Deferoxamine, deferiprone, and deferasirox are used for the treatment of systemic iron overload, although they possess limitations due to lack of oral activity, lower efficacy, and side effects. These limitations led to a search for an orally active iron chelator with an improved therapeutic index. The lower efficacy of deferiprone is due to rapid glucuronidation, leading to the formation of a nonchelating
去铁胺,
去铁酮和
地拉罗司用于治疗全身性
铁超负荷,尽管由于缺乏口服活性,疗效较低和副作用而存在局限性。这些限制导致寻找具有改善的治疗指数的口服活性
铁螯合剂。
去铁酮的功效较低是由于快速的
葡萄糖醛酸化作用,导致形成非螯合的代谢产物。在这里,我们证明可以通过引入牺牲部位进行
葡萄糖醛酸化来减少新陈代谢的影响。在对数P指导下对20个
羟基吡啶并酮的研究导致CN128的鉴定。CN128的Fe(III)亲和力和
金属选择性与
去铁酮相似,log P值更具亲脂性,并且其
铁清除能力优越。总体,