Novel tetrahydroisoquinoline derivative compounds are disclosed herein that may be used as an active ingredient for a pharmaceutical composition, and in particular, for a pharmaceutical composition useful for preventing or treating a disease or condition responsive to modulation of the contractility of the skeletal sarcomere. This may be accomplished, for example, by modulation of the troponin complex of the fast skeletal muscle sarcomere through one or more of fast skeletal myosin, actin, tropomyosin, troponin C, troponin I, and troponin T, and fragments and isoforms thereof. The tetrahydroisoquinoline derivative compounds can thus be used as an agent for preventing or treating 1) neuromuscular disorders, 2) disorders of voluntary muscle, 3) CNS disorders in which muscle weakness, atrophy, and fatigue are prominent symptoms, 4) muscle symptoms stemming from systemic disorders, and 5) dysfunctions of pelvic floor and urethral/anal sphincter muscle.
本文公开的新型
四氢异喹啉衍
生物化合物可用作药物组合物的活性成分,特别是可用于预防或治疗对骨骼肌肌节收缩力调节有反应的疾病或病症的药物组合物。例如,可以通过快速骨骼肌肌球蛋白、肌动蛋白、肌
钙蛋白、肌
钙蛋白 C、肌
钙蛋白 I 和肌
钙蛋白 T 及其片段和同工酶中的一种或多种来调节快速骨骼肌肌球蛋白的肌
钙蛋白复合物。因此,
四氢异喹啉衍
生物化合物可用作预防或治疗以下疾病的药物:1)神经肌肉疾病;2)自主肌肉疾病;3)以肌肉无力、萎缩和疲劳为主要症状的中枢神经系统疾病;4)全身性疾病引起的肌肉症状;5)盆底肌和尿道/肛门括约肌功能障碍。