The present invention relates to a thiazolone derivative of an s-nitrosoglutathione reductase (GSNOR) N6022 and a pharmaceutical use thereof, and in particular to a use thereof for preparing medicines for improvement and treatment on diseases related to asthma, cystic fibrosis, diabetic vascular complications and aortic aneurysm/dissection.
N6022 is a specific and reversible s-nitrosoglutathione reductase (GSNOR) inhibitor;
and studies have shown that N6022 can effectively mitigate asthma and allergic airway inflammation. The phase I and phase II clinical trials of N6022 for treating chronic asthma and cystic fibrosis have finished.
Diabetes has become a leading health problem causing morbidity and mortality worldwide. 70% of the deaths of the diabetic patients are attributed to cardiovascular complications; and the diabetic vascular complications, including atherosclerosis, peripheral arterial diseases, retinopathy and nephropathy, are also major factors affect the quality of life. Vascular endothelial cells are located on the inner membrane of the vascular wall and serve as a barrier between blood and tissues. Under various physiological and pathological conditions, the endothelial cells can also play a role as “first response” effector cells for adjusting vascular functions. Diabetes induces endothelial cell dysfunction which is mainly manifested by an increase in vascular endothelial permeability, an impairment of angiogenesis ability. This impairment constitutes a main inducement and a pathophysiological basis of various vascular complications. Although the molecular mechanism of the diabetic endothelial dysfunction has been widely studied, there are limited numbers of method for treating diabetic vascular complications. Therefore, it is key to seek for a new clinically effective method to treat diabetic vascular complications and reduce the disability rate and mortality rate.
Aortic aneurysm/dissection (AAD), a highly fatal disease without effective treatment drug, is one of the common diseases threatening human health. Aortic intima is locally torn due to some pathological factors, resulting in gradual peeling and expansion under the impact of blood flow, so that a true cavity and a false cavity are formed in the artery. The rupture of the aortic dissection will cause serious consequences such as hemorrhagic shock and cardiac tamponade, and even sudden death. AAD often attacks people aged between 65 and 75, and its main risk factors include hypertension, dyslipidemia and heritable connective tissue diseases like Marfan syndrome. The mortality rate of AAD is 50-68% within 48 hours after onset and increased to 90% within 3 months. Therefore, AAD has the characteristics of a fast progress, complex conditions with high fatality rate. The key to clinically effectively reducing the high fatality rate is to seek a new effective method for treating AAD.
We have found that N6022 shows beneficial effect on both the diabetic vascular complications and the aortic aneurysm/dissection, but the clinical use of N6022 is limited due to its low oral bioavailability and fast metabolism.
The applicant has conducted a structural modification of N6022 and found that the activities of an amide derivative N6022-1 and an ester derivative N6022-2 of N6022 are significantly reduced in in-vitro studies. Quite surprisingly, we have found that a thiazolone derivative (subject compound 1) of N6022 shows a good activity in vitro and has good bioavailability, and that at the same dose, the subject compound 1 has a significantly better oral efficacy than N6022, N6022-1 and N6022-2.
Technical problem to be solved: The present disclosure provides a thiazolone derivative of N6022, which has preeminent in-vitro and in-vivo activities and bioavailability, a longer half-life period, and can be used for preparing medicine for improvement and treatment on diseases related to asthma, cystic fibrosis, diabetic vascular complications and aortic aneurysm/dissection.
Technical solution: A thiazolone derivative of N6022 having the following characteristic structure:
The subject compound 1 has good in-vitro and in-vivo activities and bioavailability, and a longer half-life period, and can be used for preparing medicines for improvement and treatment on diseases related to asthma, cystic fibrosis, diabetic vascular complications and aortic aneurysm/dissection.
Beneficial effects: The subject compound 1 has good in-vitro and in-vivo activities and bioavailability, and a longer half-life period, and can be used for preparing medicines for improvement and treatment on diseases related to asthma, cystic fibrosis, diabetic vascular complications and aortic aneurysm/dissection.
The examples below are used to further describe the content of the present disclosure, but should not be interpreted as a limitation. All modifications and substitutions made to the methods, steps or conditions of the present disclosure are within the protection scope of the present disclosure. Unless otherwise specified, the technical means used in the examples are conventional means to those skilled in the art.
3-(5-(4-(1H-imidazol-1-yl)phenyl)-1-(4-carbamoyl-2-methylphenyl)-1H-pyrrol-2-yl) propanoic acid (N6022, 500 mg, 1.21 mmol), 2-chloro-1-methylpyridinium iodide (CMPI, 370 mg, 1.45 mmol), dimethylaminopyridine (DMAP, 10 mg, 0.06 mmol), thiazolidone (250 mg, 2.41 mmol) and triethylamine (TEA, 490.2 mg, 4.84 mmol) were sequentially added into a 250 ml single-neck flask, and dichloromethane (15 ml) was added; and the reaction occurred at room temperature for 8 hours. Suction filtration was performed; the pH of the filtrate was adjusted to 7 using dilute hydrochloric acid; dichloromethane (15 ml) and water (15 ml) were added for extraction; organic phases were combined and subjected to rotary evaporation to dry; column chromatography separation (dichloromethane:methanol=25:1) was performed to obtain 400 mg of a beige crude product; and the beige crude product was recrystallized from absolute methanol to obtain 195 mg of a white solid, with a yield of 32%.
1H NMR (Chloroform-d, 400 MHz) δ (ppm):δ 7.81-7.67 (m, 3H), 7.39 (d, J=7.6 Hz, 1H), 7.30-7.10 (m, 2H), 6.84 (s, 1H), 6.40 (s,1H), 6.13 (s, 1H), 4.06 (s, 2H), 3.22 (s, 2H), 3.02 (s, 2H), 2.60 (s, 2H), 1.82 (s, 3H).
GSNOR plays a crucial regulatory role in asthma and cystic fibrosis. The GSNOR activity in the lungs of asthma patients is significantly increased, and allelic mutations of GSNOR significantly increase the probability of asthma in children. Also, the GSNOR activity in the respiratory tracks of cystic fibrosis patients is obviously increased, whereas the level of its catalytic product GSNO is decreased significantly. In order to explore the protective effect of the subject compound 1 in asthma and cystic fibrosis, the inhibitory effects of the subject compound 1, N6022, N6022-1 and N6022-2 on the GSNOR activity were tested in vitro.
The results show that the subject compound 1 is equivalent to N6022 in the inhibitory effect on the GSNOR activity, and is significantly superior to N6022-1 and N6022-2. This suggests that the subject compound 1 showed equivalent in-vitro activity to N6022 in the against asthma and cystic fibrosis.
It is known that in the diabetic vascular complications, decreased angiogenesis and increased vascular endothelial permeability are among the risk factors causing local edema, ischemia followed by ulcer and amputation. In order to study the therapeutic effect of the subject compound 1 on the diabetic vascular complications at cellular level, HUVECs were challenged with a high glucose (30 mM) stimulus, as well as the subject compound 1, N6022, N6022-1 and N6022-2 (10 nM) respectively for 24 hours to test the angiogenesis ability of the endothelial cells through an endothelial cell tube formation experiment.
The results show that the subject compound 1 and N6022 can obviously improve the high glucose caused defects in angiogenesis ability of endothelial cells, and showed a significantly better outcome than N6022-1 and N6022-2 (
In order to explore the protective effect of the subject compound 1 in the aortic aneurysm/dissection, at a cellular level, we have given human aortic smooth muscle cells (HASMCs) with angiotensin II (1 μM), as well as the subject compound 1, N6022, N6022-1 and N6022-2 (10 nM) respectively for 24 hours treatment. Then, cellular RNA were extracted to detect contractile/synthetic markers of smooth muscle cells.
The results show that the subject compound 1 and N6022 can obviously inhibit a decrease in the expression of the contractile markers and an increase in the expression in the synthetic markers due to angiotensin II, so as to inhibit phenotypic switch of the smooth muscle cells, and has a significantly better effect than N6022-1 and N6022-2 (
In order to verify the oral bioavailability of the subject compound 1, ICR mice were treated with single intravenous injection dose of N6022 (1 mg/kg) and the subject compound 1 (1.2 mg/kg) respectively. Two other groups were treated with N6022 (5 mg/kg) and the subject compound 1 (6 mg/kg) respectively at a single oral dose. Then, the plasma concentration was detected by LC-MS/MS at hour 0.083, 0.25, 0.5, 1, 2, 4, 8 and 24 respectively (
The results show that compared to N6022, the oral bioavailability of the subject compound 1 is obviously increased (60.07±7.91% vs 6.44±3.72%), and the drug half-life period is also prolonged (1.62±0.81 vs 0.76±0.15 h); and the experiments above indicate that the subject compound 1 has good oral bioavailability.
In order to further study the oral efficacy of the subject compound 1 on diabetic vascular complications, SPF-level 8-week-old male C57BL/6J mice (purchased from the Medical Experimental Animal Center of Nanjing Medical University) were randomly divided into six groups: a control group, a diabetes model group, a diabetes model+gavage with subject compound 1 (6 mg/kg/day) group, a diabetes model+gavage with N6022-1 (5.6 mg/kg/day) group, a diabetes model+gavage with N6022-2 (5.3 mg/kg/day) group, and a diabetes model+intravenous injection with N6022 (1 mg/kg/day) group. To generate diabetes model, mice at week 8 were intraperitoneally injected with streptozotocin (60 mg/kg/day) for consecutive 5 days, then the modeling was identified as a success if the blood glucose was measured to be greater than 16.6 mmol/L at week 10. For the mice of all groups, a lateral limb ischemia model was established at week 12; and after operation, the groups were given with N6022, the subject compound 1, N6022-1 and N6022-2 every day, and the blood flow recoveries of the lateral limbs were monitored with a laser speckle blood flow imaging system at day 0, 7 and 14 respectively (
The results show that oral administration of the subject compound 1 can obviously promote the angiogenesis of the ischemic lateral limbs of the diabetic mice, thus to restore blood flow, which has an equivalent effect to the group intravenously injected with N6022 and a significantly better effect than the groups orally administered with N6022-1 and with N6022-2; and the experiments above indicate that oral administration of the subject compound 1 showed desirable therapeutic effect on diabetic vascular complications.
In order to further study the oral efficacy of the subject compound 1 on aortic aneurysm/dissection diseases, SPF-level 3-week-old male C57BL/6J mice (purchased from the Medical Experimental Animal Center of Nanjing Medical University) were randomly divided into six groups: a control group, a disease model group (0.25% β-aminopropionitrile-containing drinking water, 28 days), a disease model+gavage with subject compound 1 (6 mg/kg/day) group, a disease model+gavage with N6022-1 (5.6 mg/kg/day) group, a disease model+gavage with N6022-2 (5.3 mg/kg/day) group, and a disease model+intravenous injection with N6022 (1 mg/kg/day) group. The results show that the mice of the disease model group using β-aminopropionitrile-containing drinking water alone experience obvious pathologic expansion in the aortas, where the diameters of the ascending aorta/descending aorta/thoracic aorta are about 1.5 times higher than control group, and the mortality rate and the incidence rate of aortic dissection are significantly increased compared to the control group; and after the mice of the disease model group are gavaged with the subject compound 1, both the expansion of the aortic diameter and the mortality rate of the mice are inhibited (
The results show that oral administration of the subject compound 1 has an equivalent effect to the group intravenously injected with N6022 and a significantly better effect than the groups orally administered with N6022-1 and N6022-2; and the experiments above indicate that oral administration of the subject compound 1 shows desirable therapeutic effect on aortic aneurysm/dissection diseases.
Number | Date | Country | Kind |
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202011622515.7 | Dec 2020 | CN | national |
Filing Document | Filing Date | Country | Kind |
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PCT/CN2021/089594 | 4/25/2021 | WO |