1. Synthesis and Structure−Activity Relationships of Novel Selective Factor Xa Inhibitors with a Tetrahydroisoquinoline Ring
- Author
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Yasunori Hase, Mikio Hayashi, Katsutaka Yasue, Itsuo Uchida, Hiroshi Ueno, Jun ichi Hoshi, Kazuo Aisaka, Hidetsura Cho, Katsuyuki Yokota, and Susumu Katoh
- Subjects
Brain Infarction ,Models, Molecular ,Middle Cerebral Artery ,medicine.drug_mechanism_of_action ,Pyridines ,Plasmin ,Factor Xa Inhibitor ,Administration, Oral ,Arterial Occlusive Diseases ,Pharmacology ,Structure-Activity Relationship ,chemistry.chemical_compound ,Thrombin ,Fibrinolytic Agents ,Piperidines ,Tetrahydroisoquinolines ,Drug Discovery ,Antithrombotic ,medicine ,Animals ,Humans ,Artery occlusion ,Venous Thrombosis ,biology ,Chemistry ,Tetrahydroisoquinoline ,Isoquinolines ,Trypsin ,Rats ,Macaca fascicularis ,Biochemistry ,Enzyme inhibitor ,Factor Xa ,Injections, Intravenous ,biology.protein ,Molecular Medicine ,Cerebral Arterial Diseases ,Factor Xa Inhibitors ,medicine.drug - Abstract
A series of novel 2,7-disubstituted tetrahydroisoquinoline derivatives were designed and synthesized. Among these derivatives, compounds 1 and 2 exhibited potent inhibitory activity against factor Xa (FXa) and good selectivity with respect to other serine proteases (thrombin, plasmin, and trypsin). In addition, compound 2 exhibited potent anti-FXa activity after intravenous and oral administration to cynomolgus monkeys, showed a dose-dependent antithrombotic effect at 0.1, 0.3, and 1 mg kg(-1) h(-1) in a rat model of venous thrombosis, and significantly reduced the size of brain infarction in a middle cerebral artery occlusion model at a dose of 0.1 mg kg(-1) h(-1). These results suggest that compound 2 (JTV-803) is likely to be useful as both a venous and arterial antithrombotic agent.
- Published
- 2005
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