申请人:Merck & Co., Inc.
公开号:US05821261A1
公开(公告)日:1998-10-13
Disclosed herein are compounds of Formula (I) ##STR1## and pharmaceutically acceptable salts thereof which have been found useful in the treatment of nitric oxide synthase mediated diseases and disorders, including neurodegenerative disorders, disorders of gastrointestinal motility and inflammation. These disease and disorders include hypotension, septic shock, toxic shock syndrom, hemodialysis, IL-2 therapy such as in cancer patients, cachexia, immnunosuppression such as in transplant therapy, autoimmune and/or inflammatory indications including sunburn or psoriasis and respiratory conditions such as bronchitis, asthma, and acure respiratory distress (ARDS), myocarditis, heart failure, atherosclerosis, arthritis, rheumatoid arthritis, chronic or inflammatory bowel disease, ulcerative colitis, Crohn's disease, systemic lupus erythematosis (SLE), ocular conditions such as ocular hypertension and uveitis, type 1 diabetes, insulin-dependent diabetes mellitus and cystic fibrosis. Compounds of Formula I are also useful in the treatment of hypoxia, hyperbaric oxygen convulsions and toxicity, dementia, Sydenham's chorea, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, multiple sclerosis, Korsakoffs disease, imbecility related to cerebral vessel disorder, ischemic brain edema, sleeping disorders, schizophrenia, depression, PMS, anxiety, drug addiction, pain, migraine, immune complex disease, as immunosupressive agents and for preventing or reversing tolerance to opiates and diazepines.
披露的是公式(I)化合物##STR1##及其药学上可接受的盐,发现这些化合物在治疗一氧化氮合酶介导的疾病和紊乱方面有用,包括神经退行性疾病、胃肠动力障碍和炎症。这些疾病和紊乱包括低血压、败血症休克、毒性休克综合征、血液透析、IL-2治疗(如癌症患者)、恶病质、免疫抑制(如移植治疗)、自身免疫和/或炎症迹象,包括晒伤或银屑病和呼吸系统疾病,如支气管炎、哮喘、急性呼吸窘迫综合症(ARDS)、心肌炎、心力衰竭、动脉硬化、关节炎、类风湿性关节炎、慢性或炎症性肠病、溃疡性结肠炎、克罗恩病、系统性红斑狼疮(SLE)、眼科疾病,如青光眼和葡萄膜炎、1型糖尿病、胰岛素依赖型糖尿病和囊性纤维化。公式I的化合物在治疗缺氧、高压氧惊厥和毒性、痴呆、Sydenham舞蹈病、帕金森病、亨廷顿病、肌萎缩侧索硬化、多发性硬化、科尔萨科夫病、与脑血管障碍相关的愚笨、缺血性脑水肿、睡眠障碍、精神分裂症、抑郁症、经前综合症、焦虑、药物成瘾、疼痛、偏头痛、免疫复合物疾病,作为免疫抑制剂,以及用于预防或逆转对阿片类药物和苯二氮䓬类药物的耐受性。