WO2016202099A1 - Use of terazosin drugs - Google Patents

Use of terazosin drugs Download PDF

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WO2016202099A1
WO2016202099A1 PCT/CN2016/080466 CN2016080466W WO2016202099A1 WO 2016202099 A1 WO2016202099 A1 WO 2016202099A1 CN 2016080466 W CN2016080466 W CN 2016080466W WO 2016202099 A1 WO2016202099 A1 WO 2016202099A1
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aging
terazosin
pharmaceutical use
use according
metabolism
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PCT/CN2016/080466
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刘磊
赵春月
李宇红
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刘磊
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/517Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with carbocyclic ring systems, e.g. quinazoline, perimidine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • A61K31/551Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having two nitrogen atoms, e.g. dilazep

Definitions

  • the invention belongs to the technical field of medicine and relates to the use of a class of azoles, in particular to their use in anti-aging and regulation of body metabolism.
  • Terazosin is usually used in clinical practice with its hydrochloride salt, and the specifications of the marketed tablets or capsules are 1 mg, 2 mg, and 5 mg.
  • Terazosin hydrochloride can be used to treat benign prostatic hyperplasia and can also be used to treat hypertension. It can be used alone or in combination with other antihypertensive drugs such as diuretics or alpha 1-adrenergic blockers.
  • the daily dose of terazosin for adults is usually in the range of 1 to 10 mg.
  • Terazosin is used to treat benign prostatic hyperplasia (BPH), and the reduction in benign prostatic hyperplasia and improvement in urinary flow rate after administration are associated with smooth muscle relaxation caused by alpha1-adrenergic receptor blockade in the bladder neck and prostate. Because there are relatively few alpha 1-adrenergic receptors in the bladder, terazosin can reduce blockage of the bladder outlet without affecting bladder contraction. In addition, terazosin lowers blood pressure by reducing total peripheral vascular resistance. The vasodilation and blood pressure lowering effects of terazosin appear to be mainly caused by blockade of ⁇ 1-adrenergic receptors.
  • terazosin (4-(4-amino-6,7-dimethoxyquinazolin-2-yl)piperazin-1-yl)(tetrahydrofuran-2-yl)methanone
  • molecular formula is C 19 H 25 N 5 O 4
  • chemical structural formula is the following formula I:
  • Terazosin (which can be replaced by TZ herein) is usually used clinically as its hydrochloride salt, and the specifications of the marketed tablets or capsules are 1 mg, 2 mg and 5 mg.
  • Terazosin hydrochloride can be used to treat benign prostatic hyperplasia and can also be used to treat hypertension. It can be used alone or in combination with other antihypertensive drugs such as diuretics or alpha 1-adrenergic blockers.
  • Terazosin is used to treat benign prostatic hyperplasia (BPH), and the reduction in benign prostatic hyperplasia and improvement in urinary flow rate after administration are associated with smooth muscle relaxation caused by alpha1-adrenergic receptor blockade in the bladder neck and prostate.
  • terazosin can reduce blockage of the bladder outlet without affecting bladder contraction.
  • terazosin lowers blood pressure by reducing total peripheral vascular resistance.
  • the vasodilation and blood pressure lowering effects of terazosin are mainly caused by the blockade of ⁇ 1-adrenergic receptors.
  • Vascular aging plays an extremely important role in the aging of individuals. With the increase of age, the body has accumulated more and more damage at different levels of cells, tissues and organs. Different parts of the blood vessels (endothelial cells, smooth muscle cells, etc.) also experience damage. It causes slowing of blood flow, increase of blood lipids and blood cholesterol, and severe atherosclerosis. These lesions increase the possibility of various cardiovascular diseases, such as myocardial infarction and stroke. At present, no clinical drug can achieve the purpose of resisting aging by protecting blood vessels and maintaining the normal function of blood vessels.
  • terazosin and its analogues can reduce cell level and aging of mice and nematodes at the body level, and correct many adverse factors (body weight, blood sugar, insulin levels, etc.) accompanying aging, and Other azozoazines with similar structures of terazosin have similar functions. This finding provides an important solution for the treatment/reduction of cardiovascular and cerebrovascular diseases. The present invention has been completed based on this finding.
  • the present invention provides a pharmaceutical use of a compound of formula I, or a pharmaceutically acceptable salt thereof, or a solvate thereof, for the manufacture of a medicament for delaying aging in a mammal, or for the preparation of a medicament for improving metabolism during lactation:
  • R1 is hydrogen or methoxy
  • R2 is a group selected from the group consisting of:
  • the compound of formula I is selected from the group consisting of: terazosin, doxazosin, prazosin, bunazosin, alfuzosin, tramazosin and pharmaceutically acceptable salts thereof Its solvate.
  • compositions wherein the pharmaceutically acceptable salt is, for example, the hydrochloride, phosphate, benzenesulfonate, methanesulfonate, sulfate, nitrate of the compound.
  • a pharmaceutical use according to the present invention wherein the solvate is a hydrate of the compound or a pharmaceutically acceptable salt thereof, such as a monohydrate, Dihydrate and the like.
  • aging is aging associated with vascular endothelial cells.
  • the delaying of aging is to maintain a tight connection between endothelial cells of the body during aging to maintain the health of the blood vessel, thereby delaying aging of the mammal.
  • the delayed aging is a reduction in plaque formation in the blood vessel wall of a mammal.
  • the delaying of aging is to reduce plaque formation in the inner wall of blood vessels caused by atherosclerosis.
  • the delaying of aging is to delay the aging of the body as a whole.
  • the improving metabolism during lactation refers to improving the metabolism of the body during lactation in relation to its body weight, blood sugar, insulin level and the like.
  • the improvement of body metabolism during lactation refers to a reduction in body weight, blood sugar, and insulin levels of a body having high cholesterol-induced atherosclerosis.
  • the improvement of body metabolism during lactation refers to an improvement in the food intake of a body having high cholesterol-induced atherosclerosis, particularly an increase in the food intake of a body having high cholesterol-induced atherosclerosis.
  • doxazosin especially doxazosin mesylate, has the chemical name: [1-(4-amino-6,7-dimethoxy-2-quinazolinyl) 4-(1,4-benzodioxan-2-butanylcarbonyl)]piperazine methanesulfonate, molecular formula: C23H25N5O5 ⁇ CH3SO3H, molecular weight: 547.59, chemical structural formula:
  • Doxazosin is commonly used in clinical practice: 1. Primary mild to moderate hypertension. For patients who have difficulty controlling blood pressure by medication alone, Diuretics, beta blockers, calcium antagonists or angiotensin converting enzyme inhibitors (ACEI); 2. Symptomatic treatment of benign prostatic hyperplasia.
  • Prazosin especially prazosin hydrochloride
  • Prazosin hydrochloride has the chemical name: 1-(4-amino-6,7-dimethoxy-2-quinazolinyl)-4-(2 - furoyl) piperazine hydrochloride, the chemical structural formula is:
  • Prazosin is commonly used in clinical practice for mild to moderate hypertension. It can reduce the front and back load of the heart and is also used to treat cardiac insufficiency.
  • Bunazosin especially bunazosin hydrochloride
  • Bunazosin hydrochloride has the chemical name: 1-[4-(4-amino-6,7-dimethoxyquinazolin-2-yl) -1,4-diazepan-1-yl]butan-1-one hydrochloride, English name: 1-Butanone, 1-[4-(4-amino-6,7-dimethoxy-2- Quinazolinyl)hexahydro-1H-1,4-diazepin-1-yl]-,hydrochloride (1:1),CAS No.:52712-76-2, molecular formula: C19H27N5O3.HCl, molecular weight: 409.91, chemical structural formula:
  • Bunazosin is commonly used clinically for essential hypertension, renal hypertension, and hypertension caused by pheochromocytoma.
  • alfuzosin such as alfuzosin hydrochloride
  • alfuzosin hydrochloride has the chemical name: N-[3-[(4-amino-6,7-dimethoxy-2-quinazolinyl)- Methylamino]propyl]tetrahydro-2-furancarboxamide hydrochloride, molecular formula: C19H27N5O4 ⁇ HCI, molecular weight: 425.91, chemical structural formula:
  • Alfuzosin is often used clinically to relieve symptoms of benign prostatic hyperplasia.
  • Trimazosin has a chemical structural formula of:
  • Tramadrazine is commonly used clinically to lower blood pressure and can be used for hypertension.
  • Figure 1 depicts the effect of terazosin on cell senescence induced by etoposide, showing the effect of terazosin on sub-death concentration (2uM) of etoposide-induced cellular senescence, aging markers p16, p21 transcription (Figure In the middle, the fold change indicates a fold change, the abscissa ctrl indicates a control, Etoposide indicates etoposide, and TZ0.1uM indicates 0.1 uM terazosin, which has the same meaning when similar terms are used below).
  • Figures 2 and 3 depict the effect of terazosin on cellular senescence induced by hydrogen peroxide.
  • Figure 2 shows cell senescence induced by sub-death concentration (50 uM) of hydrogen peroxide, while cells were treated with terazosin to examine the effects of senescence markers p16, p21 transcription levels.
  • Figure 2 and Figure 3 Describe the effect of terazosin on cellular senescence induced by hydrogen peroxide.
  • Figure 3 shows cell senescence induced by sub-death concentration (50 uM) of hydrogen peroxide, while treating cells with terazosin to detect SA- ⁇ - Gal staining and statistics (in the figure, the ordinate positive/% indicates an increase percentage).
  • Figure 4 depicts the effect of terazosin on VE cadherin phosphorylation induced by senescence stimulation. The results show that etoposide (2uM) and hydrogen peroxide (50uM) cause an increase in the phosphorylation level of VE cadherin, causing aging. When terazosin is added, terazosin can inhibit the increase of phosphorylation of VE cadherin and delay aging.
  • Figure 5 Describes the effect of terazosin on vascular plaques in atherosclerotic mice; after 12 weeks of feeding high cholesterol foods, mice were fixed by perfusion of paraformaldehyde, and blood vessels were removed for oil red O staining. And statistical results; the ordinate "lesion area” in the figure means "damage area”.
  • Figure 6 depicts the effect of terazosin on the lifespan of C. elegans; the addition of terazosin to normal nematode food (E. coli), statistical nematode survival; the ordinate “survival” in the figure means “survival rate” The abscissa "days” indicates the number of days.
  • Figure 7 Describes the effect of terazosin on the body weight of atherosclerotic mice; ApoE KO mice were fed a high cholesterol diet, and mice were given daily intraperitoneal injection of terazosin (0.08 mg/kg). Feed/drug treatment changes in body weight at 12 weeks; in the figure, the ordinate "body weight increase” means “weight gain”, the abscissa “Normal diet” means “normal diet”, and "High cholesterol” means "high cholesterol”.
  • Figure 8 depicts the effect of terazosin on blood glucose in atherosclerotic mice; small in mice after 16 hours of fasting and fasting Rat blood glucose; the ordinate "Glucose” in the figure indicates the level of "glucose”.
  • Figure 9 Describes the effect of terazosin on blood insulin levels in atherosclerotic mice; blood was measured in mice after high cholesterol feeding and fasting for 16 hours; in the figure, the ordinate “Insulin “It is the “insulin level”; the abscissa “ApoE KO” means "high cholesterol feeding”, ctrl indicates the insulin levels of the two groups before the test; “Fasting insulin” means “fasting insulin level”, “Normal insulin” “Expresses "normal insulin levels”.
  • Figure 10 depicts the effect of terazosin on food intake in atherosclerotic mice; mouse food weights were weighed weekly and counted.
  • Example 1 Study of terazosin inhibition (vascular endothelial cell) cell senescence
  • Figure 1 depicts the effect of terazosin on cell senescence induced by etoposide, showing the effect of terazosin on sub-death concentration (2uM) of etoposide-induced cellular senescence, aging markers p16, p21 transcription (Figure In the middle, the fold change indicates a fold change, the abscissa ctrl indicates a control, Etoposide indicates etoposide, and TZ0.1uM indicates 0.1 uM terazosin, which has the same meaning when similar terms are used below).
  • cell senescence was also induced by a non-lethal concentration of hydrogen peroxide (i.e., H 2 O 2 , 50 ⁇ M) (for specific experimental methods, see: Vigneron A, Vousden KH (2010) p53, ROS and senescence. In the control of aging. Aging 2: 471-474), causing an increase in aging markers p16, p21; terazosin was able to reduce their increase in the addition of terazosin (p ⁇ 0.05 compared to the hydrogen peroxide group) See Figure 2 for specific results.
  • H 2 O 2 a non-lethal concentration of hydrogen peroxide
  • Figure 2 shows cell senescence caused by sub-death concentration (50 uM) of hydrogen peroxide, while treating cells with terazosin to detect aging The effect of transcription levels of p16 and p21.
  • the present invention also detects cell senescence using a method of ⁇ -Gal staining (for specific experimental methods, see: Sikora E, Arendt T, Bennett M, Narita M (2011) Impact of cellular senescence signature on Ageing research.Ageing research reviews 10:146-152).
  • Figure 3 shows cell senescence induced by sub-death concentration (50 uM) of hydrogen peroxide, while cells were treated with terazosin, and SA- ⁇ -Gal staining was detected and counted (in the figure, ordinate positive/% indicates an increase percentage).
  • VE cadherin protein forms a homodimer on the surface of vascular endothelial cells, and VE cadherin between adjacent cells maintains tight junctions between smooth muscle cells through direct interaction, thereby maintaining vascular stability (see: Dejana E, Orsenigo F (2013) Endothelial adherens junctions at a glance. Journal of cell science 126:2545-2549).
  • VE cadherin is first phosphorylated in the intracellular region and then indented into cells, and then the intercellular interaction gradually weakens to disappear, and the vascular endothelial cell gap becomes larger, increasing vascular permeability (see: Quadri SK) (2012) Cross talk between focal adhesion kinase and cadherins: role in regulating endothelial barrier function. Microvascular research 83: 3-11).
  • the inventors detected the phosphorylated VE cadherin levels by western blot.
  • non-lethal concentrations of etoposide (2 ⁇ M) and hydrogen peroxide (50 ⁇ M) caused phosphorylation of VE cadherin.
  • Increase; terazosin can reduce its increase when additional terazosin 0.1uM is added. This result means that terazosin can maintain a tight junction between endothelial cells during aging to maintain the health of the blood vessels.
  • Figure 4 depicts the effect of terazosin on the phosphorylation of VE cadherin induced by senescence stimulation.
  • the results show that etoposide (2uM) and hydrogen peroxide (50uM) cause an increase in the phosphorylation level of VE cadherin, which causes aging.
  • etoposide (2uM) and hydrogen peroxide (50uM) cause an increase in the phosphorylation level of VE cadherin, which causes aging.
  • terazosin When terazosin is added, terazosin inhibits the increase in phosphorylation of VE cadherin, thereby delaying aging.
  • Example 2 Triazosin reduces plaque formation in the vascular wall of a mouse model of atherosclerosis
  • plaques caused by the accumulation of aging/dead endothelial cells, vascular smooth muscle cells, macrophages, lipids, calcium ions, etc., and the formation of plaques causes blood vessels. Hard, severe may directly cause vascular blockage.
  • Figure 5 depicts the effect of terazosin on vascular plaques in atherosclerotic mice. After 12 weeks of feeding high-cholesterol food, the mice were fixed by perfusion of paraformaldehyde, and blood vessels were taken out for oil red O staining and statistical results were obtained. In the figure, the ordinate "lesion area” means "damage area”.
  • Example 3 Terazosin can prolong the lifespan of C. elegans
  • terazosin can inhibit the senescence of vascular endothelial cells. Further question is: Can terazosin affect aging at the overall level? To this end, the inventors added terazosin to the normally fed nematode food E. coli OP50, and then recorded the survival of the nematode every two days. The results show that terazosin can increase the average lifespan of nematodes, the specific results are shown in Figure 6. This article is consistent with the results of in vivo proof of the anti-aging effect of terazosin, which demonstrates the anti-aging effect of terazosin in vitro.
  • Figure 6 depicts the effect of terazosin on the lifespan of C. elegans. Trazosin was added to normal nematode food (E. coli) and the nematode was counted for survival.
  • the ordinate “survival” means “survival rate”
  • the abscissa “days” means time days.
  • Example 4 Terazosin reduces body weight, blood glucose, and insulin levels in an animal model of atherosclerosis caused by high cholesterol
  • APOE Apolipoprotein E
  • VLDLs very low density lipoproteins
  • ApoE knockout mice are prone to hypercholesterolemia, and then immune cells such as macrophages are more likely to be "captured", eventually forming damage plaques formed by lipids, calcium, cell debris, immune cells, etc. on the inner wall of blood vessels.
  • Normal function of the blood vessels resulting in slower blood flow, blocked supply, and direct vascular occlusion (van Dijk KW, Hofker MH, Havekes LM (1999) Dissection of the complex role of apolipoprotein E in lipoprotein metabolism and atherosclerosis using mouse models .Current atherosclerosis reports 1:101-107).
  • Figure 7 depicts the effect of terazosin on body weight in atherosclerotic mice.
  • ApoE KO mice were fed with high cholesterol diet, and mice were intraperitoneally injected with terazosin (0.08 mg/kg) daily, and the body weight of the mice fed for 12 weeks was counted.
  • the ordinate "body weight increase” means "weight gain”
  • the abscissa "Normal diet” means "normal diet”
  • “High cholesterol” means "high cholesterol”.
  • Figure 8 depicts the effect of terazosin on blood glucose in atherosclerotic mice. Mouse blood glucose was measured after the mice were fed and fasted for 16 hours. In the figure, the ordinate "Glucose” indicates the level of "glucose”.
  • Figure 9 depicts the effect of terazosin on blood insulin levels in atherosclerotic mice.
  • Mouse insulin was measured by taking blood in mice after high cholesterol feeding and fasting for 16 hours.
  • the ordinate "Insulin” is “insulin level”
  • the abscissa "ApoE KO” means "high cholesterol feeding”
  • ctrl indicates the insulin levels of the two groups before the test;
  • “Fasting insulin” in the figure means “fasting group”
  • Normal insulin means "normal insulin level”.
  • Figure 10 depicts the effect of terazosin on food intake in atherosclerotic mice. Mouse food weights were weighed weekly and counted.
  • the terazosin was changed to an equimolar amount of doxazosin (tested with methanesulfonic acid) and prazosin (prazosin).
  • Bunazosin tested with its hydrochloride salt
  • alfuzosin Alfuzosin, tested with its hydrochloride
  • Trimazosin Trimazosin, tested with its hydrochloride
  • the present invention provides a novel pharmaceutical use of terazosin or an analogue thereof that provides a new option for the treatment of clinically relevant diseases.

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Abstract

The invention relates to a new pharmaceutical use of terazosin drugs, in particular to the use of the terazosin drugs in terms of anti-aging and body metabolism regulation. The terazosin drugs are compounds of formula I or pharmaceutically acceptable salts thereof or solvates thereof, wherein each substituent is as shown in the description.

Description

唑嗪类药物的用途Use of azozolines 技术领域Technical field
本发明属于医药技术领域,涉及一类唑嗪类药物的用途,特别是涉及它们在抗衰老以及调节机体代谢方面的用途。The invention belongs to the technical field of medicine and relates to the use of a class of azoles, in particular to their use in anti-aging and regulation of body metabolism.
背景技术Background technique
特拉唑嗪(Terazosin)通常以其盐酸盐用于临床,已上市片剂或胶囊剂的规格有1mg、2mg和5mg等。盐酸特拉唑嗪可用于治疗良性前列腺增生症,也可用于治疗高血压,可单独使用或与其它抗高血压药物如利尿剂或α1-肾上腺素能阻滞剂合用。针对现有的临床适应症,特拉唑嗪用于成人的日剂量常用范围为1~10mg。特拉唑嗪用于治疗良性前列腺增生(BPH),用药后良性前列腺增生症状减轻和尿流速改善与膀胱颈和前列腺中的α1-肾上腺素能受体阻断所引起的平滑肌松弛有关。因为在膀胱体中有相对少的α1-肾上腺素能受体,因此特拉唑嗪能够减轻膀胱出口的阻塞而不影响膀胱的收缩。此外,特拉唑嗪通过减少总外周血管阻力从而使血压降低。特拉唑嗪的血管舒张、血压降低作用似乎主要是由α1-肾上腺素能受体阻断所引起的。Terazosin is usually used in clinical practice with its hydrochloride salt, and the specifications of the marketed tablets or capsules are 1 mg, 2 mg, and 5 mg. Terazosin hydrochloride can be used to treat benign prostatic hyperplasia and can also be used to treat hypertension. It can be used alone or in combination with other antihypertensive drugs such as diuretics or alpha 1-adrenergic blockers. For existing clinical indications, the daily dose of terazosin for adults is usually in the range of 1 to 10 mg. Terazosin is used to treat benign prostatic hyperplasia (BPH), and the reduction in benign prostatic hyperplasia and improvement in urinary flow rate after administration are associated with smooth muscle relaxation caused by alpha1-adrenergic receptor blockade in the bladder neck and prostate. Because there are relatively few alpha 1-adrenergic receptors in the bladder, terazosin can reduce blockage of the bladder outlet without affecting bladder contraction. In addition, terazosin lowers blood pressure by reducing total peripheral vascular resistance. The vasodilation and blood pressure lowering effects of terazosin appear to be mainly caused by blockade of α1-adrenergic receptors.
特拉唑嗪化学名为(4-(4-氨基-6,7-二甲氧基喹唑啉-2-基)哌嗪-1-基)(四氢呋喃-2-基)甲酮,分子式为C19H25N5O4,化学结构式为以下式I:The chemical name of terazosin is (4-(4-amino-6,7-dimethoxyquinazolin-2-yl)piperazin-1-yl)(tetrahydrofuran-2-yl)methanone, the molecular formula is C 19 H 25 N 5 O 4 , the chemical structural formula is the following formula I:
Figure PCTCN2016080466-appb-000001
Figure PCTCN2016080466-appb-000001
特拉唑嗪(Terazosin,在本文中可以用TZ代替)通常以其盐酸盐用于临床,已上市片剂或胶囊剂的规格有1mg、2mg和5mg。盐酸特拉唑嗪可用于治疗良性前列腺增生,也可用于治疗高血压,可单独使用或与其它抗高血压药物如利尿剂或α1-肾上腺素能阻滞剂联合使用。特拉唑嗪用于治疗良性前列腺增生(BPH),用药后良性前列腺增生症状减轻和尿流速改善与膀胱颈和前列腺中的α1-肾上腺素能受体阻断所引起的平滑肌松弛有关。因为在膀胱体中有相对少的α1-肾上腺素能受体,因此特拉唑嗪能够减轻膀胱出口的阻塞而不影响膀胱的收缩。此外,特拉唑嗪通过减少总外周血管阻力从而使血压降低。特拉唑嗪的血管舒张、血压降低作用主要是由α1-肾上腺素能受体阻断所引起的。Terazosin (which can be replaced by TZ herein) is usually used clinically as its hydrochloride salt, and the specifications of the marketed tablets or capsules are 1 mg, 2 mg and 5 mg. Terazosin hydrochloride can be used to treat benign prostatic hyperplasia and can also be used to treat hypertension. It can be used alone or in combination with other antihypertensive drugs such as diuretics or alpha 1-adrenergic blockers. Terazosin is used to treat benign prostatic hyperplasia (BPH), and the reduction in benign prostatic hyperplasia and improvement in urinary flow rate after administration are associated with smooth muscle relaxation caused by alpha1-adrenergic receptor blockade in the bladder neck and prostate. Because there are relatively few alpha 1-adrenergic receptors in the bladder, terazosin can reduce blockage of the bladder outlet without affecting bladder contraction. In addition, terazosin lowers blood pressure by reducing total peripheral vascular resistance. The vasodilation and blood pressure lowering effects of terazosin are mainly caused by the blockade of α1-adrenergic receptors.
血管衰老在整个个体衰老中发挥了极其重要的作用。随着年龄的增长,机体在细胞、组织、器官这些不同水平都积累了越来越多的损伤,血管的不同部分(内皮细胞,平滑肌细胞等)也同样经历损伤, 导致血流速度减慢、血脂、血胆固醇浓度增加,严重时表现为动脉粥样硬化,这些病变增加了多种心血管疾病发生的可能性,例如心肌梗死和脑卒中等。而目前临床上,没有一种药物能够通过保护血管,维持血管正常功能而达到抵抗衰老的目的。Vascular aging plays an extremely important role in the aging of individuals. With the increase of age, the body has accumulated more and more damage at different levels of cells, tissues and organs. Different parts of the blood vessels (endothelial cells, smooth muscle cells, etc.) also experience damage. It causes slowing of blood flow, increase of blood lipids and blood cholesterol, and severe atherosclerosis. These lesions increase the possibility of various cardiovascular diseases, such as myocardial infarction and stroke. At present, no clinical drug can achieve the purpose of resisting aging by protecting blood vessels and maintaining the normal function of blood vessels.
因此,本领域仍然期待能为临床上提供具有抗衰老功能甚至其它有益功能的药物。Therefore, the art still expects to be clinically available with anti-aging functions and even other beneficial functions.
发明内容Summary of the invention
本发明的目的在于为临床上提供一种具有抗衰老功能甚至其它有益功能的药物。本发明发现,特拉唑嗪及其类似物能够降低细胞水平和小鼠、线虫在体水平的衰老,纠正衰老过程中伴随产生的诸多不良因素(体重、血糖、胰岛素水平等),并且,与特拉唑嗪具有相近结构的其他唑嗪类化合物也具有类似的功能。这一发现,为治疗/降低心脑血管疾病提供了重要的方案。本发明基于此发现而得以完成。It is an object of the present invention to provide a clinically useful drug having anti-aging and even other beneficial functions. The present inventors have found that terazosin and its analogues can reduce cell level and aging of mice and nematodes at the body level, and correct many adverse factors (body weight, blood sugar, insulin levels, etc.) accompanying aging, and Other azozoazines with similar structures of terazosin have similar functions. This finding provides an important solution for the treatment/reduction of cardiovascular and cerebrovascular diseases. The present invention has been completed based on this finding.
为此,本发明提供了以下式I化合物或其药用盐或其溶剂合物的制药用途,用于制备延缓哺乳动物衰老的药物,或者用于制备改善哺乳期机体代谢的药物:To this end, the present invention provides a pharmaceutical use of a compound of formula I, or a pharmaceutically acceptable salt thereof, or a solvate thereof, for the manufacture of a medicament for delaying aging in a mammal, or for the preparation of a medicament for improving metabolism during lactation:
Figure PCTCN2016080466-appb-000002
Figure PCTCN2016080466-appb-000002
其中R1为氢或者甲氧基,R2是选自下列的基团:Wherein R1 is hydrogen or methoxy, and R2 is a group selected from the group consisting of:
Figure PCTCN2016080466-appb-000003
Figure PCTCN2016080466-appb-000003
以上各表示R2的基团中,在N原子上的键连接到式I的R2处。In the above groups each representing R2, the bond at the N atom is bonded to R2 of the formula I.
根据本发明的制药用途,其中所述式I化合物选自:特拉唑嗪、多沙唑嗪、哌唑嗪、布那唑嗪、阿夫唑嗪、曲马唑嗪及其药用盐或其溶剂合物。Pharmaceutical use according to the invention, wherein the compound of formula I is selected from the group consisting of: terazosin, doxazosin, prazosin, bunazosin, alfuzosin, tramazosin and pharmaceutically acceptable salts thereof Its solvate.
根据本发明的制药用途,其中所述药用盐例如是所述化合物的盐酸盐、磷酸盐、苯磺酸盐、甲磺酸盐、硫酸盐、硝酸盐。Pharmaceutical use according to the invention, wherein the pharmaceutically acceptable salt is, for example, the hydrochloride, phosphate, benzenesulfonate, methanesulfonate, sulfate, nitrate of the compound.
根据本发明的制药用途,其中所述溶剂合物是所述化合物或其药用盐的水合物,例如一水合物、 二水合物等。A pharmaceutical use according to the present invention, wherein the solvate is a hydrate of the compound or a pharmaceutically acceptable salt thereof, such as a monohydrate, Dihydrate and the like.
在本文具体试验中,使用到特拉唑嗪时,如未另外特别地说明,使用的是其盐酸盐二水合物进行试验的。In the specific test herein, when terazosin was used, it was tested using its hydrochloride dihydrate, unless otherwise specifically stated.
根据本发明的制药用途,其中所述衰老是与血管内皮细胞有关的衰老。Pharmaceutical use according to the invention wherein the aging is aging associated with vascular endothelial cells.
根据本发明的制药用途,其中所述延缓衰老是维持机体在衰老过程中内皮细胞间的紧密连接从而维持血管的健康状态,从而延缓哺乳动物衰老。According to the pharmaceutical use of the present invention, the delaying of aging is to maintain a tight connection between endothelial cells of the body during aging to maintain the health of the blood vessel, thereby delaying aging of the mammal.
根据本发明的制药用途,其中所述延缓衰老是哺乳动物血管内壁斑块形成的减少。例如,所述延缓衰老是减少动脉粥样硬化所致血管内壁的斑块形成。According to the pharmaceutical use of the present invention, the delayed aging is a reduction in plaque formation in the blood vessel wall of a mammal. For example, the delaying of aging is to reduce plaque formation in the inner wall of blood vessels caused by atherosclerosis.
根据本发明的制药用途,其中所述延缓衰老是延缓机体整体水平的衰老。According to the pharmaceutical use of the present invention, the delaying of aging is to delay the aging of the body as a whole.
根据本发明的制药用途,其中所述改善哺乳期机体代谢是指改善哺乳期机体与其体重、血糖、胰岛素水平等方面有关的代谢。According to the pharmaceutical use of the present invention, the improving metabolism during lactation refers to improving the metabolism of the body during lactation in relation to its body weight, blood sugar, insulin level and the like.
根据本发明的制药用途,其中所述改善哺乳期机体代谢是指降低高胆固醇所致动脉粥样硬化的机体的体重、血糖、胰岛素水平。According to the pharmaceutical use of the present invention, the improvement of body metabolism during lactation refers to a reduction in body weight, blood sugar, and insulin levels of a body having high cholesterol-induced atherosclerosis.
根据本发明的制药用途,其中所述改善哺乳期机体代谢是指改善高胆固醇所致动脉粥样硬化的机体的摄食量,特别是增加高胆固醇所致动脉粥样硬化的机体的摄食量。According to the pharmaceutical use of the present invention, the improvement of body metabolism during lactation refers to an improvement in the food intake of a body having high cholesterol-induced atherosclerosis, particularly an increase in the food intake of a body having high cholesterol-induced atherosclerosis.
在本发明中,典型的,特拉唑嗪(Terazosin),其化学名为(4-(4-氨基-6,7-二甲氧基喹唑啉-2-基)哌嗪-1-基)(四氢呋喃-2-基)甲酮,分子式为C19H25N5O4,结构式为:In the present invention, typical, Terazosin, whose chemical name is (4-(4-amino-6,7-dimethoxyquinazolin-2-yl)piperazin-1-yl ) (tetrahydrofuran-2-yl)methanone, the molecular formula is C19H25N5O4, the structural formula is:
Figure PCTCN2016080466-appb-000004
Figure PCTCN2016080466-appb-000004
典型的,多沙唑嗪(Doxazosin),特别是甲磺酸多沙唑嗪,其化学名称为:[1-(4-氨基-6,7-二甲氧基-2-喹唑啉基)-4-(1,4-苯并二噁烷-2-撑羰基)]哌嗪甲磺酸盐,分子式:C23H25N5O5·CH3SO3H,分子量:547.59,化学结构式为:Typically, doxazosin, especially doxazosin mesylate, has the chemical name: [1-(4-amino-6,7-dimethoxy-2-quinazolinyl) 4-(1,4-benzodioxan-2-butanylcarbonyl)]piperazine methanesulfonate, molecular formula: C23H25N5O5·CH3SO3H, molecular weight: 547.59, chemical structural formula:
Figure PCTCN2016080466-appb-000005
Figure PCTCN2016080466-appb-000005
多沙唑嗪在临床上常用于:1.原发性轻、中度高血压。对于单独用药难以控制血压的患者,可与 利尿剂、β受体阻滞剂、钙拮抗剂或血管紧张素转化酶抑制剂(ACEI)合用;2.良性前列腺增生的对症治疗。Doxazosin is commonly used in clinical practice: 1. Primary mild to moderate hypertension. For patients who have difficulty controlling blood pressure by medication alone, Diuretics, beta blockers, calcium antagonists or angiotensin converting enzyme inhibitors (ACEI); 2. Symptomatic treatment of benign prostatic hyperplasia.
典型的,哌唑嗪(Prazosin),特别是盐酸哌唑嗪,其化学名称为:1-(4-氨基-6,7-二甲氧基-2-喹唑啉基)-4-(2-呋喃甲酰)哌嗪盐酸盐,化学结构式为:Typically, Prazosin, especially prazosin hydrochloride, has the chemical name: 1-(4-amino-6,7-dimethoxy-2-quinazolinyl)-4-(2 - furoyl) piperazine hydrochloride, the chemical structural formula is:
Figure PCTCN2016080466-appb-000006
Figure PCTCN2016080466-appb-000006
哌唑嗪在临床上常用于轻、中度高血压。其能降低心脏的前、后负荷,亦用于治疗心功能不全。Prazosin is commonly used in clinical practice for mild to moderate hypertension. It can reduce the front and back load of the heart and is also used to treat cardiac insufficiency.
典型的,布那唑嗪(Bunazosin),特别是盐酸布那唑嗪,其化学名为:1-[4-(4-氨基-6,7-二甲氧基喹唑啉-2-基)-1,4-二氮杂环庚烷-1-基]丁-1-酮盐酸盐,英文名称:1-Butanone,1-[4-(4-amino-6,7-dimethoxy-2-quinazolinyl)hexahydro-1H-1,4-diazepin-1-yl]-,hydrochloride(1:1),CAS No.:52712-76-2,分子式:C19H27N5O3.HCl,分子量:409.91,化学结构式为:Typically, Bunazosin, especially bunazosin hydrochloride, has the chemical name: 1-[4-(4-amino-6,7-dimethoxyquinazolin-2-yl) -1,4-diazepan-1-yl]butan-1-one hydrochloride, English name: 1-Butanone, 1-[4-(4-amino-6,7-dimethoxy-2- Quinazolinyl)hexahydro-1H-1,4-diazepin-1-yl]-,hydrochloride (1:1),CAS No.:52712-76-2, molecular formula: C19H27N5O3.HCl, molecular weight: 409.91, chemical structural formula:
Figure PCTCN2016080466-appb-000007
Figure PCTCN2016080466-appb-000007
布那唑嗪在临床上常用于原发性高血压、肾性高血压及嗜铬细胞瘤引起的高血压等。Bunazosin is commonly used clinically for essential hypertension, renal hypertension, and hypertension caused by pheochromocytoma.
典型的,阿夫唑嗪(Alfuzosin),例如盐酸阿夫唑嗪,其化学名称:N-[3-[(4-氨基-6,7-二甲氧基-2-喹唑啉基)-甲氨基]丙基]四氢-2-呋喃甲酰胺盐酸盐,分子式:C19H27N5O4·HCI,分子量:425.91,化学结构式为:Typically, alfuzosin, such as alfuzosin hydrochloride, has the chemical name: N-[3-[(4-amino-6,7-dimethoxy-2-quinazolinyl)- Methylamino]propyl]tetrahydro-2-furancarboxamide hydrochloride, molecular formula: C19H27N5O4·HCI, molecular weight: 425.91, chemical structural formula:
Figure PCTCN2016080466-appb-000008
Figure PCTCN2016080466-appb-000008
阿夫唑嗪在临床上常用于缓解良性前列腺增生症状。 Alfuzosin is often used clinically to relieve symptoms of benign prostatic hyperplasia.
典型的,曲马唑嗪(Trimazosin),其化学结构式为:Typically, Trimazosin has a chemical structural formula of:
Figure PCTCN2016080466-appb-000009
Figure PCTCN2016080466-appb-000009
曲马唑嗪在临床上常用于降低血压,可用于高血压。Tramadrazine is commonly used clinically to lower blood pressure and can be used for hypertension.
附图说明DRAWINGS
图1描述了特拉唑嗪对依托泊苷引起的细胞衰老影响,显示特拉唑嗪对亚死亡浓度(2uM)依托泊苷引起的细胞衰老,衰老标记物p16、p21转录水平的影响(图中,纵坐标fold change表示倍数变化,横坐标ctrl表示对照,Etoposide表示依托泊苷,TZ0.1uM表示0.1uM的特拉唑嗪,下文有类似术语时均有同样的含义)。Figure 1 depicts the effect of terazosin on cell senescence induced by etoposide, showing the effect of terazosin on sub-death concentration (2uM) of etoposide-induced cellular senescence, aging markers p16, p21 transcription (Figure In the middle, the fold change indicates a fold change, the abscissa ctrl indicates a control, Etoposide indicates etoposide, and TZ0.1uM indicates 0.1 uM terazosin, which has the same meaning when similar terms are used below).
图2和图3描述了特拉唑嗪对双氧水引起的细胞衰老影响。图2显示使用亚死亡浓度(50uM)双氧水引起的细胞衰老,同时用特拉唑嗪处理细胞,检测衰老标记物p16、p21转录水平的影响。Figures 2 and 3 depict the effect of terazosin on cellular senescence induced by hydrogen peroxide. Figure 2 shows cell senescence induced by sub-death concentration (50 uM) of hydrogen peroxide, while cells were treated with terazosin to examine the effects of senescence markers p16, p21 transcription levels.
图2和图3:描述了特拉唑嗪对双氧水引起的细胞衰老影响,图3显示用亚死亡浓度(50uM)双氧水引起的细胞衰老,同时用特拉唑嗪处理细胞,检测SA-β-Gal染色并统计(图中,纵坐标positive/%表示增加百分数)。Figure 2 and Figure 3: Describe the effect of terazosin on cellular senescence induced by hydrogen peroxide. Figure 3 shows cell senescence induced by sub-death concentration (50 uM) of hydrogen peroxide, while treating cells with terazosin to detect SA-β- Gal staining and statistics (in the figure, the ordinate positive/% indicates an increase percentage).
图4:描述了特拉唑嗪对衰老刺激引起的VE cadherin磷酸化水平的影响,结果显示,用依托泊苷(2uM)和双氧水(50uM)会引起VE cadherin的磷酸化水平增加从而引起衰老,而当追加特拉唑嗪时,特拉唑嗪能够抑制VE cadherin的磷酸化水平增加,从而延缓衰老。Figure 4: depicts the effect of terazosin on VE cadherin phosphorylation induced by senescence stimulation. The results show that etoposide (2uM) and hydrogen peroxide (50uM) cause an increase in the phosphorylation level of VE cadherin, causing aging. When terazosin is added, terazosin can inhibit the increase of phosphorylation of VE cadherin and delay aging.
图5:描述了特拉唑嗪对动脉粥样硬化小鼠血管内壁斑块的影响;饲喂高胆固醇食物12周后用灌注多聚甲醛方式将小鼠全身固定,取出血管做油红O染色并统计结果;图中纵坐标“lesion area”表示“损伤面积”。Figure 5: Describes the effect of terazosin on vascular plaques in atherosclerotic mice; after 12 weeks of feeding high cholesterol foods, mice were fixed by perfusion of paraformaldehyde, and blood vessels were removed for oil red O staining. And statistical results; the ordinate "lesion area" in the figure means "damage area".
图6:描述了特拉唑嗪对秀丽线虫寿命的影响;在正常饲养的秀丽线虫食物(大肠杆菌)中加入特拉唑嗪,统计线虫存活;图中纵坐标“survival”表示“存活率”,横坐标“days”表示时间天数。Figure 6: depicts the effect of terazosin on the lifespan of C. elegans; the addition of terazosin to normal nematode food (E. coli), statistical nematode survival; the ordinate "survival" in the figure means "survival rate" The abscissa "days" indicates the number of days.
图7:描述了特拉唑嗪对动脉粥样硬化小鼠体重的影响;给予ApoE KO小鼠高胆固醇饲料饲喂,并每天给予小鼠腹腔注射特拉唑嗪(0.08mg/kg),统计饲喂/药物处理12周小鼠体重变化;图中纵坐标“body weight increase”表示“体重增加”,横坐标“Normal diet”表示“正常饮食”,“High cholesterol”表示“高胆固醇”。Figure 7: Describes the effect of terazosin on the body weight of atherosclerotic mice; ApoE KO mice were fed a high cholesterol diet, and mice were given daily intraperitoneal injection of terazosin (0.08 mg/kg). Feed/drug treatment changes in body weight at 12 weeks; in the figure, the ordinate "body weight increase" means "weight gain", the abscissa "Normal diet" means "normal diet", and "High cholesterol" means "high cholesterol".
图8:描述了特拉唑嗪对动脉粥样硬化小鼠血糖的影响;分别在小鼠饱食和禁食16小时后测定小 鼠血糖;图中纵坐标“Glucose”表示“葡萄糖”的水平。Figure 8: depicts the effect of terazosin on blood glucose in atherosclerotic mice; small in mice after 16 hours of fasting and fasting Rat blood glucose; the ordinate "Glucose" in the figure indicates the level of "glucose".
图9:描述了特拉唑嗪对动脉粥样硬化小鼠血液胰岛素水平的影响;分别在小鼠高胆固醇饲喂和禁食16小时后取血测定小鼠胰岛素;图中,纵坐标“Insulin”是“胰岛素水平”;横坐标“ApoE KO”表示“高胆固醇饲喂”,ctrl表示试验前2组动物的胰岛素水平;图中“Fasting insulin”表示“禁食组胰岛素水平”,“Normal insulin”表示“正常组胰岛素水平”。Figure 9: Describes the effect of terazosin on blood insulin levels in atherosclerotic mice; blood was measured in mice after high cholesterol feeding and fasting for 16 hours; in the figure, the ordinate "Insulin "It is the "insulin level"; the abscissa "ApoE KO" means "high cholesterol feeding", ctrl indicates the insulin levels of the two groups before the test; "Fasting insulin" means "fasting insulin level", "Normal insulin" "Expresses "normal insulin levels".
图10:描述了特拉唑嗪对动脉粥样硬化小鼠摄食量的影响;每周称取小鼠食物重量并进行统计。Figure 10: depicts the effect of terazosin on food intake in atherosclerotic mice; mouse food weights were weighed weekly and counted.
具体实施方式detailed description
通过下面的实施例可以对本发明进行进一步的描述,然而,本发明的范围并不限于下述实施例。本领域的专业人员能够理解,在不背离本发明的精神和范围的前提下,可以对本发明进行各种变化和修饰。本发明对试验中所使用到的材料以及试验方法进行一般性和/或具体的描述。虽然为实现本发明目的所使用的许多材料和操作方法是本领域公知的,但是本发明仍然在此作尽可能详细描述。以下实施例进一步说明本发明,而不是限制本发明。任何依据本发明构思所作出的仅仅为形式上的而非实质性的等效变换都应视为本发明的技术方案范畴。The invention is further described by the following examples, however, the scope of the invention is not limited to the embodiments described below. A person skilled in the art will appreciate that various changes and modifications can be made to the invention without departing from the spirit and scope of the invention. The present invention provides a general and/or specific description of the materials and test methods used in the tests. While many of the materials and methods of operation used to accomplish the objectives of the present invention are well known in the art, the present invention is still described in detail herein. The following examples further illustrate the invention and are not intended to limit the invention. Any equivalent transformations that are made in accordance with the inventive concept only as a form rather than a substantial one are considered to be within the scope of the invention.
实施例1:特拉唑嗪抑制(血管内皮)细胞衰老的研究Example 1: Study of terazosin inhibition (vascular endothelial cell) cell senescence
试验1a:Test 1a:
本实验中,使用不会引起细胞死亡的低浓度依托泊苷(2μM)通过引起DNA损伤(具体实验方法参见:Meresse P,Dechaux E,Monneret C,Bertounesque E(2004)Etoposide:discovery and medicinal chemistry.Current medicinal chemistry 11:2443-2466)而诱导HUVEC(人脐带血管内皮细胞)衰老,24小时后提取RNA,反转成cDNA后,用Real-time PCR检测转录水平衰老标记物p16、p21(具体实验方法参见:Herbig U,Sedivy JM(2006)Regulation of growth arrest in senescence:telomere damage is not the end of the story.Mechanisms of ageing and development 127:16-24)的变化。结果显示,依托泊苷处理能够诱导细胞衰老,导致衰老标记物p16、p21转录水平增加,特拉唑嗪能够显著地降低依托泊苷引起的衰老标记物p16、p21的增加(与依托泊苷组相比p<0.01),具体结果参见图1。In this experiment, DNA damage was induced by using a low concentration of etoposide (2 μM) that did not cause cell death (for specific experimental methods, see: Meresse P, Dechaux E, Monneret C, Bertounesque E (2004) Etoposide: discovery and medicinal chemistry. Current medicinal chemistry 11:2443-2466) induced HUVEC (human umbilical cord vascular endothelial cells) senescence, extracted RNA 24 hours later, reversed into cDNA, and detected transcript level aging markers p16, p21 by Real-time PCR (specific experiment See, for example, Herbig U, Sedivy JM (2006) Regulation of growth arrest in senescence: telomere damage is not the end of the story. Mechanisms of ageing and development 127: 16-24). The results showed that etoposide treatment induced cell senescence, resulting in increased levels of aging markers p16 and p21, and terazosin significantly reduced etoposide-induced increases in senescence markers p16 and p21 (with etoposide group). See Figure 1 for specific results compared to p < 0.01).
图1描述了特拉唑嗪对依托泊苷引起的细胞衰老影响,显示特拉唑嗪对亚死亡浓度(2uM)依托泊苷引起的细胞衰老,衰老标记物p16、p21转录水平的影响(图中,纵坐标fold change表示倍数变化,横坐标ctrl表示对照,Etoposide表示依托泊苷,TZ0.1uM表示0.1uM的特拉唑嗪,下文有类似术语时均有同样的含义)。Figure 1 depicts the effect of terazosin on cell senescence induced by etoposide, showing the effect of terazosin on sub-death concentration (2uM) of etoposide-induced cellular senescence, aging markers p16, p21 transcription (Figure In the middle, the fold change indicates a fold change, the abscissa ctrl indicates a control, Etoposide indicates etoposide, and TZ0.1uM indicates 0.1 uM terazosin, which has the same meaning when similar terms are used below).
试验1b:Test 1b:
在本发明类似的试验中,同样的,用非致死浓度的双氧水(即H2O2,50μM)也能诱导细胞衰老(具体实验方法参见:Vigneron A,Vousden KH(2010)p53,ROS and senescence in the control of aging.Aging2:471-474),引起衰老标记物p16、p21的增加;在追加特拉唑嗪时,特拉唑嗪能够降低它们的增加(与双氧水组相比p<0.05);具体结果参见图2。In a similar test of the present invention, cell senescence was also induced by a non-lethal concentration of hydrogen peroxide (i.e., H 2 O 2 , 50 μM) (for specific experimental methods, see: Vigneron A, Vousden KH (2010) p53, ROS and senescence. In the control of aging. Aging 2: 471-474), causing an increase in aging markers p16, p21; terazosin was able to reduce their increase in the addition of terazosin (p<0.05 compared to the hydrogen peroxide group) See Figure 2 for specific results.
图2显示使用亚死亡浓度(50uM)双氧水引起的细胞衰老,同时用特拉唑嗪处理细胞,检测衰老标 记物p16、p21转录水平的影响。Figure 2 shows cell senescence caused by sub-death concentration (50 uM) of hydrogen peroxide, while treating cells with terazosin to detect aging The effect of transcription levels of p16 and p21.
试验1c:Test 1c:
进一步地,除了检测p16、p21转录水平,本发明还使用β-Gal染色的方法检测细胞衰老(具体实验方法参见:Sikora E,Arendt T,Bennett M,Narita M(2011)Impact of cellular senescence signature on ageing research.Ageing research reviews 10:146-152)。结果显示,双氧水(50μM)也能诱导细胞衰老,导致β-Gal染色增加;在追加特拉唑嗪0.1uM时,特拉唑嗪能够显著地降低衰老刺激引起的β-Gal染色信号增加(与双氧水组相比p<0.01),统计结果见下图3。Further, in addition to detecting the transcription levels of p16 and p21, the present invention also detects cell senescence using a method of β-Gal staining (for specific experimental methods, see: Sikora E, Arendt T, Bennett M, Narita M (2011) Impact of cellular senescence signature on Ageing research.Ageing research reviews 10:146-152). The results showed that hydrogen peroxide (50 μM) also induced cell senescence, resulting in increased β-Gal staining; at the addition of terazosin 0.1 uM, terazosin significantly reduced the β-Gal staining signal caused by aging stimulation (and The hydrogen peroxide group was compared with p<0.01), and the statistical results are shown in Figure 3 below.
图3显示用亚死亡浓度(50uM)双氧水引起的细胞衰老,同时用特拉唑嗪处理细胞,检测SA-β-Gal染色并统计(图中,纵坐标positive/%表示增加百分数)。Figure 3 shows cell senescence induced by sub-death concentration (50 uM) of hydrogen peroxide, while cells were treated with terazosin, and SA-β-Gal staining was detected and counted (in the figure, ordinate positive/% indicates an increase percentage).
试验1d:Test 1d:
正常生理条件下,血管内皮细胞细胞膜表面VE cadherin蛋白形成同源二聚体,而且相邻细胞间的VE cadherin通过直接的相互作用保持平滑肌细胞间的紧密连接,从而维持血管的稳定性(参见:Dejana E,Orsenigo F(2013)Endothelial adherens junctions at a glance.Journal of cell science 126:2545-2549)。在衰老过程中,VE cadherin首先在胞内区被磷酸化,然后缩进细胞中,继而细胞间相互作用逐渐减弱至消失,血管内皮细胞间隙变大,使血管通透性增加(参见:Quadri SK(2012)Cross talk between focal adhesion kinase and cadherins:role in regulating endothelial barrier function.Microvascular research 83:3-11)。Under normal physiological conditions, VE cadherin protein forms a homodimer on the surface of vascular endothelial cells, and VE cadherin between adjacent cells maintains tight junctions between smooth muscle cells through direct interaction, thereby maintaining vascular stability (see: Dejana E, Orsenigo F (2013) Endothelial adherens junctions at a glance. Journal of cell science 126:2545-2549). During aging, VE cadherin is first phosphorylated in the intracellular region and then indented into cells, and then the intercellular interaction gradually weakens to disappear, and the vascular endothelial cell gap becomes larger, increasing vascular permeability (see: Quadri SK) (2012) Cross talk between focal adhesion kinase and cadherins: role in regulating endothelial barrier function. Microvascular research 83: 3-11).
在本实施例中,本发明人用western blot方法检测磷酸化的VE cadherin水平,如图4显示的,非致死浓度的依托泊苷(2μM)和双氧水(50μM)会引起VE cadherin的磷酸化水平增加;在追加特拉唑嗪0.1uM时,特拉唑嗪能够减少其增加。这种结果意味着特拉唑嗪可以维持衰老过程中内皮细胞间的紧密连接从而维持血管的健康状态。In this example, the inventors detected the phosphorylated VE cadherin levels by western blot. As shown in Figure 4, non-lethal concentrations of etoposide (2 μM) and hydrogen peroxide (50 μM) caused phosphorylation of VE cadherin. Increase; terazosin can reduce its increase when additional terazosin 0.1uM is added. This result means that terazosin can maintain a tight junction between endothelial cells during aging to maintain the health of the blood vessels.
图4描述了特拉唑嗪对衰老刺激引起的VE cadherin磷酸化水平的影响,结果显示,用依托泊苷(2uM)和双氧水(50uM)会引起VE cadherin的磷酸化水平增加从而引起衰老,而当追加特拉唑嗪时,特拉唑嗪能够抑制VE cadherin的磷酸化水平增加,从而延缓衰老。Figure 4 depicts the effect of terazosin on the phosphorylation of VE cadherin induced by senescence stimulation. The results show that etoposide (2uM) and hydrogen peroxide (50uM) cause an increase in the phosphorylation level of VE cadherin, which causes aging. When terazosin is added, terazosin inhibits the increase in phosphorylation of VE cadherin, thereby delaying aging.
实施例2:特拉唑嗪减少动脉粥样硬化小鼠模型中血管内壁的斑块形成的试验Example 2: Triazosin reduces plaque formation in the vascular wall of a mouse model of atherosclerosis
动脉粥样硬化发生发展中,血管内壁会产生由衰老/死亡的内皮细胞、血管平滑肌细胞、巨噬细胞、脂类、钙离子等堆积产生的“斑块”,斑块的形成轻则引起血管坚硬,严重的可能直接引起血管堵塞。高胆固醇饲喂ApoE KO小鼠12周后,全身灌注固定后,将主动脉弓连同胸段解剖,用油红O染色(具体试验方法参见:Chen Z,Ishibashi S,Perrey S,Osuga J,Gotoda T,Kitamine T,Tamura Y,Okazaki H,Yahagi N,Iizuka Y,Shionoiri F,Ohashi K,Harada K,Shimano H,Nagai R,Yamada N(2001)Troglitazone inhibits atherosclerosis in apolipoprotein E-knockout mice:pleiotropic effects on CD36 expression and HDL.Arteriosclerosis,thrombosis,and vascular biology 21:372-377)。结果显示,高胆固醇饲喂会引起斑块形成,呈现脂肪染色阳性,注射特拉唑嗪组斑块显著地减少(与ApoE KO组相比p<0.01),统计结果见图5。 In the development of atherosclerosis, the lining of the blood vessels produces "plaques" caused by the accumulation of aging/dead endothelial cells, vascular smooth muscle cells, macrophages, lipids, calcium ions, etc., and the formation of plaques causes blood vessels. Hard, severe may directly cause vascular blockage. After 12 weeks of high cholesterol feeding to ApoE KO mice, after total systemic perfusion fixation, the aortic arch was dissected along with the thoracic segment and stained with Oil Red O (for specific test methods, see: Chen Z, Ishibashi S, Perrey S, Osuga J, Gotoda T, Kitamine T, Tamura Y, Okazaki H, Yahagi N, Iizuka Y, Shionoiri F, Ohashi K, Harada K, Shimano H, Nagai R, Yamada N (2001) Troglitazone inhibits atherosclerosis in apolipoprotein E-knockout mice: pleiotropic effects on CD36 expression And HDL.Arteriosclerosis, thrombosis, and vascular biology 21:372-377). The results showed that high cholesterol feeding caused plaque formation and showed positive fat staining. The plaques injected into the terazosin group were significantly reduced (p<0.01 compared with the ApoE KO group). The statistical results are shown in Fig. 5.
图5:描述了特拉唑嗪对动脉粥样硬化小鼠血管内壁斑块的影响。饲喂高胆固醇食物12周后用灌注多聚甲醛方式将小鼠全身固定,取出血管做油红O染色并统计结果。图中纵坐标“lesion area”表示“损伤面积”。Figure 5: depicts the effect of terazosin on vascular plaques in atherosclerotic mice. After 12 weeks of feeding high-cholesterol food, the mice were fixed by perfusion of paraformaldehyde, and blood vessels were taken out for oil red O staining and statistical results were obtained. In the figure, the ordinate "lesion area" means "damage area".
实施例3:特拉唑嗪能够延长秀丽线虫的寿命Example 3: Terazosin can prolong the lifespan of C. elegans
血管衰老在正常生理衰老中发挥了重要的作用。本发明已经证明了特拉唑嗪能够抑制血管内皮细胞的衰老,进一步的疑问是:特拉唑嗪是否能够影响整体水平上的衰老?为此,本发明人在正常饲喂的线虫食物大肠杆菌OP50中加入特拉唑嗪,然后每两天记录线虫的存活。结果显示,特拉唑嗪能够提高线虫的平均寿命,具体结果见图6。与本文从体内证明特拉唑嗪抗衰老效果的结果吻合,这一结果从体外证明了特拉唑嗪抗衰老的效果。Vascular aging plays an important role in normal physiological aging. The present invention has demonstrated that terazosin can inhibit the senescence of vascular endothelial cells. Further question is: Can terazosin affect aging at the overall level? To this end, the inventors added terazosin to the normally fed nematode food E. coli OP50, and then recorded the survival of the nematode every two days. The results show that terazosin can increase the average lifespan of nematodes, the specific results are shown in Figure 6. This article is consistent with the results of in vivo proof of the anti-aging effect of terazosin, which demonstrates the anti-aging effect of terazosin in vitro.
图6:描述了特拉唑嗪对秀丽线虫寿命的影响。在正常饲养的秀丽线虫食物(大肠杆菌)中加入特拉唑嗪,统计线虫存活。图中纵坐标“survival”表示“存活率”,横坐标“days”表示时间天数。Figure 6: depicts the effect of terazosin on the lifespan of C. elegans. Trazosin was added to normal nematode food (E. coli) and the nematode was counted for survival. In the figure, the ordinate "survival" means "survival rate", and the abscissa "days" means time days.
实施例4:特拉唑嗪降低高胆固醇所致动脉粥样硬化动物模型的体重、血糖、胰岛素水平Example 4: Terazosin reduces body weight, blood glucose, and insulin levels in an animal model of atherosclerosis caused by high cholesterol
维持血液中正常浓度的胆固醇对于维持心脏和血管功能极其重要,并且能够一定程度地预防诸如心脏病和脑卒中的心血管系统疾病(Rosendorff C(2002)Effects of LDL cholesterol on vascular function.Journal of human hypertension 16 Suppl 1:S26-28)。APOE(Apolipoprotein E)是极低密度脂蛋白(VLDLs)的重要组成部分之一,它能够将血液中的多余的胆固醇转移到肝脏使其被降解(van Dijk KW,Hofker MH,Havekes LM(1999)Dissection of the complex role of apolipoprotein E in lipoprotein metabolism and atherosclerosis using mouse models.Current atherosclerosis reports 1:101-107)。而ApoE基因敲除小鼠容易发生高胆固醇症,继而巨噬细胞等免疫细胞更易被“捕获”,最终在血管内壁形成由脂类、钙、细胞碎片、免疫细胞等形成的损伤斑块,影响血管正常功能,轻则导致血流变慢,供应受阻,重则直接引起血管堵塞(van Dijk KW,Hofker MH,Havekes LM(1999)Dissection of the complex role of apolipoprotein E in lipoprotein metabolism and atherosclerosis using mouse models.Current atherosclerosis reports 1:101-107)。Maintaining normal concentrations of cholesterol in the blood is extremely important for maintaining heart and vascular function, and can prevent cardiovascular diseases such as heart disease and stroke to a certain extent (Rosendorff C (2002) Effects of LDL cholesterol on vascular function. Journal of human Hypertension 16 Suppl 1: S26-28). APOE (Apolipoprotein E) is an important component of very low density lipoproteins (VLDLs) that transfer excess cholesterol from the blood to the liver for degradation (van Dijk KW, Hofker MH, Havekes LM (1999) Dissection of the complex role of apolipoprotein E in lipoprotein metabolism and atherosclerosis using mouse models. Current atherosclerosis reports 1:101-107). ApoE knockout mice are prone to hypercholesterolemia, and then immune cells such as macrophages are more likely to be "captured", eventually forming damage plaques formed by lipids, calcium, cell debris, immune cells, etc. on the inner wall of blood vessels. Normal function of the blood vessels, resulting in slower blood flow, blocked supply, and direct vascular occlusion (van Dijk KW, Hofker MH, Havekes LM (1999) Dissection of the complex role of apolipoprotein E in lipoprotein metabolism and atherosclerosis using mouse models .Current atherosclerosis reports 1:101-107).
本发明用高胆固醇饲料饲喂ApoE KO老鼠12周,每天按照体重给予0.08mg/kg特拉唑嗪腹腔注射,每天记录小鼠的体重变化。结果显示,高胆固醇饲喂能够引起小鼠体重显著增加,而经过特拉唑嗪处理的小鼠体重显著地低于高胆固醇饲喂组动物(与高胆固醇饲喂组动物相比,p<0.05),具体结果见图7。In the present invention, ApoE KO mice were fed with high cholesterol diet for 12 weeks, and 0.08 mg/kg terazosin was intraperitoneally administered per day according to body weight, and the body weight change of the mice was recorded every day. The results showed that high cholesterol feeding caused a significant increase in body weight in mice, while the body weight of mice treated with terazosin was significantly lower than that in the high cholesterol feeding group (p<0.05 compared with the animals in the high cholesterol feeding group). ), the specific results are shown in Figure 7.
图7:描述了特拉唑嗪对动脉粥样硬化小鼠体重的影响。给予ApoE KO小鼠高胆固醇饲料饲喂,并每天给予小鼠腹腔注射特拉唑嗪(0.08mg/kg),统计饲喂/药物处理12周小鼠体重变化。图中纵坐标“body weight increase”表示“体重增加”,横坐标“Normal diet”表示“正常饮食”,“High cholesterol”表示“高胆固醇”。Figure 7: depicts the effect of terazosin on body weight in atherosclerotic mice. ApoE KO mice were fed with high cholesterol diet, and mice were intraperitoneally injected with terazosin (0.08 mg/kg) daily, and the body weight of the mice fed for 12 weeks was counted. In the figure, the ordinate "body weight increase" means "weight gain", the abscissa "Normal diet" means "normal diet", and "High cholesterol" means "high cholesterol".
另外,在上述饲喂高胆固醇饲料期间,选取三周检测小鼠饱食和禁食16小时的血糖变化。结果见图8。结果显示,高胆固醇饲喂会引起小鼠饱食状态下血糖(PBG)增高,特拉唑嗪能够显著降低饱食血 糖增高(p=0.012);但是特拉唑嗪不会引起小鼠禁食条件下血糖(FBG)的变化。In addition, during the above-mentioned feeding of high cholesterol diet, the blood glucose changes of the mice were measured and fasted for 16 hours. The results are shown in Figure 8. The results showed that high cholesterol feeding caused an increase in blood glucose (PBG) in the satiety state of mice, and terazosin significantly reduced the blood in the mouth. Glucose increased (p = 0.012); however, terazosin did not cause changes in blood glucose (FBG) in mice under fasting conditions.
图8:描述了特拉唑嗪对动脉粥样硬化小鼠血糖的影响。分别在小鼠饱食和禁食16小时后测定小鼠血糖。图中纵坐标“Glucose”表示“葡萄糖”的水平。Figure 8: depicts the effect of terazosin on blood glucose in atherosclerotic mice. Mouse blood glucose was measured after the mice were fed and fasted for 16 hours. In the figure, the ordinate "Glucose" indicates the level of "glucose".
进一步地,在上述饲喂高胆固醇饲料期间,选取三周检测小鼠饱食和禁食16小时的胰岛素水平变化。结果见图9。结果显示,高胆固醇饲喂会引起正常状态下胰岛素水平增高,而在给予特拉唑嗪时,其能够显著降低上述胰岛素增高的情形(与未使用特拉唑嗪的高胆固醇饲喂组动物相比,p<0.05),但是特拉唑嗪不会引起禁食条件下胰岛素水平的变化。Further, during the above-mentioned feeding of the high cholesterol diet, the changes in insulin levels in the mice were measured and fasted for 16 hours. The results are shown in Figure 9. The results showed that high cholesterol feeding caused an increase in insulin levels under normal conditions, and when given terazosin, it significantly reduced the above-mentioned increase in insulin (compared with high cholesterol-fed animals without terazosin) Ratio, p < 0.05), but terazosin did not cause changes in insulin levels under fasting conditions.
图9:描述了特拉唑嗪对动脉粥样硬化小鼠血液胰岛素水平的影响。分别在小鼠高胆固醇饲喂和禁食16小时后取血测定小鼠胰岛素。图中,纵坐标“Insulin”是“胰岛素水平”;横坐标“ApoE KO”表示“高胆固醇饲喂”,ctrl表示试验前2组动物的胰岛素水平;图中“Fasting insulin”表示“禁食组胰岛素水平”,“Normal insulin”表示“正常组胰岛素水平”。Figure 9: depicts the effect of terazosin on blood insulin levels in atherosclerotic mice. Mouse insulin was measured by taking blood in mice after high cholesterol feeding and fasting for 16 hours. In the figure, the ordinate "Insulin" is "insulin level"; the abscissa "ApoE KO" means "high cholesterol feeding", ctrl indicates the insulin levels of the two groups before the test; "Fasting insulin" in the figure means "fasting group" "Insulin level", "Normal insulin" means "normal insulin level".
实施例5:特拉唑嗪引起小鼠摄食量增加的试验Example 5: Triazolazine-induced increase in food intake in mice
本发明用高胆固醇饲料饲喂ApoE KO老鼠12周,每天按照体重给予0.08mg/kg特拉唑嗪腹腔注射,每天记录小鼠的摄食量。结果显示,对于高胆固醇饲喂小鼠,同时给予特拉唑嗪的动物摄食量是未给予特拉唑嗪组的1.1倍,表明注射特拉唑嗪后小鼠摄食量增加,统计结果见图10。In the present invention, ApoE KO mice were fed with high cholesterol diet for 12 weeks, and 0.08 mg/kg of terazosin was intraperitoneally administered per day according to body weight, and the food intake of the mice was recorded every day. The results showed that for high cholesterol-fed mice, the food intake of terazosin was 1.1 times higher than that given to the terazosin group, indicating an increase in food intake after injection of terazosin. 10.
图10:描述了特拉唑嗪对动脉粥样硬化小鼠摄食量的影响。每周称取小鼠食物重量并进行统计。Figure 10: depicts the effect of terazosin on food intake in atherosclerotic mice. Mouse food weights were weighed weekly and counted.
参照以上实施例1-5的方法,将其中的特拉唑嗪改用等摩尔量的多沙唑嗪(Doxazosin,用其甲磺酸试验)、哌唑嗪(Prazosin,用其盐酸盐试验)、布那唑嗪(Bunazosin,用其盐酸盐试验)、阿呋唑嗪(Alfuzosin,用其盐酸盐试验)、或曲马唑嗪(Trimazosin,用其盐酸盐试验)进行试验,结果显示它们均呈现与上述各实施例中特拉唑嗪相似的效果,即它们均具有抗血管内皮细胞衰老、降低动脉粥样硬化小鼠模型中体重增加、血糖和胰岛素增加、引起饮食量增加、减少动脉粥样硬化小鼠模型中血管内壁斑块形成、延长线虫寿命等作用。Referring to the methods of Examples 1-5 above, the terazosin was changed to an equimolar amount of doxazosin (tested with methanesulfonic acid) and prazosin (prazosin). , Bunazosin (tested with its hydrochloride salt), alfuzosin (Alfuzosin, tested with its hydrochloride), or Trimazosin (Trimazosin, tested with its hydrochloride), The results showed that they all exhibited similar effects to terazosin in each of the above examples, that is, they all had anti-vascular endothelial cell senescence, decreased body weight in a mouse model of atherosclerosis, increased blood sugar and insulin, and caused an increase in diet. It can reduce the formation of plaque in the vascular wall and prolong the lifespan of nematodes in the mouse model of atherosclerosis.
产业适用性Industrial applicability
本发明提供了一种特拉唑嗪或其类似物的新的制药用途,这种新的制药用途可以为临床相关疾病的治疗提供新的选择方案。 The present invention provides a novel pharmaceutical use of terazosin or an analogue thereof that provides a new option for the treatment of clinically relevant diseases.

Claims (10)

  1. 以下式I化合物或其药用盐或其溶剂合物的制药用途,用于制备延缓哺乳动物衰老的药物,或者用于制备改善哺乳期机体代谢的药物:A pharmaceutical use of a compound of formula I, or a pharmaceutically acceptable salt thereof, or a solvate thereof, for the manufacture of a medicament for delaying aging in a mammal, or for the preparation of a medicament for improving metabolism during lactation:
    Figure PCTCN2016080466-appb-100001
    Figure PCTCN2016080466-appb-100001
    其中R1为氢或者甲氧基,R2是选自下列的基团:Wherein R1 is hydrogen or methoxy, and R2 is a group selected from the group consisting of:
    Figure PCTCN2016080466-appb-100002
    Figure PCTCN2016080466-appb-100002
  2. 根据权利要求1的制药用途,其中所述式I化合物选自:特拉唑嗪、多沙唑嗪、哌唑嗪、布那唑嗪、阿夫唑嗪、曲马唑嗪及其药用盐或其溶剂合物。A pharmaceutical use according to claim 1 wherein said compound of formula I is selected from the group consisting of terazosin, doxazosin, prazosin, bunazosin, alfuzosin, trimazolazine and pharmaceutically acceptable salts thereof Or a solvate thereof.
  3. 根据权利要求1的制药用途,其中所述药用盐例如是所述化合物的盐酸盐、磷酸盐、苯磺酸盐、甲磺酸盐、硫酸盐、硝酸盐。A pharmaceutical use according to claim 1 wherein said pharmaceutically acceptable salt is, for example, the hydrochloride, phosphate, benzenesulfonate, methanesulfonate, sulfate, nitrate of said compound.
  4. 根据权利要求1的制药用途,其中所述溶剂合物是所述化合物或其药用盐的水合物,例如一水合物、二水合物等。A pharmaceutical use according to claim 1, wherein the solvate is a hydrate of the compound or a pharmaceutically acceptable salt thereof, such as a monohydrate, a dihydrate or the like.
  5. 根据权利要求1的制药用途,其中所述衰老是与血管内皮细胞有关的衰老。The pharmaceutical use according to claim 1, wherein said aging is aging associated with vascular endothelial cells.
  6. 根据权利要求1的制药用途,其中所述延缓衰老是维持机体在衰老过程中内皮细胞间的紧密连接从而维持血管的健康状态,从而延缓哺乳动物衰老。The pharmaceutical use according to claim 1, wherein said delaying aging is to maintain a tight connection between endothelial cells of the body during aging to maintain the health of the blood vessel, thereby delaying aging of the mammal.
  7. 根据权利要求1的制药用途,其中所述延缓衰老是哺乳动物血管内壁斑块形成的减少。例如,所述延缓衰老是减少动脉粥样硬化所致血管内壁的斑块形成。The pharmaceutical use according to claim 1, wherein said delaying aging is a reduction in plaque formation in the blood vessel wall of a mammal. For example, the delaying of aging is to reduce plaque formation in the inner wall of blood vessels caused by atherosclerosis.
  8. 根据权利要求1的制药用途,其中所述延缓衰老是延缓机体整体水平的衰老。The pharmaceutical use according to claim 1, wherein said delaying aging is aging which delays the overall level of the body.
  9. 根据权利要求1的制药用途,根据本发明的制药用途,其中所述改善哺乳期机体代谢是指改善哺乳期机体与其体重、血糖、胰岛素水平等方面有关的代谢。 A pharmaceutical use according to the present invention, wherein the improving the metabolism of the body during lactation means improving the metabolism of the body during lactation in relation to its body weight, blood sugar, insulin level and the like.
  10. 根据权利要求1的制药用途,其中:The pharmaceutical use according to claim 1 wherein:
    所述改善哺乳期机体代谢是指降低高胆固醇所致动脉粥样硬化的机体的体重、血糖、胰岛素水平;和/或The improving lactation metabolism refers to reducing the body weight, blood sugar and insulin levels of the body caused by high cholesterol-induced atherosclerosis; and/or
    所述改善哺乳期机体代谢是指改善高胆固醇所致动脉粥样硬化的机体的摄食量,特别是增加高胆固醇所致动脉粥样硬化的机体的摄食量。 The improvement of body metabolism during lactation refers to an improvement in the food intake of an atherosclerotic body caused by high cholesterol, in particular, an increase in the food intake of an atherosclerotic body caused by high cholesterol.
PCT/CN2016/080466 2015-06-18 2016-04-28 Use of terazosin drugs WO2016202099A1 (en)

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CN113730413A (en) * 2021-10-14 2021-12-03 张存泰 Application of terazosin in preparation of medicines for reducing blood vessel hardness
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WU, PENG;: "Effect of Doxazosin on Blood Vessel Endothelium and Insulin Action", CHINESE JOURNAL OF ANDROLOGY, vol. 21, no. 6, 31 December 2007 (2007-12-31) *

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