申请人:Merck & Co., Inc.
公开号:US05629322A1
公开(公告)日:1997-05-13
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, immunosuppression 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 usful in the treatment of hypoxia, hyperbaric oxygen convulsions and toxicity, dementia, Sydenham's chorea, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, mulitple sclerosis, Korsakoff's 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.
本文披露了化合物I的化学结构,以及其在治疗一氧化氮合酶介导的疾病和紊乱方面的药用盐。这些疾病和紊乱包括神经退行性疾病、胃肠蠕动紊乱和炎症等。这些疾病和紊乱包括低血压、脓毒性休克、中毒性休克综合征、血液透析、IL-2疗法(如癌症患者)、虚弱、免疫抑制(如移植治疗)、自身免疫和/或炎症指示,包括日晒灼伤或银屑病,以及呼吸道疾病,如支气管炎、哮喘和急性呼吸窘迫综合征(ARDS)、心肌炎、心力衰竭、动脉粥样硬化、关节炎、类风湿关节炎、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)、眼部疾病,如眼压增高和葡萄膜炎,1型糖尿病、胰岛素依赖型糖尿病和囊性纤维化。化合物I还可用于治疗缺氧、高压氧惊厥和中毒、痴呆、辛登汉舞蹈症、帕金森病、亨廷顿病、肌萎缩侧索硬化、多发性硬化、科萨科夫病、与脑血管障碍相关的愚蠢、缺血性脑水肿、睡眠障碍、精神分裂症、抑郁症、经前综合征、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,并用于预防或逆转对阿片类和二氮杂苯类药物的耐受性。