Phd Thesis Distinto.Pdf

Total Page:16

File Type:pdf, Size:1020Kb

Phd Thesis Distinto.Pdf Università degli Studi di Cagliari Corso di Dottorato di Ricerca in Scienze e tecnologie Farmaceutiche Ciclo XXVII Progettazione e sintesi di nuovi antagonisti CB1 a struttura pirazolica come potenziali radiofarmaci per la PET imaging CHIM08 Presentata da: Dott.ssa Rita Distinto Coordinatore Dottorato: Prof. Elias Maccioni Tutor/Relatore Prof. Elias Maccioni Dott. Paolo Lazzari Esame finale anno accademico 2013 – 2014 A mia madre 2 Abstract Cannabinoid receptors are members of the large family of G-protein coupled receptors. Two types of cannabinoid receptor have been discovered: CB1 and CB2. CB1 receptors are localised predominantly in the brain whereas CB2 receptors are more abundant in peripheral nervous system cells. CB1 receptors have been related with a number of disorders, including depression, anxiety, stress, schizophrenia, chronic pain and obesity. For this reason, several cannabinoid ligands were developed as drug candidates. Among these ligands, a prominent position is occupied by SR141716 (Rimonabant), which is a pyrazole derivative with inverse agonist activity discovered by Sanofi-Synthelabo in 1994. This compound was marketed in Europe as an anti-obesity drug, but subsequently withdrawn due to its side-effects. Since the relationship between the CB1 receptors’ functional modification, density and distribution, and the beginning of a pathological state is still not well understood, the development of radio-ligands suitable for in vivo PET (Positron Emission Tomography) functional imaging of CB1 receptors remains an important area of research in medicine and drug development. To date, a few radiotracers have been synthesised and tested in vivo, but most of them afforded unsatisfactory brain imaging results. A handful of radiolabelled CB1 PET ligands have also been submitted to clinical trials in humans. In this PhD Thesis the design, synthesis and characterization of three new classes of potential high-affinity CB1 ligands as candidate PET tracers is described. 3 Sommario Scopo .................................................................................................................. 5 1 Introduzione .................................................................................................... 6 1.1 Cenni storici e classificazione botanica ...................................................... 6 1.2 Cannabinoidi naturali (fitocannabinoidi) ................................................... 7 1.3 Endocannabinoidi ...................................................................................... 9 1.4 Cannabinoidi sintetici .............................................................................. 14 Agonisti non selettivi .................................................................................. 14 Agonisti selettivi per i recettori CB1 ........................................................... 16 Antagonisti/agonisti inversi dei CB1 .......................................................... 16 Antagonisti/agonisti inversi CB2 ................................................................ 17 1.5 Recettori cannabinoidi ............................................................................. 18 1.6 PET .......................................................................................................... 21 2 Progettazione ................................................................................................. 23 2.1 Base scientifica ........................................................................................ 23 3 Sintesi e risultati ............................................................................................ 27 4 Conclusioni .................................................................................................... 45 5 Materiali e metodi ......................................................................................... 46 6 Referenze ....................................................................................................... 91 7 Articoli ......................................................................................................... 102 4 Scopo In questo lavoro di tesi viene descritta la progettazione, la sintesi, la caratterizzazione e l’attività biologica di composti a potenziale attività antagonista dei recettori cannabinoidi 1 (CB1) allo scopo di individuare i canditati selettivi più promettenti da funzionalizzare successivamente con l'introduzione dei radioisotopi 18F e 11C e utilizzare con le apparecchiature di PET (tomografia ad emissione di positroni) imaging. Le molecole radiomarcate dei CB1 potranno essere utilizzate: - per valutarne la capacità di oltrepassare la barriera ematoencefalica e raggiungere il cervello, dove si trovano prevalentemente i recettori CB1; - per studi dettagliati di imaging sui recettori CB1 del sistema nervoso centrale in modelli animali. La prospettiva futura è quella di utilizzare questi strumenti molecolari come strumenti diagnostici nel cervello umano. L’attività di ricerca è stata svolta in parte nei laboratori dell’azienda PharmaNess-Neuroscienze Scarl, presso il Parco Scientifico della Sardegna (Pula, CA) e in parte presso i laboratori dell’Institute of Medical Sciences dell’Università di Aberdeen. Il progetto di questa tesi rientra nel progetto FP7- PEOPLE-2009 IAPP - Marie Curie Action: "Industry-Academia Partnerships and Pathways" intitolato “Pet Brain. Mapping the brain with PET radiolabeled cannabinoid (CB1) ligands”. 5 1 Introduzione 1.1 Cenni storici e classificazione botanica La canapa (cannabis) è una pianta dai molteplici usi, e il suo impiego a scopo medico si perde nella notte dei tempi. La troviamo già citata nel più antico testo cinese sulle piante medicinali il Pen T’Sao Ching. Anche in India la cannabis è usata dalla medicina tradizionale fin dal secondo millennio a.c. Viene citata in antichi testi assiri, egizi e persiani, ed è ben conosciuta anche dalla medicina greco-romana.1 Secondo la tassonomia ufficiale moderna, il genere Cannabis è incluso nella famiglia delle Cannabaceae dopo essere stato precedentemente inserito nelle Moraceae e successivamente nelle Urticaceae, viste le molte caratteristiche in comune con queste famiglie. Nel 1753, Linneo parlò esclusivamente di Cannabis sativa L. l’indicazione di una Cannabis indica è dovuta a Lamarck e risale al 1783 ma oggi è considerata un errore di classificazione. Il binomio Cannabis indica e Cannabis sativa però si è mantenuto in letteratura farmacologica e tossicologica, creando così forte confusione. Schultes, direttore del Museo Botanico di Harvard, nel 1974 espose la sua classificazione distinguendo la Cannabis sativa, C. indica e C. ruderalis. Nel 1976 Small e Cronquist hanno proposto un diverso approccio, basando le differenze sulle proprietà della pianta. Il genere Cannabis avrebbe una sola specie (C. sativa) altamente variabile soprattutto per intervento dell’uomo. Identificando poi un gruppo del nord con maggiore contenuto di fibra e olio (C. sativa subs. sativa) e un gruppo del sud con maggior potenziale inebriante (Cannabis sativa subs. indica).2 Le prime pubblicazioni in riviste mediche sulla Cannabis risalgono al 1840 quando lo psichiatra J.J. Moreau condusse un esperimento clinico in seguito alla somministrazione di hashish per l'uomo, scoprì gli effetti del fumo di hashish e cominciò a studiarli al fine di comprendere il rapporto tra follia e sogni.3 Intorno alla fine del XIX secolo, dopo acetilazione di un estratto di hashish è stato 6 ottenuto il cannabinolo acetato. La sua struttura è stata individuata nel 1930, quando è stato isolato anche il cannabidiolo (CBD). Roger Adams e Alexander Todd pubblicarono numerosi documenti sulla Cannabis e scoprirono che alcuni composti triciclici sintetici avevano attività sui cani. Loewe nel 1950 riassunse il lavoro farmacologico effettuato su estratti di cannabis e di alcuni composti sintetici.4 Sono state distinte tre classi di cannabinoidi: naturali, endogeni e sintetici. 1.2 Cannabinoidi naturali (fitocannabinoidi) La pianta Cannabis sativa contiene centinaia di sostanze a varia struttura chimica. Di queste, fino a oggi, sono stati identificati circa 66 composti appartenenti alla famiglia dei cannabinoidi, accomunati da una particolare struttura di 21 atomi di carbonio: derivano dalla combinazione di un elemento terpenico ad un fenolo di tipo chetidico, l’olivetolo, sono caratterizzati da una bassa polarità e solubilità in acqua (Fig. 1).5 7 OH OPP OH COOH COOH + HO HO Pre-Cannabigerolo (CBG) Geranil-PP Acido olivetolico H OH H OH OH HO HO Cannabigerolo (CBG) OH H OH H O HO Cannabicromene (CBC) H Cannabidiolo (CBD) OH OH H H O O 9- tetraidrocannabinolo (THC) Cannabinolo (CBN) Figura 1: Alcuni composti cannabinoidi contenuti nella Cannabis sativa e indicazione dei precursori naturali. Fitocannabinoidi sono presenti anche in diverse specie vegetali oltre alla Cannabis. Questi includono le N-alchilamidi che ritroviamo nell’Echinacea purpurea, Echinacea angustifolia, Echinacea pallida,6, 7 le N-alchildien- trienamidi nell’Otanthus maritimus,8 il falcarinolo nelle Apiaceae (es. Daucus carota),9 la rutamarina nella Ruta graveolens L,10e altri composti.11, 12 8 Il Tetraidrocannabinolo (THC) è il componente psicoattivo principale della Cannabis. Il 9-THC e 8-THC, mimano l'azione dell’anandamide, un neurotrasmettitore prodotto naturalmente nel corpo. THC e gli altri cannabinoidi sono liposolubili, quindi possono accumularsi nel tessuto adiposo dal quale vengono lentamente rilasciati determinando un prolungamento dell’effetto del composto.
Recommended publications
  • Modifications to the Harmonized Tariff Schedule of the United States to Implement Changes to the Pharmaceutical Appendix
    United States International Trade Commission Modifications to the Harmonized Tariff Schedule of the United States to Implement Changes to the Pharmaceutical Appendix USITC Publication 4208 December 2010 U.S. International Trade Commission COMMISSIONERS Deanna Tanner Okun, Chairman Irving A. Williamson, Vice Chairman Charlotte R. Lane Daniel R. Pearson Shara L. Aranoff Dean A. Pinkert Address all communications to Secretary to the Commission United States International Trade Commission Washington, DC 20436 U.S. International Trade Commission Washington, DC 20436 www.usitc.gov Modifications to the Harmonized Tariff Schedule of the United States to Implement Changes to the Pharmaceutical Appendix Publication 4208 December 2010 (This page is intentionally blank) Pursuant to the letter of request from the United States Trade Representative of December 15, 2010, set forth at the end of this publication, and pursuant to section 1207(a) of the Omnibus Trade and Competitiveness Act, the United States International Trade Commission is publishing the following modifications to the Harmonized Tariff Schedule of the United States (HTS) to implement changes to the Pharmaceutical Appendix, effective on January 1, 2011. Table 1 International Nonproprietary Name (INN) products proposed for addition to the Pharmaceutical Appendix to the Harmonized Tariff Schedule INN CAS Number Abagovomab 792921-10-9 Aclidinium Bromide 320345-99-1 Aderbasib 791828-58-5 Adipiplon 840486-93-3 Adoprazine 222551-17-9 Afimoxifene 68392-35-8 Aflibercept 862111-32-8 Agatolimod
    [Show full text]
  • Potential Cannabis Antagonists for Marijuana Intoxication
    Central Journal of Pharmacology & Clinical Toxicology Bringing Excellence in Open Access Review Article *Corresponding author Matthew Kagan, M.D., Cedars-Sinai Medical Center, 8730 Alden Drive, Los Angeles, CA 90048, USA, Tel: 310- Potential Cannabis Antagonists 423-3465; Fax: 310.423.8397; Email: Matthew.Kagan@ cshs.org Submitted: 11 October 2018 for Marijuana Intoxication Accepted: 23 October 2018 William W. Ishak, Jonathan Dang, Steven Clevenger, Shaina Published: 25 October 2018 Ganjian, Samantha Cohen, and Matthew Kagan* ISSN: 2333-7079 Cedars-Sinai Medical Center, USA Copyright © 2018 Kagan et al. Abstract OPEN ACCESS Keywords Cannabis use is on the rise leading to the need to address the medical, psychosocial, • Cannabis and economic effects of cannabis intoxication. While effective agents have not yet been • Cannabinoids implemented for the treatment of acute marijuana intoxication, a number of compounds • Antagonist continue to hold promise for treatment of cannabinoid intoxication. Potential therapeutic • Marijuana agents are reviewed with advantages and side effects. Three agents appear to merit • Intoxication further inquiry; most notably Cannabidiol with some evidence of antipsychotic activity • THC and in addition Virodhamine and Tetrahydrocannabivarin with a similar mixed receptor profile. Given the results of this research, continued development of agents acting on cannabinoid receptors with and without peripheral selectivity may lead to an effective treatment for acute cannabinoid intoxication. Much work still remains to develop strategies that will interrupt and reverse the effects of acute marijuana intoxication. ABBREVIATIONS Therapeutic uses of cannabis include chronic pain, loss of appetite, spasticity, and chemotherapy-associated nausea and CBD: Cannabidiol; CBG: Cannabigerol; THCV: vomiting [8]. Recreational cannabis use is on the rise with more Tetrahydrocannabivarin; THC: Tetrahydrocannabinol states approving its use and it is viewed as no different from INTRODUCTION recreational use of alcohol or tobacco [9].
    [Show full text]
  • Novel Approaches in Clinical Development of Cannabinoid Drugs
    Novel approaches in clinical development of cannabinoid drugs Linda Klumpers novel approaches in clinical development of cannabinoid drugs Novel approaches in clinical development of cannabinoid drugs proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van de Rector Magnificus prof. mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties, te verdedigen op dinsdag 21 januari 2014, klokke 16:15 uur door Linda Elvira Klumpers, geboren te Rotterdam in 1980 Promotiecommissie chapter i 7 Introduction to the endocannabinoid system as a target for drug development promotores Prof. dr. J.M.A. van Gerven chapter ii 49 Professor of Clinical Neuropsychopharmacology, Leiden University Medical Center Novel ∆9-tetrahydrocannabinol formulation Namisol® has bene- and Centre for Human Drug Research ficial pharmacokinetics and promising pharmacodynamic effects Prof. dr. A.F. Cohen Professor of Clinical Pharmacology, Leiden University Medical Center and Centre chapter iii 79 for Human Drug Research Manipulating brain connectivity with ∆9-tetrahydrocannabinol: a pharmacological resting state fmri study overige leden chapter iv 115 Prof. dr. P.H. van der Graaf Surinabant, a selective cb¡ antagonist, inhibits thc-induced Professor of Bio-pharmaceutical Sciences, Leiden University central nervous system and heart rate effects in humans Dr. J.T. Tamsma Internist and Medical Director of the Leiden University Medical Center chapter v 145 Prof. dr. R.F. Witkamp Peripheral selectivity of the novel cannabinoid receptor
    [Show full text]
  • Cannabinoid Receptor Cannabinoid Receptor
    Cannabinoid Receptor Cannabinoid Receptor Cannabinoid receptors are currently classified into three groups: central (CB1), peripheral (CB2) and GPR55, all of which are G-protein-coupled. CB1 receptors are primarily located at central and peripheral nerve terminals. CB2 receptors are predominantly expressed in non-neuronal tissues, particularly immune cells, where they modulate cytokine release and cell migration. Recent reports have suggested that CB2 receptors may also be expressed in the CNS. GPR55 receptors are non-CB1/CB2 receptors that exhibit affinity for endogenous, plant and synthetic cannabinoids. Endogenous ligands for cannabinoid receptors have been discovered, including anandamide and 2-arachidonylglycerol. www.MedChemExpress.com 1 Cannabinoid Receptor Antagonists, Agonists, Inhibitors, Modulators & Activators (S)-MRI-1867 (±)-Ibipinabant Cat. No.: HY-141411A ((±)-SLV319; (±)-BMS-646256) Cat. No.: HY-14791A (S)-MRI-1867 is a peripherally restricted, orally (±)-Ibipinabant ((±)-SLV319) is the racemate of bioavailable dual cannabinoid CB1 receptor and SLV319. (±)-Ibipinabant ((±)-SLV319) is a potent inducible NOS (iNOS) antagonist. (S)-MRI-1867 and selective cannabinoid-1 (CB-1) receptor ameliorates obesity-induced chronic kidney disease antagonist with an IC50 of 22 nM. (CKD). Purity: >98% Purity: 99.93% Clinical Data: No Development Reported Clinical Data: No Development Reported Size: 1 mg, 5 mg Size: 10 mM × 1 mL, 5 mg, 10 mg, 25 mg, 50 mg 2-Arachidonoylglycerol 2-Palmitoylglycerol Cat. No.: HY-W011051 (2-Palm-Gl) Cat. No.: HY-W013788 2-Arachidonoylglycerol is a second endogenous 2-Palmitoylglycerol (2-Palm-Gl), an congener of cannabinoid ligand in the central nervous system. 2-arachidonoylglycerol (2-AG), is a modest cannabinoid receptor CB1 agonist. 2-Palmitoylglycerol also may be an endogenous ligand for GPR119.
    [Show full text]
  • (12) United States Patent (10) Patent No.: US 8,853,205 B2 Makriyannis Et Al
    US008853205 B2 (12) United States Patent (10) Patent No.: US 8,853,205 B2 Makriyannis et al. (45) Date of Patent: *Oct. 7, 2014 (54) HETEROPYRROLE ANALOGSACTING ON 5,462,960 A * 10/1995 Barth et al. ................... 514,406 CANNABINOID RECEPTORS 6.432,984 B1 8, 2002 Barth et al. 6,509,367 B1 1/2003 Martin et al. 7,119, 108 B1 10/2006 Makriyannis et al. (75) Inventors: Alexandros Makriyannis, Watertown, 7,393,842 B2 7/2008 Makriyannis et al. MA (US); Venkata Kiran Vemuri, 7,745.440 B2 6/2010 Makriyannis et al. Boston, MA (US) 7,872,006 B2 1/2011 Moritani et al. 8,084,451 B2 * 12/2011 Makriyannis et al. ........ 514,241 (73) Assignee: University of Connecticut, Farmington, 2004/0192667 A1 9/2004 Makriyannis et al. CT (US) 2004/0248956 Al 12/2004 Hagmann et al. (*) Notice: Subject to any disclaimer, the term of this FOREIGN PATENT DOCUMENTS past is tituted under 35 EP O576,357 A1 12/1993 .S.C. 154(b) by ayS. EP O656354 A1 6, 1995 This patent is Subject to a terminal disis- FREP 2758.723O658546 A1 6,T 19951998 Ca10. FR 2856683 A1 12/2004 WO 9719063 A1 5, 1997 (21) Appl. No.: 13/202,499 WO 972.1682 A1 6, 1997 WO 2005OOO820 1, 2005 (22) PCT Filed: Feb. 19, 2009 WO 2006067443 6, 2006 WO 2006O74445 A2 T 2006 (86). PCT No.: PCT/US2O09/OO 1054 WO 2007061948 A2 5, 2007 S371 (c)(1), OTHER PUBLICATIONS (2), (4) Date: Nov. 11, 2011 Fan, H. et al., “Analogs of JHU75528, a PET ligand for imaging of (87) PCT Pub.
    [Show full text]
  • Novel Approaches in Clinical Development of Cannabinoid Drugs
    Novel approaches in clinical development of cannabinoid drugs Linda Klumpers novel approaches in clinical development of cannabinoid drugs Novel approaches in clinical development of cannabinoid drugs proefschrift ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van de Rector Magnificus prof. mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties, te verdedigen op dinsdag 21 januari 2014, klokke 16:15 uur door Linda Elvira Klumpers, geboren te Rotterdam in 1980 Promotiecommissie chapter i 7 Introduction to the endocannabinoid system as a target for drug development promotores Prof. dr. J.M.A. van Gerven chapter ii 49 Professor of Clinical Neuropsychopharmacology, Leiden University Medical Center Novel ∆9-tetrahydrocannabinol formulation Namisol® has bene- and Centre for Human Drug Research ficial pharmacokinetics and promising pharmacodynamic effects Prof. dr. A.F. Cohen Professor of Clinical Pharmacology, Leiden University Medical Center and Centre chapter iii 79 for Human Drug Research Manipulating brain connectivity with ∆9-tetrahydrocannabinol: a pharmacological resting state fmri study overige leden chapter iv 115 Prof. dr. P.H. van der Graaf Surinabant, a selective cb¡ antagonist, inhibits thc-induced Professor of Bio-pharmaceutical Sciences, Leiden University central nervous system and heart rate effects in humans Dr. J.T. Tamsma Internist and Medical Director of the Leiden University Medical Center chapter v 145 Prof. dr. R.F. Witkamp Peripheral selectivity of the novel cannabinoid receptor
    [Show full text]
  • Stembook 2018.Pdf
    The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances FORMER DOCUMENT NUMBER: WHO/PHARM S/NOM 15 WHO/EMP/RHT/TSN/2018.1 © World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances. Geneva: World Health Organization; 2018 (WHO/EMP/RHT/TSN/2018.1). Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data.
    [Show full text]
  • WLI/100 11 Novembre 2011 ACCORD DE MARRAKECH INSTITUANT L
    WORLD TRADE ORGANIZATION ORGANISATION MONDIALE DU COMMERCE ORGANIZACIÓN MUNDIAL DEL COMERCIO Référence: WLI/100 11 novembre 2011 ACCORD DE MARRAKECH INSTITUANT L'ORGANISATION MONDIALE DU COMMERCE FAIT À MARRAKECH LE 15 AVRIL 1994 ACCORD GÉNÉRAL SUR LES TARIFS DOUANIERS ET LE COMMERCE DE 1994 CERTIFICATION DE MODIFICATIONS ET DE RECTIFICATIONS LISTE XXXVIII – JAPON ENVOI DE COPIE CERTIFIÉE CONFORME J'ai l'honneur de vous faire parvenir ci-joint une copie certifiée conforme de la Certification des modifications et des rectifications apportées à la Liste XXXVIII – Japon, qui ont pris effet le 4 novembre 2011. Pascal Lamy Directeur général 11-5834 WT/Let/835 Centre William Rappard Rue de Lausanne 154 Case postale CH - 1211 Genève 21 Téléphone: (+41 22) 739 51 11 Fax: (+41 22) 731 42 06 Internet: http://www.wto.org LISTES DE CONCESSIONS TARIFAIRES ANNEXÉES À L'ACCORD GENERAL SUR LES TARIFS DOUANIERS ET LE COMMERCE DE 1994 CERTIFICATION DE MODIFICATIONS ET DE RECTIFICATIONS LISTE XXXVIII – JAPON CONSIDÉRANT que les PARTIES CONTRACTANTES à l'Accord général sur les tarifs douaniers et le commerce de 1947 ont adopté, le 26 mars 1980, une Décision sur les procédures de modification et de rectification des listes de concessions tarifaires (IBDD, S27/26); CONSIDÉRANT que, conformément aux dispositions de la Décision susmentionnée, le projet contenant les modifications et les rectifications concernant la Liste XXXVIII – Japon a été communiqué à tous les Membres sous couvert du document G/MA/TAR/RS/291 et G/MA/TAR/RS/291/Corr.1; IL EST CERTIFIÉ PAR LA PRÉSENTE que les modifications et les rectifications concernant la Liste XXXVIII – Japon sont établies conformément à la Décision susmentionnée.
    [Show full text]
  • Developing Medicines to Treat Addictions and Drug Overdose
    Developing medicines to treat addictions and drug overdose NASDAQ: OPNT August 2021 Forward-Looking Statements This presentation contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements relate to future events or our future financial performance and involve known and unknown risks, uncertainties and other factors that may cause our or our industry’s actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed, implied or inferred by these forward-looking statements. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “could,” “would,” “expects,” “plans,” “intends,” “anticipates,” “believes,” “estimates,” “predicts,” “projects,” “potential,” or “continue” or the negative of such terms and other comparable terminology. These forward-looking statements are only predictions based on our current expectations and projections about future events. You should not place undue reliance on these forward-looking statements. Actual events or results may differ materially. In evaluating these forward-looking statements, you should specifically consider various factors. These and other factors may cause our actual results to differ materially from any forward-looking statement. We undertake no obligation to update any of the forward-looking statements after the date of this presentation to conform those statements to reflect the occurrence of unanticipated events, except as required by applicable law. Page I 2 Opiant is leading a new wave of innovation in addiction and overdose Developed NARCAN® Nasal Spray, which is credited with reducing opioid overdose deaths.
    [Show full text]
  • Pharmacology-Guided Dose-Escalation of First-In-Class Drugs Almorexant (ORX1/2-Antagonist) and Rimonabant (CB1-Antagonist)
    Pharmacology-Guided Dose-Escalation of First-in-Class Drugs almorexant (ORX1/2-antagonist) and rimonabant (CB1-antagonist) Joop van Gerven, MD, PhD professor of clinical neuropsychopharmacology, Leiden University director CNS research, Centre for Human Drug Research Contents: • causes of failed development • getting the pharmacology right for highly selective innovative drugs Failed Clinical Trials in Phase II/III Phase II Phase III Arrowsmith J. Trial watch: Phase II failures: 2008-2010. Nat Rev Drug Disc 2011:10:328-9 Arrowsmith J. Trial watch: Phase III and submission failures: Nat Rev Drug Disc 2011:10:82. Determinants of Drug Efficacy pharmacologyvariability etiology Cohen AF. Developing drug prototypes: pharmacology replaces safety and tolerability? Nat Rev Drug Discov. 2010;9:856-65 …25 Drugs Withdrawn After Launch… Drug Approved Withdrawn License Reason amineptine (Survector) 1978 2000 22 abuse, acne cisapride (Propulsid) 1993 2000 7 cardiac arrythmia troglitazone (Rezulin) 1999 2000 1 liver failure alosetron (Lotronex) 2000 2000 1 ischemic colitis phenylpropanolamine (Dexatrim) 1970's 2000 30 haemorrhagic stroke cerivastatin (Lipobay, Baycol) 1997 2001 4 rhabdomyolysis rapacuronium (Raplon) 1999 2001 2 bronchospasm trovafloxacin (Trovan) 1998 2001 3 liver failure ⅓ pharmacologic AEs: levomethadyl 1993 2003 10 abuse, cardiac arrythmia -predictable rofecoxib (Vioxx) 1999 2004 5 cardiac risk pemoline (Cylert) 1975 2005 30 liver failure -dose-related valdecoxib (Bextra) 2004 2005 1 cardiac risk natalizumab (Tysabri) 2004 2005 1 leucoencephalopathy
    [Show full text]
  • Terapeutické Využití Látek Ovlivňujících Kanabinoidní Receptory
    Chem. Listy 115, 246−253 (2021) Referát TERAPEUTICKÉ VYUŽITÍ LÁTEK OVLIVŇUJÍCÍCH KANABINOIDNÍ RECEPTORY Stanislav Rádl s G-proteiny (GPCR)3. Jsou obsaženy nejen v CNS, ale i v řadě periferních tkání celého těla a ovlivňují širokou Zentiva, U kabelovny 130, 102 37 Praha 10 paletu orgánů, které jsou součástí imunitního, zažívacího [email protected] a dalších životně důležitých systémů. Receptory CB1 se vyskytují hlavně v CNS, zatímco CB2 v periferním nervo- Došlo 5.1.21, přijato 26.1.21. vém a v imunitním systému. U nervových buněk jsou tyto receptory lokalizovány na presynaptické části neuronu a po své aktivaci ovlivňují uvolňování ostatních přenašečů. Protože tělu vlastní endogenní látky strukturně po- Klíčová slova: konopí, kanabinoidy, fytokanabinoidy, dobné přírodním kanabinoidům nejsou u savců známé, endokanabinoidy, syntetické kanabinoidy, kanabinoidní hledaly se v savčím organismu přítomné ligandy těchto receptory, agonisté kanabinoidních receptorů, antagonisté receptorů. To vedlo k objevení takových látek nazývaných kanabinoidních receptorů, inhibitory odbourávání endoka- endogenní kanabinoidy nebo endokanabinoidy4. Ty nejsou nabinoidů, inhibitory transportu endokanabinoidů na rozdíl od ostatních neurotransmiterů předem syntetizo- vány a skladovány, ale jsou po aktivaci uvolněny z jejich prekurzorů, které jsou součástí lipidové vrstvy. Po přene- Obsah sení signálu na kanabinoidní receptory jsou pak transporto- vány zpět do neuronu, kde jsou příslušnými enzymy meta- bolizovány. 1. Úvod 2. Fytokanabinoidy 1 3. Endogenní kanabinoidy 2. Fytokanabinoidy 4. Syntetické kanabinoidy 5. Léčebné využití fytokanabinoidů Je známo více než 100 fytokanabinoidů obsažených 6. Syntetická léčiva působící přímo na kanabinoidní v rostlinách konopí. Není překvapivé, že u rostliny receptory s historicky velmi dlouhým hospodářským využitím do- 7. Možnosti využití jiných látek ovlivňujících cházelo ke šlechtění.
    [Show full text]
  • What Role Does the Endocannabinoid System Play in the Pathogenesis of Obesity?
    nutrients Review What Role Does the Endocannabinoid System Play in the Pathogenesis of Obesity? Piotr Schulz 1,2, Szymon Hryhorowicz 3 , Anna Maria Rychter 1,* , Agnieszka Zawada 1 , Ryszard Słomski 3 , Agnieszka Dobrowolska 1 and Iwona Krela-Ka´zmierczak 1 1 Department of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 49 Przybyszewskiego Street, 60-355 Poznan, Poland; [email protected] (P.S.); [email protected] (A.Z.); [email protected] (A.D.); [email protected] (I.K.-K.) 2 Department of Physiology, Poznan University of Medical Sciences, 6 Swi˛ecickiegoStreet,´ 60-781 Poznan, Poland 3 Institute of Human Genetics, Polish Academy of Sciences, Strzeszynska 32, 60-479 Poznan, Poland; [email protected] (S.H.); [email protected] (R.S.) * Correspondence: [email protected]; Tel.: +48-8691-343; Fax: +48-8691-686 Abstract: The endocannabinoid system (ECS) is an endogenous signaling system formed by specific receptors (cannabinoid type 1 and type 2 (CB1 and CB2)), their endogenous ligands (endocannabi- noids), and enzymes involved in their synthesis and degradation. The ECS, centrally and peripherally, is involved in various physiological processes, including regulation of energy balance, promotion of metabolic process, food intake, weight gain, promotion of fat accumulation in adipocytes, and regulation of body homeostasis; thus, its overactivity may be related to obesity. In this review, we try to explain the role of the ECS and the impact of genetic factors on endocannabinoid system modulation in the pathogenesis of obesity, which is a global and civilizational problem affecting the entire world population regardless of age.
    [Show full text]