The novel positively charged pro-drugs of diclofenac in the general formula (1), with X = O or S, were designed and synthesized. The compounds of the general formula (1) can be prepared from functional derivatives of diclofenac by reaction with suitable alcohols, thiols, or amines. The positively charged amino groups of these pro-drugs not only largely increase the solubility of the drugs in water, but also bond to the negative charge on the phosphate head group of membranes and push the pro-drug into the cytosol. Experimental results suggest that the pro-drug diethylaminoethyl 2[(2,6-dichlorophenyl)amino]benzene acetate.AcOH diffuses through human skin 250 times faster than 2[(2,6-dichlorophenyl)amino]benzene acetic acid (diclofenac) and ethyl 2[(2,6-dichlorophenyl)amino]benzene acetate. In plasma, more than 90% of these pro-drugs can change back to the drug in a few minutes. The prodrugs can be used medicinally in treating any diclofenac-treatable conditions in humans or animals and be administered not only orally, but also transdermally for any kind of medical treatments and avoid most of the side effects of diclofenac, most notably GI disturbances such as dyspepsia, gastroduodenal bleeding, gastric ulcerations, and gastritis. Controlled transdermal administration systems of the prodrug enables diclofenac to reach constantly optimal therapeutic blood levels to increase effectiveness and reduce the side effects of diclofenac.
我们设计并合成了通式(1)中带正电荷的新型
双氯芬酸原药,其中 X = O 或 S。通式(1)的化合物可由
双氯芬酸的功能性衍
生物通过与适当的醇、
硫醇或胺反应制备而成。这些原药带正电荷的
氨基不仅能大大增加药物在
水中的溶解度,还能与膜上
磷酸头基的负电荷结合,将原药推入细胞质中。实验结果表明,原药 2[(2,6-二
氯苯基)
氨基]
苯乙酸二乙
氨基
乙酯.AcOH 在人体皮肤中的扩散速度比 2[(2,6-二
氯苯基)
氨基]
苯乙酸(
双氯芬酸)和 2[(2,6-二
氯苯基)
氨基]
苯乙酸乙酯快 250 倍。在血浆中,90% 以上的原药可在几分钟内变回药物。这些原药可用于治疗人类或动物的任何
双氯芬酸可治疗的疾病,不仅可以口服,还可以透皮给药,用于任何类型的医疗,并可避免
双氯芬酸的大部分副作用,尤其是消化道紊乱,如消化不良、胃十二指肠出血、胃溃疡和胃炎。原药的可控透皮给药系统可使
双氯芬酸不断达到最佳治疗血药浓度,从而提高疗效并减少
双氯芬酸的副作用。