WO2008046071A2

WO2008046071A2 - Compounds and methods of treating metabolic syndrome and inflammation

Info

Publication number: WO2008046071A2
Application number: PCT/US2007/081303
Authority: WO
Inventors: John Nestor
Original assignee: Transition Therapeutics Inc.
Priority date: 2006-10-12
Filing date: 2007-10-12
Publication date: 2008-04-17
Also published as: US20080139455A1; WO2008046071A3

Abstract

Novel compounds, compositions comprising compounds, and methods for preparing and using compounds are described herein. Methods of treating or ameliorating various conditions, including insulin resistance, pancreatic beta cell apoptosis, obesity, pro-thrombotic conditions, myocardial infarction, hypertension, dyslipidemia, manifestations of Syndrome X, congestive heart failure, inflammatory disease of the cardiovascular system, atherosclerosis, restenosis, sepsis, type 1 diabetes, liver damage, and cachexia, by administering compounds described herein. Compounds presented herein may be used to modulate serine palmitoyltransferase activity.

Description

COMPOUNDS AND METHODS OF TREATING METABOLIC SYNDROME AND INFLAMMATION

BACKGROUND

[001] All publications mentioned herein are cited for the purpose of familiarizing the reader with the background of the invention. Nothing herein is to be construed as an admission that these references are prior art in relation to the inventions described herein.

[002] Although Type 2 Diabetes (i.e., T2D, diabetes mellitus, non-insulin dependent diabetes mellitus, adult onset diabetes) is frequently thought of as a disease caused by high blood sugar, modern thinking has regarded blood glucose levels as mainly a symptom of an underlying disease related to dysregulated fat metabolism. Thus high fatty acid levels lead to a range of lipotoxicities: insulin resistance, pancreatic beta cell apoptosis, and a disorder termed "metabolic syndrome." In addition, and as discussed below, there is increasing recognition that these lipotoxicities are part of and encompass a broader range of inflammatory syndromes (Unger R.H. Annu Rev Med 53: 319-36 (2002)). Insulin resistance can be detected by the following indications: as an increased level of blood insulin, increased blood levels of glucose in response to oral glucose tolerance test (OGTT), decreased levels of phosphorylated protein kinase B (AKT) in response to insulin administration, and the like. Insulin resistance may be caused by decreased sensitivity of the insulin receptor- related signaling system in cells and/or by loss of beta cells in the pancreas through apoptosis. There is also evidence that insulin resistance can be characterized as having an underlying inflammatory component (Grundy, S.M., et al. Circulation 109: 433-8 (2004)).

[003] Sedentary lifestyle and obesity have contributed to the increased occurrence of T2D.

Therapeutic intervention has been aimed at people with impaired glucose tolerance (IGT). IGT is defined as hyperglycaemia (with glucose values intermediate between normal and diabetes) following a glucose load, and affects at least 200 million people worldwide. People afflicted with IGT possess a higher future risk than the general population for developing diabetes. Approximately 40% of people with IGT progress to diabetes in 5— 10 years, but some revert to normal or remain IGT.

[004] Moreover, people with IGT also have a heightened risk of developing cardiovascular disease, such as hypertension, dyslipidaemia and central obesity. Thus, the diagnosis of IGT, particularly in apparently healthy and ambulatory individuals, has important prognostic implications. For a more detailed review, see Zimmet P, et al, Nature, 414:783-7 (2001), the disclosure of which is incorporated herein by reference. [005] Recently, impaired fasting glucose (IFG) is introduced as another category of abnormal glucose metabolism. IGF is defined on the basis of fasting glucose concentration and, like IGT, it is also associated with risk of cardiovascular disease and future diabetes.

[006] T2D may be caused by a variety of factors. Additionally, the disease also manifests heterogeneous symptoms. Previously, T2D was regarded as a relatively distinct disease entity, but current understanding has revealed that T2D (and its associated hyperglycaemia or dysglycaemia) is often a manifestation of a much broader underlying disorder, which includes the metabolic syndrome. This syndrome is sometimes referred to as Syndrome X, and is a cluster of cardiovascular disease risk factors that, in addition to glucose intolerance, includes hyperinsulinaemia, atherogenic dyslipidaemia, hypertension, visceral obesity, hypercoagulability, and microalbuminuria. [007] Recent understanding of the factors leading to T2D has influenced contemporary therapy for the disease. More aggressive approaches to treating hyperglycaemia as well as other risk factors such as hypertension, dyslipidaemia and central obesity in type 2 diabetics have been pursued. In addition, more simplistic and comprehensive screening of at-risk individuals has been advocated by health organizations, such as the American Diabetes Association.

[008] Ceramide has been reported as showing activity in some of the factors relating to T2D, such as insulin resistance and beta cell apoptosis. For example, Schmitz-Peiffer et al. report that feeding cells with palmitic acid or ceramide leads to insulin resistance (Schmitz-Peiffer C. et al., J. Biol. Chem., 274: 24202-10 (1999)). Increased levels of palmitic acid in cells leads directly to increased levels of ceramide through an increase in levels of palmitoyl-CoA which feeds into the de novo ceramide synthesis pathway. Studies suggest that de novo ceramide synthesis of ceramide is an important factor, since inhibition of ceramide synthase with fuminosin blocks beta cell apoptosis (Shimabukuro M., et al., Proc. Natl. Acad. Sci. USA, 95: 2498-2502 (1998)). Similarly, it has been recognized that the enzyme involved in the rate limiting step for the de novo pathway for ceramide synthase, serine palmitoyltransferase (SPT), may be a viable target for blockade of beta cell apoptosis. For example, Shimabukuro et al. report that inhibition of SPT with cycloserine has a partial beta cell protective effect (~ 50% activity) in the diabetic Zucker fatty rat model (Shimabukuro et al., J. Biol. Chem., 273: 32487-90 (1998), the disclosure of which is incorporated herein by reference).

[009] As mentioned above, atherogenic dyslipidemia is part of the metabolic syndrome and atherosclerosis is a major human disease. It is now recognized that atherosclerosis has an important inflammatory component. In an intriguing series of studies with the SPT inhibitor myriocin the observation was made that a dramatic reduction in atherosclerotic plaque was observed (Park, et al. Circulation 110: 3456-71 (2004); Hojjati, et al. J. Biol. Chem. 280: 10284-9 (2005); Park, TS, Panek, R.L., Rekhter, M.D., Mueller, S.B., Rosebury, W. S., Robertson, A. W, Hanselman, J. C. (2006). Modulation of lipoprotein metabolism by inhibition of sphingomyelin synthesis in ApoE knockout mice. Atherosclerosis, epub ahead of print (2006). While the authors are tempted to ascribe the observed plaque reduction to inhibition of SPT, these studies with myriocin do not convincingly demonstrate this result, as acknowledged by the authors. This is due to the other major biological activity of myriocin, inhibition of lymphocyte chemotaxis. This latter effect is the cause of the known potent immunosuppressive activity of myriocin and offers a confounding possibility to the research reported above. This activity is caused by the phosphorylation of myriocin in vivo to generate a structure that mimics the structure and activity of sphingosine-1 -phosphate (SlP). This structure binds to Edg receptors to inhibit release of lymphocytes from the spleen. These activities are mimicked by the immunosuppressive FTY720 and much of the mechanism has been clarified using FTY720 and its analogs (Rosen, H. and Liao, J. Curr. Opin. Chem. Biol. 7: 461-8 (2003)).

[0010] Treatment of mice with the SPT inhibitor myriocin in an accepted model of emphysema

(Vascular Endothelial Growth Factor Receptor blockade) showed very strong protective effect (Petrache, I., et al., Nature Medicine 11: 491-8 (2005)). Prevention of progression of emphysema in this animal model was also demonstrated by another inhibitor of de novo ceramide synthesis, fumonisin Bl, although it was less effective and showed some toxicity at higher doses. Chronic obstructive pulmonary disease (COPD) is another progressive inflammatory lung disease where there is disruption of lung tissue structure and function (Barnes, PJ. , COPD 1: 59-70 (2005)). Currently there are no effective therapeutics to prevent the progression of COPD. [0011] As noted above, use of myriocin or compounds substantially structurally similar to myriocin with immunosuppressive activity may not be an attractive approach to an anti-atherosclerosis therapeutic and there is a need for alternative compounds and methods. The compounds of the invention, with their clean SPT inhibitory or modulative activity and minimal action at Edg receptors or little cross-reactivity with Edg receptors, offer clear therapeutic advantages over myriocin and related compounds.

[0012] An important class of treatments for acute coronary disease is that referred to as Percutaneous

Coronary Intervention (PCI). PCI means a group of existing and developing therapies that are used to treat acute coronary disease: percutaneous transluminal coronary angioplasty, rotational atherectomy, directional atherectomy, etraction atherectomy, laser angioplasty, implantation of intracoronary stents and other catheter devices for treating vessel narrowing fall within this classification (Smith S. C, et al. ACC/ AHA Guidelines for Percutaneous Coronary Intervention (Revision of the 1993 PTCA Guidelines) - Executive Summary. Circulation 103: 3019-3041 (2001)). Restenosis after stenting is a critical problem and is thought to have an important inflammatory component (Gaspardone A and Versaci, F. Coronary stenting and inflammation. Am. J. Cardiol. 96(12A): 65L-70L (2005)). Recent research indicates that agents such as the HMG-CoA reductase inhibitors (Statins) can have anti-inflammatory activities and that this aspect can have important beneficial effects when given in conjunction with PCI (Gaspardone, A, et al. Effect of atorvastatin (80 mg) initiated at the time of coronary artery stent implantation on C-reactive protein and six-month clinical events. Am. J. Cardiol. 90:786-9 (2002)). Additional support for this an ti- inflammatory mechanism of action is provided by the demonstration of beneficial effects from the local administration of dexamethasone from drug eluting stents on clinical outcome (Radke, P.W., et al. Dexamethasone and restenosis after coronary stent implantation. Curr. Pharm. Des. 10: 3449-55 (2004)). There are many factors to consider in novel stent design including materials, coatings and active agent (Wittaker, D. R. and Fillinger, M.F. The engineering of endovascular stent technology: a review. Vase. Endovascular Surg. 40: 85-94 (2006); Yang, C. and Burt, H.M. Drug-eluting stents: factors governing local pharmacokinetics. Adv. Drug Deliv. Rev. 58: 402-11 (2006); Burt, H.M. and Hunter, W.L. Drug-eluting stents: a multidisciplinary success story. Adv. Drug Deliv. Rev. 58: 350-7 (2006)). While the most prominent drug eluting stents make use of cytostatic (Burke, S.E., et al. Zotarolimus (ABT-578) eluting stents. Adv. Drug Deliv. Rev. 58:437-46 (2006)) or immunosuppressive agents, there is a clear involvement of inflammatory processes in the restenosis problem and a continuing need for improvement over existing stents (Desmet, W. Delayed neointimal healing after drug-eluting stent implantation: seeing is believing. Eur. Heart J. epub ahead of print (2006)).

[0013] A well known pro- inflammatory signal, Tumor Necrosis Factor alpha (TNF), has been shown to raise ceramide levels in cells in culture (Sawada, M, et al. Cell Death Differ. 11, 997-1008 (2004); Meyer, SG, et al. Biochim Biophys Acta. 1643(l-3),l-4 (2003)). TNF administration reduces PPAR-gamma levels in adipocytes and this has been shown to implicate ceramide (Kajita, K, et al. Diabetes. Res. Clin. Pract. 66 Suppl 1, S79-83 (2004)). TNF also induces apoptosis in liver cells and has been implicated in injury due to viral hepatitis, alcoholism, ischemia, and fulminant hepatic failure (Ding, WX and Yin, XM, J. Cell. MoI. Med. 8, 445-54 (2004); Kanzler S., et al. Semin Cancer Biol. 10(3): 173-84 (2000)). Similarly, TNF and IL-6 are implicated in cachexia, another syndrome with strong evidence of an inflammatory component, implicating ceramide as an effector. It is known that atherosclerosis has an inflammatory component. Induction of oxidative stress by amyloid involves induction of a cascade that increases ceramide levels in neuronal cells (Ayasolla K., et al. Free Radic. Biol. Med. 37(3):325-38(2004)). Thus altered ceramide levels may be causative in dementias such as Alzheimer's disease and HIV dementia and modulation of these levels with an SPT inhibitor is conceived as having promise as a treatment (Cutler RG, et al. (2004). Proc Natl. Acad. Sci. 101, 2070-5.). TNF is known to be involved in sepsis and insulin has protective effects (Esmon, CT. Crosstalk between inflammation and thrombosis. Maturitas. 47, 305-14 (2004)). De novo ceramide levels possibly serve as a central effector mechanism in the inflammatory processes central to many diseases and conditions. However, the potential for modulators of SPT to be used as therapeutic agents for diseases and conditions related to ceramide' s involvement, as an effector in inflammatory processes, has not previously been shown. [0014] Elevated levels of fatty acids can induce a syndrome that mimics the pathology of cardiomyopathy (i.e., heart failure). The pathogenesis of this lethal condition is poorly understood, but appears to be related to lipotoxicities. Studies indicate that lipid overload in cardiac myocytes may well be an underlying cause for cardiomyopathy. In addition, recent studies have identified low levels of myocyte apoptosis (80-250 myocytes per 10⁵ nuclei) in failing human hearts. It remains unclear, however, whether this cell death is a coincidental finding, a protective process, or a causal component in disease pathogenesis (See, e.g., Wencker D. et al., J. Clin. Invest, 111: 1497-1504 (2003), the disclosure of which is incorporated herein by reference). Increases in fatty acid levels in cells directly lead to elevated rates of de novo ceramide synthesis. TNF has been implicated in CHF, and thereby ceramide, an associated effector for TNF signaling, is implicated through an independent direction (McTiernan, CF, et al. Curr Cardiol Rep. 2(3), 189-97 (2000)). However, the utility of de novo ceramide synthesis modulators, as agents to block progression of and allow healing of heart muscles in cardiomyopathy, has not been demonstrated.

[0015] Cachexia is a progressive wasting syndrome with loss of skeletal muscle mass (Frost RA and

Lang CH.; Curr Opin Clin Nutrit Metab Care. 2005; 255-263) and adipose tissue. This syndrome is found in response to infection, inflammation, cancer (Tisdale MJ; Langenbecks Arch Surg. 2004; 389: 299-305) or some chronic diseases like rheumatoid arthritis (Rail LC and Roubenoff R Rheumatol 2004: 43, 1219-23). Release of various cytokines has been implicated in this syndrome and both TNF and IL-6 are recognized as central players. Thus cachexia can be looked at as a chronic inflammatory state. Ceramide is a well-known central effector of TNF signaling. In addition, ceramide is known to modulate the expression of IL-6 (Shinoda J, Kozawa O, Tokuda H, Uematsu, T.; Cell Signal. 1999; 11: 435-41; Coroneos, E; Wang, Y; Panuska, JR; Templeton, DJ; Kester, M.; Biochem J 1996; 316: 13-7). Existing data lead us to believe that de novo ceramide synthesis is playing a central role as a signal for this inflammatory state as well. We therefore believe that inhibition of TNF and /or IL-6 signaling through ceramide will provide a clinical benefit to patients with this wasting syndrome.

[0016] Rosenberg and others have shown that isolation of pancreatic islets for transplantation, e.g., for use in the treatment of diabetes, is made difficult by the low yields that result from isolation and that these low yields are due in significant measure to beta cell apoptosis. Structural and functional changes resulting from islet isolation lead to islet cell death (Rosenberg L, Wang R, Paraskevas S, Maysinger D. Surgery. 126: 393-8 (1999); cell loss in isolated human islets occurs by apoptosis. Paraskevas S, Maysinger D, Wang R, Duguid TP, Rosenberg L; Pancreas. 20(3): 270-6 (2000); challenges facing islet transplantation for the treatment of type 1 diabetes mellitus. Rother KI, Harlan DM J Clin Invest. 114, 877-83 (2004)). [0017] Beattie, et al have reported that various treatments (e.g. trehalose, removal of Arg from culture medium, and the like) may improve the yield of transplantable islets but substantial cell death remains (Beattie GM, Leibowitz G, Lopez AD, Levine F, Hayek A. Cell Transplant. 9:431-8 (2000)). Treatment of cells and tissues by caspase inhibitors leads to a partial block of apoptosis in response to various metabolic insults, but apoptosis may be driven by many mechanisms, and caspase inhibition may have useful or marginal effects depending on the specific instance being studied (Biotechnol Bioeng., 81 :329-40 (2003)). Study of caspase inhibitors for limiting death in mammalian cell culture (Sauerwald TM, Oyler GA, Betenbaugh MJ. Biotechnol. Bioeng. 81: 329-40 (2003)).

[0018] Studies of inhibition of de novo synthesis of ceramide have shown that such inhibition appears to have anti-apoptotic effects in a number of important situations. Beta cell apoptosis in response to treatment with free palmitic acid and/or in combination with high levels of glucose can be blocked by treatment with fumonisin Bl (inhibitor of ceramide synthase), for example (Maedler, K. Diabetes; 52:726-33 (2003). It is thus possible that the inhibition or de novo ceramide synthesis can be applied to prevention of apoptotic events. However, treatment with agents that inhibit ceramide synthase have been shown to result in toxic effects, as seen with ingestion of fumonisin B l (Bennett JW and Klich M. Clin Microbiol Rev. 16, 497-516 (2003)). Inhibition of SPT provides an alternate method for preventing apoptosis of pancreatic beta cells, however, modulators of SPT have not been shown to prevent the loss of pancreatic beta cells in culture prior to transplant. [0019] Thus, modulators of de novo ceramide synthesis could provide important new therapeutic agents for a range of human and veterinary diseases that entail an inflammatory component making use of ceramide as an effector agent. However, interference with the de novo ceramide synthesis pathway at several points (e.g., as with Fumonisin Bl) is known to lead to toxicities. Inhibition at the level of SPT, however, leads to the build up of innocuous cellular components serine and Palmitoyl CoA.

[0020] There are several potent natural product inhibitors of SPT. Myriocin is perhaps the best known, and it shows sub-nanomolar IC₅₀ for inhibition of SPT (Kluepfel, D., et al, J. Antibiot. 25: 109-115 (1972); Miyaki, Y., et al., Biochem Biophys Res Commun. 211: 396-403 (1995); Hanada, K. Biochem Biophys Acta 1632: 16-30(2003)). Mycestericins also comprise a family of potent immunosuppressive natural products. They are structurally related to myriocin and have potent inhibitory activity on SPT (Sasaki, S, et al., J. Antibiot. 47: 420-33 (1994)). Another class of potent natural product inhibitors of SPT is the sphingofungins (VanMiddlesworth F., et al, J. Antibiotics 45: 861-7 (1992)).

Figure 1.

[0021] Additional inhibitors of SPT include cycloserine, D-serine, viridiofungin A, and lipoxamycin. A number of these natural products, such as myriocin, have been shown to have unacceptable toxicities. Furthermore, these ceramides impart only partially protective activity. In addition, some SPT inhibitors, such as cycloserine, show weak inhibition and exhibit low specificity. Structural studies suggest that natural products mimic the active site-bound form of the starting materials or products (Hanada K. et al, Biochem Biophys Acta, 1632: 16-30 (2003)).

[0022] Myriocin is known to be a powerful immunosuppressive molecule as well as an inhibitor of

SPT. A number of analogs have been designed based on its structure. Structures that have the immunosuppressive activity of myriocin, such as those related to compound FTY720, illustrated below, do not inhibit SPT. Additionally, the carboxylic derivative of FTY720, shown below as compound 2, did not exhibit activity against SPT, as demonstrated in an immunosuppressive assay for FTY720-like activity (Kiuchi M. et ah, J. Med. Chem., 43: 2946-61 (2000)) and was suggested to be inactive due to extremely low solubility if not lack of binding affinity, per se.

FTY720-PO4 [0023] Work with FTY720 has demonstrated that it undergoes phosphorylation by sphingosine kinase and that the resulting phosphorylated species (FTY720-PO4) is the active molecule in vivo (Mandala S. et ah, Science 296: 346-9 (2002); Brinkmann V. et al. J. Biol. Chem. 277: 21453-7 (2002); Rosen H and Liao, J. Curr. Opin. Chem. Biol. 7: 461-8 (2003)). Thus the source of the immunomodulatory activity inherent in the structure of myriocin is the hydroxymethyl function on the head group which can be phosphorylated to yield a sphingosine- 1 -phosphate (SlP) like structure.

[0024] Modulation of SPT presents an attractive means to attenuate insulin resistance and prevent loss of pancreatic beta cells. Inhibitors of SPT, in particular, may offer new therapeutics for the treatment of T2D. These agents could be beneficial for the protection of tissue for transplantation such as in islet transplantation and liver transplantation. As outlined above, such inhibitors could also have beneficial uses in the treatment of cardiomyopathy, sepsis, cachexia atherosclerosis, liver damage, reperfusion injury, Alzheimer's Disease, Type 1 diabetes, in which apoptosis plays a role, as well as other inflammatory diseases. Bioavailable agents that are highly potent and selective inhibitors of SPT, especially with respect to lack of SlP and immunosuppressive activity, were heretofore not available. Nontoxic, bioavailable, potent and selective modulators of SPT could prove to be important new agents for the treatment of the diseases and conditions as disclosed herein and other diseases and conditions involving apoptosis and in which TNF is known, to those of skill in the art, to play a role. The generation of such compounds and their usefulness for treating these indications has not been previously shown.

SUMMARY OF THE INVENTION

[0025] Presented herein are novel compounds and methods of use. In a preferred embodiment, compounds provided herein exhibit activity on the enzyme, serine palmitoyl transferase (SPT) and lack the potential to be phosphorylated on the 2 position side chain, which could lead to S IP-like activity. In some embodiments, molecules with some elements of the structure of sphingofungin D, but with improved pharmaceutical properties and commercial potential are the basis of the structures of the invention. [0026] Presented herein are novel compounds, and pharmaceutically acceptable salts thereof, corresponding to Formula (I):

(I) wherein:

R₁ is H, or optionally substituted lower alkyl, aryl, aralkyl, or alkyloxyalkyl;

R₂ is H, protecting group, or -C(=O)-CHR_a-NHR_b;

R_a is selected from the group consisting of alkyl, aralkyl, aryl, and optionally substituted alkyl with carboxyl, carboxamide, hydroxyl, halo, alkenyl, alkynl, ether, thiol, methylthio, borate, boronate, phospho, phosphono, phosphine, heterocyclic, enone, imine, aldehyde, ester, thioacid, hydroxylamine, amino, guanido, and combinations thereof; R_b is H or amino protecting group; each V and Z is independently (CR_cR_d)_k, O, NR_e, S, optionally substituted alkene (cis or trans), Ar, CR₀RjAr, OAr, NR₄Ar, SAr, or ArAr; each R_c and R_d is independently H, X, lower alkyl, OH, or O-lower alkyl; or R_c and R₁₁ together form a =O, =N-OH, =N-O-lower alkyl, or =N-O-CH₂CH₂-O-CH₃; R_e is H, lower alkyl, or -CH₂CH₂-O-CH₃; k is 1 to 7; q is 1 to 13; each K is independently -H, -OH, -X, or -CH₃, where X is halogen; each T is independently (CR_fR_g); each R_f is independently H, lower alkyl, or O-lower alkyl; each R_g is independently H, OH, or O-lower alkyl; or R_f and R_g, together form a =O, =N-OH, =N-O-lower alkyl, or =N-O-CH₂CH₂-O-CH₃; p is 1 to 5; each Ar is an optionally substituted aryl or heteroaryl; u is O, 1, or 2; and m is 1 to 12.

[0027] Compounds provided herein may be employed in the treatment of a variety of human diseases or conditions. In a preferred embodiment, compounds are used to treat diseases such as T2D, insulin resistance, pancreatic beta cell apoptosis, or obesity. In another preferred embodiment, compounds are used to treat pro- thrombotic conditions, congestive heart failure, myocardial infarction, hypertension, atherogenic dyslipidemia, or other symptoms of Metabolic Syndrome (i.e., Syndrome X). In yet another preferred embodiment, compounds are used to treat inflammatory diseases, such as inflammatory diseases of the cardiovascular system, sepsis and cachexia. Exemplary inflammatory diseases of the cardiovascular system include atherosclerosis. In yet another preferred embodiment, these compounds are used to prevent liver damage from viral, alcohol related, reperfusion injuries as outlined above. In yet another preferred embodiment, these compounds are used to protect and enhance the yield for transplantation of pancreatic liver cells and or livers, either alone or in combination with the currently approved cocktails and/or caspase inhibitors. In yet another preferred embodiment, these compounds are used to treat inflammatory lung diseases such as emphysema and COPD. [0028] Also provided are compositions comprising compounds presented herein, in combination with a therapeutically effective amount of another active agent. Exemplary agents include insulin, insulin analogs, incretin, incretin analogs, glucagon-like peptide, glucagon-like peptide analogs, exendin, exendin analogs, PACAP and VIP analogs, DPPIV inhibitors, sulfonylureas, biguanides, α-glucosidase inhibitors, Acetyl-CoA Carboxylase inhibitors, caspase inhibitors, delta 3 unsaturated fatty acids, polyunsaturated fatty acids and PPAR ligands. Accordingly, embodiments of methods for treating various diseases include co-administering compounds presented herein and a therapeutically effective amount of another active agent, or administration of combination compositions provided herein. DETAILED DESCRIPTION

[0029] As described above, the compounds of the invention inhibit SPT, the first committed step of an enzymatic pathway known to have a broad pro-inflammatory role as an effector of TNFα signaling. Therefore, modulation of this pathway has great importance for the treatment of a number of inflammatory diseases, for example - the Metabolic Syndrome (Syndrome X) and its components (atherosclerosis, insulin resistance, prothrombotic state, hypertension), diabetes (beta cell apoptosis; in vitro and in vivo), congestive heart failure, sepsis, cachexia, liver damage (inflammatory or viral), restenosis, drug eluting stents, and the like. [0030] Furthermore, the agents of the invention can be used advantageously in combination with other known therapeutics for these diseases for even greater beneficial effect. This includes use in conjunction with 1. insulin or insulin analogs (human, hog, beef, lispro, aspart, glargine, detemir), 2. oral hypoglycemic agents such as the sulfonylureas and the agents having similar effect (Glipizide, Gliclazide, Glibenclamide, Glimepiride, Repaglinide, Nateglinide and the generic chemical forms thereof), 3. Biguanides (metformin, buformin, phenformin, and the like), 4. alphaglucosidase inhibitors (Acarbose, miglitol, and the like), 5. caspase inhibitors (VX-765, IDN-6556, and the like), 6. PPAR ligands (pioglitazone, rosiglitazone, and the like, including ligands of all PPAR receptor classes), 7. Incretin/GlPl analogs (exenatide, Liraglutide, ZP-IOA/A VE-010, Albugon, BIM-51077 and the like), 8. PACAP or VIP analogs (Ro 25-1555, Bay 55-9837, and the like), and 9. Acetyl- CoA inhibitors. These examples are meant to be illustrative and not limit the scope of the combinations of therapeutics contemplated by the invention.

[0031] As mentioned above, a major biological activity of myriocin is immunosuppression caused by inhibition of lymphocyte chemotaxis. This activity is thought to be caused by the phosphorylation of myriocin in vivo on the hydroxymethyl function on the quaternary head group to generate a structure that mimics the structure and activity of SlP. This structure binds to Edg receptors to interfere with the release of lymphocytes from the spleen. This immunosuppressive activity of myriocin and its analogs may be an undesirable attribute for some of the uses described herein. The compounds of the invention do not have the hydroxymethyl function on the head group and thus may provide advantages over existing compounds and therapies. The compounds of the invention are differentiated from myriocin and analogs by being designed to inhibit SPT activity, but to have strongly diminished immunosuppressive activity.

[0032] There are a number of assays that can be used to determine whether a molecule has potent immunosuppressive activity through the mode of action used by myriocin and FTY720 (Chiba, K., et al. Role of Sphingosine 1 -Phosphate Receptor Type 1 in Lymphocyte Egress from Secondary Lymphoid Tissues and Thymus. Cell. Molec. Immunol. 3: 11-19 (2006)). A simple in vivo assay uses the quantitation of lymphocytes 24 hr after treatment of normal rats and makes use of flow cytometry to determine amounts of T-cells and B- cells in the peripheral blood (Kiuchi, M., et al. Synthesis and Immunosuppressive Activity of 2-Substituted 2- Aminopropane-l,3-diols and 2-Aminoethanols. J. Med. Chem. 43: 2946-61 (2000)). Kiuchi, et al (2000) also report the use of a rat skin allograft model and popliteal lymph node gain assays. FTY720 may be used as a positive control and less than 10% or preferably less than 1% of the activity of FTY720, is indicative of weak immunosuppressive activity, which is desirable for the compounds of the invention. [0033] As used in the specification, "a" or "an" means one or more. As used in the claim(s), when used in conjunction with the word "comprising," the words "a" or "an" mean one or more. As used herein, "another" means at least a second or more.

[0034] Reference now will be made in detail to various embodiments and particular applications of the invention. While the invention will be described in conjunction with the various embodiments and applications, it will be understood that such embodiments and applications are not intended to limit the invention. On the contrary, the invention is intended to cover alternatives, modifications and equivalents that may be included within the spirit and scope of the invention. Where a particular structure is disclosed herein that has potential stereoisomer, the structure incorporates, each individual stereoisomer above, both stereoisomers together and any mixture of any ratio of the two, as appropriate. In addition, throughout this disclosure various patents, patent applications, websites and publications are referenced, and unless otherwise indicated, each is incorporated by reference in its entirety for all purposes. All publications mentioned herein are cited for the purpose of describing and disclosing reagents, methodologies and concepts with the present invention. Nothing herein is to be construed as an admission that these references are prior art in relation to the inventions described herein.

I. Compounds

[0035] Presented herein are novel compounds, and pharmaceutically acceptable salts thereof, corresponding to Formula (I):

(I) wherein:

Ri is H, or optionally substituted lower alkyl, aryl, aralkyl, or alkyloxyalkyl; R₂ is H, protecting group, or -C(=O)-CHR_a-NHR_b;

R_a is selected from the group consisting of alkyl, aralkyl, aryl, and optionally substituted alkyl with carboxyl, carboxamide, hydroxyl, halo, alkenyl, alkynl, ether, thiol, methylthio, borate, boronate, phospho, phosphono, phosphine, heterocyclic, enone, imine, aldehyde, ester, thioacid, hydroxylamine, amino, guanido, and combinations thereof;

R_b is H or amino protecting group; each V and Z is independently (CR_cR_d)_k, O, NR_e, S, optionally substituted alkene (cis or trans), Ar,

CR₀RjAr, OAr, NR₄Ar, SAr, or ArAr; each R_c and R_d is independently H, X, lower alkyl, OH, or O-lower alkyl; or R_c and R₁₁ together form a =O, =N-OH, =N-O-lower alkyl, or =N-O-CH₂CH₂-O-CH₃;

R_e is H, lower alkyl, or -CH₂CH₂-O-CH₃; k is 1 to 7; q is 1 to 13; each K is independently -H, -OH, -X, or -CH₃, where X is halogen; each T is independently (CR_fR_g); each R_f is independently H, X, lower alkyl, or O-lower alkyl; each R_g is independently H, OH, X, or O-lower alkyl; or R_f and R_g, together form a =O, =N-OH, =N-O-lower alkyl, or =N-O-CH₂CH₂-O-CH₃; p is 1 to 5; each Ar is an optionally substituted aryl or heteroaryl; u is 0, 1, or 2; and m is O to 12.

[0036] Preferred compounds of Formula (I) include those where Rj is lower alkyl, such as methyl, ethyl, isopropyl, and the like. Additionally preferred embodiments include those compounds where Rj is alkyloxyalkyl, such as CH₃-O-CH₂-CH₂-, HO-CH₂-CH₂-O-, HO-(CH₂-CH₂-O-V, hydroxyethyl alcohol, hydroxypropyl alcohol, hydroxyethyloxyethyl alcohol, and polyethylene glycol or derivatives thereof. Other preferred compounds of Formula (I) include those where X is halogen, such as fluorine. Additional preferred compounds of Formula (I) include those where Z is NR₄, O, or S. Another preferred embodiment includes compounds of Formula (I) where Ar is an optionally substituted heteroaryl. Another preferred embodiment includes compounds of Formula (I) where Ar is an optionally substituted fused ring system, such as a 5-5, 5-6, or 6-6 ring system. [0037] In an embodiment, compounds of Formula (I) correspond to Formula (II):

(H) wherein n is 0 to 7. [0038] In an embodiment, compounds of Formulas (I) and (II) correspond to Formula (HA):

(IIA) wherein each Y is independently C, CH, O, S, N, or NH.

[0039] In another embodiment, compounds of Formulas (I) and (II) correspond to Formula (HB):

(HB) wherein each Q is independently C, CH, N, or NH.

[0040] In yet another embodiment, compounds of Formulas (I) and (II) correspond to Formula (HC):

(IIC). wherein each Y is independently C, CH, O, S, N, or NH.

[0041] In another embodiment, compounds of Formulas (I) and (II) correspond to Formula (HD):

(IID).

[0042] In another embodiment, compounds of Formulas (I) and (II) correspond to Formula (HE):

(IIE).

[0043] In another embodiment, compounds of Formulas (I) and (II) correspond to Formula (HF):

(IIF).

[0044] In an additional embodiment, compounds of Formula (I) correspond to Formula (III):

(III) wherein n is 0 to 7.

[0045] In another embodiment, compounds of Formula (I) correspond to Formula (IIIA):

(IIIA) wherein n is 0 to 7.

[0046] In another embodiment, compounds of Formula (I) correspond to Formula (IIIB):

(HIB) wherein n is 0 to 7.

[0047] In another embodiment, compounds of Formula (I) correspond to Formula (IIIC):

(HIC) wherein each Y is independently C, CH, O, S, N, or NH; and n is O to 7.

[0048] In another embodiment, compounds of Formula (I) correspond to Formula (HID):

(HID) wherein each Y is independently C, CH, O, S, N, or NH; and n is 0 to 7.

[0049] In another embodiment, compounds of Formula (I) correspond to Formula (HIE):

(HIE) wherein each Y is independently C, CH, O, S, N, or NH; and n is 0 to 7.

[0050] In another embodiment, compounds of Formula (I) correspond to Formula (IIIF):

(IIIF) wherein each Q is independently C, CH, N, or NH; and n is 0 to 7. [0051] In another embodiment, compounds of Formula (I) correspond to Formula (IIIG):

(IIIG) wherein each Q is independently C, CH, N, or NH; and n is 0 to 7.

[0052] In another embodiment, compounds of Formula (I) correspond to Formula (IIIH):

(IIIH) wherein each Q is independently C, CH, N, or NH; and n is 0 to 7. [0053] In another embodiment, compounds of Formula (I) correspond to Formula (IIIJ):

(IIIJ) wherein each Y is independently C, CH, O, S, N, or NH; and n is 0 to 7.

[0054] In another embodiment, compounds of Formula (I) correspond to Formula (IIIK):

(IIIK) wherein each Y is independently C, CH, O, S, N, or NH; and n is 0 to 7. [0055] In another embodiment, compounds of Formula (I) correspond to Formula (IIIL):

(IIIL) wherein each Y is independently C, CH, O, S, N, or NH; and n is 0 to 7. [0056] In another embodiment, compounds of Formula (I) correspond to Formula (HIM):

(HIM) wherein q plus m is less than 12. [0057] In another embodiment, compounds of Formula (I) correspond to Formula (IIIN): CK₃

(IIIN)

[0058] In yet another embodiment, prodrug forms of compounds of Formula (I) are presented. Prodrug forms of compounds are optimal for oral administration, and typically correspond to the ester of the acid active species. Active species of the prodrugs can be used to prepare active drug compounds. [0059] In an embodiment, prodrug compounds correspond to Formula (HIM):

(IIIO) wherein R_a is the side chain of alanine, arginine, asparagine, aspartic acid, cysteine, glutamine, glutamic acid, glycine, histidine, isoleucine, leucine, lysine, methionine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine, valine, pyrolysine and selenocysteine; and n is 0 to 7.

[0060] Representative prodrug compounds corresponding to Formula (IIIO) include compounds corresponding to Formula (HIP):

(HIP).

[0061] In another embodiment, prodrug compounds correspond to Formula (IIIQ):

(IIIQ) wherein R_a is the side chain of alanine, arginine, asparagine, aspartic acid, cysteine, glutamine, glutamic acid, glycine, histidine, isoleucine, leucine, lysine, methionine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine, valine, pyrolysine and selenocysteine; and n is 0 to 7. [0062] Representative prodrug compounds corresponding to Formula (HIP) include compounds corresponding to Formula (IIIR):

(IIIR).

[0063] As mentioned above, myriocin's known potent immunosuppressive activity is caused by the phosphorylation of myriocin in vivo to generate a structure that mimics the structure and activity of SlP. This structure binds to Edg receptors to inhibit release of lymphocytes from the spleen. These activities are mimicked by the immunosuppressive FTY720 and much of the mechanism has been clarified using FTY720 and its analogs (Rosen, H. and Liao, J. Curr. Opin. Chem. Biol. 7: 461-8 (2003)). Compounds of this invention can prevent the above-described phosphorylation in vivo for causing immunosuppressive activity, since they lack the hydroxymethyl functional group next to the amino group. Thus, compounds of this invention do not cause strong immunosuppressive activity. [0064] In another embodiment, compounds of Formula (I) correspond to Formula (IVA):

(IVA) wherein Y is C, CH, O, S, N, or NH. [0065] In another embodiment, compounds of Formula (I) correspond to Formula (IVB):

(IVB).

[0066] In another embodiment, compounds of Formula (I) correspond to Formula (IVC):

(IVC).

[0067] In another embodiment, compounds of Formula (I) correspond to Formula (V):

[0068] In another embodiment, compounds of Formula (I) correspond to Formula (VE):

[0069] In another embodiment, compounds of Formula (I) correspond to Formula (VF):

(VF). [0070] In another embodiment, compounds of Formula (I) correspond to Formula (VG):

(VG).

[0071] In another embodiment, compounds of Formula (I) correspond to Formula (VH):

(VH).

[0072] In another embodiment, compounds of Formula (I) correspond to Formula (VJ):

[0073] In another embodiment, compounds of Formula (I) correspond to Formula (VK):

(VK).

[0074] In another embodiment, compounds of Formula (I) correspond to Formula (VL):

(VL).

[0075] In another embodiment, compounds of Formula (I) correspond to Formula (IVM):

(VM).

[0076] In another embodiment, compounds of Formula (I) correspond to Formula (VN):

(VN).

Exemplary compounds provided herein are listed below in Table 1.

II. Definitions

[0077] Compounds presented herein embrace isotopically-labelled compounds, which are identical to those recited in Formula (I), but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature. Examples of isotopes that can be incorporated into the present compounds include isotopes of hydrogen, carbon, nitrogen, oxygen, fluorine and chlorine, such as ²H, ³H, ¹³C, ¹⁴C, ¹⁵N, ¹⁸O, ¹⁷O, ³⁵S, ¹⁸F, ³⁶Cl, respectively. Compounds presented herein, prodrugs thereof, and pharmaceutically acceptable salts of said compounds or of said prodrugs which contain the aforementioned isotopes and/or other isotopes of other atoms are within the scope of this invention. Certain isotopically-labelled compounds of the present invention, for example those into which radioactive isotopes such as ³H and ¹⁴C are incorporated, are useful in drug and/or substrate tissue distribution assays. ³H and ¹⁴C isotopes are preferred for their ease of preparation and detectability. Further, substitution with heavier isotopes such as deuterium, i.e., H, can afford certain therapeutic advantages resulting from greater metabolic stability, for example increased in vivo half-life or reduced dosage requirements and, hence, may be preferred in some circumstances. Isotopically labeled compounds herein and prodrugs thereof can generally be prepared by carrying out the procedures disclosed in the Schemes and/or in the Examples below, by substituting a readily available isotopically labelled reagent for a non-isotopically labelled reagent.

[0078] Some of the compounds herein have asymmetric carbon atoms and can therefore exist as enantiomers or diastereomers. Diasteromeric mixtures can be separated into their individual diastereomers on the basis of their physical chemical differences by methods known, for example, by chromatography and/or fractional crystallization. Enantiomers can be separated by converting the enantiomeric mixture into a diasteromeric mixture by reaction with an appropriate optically active compound (e.g., alcohol), separating the diastereomers and converting (e.g., hydrolyzing) the individual diastereomers to the corresponding pure enantiomers. Enantiomers can also be synthesized using asymmetric reagents, for example to prepare the alpha alkyl amino acid head group of myriocin and its analogs (e.g. Seebach, D. et al. (1987). HeIv. Chim. Acta. 70. 1194-1216; Hale, JJ, et al. (2004). Bio-org. Med.Chem. Lett., 12, 4803-7; Kobayashi, S., et al. (1998). J. Am. Chem. Soc. 120, 908-19). Alternatively, chiral synthesis of enantiomeric centers using chiral synthons from natural products is a facile approach to such syntheses, for example the synthesis of myriocin from d-mannose (Oishi, T., et al. (2001). Chemical Commun. 1932-3; and references to myriocin synthesis therein) and of myriocin analogs from isolated, natural myriocin (Chen, JK, et al. (1999). Chem Biol. 6, 221-35; Fujita, T, et al. (1996) J. Med. Chem. 39, 4451-59). In addition, use of enzymes (free or supported) to preferentially modify one of the enantiomeric centers and thus allow separation or interconversion of enantiomers is well-known to the art (for example Wang, Y.-F., et al. (1988). J. Am. Chem. Soc. 110, 7200-5) and has great usefulness in production of pharmaceuticals. All such isomers, including diastereomers, enantiomers, and mixtures thereof are considered as part of this invention.

[0079] Those skilled in the art will recognize that some of the compounds herein can exist in several tautomeric forms. All such tautomeric forms are considered as part of this invention. Also, for example all enol-keto forms of any compounds herein are included in this invention.

[0080] Some of the compounds of this invention are acidic and may form a salt with a pharmaceutically acceptable cation. Some of the compounds of this invention can be basic and accordingly, may form a salt with a pharmaceutically acceptable anion. All such salts, including di-salts are within the scope of this invention and they can be prepared by conventional methods. For example, salts can be prepared simply by contacting the acidic and basic entities, in either an aqueous, non-aqueous or partially aqueous medium. The salts are recovered either by filtration, by precipitation with a non-solvent followed by filtration, by evaporation of the solvent, or, in the case of aqueous solutions, by lyophilization, as appropriate.

[0081] In addition, compounds herein embrace metabolites, hydrates, or solvates thereof and all of which are within the scope of the invention. [0082] The term "substituted" refers to substitution on any carbon or heteroatom with any chemically feasible substituent. Representative substitutions include halogen substitution or substitution with any heteroatom containing group, e.g., alkoxy, phophoryl, sulfhydryl, etc.

[0083] The term "alkyl" refers to straight chain, branched, or cyclic hydrocarbons. Exemplary of such alkyl groups (assuming the designated length encompasses the particular example) are methyl, ethyl, propyl, isopropyl, butyl, sec -butyl, tertiary butyl, pentyl, isopentyl, neopentyl, tertiary pentyl, 1-methylbutyl, 2- methylbutyl, 3-methylbutyl, hexyl, isohexyl, heptyl and octyl. The term "lower alkyl" refers to alkyl as defined above comprising Ci-C_2O- Substituted alkyl refers to alkyl groups which are substituted as defined above and are exemplified by haloalkyl, e.g., CF₃, CHF₂, CH₂F, etc.

[0084] The term "aryl" refers to any aromatic group comprising C₃-C₂₀. Aryl groups also embrace fused ring systems, such as 5-5, 5-6, and 6-6 ring systems. Representative aryl groups include phenyl, biphenyl, anthracyl, norbornyl, and the like. Aryl groups may be substituted according to the definition provided above.

[0085] The term "heteroaryl" refers to any aryl group comprising at least one heteroatom within the aromatic ring. Heteroaryl groups also embrace fused ring systems, such as 5-5, 5-6, and 6-6 ring systems.

Representative heteroaryl groups include imidazole, thiazole, oxazole, phenyl, pyridinyl, pyrimidyl, imidazolyl, benzimidazolyl, thiazolyl, oxazolyl, isoxazolyl, benzthiazolyl, or benzoxazolyl. Heteroaryl groups may be substituted according to the definition provided above.

[0086] The term "aralkyl" or "arylalkyl" refers to an aryl group comprising an alkyl group as defined above. Aralkyl or arylalkyl groups may be appended from the aryl or the alkyl moiety.

[0087] The term "alkoxy" refers to alkyl groups bonded through an oxygen. Exemplary alkoxy groups

(assuming the designated length encompasses the particular example) are methoxy, ethoxy, propoxy, isopropoxy, butoxy, isobutoxy, tertiary butoxy, pentoxy, isopentoxy, neopentoxy, tertiary pentoxy, hexoxy, isohexoxy, heptoxy and octoxy. Alkoxy may be substituted according to the definition provided above.

[0088] The term "alkoxyalkyl" refers to an alkoxy group comprising an alkyl group as defined above.

Alkoxyalkyl groups may be substituted according to the definition provided above.

[0089] The term "halogen" refers to chloro, bromo, iodo, or fluoro.

[0090] The term "modulator" means a molecule that interacts with a target either directly or indirectly.

The interactions include, but are not limited to, agonist, antagonist, and the like.

[0091] The term "agonist" means a molecule such as a compound, a drug, an enzyme activator or a hormone that enhances the activity of another molecule or the activity of a receptor site.

[0092] The term "antagonist" means a molecule such as a compound, a drug, an enzyme inhibitor, or a hormone, that diminishes or prevents the action of another molecule or the activity of a receptor site.

[0093] The terms "effective amount" or "therapeutically effective amount" refer to a sufficient amount of the agent to provide the desired biological result. That result can be reduction and/or alleviation of the signs, symptoms, or causes of a disease, or any other desired alteration of a biological system. For example, an

"effective amount" for therapeutic use is the amount of the composition comprising a compound as disclosed herein required to provide a clinically significant decrease in a disease. An appropriate "effective" amount in any individual case may be determined by one of ordinary skill in the art using routine experimentation. [0094] As used herein, the terms "treat" or "treatment" are used interchangeably and are meant to indicate a postponement of development of diseases and/or a reduction in the severity of such symptoms that will or are expected to develop. The terms further include ameliorating existing disease symptoms, preventing additional symptoms, and ameliorating or preventing the underlying metabolic causes of symptoms. [0095] By "pharmaceutically acceptable" or "pharmacologically acceptable" is meant a material which is not biologically or otherwise undesirable, i.e., the material may be administered to an individual without causing any undesirable biological effects or interacting in a deleterious manner with any of the components of the composition in which it is contained.

III. Preparation of Compounds

[0096] Compounds provided herein can be prepared by synthetic methods well known to those skilled in the art. A number of syntheses of sphingofungin B have been reported and modifications of those routes are attractive means to produce certain compounds of the invention (for example Kobayashi, S. and Furuta, T., Tetrahedron 54: 10275-94 (1998); Mori, K. and Otaka, K., Tetrahedron Lett. 35: 9207-10 (1994); Grendel, R., et al, J. Org. Chem. 63: 4524-8 (1998); Liao, J., et al., Tetrahedron 61: 4715-33 (2005)) as will be apparent to one of skill in the art. Much work has been devoted to the synthesis of α,α-disubstituted α-amino acids and these methods or extensions are applicable to certain compounds of the invention which will be apparent to those of skill in the art. Exemplary references discussing representative preparative methods which may be employed for construction of the amino acid head group region of the compounds include: Ohfune, Y. and Shinada, T. Eur. J. Org. Chem. 2005: 5127-43; Najera, T., et al. Eur. J. Org. Chem. 2000: 2809-20; Hayes, C.J., et al. J. Org. Chem. 71: 2661-5 (2006); Cativiela, C, and Diaz-de Villegas, M.D. Tetrahedron: Asymmetry 9: 3517-3599 (1998); Lee, K. Y, et al. Tet. Lett. 43: 9361-9363 (2002); Hatakeyama, S, et al. J. Org. Chem. 62: 2775-9 (1997); Trost, B.M. J. Org. Chem. 69: 5813-37 (2004); Lane, J.W. and Halcomb, R.L. Org. Lett. 5: 4017-20 (2003); the disclosures of all of which are incorporated herein by reference. Exemplary references discussing representative preparative methods which may be employed include: Kiuchi et al., J. Med. Chem., 43: 2946-61 (2000); Seidel G. et al., J. Org. Chem., 69: 3950-52 (2004); Clemens JJ. et al., Bioorg. Med. Chem. Lett., 14: 4903-6 (2004); Durand, P. et al., Synthesis, 505:6 (2000); Hale et al., Bioorg. Med. Chem. Lett., 14, 3351-5 (2004); Seebach, D., et al, HeIv. Chim. Acta. 70, 1194-1216 (1987); Oishi, T, et al. Chem. Commun. 1932-3 (2001); Wang, Y.-F., et al. J. Am. Chem. Soc. 110, 7200-5 (1988); Pipik, B, et al. Synth. Commun. 34, 1863-70 (2004); the disclosures of all of which are incorporated herein by reference. Approaches to the natural products which inhibit SPT have been reviewed by Byun, H-S et al. (Synthesis 2447-74 (2006)) and these references are relevant to approaches to formation of the polar head group of the compounds of the invention. A particularly relevant study is that of Hinterding K., et al (Tetrahedron Lett. 43: 8095-7) who produce alpha alkyl analogs of FTY720 using the Schollkopf bislactim method. Similarly, studies by Kobayashi (1998a and b) are very relevant to the procedures listed below; disclosures of all of which references above are incorporated herein by reference. Additional exemplary references which may be employed relate to multicomponent assembly of amino acid like compounds: Sugiyama, S., et al. Chem. Pharm. Bull. 53: 100-102 (2005); Petasis, N.A. and Zavialov, LA. J. Am. Chem. Soc. 119: 445-6 (1997); Petasis, N.A. and Zavialov, LA. J. Am. Chem. Soc. 120: 11798-9; Prakash, G.K.S. et al. Org. Lett. 2: 3173-6 (2000); Prakash, GKS, et al. J. Org. Chem. 67: 3718-23 (2002); the disclosures of all of which are incorporated herein by reference. [0097] General methods of synthesis, especially synthesis of esters are provided in "Comprehensive

Organic Transformations" 2^nd Edition, Larock, RC, Wiley, New York, 1999 and "Protective Groups in Organic Synthesis", Greene T and Wuts PGM, Edition 3, Wiley, New York, 1999.

[0098] Scheme 1 below illustrates a preparative route for unnatural amino acids reported by Petasis and

Zavialov (1997). In this illustration, the amine component is a chiral amine, S-2-phenylglycinol and it exhibits a stereoselective preference for one chiral product. Although this reaction is normally carried out using aldehydes as a substrate, it is known that ketones also yield products with a quarternary center as shown in Scheme 2 (reviewed by Petasis (2005) "Multicomponent Reactions with Organoboron Compounds" In Multicomponent Reactions, pp 199-223, J. Zhu and H Bienayme, Eds., Wiley-VCH Verlag, Weinheim, Germany). In the case of quarternary centers, a less hindered product is obtained if a singly substituted amine is used, such as benzyl amine. This approach can be of benefit to facilitate later reactions such as the dihydroxylation reaction

Et₂O

SCHEME 1

[0099] This multicomponent condensation route is readily extended for making test quantities of the compounds of the invention as illustrated below in Scheme 2, wherein Rj is as defined in Formula (I) and Rj is any of the alkyl or arylalkyl chains required to make the compounds defined in Formula (I). Importantly, specific sterioisomers around the carbon at position 2 in the final structure can be generated by use of a specific isomer of the 2-phenylglycinol structure which comprises the amino component. This type of reaction sequence has already been extended to the preparation of anti-α-(difluoromethyl)-β-amino alcohols and of (2S,3R)- difluorothreonine (Prakash, G.K.S. et al. J Org. Chem. 67: 3718-23 (2002). The required vinylboronic acid components are readily prepared from the corresponding alkyne by hydroboration through treatment with catecholborane, followed by hydrolysis (for example - Sugiyama, S. et al. Chem. Pharm. Bull. 53: 100-2 (2005)). Glyoxylic acid is commercially available (Acros Organics).

Where Rj is optionally subsituted alkyl or arylalkyl as necessary to give the structures of Structure 1

SCHEME 2

[0100] Specific enhancements to the Scheme 2 entail the production of single isomers of the compounds of the invention For example the introduction of the chiral center at C2 can be done stereoselectively through the use of chiral amine adducts or chiral boronate esters (Southwood, T J et al Tetrahedron 62 236-42 (2006)) As shown above, specific chiral amine components can be incorporated to generate single chiral products (Petasis, N A and Zavialov, I A J Am Chem Soc 119 445-6 (1997)) The oxidation step using K₂OsO₄ / N-methylmorpholine-N-oxide (NMO) alternatively can be carried out using the commercially available asymmetric dihydroxylation reagents AD-mix-α or β (KoIb, H C , et al Chem Rev 94 2483-2547 (1994)) to yield syn-hydroxylation but with high diastereoselectivity

[0101] As Scheme 3 illustrates a similar synthetic procedure for preparing of an analog having increased water solubility, analogs of sphingofungin B which contain three hydroxyl functional groups alpha and beta to the head group, can be prepared from native sphingofungin B using a variation of the approach of treatment with benzoyl chloride and ozonolysis reported for myπocin (Chen, J K , et al , Chem Biol 6 221-35 (1999)) Shown below is an exemplary synthetic procedure using starting material modified from that reported in Chen et al in having three protected OH groups, to obtain a range of analogs having various functionalities in R3 by employing a Wittig-type reaction with iodoalkyl compounds For example, R3 can be alkyl, haloalkyl, aryl, aralkyl, and the like Scheme 3 is a chiral preparation and corresponding enantiomers can be produced using this procedure by protecting the NH/CO₂H functional groups, followed by inversion chemistry on the secondary OH groups Exemplary compounds are readily prepared from the corresponding iodoalkyl compounds using the procedure illustrated below Alternative formation of the double bond linkage, for example using stabilized ylides such as the corresponding phosphites, are used to prepare the trans double bond form which is preferable for double bond containing products A further alternative approach to a trans-alkene in position 6 is the use of CrCl₂/CHI₃ to form the trans-alkenyhodide from the starting aldehyde (one carbon longer chain) and carry out a Pd-catalyzed Suzuki coupling with the corresponding R₃ containing alkyl chain functionalized with a borane rather than a PPh₃ moiety (see similar reaction in Scheme 7)

modified from Chen, et al (1999) LiOH (aq)/EtOH 40⁰C

SCHEME 3

[0102] Compounds having a single hydroxyl function alpha to the head group can be prepared in the synthetic method illustrated below in Scheme 4. Similar reagents with different protecting groups may be used to carry out these synthetic steps with greater or lesser yields, depending on the actual substrates used. Exemplary compounds 14, and 17 are prepared from their corresponding starting materials by a route analogous to that shown in Scheme 4.

SCHEME 4

[0103] Similarly, compounds with a single hydroxyl or ketone function, beta to the amino acid-like head group (e.g. compound 16) are prepared through a route starting from the corresponding, readily available alpha-haloketones or alpha-hydroxyketones according to Scheme 5.

SCHEME 5

[0104] An example of the synthesis of a compound of the invention is given in Scheme 6. This synthesis is an extension of a route used for the synthesis of FTY720 by Sugiyama, S. et al. Chem. Pharm. Bull. 53: 100-2 (2005) that uses the Petasis reaction (Petasis, N.A. (2005) "Multicomponent Reactions with Organoboron Compounds" In Multicomponent Reactions, pp 199-223, J. Zhu and H Bienayme, Eds., Wiley- VCH Verlag, Weinheim, Germany).

SCHEME 6

[0105] Additional routes to the compounds of the invention are variations from previous synthetic routes toward the natural products inhibitors of SPT (Liao, J. et al. Tetrahedron 61 : 4715-33 (2005)), which are unsuitable as pharmaceutical agents. Thus work by Trost (Trost, B.M. and Lee, C. J. Am. Chem. Soc. 123: 12191-201 (2001)) and Kobayashi (Kobayashi, S. and Furuta, T. J. Am. Chem. Soc. 120: 908-19 (1998) offer a fertile background for the design of syntheses of analogs such as the compounds of the invention Examples are given in Schemes 7 and 8 Thus in Scheme 7, the illustrated route (Trost, B M and Lee, C , 2001), the content of which is incorporated by reference, begins with intermediate 21 from that reference and uses reactions illustrated therein Although the stereochemistry at position 2 is important, that the stereochemistry at other positions is less so Stereochemistry at all positions is easily modified by routes illustrated in this reference For example, 2-position stereochemistry is inverted by using an amino acid of the opposite configuration to begin the synthesis Additionally, with reference to the above Trost publication, stereochemistry at position 3 can be inverted by transesteπfication/saponification of the Ac group, activation to the tπflate and inversion by rearrangement of the benzoate group The compounds of the invention will make use of intermediates that do not have a methyl group on the azlactone ring, but will make use of similar reactions This Scheme is merely illustrative of the route for assembly of the aliphatic chain

SCHEME 7

[0106] Similarly, as illustrated in Scheme 8, an approach used by Kobayashi and Furuta J Am

Chem Soc 120 908-19 (1998) provides a precedent for the use of a very versatile lactim intermediate (Schollkopf, U Pure Appl Chem 55 1799 (1983)) This route provides multihydroxyl analogs or a saturated alkyl chain, depending on whether reduction or dihydroxylation of the double bond is pursued This route again offers great flexibility in the synthesis of analogs, depending on which aldehyde is used to react with the lactim intermediate

1 BuLi

2 LAH/THF heat

SCHEME 8

[0107] General routes to the synthesis of amino acids can be readily applied to the preparation of the compounds of the invention and some general routes to the synthesis of amino acids have been referenced above (for example, Seebach, D , et al HeIv Chim Acta 70 1194-1216 (1987), Scholkopf, U Pure Appl Chem 55 1799 (1983)) Additional routes make use of the Bucherer-Bergs reaction and asymmetric synthesis routes as outlined in Viso, A , et al Chem Rev 105 3167-96 (2005), the content of which is incorporated by reference [0108] An example of the use of a natural product starting material for a chiral synthesis is shown in

Scheme 9, wherein N-acetyl-D-mannosamine is used to provide the correct chirality at the amino acid and hydroxyl positions (Mori, K and Otaka, K , Tetrahedron Lett 35 9207-10 (1994)) This is an extremely versatile synthesis route that allows incorporation of a wide variety of R groups with the correct chirality for the critical functional groups of the amino acid like head group

H₂O

SCHEME 9

[0109] Another flexible approach to the synthesis of sphingofungin analogs or compounds of the present invention is that shown in Scheme 10. This approach is precedented by the synthesis of sphingofungin B Kobayashi, S. and Furuta, T., Tetrahedron 54: 10275-94 (1998) and allows great flexibility with respect to the types of R groups that can be incorporated. This R group diversity is important since the appropriate R groups will lend the final product the physical properties that provide it with the pharmaceutical, pharmacokinetic and pharmacodynamic properties required of a successful drug candidate.

SCHEME 10

[0110] A specific example of the use of the bis-lactim route to the synthesis of compounds of the invention is illustrated in SCHEME 11. This route illustrates the use of Compound 65 as a common intermediate for the rapid and convenient synthesis of a wide variety of SPT inhibitor structures from readily available olefins. The readily available 4-(tert-butyldimethylsilyloxy)-butanal was subjected to iodomethyleneation in the manner of Takai, T, et al. (1986) as illustrated by Trost and Lee (2001), deprotected with F^", and oxidized by the DessMartin reagent. A detailed study of the iodomethylenation reaction has been carried out by Evans and Black (1993) and individual reactions may be further optimized by small changes to the reaction solvent conditions as outlined therein. The resultant vinyl iodide was condensed with the Schollkopf bis-lactim (Schόllkopf U, 1983) under conditions used by Kobayashi and Furuta (1998) to yield the intermediate compound 65 in moderate to good yield and as a mixture of two products isomeric at the alcohol position. The two diastereomers were separated by chromatography on silica gel and then the alcohol was protected as the TBS ether using TBS-triflate reagent. This product, Compound 66 could be converted into a wide variety of the compounds of the invention by S-alkyl Suzuki coupling with the corresponding organoboranes to form the final products. A further specific example, meant to be illustrative and not to limit the scope of the invention in any way is shown in SCHEME 12. 1. TBAF

O* CHI₃/CrCI₂ 2. Dess Martin

OTBS

Compound 64

SCHEME 11

[0111] The strategic intermediate Compound 66 was subjected to S-alkyl Suzuki coupling conditions in the manner of Trost and Lee (2001). The required organoborane was generated in situ by reaction of the corresponding olefin (Compound 67) with 9-BBN-H. Following the work-up, the product, Compound 68 is hydrolyzed in a two step process to yield a compound of the invention, Compound 41. In a similar manner are prepared a wide range of the compounds of the invention.

SCHEME 12

[0112] A proof of concept of this reaction scheme is shown in SCHEME 13, wherein 1-heptene was used as a model reactant. Hydroboration with 9-BBN-H was used to generate the required organoborane intermediate immediately prior to the coupling. Catalyst mixtures for this coupling have been investigated and optimized conditions reported by Johnson CR and Braun MP (1993) and by Ohba, M, et al (1996). In general a mixture of bis(diphenylphosphino)ferrocene palladium(II) chloride (PdCl₂(dppf)) and triphenylarsine as coligand was found to be optimal and catalyst loading of 5-20 mole% can be used. The solvent was optimized as a mixture of DMF/THF/H₂O with added Cs₂CO₃ as base. These conditions allow the use of a wide variety of functional groups. Trost and Lee (2001) use a slight variant wherein the water is added to the organoborane prep prior to addition to the coupling reaction. C

SCHEME 13

[0113] For compounds where a 3,4 diol structure is desired, such as Compound 42, an alternate strategic intermediate can be used (Compound 77). Starting from the chiral (R)-l,2,4-butanetriol (SigmaAldrich), selective protection as the 1,2-acetonide (Kocienski, et al. (1987)) is followed by elaboration as demonstrated above and as shown in SCHEME 14. Selective oxidation of the diol intermediate prior to Compound 75 is by 2,2,6,6-tetramethyl-l-piperidinyloxy (TEMPO)-mediated selective oxidation of the primary alcohol (Einhorn, et al. (1996)). The aldol reaction with the Schollkopf bis-lactim follows the procedure of Kobayashi, et al. (1998). Separation of the small amounts of diasteromer at the alcohol position, so formed, is done by silica gel or other chromatography (compound dependent) and is followed by TBS protection using the triflate reagent. Compound 77 is then coupled with a variety of organoborane intermediates (generated "in situ" from 9-BBN-H and the corresponding olefins) representing the tail region of the compounds of the invention. Deprotection of the silyl protecting group and hydrolysis of the bis-lactim is followed by chromatographic purification (silica gel or reversed-phase) to yield the compounds of the invention.

1. Dess-Martin

2. CrCI₂/CHI₃

1. BuLi

2.. ZZnnCCLI₂

3.. BBiissllaacctim then 75

SCHEME 14 Hydrolysis of the intermediate bis-lactim products can take place by various related routes. Acid hydrolysis under mild conditions (typically HCl in aqueous or acetonitrile mixtures) can yield the final amino acid or mixtures containing ester or amide hydrolysis intermediates. Final saponification optionally can be used to effect the full hydrolysis to the amino acid (Schollkopf (1983, 1988); Kobayashi, et al. (1996)). An example is shown in SCHEME 15.

SCHEME 15

[0114] An alternative route to strategic intermediates that allow a convergent synthesis entails the formation of the tail portion followed by coupling to various head groups. An illustrative example, not meant to limit the scope in any fashion, is shown in SCHEME 16. In this illustration, the S-alkyl Suzuki coupling is performed to yield an aldehyde precursor (Compound 86) which is then deprotected, oxidized and coupled to the bis-lactim to yield the assembled, protected final product. Mild hydrolysis follows, as illustrated above, to yield the final product, Compound 41, in this case. This is a very general and convergent route to the compounds of the invention.

PdCL(dppf) "OTBS Ph₃As, CsCO₃

DMF/THF/H₂O Compound 64 ^d

Compound 86

"9-BBN

QH

XOOH

Compound 41 NH₂ SCHEME 16

IV. Pharmaceutical Compositions

[0115] Compositions presented herein include compounds provided herein and a pharmaceutically acceptable carrier.

A. Formulations

[0116] Pharmaceutically useful compositions comprising the compounds of the present invention may be formulated according to known methods such as by the admixture of a pharmaceutically acceptable carrier. Examples of such carriers and methods of formulation may be found in Remington's Pharmaceutical Sciences. To form a pharmaceutically acceptable composition suitable for effective administration, such compositions will contain an effective amount of the compound, e.g., a prodrug or an active species (e.g., the corresponding acid of the ester or prodrug), of the present invention.

[0117] Suitable formulations for administering the present compounds include topical, transdermal, oral, systemic, and parenteral pharmaceutical formulations. Compositions containing compounds herein can be administered in a wide variety of therapeutic dosage forms in conventional vehicles for administration. For example, the compounds or modulators can be administered in such oral dosage forms as tablets, capsules (each including timed release and sustained release formulations), pills, powders, granules, elixirs, tinctures, solutions, suspensions, syrups and emulsions, or by transdermal delivery or injection. Likewise, they may also be administered in intravenous (both bolus and infusion), intraperitoneal, subcutaneous, topical with or without occlusion, transdermal, or intramuscular form, all using forms well known to those of ordinary skill in the pharmaceutical arts. The present compounds may be delivered by a wide variety of mechanisms, including but not limited to, transdermal delivery, or injection by needle or needle-less injection means.

B. Dosages

[0118] Embodiments include pharmaceutical compositions comprising an effective amount of compounds presented herein. Effective dosages of compounds disclosed herein may be defined by routine testing in order to obtain optimal inhibition of serine palmitoyl transferase while minimizing any potential toxicity.

[0119] As is well known to one of skill in the art, effective amounts can be routinely determined and vary according to a variety of factors such as the individual's condition, weight, sex, age, medical condition of the patient, severity of the condition to be treated, route of administration, renal and hepatic function of the patient, and the particular compound thereof employed. A physician or veterinarian of ordinary skill can readily determine and prescribe the effective amount of the drug required to prevent, counter or arrest the progress of the condition. Optimal precision in achieving concentrations of drug within the range that yields efficacy without toxicity requires a regimen based on the kinetics of the drug' s availability to target sites. This involves a consideration of the distribution, equilibrium, and elimination of a drug.

[0120] An effective but non-toxic amount of the compound desired can be employed as a serine palmitoyl transferase-modulating agent. Dosages contemplated for administration of the present compounds range from 0.01 to 1,000 mg per patient, per day. For oral administration, the compositions are preferably provided in the form of scored or un-scored tablets containing 0.01, 0.05, 0.1, 0.5, 1.0, 2.5, 5.0, 10.0, 15.0, 25.0, and 50.0 milligrams of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated. Dosage amounts may also vary by body weight and can range, for example, from about 0.0001 mg/kg to about 100 mg/kg of body weight per day, preferably from about 0.001 mg/kg to 10 mg/kg of body weight per day.

[0121] Compounds may be administered in a single daily dose, or the total daily dosage may be administered in divided doses of two, three, or four times daily. To be administered in the form of a transdermal delivery system, the dosage administration will be continuous rather than intermittent throughout the dosage regimen.

[0122] The dosages of the compounds of the present invention are adjusted when combined with other therapeutic agents. Dosages of these various agents may be independently optimized and combined to achieve a synergistic result wherein the pathology is reduced more than it would be if either agent were used alone. In addition, co-administration or sequential administration of other agents may be desirable.

C. Derivatives

[0123] Embodiments of compounds presented herein include "chemical derivatives." Chemical derivatives comprise compounds herein and additional moieties that improve the solubility, half-life, absorption, etc. of the compound. Chemical derivatives may also comprise moieties that attenuate undesirable side effects or decrease toxicity. Examples of such moieties are described in a variety of texts, such as Remington's Pharmaceutical Sciences, and are well known to one of skill in the art.

D. Carriers and Excipients

[0124] Compounds herein can be administered in admixture with suitable pharmaceutical diluents, excipients, or carriers (collectively referred to herein as "carrier" materials) suitably selected with respect to the intended form of administration, that is, oral tablets, capsules, elixirs, syrups and the like, and consistent with conventional pharmaceutical practices.

[0125] For oral administration in the form of a tablet or capsule, the active drug component can be combined with an oral, non-toxic pharmaceutically acceptable inert carrier such as ethanol, glycerol, water and the like. Moreover, when desired or necessary, suitable binders, lubricants, disintegrating agents and coloring agents can also be incorporated into the mixture. Suitable binders include, without limitation, starch, gelatin, natural sugars such as glucose or beta-lactose, corn sweeteners, natural and synthetic gums such as acacia, tragacanth or sodium alginate, carboxymethylcellulose, polyethylene glycol, waxes and the like. Lubricants used in these dosage forms include, without limitation, sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride and the like. Disintegrators include, without limitation, starch, methyl cellulose, agar, bentonite, xanthan gum and the like.

[0126] For liquid forms the active drug component can be combined in suitably flavored suspending or dispersing agents such as the synthetic and natural gums, for example, tragacanth, acacia, methyl-cellulose and the like. Other dispersing agents which may be employed include glycerin and the like.

[0127] For parenteral administration, sterile suspensions and solutions are desired. Isotonic preparations which generally contain suitable preservatives are employed when intravenous administration is desired. [0128] Topical preparations comprising the present compounds can be admixed with a variety of carrier materials well known in the art, such as alcohols, aloe vera gel, allantoin, glycerine, vitamin A and E oils, mineral oil, PPG2 myristyl propionate, and the like, to form, for example, alcoholic solutions, topical cleansers, cleansing creams, skin gels, skin lotions, and shampoos in cream or gel formulations.

[0129] Compounds can also be administered in the form of liposome delivery systems, such as small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles. Liposomes can be formed from a variety of phospholipids, such as cholesterol, stearylamine or phosphatidylcholines.

[0130] Compounds presented herein may also be delivered by the use of monoclonal antibodies as individual carriers to which the compound molecules are coupled. Compounds may be coupled with soluble polymers as targetable drug carriers. Such polymers can include polyvinyl-pyrrolidone, pyran copolymer, polyhydroxypropylmethacryl-amidephenol, polyhydroxy-ethylaspartamideplhenol, or polyethyl- eneoxidepolylysine substituted with palmitoyl residues. Furthermore, compounds may be coupled to biodegradable polymers useful in achieving controlled release of a drug, such as polylactic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydro-pyrans, polycyanoacrylates, cross-linked or amphipathic block copolymers of hydrogels, and other suitable polymers known to those skilled in the art.

[0131] For oral administration, compounds may be administered in capsule, tablet, or bolus form. The capsules, tablets, and boluses comprise an appropriate carrier vehicle, such as starch, talc, magnesium stearate, or di-calcium phosphate.

[0132] Unit dosage forms are prepared by intimately mixing compounds with suitable finely-powdered inert ingredients including diluents, fillers, disintegrating agents, and/or binders such that a uniform mixture is obtained. An inert ingredient is one that will not adversely react with the compounds. Suitable inert ingredients include starch, lactose, talc, magnesium stearate, vegetable gums and oils, and the like. Compounds can be intimately mixed with inert carriers by grinding, stirring, milling, or tumbling.

[0133] Injectable formulations comprise compounds herein mixed with an appropriate inert liquid carrier. Acceptable liquid carriers include the vegetable oils such as peanut oil, cottonseed oil, sesame oil and the like as well as organic solvents such as solketal, glycerol formal and the like. As an alternative, aqueous parenteral formulations may also be used. The vegetable oils are the preferred liquid carriers. The formulations are prepared by dissolving or suspending the compound in a liquid carrier.

[0134] Topical application of compounds is possible through the use of, for example, a liquid drench or a shampoo containing the instant compounds or in modulators as an aqueous solution or suspension. These formulations may comprise a suspending agent such as bentonite and optionally, an antifoaming agent. [0135] The pharmaceutical oral dosage forms including formulations described herein, which include a compound of Formula (I), can be further formulated to provide a controlled release of the compound of Formula (I). Controlled release refers to the release of the compound of Formula (I) from a dosage form in which it is incorporated according to a desired profile over an extended period of time. Controlled release profiles include, for example, sustained release, prolonged release, pulsatile release, and delayed release profiles. In contrast to immediate release compositions, controlled release compositions allow delivery of an agent to a subject over an extended period of time according to a predetermined profile. Such release rates can provide therapeutically effective levels of agent for an extended period of time and thereby provide a longer period of pharmacologic response while minimizing side effects as compared to conventional rapid release dosage forms. Such longer periods of response provide for many inherent benefits that are not achieved with the corresponding short acting, immediate release preparations.

[0136] In some embodiments, the dosage forms described herein can be formulated as enteric coated delayed release oral dosage forms, i.e., as an oral dosage form of a pharmaceutical composition as described herein which utilizes an enteric coating to affect release in the small intestine of the gastrointestinal tract. The enteric coated dosage form may be a compressed or molded or extruded tablet/mold (coated or uncoated) containing granules, powder, pellets, beads or particles of the active ingredient and/or other composition components, which are themselves coated or uncoated. The enteric coated oral dosage form may also be a capsule (coated or uncoated) containing pellets, beads or granules of the solid carrier or the composition, which are themselves coated or uncoated.

[0137] The term "delayed release" as used herein refers to the delivery so that the release can be accomplished at some generally predictable location in the intestinal tract more distal to that which would have been accomplished if there had been no delayed release alterations. In some embodiments the method for delay of release is coating. Any coatings should be applied to a sufficient thickness such that the entire coating does not dissolve in the gastrointestinal fluids at pH below about 5, but does dissolve at pH about 5 and above. It is expected that any anionic polymer exhibiting a pH-dependent solubility profile can be used as an enteric coating in the practice of the present invention to achieve delivery to the lower gastrointestinal tract. In some embodiments the polymers for use in the present invention are anionic carboxylic polymers. In other embodiments, the polymers and compatible mixtures thereof, and some of their properties, include, but are not limited to:

[0138] Shellac, also called purified lac, a refined product obtained from the resinous secretion of an insect. This coating dissolves in media of pH >7;

[0139] Acrylic polymers. The performance of acrylic polymers (primarily their solubility in biological fluids) can vary based on the degree and type of substitution. Examples of suitable acrylic polymers include methacrylic acid copolymers and ammonium methacrylate copolymers. The Eudragit series E, L, S, RL, RS and NE (Rohm Pharma) are available as solubilized in organic solvent, aqueous dispersion, or dry powders. The Eudragit series RL, NE, and RS are insoluble in the gastrointestinal tract but are permeable and are used primarily for colonic targeting. The Eudragit series E dissolve in the stomach. The Eudragit series L, L-30D and S are insoluble in stomach and dissolve in the intestine;

[0140] Cellulose Derivatives. Examples of suitable cellulose derivatives are: ethyl cellulose; reaction mixtures of partial acetate esters of cellulose with phthalic anhydride. The performance can vary based on the degree and type of substitution. Cellulose acetate phthalate (CAP) dissolves in pH >6. Aquateric (FMC) is an aqueous based system and is a spray dried CAP psuedolatex with particles <1 μm. Other components in Aquateric can include pluronics, Tweens, and acetylated monoglycerides. Other suitable cellulose derivatives include: cellulose acetate trimellitate (Eastman); methylcellulose (Pharmacoat, Methocel); hydroxypropylmethyl cellulose phthalate (HPMCP); hydroxypropylmethyl cellulose succinate (HPMCS); and hydroxypropylmethylcellulose acetate succinate (e.g., AQOAT (Shin Etsu)). The performance can vary based on the degree and type of substitution. For example, HPMCP such as, HP-50, HP-55, HP-55S, HP-55F grades are suitable. The performance can vary based on the degree and type of substitution. For example, suitable grades of hydroxypropylmethylcellulose acetate succinate include, but are not limited to, AS-LG (LF), which dissolves at pH 5, AS-MG (MF), which dissolves at pH 5.5, and AS-HG (HF), which dissolves at higher pH. These polymers are offered as granules, or as fine powders for aqueous dispersions;

[0141] Poly Vinyl Acetate Phthalate (PVAP). PVAP dissolves in pH >5, and it is much less permeable to water vapor and gastric fluids.

[0142] In some embodiments, the coating can, and usually does, contain a plasticizer and possibly other coating excipients such as colorants, talc, and/or magnesium stearate, which are well known in the art. Suitable plasticizers include triethyl citrate (Citroflex 2), triacetin (glyceryl triacetate), acetyl triethyl citrate (Citroflec A2), Carbowax 400 (polyethylene glycol 400), diethyl phthalate, tributyl citrate, acetylated monoglycerides, glycerol, fatty acid esters, propylene glycol, and dibutyl phthalate. In particular, anionic carboxylic acrylic polymers usually will contain 10-25% by weight of a plasticizer, especially dibutyl phthalate, polyethylene glycol, triethyl citrate and triacetin. Conventional coating techniques such as spray or pan coating are employed to apply coatings. The coating thickness must be sufficient to ensure that the oral dosage form remains intact until the desired site of topical delivery in the intestinal tract is reached.

[0143] Colorants, detackifiers, surfactants, antifoaming agents, lubricants (e.g., carnuba wax or PEG) may be added to the coatings besides plasticizers to solubilize or disperse the coating material, and to improve coating performance and the coated product.

[0144] In other embodiments, the formulations described herein, which include a compound of Formula

(I), are delivered using a pulsatile dosage form. A pulsatile dosage form is capable of providing one or more immediate release pulses at predetermined time points after a controlled lag time or at specific sites. Pulsatile dosage forms including the formulations described herein, which include a compound of Formula (I), may be administered using a variety of pulsatile formulations known in the art. For example, such formulations include, but are not limited to, those described in U.S. Pat. Nos. 5,011,692, 5,017,381, 5,229,135, and 5,840,329, each of which is specifically incorporated by reference. Other pulsatile release dosage forms suitable for use with the present formulations include, but are not limited to, for example, U.S. Pat. Nos. 4,871,549, 5,260,068, 5,260,069, 5,508,040, 5,567,441 and 5,837,284, all of which are specifically incorporated by reference. In one embodiment, the controlled release dosage form is pulsatile release solid oral dosage form including at least two groups of particles, (i.e. multiparticulate) each containing the formulation described herein. The first group of particles provides a substantially immediate dose of the compound of Formula (I) upon ingestion by a mammal. The first group of particles can be either uncoated or include a coating and/or sealant. The second group of particles includes coated particles, which includes from about 2% to about 75%, preferably from about 2.5% to about 70%, and more preferably from about 40% to about 70%, by weight of the total dose of the compound of Formula (I) in said formulation, in admixture with one or more binders. The coating includes a pharmaceutically acceptable ingredient in an amount sufficient to provide a delay of from about 2 hours to about 7 hours following ingestion before release of the second dose. Suitable coatings include one or more differentially degradable coatings such as, by way of example only, pH sensitive coatings (enteric coatings) such as acrylic resins (e.g., Eudragit^® EPO, Eudragit^® L30D-55, Eudragit^® FS 30D Eudragit^® L100-55, Eudragit^® LlOO, Eudragit^® SlOO, Eudragit^® RDlOO, Eudragit^® ElOO, Eudragit^® L12.5, Eudragit^® S12.5, and Eudragit^® NE30D, Eudragit^® NE 40D^® ) either alone or blended with cellulose derivatives, e.g., ethylcellulose, or non- enteric coatings having variable thickness to provide differential release of the formulation that includes a compound of Formula (I).

[0145] Many other types of controlled release systems known to those of ordinary skill in the art and are suitable for use with the formulations described herein. Examples of such delivery systems include, e.g., polymer-based systems, such as polylactic and polyglycolic acid, plyanhydrides and polycaprolactone; porous matrices, nonpolymer-based systems that are lipids, including sterols, such as cholesterol, cholesterol esters and fatty acids, or neutral fats, such as mono-, di- and triglycerides; hydrogel release systems; silastic systems; peptide-based systems; wax coatings, bioerodible dosage forms, compressed tablets using conventional binders and the like. See, e.g., Liberman et al., Pharmaceutical Dosage Forms, 2 Ed., Vol. 1, pp. 209-214 (1990); Singh et al, Encyclopedia of Pharmaceutical Technology, 2^nd Ed., pp. 751-753 (2002); U.S. Pat. Nos. 4,327,725, 4,624,848, 4,968,509, 5,461,140, 5,456,923, 5,516,527, 5,622,721, 5,686,105, 5,700,410, 5,977,175, 6,465,014 and 6,932,983, each of which is specifically incorporated by reference.

E. Modes of Administration

[0146] Other factors affecting dosage amounts are the modes of administration. The pharmaceutical compositions of the present invention may be provided to the individual by a variety of routes including, but not limited to subcutaneous, intramuscular, intra-venous, topical, transdermal, oral and any other parenteral or non- parenteral route. Furthermore, compounds can be administered in intranasal form via topical use of suitable intranasal vehicles, or via transdermal routes, using those forms of transdermal skin patches well known to those of ordinary skill in that art.

[0147] The compounds or modulators may alternatively be administered parenterally via injection of a formulation consisting of the active ingredient dissolved in an inert liquid carrier. Injection may be either intramuscular, intraruminal, intratracheal, or subcutaneous, either by needle or needle-less means.

F. Pharmaceutically Acceptable Salts

[0148] Embodiments include compounds presented herein in the form of a free base or as a pharmaceutically acceptable salt. Exemplary pharmaceutically acceptable salts include hydrobromic, hydroiodic, hydrochloric, perchloric, sulfuric, maleic, fumaric, malic, tartaric, citric, benzoic, mandelic, methanesulfonic, hydroethanesulfonic, benzenesulfonic, oxalic, pamoic, 2-naphthalenesulfonic, p- toluenesulfonic, cyclohexanesulfamic and saccharic. Ion exchange, metathesis or neutralization steps may be used to form the desired salt form.

G. Combinations

[0149] Embodiments include compositions comprising compounds presented herein in combination with another active agent. Exemplary active agents which may be employed include insulin, insulin analogs, incretin, incretin analogs, glucagon-like peptide, glucagon-like peptide analogs, exendin, exendin analogs, PACAP and VIP analogs, sulfonylureas, biguanides, α-glucosidase inhibitors, and ligands for the Peroxisome Proliferator- Activated Receptors (PPARs) of all classes.

[0150] The term "insulin" shall be interpreted to encompass insulin analogs, natural extracted human insulin, recombinantly produced human insulin, insulin extracted from bovine and/or porcine sources, recombinantly produced porcine and bovine insulin and mixtures of any of these insulin products. The term is intended to encompass the polypeptide normally used in the treatment of diabetics in a substantially purified form but encompasses the use of the term in its commercially available pharmaceutical form, which includes additional excipients. The insulin is preferably recombinantly produced and may be dehydrated (completely dried) or in solution.

[0151] The terms "insulin analog," "monomeric insulin" and the like are used interchangeably herein and are intended to encompass any form of "insulin" as defined above, wherein one or more of the amino acids within the polypeptide chain has been replaced with an alternative amino acid and/or wherein one or more of the amino acids has been deleted or wherein one or more additional amino acids has been added to the polypeptide chain or amino acid sequences, which act as insulin in decreasing blood glucose levels. In general, the term "insulin analogs" of the present invention include "insulin lispro analogs," as disclosed in U.S. Pat. No. 5,547,929, incorporated hereinto by reference in its entirety; insulin analogs including LysPro insulin and humalog insulin, and other "super insulin analogs", wherein the ability of the insulin analog to affect serum glucose levels is substantially enhanced as compared with conventional insulin as well as hepatoselective insulin analogs which are more active in the liver than in adipose tissue. Preferred analogs are monomeric insulin analogs, which are insulin-like compounds used for the same general purpose as insulin, such as insulin lispro, i.e., compounds which are administered to reduce blood glucose levels.

[0152] "Insulin analogs" are well known compounds. Insulin analogs are known to be divided into two categories: animal insulin analogs and modified insulin analogs (pages 716-20, chapter 41, Nolte M.S. and Karam, J. H., "Pancreatic Hormones & Antidiabetic Drugs " In Basic & Clinical Pharmacology, Katzung, B. G., Ed., Lange Medical Books, New York, 2001). Historically, animal insulin analogs include porcine insulin (having one amino acid different from human insulin) and bovine insulin (having three amino acids different from human insulin) which have been widely used for treatment of diabetes. Since the development of genetic engineering technology, modifications are made to create modified insulin analogs, including fast-acting insulin analogs or longer acting insulin analogs.

[0153] Several insulin analog molecules have been on the market prior to the filing date of the subject application. For example, Eli Lilly sells a fast-acting insulin analog called "lispro" under the trade name Humalog® and Novo Nordisk sells another fast-acting insulin analog called "aspart" under the trade name NovoLog®. In addition, Aventis sells a long-acting insulin analog called "glargine" under the trade name Lantus® and Novo Nordisk sells another long-acting insulin analog called "detemir" under the trade name Levemir®. Table 41-4 of the article by Nolte and Karam (2001) referenced above illustrates the wide range of types of molecules generically referred to as insulin preparations.

[0154] The term "incretin analogs" refers to incretin hormones responsible for the phenomenon of enhanced insulin secretion in the presence of food in the gut and the this action (GLP-I and GIP) is widely known (e.g. articles referenced in Creutzfeldt, W, "The [pre-] history of the incretin concept". Regulatory Peptides 128: 87-91 (2005).

[0155] The term "glucagon-like peptide analogs" refers to well known analogs of Glucagon-Like

Peptide (GLPl) (e.g. Nourparvar, A., et al. "Novel strategies for the pharmacological management of type 2 diabetes" Trends in Pharmacological Sciences 25, 86-91 (2004)), and reviews of the area discussed their range of structure and function in detail (cf Table 1 in Knudsen, L.B. "Glucagon-like Peptide-1: The Basis of a New Class of Treatment for Type 2 Diabetes " . J. Med. Chem. 47: 4128-4134 (2004) and references therein). Examples of "glucagon-like peptide analogs" include Liraglutide, Albugon, and BIM-51077. [0156] The term "exendin analogs" refers to exendin (also known as exendin-4, exanetide, Byetta®) and its analogs which have been major diabetes research objectives (c.f. Thorkildsen C. "Glucagon-Like Peptide

1 Receptor Agonist ZPlOA Increases Insulin mRNA Expression and Prevents Diabetic Progression in db/db Mice ". J. Pharmacol. Exptl. Therapeut. 307: 490-6 (2003)). Exendin is known to be a specific type of glucagon- like peptide-1 mimic. For example, ZP-10 (AVE-OlO) is an exendin analog that binds to the GLPl receptor. [0157] The term "PACAP analogs" refers to well known neuromodulator PACAP and its analogs which are important to physiological insulin secretion (c.f. Filipsson, K. et al. "Pituitary Adenylate Cyclase Activating Polypeptide Stimulates Insulin and Glucagon Secretion in Humans". J. Clin. Endocrinol. Metab. 82: 3093-8 (1997)). PACAP analog synthesis protocols were available and published in the literature (c.f. Yung, S.L., et al. "Generation of Highly Selective VPAC2 Receptor Agonists by High Throughput Mutagenesis of Vasoactive Intestinal Peptide and Pituitary Adenylate Cyclase-activating Peptide ". J. Biol. Chem. 278: 10273-81 (2003); Tsutsumi M., et al. "A Potent and Highly Selective VPAC2 Agonist Enhances Glucose-Induced Insulin Release and Glucose Disposal". Diabetes 51: 1453-60 (2002)).

[0158] The term "VIP analogs" refers to Vasoactive Intestinal Polypeptide (VIP) and its analogs which are homologous molecules to PACAP that bind to the same target receptor, VPAC2. The analogs referred to as PACAP analogs in Tsutsumi et al (2002) and Yung, et al (2003) above also are considered to be VIP analogs. For example, VIP analogs that bind to the VPAC2 receptor include Bay 55-9837 (Tsutsumi et al (2002), above) and Ro 25-1553 (O'Donnell, et al. "Ro 25-1553: A Novel, Long-Acting Vasoactive Intestinal Peptide Agonist. Part 1: In vitro and In Vivo Bronchodilator Studies" J. Pharmacol. Exptl. Therap. 270: 1282-8 (1994)). [0159] The term DPPIV inhibitor refers to compounds that that are intended to potentiate the endogenous incretin response by preventing the proteolysis of GLPl or GIP through the inhibition of one or more of the DPPIV isoforms in the body (Mclntosh, C.H.S., et al., Regulatory Peptides 128: 159-65 (2005)). A number of such agents are in review at the FDA or in clinical development (Hunziker, D., et al., Curr. Top. Med. Chem. 5: 1623-37 (2005); Kim, D., et al., J. Med. Chem. 48: 141-51 (2005)), Some non-limiting examples of such agents are: Galvus (vildagliptin; LAF 237); Januvia (sitagliptin; MK-431); saxagliptin; sulphostin; "P»3/0i", 'KRP-104"; "PHXl 149" (Phenomix Corp); and the like.

[0160] The term "sulfonylureas" refers to well known sulfonylureas used for many years in the treatment of type 2 diabetes. Extensive clinical trial literature and reviews of sulfonylureas are available (c.f. Buse, J., et al. "The effects of oral anti-hyperglycaemic medications on serum lipid profiles in patients with type

2 diabetes ". Diabetes Obesity Metabol. 6: 133-156 (2004)). In table 1 in the Buse reference, the major sulfonylureas/glinides are listed chronologically as Glipizide, Gliclazide, Glibenclamide (glyburide), Glimepiride. The last two members of the list (Repaglinide, and Nateglinide) differ in their specific mechanism of action (Meglitinides), but again are oral agents that stimulate insulin secretion. The Buse reference focuses on studies that are directed at lipid effects, but also illustrates classes of compounds well known as "sulfonylureas". For example, it is widely believed that only a few compounds constitute the major market share of "sulfonylureas," such as Dymelor, Diabinese, Amaryl, Glucotrol, Micronase, Tolinase, Orinase and their generic equivalents (see pgs 725-32, chapter 41, Nolte M.S. and Karam, J. H., "Pancreatic Hormones & Antidiabetic Drugs" In Basic & Clinical Pharmacology, Katzung, B. G., Ed., Lange Medical Books, New York, 2001). [0161] The term "biguanides" refers to well known biguanides compounds, such as extensively reviewed on pages 716-20, chapter 41, Nolte M.S. and Karam, J. H., "Pancreatic Hormones & Antidiabetic Drugs" In Basic & Clinical Pharmacology, Katzung, B. G., Ed., Lange Medical Books, New York, 2001. For example, well known compounds that constitute the major market share of "biguanides" include metformin (Glucophage), buformin, and phenformin (Buse, J., et al. "The effects of oral anti-hyperglycaemic medications on serum lipid profiles in patients with type 2 diabetes. " Diabetes Obesity Metabol. 6: 133-156 (2004)). [0162] The term "α-glucosidase inhibitors" refers to well known compounds having α-glucosidase inhibitors activity which has been the subject of extensive clinical studies (pg 729-30, chapter 41, Nolte M.S. and Karam, J. H., "Pancreatic Hormones & Antidiabetic Drugs " In Basic & Clinical Pharmacology, Katzung, B. G., Ed., Lange Medical Books, New York, 2001; Buse, J., et al. "The effects of oral anti-hyperglycaemic medications on serum lipid profiles in patients with type 2 diabetes. " Diabetes Obesity Metabol. 6: 133-156 (2004)). Compounds that constitute the major market share of "α-glucosidase inhibitors" include acarbose (Precose) and miglitol (Glycet).

[0163] The term "Acetyl-CoA Carboxylase inhibitors" refers to well known compounds as reviewed in

Harwood, HJ. , Jr. "Acetyl-CoA Carboxylase inhibition for the treatment of metabolic syndrome". Curr. Opin. Invest. Drugs 5: 283-9 (2004) for this developing area of research as a treatment for the metabolic syndrome, of which type 2 diabetes is a major component.

[0164] The term "caspase inhibitors" refers to well know compounds as reviewed in Reed, J. C.

"Apoptosis-Based Therapies". Nature Rev. Drug Disc. 1: 111-121 (2002); Talanian, R. V. and Allen, HJ. "Roles of Caspases in Inflammation and Apoptosis: Prospects as Drug discovery Targets" In Annual Reports in Medicinal Chemistry 33: 273-82, J. A. Bristol, Ed., Academic Press, New York (1998)). Compounds that constitute the major market share of "caspase inhibitors" include VX- 765 (Vertex Pharmaceuticals) and IDN- 6556 (Idun Pharmaceuticals; Hoglen, N.C., et al. "Characterization of IDN-6556 (3-{2-(2-tert-Butyl- phenylaminooxalyl)-amino]-propionylamino}-4-oxo-5-(2, 3, 5, 6-tetrafluoro-phenoxy)-pentanoic Acid): a Liver- Targeted Caspase Inhibitor". J. Pharmacol. Exptl. Therapeut. 309:634-40 (2003)), both of which are in clinical trials and may be effective broadly for inflammatory diseases, of which diabetes is a member. [0165] The term "PPAR ligands" refers to compounds having Peroxisome Proliferator-Activated

Receptor Ligand activity, also interchangeably referred to as thizolidinediones for the predominant structural class, as compounds active in the treatment of type 2 diabetes (c.f. pg 728, chapter 41, Nolte M.S. and Karam, J. H., "Pancreatic Hormones & Antidiabetic Drugs" In Basic & Clinical Pharmacology, Katzung, B. G., Ed., Lange Medical Books, New York, 2001; Lee, et al. "Minireview: Lipid Metabolism, Metabolic Diseases, and Peroxisome Proliferator-Activated Receptors". Endocrinol. 144: 2201-7 (2003)). PPAR ligands such as pioglitazone are known to have beneficial effects on protection of pancreatic islets (Diani, A.R., et al. "Pioglitazone preserves pancreatic islet structure and insulin secretory function in three murine models of type 2 diabetes". Am. J. Physiol. Endocrinol. Metab. 286: El 16-122 (2004). Compounds that constitute the major market share of "PPAR ligands" include pioglitizone (Actos) and rosiglitazone (Avandia) (c.f. pg 732 in Nolte, M.S. and Karam, J. H. 2001, referenced above). Additional PPAR ligands are undergoing clinical trials. [0166] Treatment of mice with the SPT inhibitor myriocin in an accepted model of emphysema

(Vascular Endothelial Growth Factor Receptor blockade) showed very strong protective effect (Petrache, I., et al., Nature Medicine 11: 491-8 (2005)). Prevention of progression of emphysema in this animal model was also demonstrated by another inhibitor of de novo ceramide synthesis, fumonisin Bl, although it was less effective and showed some toxicity at higher doses. Thus compounds of the invention are also useful for treatment of this important disease. Current treatments include the use of inhaled formulations containing bronchodilators, beta 2 adrenoceptor agonists, inhaled corticosteroids, anti-inflammatory steroids, leukotriene modifiers, leukotriene receptor antagonists, chemokine modifiers, chemokine receptor antagonists, cromolyn, nedocromil, xanthines, anticholinergic agents, immune modulating agents, other known anti-asthma medications, nitric oxide donors, prostacyclins, endothelin antagonists, adrenoceptor blockers, phosphodiesterases inhibitors, ion channel blockers and other vasodilators. Combination of the compounds of the invention with the above named current treatments will provide improved treatments for emphysema.

[0167] Chronic obstructive pulmonary disease (COPD) is a progressive inflammatory lung disease where there is disruption of lung tissue structure and function (Barnes, PJ. , COPD 1 : 59-70 (2005)). Currently there are no effective therapeutics to prevent the progression of COPD. Current treatments include inhaled formulations containing bronchodilators, beta 2 adrenoceptor agonists, inhaled corticosteroids, antiinflammatory steroids, leukotriene modifiers, leukotriene receptor antagonists, chemokine modifiers, chemokine receptor antagonists, cromolyn, nedocromil, xanthines, anticholinergic agents, immune modulating agents, other known anti-asthma medications, nitric oxide donors, prostacyclins, endothelin antagonists, adrenoceptor blockers, phosphodiesterases inhibitors, ion channel blockers and other vasodilators. Combination of the compounds of the invention with the above named current treatments will yield improved therapeutics for the treatment of COPD.

[0168] For combination treatment with more than one active agent, where the active agents are in separate dosage formulations, the active agents can be administered concurrently, or they each can be administered at separately staggered times.

[0169] The dosages of the compounds of the present invention are adjusted when combined with other therapeutic agents. Dosages of these various agents may be independently optimized and combined to achieve a synergistic result wherein the pathology is reduced more than it would be if either agent were used alone. In addition, co-administration or sequential administration of other agents may be desirable.

H. Kits

[0170] In a preferred embodiment, compounds herein are packaged in a kit. An example of such a kit is a so-called blister pack. Blister packs are well known in the packaging industry and are being widely used for the packaging of pharmaceutical unit dosage forms (tablets, capsules, and the like). Blister packs generally consist of a sheet of relatively stiff material covered with a foil of a preferably transparent plastic material. During the packaging process recesses are formed in the plastic foil. The recesses have the size and shape of the tablets or capsules to be packed. Next, the tablets or capsules are placed in the recesses and the sheet of relatively stiff material is sealed against the plastic foil at the face of the foil which is opposite from the direction in which the recesses were formed. As a result, the tablets or capsules are sealed in the recesses between the plastic foil and the sheet. Preferably the strength of the sheet is such that the tablets or capsules can be removed from the blister pack by manually applying pressure on the recesses whereby an opening is formed in the sheet at the place of the recess. The tablet or capsule can then be removed via said opening. [0171] It may be desirable to provide a memory aid on the kit, e.g., in the form of numbers next to the tablets or capsules whereby the numbers correspond with the days of the regimen which the tablets or capsules so specified should be ingested. Another example of such a memory aid is a calendar printed on the card, e.g., as follows "First Week, Monday, Tuesday, . . . etc . . . Second Week, Monday, Tuesday, . . . " etc. Other variations of memory aids will be readily apparent. A "daily dose" can be a single tablet or capsule or several pills or capsules to be taken on a given day. Also, a daily dose of Formula (I) compound can consist of one tablet or capsule while a daily dose of the second compound can consist of several tablets or capsules and vice versa. The memory aid should reflect this.

[0172] In another specific embodiment of the invention, a dispenser designed to dispense the daily doses one at a time in the order of their intended use is provided. Preferably, the dispenser is equipped with a memory aid, so as to further facilitate compliance with the regimen. An example of such a memory aid is a mechanical counter which indicates the number of daily doses that has been dispensed. Another example of such a memory aid is a battery powered microchip memory coupled with a liquid crystal readout, or audible reminder signal which, for example, reads out the date that the last daily dose has been taken and/or reminds one when the next dose is to be taken.

V. Methods of Treatment

[0173] An important feature of the present invention relates to the involvement of ceramide as a signaling molecule in inflammatory processes. In addition to its effect on the apoptosis of beta cells relevant to T2D, de novo ceramide can have broader apoptotic effects in human health. Influencing the levels of ceramide can lead to novel treatments of human islets, or islets from other commercially or medicinally important sources, in culture during isolation for transplant with the intent of improving survival of islets in vitro and post transplant. SPT inhibitors can be added to currently used or accepted treatment protocols in order to inhibit, either alone and/or in a synergistic fashion, the loss of islets and beta cells due to apoptotic and/or necrotic processes.

[0174] Such basic protocols to be improved on are described in Beattie, et al. 2000 (above, and references therein) and in publications describing the "Edmonton Protocol" (Ryan EA, et al. (2001). Diabetes 50:710-9. , and references therein). These protocols may involve the addition of trehalose cryoprotectant and removal of Arg (Beattie GM, et al. (1997). Diabetes 46i519-23), fetal bovine serum, transferrin, selenium (Matsumoto, S. et al. (2003)), or various caspase inhibitors such as Z-VAD-FMK and B-D-FMK (Sauerwald, T.M., et al. 2003); Yang, B., et al. 2004), nicotinamide, sodium butryrate (Otonkoski, T., et al. 1999), caerulein, IBMX (Ohgawara, H., et al, 1991), IGF-II ( Ilieva, A., et al. 1999), and the like.

[0175] Blockade of de novo ceramide synthesis shows a synergistic improvement in cell survival when comprising addition of compounds of the present invention, e.g., SPT inhibitors, to the protocols enumerated above, and their like. Loss of pancreatic islets in Type 1 Diabetes also shows evidence of inflammatory processes leading to apoptosis and necrosis.

[0176] Embodiments of the invention include methods for treating developing Type 1 Diabetes and / or the further loss of islets following transplantation (human or xenobiotic islet cell transplantation) comprising the addition of compounds of the present invention, e.g., SPT inhibitors, to current treatment protocols (Pileggi A, et al., Protecting pancreatic beta-cells. IUBMB Life. JuI; 56: 387-94 (2004) ). Xenobiotic cells contemplated for use in the methods of the present invention include, but are not limited to, porcine, bovine, murine, and other mammalian cell types. The inhibition of de novo ceramide synthesis shows beneficial effects when used alone or as an addition to existing protocols. Such treatment may commence immediately upon detection of loss of beta cell mass or function, and be used alone or in conjunction with immunosuppressive regimens (cyclosporine, mycophenolic acid agents, FTY720, and the like, for example). This is a broadly based mechanism to protect beta cells from a wide array of insults that result in apoptosis and necrosis.

[0177] In additional embodiments of this invention, the compounds of the invention are used for the blockade of apoptosis of neuronal cells following spinal injury, and in loss of CNS neurons, e.g. in Alzheimer's disease or stroke. This treatment with an inhibitor of SPT may be used effectively alone or in combination with other treatments such as antioxidants, caspase inhibitors (Benjamins JA et al. Neurochem Res. 28: 143-52

(2003)) and/or other treatments for protection from the late effects of stroke that are well known to those skilled in the art.

[0178] Compounds and compositions presented herein may be administered to patients in the treatment of a variety of diseases. Preferably, methods of treatment presented herein are directed to patients (i.e., humans and other mammals) with disorders or conditions associated with the activity or hyperactivity of serine palmitoyl transferase (SPT). Accordingly, methods of treating insulin resistance and cardiomyopathy are provided. Compounds effective in treating cardiomyopathy may interfere with the process of cardiomyopathy development. Compounds of the invention may also be used to treat cachexia and sepsis.

[0179] Preferred compounds employed in methods of treatment possess desirable bio-availability characteristics. Exemplary compounds are esters which can function as a pro-drug form having improved solubility, duration of action, and in vivo potency. Preferred compounds employed in treatment methods exhibit improved solubility in water and less potential to cross the blood brain barrier to cause side effects, such as altered feeding behavior.

[0180] Pharmaceutical compositions are administered to an individual in amounts sufficient to treat or diagnose disorders in which modulation of serine palmitoyl transferase activity is indicated. Examples of diseases or conditions known to be, or suspected of being mediated by serine palmitoyl transferase include, but are not limited to, insulin resistance, type 2 diabetes and its complications, obesity, pro thrombotic conditions, myocardial infarction, congestive heart failure, hypertension, dyslipidemia, and other manifestations of the commonly accepted "Metabolic Syndrome" and "Syndrome X." Compounds effective in treatment methods herein potently and specifically modulate the enzyme Serine Palmitoyl Transferase.

[0181] Furthermore, the anti-inflammatory activity of the compounds of the invention makes them outstanding agents for the treatment or prevention of restenosis by either systemic administration at the time of or prior to PCI or from drug eluting devices such as stents.

[0182] It is to be understood that the above description is intended to be illustrative and not restrictive.

The scope of the invention should, therefore, be determined not with reference to the above description, but instead with reference to the appended claims along with the full scope of equivalents thereto.

EXAMPLES

[0183] In order to illustrate the invention the following examples are included. These examples do not limit the invention. They are meant to illustrate only exemplary methods and compounds presented herein. Those knowledgeable in chemical synthesis and the treatment of serine palmitoyl transferase related disorders may find other methods of practicing the invention. However those methods are deemed to be within the scope of this invention.

Example 1

Synthesis of Methyl Ester of Compound 21

[0184] In a round-bottomed flask, 50OmL of MeOH is cooled to -5 ⁰C and treated with 0.11 mol of

SOCl₂ in a dropwise fashion with stirring. Powdered compound 21 (0.1 mol) is added immediately with cooling and stirring. The solution is allowed to warm slowly to room temperature over a period of 2 hrs. Evaporation of the excess MeOH provides the desired compound (Ri= Me) as the HCl salt in high yield as a white powder. Recrystallization from a suitable solvent (MeOHZEt₂O) provides the desired compound in high purity as a white, waxy solid. In a like manner, additional ester forms of compound herein can be prepared.

Example 2

Synthesis of Ethyl Ester of Compound 21

[0185] In a round-bottomed flask, 50OmL of EtOH is treated with 0.01 mol of HCl in EtOAc and powdered compound 21 (0.1 mol) is added immediately with cooling and stirring. The solution is warmed to reflux and heated for a period of 24 hrs. Evaporation of the excess EtOH provides the desired compound, 23 (that is R₁= Me), as the HCl salt in high yield as a white powder. Recrystallization from a suitable solvent (EtOHZEt₂O) provides the desired compound in high purity as a colorless oil which slowly forms a waxy solid. In a like manner, additional ester forms of compound herein can be prepared. Alternatively, addition of an equivalent amount of HCl and H2SO4 in EtOH and refluxing for 2 days provides a high yield of product.

Example 3

Synthesis of Compound 21

[0186] Compound 21 is prepared using the route outlined in Scheme 8, starting with 4-

(hydroxymethyl)phenol (Aldrich Chemical Company) and initially following the procedure of Kiuchi, M., et al (2000) for alkylation on the phenolic OH functional group. Compound 21 is obtained as an off white solid and of broad melting point.

Example 4

Sythesis of Compound 67

[0187] Hept-6-enal. To an emulsion of 7-octene-l,2-diol (5.0 g, 34.7 mmol) and water (20 mL) was added a solution of NaIO₄ (8.14 g, 38.2 mmol) in water (47.5 mL) over 30 min. After the reaction mixture was stirred at r.t. for 2 h, the solution was saturated with NaCl, and the organic phase was separated and dried over Na₂SO₄ to give the product as a colorless oil (2.5 g) without further purification. The aqueous solution was extracted with CH₂Cl₂, dried over Na₂SO₄. Solvent was removed under reduced pressure (without heating due to low boiling point of the product) to give a colorless oil (1.0 g). Total yield 3.5 g, 90%. ¹H NMR (500 MHz, CDCl₃) δ 9.75 (s, 1 H), 5.82-5.74 (m, 1 H), 5.02 (m, 0.5 H), 4.99 (m, 0.5 H), 4.96 (m, 0.5 H), 4.94 (m, 0.5 H), 2.43 (td, J = 7.36, 1.75, 2 H), 2.09-2.05 (m, 2 H), 1.67-1.61 (m, 2 H), 1.46-1.40 (m, 2 H). ESIMS (M-H ) m/z 111.4.

[0188] 7,7-difluorohept-l-ene. A solution of hept-6-enal (1.74 g, 15.5 mmol) in CH₂Cl₂ (10 mL) in a plastic bottle was cooled to 0 ⁰C. DAST (5.0 g, 31.1 mmol) was added slowly and the reaction mixture was stirred at r.t. under Ar for 12 h. After cooling to 0 ⁰C, water (5.0 mL) was added very slowly. CH₂Cl₂ (20 mL) was added and a saturated NaHCO₃ solution was added very slowly, until no additional CO₂ bubbles formed. The CH₂Cl₂ layer was washed with brine and dried over Na₂SO₄. The organic layer was filtered through a silica column (1x10 cm, CH₂Cl₂) and concentrated. The product, Compound 67, was used without further purification. Based on TLC, the yield was 75% (due to the low boiling point of the product, the solvent was not thoroughly removed to determine the yield.) ¹H NMR (500 MHz, CDCl₃) δ 5.80 (tt, J = 57.1, 4.6 Hz, 1 H), 5.81-5.76 (m, 1 H), 5.02 (m, 0.5 H), 4.99 (m, 0.5 H), 4.97 (m, 0.5 H), 4.94 (m, 0.5 H), 2.08-2.03 (m, 2 H), 1.84-1.80 (m, 2 H), 1.48-1.41 (m, 4 H). ESIMS (M+H⁺) m/z 135.

Example 5

Synthesis of Compound 64

[0189] (E)-(5-iodopent-4-enyloxy) tert-butyl dimethylsilane. To a suspension of Dess Martin periodinane (8.5 g, 20.0 mmol) in CH₂Cl₂ (150 mL) was added NaHCO₃ (1.68 g, 20.0 mmol) and a solution of 4-(rert-butyldimethylsilyloxy)butan-l-ol (5.3 g, 5.97 mL, 13.3 mmol) in CH₂Cl₂ (20 mL) at 0 ⁰C. After the reaction was stirred at 0 ⁰C for 2 h, it was warmed to r.t. It was filtered through a silica column (2x15 cm, CH₂Cl₂), concentrated at reduced pressure and dissolved in THF (10 mL). The aldehyde solution and a solution of iodoform (10.5 g, 26.7 mmol) was added to a suspension of anhydrous CrCl₂ (10.0 g, 81.3 mmol) in THF (50 mL) at 0 ⁰C. After it was stirred at 0 ⁰C for 4h and at r.t. for 8h, it was poured into ice/water (100 mL), and extracted with EtOAc (4x75 mL). The organic layer was separated, washed with brine, and dried over anhyd Na₂SO₄. It was filtered, concentrated, and cooled to -20 ⁰C. The solid (iodoform) was removed by filtration, and washed with hexanes. The solution was concentrated again, and cooled to -20 ⁰C. The solid (iodoform) was removed. The solution was purified by silica gel column chromatography (4 x 20 cm, first eluted with hexanes to remove residual iodoform, then 1% EtOAc in hexanes) to give the product, Compound 64, as a colorless oil, 2.41 g (56% over 2 steps). ¹H NMR (500 MHz, CDCl₃) δ 6.55-6.49 (m, 1 H), 5.99 (dd, J = UA, 1.4 Hz, 1 H), 3.60 (t, J = 6.2 Hz, 2 H), 2.15-2.10 (m, 2 H), 1.64-1.57 (, 2 H), 0.88 (s, 9 H), 0.04 (s, 6 H). ESIMS (MNa⁺) m/z 349.0.

Example 6

Synthesis of Compound 65

[0190] To a solution of (E)-tert-butyl(5-iodopent-4-enyloxy)dimethylsilane (2.50 g, 7.67 mmol) in THF

(7.0 mL) was added a solution of TBAF in THF (1.0 M, 15.34 mL) at 0⁰C under Ar. After it was stirred for 4 h, THF was removed and water (30 mL) was added. It was extracted with EtOAc (4x 30 mL), washed with brine and dried over Na2SO4. Solvent was removed and the residue was purified by silica gel column chromatography (3 x 15 cm, Hexanes: EtOAc 9: 1) to give (E)-5-iodopent-4-en-l-ol as a colorless viscous oil (1.26 g, 77%). IH NMR (500 MHz, CDC13) δ 6.55-6.50 (1 H), 6.04 (dd, J = 14.2, 1.3 Hz, 1 HHHH), 3.65 (t, J = 6.4 Hz, 2 H), 2.18-2.13 (m, 2 H), 1.72-1.63 (m, 2 H). ESIMS (MNa+) m/z 234.9.

[0191] To a suspension of Dess-Martin periodinane (2.13 g, 5.03 mmol) in CH₂Cl₂ was added NaHCO₃

(0.423 g, 5.03 mmol), then (£)-5-iodopent-4-en-l-ol at 0⁰C. After it was stirred at 0⁰C for 2 h, and r.t. for 1 h, it was filtered through a silica column (1 x 15 cm, CH₂Cl₂). The aldehyde fractions were concentrated, and dissolved in hexanes, and dried over Na2SO₄. Solvent was removed and the residue was dissolved in THF (5.0 mL) for immediate use. To a solution of (R) -2,5-dihydro-3,6-dimethoxy-2isopropylpyrazine (1.234 g, 1.2 mL,

6.7 mmol; SigmaAldrich) in THF (10 mL) was added a solution of w-BuLi (1.6 M, 4.19 mL, 6.7 mmol) at -78 ⁰C under Ar. The solution was warmed to 0° C. After it was stirred at 0° C for 15 min, a solution of anhydrous ZnCl₂ (0.5 M, 13.4 mL, 6.7 mmol) in THF was added and stirred at 0° C for 15min. After the solution was cooled to -78°C, the aldehyde solution in THF was added slowly. After the mixture was stirred at -78° C for 1 h, a phosphate buffer (pH 7.0, 0.10 M, 70 mL) was added and it was extracted with EtOAc (4x70 mL), organic layer washed with brine, and dried over Na₂SO₄. Solvent was removed and the residue was purified by silica gel column chromatography (2 x 30 cm, Hexanes: EtOAc 9: 1) to give the product, (l-R,S/4E)-5-iodo-l- ((2S,5R)-5-isopropyl-3,6-dimethoxy-2,5-dihydropyrazin-2-yl)pent-4-en-l-ol (Compound 65), a mixture of 2 diastereomeric compounds (alcohol position) as colorless oils. For the less polar compound (0.338 g, 26%): ¹H NMR (500 MHz, CDCl₃) δ 6.53-6.47 (m, 1 H), 6.01 (dd, J = 14.32, 1.40, 1 H), 4.18-4.16 (m, 1 H), 4.01-3.95 (m, 2 H), 3.75 (s, 3 H), 3.71 (s, 3 H), 2.32-2.23 (m, 2 H), 2.15-2.10 (m, 1 H), 1.30-1.26 (m, 2 H), 1.03 (d, J = 6.9 Hz, 3 H), 0.71 (d, J = 6.9 Hz, 3 H). ESIMS (MH⁺) m/z 395.2. For the more polar compound (0.320 g, 24%): ¹H NMR (500 MHz, CDCl₃) δ 6.59-6.53 (m, 1 H), 6.05 (dd, J = 14.3, 1.2, 1 H), 4.01-3.94 (m, 3 H), 3.75 (s, 3 H), 3.71 (s, 3 H), 2.32-2.25 (m, 2 H), 2.24-2.19 (m, 1 H), 1.71-1.67 (m, 2 H), 1.03 (d, J = 6.9 Hz, 3 H), 0.72 (d, J =

6.8 Hz, 3 H). ESIMS (MNa⁺) m/z 417.

Example 7

Synthesis of Compound 66

[0192] To a solution of (5,£)-5-iodo-l-((25,5^)-5-isopropyl-3,6-dimethoxy-2,5-dihydropyrazin-2- yl)pent-4-en-l-ol (1019-89-12) (0.539 g, 1.37 mmol) in CH₂Cl₂ (10 mL) was added 2,6-lutidine (0.318 mL, 0.293 g, 2.74 mmol). The reaction mixture was cooled to -78 ⁰C and TBSOTf (0.472 mL, 0.543 g, 2.06 mmol) was added dropwise. After it was stirred at -78 ⁰C under Ar for 2 h, a solution of NH₄Cl in water (5.0 mL) was added and it was extracted with CH₂Cl₂ (3x5 mL). The organic layer was washed with water (5 mL) and brine, and dried over anhyd Na₂SO₄. The organic layer was filtered, concentrated in vacuo and the residue was purified by silica gel column chromatography (2 x 20 cm, Hexanes: EtOAc 95:5) to give (2S,5R)-2-((S,E)-l- (tert-butyldimethylsilyloxy)-5-iodopent-4-enyl)-5-isopropyl-3,6-dimethoxy-2,5-dihydropyrazine as a colorless oil. (0.56 g, 80%). ¹H NMR (500 MHz, CDCl₃) δ 6.52-6.49 (m, 1 H), 6.00 (d, J = UA Hz, 1 H), 4.08 (s, 1 H), 3.96 (s, 1 H), 3.90 (s, 1 H), 3.69 (s, 6 H), 2.30-2.27 (m, 1 H), 2.20-2.10 (m, 2 H), 1.67-1.59 (m, 2 H), 1.05 (d, J = 6.9 Hz, 3 H), 0.85 (s, 9 H), 0.66 (d, J = 6.8 Hz, 3 H), 0.04 (s, 3 H), -0.008 (s, 3 H). ESIMS (MNa⁺) m/z 531.5. In an identical manner is prepared the other diasteromer at position 1.

Example 8

Synthesis of Compound 68

[0193] To a solution of 7,7-difluorohept-l-ene, Compound 67, (0.254 g, 1.90 mmol) in THF (15 mL) was added a solution of 9-BBN-H (0.50 M, 4.23 mL, 2.12 mmol) in THF at r.t. under Ar. After it was stirred at r.t. for 1 h, degassed water (1.08 mL, 60.3 mmol) was added and the reaction mixture was stirred at r.t. for 30 min. The solution is then transferred to a mixture of (2S,5i?)-2-((S,£)-l-(rert-butyldimethylsilyloxy)-5-iodopent- 4-enyl)-5-isopropyl-3,6-dimethoxy-2,5-dihydropyrazine, Compound 66 (0.743 g, 1.46 mmol), Pd(dppf)Cl₂»CH₂Cl₂ (59.61 mg, 0.073 mmol), Ph₃As (22.35 mg, 0.073 mmol) and Cs₂CO₃ (618.4 mg, 1.90 mmol) in DMF (22.5 mL) under Ar. After stirring at r.t. for 4 h, water (50 mL) is added and it is extracted with hexanes (5x50 mL), washed with brine, and dried over Na₂SO₄. Solvent is removed and the residue is purified by silica gel column chromatography (2 x 25 cm, hexanes: EtOAc 97:3 to 95:5) to give Compound 68 as a colorless oil (0.38 g, 51%). ¹H NMR (500 MHz, CDCl₃) δ 5.78 (tt, J = 57.1, 4.6 Hz, 1 H), 5.41-5.37 (m, 2 H), 4.10-4.06 (m, 1 H), 3.97-3.95 (m, 1 H), 3.90-3.89 (m, 1 H), 3.69 (s, 6 H), 2.35-2.25 (m, 1 H), 2.06-2.04 (m, 2 H), 1.98-1.96 (m, 2 H), 1.83-1.79 (m, 2 H), 1.60-1.57 (m, 2 H), 1.46-1.44 (m, 2 H), 1.37-1.30 (m, 6 H), 1.05 (d, J = 6.9 Hz, 3 H), 0.86 (s, 9 H), 0.66 (d, J = 6.8 Hz, 3 H), 0.04 (s, 3 H), -0.04 (s, 3 H). ESIMS (MNa⁺) m/z 539.7.

Example 9

Synthesis of Compound 41

[0194] To a solution of Compound 68 (1.03 g, 2.0 mmol) in THF (5.0 mL) is added a solution of TBAF in THF (1.0 M, 4.0 mL, 4.0 mmol) at 0⁰C under Ar. After it is stirred for 4 h, THF is removed and water (10 mL) is added. It is extracted with EtOAc (4x 20 mL), washed with brine and dried over Na₂SO₄. Solvent is removed and the residue is purified by silica gel column chromatography (2 x 15 cm, Hexanes: EtOAc 9: 1) to give the desired product, (S,E)-12,12-difluoro-l-((2S,5R)-5-isopropyl-3,6-dimethoxy-2,5-dihydropyrazin-2- yl)dodec-4-en-l-ol, as a colorless oil.

[0195] To a solution of the deprotected bislactim above (0.40 g, 1.0 mmol) in CH₃CN (12 mL) at 0⁰C is added an HCl solution (0.50 M, 12 mL). After the reaction mixture is stirred at r.t. for 24 h, CH₃CN is removed under reduced pressure and the aqueous layer is washed with hexanes (3x5 mL). After the solution is neutralized to pH 7 with aqueous NaOH solution (2.0 M), MeOH (20 mL), a NaOH solution (2.0 M, 10 mL) was added and the mixture was stirred at r.t. for 1 h. It is neutralized with diluted HCl. After the solvent is removed, the residue is purified by reversed-phase column chromatography to yield Compound 41, (2S,3S,E)-2- amino-14,14-difluoro-3-hydroxytetradec-6-enoic acid, as a white solid.

Example 10

Synthesis of Compound 47

[0196] DMSO (1.95 g, 1.64 mL, 25.0 mmol) was added drop- wise to a solution of oxalyl chloride (1.52 g, 1.05 mL, 12.0 mmol) at -78 ⁰C. After stirring at -78 ⁰C for 15 min, 4-phenyl-l-butanol (1.50 g, 1.52 mL, 10.0 mmol) was added dropwise. After 15 min, triethylamine (5.05 g, 6.96 mL) was added dropwise. After it was warmed up to r.t. over 2 hours, water (50 mL) was added and it was extracted with CH₂Cl₂ (4 x 50 mL). The combined organic phase was washed with HCl (0.25 N, 3 x 50 mL), water (50 mL), saturated NaHCO3, and brine. The organic layer was dried over Na₂SO₄, concentrated, and passed through a short silica column (2 x 3 cm), eluted with CH₂Cl₂. Solvent was removed to give 4-phenylbutanal a colorless oil (1.30 g, 87%). IH NMR (500 MHz, CDC13) δ 9.76 (t, J = 1.5 Hz, 1 H), 7.31-7.27 (m, 2 H), 7.22-7.17 (m, 2 H), 2.67 (t, J = 7.5 Hz, 2 H), 2.46 (dt, J = 1.6, 7.32 Hz, 2 H), 1.97 (m, 2 H).

[0197] To a solution of (R) -2,5-dihydro-3,6-dimethoxy-2isopropylpyrazine (1.842 g, 1.792 mL, 10.0 mmol; SigmaAldrich) in THF (920 mL) at -78 ⁰C was added n-BuLi (6.25 mL, 1.6 M in hexanes, 10.0 mmol) dropwise. The solution was warmed to 0 ⁰C. After stirring at 0 ⁰C for 15 min, a solution of ZnCl₂ (1.36 g, 10.0 mmol) in THF (20 mL) was added and stirred at O ⁰C for 15min. After the solution was cooled to -78°C, a solution of 4-phenylbutanal (0.74 g, 5.0 mmol) in THF (10 mL) was added slowly. After the mixture was stirred at -78°C for 1 h, a phosphate buffer (pH 7.0, 0.10 M, 50 mL) was added and it was extracted with ether (4x50 mL), washed with brine, and dried over Na₂SO₄. Solvent was removed and the residue was purified by silica gel column chromatography (2 x 30 cm, Hexanes: EtOAc 9: 1) to give Compound 60, (/?,S)-l-((2S',5/?)-5-isopropyl- 3,6-dimethoxy-2,5-dihydropyrazin-2-yl)-4-phenylbutan-l-ol, as a mixture of 2 compounds as colorless oils. For the less polar compound (0.100 g, 6%): ¹H NMR (500 MHz, CDCl₃) δ 7.27-7.24 (m, 2 H), 7.24-7.14 (m, 2 H), 4.17 (t, J = 4.2 Hz, 1 H), 4.03-4.00 (m, 1 H), 3.97 (t, J = 3.6 Hz, 1 H), 3.67 (d, J = 7.6 Hz, 6 H), 2.74 (d, J = 10.0 Hz, 1 H), 2.66-2.56 (m, 2 H), 2.54-2.22 (m, 1 H), 1.88-1.82 (m, 1 H), 1.73-1.67 (m, 1 H), 1.61 (s, 1 H), 1.25- 1.20 (m, 2 H), 1.03 (d, J = 6.9 Hz, 3 H), 0.71 (d, J = 6.9 Hz, 3 H). ESIMS (MNa⁺) m/z 355.4. For the more polar compound (130 mg, 7.8%): ¹H NMR (500 MHz, CDCl₃) δ 7.29-7.26 (m, 2 H), 7.21-7.16 (m, 2 H), 4.00-3.94 (m, 3 H), 3.73 (s, 3 H), 3.68 (s, 3 H), 2.69-2.65 (m, 2 H), 2.27-2.23 (m, 1 H), 2.00-1.84 (m, 2 H), 1.75-1.61 (m, 3 H), 1.04 (d, J = 6.9 Hz, 3 H), 0.71 (d, J = 6.8 Hz, 3 H). ESIMS (MNa⁺) m/z 355.4.

[0198] To a solution of the bislactim Compound 60, (0.332 g, 1.0 mmol) in CH₃CN (12 mL) at 0⁰C is added an HCl solution (0.50 M, 12 mL). After the reaction mixture is stirred at r.t. for 24 h, CH₃CN is removed under reduced pressure and is washed with hexanes (3x5 mL). After the solution is neutralized to pH 7.0 with aqueous NaOH solution (2.0 M), MeOH (20 mL) and a NaOH solution (2.0 M, 10 mL) was added and stirred at r.t. for 1 h. It is neutralized with HCl (1.0 M). After the solvent is removed, it is purified by reversed-phase column chromatography to yield Compound 47, (2S,3S)-2-amino-3-hydroxy-6-phenylhexanoic acid.

Example 11

Synthesis of Compound 86

[0199] To a solution of 7,7-difluorohept-l-ene (0.21 g, 1.3 mmol) in THF (10 mL) was added a solution of 9-BBN-H (0.50 M, 2.9 mL, 1.45 mmol) in THF at r.t. under Ar. After it was stirred at r.t. for 1 h, degassed water (0.741 mL, 41.2 mmol) was added and stirred at r.t. for 30 min. This solution was added to a solution of vinyl iodide (0.326 g, 1.0 mmol), Pd(dppf)Cl₂»CH₂Cl₂ (40.8 mg, 0.05 mmol), Ph₃As (15.3 mg, 0.05 mmol) and Cs₂CO₃ (422.5 mg, 1.30 mmol) in DMF (15 mL) under Ar. After it was stirred at r.t. for 4 h, water (20 mL) was added and it was extracted with hexanes (5x30 mL), washed with brine, and dried over Na₂SO₄. Solvent was removed and the residue was purified by silica gel column chromatography (2 x 15 cm, hexanes: EtOAc 98.5: 1.5) to give Compound 86 as a colorless oil (0.23 g, 69%). ¹H NMR (500 MHz, CDCl₃) δ 5.78 (tt, J = 57.1, 4.6, 1 H), 5.4-5.36 (m, 2 H), 3.61-3.58 (m, 2 H), 2.05-2.00 (m, 2 h), 2.00-1.95 (m, 2 H), 1.85-1.73 (m, 2 H), 1.59-1.54 (m, 2 H), 1.45-1.44 (m, 2 H), 1.34-1.29 (m, 6 H), 0.89 (s, 9 H), 0.04 (s, 6 H). ESIMS (MNa⁺) m/z 357.6.

[0200] Compound 86 was further elaborated to the aldehyde and coupled with the bis lactim as outlined above to yield Compound 41.

Example 12

Beta Cell Apoptosis Assay Rat Pancreatic Islets. [0201] Biological assays are performed as according to Shimabukuro et al. (J. Biol. Chem., 273: 32487-

90 (1998)) with certain modifications. Zucker Diabetic Fatty rats are treated for 2 weeks by i.p. injection with compounds presented herein. Pancreatic islets are isolated and the degree of apoptosis is evaluated by electrophoresis. A significant degree of protection is noted for the treated rats in comparison to the control rats. This protection demonstrates that de novo synthesis of ceramide through the SPT pathway is inhibited specifically and results in protection of beta cells from apoptosis. Human Pancreatic Islets.

[0202] An alternative assay for the detection of beta cell apoptosis is performed according to Maedler,

K, et al. (2003). Diabetes 52, 726-33). In this assay, incubation with elevated palmitic acid or elevated glucose causes increased apoptosis and protective effects of inhibitors of ceramide synthase exhibit beneficial effects. Results from this assay demonstrate the beneficial effects of the present compounds to inhibit de novo ceramide synthesis at a different, earlier point in the enzymatic pathway, such as inhibition of SPT.

(A) Islet isolation and culture—

[0203] Islets are isolated from pancreata of organ donors, as described in Oberholzer J, et al.

(Transplantation 69: 1115-1123 (2000)). The islet purity is >95% which is determined by dithizone staining. When this degree of purity is not primarily achieved by routine isolation, islets are handpicked. The donors are typically heart-beating cadaver organ donors without a previous history of diabetes or metabolic disorders. [0204] As reported by Maedler et al. (2003), for long-term in vitro studies, the islets are cultured on extracellular matrix-coated plates derived from bovine corneal endothelial cells (Novamed, Jerusalem, Israel), and the cells are allowed to attach to the dishes and spread, to preserve their functional integrity. The contamination by ductal cells after 4 days in culture is estimated to be between 5 and 15%, but almost all ductal cells are found in the periphery of the islets and do not co-localize with β-cells. Islets are cultured in CMRL 1066 medium containing 100 units/ml penicillin, 100 μg/ml streptomycin, and 10% FCS (Gibco, Gaithersburg, MD), hereafter referred to as culture medium.

[0205] Two days after plating, when most islets are attached and begin to flatten, the medium is changed to culture medium containing 5.5 or 33.3 mmol/1 glucose supplemented with or without fatty acids (Sigma Chemical, St. Louis, MO; palmitic acid [16:0], palmitoleic acid [16: 1], oleic acid [18: 1], or a mixture of fatty acids [16:0/16: 1, 16:0/18: 1]). Fatty acids are dissolved at 10 mmol/L in culture medium containing 11% fatty acid-free BSA (Sigma) under nitrogen atmosphere, are shaken overnight at 37°C, are sonicated for 15 min, and are sterile filtered (stock solution). For control experiments, BSA in the absence of fatty acids is prepared, as described above. The effective FFA concentration may be determined after sterile filtration with a commercially available kit (Wako chemicals, Neuss, Germany). The calculated concentrations of non-albumin- bound FFA is derived from the molar ratio of total FFA (0.5 mmol/1) and albumin (0.15 mmol/1) using a stepwise equilibrium model reported in Spector AA et al., Biochemistry 10: 3226-32 (1971). Unbound concentration of palmitic, palmitoleic, and oleic acids are of 0.832, 0.575, and 2.089 micromol/L, respectively, for a final concentration of 0.5 mmol/L FFA. In some experiments, islets are cultured with or without 15 micromol/L C2-ceramide, 15micromol/L C2-Dihydroceramide (Biomol, Plymouth Meeting, PA), 15 micromol/L fumonisin B l (Sigma), or tested compounds at various concentrations from 10nmol/L to lOOmicromol/L. All of them are first dissolved in prewarmed 37°C DMSO (Fluka, Buchs, Switzerland) at 5 mmol/L. For control experiments, islets are exposed to solvent alone (0.3% DMSO). (B) Cell apoptosis—

[0206] As reported by Maedler, et al. (2003), the free 3-OH strand breaks resulting from DNA degradation are detected by the terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) technique (Gavrieli Y, et al. (1992). J. Cell Biol. 119, 493-501). Islet cultures are washed with PBS, fixed in 4% paraformaldehyde (30 min, room temperature) followed by permeabilization with 0.5% Triton X- 100 (4 min, room temperature), followed by the TUNEL assay, performed according to the manufacturer's instructions (In Situ Cell Death Detection Kit, AP; Boehringer Mannheim, Germany). The preparations are then rinsed with Tris-buffered saline and is incubated (10 min, room temperature) with 5-bromo-4-chloro-indolyl phosphate/nitro blue tetrazolium liquid substrate system (Sigma). For staining of the activated caspase 3, after fixation and permeabilization, islets are incubated for 2 h at 37°C with a rabbit anti-cleaved caspase-3 antibody (1:50 dilution, D 175; Cell Signaling, Beverly, MA), followed by incubation (30 min, 37°C) with a Cy3- conjugated donkey anti-rabbit antibody (1: 100 dilution; Jackson ImmunoResearch Laboratories, West Grove, PA). Thereafter, islets are incubated with a guinea pig anti-insulin antibody as described above, followed by detection using the streptavidin-biotin-peroxidase complex (Zymed) or by a 30-min incubation with a 1:20 dilution of fluoresceinconjugated rabbit anti-guinea pig antibody (Dako). The TUNEL assay detects DNA fragmentation associated with both apoptotic and necrotic cell death; therefore, islets are also treated with a fluorescent annexin V probe (Annexin- V-FLUOS staining kit, Boehringer Mannheim) according to the manufacturer's instructions. Double staining of cells with propidium iodide and annexin V enables the differentiation of apoptotic from necrotic cells.

Example 13

Anti-Inflammatory Applications

[0207] Zucker diabetic fatty rats are sacrificed and pancreatic islets are harvested as according to

Shimabukuro et al. In culture, these islets are treated with an effective amount of Tumor Necrosis Factor alpha. De novo synthesis of ceramides is evaluated by incorporation of tritiated serine, as described in Example 8. Treatment with an effective concentration of compounds presented herein results in a significantly decreased concentration of ceramide in contrast to the control group. This demonstrates the efficacy of the compounds and specific inhibition activity against SPT in general, in anti- inflammatory applications.

Example 14

Serine Palmitoyltransferase activity Assay A.

[0208] The assay is carried out by a minor modification of the method reported by Merrill et al., Anal.

Biochem., 171: 373-381 (1988).

[0209] Frozen rat or other mammalian livers are homogenized in a standard HEPES buffer system containing DTT (5 mM), sucrose (0.25 M) and EDTA at pH 7.4. The homogenate is spun at 30 kg for 0.5 hr. and the supernatant is removed. The assay is performed using the supernatant (sufficient for 50-150 μg protein) above but with the addition of 50 μM pyridoxal, 200 μM palmitoyl-CoA, and 1 mM ³H-L-serine in a buffer similar to the homogenization buffer, but at pH 8.3. The radiolabeled product, 3-ketosphinganine, is extracted in CHCI₃/CH₃OH and the radioactivity is counted in a liquid scintillation counter. [0210] Inhibition of serine palmitoyl transferase is evaluated by incorporation of tritium label into the lipid product. Further demonstration of the activity of compounds in a CTLL-2 cell line can be performed using the assay described in Nakamura, S. et al, J. Biol. Chem., 271: 1255-7 (1996).

Assay B.

[0211] An alternative assay for evaluating inhibition of SPT, the enzyme present in commonly cultured cells, is performed with CHO cells or a human cell line. Cells are washed three times with ice-cold phosphate- buffered saline (PBS). A total of 0.5 mL of lysis buffer [50 mM Hepes (pH 8.0) containing 5 mM ethylenediaminetetraacetic acid (EDTA) and 5 mM dithiothreitol (DTT)] is added to each dish. The cells are scraped using a rubber policeman, and are then transferred to a test tube on ice. The cell suspension is sonicated three times for 5 s at 1-2 min intervals on ice. Protein concentrations in cell homogenates are measured using a Bradford protein assay kit (Bio-Rad). To measure the SPT activity, 0.1 mL of cell homogenates are added to 0.1 mL of reaction buffer [20 mM Hepes (pH 8.0) containing 5 mM EDTA, 10 mM DTT, 50 μM pyridoxal-5' - phosphate, 0.4 mM palmitoyl CoA, 2 mM L-serine, 10 μCi of [³H]serine, and test compound or standard inhibitor (myriocin). After incubation at 37 °C for 20 min with shaking, the reaction is terminated with 0.5 mL of 0.5 N NH₄OH containing 10 mM L-serine. The lipid products are extracted using the solvent system: 3 mL of chloroform/methanol (1:2), 25 μg of sphingosine (1 mg/mL in ethanol) as a carrier, 2 mL of chloroform, and 3.8 mL of 0.5 N NH₄OH. After vigorous mixing, the phases are separated by centrifugation at 2500 rpm for 5 min. The aqueous layer is removed by aspiration, and the lower chloroform layer is washed 3 times with 4.5 mL of water. The chloroform layer is transferred to a scintillation vial, and the solvent is evaporated under N₂ gas. The radioactivity is measured with a LS6000TA liquid scintillation counter (Beckman). Nonspecific conversion of [³H] serine to chloroform-soluble species is determined by performing the assay in the absence of palmitoyl CoA. The count of the background is about one-sixth of the count of 100% activity.

Assay C.

[0212] An alternative assay using a non-chlorinated solvent modification of the Blye and Dyer lipid extraction method reported in Smedes (Smedes, F. (1999) Analyst 124, 1711-18) is employed to evaluate exemplary compounds. In this approach, the cells are washed three times with ice-cold phosphate-buffered saline and 0.5 mL of lysis buffer is added to each dish. The cells are scraped using a rubber policeman and transfer to a test tube on ice. The cell suspension is sonicated three times for 5 s at 1-2 min intervals on ice. A 0.1 mL sample of cell homogenates are added to 0.1 mL of reaction buffer in a test tube containing the appropriate concentration of test substance and 10 μCi of [³H] serine. The reaction mixture is incubated at 37 °C for 20 min with shaking, and the reaction is terminated with 0.5 mL of 0.05N NH₄OH stop solution containing 1OmM unlabeled L-serine. Total lipids are extracted by transferring the contents of the test tube into a 15 ml centrifuge tube containing: 4.5 mL of isopropanol/cyclohexane (4:5) containing 25 μg of sphingosine (1 mg/mL in ethanol and diluted into the isopropanol/cyclohexane mixture) as a carrier. The contents are mixed vigorously and 4 mL of 0.5 N NH₄OH is added. The phases are separated by centrifugation at 2500 rpm for 5 min. An accurately measured portion of the organic layer (4.0ml) is added to a scintillation vial with ImI of water. Ultima Gold F (5ml) is added, the vial is vortexed and allowed to settle into separate layers. The amount of [³H] serine radioactivity incorporated into lipids is quantified in a scintillation counter. Non-specific counts are determined by carrying out the assay with control samples containing no palmitoyl CoA. As shown in Table 2 below, the positive control, ISP-I (i.e., myriocin) exhibited potent but non-selective inhibition of SPT. Exemplary compound 12 is evaluated in this assay and, as shown in Table 2, exhibited moderate activity at the doses indicated.

[0213]

TABLE 2.

Test group Counts Std Error no CoA (blank) 305 5

No Inhibitor, t=0 244 7

Example 15

Protection of Islets by an SPT Inhibitor

[0214] Islet protection by an exemplary compound is evaluated in an assay according to Eitel, K, et al.

Biochem. Biophys. Res. Commun. 299: 853-6 (2002), and results obtained in this assay are reported below in Table 4. Rat pancreatic islets are cultured with control medium (RPMI 1640 supplemented with 10% fetal bovine serum, antibiotics and made 8% in glucose) or in medium supplemented with 1 millimolar sodium palmitate (Fatty Acid Medium) during a period of 3 days. The culture medium is changed after 2 days to an identical composition culture medium with fresh inhibitor in the appropriate wells. Cells are stained with propidium iodide (PI), washed and propidium staining of cells (as a measure of cellular DNA content) is assessed by flow cytometry. The percentage of cells having less than the normal amount of PI staining is considered to be apoptotic cells (Eitel, K, et al. (2002)).

[0215] In this assay, treatment with exemplary compound 12 appears to fully protect cells from the fatty acid treatment in this assay and surprisingly imparts a benefit in comparison to treatment with the control medium.

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Claims

WHAT IS CLAIMED IS:

1. A compound, and pharmaceutically acceptable salts thereof, corresponding to Formula (I):

(I) wherein:

R₁ is H, or optionally substituted lower alkyl, aryl, aralkyl, or alkyloxyalkyl; R₂ is H, protecting group, or -C(=O)-CHR_a-NHR_b;

R_a is selected from the group consisting of alkyl, aralkyl, aryl, and optionally substituted alkyl with carboxyl, carboxamide hydroxyl, halo, alkenyl, alkynl, ether, thiol, methylthio, borate, boronate, phospho, phosphono, phosphine, heterocyclic, enone, imine, aldehyde, ester, thioacid, hydroxylamine, amino, guanido, and combinations thereof;

CR₀RjAr, OAr, NR₄Ar, SAr, or ArAr; each R_c and R_d is independently H, X, lower alkyl, OH, or O-lower alkyl; or R_c and R₁, together form a =O, =N-OH, =N-O-lower alkyl, or =N-O-CH₂CH₂-O-CH₃;

R_e is H, lower alkyl, or -CH₂CH₂-O-CH₃; k is 1 to 7; q is 1 to 13; each K is independently -H, -OH, -X, or -CH₃, where X is halogen; each T is independently (CR_fR_g); each R_f is independently H, X, lower alkyl, or O-lower alkyl; each R_g is independently H, OH, X, or O-lower alkyl; or R_f and R_g, together form a =O, =N-OH, =N-O-lower alkyl, or =N-O-CH₂CH₂-O-CH₃; p is 1 to 5; each Ar is an optionally substituted aryl or heteroaryl; u is O, 1, or 2; and m is O to 12.

2. The compound of claiml, corresponding to Formula (II):

wherein n is O to 7.

3. The compound of claim 1, corresponding to Formula (III):

wherein n is 0 to 7.

4. The compound of claim 1, corresponding to Formula (IIIA):

wherein n is O to 7.

5. The compound of claim 1, corresponding to Formula (IIIB):

wherein n is O to 7.

The compound of claim 1, corresponding to Formula (IIIC):

7. The compound of claim 1, corresponding to Formula (HIM):

8. The compound of claim 1, wherein each Ar is independently an optionally- substituted phenyl, pyridinyl, pyrimidyl, imidazolyl, benzimidazolyl, thiazolyl, oxazolyl, oxadiazole, isoxazolyl, benzthiazolyl, or benzoxazolyl.

9. The compound of claims 5 or 6 , wherein each Ar is independently an optionally- substituted phenyl, pyridinyl, oxadiazole, or oxazolyl.

10. The compound of claim 1, wherein X is fluorine.

11. The compound of claim 1, wherein Rj is Q-C₃ alkyl.

12. The compound of claim 1 , wherein R₁ is CH₃-O-CH₂-CH₂-, HO-CH₂-CH₂-, HO-CH₂-CH₂-O-CH₂- CH₂-, or CH₃-O-CH₂-CH₂-O-CH₂-CH₂-.

13. The compound of claim 1, wherein p is 3.

14. The compound of claim 1, wherein said compound modulates Serine Palmitoyltransferase (SPT) activity.

15. The compound of claim 14, wherein said compound inhibits Serine Palmitoyltransferase (SPT).

16. The compound of claim 14, wherein said compound does not cause strong immunosuppressive activity.

17. A composition comprising the compound of claim 1 and a pharmaceutically acceptable carrier.

18. A composition comprising the compound of claim 1 and a therapeutically effective amount of at least one active agent selected from the group consisting of insulin, insulin analogs, incretin, incretin analogs, glucagon-like peptide, glucagon-like peptide analogs, exendin, exendin analogs, PACAP and VIP analogs, DPPIV inhibitors, sulfonylureas, biguanides, α-glucosidase inhibitors, Acetyl-CoA Carboxylase inhibitors, caspase inhibitors, and PPAR ligands.

19. A method of treating insulin resistance, said method comprising administering the compound of claim 1 to a patient in need thereof.

20. A method of treating pancreatic beta cell apoptosis, said method comprising administering the compound of claim 1 to a patient in need thereof.

21. A method of treating obesity, said method comprising administering the compound of claim 1 to a patient in need thereof.

22. A method of treating pro-thrombotic conditions, myocardial infarction, hypertension, dyslipidemia, or other manifestations of Syndrome X, said method comprising administering the compound of claim 1 to a patient in need thereof.

23. A method of treating congestive heart failure, said method comprising administering the compound of claim 1 to a patient in need thereof.

24. A method of treating an inflammatory disease, said method comprising administering the compound of claim 1 to a patient in need thereof, wherein said inflammatory disease is a disease of the cardiovascular system, atherosclerosis, or sepsis.

25. A method of preventing loss or death of human or xenobiotic islet cells in culture fluid, said method comprising adding a compound of claim 1 to the culture fluid.

26. A method for preserving liver tissue in culture fluid, said method comprising adding a compound of claim 1 to the culture fluid.

27. A method for treatment or prevention of type 1 diabetes, said method comprising administering the compound of claim 1 to a patient in need thereof.

28. A method for treatment or prevention of liver damage, said method comprising administering the compound of claim 1 to a patient in need thereof.

29. A method for treatment or prevention of cachexia, said method comprising administering the compound of claim 1 to a patient in need thereof.

30. A method for treatment or prevention of atherosclerosis, said method comprising administering the compound of claim 1 to a patient in need thereof.

31. A method for treating restenosis following percutaneous coronary intervention, comprising administering a therapeutically effective amount of at least one compound of claim 1 to a patient in need thereof.

32. A method for treating emphysema and chronic obstructive pulmonary disease, said method comprising administering a therapeutically effective amount of the compound of claim 1 to a patient in need thereof.

33. A device for percutaneous coronary intervention, comprising a controlled release formulation for administering a therapeutically effective amount of at least one compound of claim 1 to a patient in need thereof.

34. A method for treatment or prevention of emphysema, said method comprising administering the compound of claim 1 to a patient in need thereof.

35. A method for treatment or prevention of chronic obstructive pulmonary disease, said method comprising administering the compound of claim 1 to a patient in need thereof.

36. A method of any of claims 19-32, further comprising co-administering a therapeutically effective amount of at least one active agent selected from the group consisting of insulin, insulin analogs, incretin, incretin analogs, glucagon-like peptide, glucagon-like peptide analogs, exendin, exendin analogs, PACAP and VIP analogs, DPPIV inhibitors, sulfonylureas, biguanides, α-glucosidase inhibitors, Acetyl-CoA Carboxylase inhibitors, caspase inhibitors, unsaturated fatty acids, polyunsaturated fatty acids, HMG-CoA inhibitors, and PPAR ligands.

37. A method of any of claims 34-35, further comprising co-administering a therapeutically effective amount of at least one active agent selected from the group consisting of inhaled formulations containing bronchodilators, beta 2 adrenoceptor agonists, inhaled corticosteroids, anti-inflammatory steroids, leukotriene modifiers, leukotriene receptor antagonists, chemokine modifiers, chemokine receptor antagonists, cromolyn, nedocromil, xanthines, anticholinergic agents, immune modulating agents, other known anti-asthma medications, nitric oxide donors, prostacyclins, endothelin antagonists, adrenoceptor blockers, phosphodiesterases inhibitors, ion channel blockers and other vasodilators.