WO2006102728A2 - Inclusion compounds of dioclein, floranol or analogs with cyclodextrin and their use for treating cardiovascular diseases - Google Patents

Inclusion compounds of dioclein, floranol or analogs with cyclodextrin and their use for treating cardiovascular diseases Download PDF

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WO2006102728A2
WO2006102728A2 PCT/BR2006/000060 BR2006000060W WO2006102728A2 WO 2006102728 A2 WO2006102728 A2 WO 2006102728A2 BR 2006000060 W BR2006000060 W BR 2006000060W WO 2006102728 A2 WO2006102728 A2 WO 2006102728A2
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dioclein
floranol
analogs
cyclodextrins
potent
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PCT/BR2006/000060
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French (fr)
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WO2006102728A3 (en
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Virginia Soares Lemos
Stayner DE FRANÇA CORTES
Bruno Almeida Resende
Roberta LINS GONÇALVES
Ruben Darío SINISTERRA MILAN
Martine Schmitt
Claire Lugnier
Jean-Jacques Bourguignon
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Universidade Federal De Minas Gerais
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Priority to JP2008503326A priority Critical patent/JP2008534520A/en
Priority to US11/887,564 priority patent/US20090270495A1/en
Priority to EP06721619A priority patent/EP1877049A2/en
Publication of WO2006102728A2 publication Critical patent/WO2006102728A2/en
Publication of WO2006102728A3 publication Critical patent/WO2006102728A3/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/14Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/16Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
    • A61K9/1605Excipients; Inactive ingredients
    • A61K9/1629Organic macromolecular compounds
    • A61K9/1641Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, poloxamers
    • A61K9/1647Polyesters, e.g. poly(lactide-co-glycolide)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/352Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/69Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit
    • A61K47/6949Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes
    • A61K47/6951Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit inclusion complexes, e.g. clathrates, cavitates or fullerenes using cyclodextrin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B82NANOTECHNOLOGY
    • B82YSPECIFIC USES OR APPLICATIONS OF NANOSTRUCTURES; MEASUREMENT OR ANALYSIS OF NANOSTRUCTURES; MANUFACTURE OR TREATMENT OF NANOSTRUCTURES
    • B82Y5/00Nanobiotechnology or nanomedicine, e.g. protein engineering or drug delivery

Definitions

  • the present invention relates to a process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases of types 1 to 5 (PDE1 , PDE2, PDE3, PDE4, PDE5) based on dioclein, floranol or natural or synthetic analogs; associated to inclusion compounds with the cyclodextrins and to the controlled-release devices using biodegradable or non-biodegradable polymers, such as PLGA, PLA, PGA or mixtures thereof; their respective pharmaceutical compositions for the study and treatment of cardiovascular diseases and associated products.
  • the substances developed in the present invention have been tested for their ability of inhibiting different isoforms of PDEs.
  • the present invention employs two flavonoids as forms that inhibit phosphodiesterases of types 1 to 5: dioclein and floranol, as well as their analogs and pharmaceutical compositions, using the cyclodextrins and their inclusion compounds, as well as pharmaceutical and pharmacologically acceptable excipients.
  • Phosphodiesterases are non-specific enzymes that catalyze the degradation of cyclic nucleotides AMPc (cyclic adenosine monophosphate) and GMPc (cyclic guanosine monophosphate), which act on several organs of the human body and of other mammals.
  • AMPc cyclic adenosine monophosphate
  • GMPc cyclic guanosine monophosphate
  • AMPc and GMPc are second messengers that play a key role in regulating numberless cellular functions such as metabolism, contractility, motility and transcription in practically all the types of cells, including those of the cardiovascular system.
  • PDEs represent the only way to degradation of AMPc and GMPc and, therefore, are important regulators of the cellular function [Poison J. B. and Strada S.J., Ann. Rev. Pharmacol. Toxicol., (1996) 36, 403-427].
  • the AMPc is a nucleotide produced from ATP in response to hormonal stimulation of receptors of the cell surface. It is an important molecule in the transmission of intracellular signals. It acts as a signaling molecule, activating the protein kinase A and, when hydrolyzed, generates AMP by a phosphodiesterase. Once formed, the AMPc causes intracellular effects, thus being considered an intercellular hormonal mediator.
  • the GMPc is a nucleotide produced from GTP by a guanylate cyclase. The guanylate cyclase can be activated in several ways, one of them being by nitric oxide, which is spreads from the endothelium to the smooth muscle cells of the vessels.
  • the atrial natriuretic peptide also stimulates the formation of GMPc.
  • the GMPc activates the protein kinase G, which in turn, can act in the smooth muscle to stimulate the opening of potassium channels, causing hyperpolarization of the cell. It can also act by activating the pump Ca 2+ /K + -ATPase, which causes calcium to come out of the cytoplasm to the extra cellular medium and from the cytoplasm into said sarcoplasmic reticulum. This causes a decrease of the intracellular free calcium. Further, the protein kinase G phosphorilates the contractile fibers, making them less sensible to calcium. These effects make the GMPc a messenger molecule that reduces the muscular contraction that is clearly dependent upon calcium. The concentration of GMPc is important in numberless physiologic events, as in the change of vascular tonus, erection and cellular proliferation. The phosphodiesterases act to reduce the life-span of the GMPc.
  • the PDEs 1 are present in the cardiovascular system (vessels and cardiomyocytes), in the brain and in other nerve tissues, and also in the kidneys and in the adrenal medulla. They are activated by Ca +2 and calmodulin (CaM).
  • the variants PDE1A and PDE1 B selectively hydrolyze GMPc, but the variant PDE1 C hydrolyzes both AMPc and GMPc.
  • the PDE1A have been implied in the tolerance developed by the vessels to organic nitrates and, therefore, selective inhibitors of this isoenzyme could be used as a therapeutic tool for limiting tolerance to nitrates.
  • the PDE1C is implied in the proliferation of the vascular smooth muscular cells.
  • the use of selective inhibitors for this latter isoform could minimize proliferative responses found in the injury and inflammation caused by the angioplasty, in atherosclerosis, in arterial hypertension, etc.
  • the PDE1 C has also been implied in the secretion of insulin.
  • the PDE1 has also been implied in the control of the brain circulation (Maurice D. H. et al., MoI. Pharmacol, (2003) 64, 533-546].
  • the PDES 2 are stimulated by the GMPc and hydrolyze both
  • AMPc and GMPc are found in the platelets, in the cardiomyocytes, endothelial and vascular cells, and adrenal granular cells.
  • the natriuretic peptides and donors of nitric oxide increase the cellular GMPc and activate the PDE2 in some of these cells [Maurice D. H et al., MoI. Pharmacol., (1003) 64,533-546].
  • the PDEs 3 are present in the blood vessels, heart, megakaryocytes, oocytes, liver, adipocytes, brain, renal collecting ducts and developing sperm. They hydrolyze both AMPc and GMPc. They are activated by the protein kinase A and by the protein kinase B or an insulin-activating kinase and are inhibited by the GMPc. At the cellular level, the PDEs 3 play an important role as regulators of the effects of insulin on the metabolism of lipids and carbohydrates, act in controlling the activity of the L-type Ca 2+ channels in the cardiomyocytes, are implied in the process of controlling the tonus and vascular proliferation and in inflammatory processes [Maurice D. H. et al., MoI. Pharmacol, (2003) 64, 533-546].
  • the PDEs 4 are found in almost all the types of cells, except in the platelets. They are characterized by hydrolyzing specifically AMPc. This family of PDEs consists of 4 types of independently encoded enzymes
  • PDE4A-PDE4D At the molecular level, they act to raise the levels of AMPc.
  • the PDE4 are widely implied in immunological and inflammatory disorders, as well as in the depression physiopathology [Maurice D. H. et al., MoI. Pharmacol, (2003) 64, 533-546].
  • the PDEs 5 hydrolyze specifically GMPc. This family consists of a single gene, which encodes 3 different proteins (PDE5A1-3).
  • the PDE5 is present in numberless tissues, like the brain, lung, platelets, visceral and vascular smooth muscle and kidneys.
  • inhibitors of PDE5 like sildenafil (Viagra®), are used in erectile dysfunction and in pulmonary hypertension [Lin CS. et al., Urology, (2003) 61 , 685-692].
  • Flavonoids are compounds existing since billions of years and can be found in a wide variety of plants. They are responsible for the colorful aspect of leaves and flowers, and may also be present in other parts of plants. There are six classes of flavonoids: flavanones, flavones, flavanes, flavonols, isoflavonoids, anthocyanines, which vary in their structural characteristics around the heterocyclic oxygen ring. The differences lie in the absorption of each class [Peterson J. and Dwyer J., Nutr. Res., (1998) 18,
  • flavonoids which exhibit various biochemical and pharmacological activities, such as anti-oxidant antiinflammatory, anti-allergic, antiviral and anticarcinogenic action.
  • biochemical and pharmacological activities such as anti-oxidant antiinflammatory, anti-allergic, antiviral and anticarcinogenic action.
  • the flavonoids act as precursors of toxic substances, pigments and light protectors.
  • the flavonoids can inhibit various stages of the processes that are directly related with the beginning of atherosclerosis, like the activation of leucocytes, adhesion, aggregation and secretion of platelets [Hladovec J., Physiol. Bohemoslov. (1986) 35, 97-103], besides having hypolipidemic activities [Matsuda et al., J.
  • Flavonoids have also been studied as inhibitors of the action of enzymes.
  • the literature reports the inhibiting activity of flavonoids for several types of enzymes, as for example, cyclooxygenase, estrogen synthase, glutathione synthase, lipoxygenase, xanthine oxydase, and phosphodiesterases [Peterson J. and Dwyer J., Nutr. Res., (1998), 18, 1995- 2018].
  • dioclein, floranol and analogs as inhibitors of the isoforms of phosphodiesterases PDE1 , PDE2, PDE3, PDE4 and PDE5, and as models for the development of new pharmaceuticals was not found in the prior art. Further, it was not found in the prior art the process for preparing inclusion compounds between dioclein and floranol with cyclodexthns for use in oral formulations, as inhibitors of phosphodiesterases in their isoforms 1 , 2, 3, 4 and 5, as well as for the study and treatment of degenerative chronic diseases like atherosclerosis, hypertension and related cardiovascular diseases and use thereof as models for the development of new pharmaceuticals, as well as their pharmaceutical compositions.
  • the present invention is characterized by the development of new substances with the chemical structure of formula I, as potent and selective inhibitors of PDEs 1 to 5. It has also aims at the effect of compounds of figure 1 , as preventives against cellular proliferation, vasodilator, anti-hypertensives, anti-inflammatories and as preventives against atherosclerosis.
  • R 1 , R 2 , R 3 ,R 4 , R 5 , R 6 and R 7 are functional groups that may be the same or different and include, but are not limited to, hydrogen, hydroxyl, methoxyl and prenyl.
  • Dioclein (5, 2,'5'-trihydroxy-6,7-dimethoxyflavanone), figure 1 , is a flavonoid of the class of the flavanones, a group of compounds found at high concentrations in citric fruits.
  • the flavanones stand out for their bioactivity against certain types of cancer, especially colon cancer and breast cancer, and improve the venous and arterial circulation thanks to their platelet anti-aggregating, vasodilating properties, as well as inhibiting cellular adhesion at the plasmatic level. In addition, they exhibit analgesic, antiallergic and anti-inflammatory properties.
  • Dioclein has been obtained from its synthesis by using the method described by Spearing P. et al. [J. Nat. Prod., (1997) 60, 399-400]. This flavonoid was first described upon its isolation from the ethanolic extract from Dioclea grandiflora. This plant is known for its medicinal value and occurs in the northeast of Brazil, especially in the regions of the so-called “caatinga” (stunted sparse forest) and "cerrado” (patches with stunted vegetation) [Jenkins T. et al., Phytochemistry, (1999) 52, 723-730. The analgesic effect of dioclein is known [Batista J. S. et al., J. Ethnopharmacol.
  • Dioclein has a limitation in its use due to its hydrophobicity, instability and little or no activity when administered by oral route. So, the present invention proposes a solution to the prior art, using the formation of inclusion compounds with cyclodextrins and their derivatives, and the obtainment of active pharmaceutical compositions having high bioavailability when applied in oral form.
  • Floranol the chemical formula of which is described in figure 1 , is a flavonoid of the class of the flavonones and exhibits vasodilating activity [Rezende B. A. et al., Planta Med. (2004) 70, 465-467].
  • PDE2 inhibitors are known. Erythro-9-(2-hydroxyl-3-nonyl) adenine, a potent enzyme adenosine deaminase inhibitor, inhibits the activation of PDE2 by GMPc. This substance was tested on various tissues, but its potential clinical use is still unknown.
  • the inhibition of phosphodiesterase 3 and 4 relaxes the smooth muscles of the bronchi and pulmonary arteries, and the immunomodulatory and anti-inflammatory action results from the inhibition of isoenzyme-4.
  • the PDE3 inhibitors do not have utilization in the clinical practice due to the association with cardiovascular problems, mainly in arrhythmias.
  • the PDE4 have also the great limitation due to their side effects, mainly nauseas and vomit - this is because the vomit center is out of the hemato- encephalic barrier and the action of which cannot be dissociated from the anti-inflammatory effects [www.asmabronquica.com.br/pierre/33teofilina.pdf].
  • the known PDE3 inhibitors are inotropics and vasodilating drugs such as: cilostamide, milrinone, amhnone, enoximone, imazodan, indolidan, cilostazol and olprinone.
  • Cilostazol has an anti-platelet, vasodilating and antithrombotic action. It has been tested clinically for the treatment of angioplastic restenosis. However, it is expensive and also has adverse reactions, like headache, diarrhea, palpitations, tachycardia, and the use thereof being inadequate for patients with any type of heart problem [httpV/www.ukmi-nhs.uk/NewMaterial/html/docs/Cilostazol.pdf].
  • PDE4 inhibitor The most widely-known PDE4 inhibitor is Rolipram, which exhibits serious side effects, and its use is being restricted [Manganiello V. C. et al., Arch. Biochem. Biophys., (1995) 322, 1-13].
  • BAY 19-8004 used for lung diseases such as inflammation of the bronchi, asthma and chronic coronary obstruction; but it has presented significant side effects only with respect to this latter disease, and its side effects are little known [Grootendorst D. C et al., PuIm. Pharmacol. Ther. (2003) 16, 341-347].
  • Cilomilast and roflumilast two of other PDE4 inhibitors, have been clinically tested for use against asthma, chronic obstructive pulmonary disease and allergic rhinitis.
  • the inhibitors best known on the market are those suitable to act on PDE5, which act mainly on erectile-dysfunction-related problems, namely, sildenafil, vardenafil and tadalafil, exisulind and CP461. All these medicaments still have disadvantages with regard to their use.
  • the two latter pharmaceuticals exhibit more efficacy when compared with sildenafil, however, the long-term effects of the reiterated use of vardenafil and of tadalafil are not known - a reason that leads sildenafil to be more widely used. [Gresser U. and Gleiter C. H., Eur. J. Med. Res., (2000) 27, 435-446].
  • sildenafil active principle of Viagra® still exhibits side effects such as headache, indigestion with possibility of reflux and rubor, besides momentary visual blurring [ Goldstein I. et al., N. Engl. J. Med., (1998) 338, 1397-1404].
  • Sildenafil is also used for the treatment of pulmonary hypertension. Exisulind and CP461 are being tested for the treatment of various type of cancer. Other phosphodiesterase inhibitors, among them natural inhibitors, are known, but little used in clinic for several reasons, such as excess of side effects, little selectivity in inhibiting various isoforms, the need for high dosages, among others.
  • Paraverin which is a non-specific PDEs inhibitor, is used in clinic as vasodilator, especially for erectile dysfunction. It is a very cheep and effective drug, but it has strong side effects. A single application may cause fibrosis of the cavernous bodies of the penis. In addition, the priapism, a persistent erection (more than 4 hours), often painful, which is not followed by sexual desire, is quite high. [http:/www.lincx.com.br/lincx/atualizacao/ artigos/disfuncao_sexual.html]. It is also used topically as vasodilator in surgeries of cardiac revascularization.
  • Teofilin acts to inhibit the PDE enzymes of the types 3, 4 and 5. It is a compound originally extracted from black-tea leaves. Inhibition of PDEs 3 and 4 increases the intracellular concentrations of AMPc, and the inhibition of PDE 5 increases the levels of GMPc in the bronchial smooth musculature and in the inflammatory cells. It is being used over 50 years, however, its importance has been decreasing because the therapeutic doses used are weak and little selective.
  • Caffeine belongs to the group of methylxantins, known for their inhibitory effect on the phosphodiesterase of cyclic nucleotides, especially AMPc, preventing its metabolism.
  • caffeine is little used in the production of pharmaceuticals [Daly JW. J. Auton. Nerv. Syst. (2000) 81 , 44-52].
  • U.S. Patent 20020132845 discloses compositions and methods to prevent or alleviate symptoms of ischemia of the tissues in mammals, especially of the brain tissues, using flavonoids for this purpose.
  • the use of dioclein, floranol and analogs, as well as their pharmaceutical compositions is not disclosed.
  • the present invention is also characterized by proposing, for example, non-limiting dioclein and floranol molecules, as models for use in the study of the mechanisms of diseases such as arterial hypertension, atherosclerosis and restenosis, as well as the development of novel pharmaceutical for inhibiting phosphodiesterase 1 to 5, but preferably phosphodiesterase 1 , PDE1.
  • pharmaceuticals and their pharmaceutical compositions that inhibit PD1 are of great interest for the pharmaceutical industry, since they have a therapeutic potential for the treatment of the diseases that imply participation thereof.
  • flavonoids used in the present invention exhibit low solubility in water, instability and low or no activity when applied in oral form. So, one of the characteristics of the present technology is the increase of the solubility, stability and activity via oral route when included in cyclodextrins and when microencapsulated in biodegradable polymers.
  • a pharmaceutical may be chemically modified to alter its properties such as biodistribution, pharmacokinetics and solubility.
  • a number of methods have been used to increase the solubility and stability of the drugs, among which the use of organic solvents, emulsions, liposomes, pH adjustment, chemical modifications and complexation of the pharmaceuticals with a suitable encapsulating agent such as cyclodextrins.
  • the cyclodextrins are of the family of the cyclic oligosaccharides that include six, seven or eight units of glucopiranose. Due to the steric interactions, the cyclodextrins form a cyclic structure in the form of a truncated cone with a non-polar internal cavity. These are chemically stable compounds that may be modified in a regioselective manner.
  • the cyclodextrins form complexes with various hydrophobic molecules (guests), including them in a complete manner or in part in the cavity.
  • the cyclodextrins have been used for solubilization and encapsulation of drugs, perfumes and flavorings, as described by Szejtli [Szejtli J., Chem. Rev., (1998) 98, 1743-1753; Szejtli J., J. Mater. Chem. (1997) 7, 575-587].
  • Szejtli Szejtli J., Chem. Rev., (1998) 98, 1743-1753
  • Szejtli J. J. Mater. Chem. (1997) 7, 575-587.
  • cyclodextrins as additives in foods has already been authorized in countries such as Japan and Hungary, and for more specific applications, in France and Denmark. In addition, they are obtained from a renewable source from degradation of starch. All these characteristics are a growing motivation for the discovery of new applications.
  • the structure of the cyclodextrine molecule is similar to that of a truncated cone, low symmetry, approximately Cn. The primary hydroxyls are located on the narrower side of the cone and the secondary hydroxyls are located on the wider side. In spite of the stability conferred to the cone by the intramolecular hydrogen bonds, the latter is flexible enough to enable a considerable deviation from the regular form.
  • the cyclodextrins are moderately soluble in water, methanol and ethanol and readily soluble in aprotic polar solvents, such as dimethyl sulfoxide, dimethylformamide, N, N-dimethylacetamide and pyridine.
  • biodegradable polymers are also used, which decrease the velocity of absorption of pharmaceuticals in the organism, through the controlled-release devices.
  • the drugs are incorporated in a polymeric matrix based on the encapsulation of drugs in microspheres, which release the drug inside the organism, in small and controllable daily doses, for days, months or even years.
  • polymers have been tested in controlled-release systems. Many have been tested due to their physical properties such as: poly (urethanes) for their elasticity, poly (siloxanes) or silicone because they are good insulators, poly (methylmetacrylate) for its physical strength, poly (vinyl alcohol) for its hydrophobicity and resistance, poly (ethylene) for its hardness and impermeability [Gilding, D. K. Biodeg. Polym. Biocompat. Clin Implat. Mater. (1981 ) 2, 209-232]. However, for use on humans, the material must be chemically inert and free from impurities.
  • Some of the materials used in release systems are: poly(2-hydroxy-ethylmetacrilate), polyacrylamide, polymers based on lactic acid (PLA), based on glycolic acid (PGA), and the respective copolymers (pLGA) and the poly(anhydrous) such as polymers based on sebasic acid (PSA) and the co-polymers with more hydrophobic polymers.
  • the inclusion compounds of dioclein non-limiting example the cyclodextrins, were characterized by the physico-chemical techniques of analyses like spectroscopy of absorption in the infrared region, IR, thermal analysis (TG/DTG) and X-ray diffractions and nuclear magnetic resonance of 1 H and 13 C.
  • Figure 2 represent the vasodilating effect of dioclein in the human saphenous vein, pre-contracted with phenylephrine (3x10 "6 M) in the presence or absence of functional endothelium.
  • the relaxation data represent the percentage of reduction of the contraction by phenylephrine in response to dioclein and have been expressed on average ⁇ SEM. *P ⁇ 0.05 (two-way ANOVA with post-test comparison BONFERRONI. The vessels of 8 patients with and 8 without functional endothelium were analyzed.
  • Figure 3 shows the effect of H-89 (1 ⁇ M) on the relaxation induced by dioclein on the human saphenous vein without functional endothelium, pre-contracted with phenylephrine (3x10 '6 M).
  • the data represent the percentage of reduction of the contraction by phenylephrine in response to dioclein and have been expressed average ⁇ SEM. *P ⁇ 0.05. ***P ⁇ 0.001 (two-way ANOVA with post-test comparison BONFERRONI).
  • Figure 4 illustrates the effect of Rp-8-pCPT cGMPS (10 ⁇ M) on the relaxation induced by dioclein on the human saphenous vein without functional endothelium, pre-contracted with phenylephrine (3x10 "6 M).
  • the data represent the percentage of reduction of the contraction with phenylephrine in response to dioclein and have been expressed in average ⁇ SEM.
  • ***P ⁇ 0.001 two-way ANOVA with post-test comparison of BONFERRONI).
  • Figure 5 shows the vasodilating effect of dioclein in comparison with that of vinpocetine and that of 8-MM-IBMX on the human saphenous vein without functional endothelium, pre-contracted with phenylephrine (3x10 " 6 M).
  • the data represent the percentage of reduction of the contraction with phenylephrine in response to dioclein and have been expressed in average ⁇ SEM.
  • Figure 6 is a graph that evidences the effect of H-89 (1 ⁇ M) (a) and of Rp-8-pCPT cGMPS (3 ⁇ M) (b) on the relaxation induced by dioclein in the mesenteric artery of rat, pre-contracted with phenylephrine (3x10 "6 M).
  • the data represent the percentage of reduction of the contraction of phenylephrine in response to dioclein and have been expressed in average ⁇ SEM. (two-way ANOVA with post-test comparison of BONFERRONI).
  • vinpocetine is capable of directly activating potassium channels of the type sensitive to high-conductance calcium [Wu S. N. et al., Biochem. Pharmacol., (2001 ) 61 , 877-92].
  • Dioclein has a IC 50 of 1.4 ⁇ M, being about 30 times more potent than vinpocetine and 8 times more potent than 8-MM-IBMX.
  • Dioclein is also more selective, since in inhibits PDE1 at concentrations of from 20 to 100 times smaller than the concentration necessary to inhibit PDE2, PDE3, PDE4 and PDE5. Therefore, dioclein is more selective and potent than the PDE1 inhibitors presently available on the market.
  • the development of new substances with selective PDE1 inhibitory property will contribute to the understanding of the physiological role of the PDE1 and of the therapeutic potentialities of the inhibition of this isoform of PDE.
  • vinpocetine has been clinically tested on urinary incontinency problems and acute ischemia caused by a stroke.
  • the PDE1 inhibitors have a potential of therapeutic application to cardiovascular diseases that involve proliferative inflammatory processes like restenosis, atherosclerosis and arterial hypertension. It also has a potential therapeutic use to increase the cerebral circulation and to limit tolerance to nitrates.
  • the calmodulin inhibitors also inhibit the activity of PDEsI .
  • its poor selectivity for PDEs has limited its use.
  • results of the present invention are not limited to the inhibition of the isoform of PDE1 ; they also indicate the possibility of inhibiting the posphodiesterases of types 2 to 5, with the use of these flavonoids, but with a somewhat higher concentration.
  • the present invention is characterized by preparing sustained as well as controlled release devices of dioclein, floranol and analogs using the cyclodextrins and the biodegradable polymers aiming at the study / inhibition of the actuation of the phosphodiesterases of types 1 , 2, 3, 4 and 5.
  • Figure 7 is a representative example of the effect of dioclein (2.5 mg/kg) and of the inclusion product of dioclein in cyclodextrin (inclusion: 2.5 mg/kg), applied by intraperitoneal route, on the arterial pressure of mice.
  • dioclein and the inclusion product of dioclein in the cyclodextrin were dissolved with the aid of DMSO.
  • Figure 8 is a representative example of the effect of dioclein (10 mg/kg) and of the inclusion product of dioclein in cyclodextrin (inclusion: 10 mg/kg), applied by oral route, on the arterial pressure of mice. In the highlight one can see the average ⁇ SEM of maximum effect achieve in 3 different mice. In this experiments dioclein and the inclusion product of dioclein in cyclodextrin were dissolved with the aid of DMSO.
  • Figure 9 is a representative example of the effect of the inclusion product of dioclein in cyclodextrin (inclusion; 10 mg/kg), solubilized in water, applied by oral route, on the arterial pressure of mice. Dioclein cannot be tested due to its very low solubility in water.
  • Figures 8 and 9 show clearly that the substances of the present invention are not active when used by oral route.
  • the substances of the present invention are not water-soluble either.
  • the inclusion of dioclein in the cyclodextrins has enabled its solubility in water and an activity by oral route.
  • the present invention will be better understood with the help of the following non-limiting examples.
  • the substances developed in the present invention have been tested for their ability of inhibiting different isoforms of PDEs.
  • Table 1 shows the inhibitory effect of dioclein and of floranol, molecules of the present invention on PDE1 , PDE3, PDE4 and PDE5 isolated from the smooth muscle of ox aorta and on the PDE2 isolated from human platelets.
  • dioclein and floranol are potent and selective PDE1 inhibitors.
  • the compounds of the present invention are more effective with regard to potency and selectivity than the other two single PDE 1 inhibitors presently available on the market: Vinpocetine and 8- methoxymethyl-IBMX (8-MM-IBMX).
  • Vinpocetine shows an inhibitory effect at concentrations higher than 30 ⁇ M in PDE1 of bovine tissue [Yu J. et al., Cell. Signal., (1997) 9, 519-29] and also, at the same concentrations, inhibits PDE7 [Sasaki et al., 2000].
  • vinpocetine is capable of directly activating potassium channels of the type sensitive to high-conductance calcium [Wu S.N.
  • Dioclein has a CI 50 of 1.4 ⁇ M, being about 30 times more potent than vinpocetine and 8 times more potent than 8-MM-IBMX.
  • Dioclein is also more selective, since it inhibits PDE 1 at concentrations of 20 - 100 times smaller than the necessary to inhibit PDE2, PDE3, PDE4 and PDE5. Therefore, dioclein is more selective and more potent than the PDE1 inhibitors presently available on the market.
  • Example 2 Evaluation of the vasodilating effect of dioclein dependent upon the inhibition of PDEs, as a non-limiting example
  • Figure 2 illustrates the effect of the flavonoids of the present invention on the human saphenous vein.
  • Figure 3 illustrates the effect of dioclein on the human saphenous vein without functional endothelium, in the absence and in the presence of an inhibitor selective of protein Kinase A, which is the intracellular receptor of AMPc.
  • the vasodilating effect of dioclein was displaced to the right in the presence of H-89 (inhibitor of the protein Kinase A), showing that the AMPc is involved in its vasodilating effect.
  • FIG. 4 shows that the vasodilating effect of the flavonoids of the present invention on the human saphenous vein was almost totally blocked in the presence of an inhibitor selective of the protein kinase G (Rp- 8-pCPT-cGMPS).
  • the protein Kinase G is the intracellular receptor of GMPc.
  • the results of figures 3 and 4 show that the vasodilating effect of dioclein on the human saphenous vein is mediated by an intracellular increase of the cyclic nucleotides.
  • the Cl 5 o of the vasodilating effect of dioclein on the human saphenous vein of 3.0+0.2 ⁇ M correlate well with the Cl 50 1.44+0.35 ⁇ M of its inhibitory effect on the PDE1.
  • the fact that the vasodilating effect of dioclein is mediated by the GMPc and by the AMPc also correlates well with the characteristics of the PDE1 that hydrolyzes the two types of cyclic nucleotides.
  • the PDE1 In the human saphenous vein, one of the PDEs described is the PDE1 [Wallis R. M. et al., Am. J.
  • Figure 5 compares the vasodilating effect of dioclein with that of Vinpocetine and of 8-MM-IBMX on the human saphenous vein.
  • dioclein is much more potent than the two conventional PDE1 inhibitors.
  • Dioclein causes the human saphenous vein to relax (in the absence of functional endothelium) with a CI50 of 11.1 ⁇ 2.7 ⁇ M, whereas 8-MM-IBMx had a CI50 of 30.9 ⁇ 16.0 ⁇ M.
  • Vinpocetine produced only 30% of maximum effect.
  • Figure 6 shows that the vasodilating effect of the flavonoids of the present invention on the mesenteric artery of rat also decreases in the presence of H-89 (a) and Rp-8-pCPT-cGMPS (b) and, therefore, mediated by the cyclic nucleotides AMPc and GMPc.
  • Example 3 Preparation of the inclusion compounds 1 :1 of dioclein with ⁇ -cyclodextrin.
  • the beaker was protected from luminosity (pharmaceutical easy to decompose and oxidize).
  • the compound was lyophilized for 48hs, after being frozen in nitrogen, and characterized by physico-chemical techniques of analysis.
  • the absorption spectra in the infrared region were recorded on the spectrophotometer IRTF Galaxy 3000 Mattson in the range of 4000-400 cm “1 , using KBr tablets.
  • the TG/DTG curves were obtained on TGA-50H thermo balance from Shimadzu, under a dynamic N 2 atmosphere with flow rate of approximately 100 mL/min, using alumina melting pot and a heating rate of 10°C/min.
  • the samples were heated from 25 to 75O 0 C.
  • the NMR spectra were recorded, by using the spectrophotometer Bruker DPX-200 (200 MHz), using DMSO or D 2 O as a solvent and TMS as an internal standard.
  • the X-ray diffractgram of the DC of 4 to 60° 2 ⁇ suggests a semi crystalline structure thereof, showing marked peaks and an amorphousness halo, between 15 and 40° 2 ⁇ .
  • the DSC curve of the inclusion compound has a thermo decomposition profile different from the free materials and from the respective mechanical mixture, but no peak of fusion of DC at 250 0 C is observed, which suggests the formation of a new crystalline phase after the interaction of DC with ⁇ -CD.
  • IC has an amorphous structure due to the marked amorphousness halo observed in the range of from 15 to 40° 2 ⁇ . This halo also appears in the diffractogram of DC, but with less intensity; however, in IC it is not observed the intense peaks of crystallinity. This structure, comparatively more amorphous, suggests the formation of a novel compound, since the diffractogram of MM has the peaks of crystallinity of ⁇ - CD in addition to the amorphousness halo of DC.
  • Table V Chemical displacements and relaxation times of NMR or 1 H of ⁇ -CD in DMSO.
  • T 1 increased to Hi and decreased to OH (2), OH (3), OH (6) when compared with the values of ⁇ -CD alone. This indicates the modification in the intense movement of the pyranose rings as a result of the complexation. A decrease in the value of T 1 suggests the decrease of the molecular movement due to interaction with DC.
  • Example 5 Preparation of the controlled release devices of dioclein and of the inclusion compounds in cyclodextrins, using the microspheres of the biodegradable polymers PLGA, as a non-limiting example:
  • This emulsion is then subjected to sonication for half a minute, and then 1 % polyvinyl alcohol (PVA) solution is added, thus forming a second emulsion, which undergoes stirring for 1 minute for complete homogenization of the emulsion.
  • PVA polyvinyl alcohol
  • the system is kept under agitation without heating for 2 hours, so that the solvent can evaporate.
  • the mixture is centrifuged 2 to 3 times, the supernatant being removed and washing with water is carried out.
  • microspheres are then characterized through the thermal analysis.
  • the DSC curve obtained from the glass transition, exhibiting a value close to that of the polymer (PLGA).
  • SEM electronic scan microscopy
  • one constructed UV-VIS calibration curves In order to determine the encapsulating capacity of the different system used, one constructed UV-VIS calibration curves, obtaining a relation between concentration and absorbance, thus being able to determine the amount of flavonoid incorporated into the microspheres of biodegradable polymer.
  • Example 6 Evaluation of the hypotensor effect of flavonoids included or not in cyclodextrins as a non-limiting example: The substances developed in the present invention have been tested for their ability of producing hypotension in animal models.
  • Figure 7 illustrates the effect of dioclein and of dioclein included in cyclodextrin, dissolved with the aid of DMSO on the arterial pressure of mice.
  • dioclein and of dioclein included in cyclodextrin reduced the arterial pressure of mice.
  • the effect of the inclusion product was more marked and more prolonged, showing that cyclodextrin improves the bioavailability of dioclein.
  • Figure 8 illustrates the effect of dioclein and of dioclein included in cyclodextrin dissolved with the aid of DMSO on the arterial pressure of mice when applied by oral route (gavage).
  • dioclein is not active via oral route.
  • Figure 9 illustrates the effect of included dioclein, dissolved in water.
  • Dioclein without inclusion in cyclodextrin cannot be tested due to its insolubility in water.
  • dioclein included in cyclodextrin maintains its effect by oral route even when water is used as a carrier for dissolving it.

Abstract

The present invention relates to dioclein, floranol or natural or synthetic analogs; associated to inclusion compounds with the cyclodextrins and to controlled-release devices using biodegradable or non-biodegradable polymer, such as PLGA, PLA, PGA or mixtures thereof; their respective pharmaceutical compositions for the study and treatment of cardiovascular diseases and associated products. The substances developed in the present invention have been tested for their ability of inhibiting different isoforms of PDE' s. These are also the first substances, and their pharmaceutical compositions, in the therapeutical arsenal, capable of inhibiting, in a potent and selective manner, the isoform of type-1 (PDEl) phosphodiesterase. The present invention used two flavonoids as forms that inhibits phosphodiesterases of types 1 to 5: dioclein and floranol, as well as their analogs and pharmaceutical compositions, using the cyclodextrins and their inclusion compounds, as well as pharmaceutical and pharmacologically acceptable excipients.

Description

Title: A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases of types 1 to 5 (PDE1, PDE2, PDE3, PDE4, PDE5), based on dioclein, floranol or analogs and their pharmaceutical compositions for the study and treatment of cardiovascular diseases and associated products".
The present invention relates to a process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases of types 1 to 5 (PDE1 , PDE2, PDE3, PDE4, PDE5) based on dioclein, floranol or natural or synthetic analogs; associated to inclusion compounds with the cyclodextrins and to the controlled-release devices using biodegradable or non-biodegradable polymers, such as PLGA, PLA, PGA or mixtures thereof; their respective pharmaceutical compositions for the study and treatment of cardiovascular diseases and associated products. The substances developed in the present invention have been tested for their ability of inhibiting different isoforms of PDEs. These are also the first substances, and their pharmaceutical compositions, in the therapeutical arsenal capable of inhibiting, in a potent and selective manner, the isoform of type-1 (PDE1 ) phosphodiesterase. The present invention employs two flavonoids as forms that inhibit phosphodiesterases of types 1 to 5: dioclein and floranol, as well as their analogs and pharmaceutical compositions, using the cyclodextrins and their inclusion compounds, as well as pharmaceutical and pharmacologically acceptable excipients. Phosphodiesterases are non-specific enzymes that catalyze the degradation of cyclic nucleotides AMPc (cyclic adenosine monophosphate) and GMPc (cyclic guanosine monophosphate), which act on several organs of the human body and of other mammals.
AMPc and GMPc are second messengers that play a key role in regulating numberless cellular functions such as metabolism, contractility, motility and transcription in practically all the types of cells, including those of the cardiovascular system. PDEs represent the only way to degradation of AMPc and GMPc and, therefore, are important regulators of the cellular function [Poison J. B. and Strada S.J., Ann. Rev. Pharmacol. Toxicol., (1996) 36, 403-427].
The AMPc is a nucleotide produced from ATP in response to hormonal stimulation of receptors of the cell surface. It is an important molecule in the transmission of intracellular signals. It acts as a signaling molecule, activating the protein kinase A and, when hydrolyzed, generates AMP by a phosphodiesterase. Once formed, the AMPc causes intracellular effects, thus being considered an intercellular hormonal mediator. The GMPc is a nucleotide produced from GTP by a guanylate cyclase. The guanylate cyclase can be activated in several ways, one of them being by nitric oxide, which is spreads from the endothelium to the smooth muscle cells of the vessels. The atrial natriuretic peptide also stimulates the formation of GMPc. The GMPc activates the protein kinase G, which in turn, can act in the smooth muscle to stimulate the opening of potassium channels, causing hyperpolarization of the cell. It can also act by activating the pump Ca2+/K+-ATPase, which causes calcium to come out of the cytoplasm to the extra cellular medium and from the cytoplasm into said sarcoplasmic reticulum. This causes a decrease of the intracellular free calcium. Further, the protein kinase G phosphorilates the contractile fibers, making them less sensible to calcium. These effects make the GMPc a messenger molecule that reduces the muscular contraction that is clearly dependent upon calcium. The concentration of GMPc is important in numberless physiologic events, as in the change of vascular tonus, erection and cellular proliferation. The phosphodiesterases act to reduce the life-span of the GMPc.
Until now 11 different families of PDEs isoenzymes have been described and knowing the exact physiological role that each one of them plays is still complex and under study [Soderlining S. H. and Beavo J. A., Curr. Opin. Cell Biol., (2000) 12, 174-179]. In each family there are multiple isoforms as a result of the existence of multiple genes and alternative "splicing". The various phosphodiesterases existing differ in their primary structure, ability of hydrolyzing AMPc and GMPc, tissular and intracellular distribution and sensitivity to pharmacological modulators and inhibitors [O'Donnel J. M. and Zhang H. T., Trends Pharmacol., Sci., (2004) 25, 158- 163]. The PDEs 1 are present in the cardiovascular system (vessels and cardiomyocytes), in the brain and in other nerve tissues, and also in the kidneys and in the adrenal medulla. They are activated by Ca+2 and calmodulin (CaM). The variants PDE1A and PDE1 B selectively hydrolyze GMPc, but the variant PDE1 C hydrolyzes both AMPc and GMPc. The PDE1A have been implied in the tolerance developed by the vessels to organic nitrates and, therefore, selective inhibitors of this isoenzyme could be used as a therapeutic tool for limiting tolerance to nitrates. The PDE1C is implied in the proliferation of the vascular smooth muscular cells. The use of selective inhibitors for this latter isoform could minimize proliferative responses found in the injury and inflammation caused by the angioplasty, in atherosclerosis, in arterial hypertension, etc. The PDE1 C has also been implied in the secretion of insulin. In the cardiovascular system, the PDE1 has also been implied in the control of the brain circulation (Maurice D. H. et al., MoI. Pharmacol, (2003) 64, 533-546]. The PDES 2 are stimulated by the GMPc and hydrolyze both
AMPc and GMPc. They are found in the platelets, in the cardiomyocytes, endothelial and vascular cells, and adrenal granular cells. The natriuretic peptides and donors of nitric oxide increase the cellular GMPc and activate the PDE2 in some of these cells [Maurice D. H et al., MoI. Pharmacol., (1003) 64,533-546].
The PDEs 3 are present in the blood vessels, heart, megakaryocytes, oocytes, liver, adipocytes, brain, renal collecting ducts and developing sperm. They hydrolyze both AMPc and GMPc. They are activated by the protein kinase A and by the protein kinase B or an insulin-activating kinase and are inhibited by the GMPc. At the cellular level, the PDEs 3 play an important role as regulators of the effects of insulin on the metabolism of lipids and carbohydrates, act in controlling the activity of the L-type Ca2+ channels in the cardiomyocytes, are implied in the process of controlling the tonus and vascular proliferation and in inflammatory processes [Maurice D. H. et al., MoI. Pharmacol, (2003) 64, 533-546].
The PDEs 4 are found in almost all the types of cells, except in the platelets. They are characterized by hydrolyzing specifically AMPc. This family of PDEs consists of 4 types of independently encoded enzymes
(PDE4A-PDE4D). At the molecular level, they act to raise the levels of AMPc.
The PDE4 are widely implied in immunological and inflammatory disorders, as well as in the depression physiopathology [Maurice D. H. et al., MoI. Pharmacol, (2003) 64, 533-546].
The PDEs 5 hydrolyze specifically GMPc. This family consists of a single gene, which encodes 3 different proteins (PDE5A1-3). The PDE5 is present in numberless tissues, like the brain, lung, platelets, visceral and vascular smooth muscle and kidneys. In inhibitors of PDE5, like sildenafil (Viagra®), are used in erectile dysfunction and in pulmonary hypertension [Lin CS. et al., Urology, (2003) 61 , 685-692].
It is known that many pathologies related with the mechanism of functioning of the phosphodiesterases are being studied and the inhibition of the known isoforms has been a treatment mechanism for various diseases. Thus, the PDE1 - PDE5 inhibitors have been used for the treatment of the erectile-dysfunction problems [Rosen R. C and Kostis J. B., Am. J. Cardiol., (2003) 92, 9M-18M]; in the treatment of asthma and other inflammatory diseases [Torphy T. J., Am. J. Respir. Crit. Care, Med., (1997) 157, 351-370].
Flavonoids are compounds existing since billions of years and can be found in a wide variety of plants. They are responsible for the colorful aspect of leaves and flowers, and may also be present in other parts of plants. There are six classes of flavonoids: flavanones, flavones, flavanes, flavonols, isoflavonoids, anthocyanines, which vary in their structural characteristics around the heterocyclic oxygen ring. The differences lie in the absorption of each class [Peterson J. and Dwyer J., Nutr. Res., (1998) 18,
1995-2018].
This broad class of substances of natural origin, the synthesis of which does not occur in the human species, has important pharmacological properties, which act on biological systems. Consequently, many of these properties act in a beneficial way on human health.
There are over 4,000 different flavonoids, which exhibit various biochemical and pharmacological activities, such as anti-oxidant antiinflammatory, anti-allergic, antiviral and anticarcinogenic action. In plants, beside the biochemical activities, the flavonoids act as precursors of toxic substances, pigments and light protectors.
Among the several pharmacological activities attributed to the flavonoids, one points out the anti-oxidant capacity, anti-inflammatory activities and vasodilating effect; anti-allergic action; activity against the development of tumors, antihepatotoxic, antiulcerogenic; anti-platelet, as well as antimicrobial and antiviral actions. It is also known that the flavonoids can inhibit various stages of the processes that are directly related with the beginning of atherosclerosis, like the activation of leucocytes, adhesion, aggregation and secretion of platelets [Hladovec J., Physiol. Bohemoslov. (1986) 35, 97-103], besides having hypolipidemic activities [Matsuda et al., J. Ethonopharmacol. (1986) 17, 213-24] and increasing the activity of LDL receptors [Kirk et al., J. Nutr. (1998) 128, 954-959; www.polymar.com. br/saude/s flavonoides.php].
Flavonoids have also been studied as inhibitors of the action of enzymes. The literature reports the inhibiting activity of flavonoids for several types of enzymes, as for example, cyclooxygenase, estrogen synthase, glutathione synthase, lipoxygenase, xanthine oxydase, and phosphodiesterases [Peterson J. and Dwyer J., Nutr. Res., (1998), 18, 1995- 2018].
The use of dioclein, floranol and analogs as inhibitors of the isoforms of phosphodiesterases PDE1 , PDE2, PDE3, PDE4 and PDE5, and as models for the development of new pharmaceuticals was not found in the prior art. Further, it was not found in the prior art the process for preparing inclusion compounds between dioclein and floranol with cyclodexthns for use in oral formulations, as inhibitors of phosphodiesterases in their isoforms 1 , 2, 3, 4 and 5, as well as for the study and treatment of degenerative chronic diseases like atherosclerosis, hypertension and related cardiovascular diseases and use thereof as models for the development of new pharmaceuticals, as well as their pharmaceutical compositions. The present invention is characterized by the development of new substances with the chemical structure of formula I, as potent and selective inhibitors of PDEs 1 to 5. It has also aims at the effect of compounds of figure 1 , as preventives against cellular proliferation, vasodilator, anti-hypertensives, anti-inflammatories and as preventives against atherosclerosis.
In the formula of figure 1 , R1, R2, R3,R4, R5, R6 and R7 are functional groups that may be the same or different and include, but are not limited to, hydrogen, hydroxyl, methoxyl and prenyl.
Dioclein (5, 2,'5'-trihydroxy-6,7-dimethoxyflavanone), figure 1 , is a flavonoid of the class of the flavanones, a group of compounds found at high concentrations in citric fruits. The flavanones stand out for their bioactivity against certain types of cancer, especially colon cancer and breast cancer, and improve the venous and arterial circulation thanks to their platelet anti-aggregating, vasodilating properties, as well as inhibiting cellular adhesion at the plasmatic level. In addition, they exhibit analgesic, antiallergic and anti-inflammatory properties.
Dioclein has been obtained from its synthesis by using the method described by Spearing P. et al. [J. Nat. Prod., (1997) 60, 399-400]. This flavonoid was first described upon its isolation from the ethanolic extract from Dioclea grandiflora. This plant is known for its medicinal value and occurs in the northeast of Brazil, especially in the regions of the so-called "caatinga" (stunted sparse forest) and "cerrado" (patches with stunted vegetation) [Jenkins T. et al., Phytochemistry, (1999) 52, 723-730. The analgesic effect of dioclein is known [Batista J. S. et al., J. Ethnopharmacol. (1995) 45, 207-210], in addition to their vasodilating properties [Lemos V. S et al., Eur. J. Pharmacol., (1999) 386, 41-46]. In spite of its three hydroxyls, the aromatic rings and a hetorocycle one confer to it a non-polar nature, having low solubility in water and being soluble in DMSO and methanol.
Dioclein has a limitation in its use due to its hydrophobicity, instability and little or no activity when administered by oral route. So, the present invention proposes a solution to the prior art, using the formation of inclusion compounds with cyclodextrins and their derivatives, and the obtainment of active pharmaceutical compositions having high bioavailability when applied in oral form.
Floranol, the chemical formula of which is described in figure 1 , is a flavonoid of the class of the flavonones and exhibits vasodilating activity [Rezende B. A. et al., Planta Med. (2004) 70, 465-467].
Other phosphodiesterase inhibitors for the isoforms 2 and 5 are known, but few are available on the market for several reasons, either the high cost of researches or undesired side effects.
Few PDE2 inhibitors are known. Erythro-9-(2-hydroxyl-3-nonyl) adenine, a potent enzyme adenosine deaminase inhibitor, inhibits the activation of PDE2 by GMPc. This substance was tested on various tissues, but its potential clinical use is still unknown.
The inhibition of phosphodiesterase 3 and 4 relaxes the smooth muscles of the bronchi and pulmonary arteries, and the immunomodulatory and anti-inflammatory action results from the inhibition of isoenzyme-4.
Mediators of inflammation released by mastocytes, lymphocytes T, macrophages, eosinophils and epithelial cells may be inhibited by the PDE4.
The PDE3 inhibitors do not have utilization in the clinical practice due to the association with cardiovascular problems, mainly in arrhythmias. The PDE4 have also the great limitation due to their side effects, mainly nauseas and vomit - this is because the vomit center is out of the hemato- encephalic barrier and the action of which cannot be dissociated from the anti-inflammatory effects [www.asmabronquica.com.br/pierre/33teofilina.pdf].
The known PDE3 inhibitors are inotropics and vasodilating drugs such as: cilostamide, milrinone, amhnone, enoximone, imazodan, indolidan, cilostazol and olprinone. [Manganiello V. C. et al., Arch. Biochem. Biophys.,
(1995) 322, 1-13]. Olprinone has been clinically tested for the treatment of intramuscular gastric acidosis and systemic inflammation after cardiopulmonary "bypass". Cilostazol has an anti-platelet, vasodilating and antithrombotic action. It has been tested clinically for the treatment of angioplastic restenosis. However, it is expensive and also has adverse reactions, like headache, diarrhea, palpitations, tachycardia, and the use thereof being inadequate for patients with any type of heart problem [httpV/www.ukmi-nhs.uk/NewMaterial/html/docs/Cilostazol.pdf].
The most widely-known PDE4 inhibitor is Rolipram, which exhibits serious side effects, and its use is being restricted [Manganiello V. C. et al., Arch. Biochem. Biophys., (1995) 322, 1-13]. There is also a new drug to inhibit phosphodiesterases of type 4, namely BAY 19-8004, used for lung diseases such as inflammation of the bronchi, asthma and chronic coronary obstruction; but it has presented significant side effects only with respect to this latter disease, and its side effects are little known [Grootendorst D. C et al., PuIm. Pharmacol. Ther. (2003) 16, 341-347].
Cilomilast and roflumilast, two of other PDE4 inhibitors, have been clinically tested for use against asthma, chronic obstructive pulmonary disease and allergic rhinitis.
The inhibitors best known on the market are those suitable to act on PDE5, which act mainly on erectile-dysfunction-related problems, namely, sildenafil, vardenafil and tadalafil, exisulind and CP461. All these medicaments still have disadvantages with regard to their use. In the comparative analysis, the two latter pharmaceuticals exhibit more efficacy when compared with sildenafil, however, the long-term effects of the reiterated use of vardenafil and of tadalafil are not known - a reason that leads sildenafil to be more widely used. [Gresser U. and Gleiter C. H., Eur. J. Med. Res., (2000) 27, 435-446]. However, sildenafil, active principle of Viagra® still exhibits side effects such as headache, indigestion with possibility of reflux and rubor, besides momentary visual blurring [ Goldstein I. et al., N. Engl. J. Med., (1998) 338, 1397-1404]. Sildenafil is also used for the treatment of pulmonary hypertension. Exisulind and CP461 are being tested for the treatment of various type of cancer. Other phosphodiesterase inhibitors, among them natural inhibitors, are known, but little used in clinic for several reasons, such as excess of side effects, little selectivity in inhibiting various isoforms, the need for high dosages, among others. Paraverin, which is a non-specific PDEs inhibitor, is used in clinic as vasodilator, especially for erectile dysfunction. It is a very cheep and effective drug, but it has strong side effects. A single application may cause fibrosis of the cavernous bodies of the penis. In addition, the priapism, a persistent erection (more than 4 hours), often painful, which is not followed by sexual desire, is quite high. [http:/www.lincx.com.br/lincx/atualizacao/ artigos/disfuncao_sexual.html]. It is also used topically as vasodilator in surgeries of cardiac revascularization.
Teofilin acts to inhibit the PDE enzymes of the types 3, 4 and 5. It is a compound originally extracted from black-tea leaves. Inhibition of PDEs 3 and 4 increases the intracellular concentrations of AMPc, and the inhibition of PDE 5 increases the levels of GMPc in the bronchial smooth musculature and in the inflammatory cells. It is being used over 50 years, however, its importance has been decreasing because the therapeutic doses used are weak and little selective. Caffeine belongs to the group of methylxantins, known for their inhibitory effect on the phosphodiesterase of cyclic nucleotides, especially AMPc, preventing its metabolism. The prolonged use of caffeine is related to uneasiness, nervousness, sleeplessness, tremors, concentration problems, heart and gastrointestinal tract disorders, as well as panic and depression syndromes. Thus, caffeine is little used in the production of pharmaceuticals [Daly JW. J. Auton. Nerv. Syst. (2000) 81 , 44-52].
Some papers and patents relating to phosphodiesterase inhibitors with the use of flavonoids were found in the prior art. However, the use of dioclein and floranol and analogs, and their oral formulations using cyclodextrin has not been found.
U.S. Patent 20020132845, Guy Michael Miller; 2002 discloses compositions and methods to prevent or alleviate symptoms of ischemia of the tissues in mammals, especially of the brain tissues, using flavonoids for this purpose. However, the use of dioclein, floranol and analogs, as well as their pharmaceutical compositions is not disclosed.
Analising the patents found in the prior art, one can see that none of them uses the flavonoids described herein included in cyclodextrins, and their pharmaceutical compositions for oral use, preferably but not limited thereto, as well as their use as inhibitors of the phosphodiesterases of types
1 to 5.
The present invention is also characterized by proposing, for example, non-limiting dioclein and floranol molecules, as models for use in the study of the mechanisms of diseases such as arterial hypertension, atherosclerosis and restenosis, as well as the development of novel pharmaceutical for inhibiting phosphodiesterase 1 to 5, but preferably phosphodiesterase 1 , PDE1. Thus, pharmaceuticals and their pharmaceutical compositions that inhibit PD1 are of great interest for the pharmaceutical industry, since they have a therapeutic potential for the treatment of the diseases that imply participation thereof.
Both flavonoids used in the present invention exhibit low solubility in water, instability and low or no activity when applied in oral form. So, one of the characteristics of the present technology is the increase of the solubility, stability and activity via oral route when included in cyclodextrins and when microencapsulated in biodegradable polymers.
A pharmaceutical may be chemically modified to alter its properties such as biodistribution, pharmacokinetics and solubility. A number of methods have been used to increase the solubility and stability of the drugs, among which the use of organic solvents, emulsions, liposomes, pH adjustment, chemical modifications and complexation of the pharmaceuticals with a suitable encapsulating agent such as cyclodextrins. The cyclodextrins are of the family of the cyclic oligosaccharides that include six, seven or eight units of glucopiranose. Due to the steric interactions, the cyclodextrins form a cyclic structure in the form of a truncated cone with a non-polar internal cavity. These are chemically stable compounds that may be modified in a regioselective manner.
The cyclodextrins (hosts) form complexes with various hydrophobic molecules (guests), including them in a complete manner or in part in the cavity. The cyclodextrins have been used for solubilization and encapsulation of drugs, perfumes and flavorings, as described by Szejtli [Szejtli J., Chem. Rev., (1998) 98, 1743-1753; Szejtli J., J. Mater. Chem. (1997) 7, 575-587]. According to detailed studies of toxicity, mutagenicity, teratogenicity and carcinogenicity on cyclodextrins [Rajewski R. A. and Stella V., J. Phar. ScL, (1996) 85, 1142-1169], these have low toxicity, especially the hydroxypropyl-p-cyclodextrins, as reported by Szejtli [Szejtli J., Drug Investig., (1990) 2, 11-21]. Except for high concentrations of some derivatives, which cause damage to the erithrocytes, these products generally do not entail risk to health.
The use of the cyclodextrins as additives in foods has already been authorized in countries such as Japan and Hungary, and for more specific applications, in France and Denmark. In addition, they are obtained from a renewable source from degradation of starch. All these characteristics are a growing motivation for the discovery of new applications. The structure of the cyclodextrine molecule is similar to that of a truncated cone, low symmetry, approximately Cn. The primary hydroxyls are located on the narrower side of the cone and the secondary hydroxyls are located on the wider side. In spite of the stability conferred to the cone by the intramolecular hydrogen bonds, the latter is flexible enough to enable a considerable deviation from the regular form. The cyclodextrins are moderately soluble in water, methanol and ethanol and readily soluble in aprotic polar solvents, such as dimethyl sulfoxide, dimethylformamide, N, N-dimethylacetamide and pyridine.
There are numberless papers in the literature on the effects of increasing the solubility in water of guests that are little soluble in water, using the ciclodextrins via inclusion compounds, as well as a discussion of the stability of the inclusion complexes, these physical-chemical characteristics have been described [Szejtli J., Chem, Rev., (1998) 98, 1743- 1753; Szejtli J., J. Mater. Chem, (1997) 7, 575-587].
In addition to the cyclodextrins, biodegradable polymers are also used, which decrease the velocity of absorption of pharmaceuticals in the organism, through the controlled-release devices. In these systems the drugs are incorporated in a polymeric matrix based on the encapsulation of drugs in microspheres, which release the drug inside the organism, in small and controllable daily doses, for days, months or even years.
A number of polymers have been tested in controlled-release systems. Many have been tested due to their physical properties such as: poly (urethanes) for their elasticity, poly (siloxanes) or silicone because they are good insulators, poly (methylmetacrylate) for its physical strength, poly (vinyl alcohol) for its hydrophobicity and resistance, poly (ethylene) for its hardness and impermeability [Gilding, D. K. Biodeg. Polym. Biocompat. Clin Implat. Mater. (1981 ) 2, 209-232]. However, for use on humans, the material must be chemically inert and free from impurities. Some of the materials used in release systems are: poly(2-hydroxy-ethylmetacrilate), polyacrylamide, polymers based on lactic acid (PLA), based on glycolic acid (PGA), and the respective copolymers (pLGA) and the poly(anhydrous) such as polymers based on sebasic acid (PSA) and the co-polymers with more hydrophobic polymers.
The development of new pharmaceutical formulations tends to alter the present concept of medicament. So, in the last few years a number of systems have been developed for administering pharmaceuticals to moderate the kinetics of release, improve the absorption, increase the stability of the pharmaceutical or vectored to a determined cellular population. Thus, the polymeric compositions, cyclodextrins, liposomes, emulsions, multiple emulsions have arisen, which serve as carriers for the active principles. These formulations may be administered via intramuscular injection intravenous, subcutaneous injection, oral formulation, inhalation or as devices that may be implanted or injected.
The inclusion compounds of dioclein, non-limiting example the cyclodextrins, were characterized by the physico-chemical techniques of analyses like spectroscopy of absorption in the infrared region, IR, thermal analysis (TG/DTG) and X-ray diffractions and nuclear magnetic resonance of 1H and 13C.
The inhibitory activity of dioclein and of floranol, as well as that of the inclusion compounds with cyclodextrins, can be better understood from the following description:
Figure 2 represent the vasodilating effect of dioclein in the human saphenous vein, pre-contracted with phenylephrine (3x10"6M) in the presence or absence of functional endothelium. The relaxation data represent the percentage of reduction of the contraction by phenylephrine in response to dioclein and have been expressed on average ± SEM. *P<0.05 (two-way ANOVA with post-test comparison BONFERRONI. The vessels of 8 patients with and 8 without functional endothelium were analyzed.
Figure 3 shows the effect of H-89 (1μM) on the relaxation induced by dioclein on the human saphenous vein without functional endothelium, pre-contracted with phenylephrine (3x10'6M). The data represent the percentage of reduction of the contraction by phenylephrine in response to dioclein and have been expressed average ± SEM. *P<0.05. ***P<0.001 (two-way ANOVA with post-test comparison BONFERRONI). One has analyzed 8 vessels of the control group, 5 vessels of the group incubated with H-89.
Figure 4 illustrates the effect of Rp-8-pCPT cGMPS (10 μM) on the relaxation induced by dioclein on the human saphenous vein without functional endothelium, pre-contracted with phenylephrine (3x10"6M). The data represent the percentage of reduction of the contraction with phenylephrine in response to dioclein and have been expressed in average ± SEM. ***P<0.001 (two-way ANOVA with post-test comparison of BONFERRONI). One has analyzed 8 vessels of the control group and 5 vessels of the group incubated with Rp-8-pCPT cGMPS. Figure 5 shows the vasodilating effect of dioclein in comparison with that of vinpocetine and that of 8-MM-IBMX on the human saphenous vein without functional endothelium, pre-contracted with phenylephrine (3x10" 6M). The data represent the percentage of reduction of the contraction with phenylephrine in response to dioclein and have been expressed in average ± SEM. One has analyzed 8 vessels of the dioclein group, 7 vessels of the 8- MM-IBMX group and 9 vessels of the vinpocetine group. Figure 6 is a graph that evidences the effect of H-89 (1 μM) (a) and of Rp-8-pCPT cGMPS (3μM) (b) on the relaxation induced by dioclein in the mesenteric artery of rat, pre-contracted with phenylephrine (3x10"6M). The data represent the percentage of reduction of the contraction of phenylephrine in response to dioclein and have been expressed in average ± SEM. (two-way ANOVA with post-test comparison of BONFERRONI). One has analyzed 7 vessels from the control group, 7 vessels of the group incubated with H-89 and 5 incubated with Rp-8-pCPT cGMPS.
The best results of inhibition of PDE1 are represented in the table I below. The physiologic role of PDE1 is still little known. The great problem for a better understanding of its physiological role and of the therapeutic potentialities of its inhibition is the absence of specific inhibitors on the market. Two PDE1 inhibitors are presently available on the market: Vinpocetine and 8-methoxymethyl-IBMX (8-MM-IBMX). Vinpocetine shows the inhibitory effect at concentrations higher than 30 μM on PDE1 of bovine tissue (Yu J. et al., Cell. Signal., (1997) 9, 519-29] and also, at the same concentrations, inhibits PDE7 [Sasaki et al., 2000]. Further, vinpocetine is capable of directly activating potassium channels of the type sensitive to high-conductance calcium [Wu S. N. et al., Biochem. Pharmacol., (2001 ) 61 , 877-92]. The 8-MM-IBMX (IC50 = 8 μM) has a poor selectivity by PDE1 , since it also inhibits PDE5 with an IC5O of 10 μM [Ahn H. S. et al., J. Med. Chem., (1997) 40, 2196-210]. Dioclein has a IC50 of 1.4 μM, being about 30 times more potent than vinpocetine and 8 times more potent than 8-MM-IBMX.
Dioclein is also more selective, since in inhibits PDE1 at concentrations of from 20 to 100 times smaller than the concentration necessary to inhibit PDE2, PDE3, PDE4 and PDE5. Therefore, dioclein is more selective and potent than the PDE1 inhibitors presently available on the market. Thus, the development of new substances with selective PDE1 inhibitory property will contribute to the understanding of the physiological role of the PDE1 and of the therapeutic potentialities of the inhibition of this isoform of PDE. At present, vinpocetine has been clinically tested on urinary incontinency problems and acute ischemia caused by a stroke. In addition, due to the participation of the PDEs in some known physiological phenomena, the PDE1 inhibitors have a potential of therapeutic application to cardiovascular diseases that involve proliferative inflammatory processes like restenosis, atherosclerosis and arterial hypertension. It also has a potential therapeutic use to increase the cerebral circulation and to limit tolerance to nitrates. The calmodulin inhibitors also inhibit the activity of PDEsI . However, its poor selectivity for PDEs has limited its use.
Notwithstanding, the results of the present invention are not limited to the inhibition of the isoform of PDE1 ; they also indicate the possibility of inhibiting the posphodiesterases of types 2 to 5, with the use of these flavonoids, but with a somewhat higher concentration.
Also, the present invention is characterized by preparing sustained as well as controlled release devices of dioclein, floranol and analogs using the cyclodextrins and the biodegradable polymers aiming at the study / inhibition of the actuation of the phosphodiesterases of types 1 , 2, 3, 4 and 5.
Figure 7 is a representative example of the effect of dioclein (2.5 mg/kg) and of the inclusion product of dioclein in cyclodextrin (inclusion: 2.5 mg/kg), applied by intraperitoneal route, on the arterial pressure of mice. In the highlight we can see the average ± SEM of the maximum effect achieved on 6 different mice. In these experiments dioclein and the inclusion product of dioclein in the cyclodextrin were dissolved with the aid of DMSO.
Figure 8 is a representative example of the effect of dioclein (10 mg/kg) and of the inclusion product of dioclein in cyclodextrin (inclusion: 10 mg/kg), applied by oral route, on the arterial pressure of mice. In the highlight one can see the average ± SEM of maximum effect achieve in 3 different mice. In this experiments dioclein and the inclusion product of dioclein in cyclodextrin were dissolved with the aid of DMSO. Figure 9 is a representative example of the effect of the inclusion product of dioclein in cyclodextrin (inclusion; 10 mg/kg), solubilized in water, applied by oral route, on the arterial pressure of mice. Dioclein cannot be tested due to its very low solubility in water. Figures 8 and 9 show clearly that the substances of the present invention are not active when used by oral route. The substances of the present invention are not water-soluble either. Thus, the inclusion of dioclein in the cyclodextrins has enabled its solubility in water and an activity by oral route. The present invention will be better understood with the help of the following non-limiting examples.
Example I - Evaluation of the PDEs inhibiting effect of the flavonoids included or not in cyclodextrins as a non-limiting example
The substances developed in the present invention have been tested for their ability of inhibiting different isoforms of PDEs.
Table 1 shows the inhibitory effect of dioclein and of floranol, molecules of the present invention on PDE1 , PDE3, PDE4 and PDE5 isolated from the smooth muscle of ox aorta and on the PDE2 isolated from human platelets. Table I - Values of IC5O of dioclein and of floranol on the various isoforms of phosphodiesterases existing in the vascular smooth musculature.
Figure imgf000017_0001
One observes that dioclein and floranol are potent and selective PDE1 inhibitors. The compounds of the present invention are more effective with regard to potency and selectivity than the other two single PDE 1 inhibitors presently available on the market: Vinpocetine and 8- methoxymethyl-IBMX (8-MM-IBMX). Vinpocetine shows an inhibitory effect at concentrations higher than 30 μM in PDE1 of bovine tissue [Yu J. et al., Cell. Signal., (1997) 9, 519-29] and also, at the same concentrations, inhibits PDE7 [Sasaki et al., 2000]. Further, vinpocetine is capable of directly activating potassium channels of the type sensitive to high-conductance calcium [Wu S.N. et al., Biochem. Pharmacol., (2001) 61 , 877-92]. 8-MM- IBMX (IC50 = 8 μM) has a poor selectivity for PDE1 , since it also inhibits PDE5 with an IC50 of 10 μM [Ahn H. S. et al., J. Med. Chem., (1997) 40, 2196-210]. Dioclein has a CI50 of 1.4 μM, being about 30 times more potent than vinpocetine and 8 times more potent than 8-MM-IBMX.
Dioclein is also more selective, since it inhibits PDE 1 at concentrations of 20 - 100 times smaller than the necessary to inhibit PDE2, PDE3, PDE4 and PDE5. Therefore, dioclein is more selective and more potent than the PDE1 inhibitors presently available on the market.
Example 2: Evaluation of the vasodilating effect of dioclein dependent upon the inhibition of PDEs, as a non-limiting example
Figure 2 illustrates the effect of the flavonoids of the present invention on the human saphenous vein. This graph shows the vasodilating effect of dioclein in the presence (CI50 = 3.0±0.2 μM) and in the absence (CI50 = 11 ±0.4 μM) of functional endothelium. Figure 3 illustrates the effect of dioclein on the human saphenous vein without functional endothelium, in the absence and in the presence of an inhibitor selective of protein Kinase A, which is the intracellular receptor of AMPc. The vasodilating effect of dioclein was displaced to the right in the presence of H-89 (inhibitor of the protein Kinase A), showing that the AMPc is involved in its vasodilating effect.
Figure 4 shows that the vasodilating effect of the flavonoids of the present invention on the human saphenous vein was almost totally blocked in the presence of an inhibitor selective of the protein kinase G (Rp- 8-pCPT-cGMPS). The protein Kinase G is the intracellular receptor of GMPc. The results of figures 3 and 4 show that the vasodilating effect of dioclein on the human saphenous vein is mediated by an intracellular increase of the cyclic nucleotides. These results together with those of Table 1 show that the vasodilating effect of dioclein on the human saphenous vein is due to an inhibition of PDEs. The Cl5o of the vasodilating effect of dioclein on the human saphenous vein of 3.0+0.2 μM correlate well with the Cl50 1.44+0.35 μM of its inhibitory effect on the PDE1. The fact that the vasodilating effect of dioclein is mediated by the GMPc and by the AMPc also correlates well with the characteristics of the PDE1 that hydrolyzes the two types of cyclic nucleotides. In the human saphenous vein, one of the PDEs described is the PDE1 [Wallis R. M. et al., Am. J. Cardiol., (1999) 83, 3C-12C], which is also the isoform related to the processes of stenosis and obstruction of the vein after manipulation [Ryabaklin S. D. et al., J. Clin. Invest, (1997) 100, 2611- 1621].
Figure 5 compares the vasodilating effect of dioclein with that of Vinpocetine and of 8-MM-IBMX on the human saphenous vein. We can note that dioclein is much more potent than the two conventional PDE1 inhibitors. Dioclein causes the human saphenous vein to relax (in the absence of functional endothelium) with a CI50 of 11.1±2.7 μM, whereas 8-MM-IBMx had a CI50 of 30.9±16.0 μM. Vinpocetine produced only 30% of maximum effect. Figure 6 shows that the vasodilating effect of the flavonoids of the present invention on the mesenteric artery of rat also decreases in the presence of H-89 (a) and Rp-8-pCPT-cGMPS (b) and, therefore, mediated by the cyclic nucleotides AMPc and GMPc. Example 3 - Preparation of the inclusion compounds 1 :1 of dioclein with β-cyclodextrin.
The dioclein, DC, used (MMDc = 332.31 g/mol) was synthesized according to the technique described by Spearing P. et al. [J. Nat. Prod., (1997) 60, 399-400] and β-cyclodextrin (β-CD): MMβ-CD = 1 ,135.01 g/mol, from Aldrich Chemical Compay, Inc. USA. One weighed 102.5 mg of β-CD, which was dissolved with 5ml of distilled water (with a slight warming, maximum 5O0C) in a beaker. After the spontaneous cooling, one added 30.0 mg of DC, stirring (in a magnetic stirrer) for about 2 hours. The beaker was protected from luminosity (pharmaceutical easy to decompose and oxidize). The compound was lyophilized for 48hs, after being frozen in nitrogen, and characterized by physico-chemical techniques of analysis. The absorption spectra in the infrared region were recorded on the spectrophotometer IRTF Galaxy 3000 Mattson in the range of 4000-400 cm"1, using KBr tablets. The TG/DTG curves were obtained on TGA-50H thermo balance from Shimadzu, under a dynamic N2 atmosphere with flow rate of approximately 100 mL/min, using alumina melting pot and a heating rate of 10°C/min. The samples were heated from 25 to 75O0C. The DSC curves using the DSC-50 system of Shimadzu, under a dynamic N2 atmosphere with flow rate of 50 mL/min, alumina melting pot, heating rate of 10°C/min. The X-ray diffractgrams were recorded on the apparatus Rigaku Geiger-flex 2037, using Cu tube and radiation Cu Ka = 1.54051 , angles of 2Θ ranging from 2 to 60°. The NMR spectra were recorded, by using the spectrophotometer Bruker DPX-200 (200 MHz), using DMSO or D2O as a solvent and TMS as an internal standard.
To characterize the DC, one used the absorption spectroscopy techniques in the infrared region (IR), thermal analysis (TGA/DTG), X-ray diffraction and nuclear magnetic resonance (NMR) of 1H and 13C.
The main characteristic bands are presented in Table II, wherein the attributions were made with the aid of the literature (Silvertein, R. M., Wegster, F. X., ldentificacao Espectrometrica de Compostos Organicos, 6th ed. Livros Tecnicos e Cientificos Editora S. A , 2000). Examining this table one can identify the main functional groups occurring in the DC molecule.
Examining the TGA and DTG curves for DC one can initially see a level of thermal stability in the temperature range of 25 - 2000C. Subsequently, one observes an intense process of thermo decomposition in the temperature range of 240-7000C, which corresponds to 71% of the loss of mass. It is important to point out that the residue obtained was quite marked, this being an organic compound. At present, one is carrying out physico-chemical analyses in order to know the nature of this residue better. Table II: Main absorption bands in the IR for the DC
Figure imgf000021_0001
The X-ray diffractgram of the DC of 4 to 60° 2Θ suggests a semi crystalline structure thereof, showing marked peaks and an amorphousness halo, between 15 and 40° 2Θ.
The data of the spectra of NMR of 1H and of 13C of the dioclein, achieved in DMSO, are represented in Table III and IV below.
Table III: Chemical displacements and relaxation times of NMR of 1H of the DC in DMSO (400MHz)
Figure imgf000021_0002
* Confirmed by NOE
Table IV: Chemical displacements and relaxation times of NMR of 13C of the DC in DMSO
Figure imgf000022_0001
The results of the analyses of NMR for the DC were compatible with the literature (Silvertein, R. M., Webster, F. X., ldentificacao Espectrometrica de Compostos Organicos, 6a" ed, Livros Tecnicos e Cientificos Editora S. A. 2000). Example 4: Physico-chemical characterization of the inclusion compound
To characterize the inclusion compound (IC), one used the techniques of absorption spectroscopy in the IR region, thermal analysis (TG and DTG), X-ray diffraction in powder and NMR of 1H. Examining the absorption spectra in the IR region of the DC, of the β-CD and IC and MM (mechanical mixture of β-CD and DC), one can observe: the more characteristic absorptions of the DC have already been discussed. For β-CD, the spectrum presented a broad band around 3.500 cm"1 attributed to the stretching of the various O-H bonds, many of them involved in hydrogen bonds. One can also observe bands at 2.910 cm"1 referring to the VC-H at 1.640 cm"1 corresponding to 5OH and at 1.100 cm"1 corresponding to the vibration frequency of the C-O-C groups [Szejti J., Chem., Rev., (1998) 98,1743-1753].
Comparing the spectra of the IC with that of the β-CD, one observes that some bands characteristic of the β-CD, stretching OH and C-H, deformation OH and stretching C-O-C appear again in the spectrum of the IC without chemical displacement. However, one can observe minor modifications like the tapering of the VOH at 3,500 cm"1 and alterations of the bands of vC-o-c around 1 ,100 cm'1. In contrast, comparing the spectra of IC and of free DC, one observes major alterations in the bands of VOH at 3,500 cm'1 and in the bands referring to the stretchings C=C, deformations C-H and OH of dioclein aromatics in the range of 1 ,600-800 cm"1. However, in comparing the spectra of MM with that of β-CD and of DC, what one basically observes is an overlapping of the two spectra (β-CD, DC). Further, one can point out the bands corresponding to the vibration frequencies of the C-O-C groups at 1 ,100 cm"1 of β-CD and a little defined overlapping in the range of 1 ,600-800 cm"1, which embraces bands referring to the stretchings C=C, deformations C-H and OH of dioclein aromatics.
From the observations made, one can say that the results of this analysis of IR indicate the formation of a novel compound, since in the suggested inclusion compound the characteristic bands of DC undergo major alterations when compared with those observed for the mechanical mixture.
In the TG curve corresponding to the β-CD, initially one can see a loss of mass in the range of 25 - 1000C referring to the water outlet. Then, a stability level occurs between 100 and 3000C, where the complete decomposition begins, with a maximum of loss of mass at the temperature of 33O0C. The residue obtained corresponds to less than 3% of the total mass. When this termal behavior of the β-CD is compared with the TG curves of IC and of MM, one notes an increase of about 2O0C, at most, in the inflection of the decline curve of IC, that is to say, increase of its thermal stability, whereas the behavior of MM is significantly similar to that of β-CD, except for the higher final residue, close to 9%. These results are indicative of the formation of a novel compound.
Analyzing the DSCs curves, one can see that, in the case of β- CD, there are three thermal events, two of them being endothermic and one exothermic at 7O0C, 270-300° and 32O0C, respectively, associated to the exit of water molecules, fusion with caramelization of β-CD and decomposition thereof. On the other hand, the DSC curve of dioclein has two events, one endothermic at 25O0C and the other exothermic at 27O0C, the first one being associated to the fusion of DC and the second one corresponding to the thermo decomposition.
The DSC curve of the inclusion compound has a thermo decomposition profile different from the free materials and from the respective mechanical mixture, but no peak of fusion of DC at 2500C is observed, which suggests the formation of a new crystalline phase after the interaction of DC with β-CD.
The X-ray diffractgrams of DC, β-CD, MM and IC allow one to observe that: IC has an amorphous structure due to the marked amorphousness halo observed in the range of from 15 to 40° 2Θ. This halo also appears in the diffractogram of DC, but with less intensity; however, in IC it is not observed the intense peaks of crystallinity. This structure, comparatively more amorphous, suggests the formation of a novel compound, since the diffractogram of MM has the peaks of crystallinity of β- CD in addition to the amorphousness halo of DC.
Table V: Chemical displacements and relaxation times of NMR or 1H of β-CD in DMSO.
Figure imgf000024_0001
According to the results, one can observe that, in IC, T1 increased to Hi and decreased to OH (2), OH (3), OH (6) when compared with the values of β-CD alone. This indicates the modification in the intense movement of the pyranose rings as a result of the complexation. A decrease in the value of T1 suggests the decrease of the molecular movement due to interaction with DC.
Also in the comparison of the values of Ti for DC in IC and free DC, one observes positive and negative variations that confirm the occurrence of interaction between it and β-CD.
Table Vl: Chemical displacements and relaxation times (T-i) of NMR of 1H of DC and of β-CD in IC and the respective variations between the Ti
Figure imgf000025_0001
• Covered by the signal of β-CD; ** overlapped signals (error in T1 ); Example 5 - Preparation of the controlled release devices of dioclein and of the inclusion compounds in cyclodextrins, using the microspheres of the biodegradable polymers PLGA, as a non-limiting example:
First, one prepares an emulsion constituted by an organic phase constituted by poly (lactic-glycolic acid) (PLGA) dissolved in dichloromethane and an aqueous phase constituted by the flavonoids, dioclein and floranol, as an example. This emulsion is then subjected to sonication for half a minute, and then 1 % polyvinyl alcohol (PVA) solution is added, thus forming a second emulsion, which undergoes stirring for 1 minute for complete homogenization of the emulsion. The system is kept under agitation without heating for 2 hours, so that the solvent can evaporate. Then, the mixture is centrifuged 2 to 3 times, the supernatant being removed and washing with water is carried out. In the end, 1-2mL of water is left, and the system obtained is subjected to lyophilization for 24-48 hours. The microspheres are then characterized through the thermal analysis. The DSC curve obtained from the glass transition, exhibiting a value close to that of the polymer (PLGA). The micrographies obtained by electronic scan microscopy (SEM) enabled one to verify the average particle size of 10-30 microns, Figure 10. One further observes the smooth surface of the microspheres. The images were obtained with a JFM 480A type electronic microscope, the samples having been covered with 99% gold for 240 seconds.
In order to determine the encapsulating capacity of the different system used, one constructed UV-VIS calibration curves, obtaining a relation between concentration and absorbance, thus being able to determine the amount of flavonoid incorporated into the microspheres of biodegradable polymer.
One carried out the tests for controlled release of DC, and its respective inclusion compound in cyclodextrins from the devices, based on biodegradable polymers.
Example 6 - Evaluation of the hypotensor effect of flavonoids included or not in cyclodextrins as a non-limiting example: The substances developed in the present invention have been tested for their ability of producing hypotension in animal models.
Figure 7 illustrates the effect of dioclein and of dioclein included in cyclodextrin, dissolved with the aid of DMSO on the arterial pressure of mice. One can observe that, when administered by intraperitoneal route, both dioclein and the inclusion compound of dioclein reduced the arterial pressure of mice. However, the effect of the inclusion product was more marked and more prolonged, showing that cyclodextrin improves the bioavailability of dioclein. Figure 8 illustrates the effect of dioclein and of dioclein included in cyclodextrin dissolved with the aid of DMSO on the arterial pressure of mice when applied by oral route (gavage). One can observe that dioclein is not active via oral route. However, the inclusion compound is active, even when administered by oral route. Figure 9 illustrates the effect of included dioclein, dissolved in water. Dioclein without inclusion in cyclodextrin cannot be tested due to its insolubility in water. One can observe that dioclein included in cyclodextrin maintains its effect by oral route even when water is used as a carrier for dissolving it.

Claims

1. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterase of types 1 to 5 (PDE1 , PDE2, PDE3, PDE4 and PDE5), characterized by comprising: a) substances based on dioclein, floranol or analogs having inhibitory activity on the PDEs of general formula according to figure 1 , wherein R1, R2, R3, R4,R5, R6 and R7 are functional groups that may be the same or different and include hydrogen, hydroxyl, methoxyl and prenyl; b) the inclusion compounds between dioclein, floranol or analogs and the cyclodextrins and derivatives thereof; c) pharmaceutical compositions with pharmaceutically and pharmacologically acceptable excipients; d) controlled release systems of dioclein, floranol or analogs and their inclusion compounds with cyclodextrins and derivatives thereof from biodegradable polymers such as PLGA, PGA, PLA and mixtures thereof.
2. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterase according to claim 1 , characterized by the use of the flavonoids dioclein and floranol or analogs.
3. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterase according to claim 1 , characterized by the preparation and the use of inclusion compounds between dioclein and floranol or analogs and cyclodextrins and derivatives thereof for obtaining pharmaceutical compositions.
4. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases according to claim 1 , characterized by the obtainment and the use of pharmaceutical compositions between dioclein and floranol or analogs and cyclodextrins and derivatives thereof in pharmaceutical compositions of oral use.
5. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases according to claim 1 , characterized by the obtainment and the use of pharmaceutical compositions between dioclein and floranol or analogs and cyclodextrins and derivatives thereof by the controlled-release system by using the biodegradable polymers PLA, PGA, PLGA and derivatives thereof.
6. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases according to claim 1 , characterized by the inhibitory selective potency and activity on the PDEi of dioclein and floranol or analogs when included or not in cyclodextrins.
7. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases according to claim 1 , characterized by the inhibitory selective activity and potency on the PDE1 of dioclein and floranol or analogs with pharmaceutically and pharmacologically acceptable excipients.
8. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases according to claim 1 , characterized by the vasodilating activity on human arteries and veins via activation of protein kinase A and protein kinase G when dioclein and floranol or analogs included or non-included in cyclodextrins are used.
9. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases according to claim 1 , characterized by the vasodilating activity on human arteries and veins via activation of protein kinase A and protein kinase G when dioclein and floranol or natural or synthetic analogs thereof are used with pharmaceutically and pharmacologically acceptable excipients.
10. A process of developing substances as potent and selective inhibitors of the isoforms of phosphodiesterases according to claim 1 , characterized by exhibiting vasodilating activity on arteries of resistance via activation of protein kinase A and protein kinase G.
11. Pharmaceutical compositions according to claim 1 , for the study and treatment of arterial hypertension, atherosclerosis, restenosis, characterized by the use of the pharmaceutical compositions as molecular models for the development of pharmaceuticals and /or pharmaceutical compositions based on the compounds dioclein and floranol or analogs thereof.
12. Compositions and formulations intended to be used via intramuscular, oral, intravenous, subcutaneous, topical, inhalation (pulmonary, intranasal, intrabuccal) route or as devices that can be implanted or injected, according to claim 1 , characterized by the increase in bioavailability of said compounds dioclein and floranol or analogs thereof when included in cyclodextrins or derivatives thereof, or associated with or included in carriers and/or pharmaceutically acceptable excipients, either in isolation of mixed.
13. Compositions and formulations intended to be used via intramuscular, oral, intravenous, subcutaneous, topical, inhalation
(pulmonary, intranasal, intrabuccal) route or as devices that can be implanted or injected, according to claim 1 , characterized by the use of the compounds dioclein and floranol or natural or synthetic analogs thereof when included in cyclodextrins or derivatives thereof, or associated with or included in carriers and/or pharmaceutically acceptable excipients, either in isolation or mixed.
PCT/BR2006/000060 2005-03-31 2006-03-30 Inclusion compounds of dioclein, floranol or analogs with cyclodextrin and their use for treating cardiovascular diseases WO2006102728A2 (en)

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EP2247730A1 (en) * 2008-01-31 2010-11-10 Universidade Federal de Minas Gerais-Ufmg Toxin of the spider phoneutria nigriventer for treatment of erectile dysfunction
EP2247730A4 (en) * 2008-01-31 2011-03-02 Univ Minas Gerais Toxin of the spider phoneutria nigriventer for treatment of erectile dysfunction
WO2010042633A2 (en) * 2008-10-08 2010-04-15 The General Hospital Corporation Naringenin complexes and methods of use thereof
WO2010042633A3 (en) * 2008-10-08 2010-07-29 The General Hospital Corporation Naringenin complexes and methods of use thereof
WO2010110646A1 (en) * 2009-03-27 2010-09-30 Biotropics Malaysia Berhad Aurones as selective pde inhibitors and their use in neurological conditions and disorders
WO2012101618A1 (en) 2011-01-28 2012-08-02 Barcelcom Têxteis S.A. Compression stockings and tubes with bioactive agents for the treatment of venous insufficiency and varicose veins
US9540379B2 (en) 2011-01-31 2017-01-10 Boehringer Ingelheim International Gmbh (1,2,4)triazolo[4,3-A]quinoxaline derivatives as inhibitors of phosphodiesterases
CN102988279A (en) * 2011-09-08 2013-03-27 石药集团中奇制药技术(石家庄)有限公司 Pinocembrin and cyclodextrin supermolecular inclusion complex and preparation method thereof
WO2014019979A1 (en) 2012-07-31 2014-02-06 Boehringer Ingelheim International Gmbh 4-methyl-2,3,5,9,9b-pentaaza-cyclopenta[a]naphthalenes
US9085584B2 (en) 2012-07-31 2015-07-21 Boehringer Ingelheim International Gmbh Substituted pyrido[3,2-E][1,2,4]-triazolo[4,3-A]pyrazines for the treatment of central nervous system disorders
EP3156405A1 (en) 2015-10-13 2017-04-19 Boehringer Ingelheim International GmbH Spirocyclic ether derivatives of pyrazolo[1,5-a]pyrimidine-3-carboxamide
US10023575B2 (en) 2015-10-13 2018-07-17 Boehringer Ingelheim International Gmbh Cyclic ether derivatives of pyrazolo[1,5-a]pyrimidine-3-carboxyamide
US10479794B2 (en) 2015-10-13 2019-11-19 Boehringer Ingelheim International Gmbh Cyclic ether derivatives of pyrazolo[1,5-a]pyrimidine-3-carboxyamide
US10875867B2 (en) 2015-10-13 2020-12-29 Boehringer Ingelheim International Gmbh Cyclic ether derivatives of pyrazolo[1,5-a]pyrimidine-3-carboxyamide
US11691977B2 (en) 2015-10-13 2023-07-04 Boehringer Ingelheim International Gmbh Cyclic ether derivatives of pyrazolo[1,5-A]pyrimidine-3-carboxyamide

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EP1877049A2 (en) 2008-01-16

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