Described is the efficient synthesis of an easy to manipulate and utilize, soluble tartrate salt of a potent, reversible butyrylcholinesterase inhibitor, (−)-(3aS)-3a-methyl-1,2,3,3a,8,8a-hexahydropyrrolo-[2,3-b]indol-5-yl N—4′-isopropylphenylcarbamate (“MHI tartrate”), for use in altering the enzymatic activity of butyrylcholinesterase and/or acetylcholinesterase in a subject exhibiting or predicted to exhibit cognitive disorders associated with diabetes. Subjects may be suffering from or predicted to suffer from abnormal acetylcholinesterase and/or butyrylcholinesterase activity levels or from an inability to metabolize or catabolize blood sugar normally. The method comprises administering to the subject an effective amount of MHI tartrate dispensable in discrete pharmaceutically useful dosages. MHI tartrate effectively inhibits both acetylcholinesterase and butyrylcholinesterases and additionally is highly selective for butyrylcholinesterase over acetylcholinesterase.
描述了一种高效合成易于操纵和利用的可溶性
酒石酸盐,用作对展现或预测将展现与糖尿病相关的认知障碍的受试者中的丁酰
胆碱酯酶和/或
乙酰胆碱酯酶的酶活性进行改变的药物,该药物是一种有效的、可逆的丁酰
胆碱酯酶抑制剂,(−)-(3aS)-3a-甲基-1,2,3,3a,8,8a-六氢
吡咯并-[2,3-b]
吲哚-5-基-N-4'-异丙基
苯甲酸酯(“
MHI
酒石酸盐”)。受试者可能正在受苦于或预测将受苦于异常的
乙酰胆碱酯酶和/或丁酰
胆碱酯酶活性
水平,或者由于无法正常代谢或降解血糖。该方法包括向受试者投予
MHI
酒石酸盐的有效量,可分配为离散的药用剂量。
MHI
酒石酸盐有效地抑制了
乙酰胆碱酯酶和丁酰
胆碱酯酶,并且对丁酰
胆碱酯酶的选择性高于对
乙酰胆碱酯酶的选择性。