申请人:Merck & Co., Inc.
公开号:US06632823B1
公开(公告)日:2003-10-14
In accordance with the present invention, a novel class of substituted pyridine compounds (optionally containing ether, ester, amide, ketone or thioether substitutions) that promote the release of ligands involved in neurotransmission have been discovered. In a particular aspect compounds of the present invention are capable of modulating acetylcholine receptors. The compounds of the present invention are capable of modulating acetylcholine receptors. Invention compounds may act as agonists, partial agonists, antagonists or allosteric modulators of acetylcholine receptors. Therapeutic indications for compounds with activity at acetylcholine receptors include diseases of the central nervous system such as Alzheimer's disease and other diseases involving memory loss and/or dementia (including AIDS dementia); cognitive dysfunction (including disorders of attention, focus and concentration), disorders of extrapyramidal motor function such as Parkinson's disease, progressive supramuscular palsy, Huntington's disease, Gilles de la Tourette syndrome and tardive dyskinesia; mood and emotional disorders such as depression, anxiety and psychosis; substance abuse including withdrawal symptoms and substitution therapy; neurocrine disorders and dysregulation of food intake, including bulimia and anorexia; disorders or nociception and control of pain; autonomic disorders including dysfunction of gastrointestinal motility and function such as inflammatory bowel disease, irritable bowel syndrome, diarrhea, constipation, gastric acid secretion and ulcers; pheochromocytoma, cardiovascular dysfunction including hypertension and cardiac arrhythmias, as well as co-medication uses in surgical applications.
根据本发明,发现了一类新型的取代吡啶化合物(可选地含有醚、酯、酰胺、酮或硫醚取代基),这些化合物促进了神经递质释放所涉及的配体。在特定方面,本发明的化合物能够调节乙酰胆碱受体。本发明的化合物能够调节乙酰胆碱受体。发明化合物可能作为乙酰胆碱受体的激动剂、部分激动剂、拮抗剂或变构调节剂。具有对乙酰胆碱受体活性的化合物的治疗适应症包括中枢神经系统疾病,如阿尔茨海默病和其他涉及记忆丧失和/或痴呆的疾病(包括艾滋病痴呆);认知功能障碍(包括注意力、集中力和注意力障碍的疾病);外囊运动功能障碍,如帕金森病、进行性肌肉萎缩性侧索硬化、亨廷顿病、吉尔·德·拉·图雷特综合征和迟发性运动障碍;情绪和情感障碍,如抑郁症、焦虑和精神病;物质滥用,包括戒断症状和替代疗法;神经内分泌紊乱和食物摄入调节失调,包括暴食症和厌食症;疼痛感知和疼痛控制障碍;自主神经功能障碍,包括胃肠道蠕动和功能障碍,如炎症性肠病、肠易激综合征、腹泻、便秘、胃酸分泌和溃疡;嗜铬细胞瘤,心血管功能障碍,包括高血压和心律失常,以及在外科应用中的联合用药。