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DE19931206A1 - Relaxing, or increasing cyclic adenosine monophosphate concentration in smooth muscular tissue, e.g. by administration of cAMP phosphodiesterase inhibitors, dipyridamole or sildenafil - Google Patents

Relaxing, or increasing cyclic adenosine monophosphate concentration in smooth muscular tissue, e.g. by administration of cAMP phosphodiesterase inhibitors, dipyridamole or sildenafil

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DE19931206A1
DE19931206A1 DE1999131206 DE19931206A DE19931206A1 DE 19931206 A1 DE19931206 A1 DE 19931206A1 DE 1999131206 DE1999131206 DE 1999131206 DE 19931206 A DE19931206 A DE 19931206A DE 19931206 A1 DE19931206 A1 DE 19931206A1
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imidazo
pyrimidin
pyrazolo
hexahydro
dimethyl
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Christian G Stief
Stefan Ueckert
Armin Becker
Udo Jonas
Wolf-Georg Forssmann
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7052Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
    • A61K31/706Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
    • A61K31/7064Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
    • A61K31/7076Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines containing purines, e.g. adenosine, adenylic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/352Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/357Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having two or more oxygen atoms in the same ring, e.g. crown ethers, guanadrel
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/50Pyridazines; Hydrogenated pyridazines
    • A61K31/502Pyridazines; Hydrogenated pyridazines ortho- or peri-condensed with carbocyclic ring systems, e.g. cinnoline, phthalazine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/517Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with carbocyclic ring systems, e.g. quinazoline, perimidine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings

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  • Health & Medical Sciences (AREA)
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  • Animal Behavior & Ethology (AREA)
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  • Epidemiology (AREA)
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  • General Health & Medical Sciences (AREA)
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  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The use of cyclic adenosine monophosphate (cAMP) phosphodiesterase (PDE) inhibitors (I) is claimed in the production of medicaments for the relaxation of smooth muscular tissue or for increasing the cAMP concentration in smooth muscular tissue. Independent claims are included for the following: (i) the use of the following compounds (II) as for (I) above: (6aR,9aS)-5,6a,7,8,9,9a-hexahydro-2,5-dimethyl-3-benzyl-cyclopenta (4,5)-imidazo (2,1-b) purin-4(3H)-one; (6aR,9aS)-benzyl-5,6a,7,8,9,9a-hexahydro-5-methyl-3-benzyl-cyclopenta (4,5)-imidazo (2,1-b) purin-4(3H)-one; rac-(6aR asterisk ,9aS asterisk )-5,6a,7,8,9,9a-hexahydro-5-methyl-1-benzyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; (6aR,9aS)-3,5-dimethyl-5,6a,7,8,9,9a-hexahydro-1-benzyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; rac-(6a asterisk R,9aS asterisk )-5,6a,7,8,9,9a-hexahydro-1,5-dimethyl-3-benzyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; rac-(6a asterisk R,9aS asterisk )-1,3-dibenzyl-5,6a,7,8,9,9a-hexahydro-5-methyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; rac-(6a asterisk R,9aS asterisk )-5,6a,7,8,9,9a-hexahydro-2,5-dimethyl-3-benzyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one;(6aR,9aS)-5,6a,7,8,9,9a-hexahydro-2,5-dimethyl-3-b enzyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; 2',5'-dimethyl-3'-benzyl-spiro-(cyclopentane-1,7'(8'H)-(2H) imidazo (1,2-a) pyrazolo (4,3-e) pyrimidine)-4'(5'H)-one; 7,8-dihydro-3-benzyl-2,5,7,7-tetramethyl-(2H)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; (7R)-7,8-dihydro-2,5-dimethyl-7-isopropyl-3-benzyl-(2H)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; (6aR,9aS)-5,6a,7,8,9,9a-hexahydro-5-methyl-3-phenyl-2-benzyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; rac-(6aR asterisk ,9aS asterisk )-5,6a,7,8,9,9a-hexahydro-5-methyl-3-benzyl-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; (6aR,9aS)-3,5-dimethyl-5,6a,7,8,9,9a-hexahydro-cyclopenta (4,5)-imidazo (1,2-a) pyrazolo (4,3-e) pyrimidin-4(1H)-one; 2-(2-propoxyphenyl)-8-azapurin-6-one (zaprinast); dipyridamole; 1-(3-chlorophenylamino)-4-phenylphthalazine; 2-(N-(4-carboxypiperidine)-6-chloro-4-(3,4-methylenedioxy)-benzyl)-ami no)-quinazoline; 2,3-dihydro-8-hydroxy-7-nitro-1,4-benzodioxin-2-methanol; 4-((3,4-methylenedioxy)-benzyl)-amino)-6,7,8-trimethoxy-quinazoline; 1-methyl-3'-propyl-6-(5-(N-(4-methylmorpholino)-sulfonyl)-2-ethoxyphen yl)-pyrazolo (4,5) pyrimidin-4(5H)-one (sildenafil); 2-n-butyl-5-chloro-1-(2-chlorobenzyl)-4-methylacetate-imidazole; 1-cyclopentyl-3-methyl-6-(4-pyridinyl)-pyrazolo (3,4-d) pyrimidin-4(5H)-one; 7-(3-(4-acetyl-3-hydroxy-2-propyl-phenoxy)-2-hydroxypropoxy)-2-carboxy -2,3-didehydro-chroman-4-one; quinazolines or their trimethoxy derivatives; or pyrazolopyrimidines and (ii) the use of sildenafil, IC 351 or BAY-9456 for the production of medicaments for the treatment of diseases in which an increase of the cAMP concentration in smooth muscular tissue.

Description

Die Erfindung betrifft Arzneimittel zur Erhöhung des cAMP-Spiegels bzw. zur Inhibierung der cAMP-Hydrolyse im glatt-muskulären Gewebe und deren Verwendung zur Behandlung von Krankheiten, bei denen eine Inhibierung der cAMP-Hydrolyse in diesem Gewebe notwendig ist.The invention relates to medicaments for increasing the cAMP level or to inhibit cAMP hydrolysis in smooth muscle tissue and their use in the treatment of diseases in which inhibition of cAMP hydrolysis in this tissue is necessary is.

Überraschenderweise wurde gefunden, daß die folgenden Verbindungen, für die bisher eine cGMP-Inhibierung beschrieben würde, nämlich
(6aR,9aS)-5,6a,7,8,9,9a-Hexahydro--2,5-dimethyl-3- (phenylmethyl) cyclopent[4,5]imidazo[2,1-b]purin-4(3H)-on;
(6aR,9aS)-(Phenylmethyl)-5,6a,7,8,9,9a-hexahydro-5- methylcyclopent[4,5]imidazo[2,1-b]purin-4(3H)-on;
rac-(6aR*,9aS*)-5,6a,7,8,9,9a-Hexahydro-5-methyl-1- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]lpyrazolo[4,3- el]pyrimidin-4(1H)-on;
(6aR,9aS)-3,5-Dimethyl-5,6a,7,8,9,9a-hexahydro-1- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo-[4,3-e]pyrimidin- 4(1H)-on;
rac-(6aR*,9aS*)-5,6a,7, 8,9; 9a-Hexahydro-1,5-dimethyl-3- (phenylmethyl)cycloperit[4,5]imidazo[1,2-a]pyrazolo-[4,3- e]pyrimidin-4(1H)-on;
tac- (6aR*,9aS*)-1,3-Bis(phenylmethyl)-5,6a; 7,8,9; 9a-hexahydro-5- methylcyclopent[4,5]imidazo[1,2-a]pyrazolo-[4,3-e]pyrimidin-4(1H)- on;
rac-(6aR*,9aS*)-5,6a,7,8,9,9a-Hexahydro-2,5-dimethyl-3- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo[4,3-e]pyrimidin- 4(1H)-on;
(6aR,9aS)-5,6a,7,8,9,9a-Hexahydro-2,5-dimethyl-3- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo[4,3-e]pyrimidin- 4(1H)-on;
2',5'-Dimethyl-3'-(phenylmethyl)spiro[cyclopentane-1,7'(8'H)- [2H]imidazo[1,2-a]pyrazolo[4,3-e]pyrimidin]-4'-(5'H)-on;
7,8-Dihydro-3-(phenylmethyl)-2,5,7,7-tetramethyl-[2H]-imidazo[1,2- a]pyrazolo[4,3-e]pyrimidin-4(5H)-on;
(7R)-7,8-Dihydro-2,5-dimethyl-7-(1-methylethyl)-3-(phenylmethyl)- [2H]imidazo[1,2-a]pyrazolo[4,3-e]pyrimidin-4(5H)-on;
(6aR,9aS)-5,6a,7,8,9,9a-Hexahydro-5-methyl-3-phenyl-2- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo-[4,3- e]pyrimidin-4(1H) -on;
rac = (6aR*,9aS*)-5,6a,7,8,9,9a-Hexahydro-5-methyl-3- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazaio[4,3- e]pyrimidin-4(1H)-on;
(6aR,9aS)-3,5-Dimethyl-5,6a,7,8,9,9a­ hexahydrocyclopent[4,5]imidazo[1,2-a]pyrazolo[4,3-e]pyrimidin- 4(1H)-on;
2-(2-Propoxyphenyl)-8-azapurin-6-on(Zaprinast);
Dipyridamol;
1-(3-Chlorphenylamino)-4-phenylphthalazin;
2-(N-(4-Carboxypiperidin)-6-chlor-4-(3,4-(methylendioxy)-benzyl)- amino)-quinazolin;
2,3-Dihydro-8-hydroxy-7-nitro-1,4-benzodioxin-2-methanol;
4-((3,4-(Methylendioxy)benzyl)amino)-6,7,8-trimethoxyquinazolin;
1-Methyl-3-propyl-6-(5-(N-(4-methylmorpholino)sulfonyl)-2- ethoxyphenyl)pyrazol[4,5]pyrimidin-4(5H)on(Sildenafil);
2-n-Butyl-5-chlor-1-(2-chlorbenzyl)-4-methylacetat-imidazol;
1-Cyclopentyl-3-methyl-6-(4-pyridinyl)pyrazolo(3,4-d)pyrimidin- 4(5H)-on;
7-(3-(4-Acetyl-3-hydroxy-2-propyl-phenoxy)-2-hydroxypropoxy)-2- carboxy-2,3-didehydro-chronan-4-on;
Quinazoline und deren Trimethoxy-derivate; und
Pyrazolopyrimidone
die Hydrolyse von cAMP in glatt-muskulärem Gewebe inhibieren und damit zu einem Anstieg der Konzentration von cAMP in dem betreffenden Gewebe führen.
Surprisingly, it has been found that the following compounds, for which cGMP inhibition has hitherto been described, namely
(6aR, 9aS) -5,6a, 7,8,9,9a-hexahydro - 2,5-dimethyl-3- (phenylmethyl) cyclopent [4,5] imidazo [2,1-b] purine-4 ( 3H) -on;
(6aR, 9aS) - (phenylmethyl) -5,6a, 7,8,9,9a-hexahydro-5-methylcyclopent [4,5] imidazo [2,1-b] purin-4 (3H) -one;
rac- (6aR *, 9aS *) - 5,6a, 7,8,9,9a-hexahydro-5-methyl-1- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] lpyrazolo [4 , 3-el] pyrimidin-4 (1H) -one;
(6aR, 9aS) -3,5-dimethyl-5,6a, 7,8,9,9a-hexahydro-1- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo- [4, 3-e] pyrimidin-4 (1H) -one;
rac- (6aR *, 9aS *) - 5.6a, 7, 8.9; 9a-hexahydro-1,5-dimethyl-3- (phenylmethyl) cycloperite [4,5] imidazo [1,2-a] pyrazolo- [4,3- e] pyrimidin-4 (1H) -one;
tac- (6aR *, 9aS *) - 1,3-bis (phenylmethyl) -5,6a; 7,8,9; 9a-hexahydro-5-methylcyclopent [4,5] imidazo [1,2-a] pyrazolo- [4,3-e] pyrimidin-4 (1H) - one;
rac- (6aR *, 9aS *) - 5,6a, 7,8,9,9a-hexahydro-2,5-dimethyl-3- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidin-4 (1H) -one;
(6aR, 9aS) -5,6a, 7,8,9,9a-hexahydro-2,5-dimethyl-3- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo [4,3 -e] pyrimidine-4 (1H) -one;
2 ', 5'-Dimethyl-3' - (phenylmethyl) spiro [cyclopentane-1,7 '(8'H) - [2H] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidine] - 4 '- (5'H) -one;
7,8-dihydro-3- (phenylmethyl) -2,5,7,7-tetramethyl- [2H] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidin-4 (5H) -one ;
(7R) -7,8-Dihydro-2,5-dimethyl-7- (1-methylethyl) -3- (phenylmethyl) - [2H] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidine -4 (5H) -on;
(6aR, 9aS) -5,6a, 7,8,9,9a-hexahydro-5-methyl-3-phenyl-2- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo- [ 4,3- e] pyrimidin-4 (1H) -one;
rac = (6aR *, 9aS *) - 5,6a, 7,8,9,9a-hexahydro-5-methyl-3- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazaio [4 , 3-e] pyrimidin-4 (1H) -one;
(6aR, 9aS) -3,5-dimethyl-5,6a, 7,8,9,9a hexahydrocyclopent [4,5] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidine-4 (1H ) -on;
2- (2-propoxyphenyl) -8-azapurin-6-one (Zaprinast);
Dipyridamole;
1- (3-chlorophenylamino) -4-phenylphthalazine;
2- (N- (4-carboxypiperidine) -6-chloro-4- (3,4- (methylenedioxy) benzyl) amino) quinazoline;
2,3-dihydro-8-hydroxy-7-nitro-1,4-benzodioxin-2-methanol;
4 - ((3,4- (methylenedioxy) benzyl) amino) -6,7,8-trimethoxyquinazoline;
1-methyl-3-propyl-6- (5- (N- (4-methylmorpholino) sulfonyl) -2-ethoxyphenyl) pyrazole [4,5] pyrimidin-4 (5H) one (sildenafil);
2-n-butyl-5-chloro-1- (2-chlorobenzyl) -4-methyl acetate imidazole;
1-cyclopentyl-3-methyl-6- (4-pyridinyl) pyrazolo (3,4-d) pyrimidin-4 (5H) -one;
7- (3- (4-Acetyl-3-hydroxy-2-propylphenoxy) -2-hydroxypropoxy) -2-carboxy-2,3-didehydro-chronan-4-one;
Quinazolines and their trimethoxy derivatives; and
Pyrazolopyrimidones
inhibit the hydrolysis of cAMP in smooth muscle tissue and thus lead to an increase in the concentration of cAMP in the tissue in question.

Die genannten Verbindungen wurden bisher beschrieben als besonders wirksam zur Erhöhung von cGMP-Spiegeln.The compounds mentioned have so far been described as special effective for increasing cGMP levels.

Die überraschenden Befunde der Inhibierung des cAMP-Abbaus sind in den Abb. 1 bis 3 dargestellt.The surprising findings of inhibition of cAMP degradation are shown in Figs. 1 to 3.

Physiologischerweise spielt Stickoxid (NO) eine wesentliche Rolle. in der Relaxation des glattmuskulären Gewebes. NO induziert innerhalb dieses Gewebes die Bildung des Second Messengers cGMP wie in Abb. 1 dargestellt, der dann über eine komplexe Kaskade zu einer Relaxation der glatten Muskelzellen führt. Zur Verstärkung der Wirkung von NO wurden verschiedene Verbindungen entwickelt, die die Phosphodiesterasen hemmen, die zu einem Abbau von cGMP führen und dadurch den cGMP-Spiegel erhöhen.Physiologically, nitric oxide (NO) plays an important role. in the relaxation of smooth muscle tissue. NO induces the formation of the second messenger cGMP within this tissue as shown in Fig. 1, which then leads to a relaxation of the smooth muscle cells via a complex cascade. To increase the effect of NO, various compounds have been developed which inhibit the phosphodiesterases, which lead to a breakdown of cGMP and thereby increase the cGMP level.

Beispielhaft für derartige Verbindungen ist in Abb. 2 die Wirkung von Sildenafil auf den cGMP-Spiegel dargestellt.The effect of sildenafil on the cGMP level is shown in Fig. 2 as an example of such compounds.

Überraschenderweise zeigte sich, daß in glatt-muskulärem humanen Gewebe bei der Inkubation mit Sildenafil in Dosen, die normalerweise durch orale Einnahme erreicht werden, kein nennenswerter Anstieg von cGMP gemessen wurde. Erst in unphysiologisch hohen Dosierungen, die beim Menschen, nicht oder nur mit gravierendsten Nebenwirkungen wie z. B. Kreislaufversagen oder Herzflimmern, erreicht werden können, ließ sich eine Erhöhung von cGMP feststellen.Surprisingly, it was found that in smooth-muscular human Tissue when incubated with sildenafil in cans normally achieved through oral ingestion, none significant increase in cGMP was measured. Only in unphysiologically high doses that are not in humans or only with the most serious side effects such. B. Circulatory failure or cardiac fibrillation, an increase could be achieved from cGMP.

Völlig unerwartet wurde daher der in Abb. 3 dargestellte drastische Anstieg der cAMP-Spiegel gefunden.The drastic increase in cAMP levels shown in Fig. 3 was therefore found completely unexpectedly.

Gegenstand der Erfindung ist daher die Verwendung der genannten Verbindungen zur Herstellung von Arzneimitteln zur Inhibierung der glatt-muskulären zyklischen Adenosin-3',5'-monophosphatat­ phosphodiesterasen (cAMP PDEs).The invention therefore relates to the use of the abovementioned Compounds for the manufacture of medicaments for inhibiting the smooth-muscular cyclic adenosine-3 ', 5'-monophosphatate phosphodiesterases (cAMP PDEs).

Ein weiterer Gegenstand der Erfindung ist die Verwendung von Inhibitoren der cAMP PDEs zur Relaxation glatt-muskulären Gewebes.Another object of the invention is the use of Inhibitors of cAMP PDEs for relaxation of smooth muscular tissue.

Claims (5)

1. Verwendung von Inhibitoren der cAMP PDEs zur Herstellung von Arzneimitteln zur Relaxation glatt-muskulären Gewebes.1. Use of inhibitors of cAMP PDEs for the production of Medicines for relaxation of smooth muscular tissue. 2. Verwendung von Inhibitoren der cAMP PDEs zur Herstellung von Arzneimitteln zur Erhöhung der cAMP-Konzentration in glatt­ muskulärem Gewebe.2. Use of inhibitors of cAMP PDEs for the production of Medicines to increase the concentration of cAMP in smooth muscular tissue. 3. Verwendung von Verbindungen ausgewählt aus der Gruppe
(6aR,9aS)-5,6a,7,8,9,9a-Hexahydro-2,5-dimethyl-3- (phenylmethyl) cyclopent[4,5]imidazo[2,1-b]purin-4(3H)-on;
(6aR,9aS)-(Phenylmethyl)-5,6a,7,8,9,9a-hexahydro-5- methylcycloperit[4,5]imidazo[2,1-b]purin-4(3H)-on;
rac-(6aR*,9aS*)-5,6a,7,8,9,9a-Hexahydro-5-methyl-1- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]lpyrazolo[4,3- el]pyrimidin-4(1H)-on;
(6aR,9aS)-3,5-Dimethyl-5,6a,7,8,9, 9a-hexahydro-1- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo-[4,3- e]pyrimidin-4(1H)-on;
rac-(6aR*,9aS*)-5,6a,7,8,9,9a-Hexahydro-1,5-dimethyl-3- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo-[4,3- e]pyrimidin-4(1H)-on;
rac-(6aR*; 9aS*)-1,3-Bis(phenylmethyl)-5,6a,7,8,9,9a-hexahydro- 5-methylcyclopent[4,5]imidazo[1,2-a]pyrazoho-[4,3-e]pyrimidin- 4(1H)-on;
rac-(6aR*,9aS*)-5,6a,7,8,9,9a-Hexahydro-2,5-dimethyl-3- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo[4,3- e]pyrimidin-4(1H)-on;
(6aR,9aS)-5,6a,7,8,9,9a-Hexahydro-2,5-dimethyl-3- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazoho[4,3- e]pyrimidin-4(1H)-on;
2',5'-Dimethyl-3'-(phenylmethyl)spiro[cyclopentane-1,7'(8'H)- [2H]imidazo[1,2-a]pyrazolo[4,3-e]pyrimidin]-4'-(5'H)-(5'H)-on;
7,8-Dihydro-3-(phenylmethyl)-2,5,7,7-tetramethyl-[2H]- imidazo[1,2-a]pyrazolo[4,3-e] pyrimidin-4(5H)-on;
(7R)-7,8-Dihydro-2,5-dimethyl-7-(1-methylethyl)-3- (phenylmethyl)-[2H]imidazo[1,2-a]pyrazalo[4,3-e]pyrimidin- 4(5H)-on;
(6aR,9aS)-5,6a,7,8,9,9a-Hexahydro-5-methyl-3-phenyl-2- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a] pyrazolo-[4,3- e] pyrimidin-4(1H)-on;
rac-(6aR*,9aS*)-5,6a,7,8,9,9a-Hexahydro-5-methyl-3- (phenylmethyl)cyclopent[4,5]imidazo[1,2-a]pyrazolo[4,3- e]pyrimidin-4(1H)-on;
(6aR,9aS)-3,5-Dimethyl-5,6a,7,8,9,9a- hexahydrocyclopent[4,5]imidazo[1,2-a]pyrazolo[4,3-e]pyrimidin- 4(1H)-on;
2-(2-Propoxyphenyl)-8-azapurin-6-on(Zaprinast);
Dipyridamol;
1-(3-Chlorphenylamino)-4-phenylphthalazin;
2-(N-(4-Carboxypiperidin)-6-chlor-4-(3,4-(methylendioxy)- benzyl)-amino)-quinazolin;
2,3-Dihydro-8-hydroxy-7-nitro-1,4-benzodioxin-2-methanol;
4-((3,4-(Methylendioxy)benzyl)amino)-6,7,8-trimethoxy­ quinazolin ;
1-Methyl-3'-propyl-6-(5- N-(4-methylntorpholino)sulfonyl)-2- ethoxyphenyl)pyrazol[4,5] pyrimidin-4(5H)on(Sildenafil);
2-n-Butyl-5-chlor-1-(2-chlorbenzyl)-4-methylacetat-imidazol;
1-Cyclopentyl-3-methyl-6-(4-pyridinyl)pyrazolo(3,4-d)pyrimidin- 4(5H)-on;
7-(3-(4-Acetyl-3-hydroxy-2-propyl-phenoxy)-2-hydroxypropoxy)-2- carboxy-2,3-didehydro-chronan-4-on;
Quinazolinen und deren Trimethoxy-derivaten; und
Pyrazolopyrimidonen
zur Herstellung von Arzneimitteln zur Relaxation glatt­ muskulären Gewebes.
3. Use of compounds selected from the group
(6aR, 9aS) -5,6a, 7,8,9,9a-hexahydro-2,5-dimethyl-3- (phenylmethyl) cyclopent [4,5] imidazo [2,1-b] purine-4 (3H ) -on;
(6aR, 9aS) - (phenylmethyl) -5,6a, 7,8,9,9a-hexahydro-5-methylcycloperit [4,5] imidazo [2,1-b] purin-4 (3H) -one;
rac- (6aR *, 9aS *) - 5,6a, 7,8,9,9a-hexahydro-5-methyl-1- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] lpyrazolo [4 , 3-el] pyrimidin-4 (1H) -one;
(6aR, 9aS) -3,5-dimethyl-5,6a, 7,8,9,9a-hexahydro-1- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo- [4, 3-e] pyrimidin-4 (1H) -one;
rac- (6aR *, 9aS *) - 5,6a, 7,8,9,9a-hexahydro-1,5-dimethyl-3- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo - [4,3- e] pyrimidin-4 (1H) -one;
rac- (6aR *; 9aS *) - 1,3-bis (phenylmethyl) -5,6a, 7,8,9,9a-hexahydro-5-methylcyclopent [4,5] imidazo [1,2-a] pyrazoho - [4,3-e] pyrimidin-4 (1H) -one;
rac- (6aR *, 9aS *) - 5,6a, 7,8,9,9a-hexahydro-2,5-dimethyl-3- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo [4,3- e] pyrimidin-4 (1H) -one;
(6aR, 9aS) -5,6a, 7,8,9,9a-hexahydro-2,5-dimethyl-3- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazoho [4,3 - e] pyrimidin-4 (1H) -one;
2 ', 5'-Dimethyl-3' - (phenylmethyl) spiro [cyclopentane-1,7 '(8'H) - [2H] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidine] - 4 '- (5'H) - (5'H) -one;
7,8-dihydro-3- (phenylmethyl) -2,5,7,7-tetramethyl- [2H] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidin-4 (5H) -one ;
(7R) -7,8-Dihydro-2,5-dimethyl-7- (1-methylethyl) -3- (phenylmethyl) - [2H] imidazo [1,2-a] pyrazalo [4,3-e] pyrimidine - 4 (5H) -on;
(6aR, 9aS) -5,6a, 7,8,9,9a-hexahydro-5-methyl-3-phenyl-2- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo- [ 4,3- e] pyrimidin-4 (1H) -one;
rac- (6aR *, 9aS *) - 5,6a, 7,8,9,9a-hexahydro-5-methyl-3- (phenylmethyl) cyclopent [4,5] imidazo [1,2-a] pyrazolo [4 , 3-e] pyrimidin-4 (1H) -one;
(6aR, 9aS) -3,5-dimethyl-5,6a, 7,8,9,9a-hexahydrocyclopent [4,5] imidazo [1,2-a] pyrazolo [4,3-e] pyrimidine-4 ( 1H) -on;
2- (2-propoxyphenyl) -8-azapurin-6-one (Zaprinast);
Dipyridamole;
1- (3-chlorophenylamino) -4-phenylphthalazine;
2- (N- (4-carboxypiperidine) -6-chloro-4- (3,4- (methylenedioxy) benzyl) amino) quinazoline;
2,3-dihydro-8-hydroxy-7-nitro-1,4-benzodioxin-2-methanol;
4 - ((3,4- (methylenedioxy) benzyl) amino) -6,7,8-trimethoxy quinazoline;
1-methyl-3'-propyl-6- (5- N- (4-methylntorpholino) sulfonyl) -2-ethoxyphenyl) pyrazole [4,5] pyrimidin-4 (5H) one (sildenafil);
2-n-butyl-5-chloro-1- (2-chlorobenzyl) -4-methyl acetate imidazole;
1-cyclopentyl-3-methyl-6- (4-pyridinyl) pyrazolo (3,4-d) pyrimidin-4 (5H) -one;
7- (3- (4-Acetyl-3-hydroxy-2-propylphenoxy) -2-hydroxypropoxy) -2-carboxy-2,3-didehydro-chronan-4-one;
Quinazolines and their trimethoxy derivatives; and
Pyrazolopyrimidones
for the production of medicines for relaxation of smooth muscular tissue.
4. Verwendung von Verbindungen gemäß Anspruch 3 zur Herstellung von Arzneimitteln zur. Erhöhung der cAMP-Konzentration in glatt­ muskulärem Gewebe.4. Use of compounds according to claim 3 for the preparation of medicines for. Increase in cAMP concentration in smooth muscular tissue. 5. Verwendung von Sildenafil, IC 351 oder BAY38-9456 zur Herstellung von Arzneimitteln zur Behandlung von Krankheiten bei denen eine Erhöhung der cAMP-Konzentration in glatt­ muskulärem Gewebe erforderlich ist.5. Use of Sildenafil, IC 351 or BAY38-9456 for Manufacture of medicines for the treatment of diseases where an increase in cAMP concentration in smooth muscular tissue is required.
DE1999131206 1999-07-07 1999-07-07 Relaxing, or increasing cyclic adenosine monophosphate concentration in smooth muscular tissue, e.g. by administration of cAMP phosphodiesterase inhibitors, dipyridamole or sildenafil Withdrawn DE19931206A1 (en)

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