Compounds useful as cardiotonic agents are 1-R-3-Q-5-PY-2(1H)-pyridinones (I) where R is hydrogen, lower-alkyl or lower-hydroxyalkyl, Q is amino (preferred), lower-alkylamino, di-(lower-alkyl)amino or NHAc, Ac is lower-alkanoyl or lower-carbalkoxy, and PY is 4- or 3- or 2-pyridinyl or 4- or 3- or 2-pyridinyl having one or two lower-alkyl substituents. The corresponding compounds where Q is nitro, carbamyl, cyano, halo or hydrogen are useful as intermediates and those where Q is hydrogen or cyano also are useful as cardiotonic agents. Said compounds are prepared: by reacting .alpha.-PY-.beta.-(R.sub.1 R.sub.2 N)acrolein (II) with malonamide to produce 1,2-dihydro-2-oxo-5-PY-nicotinamide (Ia) and reacting Ia with a reagent capable of converting carbamyl to amino to produce 3-amino-5-PY-2(1H)-pyridinone (Ib); by reacting II or .alpha.-PY-malonaldehyde (II') with .alpha.-cyanoacetamide to produce 1,2-dihydro-2-oxo-5-PY-nicotinonitrile (III) and partially hydrolyzing III to produce Ia; and, by heating 1,2-dihydro-2-oxo-5-PY-nicotinic acid (IV) with a mixture of concentrated sulfuric acid and concentrated nitric acid to produce 3-nitro-5-PY-2(1H)-pyridinone (Ic) and then either reducing Ic to produce Ib or first reacting Ic with an alkylating agent to produce 1-R'-3-nitro-5-PY-2(1H)-pyridinone (Id) and reducing Id to produce 1-R'-3-amino-5-PY-2(1H)-pyridinone (Ib) where R' is lower-alkyl or lower-hydroxyalkyl. Other derivatives of I where Q is amino are shown.
作为心力衰竭药物有用的化合物是1-R-3-Q-5-PY-2(1H)-
吡啶酮(I),其中R是
氢、低烷基或低羟基烷基,Q是
氨基(首选)、低烷基
氨基、二(低烷基)
氨基或NHAc,Ac是低
脂肪酰基或低羰基
脂肪酸酯,PY是具有一个或两个低烷基取代基的4-或3-或2-
吡啶基或4-或3-或2-
吡啶基。Q为硝基、
氨基甲酰基、
氰基、卤素或
氢的相应化合物可用作
中间体,Q为
氢或
氰基的化合物也可用作心力衰竭药物。所述化合物的制备方法包括:通过将.alpha.-PY-.beta.-(R1R2N)
丙烯醛(II)与马来
酰胺反应,生成1,2-二
氢-2-
氧-5-PY-烟
酰胺(Ia),然后将Ia与能够将
氨基甲酰转化为
氨基的试剂反应,生成3-
氨基-5-PY-2(1H)-
吡啶酮(Ib);通过将II或.alpha.-PY-马隆醛(II')与.alpha.-
氰基乙
酰胺反应,生成1,2-二
氢-2-
氧-5-PY-烟酰腈(III),然后部分
水解III,生成Ia;通过将1,2-二
氢-2-
氧-5-PY-
烟酸(IV)与浓
硫酸和浓
硝酸的混合物加热,生成
3-硝基-5-PY-2(1H)-
吡啶酮(Ic),然后将Ic还原生成Ib,或者首先将Ic与烷基化剂反应生成1-R'-
3-硝基-5-PY-2(1H)-
吡啶酮(Id),再将Id还原生成1-R'-3-
氨基-5-PY-2(1H)-
吡啶酮(Ib),其中R'是低烷基或低羟基烷基。显示了Q为
氨基的I的其他衍
生物。