4-Phenyl- and 4-heteroaryl-4-anilidopiperidines. A novel class of analgesic and anesthetic agents
作者:Linas V. Kudzma、Sherry A. Severnak、Mark J. Benvenga、Edward F. Ezell、Michael H. Ossipov、Valerie V. Knight、Frieda G. Rudo、H. Kenneth Spencer、Theodore C. Spaulding
DOI:10.1021/jm00132a007
日期:1989.12
4-anilidopiperidines related to fentanyl (1) led to a novel class of potent opioid analgesic and anesthetic agents with a favorable pharmacological profile. The synthesis, analgesic activity, and anesthetic properties of a series of 4-phenyl-4-anilidopiperidines (13-29) are discussed. Isosteric replacement of the phenyl by various heteroaryl substituents extended the series to include 4-heteroaryl-4-anilidopiperidines
在吗啡中发现的4-苯基哌啶药效基团并入与芬太尼相关的4-anilidopiperidines中(1)导致了一类新型的有效阿片类镇痛药和麻醉剂,具有良好的药理作用。讨论了一系列4-苯基-4-苯胺基哌啶(13-29)的合成,镇痛活性和麻醉性能。用各种杂芳基取代基对苯进行等位取代,将系列扩大到包括4-杂芳基-4-苯并哌啶(30-53)。在这一组中,1- [2-(1H-吡唑-1-基)乙基] -4-(4-甲基噻唑-2-基)-4-(N-苯基丙酰胺基)哌啶(48)具有较高的镇痛作用,作用时间短,麻醉剂量后运动协调迅速恢复,与目前临床使用的阿片类药物芬太尼(1)和阿芬太尼(2)相比,麻醉期间的心血管和呼吸安全性更高。这样的镇痛药对于临床医生在不断扩大的门诊外科手术领域中以及对患者控制的镇痛和计算机辅助的连续输注疼痛控制技术具有极大的实用性。