both receptors. This strategy led to the design, synthesis, and discovery of (15) (4'-[(2-butyl-4-oxo-1,3-diazaspiro[4.4]non-1-en-3-yl)methyl]-N-(3,4-dimethyl-5-isoxazolyl)-2'-[(3,3-dimethyl-2-oxo-1-pyrrolidinyl)methyl]-[1,1'-biphenyl]-2-sulfonamide, BMS-248360) as a potent and orally active dual antagonist of both AT(1) and ET(A) receptors. Compound 15 represents a new approach to treating hypertension
ET(A)受体拮抗剂(2)(N-(3,4-二甲基-5-
异恶唑基)-4'-(2-
恶唑基)-[1,1'-
联苯] -2-磺酰胺,BMS-193884 )与大量的AT(1)受体拮抗剂(包括
厄贝沙坦(3))具有相同的
联苯核心。因此,假设将2的结构元素与
联苯AT(1)拮抗剂(例如
厄贝沙坦)的结构元素合并将产生对两种受体均具有双重活性的化合物。这种策略导致设计,合成和发现(15)(4'-[(2-butyl-4-oxo-1,3-diazaspiro [4.4] non-1-en-3-yl)methyl]- N-(3,4-二甲基-5-
异恶唑基)-2'-[(3,3-二甲基-2-氧代-1-
吡咯烷基)甲基]-[1,1'-
联苯] -2-磺酰胺,BMS -248360)作为AT(1)和ET(A)受体的有效和口服活性双重拮抗剂。化合物15代表了一种治疗高血压的新方法。