Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Nitrogen containing other than solely as a nitrogen in an...
Reexamination Certificate
1997-06-06
2003-03-18
O'Sullivan, Peter (Department: 1621)
Drug, bio-affecting and body treating compositions
Designated organic active ingredient containing
Nitrogen containing other than solely as a nitrogen in an...
C514S357000, C514S428000, C514S429000, C514S479000, C514S485000, C514S509000, C514S530000, C514S531000, C514S543000, C514S544000, C514S587000, C514S637000, C514S641000, C560S016000, C560S024000, C560S025000, C560S034000, C560S035000, C564S027000, C564S244000, C564S245000, C564S246000
Reexamination Certificate
active
06534546
ABSTRACT:
TECHNICAL FIELD
This invention relates to N-substituted aniline derivatives, more specifically to the compounds represented by the general formula (1) which have an inhibitory effect on nitric oxide synthase (NOS) to suppress the production of nitric oxide (NO) and thereby prove effective against the pathology in cerebrovascular diseases, in particular, occlusive cerebrovascular diseases in which excessive NO or NO metabolites would be involved, as well as traumatic brain injuries, seizure, headache and other pains, morphine tolerance and dependence, Alzheimer's disease, Parkinson's disease, septic shocks, chronic rheumatoid arthritis, osteoarthritis, viral or nonviral infections and diabetes; the invention also relates to possible stereoisomers and optically active forms of the compounds, pharmaceutically acceptable salts thereof, as well as to preventives and therapeutics containing them as an effective ingredient.
BACKGROUND ART
Occlusion or lower perfusion pressure in a cerebral artery or carotid artery by a certain mechanism cause ischemic necrosis in the brain tissue and this state is called “cerebral infarction”. Cerebral infarction is roughly classified to cerebral embolism and cerebral thrombosis depending upon the mechanism involved.
Cerebral embolism is characterized by the formation of thrombi in a cerebral artery due to detachment of intracardiac blood clots or rarely blood clots on arterial walls, and cerebral thrombosis is primarily based on sclerotic lesions of cerebral arteries, which are complicated by an increased blood viscosity or a reduced perfusion pressure to result in an occlusion of the artery, which may progress to ischemic necrosis of the brain tissue (“NOKEKKAN SHOGAI”, compiled under the supervision of Hisao MANABE and Teruo OMAE, published by Life Science, pp. 54-55, 1992).
Irrespective of whether the cause is cerebral embolism or thrombosis, the formation of edema is observed in the ischemic brain tissue either concurrently with or prior to the development of the infarction. Vasogenic brain edema is manifested several hours after the onset of cerebral ischemia and continues for about one week from the onset. Thereafter, the brain edema decreases gradually and, depending on the area of the infarction, the edema persists as an infarct area in one to three months. Since the brain is covered with the rigid skull, brain edema causes an increase in the brain volume. If the brain edema exceeds a certain limit, there occurs an abrupt increase in the tissue pressure and the intracranial pressure, often inducing fatal hernia and eventually aggravating the brain damage to determine the scope of the subsequent infarct volume (“CT, MRI JIDAI NO NOSOTCHUGAKU, PART I in Two Volumes”, Kenji INAMURA and Akio TERASHI, published by Nihon Rinshosha, pp.,231-239, 1993). In addition, if a region of the brain becomes infarcted, the functions that have been fulfilled by the affected area, for example, perception, sensation and memory will be lost.
Thus, the treatment of brain edema and infarction which are critical to the quality of patient's life and the prognosis of his disease is clinically a very important objective. As for brain edema, the currently used methods of treatment rely upon hyperpnea, the drainage of cerebrospinal fluid and the use of hypertonic solutions, steroids and others; however, in almost all the effects of cases, these methods are only transient and there is not much promise for the therapeutic efficacy to be finally achieved (“NOSOTCHU CHIRYO MANUAL”, ed. by Masakuni KAMEYAMA, published by Igaku Shoin, pp. 34-36, 1991). Therefore, it has been desirable to develop drugs that are operated by an entirely different mechanism than the conventional etiological observation and which will prove effective in the treatment of ischemic cerebrovascular diseases.
A presently dominant theory based on genetic DNA analyses holds that NOS exists in at least three isoforms, namely, calcium-dependent N-cNOS (type 1) which is present constitutively in neurons, calcium-dependent E-cNOS (type 3) which is present constitutively in vascular endothelial cells and apparently calcium-independent iNOS (type 2) which is induced and synthesized by stimulation with cytokines and/or lipopolysaccharides (LPS) in macrophages and many other cells (Nathan et al., FASEB J. 16, 3051-3064, 1992; Nagafuji et al., Mol. Chem. Neuropathol. 26, 107-157, 1995).
A mechanism that has been proposed as being most probable for explaining the brain tissue damage which accompany cerebral ischemia is a pathway comprising the sequence of elevation in the extracellular glutamic acid level, hyperactivation of glutamic acid receptors on the post-synapses, elevation in the intracellular calcium level and activation of calcium-dependent enzymes (Siesjö, J. Cereb. Blood Flow Metab. 1, 155-185, 1981; Siesjö, J. Neurosurg. 60, 883-908, 1984; Choi, Trends Neurosci. 11, 465-469, 1988; Siejö and Bengstsson, J. Cereb. Blood Flow Metab. 9, 127-140, 1989). As already mentioned, N-cNOS is calcium-dependent, so the inhibition of abnormal activation of this type of NOS isoform would contribute to the neuroprotective effects of NOS inhibitors (Dawson et al., Annals Neurol. 32, 297-311, 1992).
As a matter of fact, the mRNA level of N-cNOS and the number of N-cNOS containing neurons start to increase early after cerebral ischemia and their temporal alterations coincide with the development of infarction in rats (Zhang et al., Brain Res. 654, 85-95, 1994). In addition, in a mouse model of focal cerebral ischemia, the percent inhibition of N-cNOS activity and the percent reduction of infarct volume correlate to each other at least in a dose range of L-NNA that reduces infarct volume (Carreau et al., Eur. J. Pharmacol. 256, 241-249, 1994). Further in addition, it has been reported that in N-cNOS knockout mice, the infarct volume observed after focal cerebral ischemia is significantly smaller than that in the control (Huang et al., Science 265, 1883-1885, 1994).
A report has also been made that suggests the involvement of iNOS in the mechanism for the occurrence and development of ischemic brain damage. Briefly, after 12 hours of focal cerebral ischemia in rats, the mRNA of iNOS started to increase in the cerebral cortex of the affected hemisphere and, after 2 days, it reached a maximum concomitantly with iNOS activity, probably originating from polynuclear leukocytes (Iadecola et al., J. Cereb. Blood Flow Metab. 15, 52-59, 1995; Iadecola et al., J. Cereb. Blood Flow Metab. 15, 378-384, 1995). It has been reported that when N
G
-nitro-L-arginine methyl ester (L-NAME) which is one of the NOS inhibitors was administered after 3 hours of ischemia in consideration of the above-described temporal changes, the infarct volume decreased significantly (Zhang et al., J. Cereb. Blood Flow Metab. 15, 595-601, 1995).
Further in addition, it has been reported that the amount of occurrence of iNOS or its enzymatic activity increased in astrocytes or brain microvessels after cerebral ischemia in rats (Endoh et al., Neurosci. Lett. 154, 125-128, 1993; Endoh et al., Brain Res. 651, 92-100, 1994; Nagafuji et al., in Brain Edema IX (Ito et al, eds.), 60, pp285-288, 1994, Springer-Verlag; Toshiaki NAGAFUJI and Toru MATSUI, Jikken Igaku, 13, 127-135, 1995; Nagafuji et al., Mol. Chem. Neuropathol. 26, 107-157, 1995).
These reports suggest that N-CNOS or iNOS may be closely involved in the mechanism for the occurrence and the development of the tissue damage following cerebral ischemia.
Referring now to NO, it is at least one of the essences of endothelium-derived relaxing factor (EDRF) and, hence, is believed to take part in the adjustment of the tension of blood vessels and the blood flow (Moncada et al., Pharmacol. Rev. 43, 109-142, 1991). As a matter of fact, it was reported that when rats were administered high doses of L-NNA, the cerebral blood flow was found to decrease in a dose-dependent manner as the blood pressure increased (Toru MATSUI et al., Jikken Igaku, 11, 55-60, 1993). The brain has a mechanism by which the cer
Honda Toshio
Kimura Nobuaki
Kitoh Yasushi
Makino Toshihiko
Nagafuji Toshiaki
Browdy and Neimark , P.L.L.C.
Chugai Seiyaku Kabushiki Kaisha
O'Sullivan Peter
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