Nitrosated and nitrosylated cyclooxygenase-2 inhibitors, compositions and methods of use
申请人:——
公开号:US20030220228A1
公开(公告)日:2003-11-27
The present invention describes novel nitrosated and/or nitrosylated cyclooxygenase 2 (COX-2) inhibitors and novel compositions comprising at least one nitrosated and/or nitrosylated cyclooxygenase 2 (COX-2) inhibitor, and, optionally, at least one compound that donates, transfers or releases nitric oxide, stimulates endogenous synthesis of nitric oxide, elevates endogenous levels of endothelium-derived relaxing factor or is a substrate for nitric oxide synthase, and/or optionally, at least one therapeutic agent, such as, steroids, nonsteroidal antiinflammatory compounds (NSAID), 5-lipoxygenase (5-LO) inhibitors, leukotriene B
4
(LTB
4
) receptor antagonists, leukotriene A
4
(LTA
4
) hydrolase inhibitors, 5-HT agonists, 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) inhibitors, H
2
antagonists, antineoplastic agents, antiplatelet agents, decongestants, diuretics, sedating or non-sedating anti-histamines, inducible nitric oxide synthase inhibitors, opioids, analgesics,
Helicobacter pylori
inhibitors, proton pump inhibitors, isoprostane inhibitors, and mixtures thereof. The present invention also provides novel compositions comprising at least one parent COX-2 inhibitor and at least one nitric oxide donor, and, optionally, at least one therapeutic agent. The present invention also provides kits and methods for treating inflammation, pain and fever; for treating and/or improving the gastrointestinal properties of COX-2 inhibitors; for facilitating wound healing; for treating and/or preventing renal toxicity; and for treating and/or preventing other disorders resulting from elevated levels of cyclooxygenase-2.
本发明描述了新型硝化和/或亚硝化的环氧合酶2(COX-2)抑制剂以及包含至少一种硝化和/或亚硝化的环氧合酶2(COX-2)抑制剂的新型组合物,并且可选地包括至少一种捐赠、转移或释放一氧化氮、刺激内源性一氧化氮合成、提高内源性内皮源性松弛因子水平或是一氧化氮合酶底物的化合物,以及/或可选地包括至少一种治疗剂,例如类固醇、非甾体抗炎化合物(NSAID)、5-脂氧合酶(5-LO)抑制剂、白三烯B4(LTB4)受体拮抗剂、白三烯A4(LTA4)水解酶抑制剂、5-HT激动剂、3-羟基-3-甲基戊二酰辅酶A(HMG-CoA)抑制剂、H2受体拮抗剂、抗肿瘤剂、抗血小板药物、解充血剂、利尿剂、镇静或非镇静型抗组胺药、可诱导型一氧化氮合酶抑制剂、阿片类药物、镇痛剂、幽门螺杆菌抑制剂、质子泵抑制剂、异前列腺素抑制剂及其混合物。本发明还提供了至少一种原始COX-2抑制剂和至少一种一氧化氮供体的新型组合物,并且可选地包括至少一种治疗剂。本发明还提供了用于治疗炎症、疼痛和发热的套件和方法;用于治疗和/或改善COX-2抑制剂的胃肠道特性;用于促进伤口愈合的方法;用于治疗和/或预防肾毒性的方法;以及用于治疗和/或预防由COX-2水平升高引起的其他疾病的方法。