁氧基-2-氧代乙基)-2-氧代 _2,3,4,5-四氫_1H小苯環氮己三烯冬婦基]胺基}碳醯基)環戊基] 甲基}-4-氧代丁醯基)哌啶_4-烯基_N-(三級丁氧基碳醯基&gt;L_纈 胺酸鹽,MS: [M+H]'· 855; m/z: 699, 643, 625, 425, 397, 323, 235。 B) 將551毫克上述所取得之1-(4-三級丁氧 200524874 基 H-{[l-({[(3S)-l-(2_ 三級丁氧基-2-氧代乙基 &gt;2-氧代 _2,3,4,5-四氣_1 Η-1-苯壤氮己二缔-3·締基]胺基}碳聽基)環戊基]甲基卜4-氧代丁醯基)旅淀-4-烯基(三級丁氧基碳縫基)-L-顯胺酸鹽溶 解於14毫升之二氯甲烷中,並於該納受溶液中加入1.49毫升之 三氟乙酸。在終夜攪拌之後,該溶劑以及過量之酸在減壓之下 蒸發。於剩餘之殘留物中加入乙酸乙酯,而有機層則用飽和之 碳酸氫鈉水溶液洗滌直至pH值達到4為止。然後水層用乙酸乙 酯萃取3次,所合併之有機層則於硫酸鎂上乾燥。於減壓下蒸 發該溶劑,接著將剩餘之殘留物在油幫浦真空下乾燥,結果得 到310毫克之標題化合物,其呈白色泡沫狀,MS: [M+H]: 643; m/z: 425, 397, 323。 範例71 : 三級丁基2-{[l_({[(3S)_l-(2_乙氧基_2_氧代乙基)-2-氧代 _2,3,4,5-四氫苯環氮己三埽_3_缔基]胺基}碳醯基)環戊基] 甲基}_4_ [兴丙基(甲基)胺基]«4-氧代丁酸鹽A) 548 mg of tertiary butyl 2 _ {[[(((38) -1- (2-tertiary butoxy_2_oxoethyl) _2_2oxoethyl_2) , 3,4,5-tetrahydro • 1 / M-benzenecycloazepinetrienyl] amino group} carbofluorenyl) cyclopentyl] methylbudong (dongguanoxypiperidine_1_fluorenyl) 4-oxobutanoate was dissolved in 3 ml of dichloromethane. To this solution were then added 51 mg of DAMP, 182 mg of BOC-L-valine acid, and 176 mg of EDC. After stirring for 3 hours, the mixture was diluted with ethyl acetate, followed by washing with an aqueous potassium hydrogen sulfate solution and brine. The organic layer was dried over magnesium sulfate, and column chromatography was performed on Shixi gum (liquid phase: ethyl acetate / cyclohexane 1: 1 (v / v), changed to pure ethyl acetate) The result was 551 mg of 1- (4-tertiary butoxy) -3-{[l-({[((3S) -1- (2-tertiary butoxy-2-oxoethyl)- 2-oxo_2,3,4,5-tetrahydro_1H small phenylcycloazahexatrienyl (Wife)] amino} carbofluorenyl) cyclopentyl] methyl} -4-oxobutanyl) piperyl Pyridin_4-alkenyl_N- (tertiary butoxy carbofluorenyl) &gt; L_valinate, MS: [M + H] '· 855; m / z: 699, 6425, 425, 397, 323, 235. B) 551 mg of the above-obtained 1- (4-tertiary butoxy 200524874 group H-{[l-({[(3S) -l- (2_ tertiary butoxy-2 -Oxoethyl &gt; 2-oxo_2,3,4,5-tetraki_1 Η-1-benzenephosphine nitrogen hexadiene-3 · enyl] amino} carbo) cyclopentyl ] Methylbu 4-oxobutyryl) Lvdo-4-enyl (tertiary butoxy carbon cracking group) -L-methanine was dissolved in 14 ml of dichloromethane and the solution was received Add 1.49 ml of trifluoroacetic acid. After stirring overnight, the solvent and excess acid are evaporated under reduced pressure. To the remaining residue is added ethyl acetate. Ethyl acetate, and the organic layer was washed with saturated aqueous sodium bicarbonate until the pH reached 4. The aqueous layer was then extracted 3 times with ethyl acetate, and the combined organic layers were dried over magnesium sulfate. Evaporated under reduced pressure This solvent was then dried under oil pump vacuum to obtain 310 mg of the title compound as a white foam. MS: [M + H]: 643; m / z: 425, 397, 323 Example 71: Tertiary butyl 2-{[l _ ({[((3S) _l- (2_ethoxy_2_oxoethyl) -2-oxo_2,3,4,5-tetra Hydrobenzyl hexazinetris (3_alkenyl) amino group} carbofluorenyl group) cyclopentyl group] methyl} _4_ [Xingpropyl (methyl) amino group] «4-oxobutyrate

A己將2〇公克之卜㈣苯甲基氧基…王級丁氧基碳驢 基)+乳代丁基]環戊垸叛基酸(欲製備請參閱範例 69B))與 13.4 a克之乙基_[(斗3_胺基_2_氧代_2,3,仏四氫]从苯環氮己三婦 1婦基]酷酸鹽(製備乃仿照描述於Ep 〇 733⑷Μ之方法)根據 200524874 範例ID)中所插述之方法相互反應,結果產生28·6公克之冬苯 甲基·1_三級丁基_2_{[1_({[(3S)小(2_乙氧基-2_氧代乙基)冬氧代 •2,3,4,5-四氫-ΙΗ-Ι-苯環氮己三烯-3·烯基]胺基}碳醯基)環戊基] 甲基} 丁二酸鹽。 B) 將2&amp;6公克上述取得之‘苯曱基小三級丁基 -2-{[l-({[(3S)_;U(2-乙氧基 _2_ 氧代乙基 &gt;2氧代-2,3,4,5_ 四氫 •1H小苯環氮己三烯_3_晞基]胺基}碳醯基)環戊烷基]甲基}琥珀 酸鹽根據在範例1E)中所描述之方法用5公克之活化碳鈀 (palladium on activated carbon)處理,並且在2 3巴之氫氣壓下氫 化水合反應4.5小時,結果產生16公克之4_三級丁氧基 _3-{[H{[(3S)小(2-乙氧基_2_氧代乙基)_2_氧代_2,3,4,5四氫 -1//-1-苯環氮己三烯烯基]胺基丨碳醯基)環戊基]曱基卜4•氧代 丁酸,[M+H]+: 545; m/z: 489。 C) 將3公克上面取得之4-三級丁氧基 乙氧基-2-氧代乙基)_2-氧代_2,3,4,5-四氫_1好_1_苯環氮己三烯-3-晞基]胺基}碳醯基)環戊基]甲基氧代丁酸根據在範例1F)中 所描述之方法用與859 μΐ之甲基異丙基胺相互反應,結果產生 1.6公克之標題化合物,其呈白色泡沫狀,MS: [m+h]+: 6〇〇; m/z: 544 〇 範例72 2_{[H{[(3S)_1_(2-乙氧基j·氧代乙基)_2_氧代-2,3,4,5_四氫 -1//-1-苯環氮己二稀-3-埽基]胺基}碳醯基)環戊基]甲基卜4-[異丙 基(甲基)胺基]-4-氧代丁酸A has mixed 20 grams of diphenylbenzyloxy ... king butoxy carbodonyl) + lactobutyl] cyclopentanosuccinic acid (for preparation see Example 69B)) and 13.4 a gram of ethyl [[Battle 3_amino group 2_oxo_2,3, pyrazine tetrahydro] from benzazine, trimethyl and 1-methyl] acyl salt (prepared according to the method described in Ep 〇733⑷M) according to 200524874 Example ID) Interacted with each other, resulting in 28 · 6 g of winter benzyl · 1-tert-butyl_2 _ {[1 _ ({[((3S) 小 (2_ethoxy- 2_oxoethyl) winter oxo 2,3,4,5-tetrahydro-lΗ-l-benzenecycloazahexatriene-3 · alkenyl] amino} carbofluorenyl) cyclopentyl] A Succinate. B) 2 &amp; 6 grams of the 'phenylfluorenyl small tertiary butyl-2-{[l-({[(3S) _; U (2-ethoxy_2_oxoethyl) &gt; 2 Oxo-2,3,4,5_ tetrahydro • 1H small benzenecycloazetadiene_3_fluorenyl] amino} carbofluorenyl) cyclopentyl] methyl} succinate according to Example 1E) The method described in the above was treated with 5 grams of activated palladium (palladium on activated carbon) and hydrogenated to hydration under a hydrogen pressure of 23 bar for 4.5 hours, resulting in 16 grams of 4_tertiary butoxy_3- {[H {[(3S) Small (2-ethoxy_2_oxoethyl) _2_oxo_2,3,4,5tetrahydro-1 //-1-benzenecycloazepinetriene Alkenyl] amino group carbofluorenyl) cyclopentyl] fluorenyl 4 • oxobutanoic acid, [M + H] +: 545; m / z: 489. C) 3 grams of 4-tertiary butoxyethoxy-2-oxoethyl) _2-oxo_2,3,4,5-tetrahydro_1good_1_benzene ring nitrogen Hexatriene-3-fluorenyl] amino} carbofluorenyl) cyclopentyl] methyloxobutanoic acid was reacted with 859 μΐ of methyl isopropylamine according to the method described in Example 1F), As a result, 1.6 g of the title compound was obtained as a white foam. MS: [m + h] +: 6〇〇; m / z: 544 〇 Example 72 2 _ {[H {[(3S) _1_ (2-ethoxy Group j · oxoethyl) _2_oxo-2,3,4,5_tetrahydro-1 //-1-benzenecycloazepine di-3-fluorenyl] amino} carbofluorenyl) ring Amyl] methyl 4- [isopropyl (methyl) amino] -4-oxobutanoic acid

200524874 將507耄克於範例69中所取得之三級丁基 2-{[1-({[(38)_1|乙氧基_2·氧代乙基)士氧代-2,3,4,5-四氫 苯環氮己三缔各浠基]胺基}碳醯基)環戊基]甲基}冰[異丙 基(甲基)胺基]-4-氧代丁酸鹽溶解於18毫升之二氯曱烷中,並於 該納受溶液中加入1·95毫升之三氟乙酸。在整夜攪拌之後,該 /么劑以及過1之酸在減壓之下蒸發。於剩餘之殘留物中加入乙 酸乙酯,而有機層則用飽和之碳酸氫鈉水溶液洗滌直至水層 (??)之pH值達到5為止。有機層然後置於较酸鎂上乾燥。將 有機層在硫酸鎂上乾燥,並在矽膠上進行管柱色層分離(液體 相·乙酸乙酯/環己燒1:1 (v/v) ’改變成純質之乙酸乙酯),結果 產生430毫克之標題化合物,其呈白色泡沫狀,ms: [m+H]+: 544。 ϋ列73 1-[(乙氧基碳醯基)氧基]乙基2_{[1_({[(3S)小(2_乙氧基氧 代乙基)-2-乳代-2,3,4,5_四氫苯環氮己三婦缔基]胺基} 竣酸基)環戊基]甲基}-4-[異丙基(甲基)胺基]氧代丁酸鹽200524874 507 g of tertiary butyl 2-{[1-({[((38) _1 | ethoxy_2 · oxoethyl)) ethoxy-2,3,4 obtained in Example 69 , 5-tetrahydrobenzenecycloazepine tris (fluorenyl) amino} carbofluorenyl) cyclopentyl] methyl} ice [isopropyl (methyl) amino] -4-oxobutanoate dissolved In 18 ml of dichloromethane, and 1.95 ml of trifluoroacetic acid was added to the receiving solution. After stirring overnight, the agent and the acid over 1 were evaporated under reduced pressure. Ethyl acetate was added to the remaining residue, and the organic layer was washed with a saturated aqueous sodium hydrogen carbonate solution until the pH of the aqueous layer (??) reached 5. The organic layer was then dried over magnesium acid. The organic layer was dried over magnesium sulfate, and column chromatography was separated on silica gel (liquid phase · ethyl acetate / cyclohexane 1: 1 (v / v) 'change to pure ethyl acetate). This gave 430 mg of the title compound as a white foam, ms: [m + H] +: 544. Example 73 1-[(ethoxycarbamoyl) oxy] ethyl 2 _ {[1 _ ({(((3S) small (2-ethoxyoxoethyl) -2-lacto-2,3 , 4,5_tetrahydrobenzenecycloazepine triammonyl] amino} acyl) cyclopentyl] methyl} -4- [isopropyl (methyl) amino] oxobutyrate

將107毫克之2-{〇({[(3SM_(2-乙氧基_2_氧代乙基)_2-氧代 -2,3,4&gt;四氫-If丨_苯環氮己三缔;烯基]胺基}碳醯基)環戊基] 甲基}-4-[異兩基(甲基)胺基]-冬氧代丁酸(欲製備請參閱範例72) 溶解於1毫补之二甲基甲醯胺中。然後於該溶液中加入83 μΐ之 83 200524874 三乙基胺,20毫克之固體碳酸鉀,以及85 μΐ之氯碳酸二乙酉旨 (chloroethylethylcarbonate)。在整夜攪捽之後,用乙酸乙酯稀釋 該混合液,然後用硫酸氫鉀水溶液以及鹽水洗滌。將有機層在 硫酸鎂上乾燥,並在矽膠上進行管柱色層分離(液體相:乙酸乙 醋/環己烷1:1 (V/V)),結果產生41毫克之標題化合物,其呈白 色泡沫狀,MS: [M+H]+: 600; m/z: 526, 449, 310, 253。 範例74 Η(乙氧基碳醯基)氧基]乙基2_{[1-({[(3S)小(2_{1_[(乙氧基 碳醯基)氧基]乙氧基卜2-氧代乙基)-2-氧代-2,3,4&gt;四氫-li/小苯 環氮己三晞-3-烯基]胺基}碳醯基)環戊基]甲基}_4_[異丙基(甲基) 胺基]-4-氧代丁酸鹽107 mg of 2- {〇 ({[(3SM_ (2-ethoxy_2_oxoethyl) _2-oxo-2,3,4 &gt; tetrahydro-If 丨 _benzenecycloazepine ; Alkenyl] amino} carbofluorenyl) cyclopentyl] methyl} -4- [isodiyl (methyl) amino] -aspartic acid (see Example 72 for preparation) dissolved in 1 mmol Add dimethylformamide. Then add 83 μΐ of 83 200524874 triethylamine, 20 mg of solid potassium carbonate, and 85 μΐ of chloroethylethylcarbonate to the solution. Stir overnight After mashing, the mixture was diluted with ethyl acetate, and then washed with an aqueous potassium hydrogen sulfate solution and brine. The organic layer was dried over magnesium sulfate, and column chromatography was performed on silica gel (liquid phase: ethyl acetate / ring Hexane 1: 1 (V / V)) yielded 41 mg of the title compound as a white foam, MS: [M + H] +: 600; m / z: 526, 449, 310, 253. Example 74 Η (ethoxycarbamyl) oxy] ethyl 2 _ {[1-({[((3S) small (2_ {1 _ [(ethoxycarbamyl) oxy) ethoxy) ethoxy-2-oxo Ethoxy) -2-oxo-2,3,4 &gt; tetrahydro-li / small benzenecycloazepinetrien-3-enyl] amino} carbofluorenyl) cyclopentyl] methyl} _4_ [ Isopropyl (methyl) amino] -4-oxobutyrate

將500毫克之乙基2-{[l_({[(3S)-l-(2-三級丁氧基-2-氧代乙 基氧代_2,3,4,5_四氳環氮己三烯冬烯基]胺基}碳酿 基)環戊基]甲基}斗[異丙基(甲基)胺基]斗氧代丁酸鹽(請參閱範 例32,合成則仿照範例2)溶解於1〇毫升之二甲基甲醯胺中。然 後於該溶液中加入312 μΐ之氯碳酸二乙酯,758毫克之固體碳酸 铯(Cs2C〇3)以及80毫克之固體碘化鉀。在60。(:下攪拌5小時之 後,用乙酸乙酯稀釋該混合液,然後用水洗滌2次。將有機層 在硫酸鎂上乾燥,並在砍膠上進行管柱色層分離(液體相··環己 84 200524874 烷,改變成乙酸乙酯/環己烷1:1 (v/v)),結果產生360毫克之標 題化合物,其呈白色油狀,MS: [M+H]+: 748; m/z: 614, 480。 範例I : 含有{(3S)-3_[({l-[(2“rell”)-2_(乙氧基碳醯基)冰(異丙基胺 基)-4-氧代丁基]環戊基}-碳醯基)胺基]-2-氧代_2,3,4,5-四氫 -1/M-苯環氮己三烯-1-烯基}醋酸之膠囊: 每粒膠囊含有下列組成之膠囊之製備: {(3S)-3_[({H(2“rell,,)-2-(乙氧基碳醯基)_4_(異丙 基-胺基)-4-氧代丁基]環戊基}-碳醯基)胺基]_2_氧 代_2,3,4,5-四氫-177_1-苯環氮己三稀-1_烯基}酷酸2〇毫克 玉米澱粉 60毫克 乳糖500 mg of ethyl 2-{[l _ ({[(3S) -l- (2-tertiary butoxy-2-oxoethyloxo_2,3,4,5_tetraphosphonium ring nitrogen Hexatrienyl] amino} carbyl) cyclopentyl] methyl} [isopropyl (methyl) amino] oxobutyrate (see Example 32, the synthesis follows the example 2 ) Dissolved in 10 ml of dimethylformamide. Then 312 μΐ of diethyl chlorocarbonate, 758 mg of solid cesium carbonate (Cs2C03), and 80 mg of solid potassium iodide were added to the solution. (: After stirring for 5 hours, the mixture was diluted with ethyl acetate, and then washed twice with water. The organic layer was dried over magnesium sulfate, and column chromatography was separated on the gel (liquid phase ·· ring Hexane 84 200524874 alkane, changed to ethyl acetate / cyclohexane 1: 1 (v / v)), resulting in 360 mg of the title compound as a white oil, MS: [M + H] +: 748; m / z: 614, 480. Example I: Contains {(3S) -3 _ [({l-[(2 "rell")-2_ (ethoxycarbamido) ice (isopropylamino) -4- Oxobutyl] cyclopentyl} -carbofluorenyl) amino] -2-oxo_2,3,4,5-tetrahydro-1 / M-phenylcycloazahexatrien-1-enyl} Capsules of Acetic Acid: Each capsule Preparation of capsules containing the following composition: {(3S) -3 _ [({H (2 "rell ,,)-2- (ethoxycarbamido) _4_ (isopropyl-amino) -4-oxo Butyl] cyclopentyl} -carbofluorenyl) amino] _2_oxo_2,3,4,5-tetrahydro-177_1-phenylcycloazepine-triene-1_enyl} 20 mg Corn starch 60 mg lactose

300毫克 乙奴乙醋 足量300 mg acetoacetate

將王成分、玉米殿粉以及乳糖利用乙酸乙酿製作成均質之 混合物團塊。將關塊磨碎,所生成之㈣置於適#之盤子上, 並在45。(:下乾燥讀去溶劑。經過轉後之雜接著通過一壓 碎機並且在一混合機中與其他下列之補劑p么· 滑石粉 5毫克 硬脂酸鎂 5毫克 玉米澱粉 9毫克 然後充填入400毫克之膠囊(=膠囊尺碼〇)。 85King ingredient, corn flour, and lactose are made into ethyl acetate homogeneous mixture briquettes. Grind the pieces and place the resulting mash on a suitable plate and at 45. (: Dry and read off the solvent. After the conversion, pass through a crusher and mix with the following supplements in a mixer. Talc powder 5 mg magnesium stearate 5 mg corn starch 9 mg and then filled Fill in 400 mg capsules (= capsule size 0). 85

Claims (1)

2〇〇524874 十、申請專利範圍·· L 一種通式I之化合物200524874 10. Scope of patent application · L A compound of general formula I 其中 R1為氫原子或是一形成生物不安定酯類之官能基, R2為氫原子;含有1至4個礙原子之烷基或是含有i至 4個碳原子之氳氧烷基,其氫氧基部份可隨意選擇被 含有2至4個碳原子之烷醯基或是一胺基酸殘基所酉旨 化,及 R3為含有1至4個碳原子之烷基;含有1至4個碳原子 之烷氧基-含有1至4個碳原子之烷基;含有1至4 個碳原子之氫氧烷基,其可隨意選擇被一第二個氫氧 基所取代,且其氫氧基部份每個皆可隨意選擇被含有 2至4個碳原子之燒S&amp;基或是一胺基酸殘基所醋化; (含有0至4個碳原子之烷基)2胺基-含有1至4個碳 原子之烷基;含有3至7個碳原子之環烷基;含有3 至7個碳原子之環烷基-含有1至4個碳原子之烷基; 86 200524874 苯基-含有1至4個碳原子之烷基,其苯基部份可隨意 選擇被含有1至4個碳原子之烷基、含有1至4個碳 原子之燒氧基及/或由素做1至2次之取代;萘基_含 有1至4個碳原子之烷基;含有3至6個碳原予之氧 代燒基(oxoalkyi);苯碳醯甲基(phenylcarbonyl-methyl) ’其苯基部份可隨意選擇被含有1至4個碳原 子艾烷基、含有丨至4個碳原子之烷氧基及/或崗素, 或是2-環氮己烷做丨至2次之取代,或是 R2以及R3共同為含有4至7個碳原子之烷撐基,其甲撐 基部份可隨意選擇被碳醯基、氮原子、氧原子及/或硫原 子做1至2次之取代,而且其可隨意選擇被氫氧基,做 1次之取代’其可隨意選擇被含有2至4個碳原子之烷 酿基(alkanoyl)或是一胺基酸殘基所酯化;含有!至4個 碳原子之烷基;含有1至4個碳原子之氫氧烷基,其氫 氧基部份可隨意選擇被含有2至4個碳原子之烷醯基或 是一胺基酸殘基所酯化;苯基或是苯甲基,及 R4為氫原予或是一形成生物不安定酯類之官能基, 以及通式I之酸在生理學上可互容之鹽類,及/或通式I 之化合物於生理學上可互容之酸加成鹽類。 2·根據申請專利範圍第1項所述之通式I化合物,其中 R1為氫原子或是一形成生物不安定酯類之官能基, R2為氫原子,含有1至4個碳原子之烷基或是含有1至 4個碳原子之氫氧燒基,其氫氧基部份可隨意選擇被 含有2至4個碳原子之烷醯基所取代,及 R3為含有1至4個碳原子之烷基;含有1至4個碳原子 87 200524874 之烷氧基-含有1至4個碳原子之烷基;含有1立4 個碳原子之氫氧烷基,其可隨意選擇被第二個氫氧基 所取代,且其氫氧基部份可隨意選擇被含有2至4個 碳原子之燒醯基;含有1至4個碳原子之烷基胺基一 含有1至4個碳原子之燒基;含有3至7個碳原子之 環烷基,·含有3至7個碳原子之環烷基-含有1至4 個碳原子之姨^基;苯基-含有1至4個碳原子之嫁基’ 其苯基部份可隨意選擇被含有1至4個碳原子之烷 基、含有1至4個碳原子之燒氧基及/或_素做1至2 次之取代;萘基-含有1至4個碳原子之烷基;含有3 至6個碳原子之氧代烷基(〇x〇alkyl);苯碳醯甲基 (phenylcarbonylmethyl),其苯基部份可隨意選擇被含 有1至4個碳原子之烷基、含有1至4個碳原子之烷 氧基及/或1¾素,或是2-環氮己烷做1至2次之取代, 或是 R2以及R3共同為含有4至7個碳原子之烷撐基,其曱撐 基部份可隨意選擇被碳醯基、氮原子、氧原子及/或硫原 子做1至2次之取代,而且其可隨意選擇被含有1至4 個碳原子之烷基做1次之取代;含有1至4個碳原子之 氫氧烷基,其氫氧基部份可隨意選擇被含有2至4個碳 原子之烷醯基取代;氧;苯基或是苯甲基所取代,及 R4為氫原子或是一形成生物不安定酯類之官能基, 以及通式I之酸之生理學可互容鹽類,及/或通式I之化 合物於生理學上可以互容之酸加成鹽類。 3·根據申請專利範圍第1項所述之通式I之化合物,其中, R1為氫原子、乙基、甲氧基乙氧基甲烷基、(RS)-l-[[(異 88 200524874 丙基)碳醯基]氧基]乙基、(rs)-i_[[(乙基)破醯基]氧基]士 甲丙基、(RS&gt;l-[[(環己烷氧基)碳醯基]氧基]乙基、5-甲 基_2·氧代-1,3-二嗔_4·烯基·甲基、2_氧代-1,3-二务4-晞 基-甲基或是(RSH_[[(乙氧基)碳醯基]氧基乙基。 4·根據申請專利範圍第1項所述之通式〗之化合物,其中, R2為氫原子、甲基、乙基、2-氫氧乙基或是3-氫氧两基, 每個氳氧基皆可隨意選擇被含有2至4個碳原子之烷醯 基或是一胺基酸殘基所酯化。 5·根據申凊專利範圍第1項所述之通式I之化合物,其中, R為異丙基,甲氧基乙基;2-氫氧乙基或是3-氳氧丙基, 母個氫氧基皆可隨意選擇被含有2至4個碳原子之跪醯 基或是一胺基酸殘基所酯化;乙醯氧基丙基;環丙 基甲基,2-甲乳基苯甲基;4-甲氧基苯甲基;4-甲氧基苯 乙基;2,4-二甲氧基苯甲基;丨-萘基甲基; &gt;氧代“,卜二 甲基丁基;苯基-2-氧代乙基;2_(4_甲氧基苯基)-2_氧代_ 乙基;3-(2-環氮己烷);二甲基胺基_n_丙基;(甲基)胺基 乙基或是胺基-η-丙基。 6·根據申清專利範圍弟1項所述之通式I之化合物,其中, R2以及R共同為嗎琳;略淀;4-酮基旅淀;4-氫氧基略 淀,於該氫氧基上可隨意選擇被含有2至4個碳原子之 燒酿基或疋胺基故殘基所醋化;略秦或ρ比咯、jt完。 7·根據申請專利範圍第1項所述之通式I之化合物,其中, R4為氫原子、含有1至4個碳原予之烷基、對_曱氧基笨 曱基、N,N-一-(含有1至4個碳原予之烷基)胺基·含有i 至4個碳原子之烷基,(RS)-l-[[(異丙基)碳醯基]氧基]乙 基、(RS)-H[(乙基)碳醯基]氧基]_2_甲丙基、(RS)]_[[(環 89 200524874 己烷氧基)碳醯基]氧基]-乙基、5-甲基_2•氧代-1,3-二噁-4-烯基-甲基、2-氧代-1,3-二嗔-4-烯基-甲基或是 (RS)小[[(乙氧基)碳醯基]氧基]乙基。 8.根據申請專利範圍第1項所述之通式I之化合物,其選 自該組,其組成由 2-{[1-({[1-(叛基甲基&gt;2-氧代-2,3,4,5-四氫苯環氮 己三烯各晞基]胺基}-碳醯基)環戊基]曱基卜4-[異丙基 (甲基)胺基]-4-氧代丁酸; 2-{[1_({[Η羧基曱基)-2_氧代-2,3,4,5_四氫_1好小苯環氮 己三烯-3-烯基]胺基}碳醯基)環戊基]甲基卜4-(二甲基胺 基)-4-氧代丁酸; 2-{[1-({[1-(羧基甲基&gt;2-氧代-2,3,4,5-四氳苯環氮 己三烯-3-烯基]胺基}碳醯基)環戊基]甲基}冬(二乙基胺 基)-4-氧代丁酸; 2-{[1-({[卜(羧基甲基)-2-氧代_2,3,4,5_四氫苯環氮 己三烯-3-晞基]胺基卜碳醯基)環戊基]甲基}-4_[(2-氫氧 乙基)(甲基)胺基]-4-氧代丁酸; 2-{[1-({[1-(羧基甲基)-2-氧代-2,3,4,5-四氫-1/M-苯環氮 己三烯-3-烯基]胺基}-碳醯基)環戊基]甲基卜4-[(3-氫氧 丙基)(曱基)胺基]-4-氧代丁酸; 2-{[1_({[1-(羧基甲基)-2-氧代-2,3,4,5-四氫-1私1-苯環氮 己三晞各烯基]胺基}_碳醯基)環戊基]甲基卜4_(4_氫氧哌 淀-1-錦基)-4-氧代丁敗, 2-{[1-({[1-(羧基甲基)-2-氧代_2,3,4,5-四氫-1//小苯環氮 己三烯各烯基]胺基}-碳醯基)環戊基]甲基卜4-氧代 -4-[4-(L·纈胺醯氧基)哌啶-1-烯基]丁酸; 200524874 2-{[1-({[1-(幾基甲基)-2-氧代-2,3,4,5_四氫-1乐1_苯環氮 己三晞缔基]胺基}-碳醯基)環戊基]甲基}·4_嗎琳_4考 基-4-氧代丁酸; 2-{[1-({[1-(幾基甲基)_2_氧代-2,3,4,5_四氫_1迅1_苯環氮 己二錦r-3-晞基]胺基}-碳醯基)環戊基]甲基}-4-氧代4-(4-氧代旅啶-1-埽基)丁酸; 4-[二(2-氫氧乙基)胺基]羧基甲基)_2_氧代 鱗2,3,4,5-四氫-1//-1-苯環氮己三烯_3義婦基]胺基}竣醯基) 環戊基]甲基}-4-氧代丁酸; 2-{〇({[1-(羧基甲基)-2•氧代-2,3,4,5-四氫-1私1_苯環氮 己二_-3-晞基]胺基卜碳贐基)環戊基]甲基丨冰丨乙基 [3_(乙基胺基)丙基]胺基}_4_氧代丁酸, 2-{[1_({[1_(幾基甲基)·2_氧代_2,3,4,5_四氫苯環氮 己三締各浠基]胺基卜碳醯基)環戊基]甲基卜4_[叫二甲 基胺基)乙基](甲基)胺基]冰氧代丁酸, 4-[(3-胺基丙基)(乙基)胺基]_2-{[1_({[1_(羧基甲基)_2_氧 代_2,3,4,5-四氫-1乐1_苯環氮己三埽烯基]胺基}碳醯 基)環戊基]甲基}-4-氧代丁酸,以及 2_{[1_({[1_(幾基甲基)_2_氧代_2,3,4,5-四氫-17/-1-苯環氮 己二婦_3_缔基]胺基卜碳醯基)環戊基]甲基卜4_{甲基 [2-(甲基胺基)乙基]胺基丨_4_氧代丁酸, 再加上1¾等狀I化合物之酸之生物不安定赫以及在 生理學可互容之鹽類,及/或該等通式工之化合物於生理 學可互容之酸加成鹽類。 9·根據前述中請專利範财任—项所述之通式〗之化合 物’其中’在苯壤氮己三烯三缔之骨幹第三個位置上具 91 200524874 有酸胺支鏈之不對稱碳原子為「S」構型。 10. —種醫藥組成物,其含有一種藥理學上有效用量之根據 申請專利範圍第1項所述之通式I之化合物,以及傳統 製藥上之辅助劑及/或賦形劑。 11· 一種根據申請專利範圍第1項所述之通式I之化合物之 應用,其作為製備藥品用以預防及/或治療心臟血管之病 症或是疾病。 12·根據申請專利範圍第11項所述之應用,其中,心臟血管 之病症或是疾病乃選自該組,其由充血性心臟衰竭;高 血壓,包含高血壓之第二型諸如原發性高血壓、腎臟高 血壓及/或肺臟高血壓等所構成。 13· —種雙重作用之化合物之應用,其能夠抑制中性月太鏈内 切S每以及人類可溶性肤鏈内切g每,用於製備一種藥品 作為預防或是治療性功能障礙。 14·根據申請專利範圍第π項所述之利用根據申請專利範 圍弟1項所述之通式I之化合物。 15·根據申請專利範圍第13項所述之應用,其中,性功能障 礙選自該組,其由女性性功能障礙以及男性性功能障礙 所構成。 16·根據申請專利範圍第13項所述之應用,其中,性功能障 礙為男性性功能障。 17·根據申請專利範圍第13項所述之應用,其中,性功能障 礙選自該組,其由勃起功能障礙、射精功能障礙以及性 慾障礙等所構成。 18·根據申請專利範圍第17項所述之應用,其中,性功能障 礙為勃起功能障礙。 92 200524874 19·應用根據申請專利範圍第1項所述之通式j之化合物作 為製備藥品用以預防及/或治療與細胞凋亡有關之不、 症。 良 20·根據申請專利範圍第19項所述之應用,其中,與細胞凋 亡有關之不良症為神經變質病症,諸如缺血性中風、= 腦缺血、外傷性腦部受傷、急性散布性腦脊髓炎、脱肉 萎縮性脊髓侧索硬化、色素性視網膜炎、輕度認識能2 受損:阿兹海默氏症、皮克氏症、老年癡呆症、進^性 核上麻痺、皮質下癡呆症、威爾森病症、多發性梗塞病 症、動脈硬化性癡呆症、與A][DS有關之癡呆症、大^ 變質病症、大腦脊髓變質徵候群、弗雷德瑞克氏運動^ :周症、失凋性毛細血管擴張、與癲癇有關之腦部受損、 脊髓受損、腿急迫移動症候群、杭亭頓氏症以及巴金森 氏症、紋狀黑質變質病症、大腦血管炎、粒腺體性大腦 肌肉症、神經性質蠟樣脂褐質病、脊柱肌肉萎縮、與牵 涉中樞神經系統有關之溶小體儲藏病症、腦白質障礙 症、尿素循環缺陷病症、肝腦病、腎腦病、新陳代謝腦 揭、紫質症、細菌性或是病毒性腦膜炎以及腦膜腦炎、 蛋白吳體感染病症、神經毒性化合物中毒、基朗巴爾徵 候群、慢性發炎性神經病症、多發性肌肉炎、皮膚肌肉 災因輕射身發之腦部受損;胃腸病,如刺激性大腸症、 以及發炎性大腸症、克隆氏症以及潰瘍性結腸炎、腹腔 病症、螺旋桿菌性幽門胃炎以及其他感染性之胃炎、壞 夕匕性小腸結腸炎、偽膜性小腸結腸炎、因輻射謗發之小 腸結腸炎、淋巴球性胃炎、移植物抗宿主之病症、急慢 性胰臟炎;肝病,如酒精性肝炎、病毒性肝炎、新陳代 93 200524874 謝性肝炎、自體免疫性肝炎、因輕射謗發之肝炎、肝硬 化、溶血性尿毒症、腎小球性腎炎、狼瘡性腎炎;病毒 性病症,如猛爆性肝炎;關節病症,如外傷以及骨關節 炎;免疫功能受抑制或是免疫功能不全病症,尤其是自 體免疫病症,如原發性發炎性肌肉病症、慢性嗜中性白 血球減少症、血栓性血小板減少紫斑病、風濕性關節炎、 原發性血小板減少紫斑病、自體免疫溶血症候群、抗磷 脂質抗體症候群、心肌炎、多發性硬化症及其於診斷上 屬次分類之復發-緩解多發性硬化症、第二級進行性多發 性硬化症、原發性進行性多發性硬化症、進行性復發多 發性硬化症、急性多發性硬化症、良性復發多發性硬化 症或疋播症狀性多發性硬化症、視神經髓質炎(大衛克氏 病症)、淋巴球性腦下垂體炎、格雷佛氏病症、愛地生氏 病症、副甲狀腺功能不足症、糖尿病第一型、全身性紅 斑狼瘡、尋常性天疱瘡、大水泡性天疱瘡、牛皮癬性關 郎炎、子4内膜組織異位、自體免疫性睪丸炎、自體免 疫性勃起功能障礙、肉狀瘤病、魏格納氏肉芽腫病、自 體免疫性耳聾、史約荷瑞氏症、自體免疫性葡萄膜視網 膜炎、間質性膀胱炎、固德巴斯德氏症候群以及纖維肌 肉疼痛;脊髓發育不良症,如發育不全性貧血;皮膚科 方面之病症,包括尋常性天疱瘡、皮膚肌肉炎、異位性 皮膚炎、黑諾赫-休奈紫斑症、粉刺、全身性硬化症皮脂 漏出角質層病症、皮膚肥胖細胞過多症、慢性增生性皮 膚炎、角質化不良症、皮膚硬化症、間質性肉芽腫皮膚 病、牛皮癣、皮膚之細菌性感染、皮癖病、痲瘋病、皮 膚利什曼病、白斑病、毒性表皮壞死溶解病、史蒂芬強 94 200524874 生症候群、皮脂腺冑、禿t、皮膚之光傷害、硬化萎縮 性台癬、急性皮膚傷口、色素失調症、皮膚之熱傷害、 發疹性膿疱病、苔蘚狀皮膚病、皮膚過敏性血管炎、細 胞中毒性皮膚炎;内耳方面之病症,如聽覺外傷所誘發 之聽覺有毛細胞死亡以及聽力喪失、由胺基配醣體所謗 發之聽覺有毛細胞此亡以及聽力喪失、由耳毒性藥物所 謗發之聽力喪失、淋巴周圍瘻管 '膽硬脂瘤、耳蝎或是 前庭缺血、梅尼氏症、因輻射誘發之聽力喪失、因細菌 或是病毒感染所謗發之聽力喪失以及原發性之聽力喪 失;移植方面,如移植物對宿主之病症、急慢性心臟、 肺臟、腎臟、皮膚、角膜、骨髓或是肝臟等移植器官之 排斥;傷口癒合以及組織排斥。 21· 根據申請專利範圍第19項所述之應用,其中,所言與細 胞凋亡有關之不良症為神經變質病症,諸如缺血性中 風、大腦缺血、外傷性腦部受傷、急性散布性腦脊髓炎、 肌肉萎縮性脊髓側索硬化、色素性視網膜炎、輕度認識 旎力受抽、阿茲海默氏症、皮克氏症、老年癡呆症、進 行性核上麻痺、皮質下癡呆症、威爾森病症、多發性梗 塞病症、動脈硬化性癡呆症、與AIDS有關之癡呆症、 大腦變質病症、大腦脊髓變質徵候群、弗雷德瑞克氏運 動失調症、失調性毛細血管擴張、與癲癇有關之腦部受 損、脊髓受損、腿急迫移動症候群、杭亭頓氏症以及巴 金森氏症、紋狀黑質變質病症、大腦血管炎、粒腺體性 大腦肌肉症、神經細胞蠟樣色素脂褐質症、脊柱肌肉萎 縮'與牵涉中樞神經系統有關之溶小體儲藏病症'腦白 質障礙症、尿素循環缺陷病症、肝腦病、腎腦病、新陳 95 200524874 代謝腦病、紫質症、細菌性或是病毒性腦膜炎以及腦膜 腦炎、蛋白質體感染病症、神經毒性化合物中毒、基朗 巴爾徵候群、慢性發炎性神經病症、多發性肌肉炎、皮 膚肌肉炎、因輕射謗發之腦部受損。 22·根據申請專利範圍第19項所述之應用,其中,所言與細 胞调亡有關之不良症為刺激性大腸症、以及發炎性大腸 症、克隆氏症以及潰瘍性結腸炎、腹腔病症、螺旋桿菌 性幽門胃炎以及其他感染性之胃炎、壞死性小腸結腸 炎、偽膜性小腸結腸炎、因輻射謗發之小腸結腸炎、淋 巴球性胃炎、移植物抗宿主之病症、急慢性胰臟炎。 23·根據申請專利範圍第19項所述之應用,其中,所言與細 胞〉周亡有關之不良症為肝病,如酒精性肝炎、病毒性肝 炎、新陳代謝性肝炎、自體免疫性肝炎、因輻射謗發之 肝炎、肝硬化、溶血性尿毒症、腎小球性腎炎、狼瘡性 腎炎。 24·根據申請專利範圍第19項所述之應用,其中,所言與細 胞判亡有關之不良症為病毒性病症,如猛爆性肝炎。 25.根據申請專利範圍第19項所述之之應用,其中,所言與 細胞调亡有關之不良症為關節病症,如外傷以及骨關節 炎。 26·根據申請專利範圍第19項所述之應用,其中,所言與細 胞凋亡有關之不良症為免疫功能受抑制或是免疫功能不 全病症,尤其是自體免疫病症,如原發性發炎性肌肉病 症、慢性嗜中性白血球減少症、血栓性血小板減少紫斑 病、風濕性關節炎、原發性血小板減少紫斑病、自體免 疫溶血症候群、抗磷脂質抗體症候群、心肌炎、多發性 96 200524874 硬化症及其於診斷上屬次分類之復發-緩解多發性硬化 症、第一級進行性多發性硬化症、原發性進行性多發性 硬化症'進行性復發多發性硬化症、急性多發性硬化症、 良性復發多發性硬化症或是無症狀性多發性硬化症、視 神經髓質炎(大衛克氏病症)、淋巴球性腦下垂體炎、格 雷佛氏病症、愛地生氏病症、副甲狀腺功能不足症、糖 尿病弟一型、全身性紅斑狼瘡、尋常性天寇瘡、大水泡 性天疱瘡、牛皮癖性關節炎、子宮内膜組織異位、自體 免疫性睪丸炎、自體免疫性勃起功能障礙、肉狀瘤病、 魏格納氏肉芽腫病、自體免疫性耳聾、史約荷瑞氏症、 自體免疫性葡萄膜視網膜炎、間質性膀胱炎、固德巴斯 德氏症候群以及纖維肌肉疼痛。 27.根據申請專利範圍第19項所述之應用,其中,所言與細 胞凋亡有關之不良症為脊髓發育不良症,如發育不全性 貧血。 28·根據申請專利範圍第19項所述之應用,其中,所言與細 胞凋π有關之不良症為皮膚科方面之病症,包括尋常性 天疱瘡、皮膚肌肉炎、異位性皮膚炎、黑諾赫_休奈紫斑 症、粉刺、全身性硬化症皮脂漏出角質層病症、皮膚肥 胖細胞過多症、慢性增生性皮膚炎、角質化不良症、皮 膚硬化症、間質性㈣腫皮膚病、牛皮癬、皮膚之細菌 性感染、皮癖病、痲瘋病、皮膚利什曼病、白斑病、毒 性表皮壞死溶解病、史蒂芬強生症候群、皮脂腺瘤、禿 髮、皮膚之光傷害、硬化萎縮性苔癬、急性皮膚傷口、 色素失调症、皮膚之熱傷害、發疹性膿疱病、苔薄狀皮 膚病、皮膚過敏性血管炎、細胞中毒性皮膚炎。 97 200524874 29·根據申請專利範圍第19項所述之應用,其中,所言與細 胞凋亡有關之不良症為内耳方面之病症,如聽覺外傷所 謗發之聽覺有毛細胞死亡以及聽力喪失、由胺基配醣體 所謗發之聽覺有毛細胞死亡以及聽力喪失、由耳毒性藥 物所謗發之聽力喪失、淋巴周圍瘻管、膽硬脂瘤、耳蝸 或是前庭缺血、梅尼氏症、因輻射謗發之聽力喪失、因 細菌或是病毒感染所誘發之聽力喪失以及原發性之聽力 喪失。 30·根據申請專利範圍第19項所述之應用,其中,所言與細 胞凋亡有關之不良症為由移植所引起··移植物對宿主之 病症、急慢性心臟、肺臟、腎臟、皮膚、角膜、骨髓或 是肝臟等移植器官之排斥。 31·根據申请專利範圍第19項所述之應用,其中,所言與細 胞凋ΊΓ有關之不良症為傷口癒合以及組織排斥。 32. -種用於在治療或蹄哺乳動物以及人類之^臟血管病 症或是疾病之方法,其包含施予有該種需求對象根據申 請專利範圍第1項所述之通式〗化合物之—有效用量。 33. -種麟在治療或獅乳動物以及人類之性功能障礙 之方法’其包含施付_需求對象《巾請專利範圍 第1項所述之通式I化合物之一有效用量。 34. -種用於在治療或是預防哺乳動物以及人類與細胞调亡 有關之不良症之方法,其包含施予有該種需求對象根據 申請專利範圍第1飾述之通式I化合物之-有效用量。 35. —種用於製備通式ϊ之化合物之方法, 98 200524874Wherein R1 is a hydrogen atom or a functional group forming a biostable ester, R2 is a hydrogen atom; an alkyl group containing 1 to 4 hindering atoms or a alkoxyalkyl group containing i to 4 carbon atoms, and its hydrogen The oxo moiety can be optionally selected by alkyl groups containing 2 to 4 carbon atoms or monoamino acid residues, and R3 is an alkyl group containing 1 to 4 carbon atoms; containing 1 to 4 Alkoxy group of 1 carbon atom-alkyl group containing 1 to 4 carbon atoms; oxyalkyl group containing 1 to 4 carbon atoms, which can optionally be replaced by a second hydroxyl group, and its hydrogen Each of the oxy moieties can be freely chosen to be vinegarized by a burned S &amp; group containing 2 to 4 carbon atoms or a monoamino acid residue; (alkyl group containing 0 to 4 carbon atoms) 2 amine group -Alkyl groups containing 1 to 4 carbon atoms; cycloalkyl groups containing 3 to 7 carbon atoms; cycloalkyl groups containing 3 to 7 carbon atoms-alkyl groups containing 1 to 4 carbon atoms; 86 200524874 benzene -An alkyl group containing 1 to 4 carbon atoms, the phenyl portion of which can be optionally selected by an alkyl group containing 1 to 4 carbon atoms, an alkoxy group containing 1 to 4 carbon atoms, and / or a prime 1 to 2 times Substitution; naphthyl_alkyl containing 1 to 4 carbon atoms; oxoalkyi containing 3 to 6 carbon atoms; phenylcarbonyl-methyl Optionally choose to be substituted with 1 to 4 carbon atoms alkenyl groups, alkoxy groups and / or ganglins containing 1 to 4 carbon atoms, or 2-cycloazahexane, or R2 And R3 is an alkylene group containing 4 to 7 carbon atoms in common, and the methylenyl group can be optionally substituted by carbofluorenyl, nitrogen, oxygen, and / or sulfur atoms 1 to 2 times, and It is free to choose to be replaced by a hydroxyl group, and it can be substituted once. It can be optionally esterified by an alkanoyl or monoamino acid residue containing 2 to 4 carbon atoms; it contains! An alkyl group having 4 to 4 carbon atoms; a hydroxyl alkyl group having 1 to 4 carbon atoms, the hydroxyl portion of which can be optionally selected by an alkyl group or an amino acid residue containing 2 to 4 carbon atoms Phenyl group or benzyl group, and R4 is a hydrogen atom or a functional group forming a biostable ester, and a physiologically compatible salt of an acid of the general formula I, and / Or physiologically compatible acid addition salts of compounds of formula I. 2. The compound of the general formula I according to item 1 of the scope of the patent application, wherein R1 is a hydrogen atom or a functional group forming a biostable ester, R2 is a hydrogen atom, and an alkyl group containing 1 to 4 carbon atoms Or a hydroxyalkyl group containing 1 to 4 carbon atoms, the hydroxyl group of which can be optionally replaced by an alkyl group containing 2 to 4 carbon atoms, and R3 is a group containing 1 to 4 carbon atoms. Alkyl groups; alkoxy groups containing 1 to 4 carbon atoms 87 200524874-alkyl groups containing 1 to 4 carbon atoms; oxyalkyl groups containing 1 to 4 carbon atoms, which can optionally be replaced by a second hydrogen The oxy group is substituted, and its hydroxyl group can be optionally selected by a fluorenyl group containing 2 to 4 carbon atoms; an alkylamino group containing 1 to 4 carbon atoms-a thiol containing 1 to 4 carbon atoms A cycloalkyl group containing 3 to 7 carbon atoms, a cycloalkyl group containing 3 to 7 carbon atoms-an acryl group containing 1 to 4 carbon atoms; a phenyl group-containing 1 to 4 carbon atoms The "phenyl group" of the phenyl moiety can be optionally substituted with an alkyl group containing 1 to 4 carbon atoms, an oxy group containing 1 to 4 carbon atoms, and / or a prime to be substituted 1 to 2 times; naphthyl -An alkyl group containing 1 to 4 carbon atoms; an oxoalkyl group containing 3 to 6 carbon atoms; a phenylcarbonylmethyl group, the phenyl portion of which can be optionally contained An alkyl group of 1 to 4 carbon atoms, an alkoxy group containing 1 to 4 carbon atoms, and / or a 1⁄2 element, or 2-cycloazahexane substituted 1 or 2 times, or R2 and R3 together are Alkylene groups containing 4 to 7 carbon atoms, the fluorenyl group portion can be optionally substituted by carbofluorenyl, nitrogen, oxygen, and / or sulfur atoms 1 to 2 times, and it can be optionally selected by The alkyl group containing 1 to 4 carbon atoms is substituted once; the hydroxyl group of the hydroxyl alkyl group containing 1 to 4 carbon atoms can be optionally selected by the alkyl group containing 2 to 4 carbon atoms Substitution; oxygen; phenyl or benzyl, and R4 is a hydrogen atom or a functional group forming a biostable ester, and a physiologically compatible salt of an acid of general formula I, and / or The compounds of general formula I are physiologically compatible acid addition salts. 3. The compound of general formula I according to item 1 of the scope of the patent application, wherein R1 is a hydrogen atom, an ethyl group, a methoxyethoxymethoxyalkyl group, (RS) -l-[[(iso88 200524874 propyl (Yl) carbofluorenyl] oxy] ethyl, (rs) -i _ [[(ethyl) amyl] oxy] methylpropyl, (RS &gt; l-[((cyclohexaneoxy) carbon Fluorenyl] oxy] ethyl, 5-methyl_2 · oxo-1,3-difluorene-4 · alkenyl · methyl, 2-oxo-1,3-dimer 4-fluorenyl- Methyl or (RSH _ [[(ethoxy) carbofluorenyl] oxyethyl. 4) Compounds according to the general formula described in item 1 of the scope of the patent application, wherein R2 is a hydrogen atom, methyl, Ethyl, 2-Hydroxyethyl, or 3-Hydroxy groups, each of which can be optionally esterified with an alkylamino or monoamino acid residue containing 2 to 4 carbon atoms 5. The compound of the general formula I according to item 1 of the scope of the patent application, in which R is isopropyl, methoxyethyl; 2-hydrooxyethyl or 3-oxopropyl, Each of the hydroxyl groups can be optionally esterified with a cyclamyl group or an amino acid residue containing 2 to 4 carbon atoms; ethoxypropyl group; cyclopropylmethyl group, 2-methyllactyl benzyl; 4-methoxybenzyl; 4-methoxyphenethyl; 2,4-dimethoxybenzyl; 丨 -naphthylmethyl; &gt; oxo ", Dimethyl butyl; phenyl-2-oxoethyl; 2- (4-methoxyphenyl) -2-oxo_ethyl; 3- (2-cycloazahexane); two Methylamino_n_propyl; (meth) aminoethyl or amine-η-propyl. 6. The compound of general formula I as described in item 1 of the scope of Shenqing patent, wherein R2 And R together are morphine; slightly lake; 4-keto trip lake; 4-hydroxyl lake, on this hydroxyl group can be optionally selected from the group containing 2 to 4 carbon atoms of the brewing group or amido group Therefore, the residues are acetic acid; slightly Qin or ρ Bi slightly, jt finished. 7. According to the compound of the general formula I described in item 1 of the scope of the patent application, wherein R4 is a hydrogen atom, containing 1 to 4 carbon atoms. Alkyl, p-methoxybenzyl, N, N-mono- (alkyl containing 1 to 4 carbon atoms) amino group · alkyl containing i to 4 carbon atoms, (RS)- l-[[(isopropyl) carbamyl] oxy] ethyl, (RS) -H [(ethyl) carbamyl] oxy] _2_methylpropyl, (RS)] _ [[( Ring 89 200524874 hexaneoxy) carbofluorenyl] Group] -ethyl, 5-methyl_2 • oxo-1,3-diox-4-enyl-methyl, 2-oxo-1,3-difluoren-4-enyl-methyl Or (RS) small [[(ethoxy) carbamyl] oxy] ethyl. 8. According to the compound of general formula I described in item 1 of the scope of patent application, it is selected from this group and its composition consists of 2-{[1-({[1- (Methoxymethyl &gt; 2-oxo-2,3,4,5-tetrahydrobenzenecycloazahexatriene each fluorenyl] amino} -carbofluorenyl ) Cyclopentyl] fluorenyl 4- [isopropyl (methyl) amino] -4-oxobutanoic acid; 2-{[1 _ ({[{carboxycarboxyfluorenyl) -2_oxo-2, 3,4,5_tetrahydro_1good small benzenecycloazatrien-3-enyl] amino} carbofluorenyl) cyclopentyl] methyl 4- (dimethylamino) -4- Oxobutanoic acid; 2-{[1-({[1- (carboxymethyl &gt; 2-oxo-2,3,4,5-tetrahydrazenecycloazatrien-3-enyl] amine Group} Carbofluorenyl) cyclopentyl] methyl} winter (diethylamino) -4-oxobutanoic acid; 2-{[1-({[卜 (carboxymethyl) -2-oxo_ 2,3,4,5_tetrahydrobenzenecycloazahexatrien-3-fluorenyl] aminocarbazone) cyclopentyl] methyl} -4 _ [(2-hydrooxyethyl) (methyl ) Amino] -4-oxobutanoic acid; 2-{[1-({[1- (carboxymethyl) -2-oxo-2,3,4,5-tetrahydro-1 / M-benzene Cycloazahexatrien-3-enyl] amino}- Carbofluorenyl) cyclopentyl] methyl 4-[(3-hydrooxypropyl) (fluorenyl) amino] -4-oxobutanoic acid; 2-{[1 _ ({[1- (carboxymethyl Yl) -2-oxo-2,3,4,5-tetrahydro-1 phenyl 1-benzenecycloazepine trisene alkenyl) amino} -carbofluorenyl) cyclopentyl) methyl 4- ( 4-Hydroxy piperidine-1-branyl) -4-oxobutanil, 2-{[1-({[1- (carboxymethyl) -2-oxo_2,3,4,5- Tetrahydro-1 // small benzenecycloazepinetrienyl alkenyl] amino} -carbofluorenyl) cyclopentyl] methyloxo 4-oxo-4- [4- (L.valamine ) Piperidine-1-enyl] butanoic acid; 200524874 2-{[1-({[1- (Erylmethyl) -2-oxo-2,3,4,5-tetrahydro-1 _Benzylazepine hexamethylenyl] amino} -carbofluorenyl) cyclopentyl] methyl} · 4_morin_4cooke-4-oxobutanoic acid; 2-{[1-({ (1- (Chlorylmethyl) _2_oxo-2,3,4,5_tetrahydro_1xun 1_benzenecycloazepine di-3-rhenyl] amino} -carbofluorenyl) Cyclopentyl] methyl} -4-oxo 4- (4-oxopropidin-1-amidino) butanoic acid; 4- [bis (2-hydrooxyethyl) amino] carboxymethyl) _2 _Oxoscale 2,3,4,5-tetrahydro-1 //-1-phenylcycloazetadiene_3synthetyl] amino} contyl) cyclopentyl] methyl} -4- Oxobutanoic acid; 2- {〇 ({[1- (carboxymethyl) -2 • oxo-2,3,4,5-tetrahydro-1private 1_ Cycloazepine _-3-fluorenyl] amino group carbamyl) cyclopentyl] methyl 丨 ice 丨 ethyl [3_ (ethylamino) propyl] amino} _4_oxobutanoic acid, 2-{[1 _ ({[1_ (Chlorylmethyl) · 2_Oxo_2,3,4,5_tetrahydrobenzenecycloazepine tris each fluorenyl] amino group carbofluorenyl) cyclopentyl [Methyl] 4-methyl [4-dimethylamino] ethyl] (methyl) amino] glacial oxobutanoic acid, 4-[(3-aminopropyl) (ethyl) amino] _2- {[1 _ ({[1_ (Carboxymethyl) _2_oxo_2,3,4,5-tetrahydro-1le-1_benzenecycloazepinetripinenyl] amino} carbofluorenyl) cyclopentyl Phenyl] methyl} -4-oxobutanoic acid, and 2 _ {[1 _ ({[1_ (a few methylmethyl) _2_oxo_2,3,4,5-tetrahydro-17 / -1-benzene Cycloazine_3_alkenyl] aminophenylcarbamyl) cyclopentyl] methylphenyl 4_ {methyl [2- (methylamino) ethyl] amino group __4_oxobutane Acid, plus the biological instability of the acid of the compound I such as 1¾ and physiologically compatible salts, and / or physiologically compatible acid addition salts of these compounds . 9. According to the above-mentioned patent, the compound of the general formula described in the item "wherein" has an asymmetry of 91 200524874 with acid-amine branched chain at the third position of the backbone of the benzene soil nitrogen hexatriene triad. The carbon atoms are in the "S" configuration. 10. A pharmaceutical composition comprising a pharmacologically effective amount of a compound of the general formula I according to item 1 of the scope of patent application, as well as traditional pharmaceutical adjuvants and / or excipients. 11. The use of a compound of the general formula I according to item 1 of the scope of the patent application as a pharmaceutical preparation for the prevention and / or treatment of diseases or diseases of the cardiovascular system. 12. The application according to item 11 of the scope of the patent application, wherein the cardiovascular disease or disease is selected from the group consisting of congestive heart failure; hypertension, including the second type of hypertension such as primary Hypertension, renal hypertension, and / or pulmonary hypertension. 13. The use of a dual-acting compound capable of inhibiting the neutral moon chain endogenous enzymes and the human soluble skin chain endogenous enzymes for the preparation of a drug for the prevention or treatment of sexual dysfunction. 14. Utilization according to item π of the scope of patent application. Compound of general formula I according to item 1 of the scope of patent application. 15. The application according to item 13 of the scope of patent application, wherein the sexual dysfunction is selected from the group consisting of female sexual dysfunction and male sexual dysfunction. 16. The application according to item 13 of the scope of patent application, wherein the sexual dysfunction is male sexual dysfunction. 17. The application according to item 13 of the scope of the patent application, wherein the sexual dysfunction is selected from the group consisting of erectile dysfunction, ejaculation dysfunction, and sexual desire disorder. 18. The application according to item 17 of the scope of patent application, wherein the sexual dysfunction is erectile dysfunction. 92 200524874 19. Applying the compound of general formula j according to item 1 of the scope of the patent application as a pharmaceutical preparation for the prevention and / or treatment of diseases related to apoptosis. Good 20. The application according to item 19 in the scope of the patent application, wherein the adverse disease related to apoptosis is a neurodegenerative disorder, such as ischemic stroke, cerebral ischemia, traumatic brain injury, acute dissemination Encephalomyelitis, atrophic lateral sclerosis, pigmented retinitis, mild cognitive impairment2: Alzheimer's disease, Pick's disease, Alzheimer's disease, progressive supranuclear palsy, cortex Lower dementia, Wilson's disease, multiple infarct disease, arteriosclerotic dementia, dementia associated with A] [DS, major degenerative disorders, cerebral spinal cord metamorphosis syndrome, Frederick's exercise ^: Peripheral disease, dystrophic capillaries, brain damage related to epilepsy, spinal cord damage, urgent leg movement syndrome, Huntington's disease and Parkinson's disease, striated substantia nigra, cerebral vasculitis, Glandular cerebral musculosis, neurogenic waxy lipofuscin, spinal muscular atrophy, lysosomal storage disorders related to the central nervous system, white matter disorders, urea cycle deficiency disorders, hepatic encephalopathy, renal encephalopathy, new Metabolic encephalitis, Porphyria, bacterial or viral meningitis and meningoencephalitis, protein protein infections, neurotoxic compound poisoning, Kiranbarr syndrome, chronic inflammatory neurological disorders, polymyositis, skin Muscle disasters are caused by lightly-fired brain damage; gastrointestinal diseases such as irritating colitis, and inflammatory colitis, Crohn's disease, and ulcerative colitis, celiac disease, Helicobacter pylori gastritis, and other infectious diseases Gastritis, bad enterocolitis, pseudomembranous enterocolitis, enterocolitis caused by radiation, lymphocytic gastritis, graft-versus-host disease, acute and chronic pancreatitis; liver diseases such as alcoholic hepatitis, Viral hepatitis, Xinchen dynasty 93 200524874 Xie hepatitis, autoimmune hepatitis, hepatitis caused by light shooting, cirrhosis, hemolytic uremia, glomerulonephritis, lupus nephritis; viral diseases such as Explosive hepatitis; joint disorders such as trauma and osteoarthritis; suppressed immune function or immune dysfunction, especially autoimmune disorders, Primary inflammatory muscle disorders, chronic neutropenia, thrombocytopenic purpura, rheumatoid arthritis, primary thrombocytopenia purpura, autoimmune hemolytic syndrome, antiphospholipid antibody syndrome, myocarditis, Multiple sclerosis and its recurrence in the diagnostic sub-category-remission of multiple sclerosis, secondary progressive multiple sclerosis, primary progressive multiple sclerosis, progressive relapsing multiple sclerosis, acute Multiple Sclerosis, Benign Relapse Multiple Sclerosis, or Symptomatic Multiple Sclerosis, Optic Neuromyelitis (David's Disease), Lymphocytic Pituitary, Grave's Disease, Edison Illnesses, Parathyroid Insufficiency, Type 1 Diabetes, Systemic Lupus Erythematosus, Pemphigus Vulgaris, Bullous Pemphigus, Psoriasis Guanlangitis, Child 4 Endometrial Tissue Ectopic, Autoimmune Gumpitis, Autoimmune erectile dysfunction, sarcomatoid disease, Wegener's granulomatosis, autoimmune deafness, Sjoy's disease, autoimmune grapes Retinitis, interstitial cystitis, Gooder Pasteur's syndrome, and fibromyalgia; spinal dysplasia, such as hypoplastic anemia; dermatological conditions, including pemphigus vulgaris, dermatomyositis, ectopic Dermatitis, Heinrich-Hunner's purpura, acne, systemic sclerosis, seborrhea, cuticles of the skin, hypertrophy of skin obesity, chronic proliferative dermatitis, keratosis, skin sclerosis, interstitial granulation Swollen skin disease, psoriasis, bacterial infections of the skin, dermatosis, leprosy, cutaneous leishmaniasis, white spot disease, toxic epidermal necrolytic disease, Stephen Strong 94 200524874 syndrome, sebaceous glands, baldness, skin Light injury, sclerosing atrophic tinea, acute skin wounds, pigmented disorders, thermal injury to the skin, eruptive impetigo, mossy skin disease, skin allergic vasculitis, cytotoxic dermatitis; disorders of the inner ear, For example, auditory hair cell death and hearing loss caused by auditory trauma, auditory hair cells And hearing loss, hearing loss stigmatized by ototoxic drugs, peri-lymphatic fistula 'cholesteatoma, scorpion or vestibular ischemia, Meniere's disease, radiation-induced hearing loss, bacterial or viral infections Stigmatized hearing loss and primary hearing loss; transplantation, such as the rejection of transplanted organs by the host's disease, acute and chronic heart, lungs, kidneys, skin, cornea, bone marrow or liver; wound healing; and Organizational exclusion. 21 · The application according to item 19 of the scope of the application for patent, wherein the adverse disease related to apoptosis is a neurodegenerative disorder, such as ischemic stroke, cerebral ischemia, traumatic brain injury, acute dissemination Encephalomyelitis, amyotrophic lateral sclerosis, pigmented retinitis, mild cognitive pumping, Alzheimer's disease, Pick's disease, Alzheimer's disease, progressive supranuclear palsy, subcortical dementia Disease, Wilson's disease, multiple infarct disease, arteriosclerotic dementia, AIDS-related dementia, cerebral degenerative disorders, cerebral spinal cord metamorphosis syndrome, Frederick's dyskinesia, dysfunctional capillary dilatation , Brain damage related to epilepsy, spinal cord damage, urgent leg movement syndrome, Huntington's disease and Parkinson's disease, striatum nigra degeneration, cerebral vasculitis, myelo-glandular cerebral muscle disease, nerves Cytochrome pigment lipofuscin, spinal muscular atrophy, 'lysosomal storage disorders related to the central nervous system', white matter disorders, urea cycle deficiency disorders, hepatic encephalopathy, Encephalopathy, Xinchen 95 200524874 Metabolic encephalopathy, Porphyria, bacterial or viral meningitis and meningoencephalitis, proteomic infections, neurotoxic compound poisoning, Kiranbarr syndrome, chronic inflammatory neurological disorders, multiple Myositis, dermatomyositis, and brain damage caused by light shooting. 22. The application according to item 19 of the scope of the patent application, wherein the adverse disease related to cell apoptosis is irritative colitis, and inflammatory colitis, Crohn's disease and ulcerative colitis, celiac disease, Helicobacter pylori gastritis and other infectious gastritis, necrotizing enterocolitis, pseudomembrane enterocolitis, enterocolitis caused by radiation, lymphococcal gastritis, graft-versus-host disease, acute and chronic pancreatitis . 23. The application according to item 19 of the scope of the patent application, wherein the adverse disease related to cell> week death is liver disease, such as alcoholic hepatitis, viral hepatitis, metabolic hepatitis, autoimmune hepatitis, cause Hepatitis, liver cirrhosis, hemolytic uremia, glomerulonephritis, and lupus nephritis. 24. The application according to item 19 of the scope of the patent application, wherein the adverse disease related to cell death is a viral disease, such as explosive hepatitis. 25. The application according to item 19 of the scope of the patent application, wherein the ill effects related to apoptosis are joint disorders such as trauma and osteoarthritis. 26. The application according to item 19 of the scope of the patent application, wherein the adverse disease related to apoptosis is a suppressed immune function or an immune dysfunction, especially an autoimmune disorder, such as primary inflammation Muscle disorders, chronic neutropenia, thrombocytopenic purpura, rheumatoid arthritis, primary thrombocytopenia purpura, autoimmune hemolytic syndrome, antiphospholipid antibody syndrome, myocarditis, multiple 96 96 24 874 Sclerosis and its recurrence in the sub-categories of diagnosis-remission of multiple sclerosis, first grade multiple sclerosis, primary progressive multiple sclerosis' progressive relapsing multiple sclerosis, acute multiple Sclerosis, benign relapsing multiple sclerosis or asymptomatic multiple sclerosis, optic neuromedulitis (David's disease), lymphocytic pituitary inflammation, Gregford's disease, Edison's disease, Parathyroid insufficiency, diabetic type 1, systemic lupus erythematosus, genus vulgaris, bullous pemphigoid, psoriasis Inflammation, endometrial tissue ectopic, autoimmune bolitis, autoimmune erectile dysfunction, sarcomatoid disease, Wegener's granulomatosis, autoimmune deafness, sjoherr's disease, autologous Immune uve retinitis, interstitial cystitis, Good Pasteur's syndrome, and fibromyalgia. 27. The application according to item 19 of the scope of the patent application, wherein the dysfunction related to apoptosis is spinal dysplasia, such as hypoplastic anemia. 28. The application according to item 19 of the scope of the patent application, wherein the ills related to cell withering are dermatological conditions, including pemphigus vulgaris, dermatomyositis, atopic dermatitis, black Nuoch_Hunner's purpura, acne, systemic sclerosis, sebum leakage, stratum corneum, skin obesity, chronic proliferative dermatitis, keratosis, skin sclerosis, interstitial bloated skin disease, psoriasis , Bacterial infections of the skin, dermatosis, leprosy, cutaneous leishmaniasis, leukoplakia, toxic epidermal necrolytic disease, Stephen Johnson syndrome, sebaceous adenoma, baldness, skin light injury, sclerosing atrophic lichen planus , Acute skin wounds, pigmentation disorders, thermal injury to the skin, rash pustulosis, thin moss skin disease, skin allergic vasculitis, cytotoxic dermatitis. 97 200524874 29. The application according to item 19 of the scope of the patent application, wherein the apoptotic-related illness is a condition of the inner ear, such as the death of hearing hair cells and hearing loss as a result of hearing trauma, Hearing hair cell death and hearing loss stigmatized by aminoglycosides, hearing loss stigmatized by ototoxic drugs, perilymphatic fistula, cholesteatoma, cochlea or vestibular ischemia, Meniere's disease , Hearing loss due to radiation defamation, hearing loss caused by bacterial or viral infections, and primary hearing loss. 30. The application according to item 19 of the scope of the patent application, wherein the apoptotic-related ailment is caused by transplantation. The graft-to-host condition, acute and chronic heart, lung, kidney, skin, Rejection of transplanted organs such as the cornea, bone marrow, or liver. 31. The application according to item 19 of the scope of the patent application, wherein the ill effects related to cell withering are wound healing and tissue rejection. 32. A method for treating a vascular disease or disease in mammals and humans, including administering a compound of the general formula described in item 1 of the scope of the patent application to a subject in need thereof— Effective amount. 33.-A method for treating sexual dysfunction of lion's milk animals and human beings', which comprises an effective amount of one of the compounds of the general formula I as described in item 1 of the subject of the application "Patent Application". 34. A method for treating or preventing dysregulation in mammals and humans related to apoptosis, comprising administering to a subject in need thereof a compound of the general formula I as described in claim 1 Effective amount. 35. A method for preparing compounds of the general formula ϊ, 98 200524874 0 c〇〇R4 r1為氫原子il是-形成生物不安㈣阪耳能基, R2為氫原子;含有1至4個碳原子之烷基或是含有1至 4個碳原子之氫氧烷基,其氫氧基部份可隨意選擇被 各有2至4個碳原子之烷醯基或是一胺基酸殘基所酯 化,及 R3為含有1至4個碳原子之烷基;含有1至4個碳原子 之燒氧基-含有1至4個碳原子之院基;含有1至4 個碳原子之氫氧烷基,其可隨意選擇被第二個氫氧基 所取代,且其氫氧基部份每個皆可隨意選擇被含有2 至4個碳原子之燒醯基或是一胺基酸殘基所酯化;(含 有〇至4個碳原子之烷基)2胺基-含有1至4個碳原予 之烷基;含有3至7個碳原子之環烷基;含有3至7 個碳原子之環燒基-含有1至4個碳原子之燒基;笨基 -含有1至4個碳原子之烷基,其苯基部份可隨意選擇 被含有1至4個碳原子之烷基、含有1至4個碳原子 之燒氧基及/或鹵素做1至2次之取代;萘基_含有^ 至4個碳原子之烷基;含有3至6個碳原子之氧代捷 基(oxoalkyl);本奴酿甲基(phenylcarbonylmethyl), 其苯基邵份可隨意選擇被含有1至4個碳原子之燒 基、含有1至4個碳原子之烷氧基及/或鹵素,或是 99 200524874 2-環氮己烷做一至二次之取代,或是 R2以及R3共同為含有4至7個碳原子之烷撐基,其中之 曱撐基部份可隨意選擇被碳醯基、氮原子、氧原子及/ 或硫原子做1至2次之取代,而且其可隨意選擇被氫氧 基做1次之取代,其可隨意選擇被含有2至4個碳原予 之烷醯基(alkanoyl)或是一胺基酸殘基所酯化;含有1至 4個碳原子之烷基;含有1至4個碳原子之氫氧烷基, 其氫氧基部份可隨意選擇被含有2至4個碳原子之烷醯 基或是一胺基酸殘基所酯化;苯基或是苯甲基,及 R4為氫原子或是一形成生物不安定酯類之官能基, 還有通式I之酸之生理學可互容之鹽類,及/或通式I之 化合物於生理學可互容之酸加成鹽類,其特徵為,通式 II之化合物,0 c〇〇R4 r1 is a hydrogen atom il is-to form a bio-unsettled Hansersen group, R2 is a hydrogen atom; an alkyl group containing 1 to 4 carbon atoms or a hydroalkyl group containing 1 to 4 carbon atoms , Its hydroxyl group can be optionally esterified with an alkyl or amine residue having 2 to 4 carbon atoms, and R3 is an alkyl group containing 1 to 4 carbon atoms; containing Carbooxy group of 1 to 4 carbon atoms-a radical containing 1 to 4 carbon atoms; a oxyalkyl group containing 1 to 4 carbon atoms, which can be optionally substituted by a second hydroxyl group, and Each of its hydroxyl groups can be optionally esterified with an alkyl group containing 2 to 4 carbon atoms or an amino acid residue; (alkyl group containing 0 to 4 carbon atoms) 2 amine Radicals-alkyl radicals containing 1 to 4 carbon atoms; cycloalkyl radicals containing 3 to 7 carbon atoms; cycloalkyl radicals containing 3 to 7 carbon atoms-alkyl radicals containing 1 to 4 carbon atoms; -An alkyl group containing 1 to 4 carbon atoms, the phenyl portion of which can be optionally selected to be 1 by an alkyl group containing 1 to 4 carbon atoms, an alkoxy group containing 1 to 4 carbon atoms, and / or a halogen To 2 substitutions; naphthyl_ contains ^ Alkyl groups of 4 to 4 carbon atoms; oxoalkyl groups of 3 to 6 carbon atoms; phenylcarbonylmethyl, the phenyl group of which is optionally selected to contain 1 to 4 carbon atoms An alkyl group, an alkoxy group containing 1 to 4 carbon atoms, and / or a halogen, or 99 200524874 2-cyclic nitrogen hexane is substituted once or twice, or R2 and R3 together contain 4 to 7 carbons Atomic alkylene groups, in which the fluorenyl group can be optionally substituted 1 to 2 times by carbofluorenyl, nitrogen, oxygen, and / or sulfur atoms, and it can be optionally selected to be 1 by hydroxyl groups Subsequent substitution, it can optionally be esterified with an alkanoyl or monoamino acid residue containing 2 to 4 carbon atoms; an alkyl group containing 1 to 4 carbon atoms; containing 1 to Hydroxyl groups of 4 carbon atoms, the hydroxyl group of which can be optionally esterified with alkyl or amine residues containing 2 to 4 carbon atoms; phenyl or benzyl And R4 is a hydrogen atom or a functional group that forms a biostable ester, and a physiologically compatible salt of an acid of general formula I, and / or a chemical formula of general formula I It was in a physiologically interoperable content of the acid addition salts thereof, wherein the compound of formula II, II 其r1g1及R4G1,彼此相互獨立,每個皆為一種酸-保護基, 與一種通式hi化合物相互反應’ III R2—NH 100 200524874 其R2及R3具有上述所指之含意, 若R2及/或R3含有自由之氫氧基時,於有必要時,該等 官能基便與一種通式IV之化合物相互反應, Ci_3-C(0)-X xv 其X代表一個脫離基’或疋與'種由一適當保護基所保 護之胺基酸衍生物相互反應, 若R1G1及/或R4G1不代表所要求之形成生物不安定酯類及 /或若R2及/或R3含有保護基於任何存在之胺基酸殘基上 時’該等官能基於所生成之化合物中在任何要求之順序 下以同時進行或是個別進行之方式連續切除,而且於有 必要時,於每種情況下所示出之酸官能基轉換為生物不 安定酯類官能基, 而且於必要時,通式I所生成之酸類轉換成其在生理學 上可互容之鹽類,或是通式I之酸鹽轉換成自由酸及/或 通式I之鹼類轉換成其酸加成鹽類,或是酸加成鹽類轉 換成通式I之自由驗。 36· —種通式II之化合物,II its r1g1 and R4G1 are independent of each other, each of which is an acid-protecting group, and reacts with a compound of the general formula hi III R2-NH 100 200524874 R2 and R3 have the meanings mentioned above, if R2 and / Or when R3 contains a free hydroxyl group, these functional groups react with a compound of the general formula IV when necessary, Ci_3-C (0) -X xv, where X represents a leaving group 'or 疋 and' An amino acid derivative protected by a suitable protecting group reacts with each other if R1G1 and / or R4G1 does not represent the required formation of biosectable esters and / or if R2 and / or R3 contains protection based on any amine present When these residues are on the basis of acid residues, the functionalities are based on the consecutive removal of the resulting compounds in any required order, either simultaneously or individually, and, if necessary, the acid shown in each case The functional group is converted to a biostable ester functional group, and if necessary, the acid generated by the general formula I is converted to a physiologically compatible salt thereof, or the acid salt of the general formula I is converted to a free acid And / or bases of general formula I Acid addition salts, or converted to acid addition salts of formula I free inspection. 36 · —a compound of the general formula II, 101 200524874 其中 r1G1為一酸保護基,以及 R4Q1為一酸-保護基。101 200524874 where r1G1 is an acid protecting group, and R4Q1 is an acid-protecting group. 102 200524874 七、指定代表圖: (一) 本案指定代表圖為:第( )圖。 (二) 本代表圖之元件符號簡單說明: 八、本案若有化學式時,請揭示最能顯示發明特徵的化學式:102 200524874 VII. Designated Representative Map: (1) The designated representative map in this case is: (). (2) Brief description of the component symbols in this representative picture: 8. If there is a chemical formula in this case, please disclose the chemical formula that can best show the characteristics of the invention: 〇 COOR4〇 COOR4
TW093128652A 2003-09-26 2004-09-22 Amidomethyl-substituted 1-(carboxyalkyl)-cyclopentylcarbonylamino-benzazepine-n-acetic acid derivatives, process and intermediate products for their preparation and medicaments containing these compounds TWI332947B (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10344848A DE10344848A1 (en) 2003-09-26 2003-09-26 New amidomethyl substituted 1-(carboxyalkyl)-cyclopentylcarbonylamino-benzazepine-n-acetic acid derivatives useful to treat cardiovascular disorders or diseases; hypertension; sexual dysfunction; or neurodegenerative disorders
EP04100065 2004-01-12

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WO2005112940A1 (en) * 2004-05-14 2005-12-01 Solvay Pharmaceuticals Gmbh Pharmaceutical compositions comprising nep-inhibitors, inhibitors of the endogenous endothelin producing system and pde v inhibitors
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MX2007009977A (en) * 2005-02-18 2007-09-26 Solvay Pharm Gmbh Pharmaceutical compositions comprising nep-inhibitors, inhibitors of the endogenous endothelin producing system and diuretics.
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