TW200934493A - An arylindenopyrimidine compound and use as an adenosine A2a receptor antagonist - Google Patents
An arylindenopyrimidine compound and use as an adenosine A2a receptor antagonist Download PDFInfo
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Description
200934493 六、發明說明: 案之夺叉I照 本申請案係主張2〇〇7年1〇月24曰申請之美國臨時申 *月案序號60/982,247的優先權。前文提及之相關美國專利 5 10 15 ❹ 申請·案的全部揭示内容係併入本文中作為參考而用於所有 的目的上。 【發明所屬之技術領域】 本發明係關於新穎之芳基茚并嘧啶及其治療及預防上 的用途。所治療及/或預防之疾病包括可藉由拮抗腺苷A2a 受體而改善之神經退化及運動障礙。 【先前技術】 腺苷A2a受體腺苷係由體内所有代謝性活性細胞所產 生的嘌呤核苷酸。腺苷係經由四種屬於經G蛋白質偶合之 爻體超族之細胞表面受體的亞型(A卜A2a,A2b及A3)來發 揮其效應(史代爾,G.L.生物化學期刊,1992,267,6451)。 A1及AS偶合會抑制G蛋白質,然而A2a及A2b偶合可刺 激G蛋白質。A2a受體主要係在腦之神經元及神經膠質細 胞一者中發現(於紋狀體及伏隔核(nucleus accumbens)中含 1最高,於嗅覺結節,下視丘,及海馬等區域為中至高含 畺)(羅辛,D. L.;洛貝華,A.;伍達德,r· l.;古耶奈特,p. G. ; #登,J.,比較神經學期刊,1998,401,163)。 於末梢組織中’ A2a受體係在血小板,嗜中性白血球, 血管平滑肌及内皮中發現(葛西,S.;凡拉尼,κ ;梅里吉, S·,翁吉尼,Ε. ’波雷斯,Ρ. Α.英國藥理學期刊,2〇〇〇,129, 20 200934493 2)。紋狀體為用來調節運動活性之主要大腦區域,特別經 由其來自起源於本質黑質而與多巴胺相關之神經元的神經 分佈。於罹患帕金森氏症(PD)之患者中,紋狀體為與多巴 胺相關神經元變性的主要目標。於紋狀體内,A2a受體係 與多巴胺D2受體共_定位(c〇_i〇caiize(j),而主張係腦中整合 腺苷及多巴胺信號之重要位置(芬克,j s ;威弗,D Ri ;里 夫奇斯,S. A.;彼得費恩德,R a.;波拉克,A. E.;阿德勒,E. Μ.;雷波特,S. Μ.,腦研究分子腦研究,1992,14,186)。 神經化學之研究已顯示出A2a受體之活化會降低D2❹ 激動劑對其等之受體的結合親和性。該D2R及A2aR受體-受體之相互作用業已於大鼠之紋狀體膜製備物中(弗雷, S·;康歐勒,G·;強納森,B.;費多姆,B. b.;富塞司,K., 美國國家科學院公報I,1991,88,7238)以及於經A2aR及 D2R cDNAs轉染後之纖維母細胞系中證實(沙里姆,η.;弗 雷,S.;達賴,A.;彼得芳德,r· a.;富塞司,K.;文生,J. D.; 雷多,P. M.,神經化學期刊,2000,74,432)。於活體内, 使用A2a拮抗劑之A2a受體的藥理阻斷,於包括小鼠,大Ο 鼠及猴子之各種物種中,會導致於多巴胺能神經毒素MPTP (1-甲基-4-苯基-1,2,3,6-四氫吡啶)-所誘發的pc中有利的效 應(池田,K.;黑田,M.;青谷名,S.;桑名,Y.,神經化學期 刊,2002,80,262)。 再者,已發現當將具有A2a功能基因阻斷之A2a剔除 的小鼠曝露於神經毒素MPTP時,其等對運動損傷及神經 化學改變較不敏感(陳氏,j. F.;蘇氏,K.;艾比滋,J. P.;史 200934493 提爾,R.;蘇氏,Υ.Η.;貝爾斯坦,μ.;桑沙拉p κ ;卡斯 塔諾里,K.;小卡斯塔諾里,史瓦沙奇德,M. A.·,’神經 科學期刊,20(U,1 21,RC 1 43)。 於人類中,已發現腺苷受體拮抗劑茶鹼於pD患者中產 生有利的效應(馬利,J. ’史東,T. W.,神經科學期刊,1995, 132,129)。與此一致地,近代流行病學研究已顯示出高咖 啡鹼消耗使人較不會發展PD (阿斯雪利歐,A.;詹氏,s. ,兔門,Μ. A.,河内,I.,柯第滋,g. a.;史培塞,ρ e ; 威里特,W. C.,神經學年報’ 2001,50,56)。總之,腺苷A2a 受體阻斷劑可提供新類型之抗帕金森氏症劑(印巴納提洛, F·,巴斯提亞,E. ’翁吉尼,E.;摩洛寶利,A.,出現的治療 標的,2000,4,635)。 八2 A受體拮抗劑於處理上癌時為潛在有用之治療法。 主要之濫用藥物(鸦片,古柯鹼,乙醇等)不論直接或間接調 整神經元中之多巴胺信號’特別是那些於伏隔核中所發現 者’其具有高含量之Aw腺苷受體。依賴業已顯示係藉由 腺苷信號途徑而增進,且其已經顯示的是給藥以A2A受體 拮抗劑降低上癮物質之慾癖(”腺苷A1A受體及GipY次單位 於酒精中毒及上癮中之臨床角色:從細胞生物學到行為,,, 由艾凡戴亞蒙及里納堯編著’(上瘾之細胞生物學,2006, 第291-316頁)及”腺苷信號於藥物依賴中之適應:治療關係 ”,由史提夫P.哈克及麥當勞J.克里斯提編著,神經生物學 之臨床回顧,第15卷,235-274 (2003))。亦參見酒精中毒: 臨床及實驗研究(;2007),31(8),1302-1307。 200934493
Aw受體拮抗劑可用於處理注意力不集中過度反應症 (ADHD)因為咖轉驗(非選擇性腺菩拮抗劑)可用來處理 ADHD’且於多巴胺與腺苷神經元之間有許多相互作用。臨 床遺傳學(2000),58(1),3卜40及其中之參考。 5 Α;2Α受體拮抗劑於治療抑鬱時為潛在有用之治療法。 AZA拮抗劑已知可於包括強迫性搖晃及尾部懸吊試驗之各 種抑營模式中誘發活性。正性反應係藉由與多巴胺相關之 傳遞所媒介且係因直接逃避行為之延長所弓丨起而非藉由運 動刺激效應。神經病理學(2003),61(附錄6) S82-S87。 1〇 Am受體拮抗劑於治療焦慮時為潛在有用之治療法。
Aw拮抗劑業已於生體内顯示避免情緒/焦慮性反應。疾病 之神經生物學(2007),28(2) 197-205。 【發明内容】 化合物A為有效小分子之腺苷A2a受體拮抗劑。
本發明之詳細說明
本發明係提供化合物A
6 200934493 及合劑σ物’水合物,互變異構物,及醫藥上可接受 類。 ι 本發明又提供治療具有H著拮抗腺苷AM受體而改盖 5 ❹ 10 15 Ο 20 象的方法’其包括給藥至該對象一治療上有: 劑1之本發明醫藥組合物。 另双 以預又提供藉由拮抗對象中之腺苷A2a受體而改盖 預防障礙的方法,其包括於預期藉著拮抗該對象之: X體岐善之疾病事件料之前紐後,投與 象-預防上有效劑量之如中請專利範圍第Μ之化又、物4 本發明化合物可被單離且用作為游 σ° 皁離且用作為醫藥上可接受的鹽類。 亦可被 此等鹽類之實例包括氫溴酸鹽、氫碘 h 過氣酸鹽、硫酸鹽、馬來酸鹽、延胡现I虱酸鹽、 酒石酸鹽、檸檬酸鹽、己二酸鹽、* w:、:酸鹽、 曱續酸鹽、氫乙續酸鹽、苯確酸鹽、草古杏仁酸鹽、 萘續酸鹽、對.甲苯销鹽、環己基胺基-、帕莫酸鹽、 本發明亦提供包括本發明化合物 二及糖二酸鹽。 劑的醫藥組合物。 醫樂上可接受之載 醫藥上可接受之栽劑為熟f本項 (但不限於),從㈣.01至約(U Μ且較:者所熟知且包括 緩衝液(buyer)或〇.8%食鹽水。此等醫藥地〇.〇5 Μ磷酸鹽 為水性或非水性溶液,懸浮液及乳濁液、可接觉之載劑可 例為丙二醇、聚乙二醇,植物油例如概播‘水性溶劑之實 有機酯類例如油酸乙酯。水性載劑包括^由,及可注射之 、乙醇、酒精性/ 200934493 水溶液、甘油、乳濁劑或縣 口服栽加净劑,包括食鹽水及緩衝媒劑。 服载劑可為酿劑、糖叛、瓶 的靜膠囊、錠劑及其類似物。典型 的固體载劑為惰性物質例如乳 土 維素、硬脂酸鎂、磷酸二鈣、 τ 土纖 括氣化鈉溶液、林格氏葡_ ° ==經固定的油。經靜脈之載劑包括流體及營: :充物’電㈣補錄㈣料《林格氏㈣糖等為 〇 防腐劑及其他添加劑亦可少 10 15 抗氧化劑、s合劑、惰性氣例如,抗微生物劑、 需要可與崩解劑、稀釋劑'=巧物。所有的載劑若 類似物使財項技射已㈣、接著劑及其 ,^DQ 义、用技術混合。 體而改=一步二、提供治療具有可藉著拮抗腺苷A2a受 錄之對㈣方法,其包括投料對象—治療: 有效劑1之本發明醫藥組合物。 、 在實施例中,該疾病為神經退化或運動障礙。可用 本發明醫藥組合物處理之病症的實例包括(但不限於)帕金❹ 森氏症、亨丁頓氏症、多發性系統萎縮症、皮質基底核退 化症、阿茲海默症及老年癡呆。 在一個較佳之實施例中,該疾病為帕金森氏症。 本文中所用之術語「對象」包括(但不限於),任何且 有销由拮抗腺苷A2a受體錢善之疾病的動物或經人^ 改造的動物。在一較佳的實施例中,該對象為人類。 20 5 ❹ 10 15 ❹ 20 200934493 已知物之給藥可使用任何熟習本項技術者 進行。本發明化合物可例如經靜 脈肌肉内,0服及皮下給藥。在一較佳 發明之醫藥起合物係以口服給藥。此外,給^1 ’ 數個劑量於適當期間内給予該對象。此等认藥、^將夕 慣用的方法來决定。 、Q樂療法可根據 如本文中所用,醫藥組合物之「治療 足以使疾病之進展停止,反轉或降低的量。= 巧」為 「預防上有效劑量」為足以預防疾病,亦即:二5物之 及/或延遲疾病發作的量。驗蚊本發日^=除’改善 療上及預防上有效劑量的方 樂、、且合物之治 合物給藥至人盤 ’、”、、本項技術所知。醫藥細 中精確地決定有效劑量,例如,可從動物研究之結果 送本發明β療上及/或預防上有料1:為足以傳 古/八“合物從約0.001毫克/公斤體傳 劑量為足以傳上及/或預 也克A斤體重的劑量。更 A斤體重至約5〇 量範圍為每日從約⑽毫克/^施例中,口服劑 另-個實施例中, f約100毫克/公斤。在 至約5〇毫克/公斤= 圍為母日從約〇.〇5亳克^ 毫克"以至約20毫克:;他中’為每曰從約005 液劑量範圍為從約10微克/、=有另-個實施例中,輪 鐘之_劑,於從約數分駐約公斤‘ J間乾園内與醫藥 200934493 載劑混合。在其他實施例中,用於局部給藥時,本發明化 合物可與醫藥載劑以從約0.001至約0.1之藥物/載劑比例 組合。 本發明亦提供治療哺乳動物成瘾之方法,係包括投予 5 一治療上有效劑量之式A化合物。 本發明亦提供治療哺乳動物ADHD之方法,係包括投 予一治療上有效劑量之式A化合物。 本發明亦提供治療哺乳動物抑鬱之方法,係包括投予 一治療上有效劑量之式A化合物。 10 本發明亦提供治療哺乳動物焦慮之方法,係包括投予 一治療上有效劑量之式A化合物。 【實施方式】 實例: 化合物A可藉由熟習本項技術者已知的方法來製備。 15 下列之反應流程僅係代表本發明之實例而非在任何方面限 制本發明。 〇 流程1 200934493
4Am, CH^N
化合物A可藉由熟習本項技術者已知的方法來製備。 下列之反織程健代表本發明之實例㈣在任何方面限 制本發明。 圖式1係闡明產生化合物A之合成途經。胺基(NH2)
10 ::二可1用一第三· 丁基碳酸氫酯((B〇C)2〇)於四氫 夫南()中’在一甲基胺基吨唆(DMAP)存在之下,自胺 基^1起始且按崎賴指示之途徑完成。所產生之經 保:修可使用二填办二甲基海因(腦_ 芙醯(BP)於苯中,在回流下進行經基團引發的苄 臭化作用而得騎應之+基漠m。然後可使用於4- U嗎褐喷N-氧化物_〇)及4 A分子筛㈣於乙腈 (CH3CN)中,將辛基漠m氧化成對應的搭代。所產生祕 W可使用過錢酸卸(KMn〇4)’於丙綱/水混合物中在55〇c 11 200934493 進一步氧化成對應之羧酸V。然後可使用含1-甲基哌畊, 0-(7-氮雜苯并三唑小基)_N,N,N,,N,_四曱基鑕六氟磷酸化物 (HATU) ’及二異丙基乙胺(mPEA)於THF中,於40oC將 幾·酸V轉化成對應的醯胺VI。最後,可使用三氟醋酸(TFA) 將醯胺VI去保護而得到化合物a。 實例A··步驟a (II) :將純二甲基胺基吡啶(85〇毫克,7 〇毫莫耳)加至含I (20.0 克 ’ 69.7 毫莫耳)及(Boc)2〇 (38.〇 克,174.2 毫莫耳) 之THF溶液(3〇〇毫升)中。2小時後’將混合物用醋酸乙酯Ο (EtOAc)稀釋且然後用水及鹽水清洗,乾燥(ν&2§〇4)並濃 縮。將所產生的固體懸浮於EtOAc (250毫升)中及過濾。將 該固體用EtOAc (2 X 100毫升)清洗’然後於真空中乾燥而 得到25.6克II。 實例A :步驟b (III) .將II (25.6克,52.6毫莫耳)藉由溫熱而完全溶解於 苯(200毫升)中,然後依次加入二溴二甲基海因(8 3克, 28.9宅莫耳)及過氧化苯醯(1〇克,4 2毫莫耳)。將混合物❹ 加熱回流16小時。然後將溶液冷卻至室溫,用Et〇Ac稀釋 且然後用飽和NaHC〇3水溶液、水及鹽水清洗。將該溶液 乾燥(Na2S〇4),濃縮並經由管柱層析純化(5-20% EtOAc/庚 烷)。第一次層析獲得6克含〜1〇〇/0 II之in而第二次層析得 到另外12克含ι〇〇/0 η之IH。 實例A :步驟c 12 200934493 * (IV):將固態N-曱基嗎啉N-氧化物(2.5克,21.2毫莫耳) 加至含III (6.0克,1〇.6毫莫耳)及4 A ms (1〇 5克)之Ch3CN (300亳升)中。於室溫18小時後,將混合物過濾出來且將 遽液以EtOAc稀釋並用水及鹽水清洗,乾燥(νμ〇以)及 5 層析,得到3.6克IV。 實例A:步驟d (V) :將固態ΚΜη04添加至含IV (3.6克,7.2毫莫耳)之丙 酮/水溶液(1〇〇毫升/25毫升)中且將所產生的混合物加熱至 55°C。14小時後,將混合物冷卻至室溫並過濾。將濾液以 1〇 Et〇Ac稀釋並用水及鹽水清洗,乾燥(Na2S04),濃縮及藉由 層析純化,得到2.1克V。 實例A:步驟e (VI) :將純哌畊(0.4毫升,3.6毫莫耳)添加至含酸性v (17 克,3.3毫莫耳)、二異丙基乙胺(1.7毫升,9.9毫莫耳)及 15 HATU (1.3克,3.3毫莫耳)之THF溶液(60毫升)中。將所 產生的混合物加熱至40°C。18小時後,將混合物濃縮並藉 ❷ 由層析純化,得到1.8克醯胺VI。 實例A :步驟f 2-胺基-8-(4-曱基-哌畊-1-羰基)-4-苯基-茚并[i,2-d]鳴咬 20 酮
13 200934493 (A):然後將醯胺VI於25毫升CH2C12/TFA(4:1)中攪拌。3 . 小時後’將混合物濃縮,以飽和NaHC03水溶液中和並過 濾得到1克粗A。將固體經由管柱層析純化而得到893毫 克之游離鹼,將其溶解於THF中並加至1〇毫升溶於乙醚 5 之1NHC卜濃縮,並於真空中乾燥而得到⑷之二_HC1鹽。 !H NMR (400 MHz’ 氯仿-d) δ ppm 2.34 (s,3 H),2.39 (br. s., 2 H) ’ 2.52 (d,J=2.20 Hz,2 H),3.46 (br. s” 2 H),3.84 (br. s.,2 H),5.86 (br. s” 2 H),7.46 _ 7.64 (m,4 H),7.78 (d, J=7.58 Hz, 1 H) ’ 7.85 (s,1 H),8.07 (dd,J=7.83,1.71 Hz,❹ ίο 2 H) ; MS m/e 400 (M+H)。 腺菩A2a受體之生物分析及活性配體結合分析 腺苷A2a受體之配體結合分析係使用含有人類A2a腺 苷受體(波金艾馬公司(PerkinElmer),RB-HA2a)及放射性配 體[3H] CGS21680 (波金艾馬公司,NET1〇2i)之 HEK293 細 15 胞的企漿膜來進行。分析係在總體積為200微升之96-孔聚 丙稀盤上’依序添加20 pL 1:20經稀釋的膜,含有[3H] CGS21680,50微升經稀釋之化合物(4X)或載劑控制於分析❹
緩衝液中之 pLassay 緩衝液(50 mM Tris HCI,pH7.4,10 mM
MgCl2 ’ 1 mM EDTA)而進行。非專一性的結合係藉由8〇 10 NECA來測定。反應係在經由預先浸泡於含有0.3%聚乙烯 亞胺之50 mM Tris HCI,PH7.4之96孔GF/C過濾盤進行 過滤之剷,於室溫下進行達2小時。然後將測定盤用冷的 50MTrisHCl ’ pH7.4清洗5次,乾燥並將底部密封閉。將 微閃爍流體30微升添加至各個孔洞中並將頂部密封。將測 14 200934493 定盤置於Packard T〇pcount上計算_。數據係在微軟 Excel及GraphPad Prism程式中進行分析(凡拉尼,κ ;葛西, S.,達爾皮滋,A.,波雷亞,ρ·Α.英國藥理學期刊,1996, 117,1693)。將過度表現人類腺苷A2a受體及含有可誘發之 cAMP β-半乳糖苷酶報導子基因之腺苷A2a受體功能分析 CHO-K1細胞,以每孔洞4〇_5〇κ接種於% 中並培育二天。於分析日,將細胞用· pL二;= (F-12營養混合物/0.1 %BSA)清洗一次。於促進劑分析時, 依序加入腺苷A2a受體激動劑NECA且於停止反應之前將 細胞於37。(:,5% C02中培育5小時。於拮抗劑分析之情 況中’將細胞用拮抗劑於室溫培育5分鐘,接著添加5 〇 η m 之NECA。然後將細胞於37。〇,5% c〇2中培育5小時,於 實驗停止前用PBS清洗細胞二次。將5G微升⑴容解緩衝 液(普洛麥格公司(Pr〇mega),5χ儲備溶液,使用前需要稀 釋至IX )加至各個孔洞中並將測定盤於_2〇。€冷凍。於Β_ 半乳糖苷酶酵素測熱分析時’㈣定健於室溫下融解並 將5〇微升2Χ分析緩衝液(普洛麥格公司)加至各孔洞中。 賴色於37°C下發展丨小時或直到適當的訊號$現。然後 15 ❹ 用150AL1M碳酸納停止反應。將測定盤以德腿於乂臟 機器(分子裝置)上計數。數據係在微軟Excel及Gr叩hpad Prism程式中分析。(陳氏,W B,;史爾滋,T S.;康尼,r. d. 分析生物化學’ 1995 ’ 226,349 ;史代爾,G.生物化學期 刊,1992,_267,6451);於C57M/6小鼠中由南素呢咬醇_ 所誘發的僵直研究。將成熟的雄性C57M/6小鼠(來自於 20 200934493 ACE ’ 9-12週大)以每籠二隻隨機地分豢養於拇籠中 溫度維持在64·79度㈣度在爪·且㈣歧以12 先對12小時暗交替循環。於研究日,將小鼠轉移至研、。 將小鼠以皮下注射㈣㈣醇(席格馬公司犯㈤ 5 10 15 /毫升於〇.3%酒贿製造,然後用食鹽水稀釋至〇.2毫克/ 毫升)或1.5毫克/公斤、7.5毫升/公斤媒劑。然後將小鼠置 於其等之柵射並可得到水及食物。3Q分鐘後,將小鼠口 〇 服給予媒劑(0.3% Tween 80於食鹽水)或化合物1〇毫克/公 斤、1〇毫升/公斤(化合物,i毫克/毫升,由〇3%Tween8〇 於食鹽水巾製得,予以音波分裂而制均㈣懸浮液广然 後將小鼠置於其等之柵籠+且可得到水及食物。卩服給劑i 小時後,進行僵直試驗。將垂直的金屬_線柵條(1〇平方公 分)用於該試驗。 將小乳置於柵條上且給予數秒鐘使其安定下來並將其 等之靜止時間予以記錄直到小鼠移動其後爪。將小鼠輕輕 地從栅籠移出且放回栅籠内並再次計算其等之靜止時間。 該測量重複進行三次。將三次測量的平均值用於數據分析。◎ A2a分析數據 化合物以A&細胞為基準之以Αι細胞為基準之 _生Ki_^能性Ki
8.2 nM 58.4 nM AMES分析條件 20 200934493 此研究之目的係於活體外評估,在微粒體活化系統存 在或不存在下處理時,本發明化合物於細菌中誘發反轉-點 突變之能力。 ~ 化合物係在細菌/微粒體活化盤式合併分析中使用鼠傷 5 寒沙門氏蛰(Salmonella typhimurium)箄殊 名、 TA100、TA1535、TA1537及大腸桿菌菌株WPwvrA進行 s式驗。此研究包括於代謝性活化作用不存在(緩衝劑)及存在 .下,以由Aroclor® 1254-所誘發之大鼠肝臟微粒體製劑(S9 混合物)進行試驗。將化合物以每盤5、10、25、5〇、1〇〇、 ίο 250、500、1〇〇〇、2500及5000微克劑量之代謝條件下,於 所有的菌株中進行試驗。突變作用係藉由對胺基酸質子移 變作用(prototrophy)(組胺酸或色胺酸分別用於鼠傷寒沙門 氏菌或大腸桿菌)之表型反轉來偵測。若於適當進行之媒劑 對照組中觀察到其誘發劑量依賴增加復發頻率達至少2_倍 15 時(於丁八1535且於TA1537時為3-倍),則試驗物應視為正 性(致突變性(mutagenic))。此外,反應應為具再現性 (reproducible)。毒性係藉由於菌落數中劑量依賴減少及域 降低/不存在細菌層來偵測。以媒劑處理的測定盤作為標準 供突變及毒性二者之比較。正性對照盤係用於確定試驗系 20 統之功能性。 獲得用於所有變種含或不含S9混合物之可接受的負性 對照及正性指示的結果。此確定了該試驗系統具功能性及 回應性。 AMES分析結果 17 200934493 下列結果證明本發明之三種化合物具有所欲之AMES-負性之質性。於分析中發現並非所有測試的化合物皆為 AMES-負性。將具有不欲的AMES-正性質性之二種類似分 子作為比較。於此分析中,AMES-負性係視為所欲的質性。 AMES負性 AMES正性
10 在前述說明中以說明為目的提供實例來教導本發明原 理之同時,應了解,本發明之施行包含了所有常見的變化, 調整及/或修正,如同在下列申請專利範圍及其同等内容之 範圍内。 於上述說明中所揭示之所有的出版物其全文係以引用 的方式併入本文中。 18
Claims (1)
- 200934493 十、申請專利範圍: 1. 一種化合物,其為5 ❹ Ο 15 =其溶劑合物,水合物’互變異構物和醫藥上可接受鹽 2·: = =,係包含如申請專利範圍第1項之化合 物及醫樂上可接受的載劑。 I體具有可藉由拮抗對象適當細胞中之腺苷A2a受 症之對象的方法,其包括投予該對象-治 4二如申請專利範圍第1項的化合物。 .改善==抗L象適當細胞中之_受體而 之適當細胞中的腺苷Α2 拮抗該對象 項之化合物。 I 文置之如申請專利範圍第1 5.如申請專利範圍第3項之 療上或預防上有效劑量之如予該對象-治 組合物。 T明專利範圍第2項之醫藥 6·如申請專利範ϋ第4項之方法 療上或預防上有效劑量之 糸L括投予該對象一治 組合物。 申請專利範圍第2項之醫藥 20 V 200934493 10 15 7·如申請專利範圍第3項之方法 性病症或運動障礙。 8. 如申請專利範圍第3項之方法 成之群中選出:帕金森氏症、 萎縮症、皮質基底核退化症、 9. 如申請專利範圍第4項之方法 性病症或運動障礙。 10. 如申請專利範圍第4項之方法 成之群中選出:帕金森氏症、 萎縮症、皮質基底核退化症、 11. 如申請專利範圍第3項之方法 症0 12. 如申請專利範圍第3項之方法 Π.如申請專利範圍第3項之方法 14. 如申請專利範圍第3項之方法 15. 如申請專利範圍第3項之方法 ,其中該病症為神經退化 ,其中該病症係由下列組 予丁頓氏症、多發性系統 阿錄海默症及老年癡呆。 ,其中該病症為神經退化 ’其中該病症係由下列組 亨丁頓氏症、多發性系統〇 阿兹海默症及老年療呆。 ’其中該病症為帕金森氏 ’其中該病症為成癮症。 ’其中該病症為ADHD。 ’其中該病症為抑鬱。 ’其中該病症為焦慮。 ❹ 20 200934493 四、指定代表圖: (一) 本案指定代表圖為:第(無)圖。 (二) 本代表圖之元件符號簡單說明: 無 Ο 10 五、本案若有化學式時,請揭示最能顯示發明特徵的化學式:〇 15 2 20
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| US9238643B2 (en) | 2010-09-06 | 2016-01-19 | Guangzhou Institutes Of Biomedicine And Health, Chinese Academy Of Sciences | Amide compounds |
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