Claims
- 1. A method of treating hypertension or congestive heart failure comprising administering to a hypertensive mammal an antihypertensive effective amount of a combination of an atrial natriuretic factor and a mercapto-acylamino acid compound having the structural formula ##STR55## wherein R.sup.1a is Y--C.sub.6 H.sub.4 --, Y--C.sub.6 H.sub.4 S--, Y--C.sub.6 H.sub.4 O--, ##STR56## .alpha.-naphthyl, .beta.-naphthyl, furyl, thienyl, benzofuryl, benzothienyl, H.sub.2 N(CH.sub.2).sub.m --, diphenylmethyl, ##STR57## R.sup.2 is alkyl, alkyl-S(O).sub.0-2 (CH.sub.2).sub.q --, R.sup.14 (CH.sub.2).sub.k S(O).sub.0-2 (CH.sub.2).sub.q --, alkyl-O(CH.sub.2).sub.q --, R.sup.5 (CH.sub.2).sub.k --O(CH.sub.2).sub.q --, R.sup.5 (CH.sub.2).sub.q --, N.sub.2 N(CH.sub.2).sub.q --, cycloalkyl(CH.sub.2).sub.k --, R.sup.13 CONH(CH.sub.2).sub.q --, R.sup.13 NHCO(CH.sub.2).sub.q -- or R.sup.6 OCO(CH.sub.2).sub.q --;
- R.sup.3 is --OR.sup.7, --NR.sup.7 R.sup.8, ##STR58## R.sup.4 and R.sup.13 are independently hydrogen, alkyl or Y.sup.1 --C.sub.6 H.sub.4 --;
- R.sup.5 is Y.sup.2 --C.sub.6 H.sub.4 --, Y.sup.2 --C.sub.6 H.sub.4 S--, Y.sup.2 --C.sub.6 H.sub.4 O--, .alpha.-naphthyl, .beta.-naphthyl, furyl, thienyl, benzofuryl, benzothienyl, indolyl or ##STR59## provided that when R.sup.5 is Y.sup.2 --C.sub.6 H.sub.4 S-- or Y.sup.2 C.sub.6 H.sub.4 O--, k is 2 or 3;
- R.sup.14 is R.sup.5, mono-unsaturated lower alkyl, hydroxy, alkoxy or alkylthio, provided that when R.sup.14 is hydroxy or alkoxy, k is 2 or 3 and when R.sup.14 is mono-unsaturated alkyl or alkylthio, k is 1, 2 or 3;
- R.sup.6, R.sup.7 and R.sup.8 are independently H, alkyl, hydroxyalkyl, dihydroxyalkyl, alkoxyalkyl, dialkoxyalkyl, alkoxyalkoxyalkyl, haloalkyl, (haloalkoxy)alkyl, aminoalkyl, alkylaminoalkyl, dialkylaminoalkyl, arylalkyl or alkyl substituted with a 5-6 membered saturated ring comprising 1-2 oxygen atoms as ring members wherein the ring carbon atoms may be substituted with 0-2 alkyl substituents, or R.sup.7 and R.sup.8 together with the nitrogen to which they are attached complete a 5-7 membered ring, wherein one of the 4-6 ring members containing R.sup.7 and R.sup.8 may be a nitrogen atom, an alkyl-substituted nitrogen atom or an oxygen atom, and wherein the ring may be substituted on the ring carbon atoms with substituents chosen from alkyl and hydroxy groups;
- R.sup.9 is hydrogen, alkyl, carboxyalkyl, mercaptoalkyl, alkylthioalkyl, aminoalkyl, hydroxyalkyl, phenylalkyl, hydroxyphenylalkyl, guanidinoalkyl, imidazolylalkyl, indolylalkyl, or carbamoylalkyl;
- n is 0-2;
- m and k are independently 0-3;
- q is 1-4;
- X and X.sup.1 are independently a bond, --O--, --S--, or --CH.sub.2 --;
- Q is hydrogen or R.sup.10 CO--;
- R.sup.10 is alkyl, hydroxyalkyl, alkoxyalkyl, alkylaminoalkyl, dialkylaminoalkyl, Y.sup.3 --C.sub.6 H.sub.4 -alkyl, alkoxy, Y.sup.3 --C.sub.6 H.sub.4 --, naphthyl, furyl, thienyl or pyridyl;
- Y, Y.sup.1, Y.sup.2 and Y.sup.3 independently represent one or more substituents selected from H, alkyl, cycloalkyl, alkoxy, OH, F, Cl, Br, CN, --CH.sub.2 NH.sub.2, --CO.sub.2 H, --CO.sub.2 alkyl, --CONH.sub.2 and phenyl;
- or a pharmaceutically acceptable addition salt thereof.
- 2. A method of claim 1 wherein the mercaptoacylamino acid is selected from the (S,S) and (R,S) isomers of:
- N-[3-phenyl-2-mercaptomethylpropionyl]-S-methionine;
- N-[3-phenyl-2-mercaptomethylpropionyl]-S-methionine amide;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2-(ethoxy)ethyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2,2-dimethyl-1,3-dioxolane-4-methyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2-(2-methoxyethoxy)ethyl ester;
- N-(2-acetylthiomethyl-3-phenylpropionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-(2-acetylthiomethyl-3-(4-methylphenyl)propionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-2(acetylthiomethyl-3-(2-methylphenyl)propionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2,3-dihydroxypropyl ester; and
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine sulfoxide 2-(2-chloroethoxy)ethyl ester.
- 3. A method of claim 1 wherein the atrial natriuretic factor is chosen from .alpha. human AP 21, .alpha. human AP 28, .alpha. human AP 23, .alpha. human AP 24, .alpha. human AP 25, .alpha. human AP 26, .alpha. human AP 33, and the corresponding atrial natriuretic factor wherein the methionine at position 12 is replaced by isoleucine.
- 4. A method of claim 3 wherein the mercaptoacylamino acid is selected from the (S,S) and (R,S) isomers of:
- N-[3-phenyl-2-mercaptomethylpropionyl]-S-methionine;
- N-[3-phenyl-2-mercaptomethylpropionyl]-S-methionine amide;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2-(ethoxy)ethyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2,2-dimethyl-1,3-dioxolan-4-methyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2-(2-methoxyethoxy)ethyl ester;
- N-(2-acetylthiomethyl-3-phenylpropionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-(2-acetylthiomethyl-3-(4-methylphenyl)propionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-2(-acetylthiomethyl-3-(2-methylphenyl)propionyl)-S-methionine 2-(2-chloroethoxy)ethyl ester;
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine 2,3-dihydroxypropyl ester; and
- N-(2-benzoylthiomethyl-3-phenylpropionyl)-S-methionine sulfoxide 2-(2-chloroethoxy)ethyl ester.
Priority Claims (1)
Number |
Date |
Country |
Kind |
87108730-0 |
Jun 1987 |
EPX |
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Parent Case Info
This application is a continuation-in-part of Ser. No. 032,153, filed Mar. 27, 1987, now U.S. Pat. No. 4,801,609.
US Referenced Citations (21)
Foreign Referenced Citations (8)
Number |
Date |
Country |
0038046 |
Oct 1981 |
EPX |
46953 |
Mar 1982 |
EPX |
50800 |
May 1982 |
EPX |
79022 |
May 1983 |
EPX |
79522 |
Jun 1983 |
EPX |
136883 |
Apr 1985 |
EPX |
637374 |
Jul 1983 |
CHX |
2095682 |
Oct 1982 |
GBX |
Non-Patent Literature Citations (4)
Entry |
Needleman et al., N. Eng. J. Med., 314, 13 (1986), pp. 828-834. |
Cantin et al., Scientific American, 254 (1986), pp. 76-81. |
Wyvratt et al., Med. Res. Rev., 5, No. 4 (1985), pp. 483-531. |
Brock et al., Hypertension, Supp. II, 4, No. 3 (1982), pp. II43-II48. |
Continuation in Parts (1)
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Number |
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Parent |
32153 |
Mar 1987 |
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