Amide derivatives and their use as inhibitors of 11-beta-hydroxysteroid dehydrogenase type I
申请人:Coppola Mark Gary
公开号:US20060205772A1
公开(公告)日:2006-09-14
Compounds of the formula (I) provide pharmacological agents which lower intracellular glucocorticoid concentrations in mammals, in particular, intracellular cortisol levels in humans. Therefore, the compounds of the instant invention improve insulin sensitivity in the muscle and the adipose tissue, and reduce lipolysis and free fatty acid production in the adipose tissue. The compounds of the invention lower hepatic glucocorticoid concentration in mammals, in particular, hepatic cortisol concentration in humans, resulting in inhibition of hepatic gluconeogenesis and lowering of plasma glucose levels. Thus, the compounds of the instant invention may be particularly useful in mammals as hypoglycemic agents for the treatment and prevention of conditions in which hyperglycemia and/or insulin resistance are implicated, such as type-2 diabetes. The compounds of the invention may also be used to treat other glucocorticoid associated disorders, such as Syndrome-X, dyslipidemia, hypertension and central obesity. The invention furthermore relates to the use of the compounds according to the invention for the preparation of medicaments, in particular of medicaments useful for the treatment and prevention of glucocorticoid associated disorders, by improving insulin sensitivity, reducing plasma glucose levels, reducing lipolysis and free fatty acid production, and by decreasing
化合物(I)的配方提供了降低哺乳动物细胞内糖皮质激素浓度的药物,特别是降低人类细胞内皮质醇水平的药物。因此,本发明的化合物改善了肌肉和脂肪组织中的胰岛素敏感性,并减少了脂肪组织中的脂解和游离脂肪酸产生。本发明的化合物降低了哺乳动物肝脏中的糖皮质激素浓度,特别是人类肝脏中的皮质醇浓度,从而抑制了肝糖异生并降低了血浆葡萄糖水平。因此,本发明的化合物在哺乳动物中可能特别有用作为降糖药物,用于治疗和预防与高血糖和/或胰岛素抵抗有关的疾病,例如2型糖尿病。本发明的化合物还可用于治疗其他与糖皮质激素相关的疾病,例如综合征X、血脂异常、高血压和中心性肥胖。此外,本发明还涉及使用根据本发明的化合物制备药物,特别是用于改善胰岛素敏感性、降低血浆葡萄糖水平、减少脂解和游离脂肪酸产生,并通过降低糖皮质激素浓度来降低肝糖异生的药物,用于治疗和预防糖皮质激素相关疾病。