Compounds, compositions and methods for treatment of inflammatory diseases and conditions
申请人:PLIVA Pharmaceutical Industry, Incorporated
公开号:US20040014685A1
公开(公告)日:2004-01-22
The present invention relates (a) to new compounds represented by Formula I:
1
wherein M represents a macrolide subunit (macrolide moiety) derived from macrolide possessing the property of accumulation in inflammatory cells, S represents a steroid subunit (steroid moiety) derived from steroid drug with anti-inflammatory activity and L represents a linker molecule linking M and S, (b) to their pharmacologically acceptable salts, prodrugs and solvates, (c) to processes and intermediates for their preparation, and (d) to their use in the treatment of inflammatory diseases and conditions in humans and animals. Such compounds inhibit many cytokines and immune mediators involved in immune responses which cause inflammation, allergy, or alloimmunity, including without limitation IL-1, 2, 4, 5, 6, 10, 12, GMCSF, ICAM, and TNF-&agr; Importantly, anti-inflammatory steroids exert a direct anti-inflammatory effect through binding to the glucocorticosteroid receptor.
本发明涉及以下内容:(a) 由以下式I所表示的新化合物:其中M代表来源于具有在炎症细胞中积聚特性的大环内酯亚基(大环内酯基团),S代表来源于具有抗炎活性的类固醇药物的类固醇亚基(类固醇基团),L代表连接M和S的连接分子,(b) 它们的药理学可接受的盐、前药和溶剂化物,(c) 用于它们的制备的过程和中间体,以及(d) 用于治疗人类和动物的炎症性疾病和症状。这些化合物抑制许多参与导致炎症、过敏或移植免疫反应的细胞因子和免疫介质,包括但不限于IL-1、2、4、5、6、10、12、GMCSF、ICAM和TNF-α。重要的是,抗炎类固醇通过结合糖皮质类固醇受体直接发挥抗炎作用。