US2920012A - Therapeutic compositions for inhibiting carbonic anhydrase activity - Google Patents
Therapeutic compositions for inhibiting carbonic anhydrase activity Download PDFInfo
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- US2920012A US2920012A US532113A US53211355A US2920012A US 2920012 A US2920012 A US 2920012A US 532113 A US532113 A US 532113A US 53211355 A US53211355 A US 53211355A US 2920012 A US2920012 A US 2920012A
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- United States
- Prior art keywords
- carbonic anhydrase
- triazine
- carbanilate
- therapeutic compositions
- amino
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- 239000000203 mixture Substances 0.000 title claims description 38
- 230000001225 therapeutic effect Effects 0.000 title claims description 24
- 102000003846 Carbonic anhydrases Human genes 0.000 title description 15
- 108090000209 Carbonic anhydrases Proteins 0.000 title description 15
- 230000000694 effects Effects 0.000 title description 10
- 230000002401 inhibitory effect Effects 0.000 title description 2
- 150000001875 compounds Chemical class 0.000 claims description 18
- 239000003937 drug carrier Substances 0.000 description 9
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 8
- 230000001882 diuretic effect Effects 0.000 description 7
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 7
- 125000003903 2-propenyl group Chemical group [H]C([*])([H])C([H])=C([H])[H] 0.000 description 6
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 6
- -1 hydrogen ions Chemical class 0.000 description 6
- 230000005764 inhibitory process Effects 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 210000002700 urine Anatomy 0.000 description 6
- 229910001868 water Inorganic materials 0.000 description 6
- VZXTWGWHSMCWGA-UHFFFAOYSA-N 1,3,5-triazine-2,4-diamine Chemical compound NC1=NC=NC(N)=N1 VZXTWGWHSMCWGA-UHFFFAOYSA-N 0.000 description 5
- 231100000252 nontoxic Toxicity 0.000 description 5
- 230000003000 nontoxic effect Effects 0.000 description 5
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 4
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 4
- YMFGJWGABDOFID-UHFFFAOYSA-N amanozine Chemical compound NC1=NC=NC(NC=2C=CC=CC=2)=N1 YMFGJWGABDOFID-UHFFFAOYSA-N 0.000 description 4
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 description 4
- 235000013539 calcium stearate Nutrition 0.000 description 4
- 239000008116 calcium stearate Substances 0.000 description 4
- 239000002934 diuretic Substances 0.000 description 4
- 229910052739 hydrogen Inorganic materials 0.000 description 4
- 239000001257 hydrogen Substances 0.000 description 4
- 150000003839 salts Chemical class 0.000 description 4
- 229910052708 sodium Inorganic materials 0.000 description 4
- 239000011734 sodium Substances 0.000 description 4
- 235000017557 sodium bicarbonate Nutrition 0.000 description 4
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 4
- 229920002261 Corn starch Polymers 0.000 description 3
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- 229960003403 betaine hydrochloride Drugs 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 239000001569 carbon dioxide Substances 0.000 description 3
- 229910002092 carbon dioxide Inorganic materials 0.000 description 3
- BVKZGUZCCUSVTD-UHFFFAOYSA-N carbonic acid Chemical compound OC(O)=O BVKZGUZCCUSVTD-UHFFFAOYSA-N 0.000 description 3
- HOPSCVCBEOCPJZ-UHFFFAOYSA-N carboxymethyl(trimethyl)azanium;chloride Chemical compound [Cl-].C[N+](C)(C)CC(O)=O HOPSCVCBEOCPJZ-UHFFFAOYSA-N 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 3
- 239000008120 corn starch Substances 0.000 description 3
- FPAFDBFIGPHWGO-UHFFFAOYSA-N dioxosilane;oxomagnesium;hydrate Chemical compound O.[Mg]=O.[Mg]=O.[Mg]=O.O=[Si]=O.O=[Si]=O.O=[Si]=O.O=[Si]=O FPAFDBFIGPHWGO-UHFFFAOYSA-N 0.000 description 3
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 description 3
- FIDRAVVQGKNYQK-UHFFFAOYSA-N 1,2,3,4-tetrahydrotriazine Chemical compound C1NNNC=C1 FIDRAVVQGKNYQK-UHFFFAOYSA-N 0.000 description 2
- JYEUMXHLPRZUAT-UHFFFAOYSA-N 1,2,3-triazine Chemical compound C1=CN=NN=C1 JYEUMXHLPRZUAT-UHFFFAOYSA-N 0.000 description 2
- JIHQDMXYYFUGFV-UHFFFAOYSA-N 1,3,5-triazine Chemical compound C1=NC=NC=N1 JIHQDMXYYFUGFV-UHFFFAOYSA-N 0.000 description 2
- GOJUJUVQIVIZAV-UHFFFAOYSA-N 2-amino-4,6-dichloropyrimidine-5-carbaldehyde Chemical group NC1=NC(Cl)=C(C=O)C(Cl)=N1 GOJUJUVQIVIZAV-UHFFFAOYSA-N 0.000 description 2
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 2
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 2
- 102000004190 Enzymes Human genes 0.000 description 2
- 108090000790 Enzymes Proteins 0.000 description 2
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- 206010030113 Oedema Diseases 0.000 description 2
- 241000700159 Rattus Species 0.000 description 2
- 210000003743 erythrocyte Anatomy 0.000 description 2
- 230000020477 pH reduction Effects 0.000 description 2
- 239000008363 phosphate buffer Substances 0.000 description 2
- 230000002441 reversible effect Effects 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- 229910001415 sodium ion Inorganic materials 0.000 description 2
- 239000011343 solid material Substances 0.000 description 2
- 150000003918 triazines Chemical class 0.000 description 2
- 230000010245 tubular reabsorption Effects 0.000 description 2
- MLQXNJCIGWKSPF-UHFFFAOYSA-N 2-(2,4-dioxoquinazolin-1-yl)acetic acid Chemical compound C1=CC=C2C(=O)NC(=O)N(CC(=O)O)C2=C1 MLQXNJCIGWKSPF-UHFFFAOYSA-N 0.000 description 1
- 206010002660 Anoxia Diseases 0.000 description 1
- 241000976983 Anoxia Species 0.000 description 1
- GAWIXWVDTYZWAW-UHFFFAOYSA-N C[CH]O Chemical group C[CH]O GAWIXWVDTYZWAW-UHFFFAOYSA-N 0.000 description 1
- QXNVGIXVLWOKEQ-UHFFFAOYSA-N Disodium Chemical compound [Na][Na] QXNVGIXVLWOKEQ-UHFFFAOYSA-N 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- 206010019280 Heart failures Diseases 0.000 description 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- 241000283973 Oryctolagus cuniculus Species 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 230000000996 additive effect Effects 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- 229910021529 ammonia Inorganic materials 0.000 description 1
- 230000007953 anoxia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 230000003197 catalytic effect Effects 0.000 description 1
- 238000006555 catalytic reaction Methods 0.000 description 1
- 150000001768 cations Chemical class 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 238000005119 centrifugation Methods 0.000 description 1
- YRZQHIVOIFJEEE-UHFFFAOYSA-N chlorazanil Chemical compound NC1=NC=NC(NC=2C=CC(Cl)=CC=2)=N1 YRZQHIVOIFJEEE-UHFFFAOYSA-N 0.000 description 1
- BNIILDVGGAEEIG-UHFFFAOYSA-L disodium hydrogen phosphate Chemical compound [Na+].[Na+].OP([O-])([O-])=O BNIILDVGGAEEIG-UHFFFAOYSA-L 0.000 description 1
- 229910000397 disodium phosphate Inorganic materials 0.000 description 1
- 235000019800 disodium phosphate Nutrition 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- 235000019441 ethanol Nutrition 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 239000011344 liquid material Substances 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- MYWUZJCMWCOHBA-VIFPVBQESA-N methamphetamine Chemical compound CN[C@@H](C)CC1=CC=CC=C1 MYWUZJCMWCOHBA-VIFPVBQESA-N 0.000 description 1
- VUZPPFZMUPKLLV-UHFFFAOYSA-N methane;hydrate Chemical compound C.O VUZPPFZMUPKLLV-UHFFFAOYSA-N 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 229910052700 potassium Inorganic materials 0.000 description 1
- 239000011591 potassium Substances 0.000 description 1
- GNSKLFRGEWLPPA-UHFFFAOYSA-M potassium dihydrogen phosphate Chemical compound [K+].OP(O)([O-])=O GNSKLFRGEWLPPA-UHFFFAOYSA-M 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 150000003254 radicals Chemical group 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 239000001488 sodium phosphate Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 150000003892 tartrate salts Chemical class 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
Definitions
- This invention relates to therapeutic compositions and 2 more particularly to therapeutic compositions which are eifective to inhibit carbonic anhydrase activity.
- compositions comprising a compound having the fortmula:
- the invention also includes the method of inhibiting carbonic anhydrase activity through the use of the above-noted compounds.
- carbonic anhydrase activity indirectly determines the number of hydrogen ions which are available to re- .place sodium ions inbuffercompounds from the blood, suchas, for example, disodium phosphate-rand sodium bicarbonate.
- the sodium .ions thus replaced are conserved and return to the blood, and carbonic acid formed in the above reaction catalyzed by carbonic anhydrase also returns to the blood.
- the diuretic action of these triazine compounds is believed to be due to the inhibition of tubular reabsorption brought about by a partial anoxia from the inhibition of respiratory enzymes involved in the tubular reabsorption of water and sodium chloride.
- the increase in diuretic action noted when one of these'tria'zine compounds is included in the therapeutic" compositions'of the invention is more than can be accounted for by the additive eifect of the carbanilate compound andthe triazine compound on the basis of their action individually, as' is shown by the tests described hereinafter.
- nontoxic salts of 2, 4- diamino s-triazine, 2-amino-4-[3-carboxy ethyl amino s-triazine, 2,4-(f3-carboxy ethyl amino) striazine, 2- amino-4-ani1ino-1,3,5-triazine and 2-amino-4-(p-chloroanilino)-l,3,5-triazine which are useful as components of the compositions of the invention may be mentioned the hydrochloride, sulfate, phosphate and tartrate salts.
- the salts of the alkali metals, ammonia and amines may also be utilized.
- the amount of triazine component, when includedin the compositions of the invention may be varied considerably and may be, for example, approximately 27% by weight.
- the p-sulfamyl carbanilate compounds specified herein are not only compatible with other components employed in therapeutic compositions, but they are also stable and nontoxic.
- intraperitoneal doses of; p-Sulfamyl fl-hydroxy ethyl carbanilate .up to 1600 mg/kg were tolerated by. male white rats, and only three animalsout of .a group of ..nine. receiving 1800 Ing /kg. intraperitoneally died.1.
- oral doses up to 1500 rngjlgg. of this carbanilate. compound did not prpduce any ill effectjn male whiterats.
- Three groups of white rats, with six animals in each group received 6 00 QOQ and 1200 mg./kg. respectively of p-sulfamyl fl-hydr'oxy ethyl carbanilate-per day for twelve days and gross pathology after being sacrificed showed "a" normal and autopsied on the thirteenth day.
- the carbanilate compounds of the novel therapeutic compositions of the invention have the formula:
- compositions of the present invention comprise a compound of the above mentioned class and a pharmaceutical carrier which may be either a liquid or solid material. It is preferred that the pharmaceutical carrier be a solid material such as, for example, starch, gelatin, lactose, talc, calcium stearate or the like. Any of the pharmaceutical carriers conventionally used in therapeutic compositions may be utilized where such materials are compatible with the aforementioned carbanilate compounds. These compositions include tablets, capsules and the like, and may include a liquid pharmaceutical carrier and be in the form of solutions, dispersions, suspensions, elixirs and the like.
- the percentage of the carbanilate compound incorporated in the therapeutic compositions of the invention may be varied considerably.
- Exemplary compositions may contain approximately 80% by weight of one of the above mentioned carbanilate compounds, although greater or smaller amounts than 80% may also be used in the practice of the invention.
- the daily dosage administered to a patient may also vary considerably, depending upon the patients condition and the amount prescribed by the physician in charge. In the case of edema, the daily dosage of these novel compositions may be such that the patient ingests on the order of 250 mg. to 500 mg. of one of the carbanilate compounds per day.
- Example 1 Therapeutic diuretic tablets were prepared having the following composition:
- G p-Sulfamyl fi-hydroxy ethyl carbanilate 0.500 Formoguanamine 0.250 Betaine hydrochloride 0.065 Corn starch U.S.P. 0.100 Calcium stearate 0.010 Talcum powder 0.005
- Example 2 Therapeutic diuretic tablets were prepared having the following composition:
- the tablets were prepared by first mixing the p-sulfamyl fl-hydroxy ethyl carbanilate, 2-amino-4-anilino-l,3,5-trtazine hydrochloride and betaine hydrochloride in the dry state. This mixture was then wet granulated with isopropyl alcohol (0.125 ml. per tablet) and water (0.125 ml. per tablet). The wet granulated mixture was thereafter dried on trays at a temperature of F. for 15 hours, and the dry mixture was ground in an oscillator using a No. 11 heavy wire screen. The corn starch, calcium stearate and talcum powder were added and, after thorough mixing, the mixture was compressed into tab ets.
- Example 3 The inhibition of carbonic anhydrase activity by psulfamyl allyl carbanilate was determined as follows:
- the carbonic anhydrase employed was prepared from rabbit red blood cells by the method of Keilin and Mann (Biochem. J. 34, 1166, 1940). The red blood cells were Washed three times with saline by centrifugation. To the washed cells (10 ml.) in a centrifuge tube were added distilled water (6 ml.), ethyl alcohol (4 ml.) and chloroform (5 ml.). The mixture was shaken well and centrifuged for 25 minutes at 2500 r.p.m. A three phase system was formed consisting of a top layer of enzyme solution, a central layer of denatured protein and a bottom layer of chloroform.
- the top layer was removed and the activity of the carbonic anhydrase determined by a modification of the meth 0d of Meldrum and Roughton (J. Physiol. 80, 116-124, 1934), which measures the catalytic effect of the carbonic anhydrase enzyme on the rate of evolution of carbon dioxide from sodium bicarbonate solutions when mixed with phosphate buffer of pH 6.8.
- a sodium bicarbonate solution (1.1 ml.) (0.2 M) (prepared by dissolving the sodium bicarbonate in a 0.02 M sodium hydroxide solution) was placed in the main compartment of a 15 ml.
- compositions of the invention corresponding to the above described compositions andgcontaining comparable amounts of p-sulfamyl ethyl carbanilate, p-sulfamyl, allyl carbanilate and one of the aforementioned triazine compounds may be prepared and are effective in the practice of the invention.
- compositions of the invention may be employed in the treatment of any condition where the inhibition of carbonic anhydrase activity will produce a beneficial result.
- a therapeutic composition comprising a compound having the formula:
- R represents a radical selected from the group consisting of ethyl, p-hydroxy ethyl and allyl, a compound selected from the group consisting of 2,4-diamino s-triazine, 2-amiuo-4-p-carboxy ethyl amino s-triazine, 2,4- (B-carboxy ethyl amino) s-triazine, 2-amino-4-anilino- 1,3,5-triazine, 2-amino-4-(p-chloroa-nilino)-1,3,5-triazine and the nontoxic salts thereof, and a pharmaceutical carrier.
- a therapeutic composition comprising p-sulfamyl a hydroxy ethyl carbanilate, 2-amino-4- -anilino-1,3,5-triazine and a pharmaceutical carrier.
- a therapeutic composition comprising p-sulfamyl ethyl carbanilate, 2-amino-4-anilino-1,3,5-triazine and a pharmaceutical carrier.
- a therapeutic composition comprising p-sulfamyl allyl carbanilate, 2-amino-4-anilino-1,3,5-triazine and a pharmaceutical carrier.
- a therapeutic composition comprising p-sulfamyl References Cited in the file of this patent U.S. Dispensatory, 25th ed., pp. 191-492.
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- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Description
United States Patent "face 2,920,012 Patented Jan. 5, 1960 Robert G. Sanders, Clayton, Roland R. Read, Ladue, and Richard J. Palaz'zolo, Alfton, Mo., assignors to Warner-Lambert Pharmaceutical Company, St. Louis, Mo., a corporation of Delaware No Drawing. Application September 1, 1955 Serial No. 532,113
7 Claims. (Cl. 167-515) This invention relates to therapeutic compositions and 2 more particularly to therapeutic compositions which are eifective to inhibit carbonic anhydrase activity.
This application is a continuation-in-part of our applik cation Serial No. 456,639, filed September 16, ,1954, now -abandoned.
Briefly, the present invention is directed to therapeutic compositions comprising a compound having the fortmula:
NHCOOR -wherein Ris-ethyl, p-hydroxy ethyl or allyl, auda' pharmaceutical carrier. The invention also includes the method of inhibiting carbonic anhydrase activity through the use of the above-noted compounds.
Among the several objectsof the invention may'be noted the provision of therapeutic compositions and methods which are efiective to inhibit the activity of the enzyme carbonic anhydrase; the provision of such therapeutic compositions which are effective diuretic compositions; and the provision of therapeutic compositions of the class described which are stable and nontoxic. Other objects and features will be in part apparent and in part pointed out hereinafter. a
- The invention accordingly comprises the products and methods hereinafter described, the scope of the invention being indicated in the following claims.
The enzyme carbonic anhydrase plays an important role in the acidification of the urine through its catalysis of the reversible reaction:
The carbonic acid so formed yields hydrogen and bicarbonate ions through the reversible reaction:
'Thus, carbonic anhydrase activity indirectly determines the number of hydrogen ions which are available to re- .place sodium ions inbuffercompounds from the blood, suchas, for example, disodium phosphate-rand sodium bicarbonate. The sodium .ions thus replaced are conserved and return to the blood, and carbonic acid formed in the above reaction catalyzed by carbonic anhydrase also returns to the blood.
In accordance with the present invention, it has been found that carbonic anhydraseactivity can be effectively inhibited and the excretiontof water, sodium and potassium in the urine increased by the use of therapeutic compositions including a p-sulfamyl carbanilate compound having the following formula:
SiOgNHg NHCOOR wherein R is ethyl, S-hydroxy ethyl or allyl. The inhibition of carbonic anhydrase activity by the composi tionsof the present invention resultsin a reduction of hydrogen ions available for the acidification of the urine. As a consequence, the pH of the urine increases, fewer sodium ions of the buffer compounds are replaced by hydrogen ions, and larger amounts of sodium, chloride and bicarbonate are excreted in the urine. Further, because the formation of carbonic acid from carbon dioxide and water is inhibited, water excretion is increased. Thus, the diuretic action provided by the compositions of the inventionis useful to relieve edema, for example, caused bycongestive heart failure or other causes.
It has further been found in accordance with the present invention that when 2,4-diamino s-triazine (also known as formoguanamine), 2-arnino-4-B-carboxy ethyl amino, s triazine, 2,4-(fl-carboxy ethyl amino) s-triazine, 2 amino 4 anilino 1,3,5 triazine, 2 amino 4- (p-chloroanilino)-l,3,5-triazine or the nontoxic salts of one of these compounds is included in these novel therapeutic compositions, the amount of water, sodium and chloride, particularly the latter, secreted in the urine is markedly increased. The diuretic action of these triazine compounds is believed to be due to the inhibition of tubular reabsorption brought about by a partial anoxia from the inhibition of respiratory enzymes involved in the tubular reabsorption of water and sodium chloride. The increase in diuretic action noted when one of these'tria'zine compounds is included in the therapeutic" compositions'of the invention is more than can be accounted for by the additive eifect of the carbanilate compound andthe triazine compound on the basis of their action individually, as' is shown by the tests described hereinafter. Among the exemplary nontoxic salts of 2, 4- diamino s-triazine, 2-amino-4-[3-carboxy ethyl amino s-triazine, 2,4-(f3-carboxy ethyl amino) striazine, 2- amino-4-ani1ino-1,3,5-triazine and 2-amino-4-(p-chloroanilino)-l,3,5-triazine which are useful as components of the compositions of the invention may be mentioned the hydrochloride, sulfate, phosphate and tartrate salts. The salts of the alkali metals, ammonia and amines may also be utilized. The amount of triazine component, when includedin the compositions of the invention, may be varied considerably and may be, for example, approximately 27% by weight.
The p-sulfamyl carbanilate compounds specified herein are not only compatible with other components employed in therapeutic compositions, but they are also stable and nontoxic. For example, intraperitoneal doses of; p-Sulfamyl fl-hydroxy ethyl carbanilate .up to 1600 mg/kg, were tolerated by. male white rats, and only three animalsout of .a group of ..nine. receiving 1800 Ing /kg. intraperitoneally died.1.Moreover,. oral doses up to 1500 rngjlgg. of this carbanilate. compound did not prpduce any ill effectjn male whiterats. Three groups of white rats, with six animals in each group, received 6 00 QOQ and 1200 mg./kg. respectively of p-sulfamyl fl-hydr'oxy ethyl carbanilate-per day for twelve days and gross pathology after being sacrificed showed "a" normal and autopsied on the thirteenth day.
The carbanilate compounds of the novel therapeutic compositions of the invention have the formula:
NHCOOB.
wherein R represents ethyl, B-hydroxy ethyl or allyl. The therapeutic compositions of the present invention comprise a compound of the above mentioned class and a pharmaceutical carrier which may be either a liquid or solid material. It is preferred that the pharmaceutical carrier be a solid material such as, for example, starch, gelatin, lactose, talc, calcium stearate or the like. Any of the pharmaceutical carriers conventionally used in therapeutic compositions may be utilized where such materials are compatible with the aforementioned carbanilate compounds. These compositions include tablets, capsules and the like, and may include a liquid pharmaceutical carrier and be in the form of solutions, dispersions, suspensions, elixirs and the like.
The percentage of the carbanilate compound incorporated in the therapeutic compositions of the invention may be varied considerably. Exemplary compositions may contain approximately 80% by weight of one of the above mentioned carbanilate compounds, although greater or smaller amounts than 80% may also be used in the practice of the invention. The daily dosage administered to a patient may also vary considerably, depending upon the patients condition and the amount prescribed by the physician in charge. In the case of edema, the daily dosage of these novel compositions may be such that the patient ingests on the order of 250 mg. to 500 mg. of one of the carbanilate compounds per day.
The following examples illustrate the invention.
Example 1 Therapeutic diuretic tablets were prepared having the following composition:
Component: G. p-Sulfamyl fi-hydroxy ethyl carbanilate 0.500 Formoguanamine 0.250 Betaine hydrochloride 0.065 Corn starch U.S.P. 0.100 Calcium stearate 0.010 Talcum powder 0.005
Example 2 Therapeutic diuretic tablets were prepared having the following composition:
Component: G. p-Sulfamyl S-hydroxy ethyl carbanilate 0.250
2 amino 4 anilino-1,3,5-triazine hydrochloride 0.125 Betaine hydrochloride 0.065 Corn starch U.S.P. 0.100 Calcium stearate 0.010 Talcum powder 0.005
The tablets were prepared by first mixing the p-sulfamyl fl-hydroxy ethyl carbanilate, 2-amino-4-anilino-l,3,5-trtazine hydrochloride and betaine hydrochloride in the dry state. This mixture was then wet granulated with isopropyl alcohol (0.125 ml. per tablet) and water (0.125 ml. per tablet). The wet granulated mixture was thereafter dried on trays at a temperature of F. for 15 hours, and the dry mixture was ground in an oscillator using a No. 11 heavy wire screen. The corn starch, calcium stearate and talcum powder were added and, after thorough mixing, the mixture was compressed into tab ets.
Example 3 The inhibition of carbonic anhydrase activity by psulfamyl allyl carbanilate was determined as follows:
The carbonic anhydrase employed was prepared from rabbit red blood cells by the method of Keilin and Mann (Biochem. J. 34, 1166, 1940). The red blood cells were Washed three times with saline by centrifugation. To the washed cells (10 ml.) in a centrifuge tube were added distilled water (6 ml.), ethyl alcohol (4 ml.) and chloroform (5 ml.). The mixture was shaken well and centrifuged for 25 minutes at 2500 r.p.m. A three phase system was formed consisting of a top layer of enzyme solution, a central layer of denatured protein and a bottom layer of chloroform.
The top layer was removed and the activity of the carbonic anhydrase determined by a modification of the meth 0d of Meldrum and Roughton (J. Physiol. 80, 116-124, 1934), which measures the catalytic effect of the carbonic anhydrase enzyme on the rate of evolution of carbon dioxide from sodium bicarbonate solutions when mixed with phosphate buffer of pH 6.8. A sodium bicarbonate solution (1.1 ml.) (0.2 M) (prepared by dissolving the sodium bicarbonate in a 0.02 M sodium hydroxide solution) was placed in the main compartment of a 15 ml. Warburg flask while phosphate buffer (1 ml.) made by mixing equal volumes of disodium phosphate solution (0.2 M) and potassium acid phosphate solution (0.2 M) was placed in one side arm of the flask. The flask was attached to a manometer and the solution equilibrated 1 at 25 C in a shaking machine. The rate of carbon dioxide evolution in the presence of carbonic anhydrase enzyme solution (1 ml.) was measured and compared with a blank. It was found that at a concentration of l mg./ml. of p-sulfamyl allyl carbanilate 84% inhibition of carbonic anhydrase activity was effected when tested according to this method.
Other compositions of the invention corresponding to the above described compositions andgcontaining comparable amounts of p-sulfamyl ethyl carbanilate, p-sulfamyl, allyl carbanilate and one of the aforementioned triazine compounds may be prepared and are effective in the practice of the invention.
It will be understood, of course, that the therapeutic compositions of the invention may be employed in the treatment of any condition where the inhibition of carbonic anhydrase activity will produce a beneficial result.
In view of the above, it will be seen that the several objects of the invention are achieved and other advantageous results attained.
As various changes could be made in the above products and methods without departing from the scope of the invention, it is intended that all matter contained in the above description shall be interpreted as illustrative and not in a limiting sense.
We claim:
1. A therapeutic composition comprising a compound having the formula:
NHCOOR wherein R represents a radical selected from the group consisting of ethyl, p-hydroxy ethyl and allyl, a compound selected from the group consisting of 2,4-diamino s-triazine, 2-amiuo-4-p-carboxy ethyl amino s-triazine, 2,4- (B-carboxy ethyl amino) s-triazine, 2-amino-4-anilino- 1,3,5-triazine, 2-amino-4-(p-chloroa-nilino)-1,3,5-triazine and the nontoxic salts thereof, and a pharmaceutical carrier.
2. A therapeutic composition comprising p-sulfamyl a hydroxy ethyl carbanilate, 2-amino-4- -anilino-1,3,5-triazine and a pharmaceutical carrier.
3. A therapeutic composition comprising p-sulfamyl ethyl carbanilate, 2-amino-4-anilino-1,3,5-triazine and a pharmaceutical carrier.
4. A therapeutic composition comprising p-sulfamyl allyl carbanilate, 2-amino-4-anilino-1,3,5-triazine and a pharmaceutical carrier.
5. A therapeutic composition comprising p-sulfamyl References Cited in the file of this patent U.S. Dispensatory, 25th ed., pp. 191-492.
J. Am. Chem. Soc., vol. 72, November 1950, pp. 4893-4896.
Chem. Abst., vol. 41, 1947, pp. 4809-4811.
Vogl: Diuretic Ther., Williams and Wilkins Co., 1953, p. 47, Baltimore, Md.
I.A.M.A., vol. 151, No. 16, Apr. 18, 1953, p. 1430.
Claims (1)
1. A THERAPEUTIC COMPOSITION COMPRISING A COMPOUND HAVING THE FORMULA:
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US532113A US2920012A (en) | 1955-09-01 | 1955-09-01 | Therapeutic compositions for inhibiting carbonic anhydrase activity |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US532113A US2920012A (en) | 1955-09-01 | 1955-09-01 | Therapeutic compositions for inhibiting carbonic anhydrase activity |
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| Publication Number | Publication Date |
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| US2920012A true US2920012A (en) | 1960-01-05 |
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| US532113A Expired - Lifetime US2920012A (en) | 1955-09-01 | 1955-09-01 | Therapeutic compositions for inhibiting carbonic anhydrase activity |
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| US4917108A (en) * | 1988-06-29 | 1990-04-17 | Mault James R | Oxygen consumption meter |
| US5836300A (en) * | 1996-03-11 | 1998-11-17 | Mault; James R. | Metabolic gas exchange and noninvasive cardiac output monitor |
| US6135107A (en) * | 1996-03-11 | 2000-10-24 | Mault; James R. | Metabolic gas exchange and noninvasive cardiac output monitor |
| US6277645B1 (en) | 1998-08-03 | 2001-08-21 | James R. Mault | Method and apparatus for respiratory gas analysis employing measurement of expired gas mass |
| US6309360B1 (en) | 1997-03-17 | 2001-10-30 | James R. Mault | Respiratory calorimeter |
| US20010044588A1 (en) * | 1996-02-22 | 2001-11-22 | Mault James R. | Monitoring system |
| US20020047867A1 (en) * | 2000-09-07 | 2002-04-25 | Mault James R | Image based diet logging |
| US20020055857A1 (en) * | 2000-10-31 | 2002-05-09 | Mault James R. | Method of assisting individuals in lifestyle control programs conducive to good health |
| US6402698B1 (en) | 1998-02-05 | 2002-06-11 | James R. Mault | Metabolic calorimeter employing respiratory gas analysis |
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| US6612306B1 (en) | 1999-10-13 | 2003-09-02 | Healthetech, Inc. | Respiratory nitric oxide meter |
| US6620106B2 (en) | 2000-09-29 | 2003-09-16 | Healthetech, Inc. | Indirect calorimetry system |
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| US20030208133A1 (en) * | 2000-06-07 | 2003-11-06 | Mault James R | Breath ketone analyzer |
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| US20030220579A1 (en) * | 2002-04-01 | 2003-11-27 | Mault James R. | System and method of determining an individualized drug administration protocol |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US4917108A (en) * | 1988-06-29 | 1990-04-17 | Mault James R | Oxygen consumption meter |
| US20010044588A1 (en) * | 1996-02-22 | 2001-11-22 | Mault James R. | Monitoring system |
| US5836300A (en) * | 1996-03-11 | 1998-11-17 | Mault; James R. | Metabolic gas exchange and noninvasive cardiac output monitor |
| US6135107A (en) * | 1996-03-11 | 2000-10-24 | Mault; James R. | Metabolic gas exchange and noninvasive cardiac output monitor |
| US6309360B1 (en) | 1997-03-17 | 2001-10-30 | James R. Mault | Respiratory calorimeter |
| US6645158B2 (en) | 1998-02-05 | 2003-11-11 | Healthetech, Inc. | Metabolic calorimeter employing respiratory gas analysis |
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| US6406435B1 (en) | 1998-11-17 | 2002-06-18 | James R. Mault | Method and apparatus for the non-invasive determination of cardiac output |
| US20030167016A1 (en) * | 1999-05-10 | 2003-09-04 | Mault James R. | Airway-based cardiac output monitor and methods for using same |
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| US20030208133A1 (en) * | 2000-06-07 | 2003-11-06 | Mault James R | Breath ketone analyzer |
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| US20020133378A1 (en) * | 2000-10-13 | 2002-09-19 | Mault James R. | System and method of integrated calorie management |
| US6607387B2 (en) | 2000-10-30 | 2003-08-19 | Healthetech, Inc. | Sensor system for diagnosing dental conditions |
| US20020055857A1 (en) * | 2000-10-31 | 2002-05-09 | Mault James R. | Method of assisting individuals in lifestyle control programs conducive to good health |
| US20020138213A1 (en) * | 2001-03-02 | 2002-09-26 | Mault James R. | System and method of metabolic rate measurement |
| US20030023181A1 (en) * | 2001-07-26 | 2003-01-30 | Mault James R. | Gas analyzer of the fluorescent-film type particularly useful for respiratory analysis |
| US20030130595A1 (en) * | 2001-08-13 | 2003-07-10 | Mault James R. | Health improvement systems and methods |
| US20030105407A1 (en) * | 2001-11-30 | 2003-06-05 | Pearce, Edwin M. | Disposable flow tube for respiratory gas analysis |
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