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1.
Bioorg Med Chem Lett ; 20(6): 2007-12, 2010 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-20153964

RESUMEN

Previous work on human NK(1) (hNK(1)) antagonists in which the core of the structure is a 5,5-fused pyrrolizinone has been disclosed. The structural-activity-relationship studies on simple alpha- and beta-substituted compounds of this series provided several potent and bioavailable hNK(1) antagonists that displayed excellent brain penetration as observed by their good efficacy in the gerbil foot-tapping (GFT) model assay. Several of these compounds exhibited 100% inhibition of the foot-tapping response at 0.1 and 24h with ID(50)'s of less than 1 mpk. One particular alpha-substituted compound (2b) had an excellent pharmacokinetic profile across preclinical species with reasonable in vivo functional activity and minimal ancillary activity.


Asunto(s)
Compuestos Bicíclicos con Puentes/farmacología , Antagonistas del Receptor de Neuroquinina-1 , Pirroles/farmacología , Administración Oral , Animales , Disponibilidad Biológica , Compuestos Bicíclicos con Puentes/administración & dosificación , Compuestos Bicíclicos con Puentes/farmacocinética , Humanos , Pirroles/administración & dosificación , Pirroles/farmacocinética
2.
Psychopharmacology (Berl) ; 197(4): 591-600, 2008 May.
Artículo en Inglés | MEDLINE | ID: mdl-18264695

RESUMEN

RATIONALE: Tiagabine is an anticonvulsant drug which may also have sleep-enhancing properties. It acts by inhibiting reuptake at the gamma-aminobutyric acid (GABA) transporter (GAT-1). OBJECTIVES: The aim of the study was to determine whether tiagabine acted as a discriminative stimulus and, if so, whether other GABAergic compounds would generalise to it. MATERIALS AND METHODS: Rats were trained to discriminate tiagabine (30 mg/kg p.o.) from vehicle, and generalisation to drugs that modulate GABA was assessed. RESULTS: Gaboxadol (5-20 mg/kg p.o.), a selective extrasynaptic GABA A agonist, generalised to tiagabine, although the extent of the generalisation was inconclusive. Indiplon (1 mg/kg p.o.), a benzodiazepine-like hypnotic, also partially generalised to tiagabine, although zolpidem and S-zopiclone did not. Baclofen, a GABA B receptor agonist, and gabapentin, which increases synaptic GABA, did not generalise to tiagabine. (+)-Bicuculline (3 mg/kg i.p.), a GABA A receptor antagonist, blocked the tiagabine cue, but the less brain-penetrant salt form, bicuculline methochloride, had no effect. CONCLUSIONS: These data suggest that tiagabine generates a discriminative stimulus in rats, and provides a central GABA-mediated cue, but is distinct from the other GABAergic compounds tested.


Asunto(s)
Anticonvulsivantes/farmacología , Aprendizaje Discriminativo/efectos de los fármacos , GABAérgicos/farmacología , Ácidos Nipecóticos/farmacología , Administración Oral , Aminas/farmacología , Animales , Compuestos de Azabiciclo/farmacología , Baclofeno/farmacología , Benzodiazepinas/farmacología , Bicuculina/análogos & derivados , Bicuculina/farmacología , Encéfalo/efectos de los fármacos , Ácidos Ciclohexanocarboxílicos/farmacología , Relación Dosis-Respuesta a Droga , Agonistas del GABA/farmacología , Antagonistas del GABA/farmacología , Proteínas Transportadoras de GABA en la Membrana Plasmática/efectos de los fármacos , Gabapentina , Generalización del Estimulo/efectos de los fármacos , Hipnóticos y Sedantes/farmacología , Inyecciones Intraperitoneales , Isoxazoles/farmacología , Masculino , Piperazinas/farmacología , Piridinas/farmacología , Ratas , Tiofenos/farmacología , Tiagabina , Zolpidem , Ácido gamma-Aminobutírico/farmacología
3.
Neuropharmacology ; 52(3): 844-53, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17196996

RESUMEN

Gaboxadol is a selective extrasynaptic GABA(A) receptor agonist (SEGA) which enhances slow-wave sleep, and may act principally at extrasynaptic GABA(A)alpha4betadelta receptors. Drug discrimination is a very useful approach for exploring in vivo pharmacological similarities and differences between compounds and was therefore used to compare gaboxadol and zolpidem, an established hypnotic drug, against zopiclone, S-zopiclone, indiplon and tiagabine, all of which have been reported to enhance sleep. Gaboxadol generalised to itself, but not to zolpidem, zopiclone, S-zopiclone, R-zopiclone, indiplon or tiagabine. By contrast, zolpidem generalised to itself, zopiclone, S-zopiclone and indiplon, but not to R-zopiclone (the inactive enantiomer of zopiclone), gaboxadol or tiagabine. This suggests that zolpidem, zopiclone, S-zopiclone and indiplon share a discriminative stimulus, which may be mediated by their efficacy at GABA(A)alpha1betagamma receptors. Gaboxadol and tiagabine each have a different discriminative stimulus from all the other drugs tested.


Asunto(s)
Aprendizaje Discriminativo/efectos de los fármacos , Agonistas del GABA/farmacología , Generalización Psicológica/efectos de los fármacos , Isoxazoles/farmacología , Sueño/efectos de los fármacos , Animales , Condicionamiento Operante/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Evaluación de Medicamentos , Interacciones Farmacológicas , Masculino , Ratas , Ratas Sprague-Dawley
4.
Eur J Cancer ; 39(8): 1074-80, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12736106

RESUMEN

Advances in antiemetic therapy for chemotherapy-induced emesis have resulted in improved protection against symptoms occurring within 24 h of chemotherapy. However, the vomiting which tends to occur beyond 24 h after chemotherapy (delayed-phase vomiting) is still relatively poorly controlled by the currently available drugs, suggesting that more than one mechanism may mediate these symptoms. The standard antiemetic regimen currently recommended for prevention of chemotherapy-induced emesis includes a serotonin (5-HT(3)) antagonist and a corticosteroid. The neurokinin-1 (NK(1)) antagonist aprepitant represents a new class of antiemetic currently in clinical development. Using data obtained in 2 Phase II clinical trials of aprepitant in patients receiving chemotherapy based on the highly emetogenic chemotherapeutic agent cisplatin, we compared the time course of antiemetic effect of aprepitant, a 5-HT(3) antagonist, or a combination of both. Over the entire observation period (up to 7 days post-cisplatin), patients who received the NK(1) antagonist had a superior prevention of emesis. However, in the first 24 h after cisplatin, emesis occurred in fewer patients who received the 5-HT(3) antagonist than in patients who did not receive this class of drug. Furthermore, the majority of treatment failures in patients who received the NK(1) antagonist occurred within the first 8-12 h of chemotherapy, whereas the treatment failures in patients who received a 5-HT(3) antagonist were more evenly distributed over time. Patients who received both drugs had superior control of symptoms compared with patients who received one or the other. The difference in the time course of emesis blockade observed with two different classes of receptor antagonists provides substantial evidence for involvement of separate pathophysiological mechanisms in chemotherapy-induced vomiting. Serotonin mediates the early vomiting process that occurs within 8-12 h following cisplatin-based chemotherapy, after which time substance P acting at NK(1) receptors becomes the dominant mediator of vomiting


Asunto(s)
Antieméticos/uso terapéutico , Antineoplásicos/efectos adversos , Cisplatino/efectos adversos , Morfolinas/uso terapéutico , Antagonistas del Receptor de Neuroquinina-1 , Neurotransmisores/fisiología , Vómitos/inducido químicamente , Aprepitant , Ensayos Clínicos Fase II como Asunto , Quimioterapia Combinada , Granisetrón/uso terapéutico , Humanos , Neoplasias/tratamiento farmacológico , Ondansetrón/uso terapéutico , Profármacos/uso terapéutico , Serotonina/fisiología , Antagonistas de la Serotonina/uso terapéutico , Sustancia P/fisiología
5.
Neuropharmacology ; 25(8): 959-61, 1986 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-3774121

RESUMEN

The administration to the ferret of cisplatin, 10mg/kg (i.v.), caused an intense emetic response that was prevented by ICS 205-930 (0.1 and 1.0 mg/kg i.v.) and metoclopramide (4.0 mg/kg i.v.). Smaller doses of ICS 205-930 (0.01 mg/kg i.v.) and metoclopramide (2.0 mg/kg i.v.) attenuated the emetic response to cisplatin. It is concluded that the potent action of ICS 205-930 against cisplatin-induced emesis is the consequence of a 5-hydroxytryptamine M-receptor antagonism which may also contribute to the antiemetic action of metoclopramide.


Asunto(s)
Cisplatino/antagonistas & inhibidores , Indoles/uso terapéutico , Metoclopramida/uso terapéutico , Receptores de Serotonina/efectos de los fármacos , Vómitos/inducido químicamente , Animales , Antieméticos/farmacología , Hurones , Masculino , Tropisetrón , Vómitos/prevención & control
6.
Neuropharmacology ; 26(9): 1321-6, 1987 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-2890117

RESUMEN

The intravenous injection of cisplatin in the ferret caused a consistent emetic (vomiting/retching) response. Emesis induced by cisplatin was abolished by the 5-hydroxytryptamine (5-HT) M-receptor antagonists ICS205-930, zacopride, dazopride and metoclopramide. The neuroleptic agents haloperidol, fluphenazine, domperidone, sulpiride and tiapride also antagonized emesis induced by cisplatin but only a proportion of the animals were completely protected and diazepam and prednisolone only reduced the intensity of the response. It is concluded that compounds used in the clinic to antagonise emesis induced by chemotherapy are effective in the ferret model. Antagonism of emesis induced by cisplatin in the ferret was most potently achieved by the use of the 5-HT M-receptor antagonists ICS205-930 and zacopride. However, an antagonism of dopamine receptors would appear relevant to the anti-emetic effects of the neuroleptic agents and may contribute to the anti-emetic effects of metoclopramide. Diazepam and prednisolone exert their modest antagonism by unknown mechanisms. The use of the 5-HT M-receptor antagonists is revealed as a novel approach to the treatment of emesis induced by cisplatin.


Asunto(s)
Antieméticos/farmacología , Cisplatino/farmacología , Vómitos/inducido químicamente , Animales , Antipsicóticos/farmacología , Diazepam/farmacología , Hurones , Masculino , Prednisolona/farmacología , Antagonistas de la Serotonina/farmacología
7.
Neuropharmacology ; 33(2): 259-60, 1994 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8035913

RESUMEN

These studies have examined the effects of the selective neurokinin1 (NK1) receptor antagonist CP-99,994 on the retching and vomiting response to apomorphine. CP-99,994 (1-3 mg/kg i.p.) attenuated retching and vomiting induced by apomorphine (0.25 mg/kg s.c.) with complete inhibition of retching and vomiting at the 3 mg/kg dose. In contrast CP-100,263 (3 mg/kg i.p.), the enantiomer of CP-99,994 with 1000-fold lower affinity for the NK1 receptor, was without effect.


Asunto(s)
Apomorfina/antagonistas & inhibidores , Antagonistas del Receptor de Neuroquinina-1 , Piperidinas/farmacología , Vómitos/prevención & control , Animales , Relación Dosis-Respuesta a Droga , Hurones , Masculino , Estereoisomerismo , Vómitos/inducido químicamente
8.
Neuropharmacology ; 38(2): 289-97, 1999 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10218871

RESUMEN

Emesis induced by inhibitors of type IV cyclic nucleotide phosphodiesterase (PDE IV) has been investigated in the ferret. The PDE IV inhibitors studied were: RS14203, R-rolipram and CT-2450 (i.e. (R)-N-[4-[1-(3-cyclopentyloxy-4-methoxyphenyl)-2-(4-pyridyl)ethyl]phenyl ]N'-ethylurea), in addition to the less active enantiomers S-rolipram and CT-3405. Following oral administrations, different emetic profiles were observed with time. Emesis induced by RS14203 exhibited a dose-response relationship but no such relationship was seen for R-rolipram or CT-2450. The incidence of emesis was positively influenced by the dose of PDE IV inhibitors administered, allowing a rank order of potency: RS14203 > R-rolipram > S-rolipram > CT-2450 > CT-3405. PDE IV inhibitor-induced emesis was abolished by the tachykinin NK1 receptor antagonist, CP-99,994. No peripheral release of substance P by PDE IV inhibitors seems to be involved in triggering the emetic reflex since L-743,310, which only has peripheral NK1 receptor antagonist activity, was without effect. The implication of 5-HT3 receptors in PDE IV inhibitor-induced emesis was variable. Our results suggest that the PDE IV inhibitors studied are mixed peripheral-central emetogens. PDE IV inhibition itself could be plausible mechanism of action of these agents. However, whether emesis is mediated via a specific isoform of PDE IV remains to be established.


Asunto(s)
Antieméticos/farmacología , Eméticos/farmacología , Nitrobencenos/farmacología , Compuestos de Fenilurea/farmacología , Inhibidores de Fosfodiesterasa/farmacología , Piridinas/farmacología , Pirrolidinonas/farmacología , Quinolonas/farmacología , Vómitos , Animales , Relación Dosis-Respuesta a Droga , Hurones , Indoles/farmacología , Estructura Molecular , Ondansetrón/farmacología , Piperidinas/farmacología , Rolipram , Estereoisomerismo , Factores de Tiempo
9.
Neuropharmacology ; 27(8): 783-90, 1988 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-2905784

RESUMEN

The involvement of 5-hydroxytryptamine (5-HT) with cisplatin-induced emesis in the ferret was investigated using reserpine, para-chlorophenylalanine and fenfluramine. Pretreatment with reserpine (5 mg/kg, 24 hr), fenfluramine (5 mg/kg, 4 days) or para-chlorophenylalanine (100 or 400 mg/kg, 4 days) antagonised cisplatin-induced emesis. All treatments reduced the levels of 5-HT in the area postrema and at other cerebral sites, but whilst this action was relatively selective for small doses of para-chlorophenylalanine [only modest effects on noradrenaline (NA) and no change in the content of dopamine (DA) in the area postrema], other treatments reduced levels of dopamine and noradrenaline. Data are discussed in terms of an involvement of 5-HT/catecholamines in the area postrema with the mediation of emesis induced by cisplatin.


Asunto(s)
Carnívoros/fisiología , Cisplatino/antagonistas & inhibidores , Fenclonina/farmacología , Fenfluramina/farmacología , Hurones/fisiología , Reserpina/farmacología , Vómitos/inducido químicamente , Animales , Monoaminas Biogénicas/metabolismo , Química Encefálica/efectos de los fármacos , Núcleo Caudado/efectos de los fármacos , Núcleo Caudado/metabolismo , Hipotálamo/efectos de los fármacos , Hipotálamo/metabolismo , Masculino , Neurotransmisores/metabolismo , Vómitos/prevención & control
10.
Neuropharmacology ; 40(2): 262-9, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11114405

RESUMEN

The objective of this work was to assess the role of alpha(2)-adrenoceptors in emesis induced by inhibitors of type 4 phosphodiesterase (PDE4) in ferrets. Pre-treatment with yohimbine, MK-912 or MK-467 (alpha(2)-adrenoceptor antagonists) caused sudden and unexpected vomiting. In contrast, clonidine (alpha(2)-adrenoceptor agonist) did not induce emesis at doses ranging from 62.5-250 microg/kg s.c. At the dose of 250 microg/kg, clonidine also provided protection against emesis induced by the PDE4 inhibitors, PMNPQ (i.e. 6-(4-pyridylmethyl)-8-(3-nitrophenyl)quinoline, CT-2450 and R-rolipram. It was postulated that PDE4 inhibitors trigger emesis by mimicking the pharmacological actions of alpha(2)-adrenoceptor antagonists. This hypothesis was strengthened by the demonstration that PDE4 inhibitors can reverse the hypnotic effect of an alpha(2)-adrenoceptor mediated anaesthetic regimen in rats and ferrets. Similar to alpha(2)-adrenoceptor antagonists, PMNPQ, R-rolipram and S-rolipram dose-dependently decreased the duration of anaesthesia in rats injected with the combination xylazine/ketamine. While subcutaneous injections of CT-2450 (3-30 mg/kg) were without effect, a central infusion (6 microg i.c.v.) decreased the duration of anaesthesia. These studies suggest that the ferret is an appropriate model to study emesis induced by PDE4 inhibitors and that these compounds trigger the emetic reflex via a noradrenergic pathway, mimicking the pharmacological actions of a pre-synaptic alpha(2)-adrenoceptor inhibition.


Asunto(s)
3',5'-AMP Cíclico Fosfodiesterasas/fisiología , Inhibidores de Fosfodiesterasa/efectos adversos , Receptores Adrenérgicos alfa 2 , Vómitos/inducido químicamente , Agonistas alfa-Adrenérgicos/farmacología , Antagonistas Adrenérgicos alfa/farmacología , Anestesia , Animales , Fosfodiesterasas de Nucleótidos Cíclicos Tipo 4 , Hurones , Masculino , Piridinas/efectos adversos , Quinolinas/efectos adversos , Receptores Adrenérgicos alfa 1/efectos de los fármacos , Receptores Adrenérgicos alfa 2/efectos de los fármacos , Rolipram/efectos adversos
11.
Neuropharmacology ; 25(11): 1293-6, 1986 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-3099224

RESUMEN

The injection of 5-hydroxytryptamine (5-HT) and 2-methyl-5-HT into the perifornical area of the hypothalamus of the guinea-pig reduced the emptying of barium sulphate spheroids from the stomach. In contrast, the injection of the 5-HT M-receptor antagonist ICS 205-930 into the same area of the hypothalamus enhanced gastric emptying and attenuated the inhibitory effect of 5-HT. Similar injections of methysergide and ritanserin were without effect. It is concluded that an endogenous hypothalamic 5-HT system may inhibit gastric emptying through a 5-HT M-receptor mechanism which may afford a site of action for 5-HT agonist and antagonist drugs to modify gastric emptying.


Asunto(s)
Vaciamiento Gástrico/efectos de los fármacos , Hipotálamo/efectos de los fármacos , Indoles/farmacología , Receptores de Serotonina/efectos de los fármacos , Animales , Cobayas , Hipotálamo/fisiología , Masculino , Metisergida/farmacología , Piperidinas/farmacología , Ritanserina , Serotonina/análogos & derivados , Serotonina/farmacología , Tropisetrón
12.
Neuropharmacology ; 34(12): 1697-9, 1995 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8788968

RESUMEN

Effects of the NK1 receptor antagonist CP-99,994 on nicotine-induced emesis were examined in Suncus murinus. CP-99,994 (3 and 10 mg/kg i.p.) attenuated emesis to (-)nicotine (4 mg/kg s.c.). CP-100,263 (3 and 10 mg/kg i.p.), the enantiomer of CP-99,994 with 1000 fold lower affinity for the NK1 receptor was without effect and RP67580 reduced emesis only at a dose of 30 mg/kg i.p. Responses to NK1 antagonists were ranked according to their affinities for the Suncus murinus NK1 receptor.


Asunto(s)
Antieméticos/farmacología , Neuroquinina A/antagonistas & inhibidores , Piperidinas/farmacología , Receptores de Neuroquinina-1/efectos de los fármacos , Vómitos/prevención & control , Animales , Relación Dosis-Respuesta a Droga , Indoles/farmacología , Isoindoles , Masculino , Morfina/farmacología , Nicotina , Musarañas , Estereoisomerismo , Sustancia P/antagonistas & inhibidores , Vómitos/inducido químicamente
13.
Neuropharmacology ; 29(5): 453-62, 1990 May.
Artículo en Inglés | MEDLINE | ID: mdl-1972549

RESUMEN

The intravenous injection of cisplatin (10 mg/kg), the subcutaneous injection of apomorphine (0.125-1 mg/kg) and lisuride (0.001-0.1 mg/kg), the oral administration of ipecacuanha (0.3-2.4 mg/kg) and the intragastric administration of copper sulphate (25-100 mg/kg), induced a vomiting and retching response in the ferret. Pretreatment with dl-fenfluramine (5 mg/kg i.p.) prevented or reduced the emesis induced by cisplatin, apomorphine, ipecacuanha and lisuride but failed to significantly antagonise copper sulphate-induced emesis. The 5-HT3 receptor antagonist ICS 205-930 (0.1 mg/kg i.p.) prevented emesis induced by cisplatin and ipecacuanha but failed to prevent or significantly reduce the emesis induced by apomorphine, lisuride or copper sulphate. Dopamine receptor antagonists, including fluphenazine (0.1-1.0 mg/kg i.p.) prevented apomorphine- and lisuride-induced emesis but were less potent or had inconsistent actions to antagonise cisplatin- or ipecacuanha-induced emesis and failed to inhibit the emesis induced by copper sulphate. The data indicate that dopamine and/or 5-HT3 receptor systems are involved in drug-induced emesis but that emesis caused by gastric irritation induced by copper sulphate is mediated by different receptor mechanisms.


Asunto(s)
Eméticos/antagonistas & inhibidores , Fenfluramina/farmacología , Flufenazina/farmacología , Indoles/farmacología , Vómitos/prevención & control , Animales , Apomorfina , Cisplatino , Cobre , Sulfato de Cobre , Femenino , Hurones , Ipeca , Lisurida , Masculino , Estereoisomerismo , Tropisetrón , Vómitos/inducido químicamente
14.
Neuropharmacology ; 35(8): 1121-9, 1996.
Artículo en Inglés | MEDLINE | ID: mdl-9121615

RESUMEN

These studies have compared the pharmacological profile of two non-peptide human type neurokinin1 (hNK1) receptor selective antagonists, L-741,671 and a quaternised compound L-743,310. In radioligand binding studies L-741,671 and L-743,310 had high affinity for ferret and cloned hNK1 receptors [Ki (nM) ferret 0.7 and 0.1; human 0.03 and 0.06, respectively] but low affinity for rodent NK1 receptors [Ki (nM) 64 and 17, respectively] suggesting that ferret receptors have hNK1-like binding pharmacology. Studies in vivo showed that L-741,671 and L-743,310 had equivalent functional activity in the periphery (ID50s of 1.6 and 2 micrograms/kg i.v., respectively) as measured by inhibition of plasma protein extravasation evoked in the oesophagus of guinea pigs by resiniferatoxin (7 nmol/kg i.v.). Using an in situ brain perfusion technique in anaesthetised rats, L-741,671 was shown to be much more brain penetrant than the quaternary compound L-743,310 which had an entry rate similar to the poorly brain penetrant plasma marker inulin. These compounds thus provided an opportunity to compare the anti-emetic effects of equi-active hNK1 receptor antagonists with and without brain penetration to central NK1 receptor sites. When tested against cisplatin-induced emesis in ferrets, L-741,671 (0.3, 1 and 3 mg/kg i.v.) produced marked dose-dependent inhibition of retching and vomiting but L-743,310 was inactive at 3 and 10 micrograms/kg i.v. In contrast, direct central injection of L-741,671 and L-743,310 (30 micrograms) into the vicinity of the nucleus tractus solitarius or L-743,310 (200 micrograms) intracisternally was shown to inhibit retching and vomiting induced by i.v. cisplatin. L-741,671 and L-743,310 had equivalent functional activity, at the same dose, against cisplatin-induced emesis when injected centrally. These observations indicated that had L-743,310 penetrated into the brain after systemic administration it would have been active in the cisplatin-induced emesis assay and so show that brain penetration is essential for the anti-emetic action of systemically administered NK1 receptor antagonists.


Asunto(s)
Antieméticos/farmacología , Antineoplásicos/antagonistas & inhibidores , Cisplatino/antagonistas & inhibidores , Hurones/fisiología , Antagonistas del Receptor de Neuroquinina-1 , Vómitos/prevención & control , Animales , Antineoplásicos/toxicidad , Proteínas Sanguíneas/metabolismo , Química Encefálica/efectos de los fármacos , Línea Celular , Cisplatino/toxicidad , Diterpenos/antagonistas & inhibidores , Diterpenos/toxicidad , Cobayas , Indoles/farmacología , Ligandos , Masculino , Neurotoxinas/antagonistas & inhibidores , Neurotoxinas/toxicidad , Piperidinas/farmacología , Ensayo de Unión Radioligante , Receptores de Neuroquinina-1/metabolismo , Triazoles/farmacología , Vómitos/inducido químicamente
15.
Neuropharmacology ; 39(4): 652-63, 2000 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-10728886

RESUMEN

The anti-emetic profile of the novel brain penetrant tachykinin NK1 receptor antagonist MK-0869 (L-754,030) 2-(R)-(1-(R)-(3,5-bis(trifluoromethyl)phenylethoxy)-3-(S)-(4-fluor o)phenyl-4-(3-oxo-1,2,4-triazol-5-yl)methylmorpholine and its water soluble prodrug, L-758,298, has been examined against emesis induced by cisplatin in ferrets. In a 4 h observation period, MK-0869 and L-758,298 (3 mg/kg i.v. or p.o.) inhibited the emetic response to cisplatin (10 mg/kg i.v.). The anti-emetic protection afforded by MK-0869 (0.1 mg/kg i.v.) was enhanced by combined treatment with either dexamethasone (20 mg/kg i.v.) or the 5-HT3 receptor antagonist ondansetron (0.1 mg/kg i.v.). In a model of acute and delayed emesis, ferrets were dosed with cisplatin (5 mg/kg i.p.) and the retching and vomiting response recorded for 72 h. Pretreatment with MK-0869 (4-16 mg/kg p.o.) dose-dependently inhibited the emetic response to cisplatin. Once daily treatment with MK-0869 (2 and 4 mg/kg p.o.) completely prevented retching and vomiting in all ferrets tested. Further when daily dosing began at 24 h after cisplatin injection, when the acute phase of emesis had already become established, MK-0869 (4 mg/kg p.o. at 24 and 48 h after cisplatin) prevented retching and vomiting in three out of four ferrets. These data show that MK-0869 and its prodrug, L-758,298, have good activity against cisplatin-induced emesis in ferrets and provided a basis for the clinical testing of these agents for the treatment of emesis associated with cancer chemotherapy.


Asunto(s)
Acetales/farmacología , Antieméticos/farmacología , Antineoplásicos/farmacología , Cisplatino/toxicidad , Morfolinas/farmacología , Antagonistas del Receptor de Neuroquinina-1 , Profármacos/farmacología , Vómitos/tratamiento farmacológico , Enfermedad Aguda , Animales , Antieméticos/metabolismo , Aprepitant , Células CHO , Células COS , Cricetinae , Relación Dosis-Respuesta a Droga , Hurones , Humanos , Masculino , Morfolinas/metabolismo , Profármacos/metabolismo , Ratas , Receptores de Neuroquinina-1/metabolismo , Solubilidad
16.
J Med Chem ; 44(24): 4296-9, 2001 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-11708932

RESUMEN

1-(5-[[(2R,3S)-2-([(1R)-1-[3,5-Bis(trifluoromethyl)phenyl]ethyl]oxy)-3-(4-fluorophenyl)morpholin-4-yl]methyl]-2H-1,2,3-triazol-4-yl)-N,N-dimethylmethanamine hydrochloride 3 is a high affinity, orally active, h-NK(1) receptor antagonist with a long central duration of action and a solubility in water of >100 mg/mL. The construction of the 5-dimethylaminomethyl 1,2,3-triazol-4-yl unit, which incorporates the solubilizing group of 3, was accomplished by thermal rearrangement of a propargylic azide in the presence of dimethylamine. Compound 3 is highly effective in pre-clinical tests that are relevant to clinical efficacy in emesis and depression.


Asunto(s)
Antidepresivos/síntesis química , Antieméticos/síntesis química , Morfolinas/síntesis química , Antagonistas del Receptor de Neuroquinina-1 , Triazoles/síntesis química , Administración Oral , Aminas/síntesis química , Aminas/química , Aminas/farmacología , Animales , Animales Recién Nacidos , Antidepresivos/química , Antidepresivos/farmacología , Antieméticos/química , Antieméticos/farmacología , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Perros , Hurones , Gerbillinae , Cobayas , Técnicas In Vitro , Inyecciones Intravenosas , Macaca mulatta , Morfolinas/química , Morfolinas/farmacología , Ensayo de Unión Radioligante , Ratas , Solubilidad , Relación Estructura-Actividad , Triazoles/química , Triazoles/farmacología , Vocalización Animal/efectos de los fármacos
17.
J Med Chem ; 41(23): 4607-14, 1998 Nov 05.
Artículo en Inglés | MEDLINE | ID: mdl-9804700

RESUMEN

Structural modifications requiring novel synthetic chemistry were made to the morpholine acetal human neurokinin-1 (hNK-1) receptor antagonist 4, and this resulted in the discovery of 2-(R)-(1-(R)-3, 5-bis(trifluoromethyl)phenylethoxy)-3-(S)-(4-fluoro)phenyl-4-(3-ox o-1 ,2,4-triazol-5-yl)methyl morpholine (17). This modified compound is a potent, long-acting hNK-1 receptor antagonist as evidenced by its ability to displace [125I]Substance P from hNK-1 receptors stably expressed in CHO cells (IC50 = 0.09 +/- 0.06 nM) and by the measurement of the rates of association (k1 = 2.8 +/- 1.1 x 10(8) M-1 min-1) and dissociation (k-1 = 0.0054 +/- 0.003 min-1) of 17 from hNK-1 expressed in Sf9 membranes which yields Kd = 19 +/- 12 pM and a t1/2 for receptor occupancy equal to 154 +/- 75 min. Inflammation in the guinea pig induced by a resiniferatoxin challenge (with NK-1 receptor activation mediating the subsequent increase in vascular permeability) is inhibited in a dose-dependent manner by the oral preadmininstration of 17 (IC50 (1 h) = 0.008 mg/kg; IC90 (24 h) = 1.8 mg/kg), indicating that this compound has good oral bioavailbility and peripheral duration of action. Central hNK-1 receptor stimulation is also inhibited by the systemic preadministration of 17 as shown by its ability to block an NK-1 agonist-induced foot tapping response in gerbils (IC50 (4 h) = 0.04 +/- 0.006 mg/kg; IC50 (24 h) = 0.33 +/- 0.017 mg/kg) and by its antiemetic actions in the ferret against cisplatin challenge. The activity of 17 at extended time points in these preclinical animal models sets it apart from earlier morpholine antagonists (such as 4), and the piperidine antagonists 2 and 3 and could prove to be an advantage in the treatment of chronic disorders related to the actions of Substance P. In part on the basis of these data, 17 has been identified as a potential clinical candidate for the treatment of peripheral pain, migraine, chemotherapy-induced emesis, and various psychiatric disorders.


Asunto(s)
Acetales/síntesis química , Morfolinas/síntesis química , Antagonistas del Receptor de Neuroquinina-1 , Acetales/administración & dosificación , Acetales/química , Acetales/farmacología , Administración Oral , Animales , Aprepitant , Conducta Animal/efectos de los fármacos , Unión Competitiva , Células CHO , Permeabilidad Capilar/efectos de los fármacos , Línea Celular , Cricetinae , Diterpenos/inmunología , Esófago/irrigación sanguínea , Esófago/efectos de los fármacos , Esófago/inmunología , Femenino , Hurones , Gerbillinae , Miembro Posterior/fisiología , Humanos , Inflamación/inmunología , Inflamación/prevención & control , Masculino , Morfolinas/administración & dosificación , Morfolinas/química , Morfolinas/farmacología , Tráquea/irrigación sanguínea , Tráquea/efectos de los fármacos , Tráquea/inmunología , Vejiga Urinaria/irrigación sanguínea , Vejiga Urinaria/efectos de los fármacos , Vejiga Urinaria/inmunología , Vómitos/prevención & control
18.
J Med Chem ; 39(15): 2907-14, 1996 Jul 19.
Artículo en Inglés | MEDLINE | ID: mdl-8709125

RESUMEN

The preparation of a series of N-heteroarylpiperidine ether-based human NK1 antagonists is described. Two of the compounds 3-[-(2S,3S)-3-(((3,5-bis(trifluoromethyl)phenyl)methyl)oxy)- 2-phenylpiperidino}methyl]-1,2,4-triazole (11) and 5-[¿(2S,3S)-3-(((3,5-bis(trifluoromethyl)-phenyl)methyl)oxy)-2- phenylpiperidino}methyl]-3-oxo-1,2,4-triazolone (12)), in particular, are orally bioavailable and exhibited significant improvements in potency, both in vitro and in vivo, over the lead (carboxamidomethyl)piperidine ether 1. Rat liver microsome studies on a selected number of compounds from this series show the triazolone heterocycle to be considerably more stable than the others. Furthermore, both 11 and 12 have been profiled in a number of assays that may be predictive of the clinical utility of substance P antagonists.


Asunto(s)
Antagonistas del Receptor de Neuroquinina-1 , Piperidinas/síntesis química , Triazoles/síntesis química , Animales , Disponibilidad Biológica , Estabilidad de Medicamentos , Hurones , Cobayas , Humanos , Inflamación/tratamiento farmacológico , Macaca mulatta , Masculino , Microsomas Hepáticos/metabolismo , Trastornos Migrañosos/tratamiento farmacológico , Piperidinas/metabolismo , Piperidinas/uso terapéutico , Ratas , Receptores de Neuroquinina-1/metabolismo , Triazoles/metabolismo , Triazoles/uso terapéutico , Vómitos/tratamiento farmacológico
19.
J Med Chem ; 43(6): 1234-41, 2000 Mar 23.
Artículo en Inglés | MEDLINE | ID: mdl-10737756

RESUMEN

The regioselective dibenzylphosphorylation of 2 followed by catalytic reduction in the presence of N-methyl-D-glucamine afforded 2-(S)-(1-(R)-(3, 5-bis(trifluoromethyl)phenyl)ethoxy)-3-(S)-(4-fluoro)phenyl-4-(5-(2- phosphoryl-3-oxo-4H,-1,2,4-triazolo)methylmorpholine, bis(N-methyl-D-glucamine) salt, 11. Incubation of 11 in rat, dog, and human plasma and in human hepatic subcellular fractions in vitro indicated that conversion to 2 would be expected to occur in vivo most readily in humans during hepatic circulation. Conversion of 11 to 2 occurred rapidly in vivo in the rat and dog with the levels of 11 being undetectable within 5 min after 1 and 8 mg/kg doses iv in the rat and within 15 min after 0.5, 2, and 32 mg/kg doses iv in the dog. Compound 11 has a 10-fold lower affinity for the human NK-1 receptor as compared to 2, but it is functionally equivalent to 2 in preclinical models of NK-1-mediated inflammation in the guinea pig and cisplatin-induced emesis in the ferret, indicating that 11 acts as a prodrug of 2. Based in part on these data, 11 was identified as a novel, water-soluble prodrug of the clinical candidate 2 suitable for intravenous administration in humans.


Asunto(s)
Acetales/síntesis química , Acetales/metabolismo , Antiinflamatorios no Esteroideos/síntesis química , Antieméticos/síntesis química , Morfolinas/síntesis química , Morfolinas/metabolismo , Antagonistas del Receptor de Neuroquinina-1 , Profármacos/síntesis química , Acetales/química , Acetales/farmacología , Animales , Antiinflamatorios no Esteroideos/química , Antiinflamatorios no Esteroideos/metabolismo , Antiinflamatorios no Esteroideos/farmacología , Antieméticos/química , Antieméticos/metabolismo , Antieméticos/farmacología , Antineoplásicos , Aprepitant , Cisplatino , Perros , Evaluación Preclínica de Medicamentos , Hurones , Cobayas , Humanos , Morfolinas/química , Morfolinas/farmacología , Profármacos/química , Profármacos/metabolismo , Profármacos/farmacología , Ratas , Solubilidad , Estereoisomerismo , Relación Estructura-Actividad , Vómitos/inducido químicamente , Vómitos/tratamiento farmacológico , Agua
20.
Br J Pharmacol ; 113(3): 729-36, 1994 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-7858861

RESUMEN

1. The anticonvulsant and behavioural effects of the glycine/NMDA receptor partial agonist, L-687,414 (R(+)-cis-beta-methyl-3-amino-1-hydroxypyrrolid-2-one) have been investigated in rodents. 2. L-687,414 dose-dependently antagonized seizures induced by N-methyl-D,L- aspartic acid (NMDLA, ED50 = 19.7 mg kg-1), pentylenetetrazol (PTZ, ED50 = 13.0 mg kg-1) and electroshock (ED50 = 26.1 mg kg-1) when given intravenously 15 min before test, in male Swiss Webster mice but was most potent against audiogenic seizures induced by a 120 dB bell in DBA/2 mice (ED50 = 5.1 mg kg-1, i.p., 30 min before test). 3. L-687,414 also induced impairments of performance in a rotarod test in both Swiss Webster and DBA/2 mice and the ratio [rotarod MED:anticonvulsant ED50] varied between 0.9 and 5, depending on the convulsant used. 4. Similar behaviours to those seen after administration of the non-competitive NMDA receptor antagonist, MK-801 (head weaving, body rolling, hyperlocomotion) were seen in the mouse after giving L-687,414, although the peak effect occurred at a dose (100 mg kg-1) which was 5-20 times the anticonvulsant ED50S, depending on the convulsant used. Unlike MK-801, however, doses of L-687,414 that were behaviourally stimulant did not increase dopamine turnover in the nucleus accumbens. 5. Consistent with the interaction of L-687,414 with the glycine/NMDA receptor, the anticonvulsant, ataxic and motor stimulant effects of the compound were significantly attenuated by the glycine/NMDA receptor agonist, D-serine (10-100 micrograms per mouse, i.c.v.). 6. The results show that L-687,414 is a potent, orally active anticonvulsant with a more benign pharmacological profile than antagonists acting at the ion channel of the NMDA receptor complex. The compound is a useful tool with which to probe the functional role of the glycine co-agonist site in vivo.


Asunto(s)
Anticonvulsivantes/farmacología , Conducta Animal/efectos de los fármacos , Pirrolidinonas/farmacología , Receptores de Glicina/agonistas , Receptores de N-Metil-D-Aspartato/agonistas , Animales , Maleato de Dizocilpina/farmacología , Dopamina/metabolismo , Masculino , Ratones , Ratones Endogámicos DBA , Actividad Motora/efectos de los fármacos , Fenciclidina/farmacología , Ratas , Ratas Sprague-Dawley , Receptores de N-Metil-D-Aspartato/antagonistas & inhibidores
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