WO2021217734A1 - Fused ring compound used as ketohexokinase inhibitor - Google Patents
Fused ring compound used as ketohexokinase inhibitor Download PDFInfo
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- WO2021217734A1 WO2021217734A1 PCT/CN2020/090463 CN2020090463W WO2021217734A1 WO 2021217734 A1 WO2021217734 A1 WO 2021217734A1 CN 2020090463 W CN2020090463 W CN 2020090463W WO 2021217734 A1 WO2021217734 A1 WO 2021217734A1
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- WIPO (PCT)
- Prior art keywords
- alkyl
- compound
- cycloalkyl
- stereoisomer
- pharmaceutically acceptable
- Prior art date
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- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/14—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing three or more hetero rings
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- C07D—HETEROCYCLIC COMPOUNDS
- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing three or more hetero rings
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- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing three or more hetero rings
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- C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
- C07D417/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing three or more hetero rings
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- C07F9/00—Compounds containing elements of Groups 5 or 15 of the Periodic Table
- C07F9/02—Phosphorus compounds
- C07F9/547—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom
- C07F9/6558—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom containing at least two different or differently substituted hetero rings neither condensed among themselves nor condensed with a common carbocyclic ring or ring system
- C07F9/65583—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom containing at least two different or differently substituted hetero rings neither condensed among themselves nor condensed with a common carbocyclic ring or ring system each of the hetero rings containing nitrogen as ring hetero atom
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- C07F9/00—Compounds containing elements of Groups 5 or 15 of the Periodic Table
- C07F9/02—Phosphorus compounds
- C07F9/547—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom
- C07F9/6564—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom having phosphorus atoms, with or without nitrogen, oxygen, sulfur, selenium or tellurium atoms, as ring hetero atoms
- C07F9/6571—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom having phosphorus atoms, with or without nitrogen, oxygen, sulfur, selenium or tellurium atoms, as ring hetero atoms having phosphorus and oxygen atoms as the only ring hetero atoms
- C07F9/657163—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom having phosphorus atoms, with or without nitrogen, oxygen, sulfur, selenium or tellurium atoms, as ring hetero atoms having phosphorus and oxygen atoms as the only ring hetero atoms the ring phosphorus atom being bound to at least one carbon atom
- C07F9/657181—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom having phosphorus atoms, with or without nitrogen, oxygen, sulfur, selenium or tellurium atoms, as ring hetero atoms having phosphorus and oxygen atoms as the only ring hetero atoms the ring phosphorus atom being bound to at least one carbon atom the ring phosphorus atom and, at least, one ring oxygen atom being part of a (thio)phosphonic acid derivative
Definitions
- the present invention relates to a new compound, its pharmaceutically acceptable salt, its stereoisomer and isotope-labeled compound, especially a compound that can inhibit pentulose kinase, its pharmaceutically acceptable salt, Its stereoisomers and isotopically labeled compounds.
- Hexokinase is a basic enzyme involved in the metabolism of fructose in the body. It plays a very important role in the metabolism of fructose, catalyzing the reaction between fructose and ATP to convert fructose-1-phosphate (F1P).
- F1P fructose-1-phosphate
- KHKa is more widely expressed in the body
- KHKc is more highly expressed in the main metabolic organs of the human body (such as liver, kidney and intestine) (Ishimoto, Lanaspa et al., PNAS109, 4320-4325, 2012), so KHKc is The regulation of fructose metabolism is more significant.
- Diabetes is a type of metabolic syndrome, and its patients are widely distributed. Globally, it is estimated that 463 million people aged 20 to 79 have diabetes, and most of them are type 2 diabetes (International Diabetes Federation issued the 9th edition "Global Diabetes Map (IDF Diabetes Atlas Ninth Edition 2019)". Although there are more diabetes treatment drugs on the market, there are still unmet clinical needs.
- Metabolism-related fatty liver disease has received extensive attention in recent years. The global incidence rate is about 25%. Further development will cause inflammation, which may further deteriorate to form liver fibrosis and even liver cancer. At present, metabolism-related fatty liver disease has It has become an increasingly common worldwide chronic liver disease and is currently the number one cause of liver transplantation in the United States. Unfortunately, no drugs have been officially approved for metabolic-related fatty liver disease, and there is a huge unmet clinical need.
- Fructose can significantly increase lipid de novo synthesis (Stanhope, KL, Schwarz, et al., (2009), J Clin Invest 119, 1322-1334).
- a large intake of fructose will increase liver triglycerides and stop the intake of fructose Later, it can reverse the accumulation of triglycerides in the liver (Schwarz, JM, Noworolski et al. (2015), J Clin Endocrinol Metab 100, 2434-2442).
- the polyol pathway the pathway that converts glucose into fructose through sorbitol as an intermediate leads to the production of endogenous fructose, and the more severe the hyperglycemia, the greater the activity of this pathway.
- KHK-free mice are protected from glucose-induced weight gain, insulin resistance and liver steatosis, which indicates that in the case of hyperglycemia, endogenously produced fructose can lead to insulin resistance and liver steatosis (Lanaspa, MA, etc.) People, Nature Comm. 4, 2434, 2013).
- the loss of function caused by human KHK-related gene mutations is ingested. After sugar, there were no significant adverse effects except for the appearance of fructose in the urine.
- hexulose kinase inhibitor compounds Johnson & Johnson of the United States announced the function of pyrimidopyrimidine compounds in inhibiting the activity of hexulose kinase (ACS Med.Chem.Lett.2011, 2,538-543), in which compound N8-( Cyclopropylmethyl)-N4-(2-(methylthio)phenyl)-2-(piperazin-1-yl)pyrimido[5,4-d]pyrimidine-4,8-diamine in vitro activity (IC 50) was 12nM.
- WO2017/115205 discloses a compound that can be used as a hexulose kinase inhibitor, and discloses the application of the compound in the treatment of obesity, type 2 diabetes, metabolic-related fatty liver disease and the like.
- the purpose of the present invention is to provide a new compound that can inhibit hexulose kinase, its pharmaceutically acceptable salt, its stereoisomer and isotope-labeled compound in view of the above-mentioned shortcomings of the prior art; in addition, The present invention also provides a pharmaceutical composition containing the compound or a pharmaceutically acceptable salt, or a stereoisomer or isotope-labeled compound, and an application thereof.
- the technical solution adopted by the present invention is: a compound or a pharmaceutically acceptable salt or a stereoisomer or an isotopically-labeled compound, the compound has the structural formula shown in the following formula I:
- X is N or CR 5 ;
- R 5 is H, halogen, -CN, -C 1-3 alkyl, -OC 1-3 alkyl, -C 1-3 alkane substituted by 1 to 3 halogen atoms Group, or -C 3-4 cycloalkyl
- Y is N or C-CN or CF
- Z is N or CH
- R 1 is cyclopropyl, cyclobutyl, cyano, or -C 1-3 alkyl whose valence may be substituted with 0 to 5 halogen atoms;
- R 2 is C 3-7 cycloalkyl, 4-membered to 7-membered heterocycle, N (C 1-3 alkyl) 2 , NH (C 1-3 alkyl) or NH (C 3-4 cycloalkyl)
- the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur;
- the C 3-7 cycloalkyl or 4- to 7-membered heterocyclic ring has 0 to 3 options From -C 1-3 alkyl and -OH substituents, and the number of -OH substituents does not exceed one;
- the N (C 1-3 alkyl) 2 NH (C 1-3 alkyl),
- Each C 1-3 alkyl group in NH (C 3-4 cycloalkyl) is substituted with 0 to 1 OH;
- R 3 is -(L) m -C0N(R N ) 2 , -(L) m -S0 2 R S , -L-(CH 2 ) n S0 2 R S , -L-(CH 2 ) n C0 2 H, -L-(CH 2 ) n P0 3 H, -L-(CH 2 ) n C(0)R C , -L-(CH 2 ) n C0NHS0 2 R S , -L-(CH 2 ) n S0 2 NHC0R S , -L-(CH 2 ) n SO 2 NHCONH 2 or -L-(CH 2 ) n tetrazol-5-yl; m is 0 or 1; n is 0 or 1; R N is H Or -C 1-3 alkyl; R S is H or -C 1-3 alkyl; L is CH 2 , CHF or CF 2 ; R C is -C 1-4
- R 4 is hydrogen, halogen, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl or 4- to 7-membered heterocycle, wherein said -C 1-3 alkyl, aryl and C 3 -7 cycloalkyl contains 0 to 5 fluorine atoms substituted; the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur;
- R 6 is hydrogen, halogen, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl or 4- to 7-membered heterocycle, wherein said -C 1-3 alkyl, aryl and C 3 -7 cycloalkyl contains 0 to 5 fluorine atoms substituted; the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur;
- the R 4 and R 6 are not hydrogen at the same time.
- the compound of the present invention or its pharmaceutically acceptable salt or its stereoisomer or isotope-labeled compound, the
- X is N or CR 5 ;
- R 5 is H, halogen, -CN, -C 1-3 alkyl, -OC 1-3 alkyl, -C 1-3 alkyl substituted by 1 to 3 halogen atoms, Or -C 3-4 cycloalkyl
- Y is N, C-CN
- Z is N or CH
- R 1 is a -C 1-3 alkyl group whose valence is allowed to be substituted by 0 to 5 halogen atoms;
- R 2 is a C 3-7 cycloalkyl group or a 4- to 7-membered heterocyclic ring, wherein the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur, and the C 3-
- the 7- cycloalkyl group or the 4- to 7-membered heterocyclic ring has 0 to 3 substituents selected from -C 1-3 alkyl and -OH, and the number of -OH substituents does not exceed 1;
- R 3 is -(L) m -C0N(R N ) 2 , -(L) m -S0 2 R S , -L-(CH 2 ) n S0 2 R S , -L-(CH 2 ) n C0 2 H, -L-(CH 2 ) n P0 3 H, -L-(CH 2 ) n C(0)R C , -L-(CH 2 ) n C0NHS0 2 R S , -L-(CH 2 ) n S0 2 NHC0R S or -L-(CH 2 ) n tetrazol-5-yl; m is 0 or 1; n is 0 or 1; R N is H or -C 1-3 alkyl; R S is H Or -C 1-3 alkyl; L is CH 2 , CHF or CF 2 ; R C is -C 1-4 alkoxy, -C 1-4 alkoxycarbonyloxy-C 1-4
- R 4 is H, F, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl, wherein the -C 1-3 alkyl, aryl and C 3-7 cycloalkyl contain 0 to Replaced by 5 fluorine atoms;
- R 6 is H, F, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl, wherein the -C 1-3 alkyl, aryl and C 3-7 cycloalkyl contain 0 to 5 fluorine atoms are substituted; and R 4 and R 6 are not hydrogen at the same time.
- the compound of the present invention or its pharmaceutically acceptable salt or its stereoisomer or isotope-labeled compound, the
- X is CR 5 ;
- R 5 is H, halogen, -CN, -C 1-3 alkyl, -OC 1-3 alkyl, -C 1-3 alkyl substituted by 1 to 3 halogen atoms, or- C 3-4 cycloalkyl;
- Y is N
- R 1 is a -C 1-3 alkyl group whose valence is allowed to be substituted by 0 to 5 halogen atoms;
- R 2 is a C 3-7 cycloalkyl group or a 4- to 7-membered heterocyclic ring, wherein the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur, and the C 3-7 Cycloalkyl or 4- to 7-membered heterocycle has 0 to 3 substituents selected from -C 1-3 alkyl and -OH, and the number of -OH substituents does not exceed 1;
- R 3 is -(L) m -C0N(R N ) 2 , -(L) m -S0 2 R S , -L-(CH 2 ) n S0 2 R S , -L-(CH 2 ) n C0 2 H, -L-(CH 2 ) n P(O)(0H) 2 , -L-(CH 2 ) n C(0)R C , -L-(CH 2 ) n C0NHS0 2 R S , -L- (CH 2 ) n S0 2 NHC0R S or -L-(CH 2 ) n tetrazol-5-yl; m is 0 or 1; n is 0 or 1; R N is H or -C 1-3 alkyl ; R S is H or -C 1-3 alkyl; L is CH 2 , CHF or CF 2 ; R C is -C 1-4 alkoxy, -C 1-4 alkoxycarbon
- R 4 is H, F, -C 1-3 alkyl, wherein the -C 1-3 alkyl contains 0 to 5 F atoms substituted;
- R 6 is H, F, -C 1-3 alkyl, wherein the -C 1-3 alkyl contains 0 to 5 F atoms substituted;
- the R 4 and R 6 are not hydrogen at the same time.
- the R S is H or -CH 3 .
- the R 3 is -CH 2 C0 2 H, -CH 2 P0 3 H,- CH 2 CO 2 CH 3 or -CH 2 CO 2 CH 2 CH 3 .
- the R 5 is H, -Cl, -CH3, -CH 2 CH 3 ,- O-CH 3 , cyclopropyl or CN;
- the R 1 is -CF 3 , -CHF 2 or -CF 2 CH 3 .
- said R 2 is selected from azetidin-1-yl, pyrrolidine-1 4-membered to 7-membered heterocycles of -yl and piperidin-1-yl, the 4-membered to 7-membered heterocycles of said pyrrolidin-1-yl and piperidin-1-yl have 0 to 3 selected from -C 1-3 alkyl and -OH substituents, and the number of -OH substituents does not exceed one.
- the R 4 and R 6 are each independently H, F, or -C 1-3 Alkyl group, the -C 1-3 alkyl group contains 0 to 5 F atoms substituted, and R 4 and R 6 are not hydrogen at the same time; the Y and Z are both N.
- the R 2 is an azetidine having 1 to 2 -CH 3 substituents and 0 to 1 -OH substituents -1-yl; said Y is C-CN and Z is N, or both Y and Z are N.
- the X, Y, and Z are selected from any one of the following:
- the compound of the present invention or its pharmaceutically acceptable salt or its stereoisomer or isotope-labeled compound, the compound is selected from the following structural formulas:
- the compound of the present invention or its pharmaceutically acceptable salt or its stereoisomer or isotope-labeled compound, the compound is selected from the following structural formulas:
- the compound of the present invention is 2-(1-methyl-3-(2-((S )-2-Methylazetidine-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl)-3-azabicyclo[3.1.0]hexane-6-yl)acetic acid , 2-(1,5-Dimethyl-3-(2-((S)-2-methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl )-3-azabicyclo[3.1.0]hexane-6-yl)acetic acid, ((1,5-dimethyl-3-(2-((S)-2-methylazetidine) -1-yl)-6-(trifluoromethyl)pyrimidin-4-yl)-3-azabicyclo[3.1.0]hexane-6-yl)methyl)phosphoric acid, ((1-methyl- 3-
- the structure of the compound is the compound of formula I(a)
- R 3 substituents are in the same plane as R 4 and R 6 , wherein X, Y, Z, R 1 , R 2 , R 3 , R 4 , and R 6 are selected as described above, and R 4 , R 6 are not At the same time it is hydrogen.
- the present invention also provides a pharmaceutical composition, which contains the above-mentioned compound or a pharmaceutically acceptable salt or stereoisomer or isotope-labeled compound.
- the present invention also provides the application of the above-mentioned compound or its pharmaceutically acceptable salt or its stereoisomer or isotope-labeled compound in the preparation of medicines for the treatment of diseases, including T1D, T2D, LADA, EOD, YOAD, MODY, malnutrition-related diabetes, gestational diabetes, hyperglycemia, insulin resistance, hepatic insulin resistance, impaired glucose tolerance, diabetic neuropathy, diabetic nephropathy, nephropathy, acute kidney disease, renal tubular dysfunction, proximal Pro-inflammatory changes in the telomere, diabetic retinopathy, adipocyte dysfunction, visceral fat deposition, obesity, eating disorders, excessive sugar craving, dyslipidemia, hyperlipidemia, hypertriglyceridemia, increased total cholesterol , High LDL cholesterol, low HDL cholesterol, hyperinsulinemia, metabolic-related fatty liver disease, steatosis, NASH, fibrosis, cirrhosis, hepatocellular carcinoma, HFI, coronary
- One way to achieve the present invention is to administer the compound of formula I in the form of a prodrug. Therefore, certain derivatives of the compound of formula I, which may have little or no pharmacological activity per se, will (for example) undergo hydrolytic cleavage, especially esterase or peptidase-promoted hydrolytic cleavage, to convert into A compound of formula I having the desired activity. Such derivatives are called ‘prodrugs’.
- the compounds of the present invention may contain asymmetric or chiral centers and therefore exist in different stereoisomeric forms. Unless otherwise specified, all stereoisomeric forms of the compounds of the present invention and their mixtures, including racemic mixtures, are part of the present invention.
- the present invention includes all pharmaceutically acceptable isotope-labeled compounds of formula I, in which one or more atoms are replaced by atoms having the same atomic number but whose atomic mass or mass number is different from the atomic mass or mass number commonly found in nature . Substitution by heavier isotopes such as deuterium may provide certain therapeutic advantages resulting from greater metabolic stability, such as increased in vivo half-life or decreased dosage requirements, and may therefore be preferred in certain situations.
- alkyl as used in this application means a linear or branched monovalent hydrocarbon group of the formula -C n H (2n+1).
- Non-limiting examples include methyl, ethyl, propyl, butyl, 2-methyl-propyl, 1,1-dimethylethyl, pentyl and hexyl.
- cycloalkyl as used in this application means a cyclic monovalent hydrocarbon group of formula -C n H (2n-1) containing at least three carbon atoms.
- Non-limiting examples include cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl.
- alkoxy as used in this application means an alkyl substituent attached through an oxygen atom. Non-limiting examples include methoxy, ethoxy, propoxy, and butoxy.
- alkoxycarbonyloxy as used in this application means an alkoxy group linked through a carbonyl group (-CO-).
- Non-limiting examples include methoxycarbonyl, ethoxycarbonyl, and propoxycarbonyl.
- alkoxycarbonyloxy-alkoxy means an alkoxycarbonyloxy group linked through an alkoxy group.
- halogen used in this application refers to F, Cl, Br, I.
- heterocyclic ring refers to aliphatic heterocyclic ring and aromatic heterocyclic compounds having 4 to 7 carbon atoms, wherein one or more of the cyclomethylene group (-CH 2 -) of the aliphatic heterocyclic ring One has been replaced by a group selected from -0-, -S- or -N-, where the valence requirement of -N- is satisfied by H or by serving as a point of attachment; aromatic heterocycle refers to Hückel's rule A 5-membered or 6-membered heterocyclic ring system containing 1-2 atoms selected from O, S, N.
- the aryl group refers to a functional group or substituent derived from a simple aromatic ring (such as a benzene ring, a naphthalene ring, etc.) that does not contain a heteroatom.
- ADP is adenosine diphosphate
- ATP is adenosine triphosphate
- CDC1 3 is deuterated chloroform
- CO 2 Et is ethyl carboxylate
- DCM is methylene chloride
- DIPEA is N,N- Diisopropylethylamine
- DMF is dimethylformamide
- DMSO is dimethyl sulfoxide
- EtOAc is ethyl acetate
- H or h or hr is hours
- HEPES is 4-(2-hydroxyethyl)-1 -Piperazine ethanesulfonic acid
- KCl is potassium chloride
- Min is minutes
- MgCl 2 is magnesium chloride
- NaHCO 3 is sodium bicarbonate
- Na 2 S0 4 is sodium sulfate
- NADH is nicotinamide adenine dinucleotide (reduced Form)
- NAD+ is nicotinamide
- the compound described in this application or its pharmaceutically acceptable salt or its stereoisomer or isotope-labeled compound has a good inhibitory effect on hexulose kinase and can be used to prepare and treat T1D, T2D, LADA, EOD, YOAD , MODY, malnutrition-related diabetes, gestational diabetes, hyperglycemia, insulin resistance, hepatic insulin resistance, impaired glucose tolerance, diabetic neuropathy, diabetic nephropathy, nephropathy, acute kidney disease, renal tubular dysfunction, proximal tubules Pro-inflammatory changes, diabetic retinopathy, adipocyte dysfunction, visceral fat deposition, obesity, eating disorders, excessive sugar craving, dyslipidemia, hyperlipidemia, hypertriglyceridemia, increased total cholesterol, high LDL Cholesterol, low HDL cholesterol, hyperinsulinemia, metabolism-related fatty liver disease, steatosis, NASH, fibrosis, cirrhosis, hepatocellular carcinoma, H
- Figure 1 is a synthetic route diagram of the compound described in Example 1 of the present invention.
- Figure 2 is a synthetic route diagram of the compound described in Example 2 of the present invention.
- the synthetic route diagram of the compound described in this example is shown in Figure 1.
- the specific preparation method of the compound described in this example includes:
- the reaction solution was poured into ice water (30mL), methyl tert-butyl ether (30mL ⁇ 2) was extracted, the organic phases were combined, washed with saturated brine (80mL), dried with anhydrous sodium sulfate, filtered, and concentrated under reduced pressure to obtain The title compound was 14.80 g of pale yellow oil, which was used in the next step without further purification.
- reaction solution was cooled to room temperature, it was concentrated under reduced pressure to remove most of the organic solvents, the aqueous phase was adjusted to pH 2-3 with 2M hydrochloric acid, and then concentrated under reduced pressure to remove part of the water; then toluene (50 mL) was added, and concentration under reduced pressure was continued.
- acetone (30 mL) to the residue, heat to reflux for 2 hours, filter, wash the filter cake with acetone, and concentrate under reduced pressure to obtain 10.0 g of the light yellow solid target compound, which is used directly without further purification Next step.
- Step 4 3-benzyl-1-methyl-2,4-diox-3-azabicyclo[3.1.0]hexane-6-carboxylic acid
- Oxy-3-oxabicyclo[3.1.0]hexane-6-carboxylic acid (9.1g, 53.15mmol) in acetone (40mL) was added with triethylamine (7.4mL, 53.15mmol) and benzylamine (6.9g) , 63.78mmol), the resulting mixture was stirred and reacted at room temperature for 3 hours, and then concentrated under reduced pressure.
- Step 8 1-(3-Benzyl-1-methyl-3-azabicyclo[3.1.0]hexane-6-yl)-2-diazomethane-1-one
- Triethylamine (2.07mL, 14.9mmol) was added at 0°C, and trimethylsilyldiazomethane (14.9mL) was slowly added dropwise. , 29.79mmol), after dripping, the reaction was stirred overnight at 0°C.
- Step 10 Methyl 2-(1-methyl-3-azabicyclo[3.1.0]hexane-6-yl)acetate is heated in 2-(3-benzyl-1-methyl-3- Add Pd/C (80mg) to a methanol (50mL) solution of methyl azabicyclo[3.1.0]hexane-6-yl)acetate (0.75g, 2.89mmol), replace hydrogen for 3 times, and then charge 4MPa Hydrogen, stirring at room temperature overnight. The reaction solution was filtered through Celite to remove the catalyst, and concentrated under reduced pressure to obtain the target compound (0.19 g, 38%) as a pale yellow oil.
- Step 11 2-(3-(2-Chloro-6-(trifluoromethyl)pyrimidin-4-yl)-1-methyl-3-azabicyclo[3.1.0]hexane-6-yl) Methyl acetate in 2-(1-methyl-3-azabicyclo[3.1.0]hexane-6-yl) methyl acetate (0.75g, 4.43mmol) in dichloromethane ( 30mL) slowly dropwise add 2,4-dichloro-6-(trifluoromethyl)pyrimidine (1.44g, 6.65mmol) in dichloromethane (20mL) solution to the solution, after the dripping, continue to add DIPEA dropwise at this temperature (2.2mL, 13.3mmol).
- Step 12 2-(1-methyl-3-(2-((S)-2-methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl) Methyl-3-azabicyclo[3.1.0]hexane-6-yl)acetate
- Step 13 2-(1-methyl-3-(2-((S)-2-methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl) -3-azabicyclo[3.1.0]hexane-6-yl)acetic acid
- the synthetic route diagram of the compound described in this example is shown in Figure 2.
- the specific preparation method of the compound described in this example includes:
- Step 1 3-Benzyl-1-methyl-3-azabicyclo[3.1.0]hexane-6-ethyl carboxylate-2,2,4,4-d 4
- Step 4 1-(3-Benzyl-1-methyl-3-azabicyclo[3.1.0]hexane-6-yl-2,2,4,4-d 4 )-2-dimethylene Amine-1-one
- Step 5 Methyl 2-(3-benzyl-1-methyl-3-azabicyclo[3.1.0]hexane-6-yl-2,2,4,4-d 4 )acetate
- Step 6 Methyl 2-(1-methyl-3-azabicyclo[3.1.0]hexane-6-yl-2,2,4,4-d 4 )acetate
- Step 7 2-(3-(2-Chloro-6-(trifluoromethyl)pyrimidin-4-yl)-1-methyl-3-azabicyclo[3.1.0]hexane-6-yl- 2,2,4,4-d 4 ) Methyl acetate
- Step 8 2-(1-methyl-3-(2-((S)-2-methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl) -3-azabicyclo[3.1.0]hexane-6-yl-2,2,4,4-d 4 )methyl acetate
- Step 9 2-(1-methyl-3-(2-((S)-2-methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl) -3-azabicyclo[3.1.0]hexane-6-yl-2,2,4,4-d 4 )acetic acid
- Hexokinase has two isoforms, KHKc and KHKa, and KHKc has more than ten times the ability to phosphorylate fructose than KHKa.
- the enzyme function of KHK is to consume ATP to convert fructose into 1-phosphate fructose and produce ADP at the same time.
- the ATP depletion method, ADP color method, or subsequent reactions can be used to detect the consumption of NADH and the production of the final product NAD + , which can effectively determine the inhibitory effect of the reaction.
- NADH The content of NADH was monitored by continuously measuring the absorbance at 340nm, and the inhibition of KHK by the candidate compound was preliminarily judged based on the consumption of NADH.
- This method involves a coupled enzyme system, and the three-step reaction involved is as follows:
- the absorbance value was monitored in a continuous mode at 37°C incubation at a wavelength of 340nm using a microplate reader.
- the compound was prepared as a 10 mM stock solution in DMSO as a stock solution, followed by a three-fold dilution scheme with 50 mM PIPES buffer for serial dilution.
- a 200 ⁇ L reaction system contains 50mM PIPES buffer, 6mM MgCl 2 , 100mM KCl, 5mM fructose, 2mM phosphoenolpyruvate (PEP), 5mM ATP, 0.6mM reducing coenzyme I (NADH), 40U/mL pyruvate kinase -Lactate dehydrogenase and 10mM recombinant KHKC. Mix the compound to be screened with all the reagents in the reaction system except the trigger ATP, and incubate at 37°C for 15 minutes. After that, 50mM ATP was added to the reaction system to trigger the reaction.
- N8-(cyclopropylmethyl)-N4-(2-(methylthio)phenyl)-2-(piperazin-1-yl)pyrimido[5,4-d] at a final concentration of 2 ⁇ M Pyrimidine-4,8-diamine (CAS: 1303469-70-6) was used as a high percentage inhibition control (HPE), and the drug-free group (replaced with buffer) was used as a zero percentage effect control (FOC).
- HPE high percentage inhibition control
- FOC zero percentage effect control
- the microplate reader measures the absorbance at the wavelength of 340nm within 1 min and 0.5h, 1h, 2h after adding ATP, and calculates the inhibition rate by the measured absorbance difference ( ⁇ OD value), and calculates the test substance against KHK according to the following formula
- the inhibition rate :
- Inhibition rate % [(FOC ⁇ OD value -administration group ⁇ OD value )/(FOC ⁇ OD value- HPE ⁇ OD value )] ⁇ 100%.
- reaction rate and IC 50 value were calculated according to the above description.
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Abstract
Description
Claims (10)
- 一种化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物,所述化合物具有如下式Ⅰ所示的结构式:A compound or a pharmaceutically acceptable salt or a stereoisomer or an isotopically-labeled compound, the compound has the structural formula shown in the following formula I:其中,X为N或CR 5;R 5为H、卤素、-CN、-C 1-3烷基、-0C 1-3烷基、被1至3个卤素原子取代的-C 1-3烷基、或-C 3-4环烷基 Wherein X is N or CR 5 ; R 5 is H, halogen, -CN, -C 1-3 alkyl, -OC 1-3 alkyl, -C 1-3 alkane substituted by 1 to 3 halogen atoms Group, or -C 3-4 cycloalkylY为N或C-CN或CF;Y is N or C-CN or CF;Z为N或CH;Z is N or CH;且X、Y、Z中至少一个为N;And at least one of X, Y, and Z is N;R 1为环丙基、环丁基、氰基、或化合价可被0至5个卤素原子取代的-C 1-3烷基; R 1 is cyclopropyl, cyclobutyl, cyano, or -C 1-3 alkyl whose valence may be substituted with 0 to 5 halogen atoms;R 2为C 3-7环烷基、4元至7元杂环、N(C 1-3烷基) 2、NH(C 1-3烷基)或NH(C 3-4环烷基);其中所述4元至7元杂环含有选自氮、氧、硫中的1~2个原子;所述C 3-7环烷基或4元至7元杂环具有0至3个选自-C 1-3烷基和-0H的取代基,且-0H取代基的数量不超过1个;所述N(C 1-3烷基) 2、NH(C 1-3烷基)、NH(C 3-4环烷基)中各C 1-3烷基被0至1个0H取代; R 2 is C 3-7 cycloalkyl, 4-membered to 7-membered heterocycle, N (C 1-3 alkyl) 2 , NH (C 1-3 alkyl) or NH (C 3-4 cycloalkyl) Wherein the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur; the C 3-7 cycloalkyl or 4- to 7-membered heterocyclic ring has 0 to 3 options From -C 1-3 alkyl and -OH substituents, and the number of -OH substituents does not exceed one; the N (C 1-3 alkyl) 2 , NH (C 1-3 alkyl), Each C 1-3 alkyl group in NH (C 3-4 cycloalkyl) is substituted with 0 to 1 OH;R 3为-(L) m-C0N(R N) 2、-(L) m-S0 2R S、-L-(CH 2) nS0 2R S、-L-(CH 2) nC0 2H、-L-(CH 2) nP0 3H、-L-(CH 2) nC(0)R C、-L-(CH 2) nC0NHS0 2R S、-L-(CH 2) nS0 2NHC0R S、-L-(CH 2) nSO 2NHCONH 2或-L-(CH 2) n四氮唑-5-基;m为0或1;n为0或1;R N为H或-C 1-3烷基;R S为H或-C 1-3烷基;L为CH 2、CHF或CF 2;R C为-C 1-4烷氧基、-C 1-4烷氧基羰基氧基-C 1-4烷氧基或-C 1-4烷基羰基氧基-C 1-4烷氧基; R 3 is -(L) m -C0N(R N ) 2 , -(L) m -S0 2 R S , -L-(CH 2 ) n S0 2 R S , -L-(CH 2 ) n C0 2 H, -L-(CH 2 ) n P0 3 H, -L-(CH 2 ) n C(0)R C , -L-(CH 2 ) n C0NHS0 2 R S , -L-(CH 2 ) n S0 2 NHC0R S , -L-(CH 2 ) n SO 2 NHCONH 2 or -L-(CH 2 ) n tetrazol-5-yl; m is 0 or 1; n is 0 or 1; R N is H Or -C 1-3 alkyl; R S is H or -C 1-3 alkyl; L is CH 2 , CHF or CF 2 ; R C is -C 1-4 alkoxy, -C 1-4 alkane Oxycarbonyloxy-C 1-4 alkoxy or -C 1-4 alkylcarbonyloxy-C 1-4 alkoxy;R 4为氢、卤素、-C 1-3烷基、C 3-7环烷基、芳基或4元至7元杂环,其中所述-C 1-3烷基、芳基及C 3-7环烷基含有0至5个氟原子取代;所述4元至7元杂环含有选自氮、氧、硫中的1至2个原子; R 4 is hydrogen, halogen, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl or 4- to 7-membered heterocycle, wherein said -C 1-3 alkyl, aryl and C 3 -7 cycloalkyl contains 0 to 5 fluorine atoms substituted; the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur;R 6为氢、卤素、-C 1-3烷基、C 3-7环烷基、芳基或4元至7元杂环,其中所述 -C 1-3烷基、芳基及C 3-7环烷基含有0至5个氟原子取代;所述4元至7元杂环含有选自氮、氧、硫中的1至2个原子; R 6 is hydrogen, halogen, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl or 4- to 7-membered heterocycle, wherein said -C 1-3 alkyl, aryl and C 3 -7 cycloalkyl contains 0 to 5 fluorine atoms substituted; the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur;所述R 4、R 6不同时为氢。 The R 4 and R 6 are not hydrogen at the same time.
- 如权利要求1所述的化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物,其特征在于,所述The compound of claim 1, or a pharmaceutically acceptable salt thereof, or a stereoisomer or isotope-labeled compound, wherein theX为N或CR 5;R 5为H、卤素、-CN、-C 1-3烷基、-0C 1-3烷基、被1至3个卤素原子取代的-C 1-3烷基、或-C 3-4环烷基 X is N or CR 5 ; R 5 is H, halogen, -CN, -C 1-3 alkyl, -OC 1-3 alkyl, -C 1-3 alkyl substituted by 1 to 3 halogen atoms, Or -C 3-4 cycloalkylY为N、C-CN;Y is N, C-CN;Z为N或CH;Z is N or CH;且X、Y、Z中的至少一个为N;And at least one of X, Y, and Z is N;R 1为化合价允许被0至5个卤素原子取代的-C 1-3烷基; R 1 is a -C 1-3 alkyl group whose valence is allowed to be substituted by 0 to 5 halogen atoms;R 2为C 3-7环烷基或4元至7元杂环,其中所述4元至7元杂环含有选自氮、氧、硫中的1至2个原子,所述C 3-7环烷基或4元至7元杂环具有选自-C 1-3烷基及-0H的0至3个取代基,且存在不超过一个-OH取代基; R 2 is a C 3-7 cycloalkyl group or a 4- to 7-membered heterocyclic ring, wherein the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur, and the C 3- The 7 -cycloalkyl or 4- to 7-membered heterocycle has 0 to 3 substituents selected from -C 1-3 alkyl and -OH, and there is no more than one -OH substituent;R 3为-(L) m-C0N(R N) 2、-(L) m-S0 2R S、-L-(CH 2) nS0 2R S、-L-(CH 2) nC0 2H、-L-(CH 2) nP0 3H、-L-(CH 2) nC(0)R C、-L-(CH 2) nC0NHS0 2R S、-L-(CH 2) nS0 2NHC0R S或-L-(CH 2) n四氮唑-5-基;m为0或1;n为0或1;R N为H或-C 1-3烷基;R S为H或-C 1-3烷基;L为CH 2、CHF或CF 2;R C为-C 1-4烷氧基、-C 1-4烷氧基羰基氧基-C 1-4烷氧基或-C 1-4烷基羰基氧基-C 1-4烷氧基; R 3 is -(L) m -C0N(R N ) 2 , -(L) m -S0 2 R S , -L-(CH 2 ) n S0 2 R S , -L-(CH 2 ) n C0 2 H, -L-(CH 2 ) n P0 3 H, -L-(CH 2 ) n C(0)R C , -L-(CH 2 ) n C0NHS0 2 R S , -L-(CH 2 ) n S0 2 NHC0R S or -L-(CH 2 ) n tetrazol-5-yl; m is 0 or 1; n is 0 or 1; R N is H or -C 1-3 alkyl; R S is H Or -C 1-3 alkyl; L is CH 2 , CHF or CF 2 ; R C is -C 1-4 alkoxy, -C 1-4 alkoxycarbonyloxy-C 1-4 alkoxy Or -C 1-4 alkylcarbonyloxy-C 1-4 alkoxy;R 4为H、F、-C 1-3烷基、C 3-7环烷基、芳基,其中所述-C 1-3烷基、芳基及C 3-7环烷基含有0至5个氟原子取代; R 4 is H, F, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl, wherein the -C 1-3 alkyl, aryl and C 3-7 cycloalkyl contain 0 to Replaced by 5 fluorine atoms;R 6为H、F、-C 1-3烷基、C 3-7环烷基、芳基,其中所述-C 1-3烷基、芳基及C 3-7环烷基含有0至5个氟原子取代; R 6 is H, F, -C 1-3 alkyl, C 3-7 cycloalkyl, aryl, wherein the -C 1-3 alkyl, aryl and C 3-7 cycloalkyl contain 0 to Replaced by 5 fluorine atoms;且R 4、R 6不同时为氢。 And R 4 and R 6 are not hydrogen at the same time.
- 如权利要求1所述的化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物,其特征在于,所述The compound of claim 1, or a pharmaceutically acceptable salt thereof, or a stereoisomer or isotope-labeled compound, wherein theX为CR 5;R 5为H、卤素、-CN、-C 1-3烷基、-0C 1-3烷基、被1至3个卤素原子取代的-C 1-3烷基、或-C 3-4环烷基; X is CR 5 ; R 5 is H, halogen, -CN, -C 1-3 alkyl, -OC 1-3 alkyl, -C 1-3 alkyl substituted by 1 to 3 halogen atoms, or- C 3-4 cycloalkyl;Y为N;Y is N;Z为N;Z is N;R 1为化合价允许被0至5个卤素原子取代的-C 1-3烷基; R 1 is a -C 1-3 alkyl group whose valence is allowed to be substituted by 0 to 5 halogen atoms;R 2为C 3-7环烷基或4元至7元杂环,其中所述4元至7元杂环含有选自氮、氧、硫的1至2个原子,所述C 3-7环烷基或4元至7元杂环具有选自-C 1-3烷基及-0H的0至3个取代基,且存在不超过一个-OH取代基; R 2 is a C 3-7 cycloalkyl group or a 4- to 7-membered heterocyclic ring, wherein the 4- to 7-membered heterocyclic ring contains 1 to 2 atoms selected from nitrogen, oxygen, and sulfur, and the C 3-7 Cycloalkyl or 4- to 7-membered heterocycle has 0 to 3 substituents selected from -C 1-3 alkyl and -OH, and there is no more than one -OH substituent;R 3为-(L) m-C0N(R N) 2、-(L) m-S0 2R S、-L-(CH 2) nS0 2R S、-L-(CH 2) nC0 2H、-L-(CH 2) nP(O)(0H) 2、-L-(CH 2) nC(0)R C、-L-(CH 2) nC0NHS0 2R S、-L-(CH 2) nS0 2NHC0R S或-L-(CH 2) n四氮唑-5-基;m为0或1;n为0或1;R N为H或-C 1-3烷基;R S为H或-C 1-3烷基;L为CH 2、CHF或CF 2;R C为-C 1-4烷氧基、-C 1-4烷氧基羰基氧基-C 1-4烷氧基或-C 1-4烷基羰基氧基-C 1-4烷氧基; R 3 is -(L) m -C0N(R N ) 2 , -(L) m -S0 2 R S , -L-(CH 2 ) n S0 2 R S , -L-(CH 2 ) n C0 2 H, -L-(CH 2 ) n P(O)(0H) 2 , -L-(CH 2 ) n C(0)R C , -L-(CH 2 ) n C0NHS0 2 R S , -L- (CH 2) n S0 2 NHC0R S or -L- (CH 2) n-tetrazol-5-yl; m is 0 or 1; n is 0 or 1; R N is H or -C 1-3 alkyl ; R S is H or -C 1-3 alkyl; L is CH 2 , CHF or CF 2 ; R C is -C 1-4 alkoxy, -C 1-4 alkoxycarbonyloxy-C 1 -4 alkoxy or -C 1-4 alkylcarbonyloxy-C 1-4 alkoxy;R 4为H、F、-C 1-3烷基,其中所述-C 1-3烷基含有0至5个F原子取代; R 4 is H, F, -C 1-3 alkyl, wherein the -C 1-3 alkyl contains 0 to 5 F atoms substituted;R 6为H、F、-C 1-3烷基,其中所述-C 1-3烷基含有0至5个F原子取代; R 6 is H, F, -C 1-3 alkyl, wherein the -C 1-3 alkyl contains 0 to 5 F atoms substituted;所述R 4、R 6不同时为氢。 The R 4 and R 6 are not hydrogen at the same time.
- 如权利要求1至3中任一项所述的化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物,其特征在于,所述R S为H或-CH 3; The compound according to any one of claims 1 to 3, or a pharmaceutically acceptable salt thereof, or a stereoisomer or isotope-labeled compound, wherein the R S is H or -CH 3 ;优选地,所述R 3为-CH 2C0 2H、-CH 2P0 3H、-CH 2CO 2CH 3或-CH 2CO 2CH 2CH 3; Preferably, the R 3 is -CH 2 CO 2 H, -CH 2 P0 3 H, -CH 2 CO 2 CH 3 or -CH 2 CO 2 CH 2 CH 3 ;优选地,所述R 5为H、-Cl、-CH3、-CH 2CH 3、-O-CH 3、环丙基或CN; Preferably, the R 5 is H, -Cl, -CH3, -CH 2 CH 3 , -O-CH 3 , cyclopropyl or CN;优选地,所述R 1为-CF 3、-CHF 2或-CF 2CH 3; Preferably, the R 1 is -CF 3 , -CHF 2 or -CF 2 CH 3 ;优选地,所述R 2为选自氮杂环丁-1-基、吡咯烷-1-基及哌啶-1-基的4元至7元杂环,所述吡咯烷-1-基及哌啶-1-基的4元至7元杂环具有0至3个选自-C 1-3烷基和-0H的取代基,且-0H取代基的数量不超过1个; Preferably, the R 2 is a 4- to 7-membered heterocyclic ring selected from the group consisting of azetidin-1-yl, pyrrolidin-1-yl and piperidin-1-yl, the pyrrolidin-1-yl and The 4- to 7-membered heterocycle of piperidin-1-yl has 0 to 3 substituents selected from -C 1-3 alkyl and -OH, and the number of -OH substituents does not exceed 1;优选地,所述R 4、R 6各自独立为H、F、或-C 1-3烷基,所述-C 1-3烷基含有0至5个F原子取代,且R 4、R 6不同时为氢;所述Y和Z均为N。 Preferably, the R 4 and R 6 are each independently H, F, or -C 1-3 alkyl, and the -C 1-3 alkyl contains 0 to 5 F atoms substituted, and R 4 , R 6 It is not hydrogen at the same time; the Y and Z are both N.
- 如权利要求4所述的化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物,其特征在于,所述R 2为具有1至2个-CH 3取代基且具有0至1个-0H取代基的氮杂环丁-1-基;所述Y为C-CN且Z为N,或Y和Z均为N。 The compound according to claim 4, or a pharmaceutically acceptable salt thereof, or a stereoisomer or isotope-labeled compound, wherein the R 2 has 1 to 2 -CH 3 substituents and has 0 Azetidin-1-yl to 1 -OH substituent; said Y is C-CN and Z is N, or both Y and Z are N.
- 如权利要求1所述的化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物,其特征在于,所述化合物为2-(1-甲基-3-(2-((S)-2-甲基氮杂环丁烷-1-基)-6-(三氟甲基)嘧啶-4-基)-3-氮杂双环[3.1.0]己烷-6-基)乙酸、2-(1,5-二甲基-3-(2-((S)-2-甲基氮杂环丁烷-1-基)-6-(三氟甲基)嘧啶-4-基)-3-氮杂双环[3.1.0]己烷-6-基)乙酸、((1,5-二甲基-3-(2-((S)-2-甲基氮杂环丁烷-1-基)-6-(三氟甲基)嘧啶-4-基)-3-氮杂双环[3.1.0]己烷-6-基)甲基)磷酸((1-甲基-3-(2-((S)-2-甲基氮杂环丁烷-1-基)-6-(三氟甲基)嘧啶-4-基)-3-氮杂双环[3.1.0]己烷-6-基)甲基)磷酸或它们的前药形式。The compound according to claim 1, or a pharmaceutically acceptable salt thereof, or a stereoisomer or isotope-labeled compound, wherein the compound is 2-(1-methyl-3-(2-( (S)-2-Methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl)-3-azabicyclo[3.1.0]hexane-6-yl )Acetic acid, 2-(1,5-dimethyl-3-(2-((S)-2-methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidine-4 -Yl)-3-azabicyclo[3.1.0]hexane-6-yl)acetic acid, ((1,5-dimethyl-3-(2-((S)-2-methylazacyclo) Butane-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl)-3-azabicyclo[3.1.0]hexane-6-yl)methyl)phosphoric acid ((1-methyl -3-(2-((S)-2-Methylazetidin-1-yl)-6-(trifluoromethyl)pyrimidin-4-yl)-3-azabicyclo[3.1.0 ]Hexane-6-yl)methyl)phosphoric acid or their prodrug forms.
- 一种药物组合物,其特征在于,所述药物组合物含有如权利要求1~8任一项所述的化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物。A pharmaceutical composition, characterized in that the pharmaceutical composition contains the compound according to any one of claims 1 to 8, or a pharmaceutically acceptable salt thereof, or a stereoisomer or isotope-labeled compound.
- 如权利要求1~8任一项所述化合物或其药学上可接受的盐或其立体异构体或同位素标记的化合物在制备治疗疾病的药物中的应用,其特征在于,所述疾病包括T1D、T2D、LADA、EOD、YOAD、MODY、营养不良相关性糖尿病、妊娠糖尿病、高血糖症、胰岛素抗性、肝胰岛素抗性、葡萄糖耐量减低、糖尿病神经病变、糖尿病肾病、肾病、急性肾病、肾小管功能障碍、近端小管的促炎性改变、糖尿病性视网膜病变、脂肪细胞功能障碍、内脏脂肪沉积、肥胖、饮食障碍、过量的糖渴求、血脂异常、高脂血症、高甘油三酯血症、总胆固醇增加、高LDL胆固醇、低HDL胆固醇、高胰岛素血症、代谢相关脂肪性肝病、脂肪变性、NASH、纤维化、肝硬化、肝细胞癌、HFI、冠状动脉疾病、周边血管疾病、高血压、内皮细胞功能障碍、血管顺应性受损、充血性心力衰竭、心肌梗死、脑卒中、出血性脑卒中、缺血性脑卒中、肺动脉高压、血管成形术后再狭窄、间歇性跛行、膳食后脂血症、代谢性酸中毒、酮中毒、关节炎、骨质疏松症、左心室肥大、周边动脉疾病、黄斑变性、白内障、肾小球硬化、慢性肾衰竭、代谢综合征、X综合征、经前综合征、心绞痛、血栓形成、动脉粥样硬化、短暂性脑缺血发作、血管再狭窄、葡萄糖代谢受损、空腹血糖受损病况、高尿酸血症、痛风、勃起功能障碍、皮肤及结缔组织病症、足溃疡、溃疡性结肠炎、超载脂蛋白B脂蛋白血症、阿尔茨海默病、精神分裂症、认知功 能减弱、炎性肠病、溃疡性结肠炎、克罗恩病及肠易激综合征。The use of the compound or a pharmaceutically acceptable salt or stereoisomer or isotope-labeled compound of any one of claims 1 to 8 in the preparation of a medicine for the treatment of a disease, wherein the disease comprises T1D , T2D, LADA, EOD, YOAD, MODY, malnutrition-related diabetes, gestational diabetes, hyperglycemia, insulin resistance, hepatic insulin resistance, impaired glucose tolerance, diabetic neuropathy, diabetic nephropathy, nephropathy, acute kidney disease, kidney Tubular dysfunction, pro-inflammatory changes in proximal tubules, diabetic retinopathy, adipocyte dysfunction, visceral fat deposition, obesity, eating disorders, excessive sugar craving, dyslipidemia, hyperlipidemia, hypertriglyceridemia Syndrome, increased total cholesterol, high LDL cholesterol, low HDL cholesterol, hyperinsulinemia, metabolism-related fatty liver disease, steatosis, NASH, fibrosis, liver cirrhosis, hepatocellular carcinoma, HFI, coronary artery disease, peripheral vascular disease, Hypertension, endothelial cell dysfunction, impaired vascular compliance, congestive heart failure, myocardial infarction, stroke, hemorrhagic stroke, ischemic stroke, pulmonary hypertension, restenosis after angioplasty, intermittent claudication, Post-dietary lipemia, metabolic acidosis, ketosis, arthritis, osteoporosis, left ventricular hypertrophy, peripheral arterial disease, macular degeneration, cataract, glomerulosclerosis, chronic renal failure, metabolic syndrome, X syndrome Symptoms, premenstrual syndrome, angina pectoris, thrombosis, atherosclerosis, transient ischemic attack, vascular restenosis, impaired glucose metabolism, impaired fasting blood sugar, hyperuricemia, gout, erectile dysfunction, Skin and connective tissue disorders, foot ulcers, ulcerative colitis, overload apolipoprotein B lipoproteinemia, Alzheimer's disease, schizophrenia, cognitive decline, inflammatory bowel disease, ulcerative colitis, Crowe Faint disease and irritable bowel syndrome.
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