(12) United States Patent (10) Patent No.: US 9,018,226 B2 Srivastava Et Al

Total Page:16

File Type:pdf, Size:1020Kb

(12) United States Patent (10) Patent No.: US 9,018,226 B2 Srivastava Et Al USOO9018226B2 (12) United States Patent (10) Patent No.: US 9,018,226 B2 Srivastava et al. (45) Date of Patent: Apr. 28, 2015 (54) ANTIPSYCHOTICAGENTS AND (56) References Cited STANDARDIZED ANTIPSYCHOTC PUBLICATIONS FRACTIONS FROM RAUVOLIFLA TETRAPHYLLA AND PROCESS OF THEIR Akinloye, B.A. et al.: Stem bark alkaloids of Rauwolfia volkensii. SOLATION Planta Medica, vol. 37, pp. 361-366, 1979.* * cited by examiner (75) Inventors: Santosh Kumar Srivastava, Lucknow Primary Examiner — Charanjit Aulakh (IN); Ashok Kumar Agrawal, Lucknow (74) Attorney, Agent, or Firm — Abelman, Frayne & (IN); Subhash Chandra Singh, Schwab Lucknow (IN); Vinay Kumar Khanna, (57) ABSTRACT Lucknow (IN); Janardan Singh, The present invention relates to bioactive extracts its fractions Lucknow (IN); Chandeshwar Nath, and isolation of compound from Rauwolfia tetraphylla. The Lucknow (IN); Madan Mohan Gupta, extracts and fractions are useful for the treatment of psychosis based on in-vivo Validation on animal model and proportional Lucknow (IN); Shikha Gupta, Lucknow binding affinities for dopaminergic-D, Cholinergic (musca (IN); Ram Kishor Verma, Lucknow rinic) and Serotonergic (5HT) receptors for antipsychotic (IN); Anirban Pal, Lucknow (IN); activity. The present invention relates to novel antipsychotic Dnyaneshwar Umrao Bawankule, activity in the leaf alkaloids of Formula 1 and 2 named tet rahydroalstonine, 10-methoxytetrahydroalstonine, isoreser Lucknow (IN); Dharmendra Saikia, piline, 10-demethoxyreserpiline, 11-demethoxyreserpiline, Lucknow (IN); Anil Kumar Gupta, reserpiline and C-yohimbine. The present invention also Lucknow (IN); Anupam Maurya, relates to processes for obtaining antipsychotic extracts as Lucknow (IN); Suman Preet Singh well as for the isolation of alkaloids of formula 1 and 2 from Khanuja, Lucknow (IN) the leaves of Rauwolfia tetraphylla. The present invention particularly relates to significant antipsychotic activity in the (73) Assignee: Council of Scientific & Industrial MeOH extract, ethylacetate and chloroform fractions of R. tetraphylla and in the isolated compounds C-yohimbine, res Research, New Delhi (IN) erpiline and in a mixture 10-demethoxyreserpiline and (*) Notice: Subject to any disclaimer, the term of this 11-demethoxyreserpiline in 1:1.5 ratios for treating psycho patent is extended or adjusted under 35 sis without any extra pyramidal symptoms (EPS). U.S.C. 154(b) by 583 days. Formula-1 (21) Appl. No.: 13/262,040 (22) PCT Filed: Mar. 31, 2010 (86). PCT No.: PCT/N2O1 O/OOO2O8 S371 (c)(1), (2), (4) Date: Mar. 1, 2012 H3COOC > 1. R = R2 = OMe R3 = C-H (Isoreserpiline) (87) PCT Pub. No.: WO2010/113180 H- 2. R = R2 = OMe R3 = B-H (Reserpiline) PCT Pub. Date: Oct. 7, 2010 He 3. R1 = OMe R2 = HR = B-H (11-Demethoxy reserpiline) (65) Prior Publication Data H- 4. R = HR2 = OMe R3 = B-H (10-Demethoxy reserpiline) He 5. R1 = R = H R3 = C-H (Tetrahydroalstonine) US 2012/O184576A1 Jul. 19, 2012 H 7. R1 = OMe R2 = H R3 = C-H (10-Methoxytetrahudroalstonine) Formula 2 (30) Foreign Application Priority Data Mar. 31, 2009 (IN) ............................. 658/DELA2009 (51) Int. Cl. A6 IK3I/4375 (2006.01) CO7D 49/22 (2006.01) A6 IK 36/24 (2006.01) (52) U.S. Cl. CPC ...................................... A61K 36/24 (2013.01) (6. C-Yohimbine) (58) Field of Classification Search USPC ............................................. 514/280; 546/48 See application file for complete search history. 21 Claims, 8 Drawing Sheets U.S. Patent Apr. 28, 2015 Sheet 1 of 8 US 9,018,226 B2 OO SO so is 40 2O SS O 25 s s es as slas Dose mg/kg) year is extrati Creferrt fractice Fig 1 airbs 3i s: s 3. i st i t s i: r U.S. Patent Apr. 28, 2015 Sheet 2 of 8 US 9,018,226 B2 Big Too?age·11, Fig o 3 3) Ch. 22) t -----Y- w" ix. sm- ww.m-W-a-row..., "Xmes Fig.4 U.S. Patent Apr. 28, 2015 Sheet 3 of 8 US 9,018,226 B2 ---- - rs - OO 100g 50ag 25ug 12.5ig 100 g 50g 25ig i2.5ig K K{{4 Fig.6 U.S. Patent Apr. 28, 2015 Sheet 4 of 8 US 9,018,226 B2 Anti-psychotic activity evaluation of known drugs o too i to i ii" f : ggi 20 r O e 2 a. 0. Dose (mg/kg) Dose (mg/kg) Risperidone Olanzapine Values are mean of five animals in each group % inhibition calculated with respect to amphetamine induced hyperactivity Fig.7 U.S. Patent Apr. 28, 2015 Sheet 5 of 8 US 9,018,226 B2 Rauwolfiatetraphylla (powdered leaves, 190g) Extracted with MeOH overnight MeOH extract (1A, 42g) Dissolved in distill water l Aqueous extract Extracted with n-Hexane Aqueous solution Hexane fraction* (1B) Extracted with EtOAc Aqueous solution EtOAc fraction* (1C) Extracted with n-BuOH (saturated with water) Aqueous fraction BuOH fraction (1E) (1D) *Washed with water, dried over anhydrous Na2SO4 Solvent removed under vacuum Fig. 8: Flow chart 1 U.S. Patent Apr. 28, 2015 Sheet 6 of 8 US 9,018,226 B2 EtOAc extract (1C) of Example 2 (43gm) Vacuum liquid chromatography (hexane: EtOAc 1:1) Fr 18-26(5.2gm) Column chromatography (hexane: EtOAc 65:35) Fr(s). 170-179,182-183,186,207-217 were polled Fr 189-206 (800mg) Flash chromatography (Hexane: EtOAc 70:30) Fr (33-43)(416mg) ol- Yohimbine(K001) (15mg) Fast Centrifugal Partition Chromatography (FCPC) (teuMeether: ACN:water +.8mMTFA 4:1:5) Fr 19-20 o-Yohimbine(K001) (40.3mg) Fig:9 Flow chart 2 U.S. Patent Apr. 28, 2015 Sheet 7 of 8 US 9,018,226 B2 Dry leaves (190gm) uns with MeOH overnight X4 MeOH extract (42gm, 1A) Extracted with 2% HCl(20x150ml) Acidic, extract (3000ml) Extracted with Hexane Acidic extract Hexane fraction* Extracted with CHCl3 (2A) Acidic extract CHCl3 fraction* (2B) Basified with Na2CO3 in cold up to PH-9and extracted with CHCl3 Basic extract CHCls fraction* Basified with NaOH in cold up to PH-12 (2C) Extracted with CHCl3 Basic extract CHCl fraction* (2D) eutralized and concentrated Aqueous fraction (2E) (d) Washed with water, dried over anhydrous Na2SO4 Solvent removed under vacuum Fig 10; Flow chart 3 U.S. Patent Apr. 28, 2015 Sheet 8 of 8 US 9,018,226 B2 CHCl, extract (2C) of Example 3 Purified over flash, eluted with Fr (8-12) Hexane: EtOAc (3:1) Ttrahydroalstonin (K006) Purified by chromatography Fr (8-12) -D -0 Fr (13-15) F19-24) alstonin (K003) 10-Methoxytetrahydroalstonin (K003) Fr (17-21) Isoreserpiline (K005) 10-Demethoxyreserpiline (K004) Fr (66-81) Isomeric mixture 1 1-Demethoxyre serpiline (K004) Fr (98-129) o-Yohimbine (K001) (120 mg) Fr (137-168) Reserpiline (K002) (134.8mg) Fig. 11: Flow chart 4 US 9,018,226 B2 1. 2 ANTIPSYCHOTICAGENTS AND They have been reported to possess various biological activi STANDARDIZED ANTIPSYCHOTC ties such as antitumor, antimicrobial, antihypertensive (Ver FRACTIONS FROM RAUVOLIFLA poorte, R. In Alkaloids: Biochemistry, Ecology and Medici TETRAPHYLLA AND PROCESS OF THEIR nal Applications; Roberts, M. F. & Wink, M., (Eds.); Plenum SOLATION Press: New York, 1998, pp.397-433), antileishmanial activity, antibacterial activity. RELATED APPLICATIONS The genus Rauwolfia belongs to the family Apocynaceae and five species of this genus are native to India. R. tetra This application is a S371 of PCT/IN2010/000208 filed phylla L. Syn. R. canescens L. (Compend. Indian Med. Plants, Mar. 31, 2010, and claims priority from Indian Patent Appli 10 Vol. 1, Rastogi&Mehrotra, PID, New Delhi, 1990, p. 340) is cation No. 65.8/DEL/2009 filed Mar. 31, 2009, both incorpo an economically important plant, which is cultivated on com rated by reference in their entirety. mercial scale in India. The plant is important because of the presence of nearly 30 alkaloids in its roots: ajmalicine, reser FIELD OF INVENTION pine, Sapagine, deserpidine, rescinnamine, Serpentine, ajma 15 lidine, alloyohimbine, chandrine, corynathine, iscajmaline, The present invention relates to novel antipsychotic activ neo ajmaline, papaverine, raunatine, raunoline, rauwolscine ity in the leaf extracts of Rauwolfia tetraphylla and their or (C-yohimbine), reserpiline, reserpinine, reserpoxidine, useful standardized herbal formulations for the treatment of serpinine, serpentinine, thambine, ajmaline and yohimbine psychosis based on proportional binding affinities for dopam (Farooqi and Sreeramu, 2001, Cultivation of Medicinal and inergic-D and Serotonergic (5HT) receptors in vitro and Aromatic Crops. University Press Ltd., India, pp: 210-211), J. amphitamine induced hyperactive mouse model in-vivo for Amer. Chem. Soc. 79(5):1217-1222. antipsychotic activity. The present invention further relates to From the leaves of R. tetraphylla N(O)-demethylaccidine, a process for obtaining antipsychotic extracts from the leaves tetraphylline, tetraphyllicine (Phytochemistry, 28(3): 1989, of R. tetraphylla, which are non toxic and devoid of extra 961-962), J. Amer. Chem. Soc. 79(5): 1217-1222), aricine, pyramidal side effects. The present invention also relates to 25 isoreserpiline, tetrahydroalstonine, a yohimbine isomer (Rev. novel antipsychotic activity in the leafalkaloids of Formula 1 Cubana Farm. 1982, 16,28; Chem. Abstr. 1982,97, 107095 q: and 2 named tetrahydroalstonine, 10-methoxytetrahydroal Rev. Cubana Farm. 1982, 16, 316; Chem. Abstr. 1983, 98, stonine, isoreserpiline, 10-demethoxyreserpiline, 176193 c); O.-yohimbine and reserpiline have been isolated 11-demethoxyreserpiline, reserpiline and C.-yohimbine. The (Rev. Cubana Farm. 1982, 16, 251; Chem. Abstr. 1983, 98, present invention further relates to processes for obtaining 30 157873 h), (Compendium of Indian Medicinal Plants: Vol. 3 antipsychotic extracts as well as for the isolation of alkaloids 1980-1984 by Ram P. Rastogi, B. N. Mehrotra). of formula 1 and 2 from the leaves of R. tetraphylla. The Yohimbine has been used to facilitate recall of traumatic present invention particularly relates to significant antipsy memories in the treatment of posttraumatic stress disorder chotic activity in the MeOH extract, ethylacetate and chloro (PTSD). Yohimbine is used in arteriosclerosis and angina form fractions of R.
Recommended publications
  • (12) United States Patent (10) Patent No.: US 9,498,481 B2 Rao Et Al
    USOO9498481 B2 (12) United States Patent (10) Patent No.: US 9,498,481 B2 Rao et al. (45) Date of Patent: *Nov. 22, 2016 (54) CYCLOPROPYL MODULATORS OF P2Y12 WO WO95/26325 10, 1995 RECEPTOR WO WO99/O5142 2, 1999 WO WOOO/34283 6, 2000 WO WO O1/92262 12/2001 (71) Applicant: Apharaceuticals. Inc., La WO WO O1/922.63 12/2001 olla, CA (US) WO WO 2011/O17108 2, 2011 (72) Inventors: Tadimeti Rao, San Diego, CA (US); Chengzhi Zhang, San Diego, CA (US) OTHER PUBLICATIONS Drugs of the Future 32(10), 845-853 (2007).* (73) Assignee: Auspex Pharmaceuticals, Inc., LaJolla, Tantry et al. in Expert Opin. Invest. Drugs (2007) 16(2):225-229.* CA (US) Wallentin et al. in the New England Journal of Medicine, 361 (11), 1045-1057 (2009).* (*) Notice: Subject to any disclaimer, the term of this Husted et al. in The European Heart Journal 27, 1038-1047 (2006).* patent is extended or adjusted under 35 Auspex in www.businesswire.com/news/home/20081023005201/ U.S.C. 154(b) by Od en/Auspex-Pharmaceuticals-Announces-Positive-Results-Clinical M YW- (b) by ayS. Study (published: Oct. 23, 2008).* This patent is Subject to a terminal dis- Concert In www.concertpharma. com/news/ claimer ConcertPresentsPreclinicalResultsNAMS.htm (published: Sep. 25. 2008).* Concert2 in Expert Rev. Anti Infect. Ther. 6(6), 782 (2008).* (21) Appl. No.: 14/977,056 Springthorpe et al. in Bioorganic & Medicinal Chemistry Letters 17. 6013-6018 (2007).* (22) Filed: Dec. 21, 2015 Leis et al. in Current Organic Chemistry 2, 131-144 (1998).* Angiolillo et al., Pharmacology of emerging novel platelet inhibi (65) Prior Publication Data tors, American Heart Journal, 2008, 156(2) Supp.
    [Show full text]
  • Zebrafish Behavioral Profiling Links Drugs to Biological Targets and Rest/Wake Regulation
    www.sciencemag.org/cgi/content/full/327/5963/348/DC1 Supporting Online Material for Zebrafish Behavioral Profiling Links Drugs to Biological Targets and Rest/Wake Regulation Jason Rihel,* David A. Prober, Anthony Arvanites, Kelvin Lam, Steven Zimmerman, Sumin Jang, Stephen J. Haggarty, David Kokel, Lee L. Rubin, Randall T. Peterson, Alexander F. Schier* *To whom correspondence should be addressed. E-mail: [email protected] (A.F.S.); [email protected] (J.R.) Published 15 January 2010, Science 327, 348 (2010) DOI: 10.1126/science.1183090 This PDF file includes: Materials and Methods SOM Text Figs. S1 to S18 Table S1 References Supporting Online Material Table of Contents Materials and Methods, pages 2-4 Supplemental Text 1-7, pages 5-10 Text 1. Psychotropic Drug Discovery, page 5 Text 2. Dose, pages 5-6 Text 3. Therapeutic Classes of Drugs Induce Correlated Behaviors, page 6 Text 4. Polypharmacology, pages 6-7 Text 5. Pharmacological Conservation, pages 7-9 Text 6. Non-overlapping Regulation of Rest/Wake States, page 9 Text 7. High Throughput Behavioral Screening in Practice, page 10 Supplemental Figure Legends, pages 11-14 Figure S1. Expanded hierarchical clustering analysis, pages 15-18 Figure S2. Hierarchical and k-means clustering yield similar cluster architectures, page 19 Figure S3. Expanded k-means clustergram, pages 20-23 Figure S4. Behavioral fingerprints are stable across a range of doses, page 24 Figure S5. Compounds that share biological targets have highly correlated behavioral fingerprints, page 25 Figure S6. Examples of compounds that share biological targets and/or structural similarity that give similar behavioral profiles, page 26 Figure S7.
    [Show full text]
  • Quasi-Experimental Health Policy Research: Evaluation of Universal Health Insurance and Methods for Comparative Effectiveness Research
    Quasi-Experimental Health Policy Research: Evaluation of Universal Health Insurance and Methods for Comparative Effectiveness Research The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Garabedian, Laura Faden. 2013. Quasi-Experimental Health Policy Research: Evaluation of Universal Health Insurance and Methods for Comparative Effectiveness Research. Doctoral dissertation, Harvard University. Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:11156786 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA Quasi-Experimental Health Policy Research: Evaluation of Universal Health Insurance and Methods for Comparative Effectiveness Research A dissertation presented by Laura Faden Garabedian to The Committee on Higher Degrees in Health Policy in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the subject of Health Policy Harvard University Cambridge, Massachusetts March 2013 © 2013 – Laura Faden Garabedian All rights reserved. Professor Stephen Soumerai Laura Faden Garabedian Quasi-Experimental Health Policy Research: Evaluation of Universal Health Insurance and Methods for Comparative Effectiveness Research Abstract This dissertation consists of two empirical papers and one methods paper. The first two papers use quasi-experimental methods to evaluate the impact of universal health insurance reform in Massachusetts (MA) and Thailand and the third paper evaluates the validity of a quasi- experimental method used in comparative effectiveness research (CER). My first paper uses interrupted time series with data from IMS Health to evaluate the impact of Thailand’s universal health insurance and physician payment reform on utilization of medicines for three non-communicable diseases: cancer, cardiovascular disease and diabetes.
    [Show full text]
  • (12) United States Patent (10) Patent No.: US 9,393,221 B2 W (45) Date of Patent: Jul.19, 2016
    USOO9393221B2 (12) United States Patent (10) Patent No.: US 9,393,221 B2 W (45) Date of Patent: Jul.19, 2016 (54) METHODS AND COMPOUNDS FOR FOREIGN PATENT DOCUMENTS REDUCING INTRACELLULAR LIPID STORAGE WO WO2007096,251 8, 2007 OTHER PUBLICATIONS (75) Inventor: Sean Wu, Brookline, MA (US) Onyesom and Agho, Asian J. Sci. Res., Oct. 2010, vol. 4, No. 1, p. (73) Assignee: THE GENERAL, HOSPITAL 78-83. CORPORATION, Boston, MA (US) Davis et al., Br J Clin Pharmacol., 1996, vol. 4, p. 415-421.* Schweiger et al., Am J Physiol Endocrinol Metab, 2009, vol. 279, E289-E296. (*) Notice: Subject to any disclaimer, the term of this Maryam Ahmadian et al., Desnutrin/ATGL is regulated by AMPK patent is extended or adjusted under 35 and is required for a brown adipose phenotype, Cell Metabolism, vol. U.S.C. 154(b) by 748 days. 13, pp. 739-748, 2011. Mohammadreza Bozorgmanesh et al., Diabetes prediction, lipid (21) Appl. No.: 13/552,975 accumulation product, and adiposity measures; 6-year follow-up: Tehran lipid and glucose study, Lipids in Health and Disease, vol. 9, (22) Filed: Jul.19, 2012 pp. 1-9, 2010. Judith Fischer et al., The gene encoding adipose triglyceride lipase (65) Prior Publication Data (PNPLA2) is mutated in neutral lipid storage disease with myopathy, Nature Genetics, vol.39, pp. 28-30, 2007. US 2013/OO23488A1 Jan. 24, 2013 Astrid Gruber et al., The N-terminal region of comparative gene identification-58 (CGI-58) is important for lipid droplet binding and activation of adipose triglyceride lipase, vol. 285, pp. 12289-12298, Related U.S.
    [Show full text]
  • Modes of Action of Herbal Medicines and Plant Secondary Metabolites
    Medicines 2015, 2, 251-286; doi:10.3390/medicines2030251 OPEN ACCESS medicines ISSN 2305-6320 www.mdpi.com/journal/medicines Review Modes of Action of Herbal Medicines and Plant Secondary Metabolites Michael Wink Institute of Pharmacy and Molecular Biotechnology, Heidelberg University, INF 364, Heidelberg D-69120, Germany; E-Mail: [email protected]; Tel.: +49-6221-544-881; Fax: +49-6221-544-884 Academic Editor: Shufeng Zhou Received: 13 August 2015 / Accepted: 31 August 2015 / Published: 8 September 2015 Abstract: Plants produce a wide diversity of secondary metabolites (SM) which serve them as defense compounds against herbivores, and other plants and microbes, but also as signal compounds. In general, SM exhibit a wide array of biological and pharmacological properties. Because of this, some plants or products isolated from them have been and are still used to treat infections, health disorders or diseases. This review provides evidence that many SM have a broad spectrum of bioactivities. They often interact with the main targets in cells, such as proteins, biomembranes or nucleic acids. Whereas some SM appear to have been optimized on a few molecular targets, such as alkaloids on receptors of neurotransmitters, others (such as phenolics and terpenoids) are less specific and attack a multitude of proteins by building hydrogen, hydrophobic and ionic bonds, thus modulating their 3D structures and in consequence their bioactivities. The main modes of action are described for the major groups of common plant secondary metabolites. The multitarget activities of many SM can explain the medical application of complex extracts from medicinal plants for more health disorders which involve several targets.
    [Show full text]
  • Structural Investigation of Heteroyohimbine Alkaloid Synthesis Reveals Active Site Elements That Control Stereoselectivity
    ARTICLE Received 30 Dec 2015 | Accepted 31 May 2016 | Published 15 Jul 2016 DOI: 10.1038/ncomms12116 OPEN Structural investigation of heteroyohimbine alkaloid synthesis reveals active site elements that control stereoselectivity Anna Stavrinides1,*, Evangelos C. Tatsis1,*, Lorenzo Caputi1, Emilien Foureau2, Clare E.M Stevenson1, David M. Lawson1, Vincent Courdavault2 & Sarah E. O’Connor1 Plants produce an enormous array of biologically active metabolites, often with stereo- chemical variations on the same molecular scaffold. These changes in stereochemistry dramatically impact biological activity. Notably, the stereoisomers of the heteroyohimbine alkaloids show diverse pharmacological activities. We reported a medium chain dehydrogenase/reductase (MDR) from Catharanthus roseus that catalyses formation of a heteroyohimbine isomer. Here we report the discovery of additional heteroyohimbine synthases (HYSs), one of which produces a mixture of diastereomers. The crystal structures for three HYSs have been solved, providing insight into the mechanism of reactivity and stereoselectivity, with mutation of one loop transforming product specificity. Localization and gene silencing experiments provide a basis for understanding the function of these enzymes in vivo. This work sets the stage to explore how MDRs evolved to generate structural and biological diversity in specialized plant metabolism and opens the possibility for metabolic engineering of new compounds based on this scaffold. 1 The John Innes Centre, Department of Biological Chemistry, Norwich NR4 7UH, UK. 2 Universite´ Franc¸ois-Rabelais de Tours, EA2106 ‘Biomole´cules et Biotechnologies Ve´ge´tales’, Tours 37200, France. * These authors contributed equally to this work. Correspondence and requests for materials should be addressed to V.C. (email: [email protected]) or to S.E.O’C.
    [Show full text]
  • In-Silico Approaches
    molecules Review Recent Developments in New Therapeutic Agents against Alzheimer and Parkinson Diseases: In-Silico Approaches Pedro Cruz-Vicente 1,2 , Luís A. Passarinha 1,2,3,* , Samuel Silvestre 1,3,4,* and Eugenia Gallardo 1,3,* 1 CICS-UBI, Health Sciences Research Centre, University of Beira Interior, 6201-001 Covilhã, Portugal; [email protected] 2 UCIBIO—Applied Molecular Biosciences Unit, Department of Chemistry, Faculty of Sciences and Technology, NOVA University Lisbon, 2829-516 Caparica, Portugal 3 Laboratory of Pharmaco-Toxicology—UBIMedical, University of Beira Interior, 6200-001 Covilhã, Portugal 4 CNC—Center for Neuroscience and Cell Biology, University of Coimbra, 3004-504 Coimbra, Portugal * Correspondence: [email protected] (L.A.P.); [email protected] (S.S.); [email protected] (E.G.); Tel.: +351-275-329-002/3 (L.A.P. & S.S. & E.G.) Abstract: Neurodegenerative diseases (ND), including Alzheimer’s (AD) and Parkinson’s Disease (PD), are becoming increasingly more common and are recognized as a social problem in modern societies. These disorders are characterized by a progressive neurodegeneration and are considered one of the main causes of disability and mortality worldwide. Currently, there is no existing cure for AD nor PD and the clinically used drugs aim only at symptomatic relief, and are not capable Citation: Cruz-Vicente, P.; of stopping neurodegeneration. Over the last years, several drug candidates reached clinical trials Passarinha, L.A.; Silvestre, S.; phases, but they were suspended, mainly because of the unsatisfactory pharmacological benefits. Gallardo, E. Recent Developments in Recently, the number of compounds developed using in silico approaches has been increasing at New Therapeutic Agents against a promising rate, mainly evaluating the affinity for several macromolecular targets and applying Alzheimer and Parkinson Diseases: filters to exclude compounds with potentially unfavorable pharmacokinetics.
    [Show full text]
  • Anatomical Classification Guidelines V2021 EPHMRA ANATOMICAL CLASSIFICATION GUIDELINES 2021
    EPHMRA ANATOMICAL CLASSIFICATION GUIDELINES 2021 Anatomical Classification Guidelines V2021 "The Anatomical Classification of Pharmaceutical Products has been developed and maintained by the European Pharmaceutical Marketing Research Association (EphMRA) and is therefore the intellectual property of this Association. EphMRA's Classification Committee prepares the guidelines for this classification system and takes care for new entries, changes and improvements in consultation with the product's manufacturer. The contents of the Anatomical Classification of Pharmaceutical Products remain the copyright to EphMRA. Permission for use need not be sought and no fee is required. We would appreciate, however, the acknowledgement of EphMRA Copyright in publications etc. Users of this classification system should keep in mind that Pharmaceutical markets can be segmented according to numerous criteria." © EphMRA 2021 Anatomical Classification Guidelines V2021 CONTENTS PAGE INTRODUCTION A ALIMENTARY TRACT AND METABOLISM 1 B BLOOD AND BLOOD FORMING ORGANS 28 C CARDIOVASCULAR SYSTEM 36 D DERMATOLOGICALS 51 G GENITO-URINARY SYSTEM AND SEX HORMONES 58 H SYSTEMIC HORMONAL PREPARATIONS (EXCLUDING SEX HORMONES) 68 J GENERAL ANTI-INFECTIVES SYSTEMIC 72 K HOSPITAL SOLUTIONS 88 L ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS 96 M MUSCULO-SKELETAL SYSTEM 106 N NERVOUS SYSTEM 111 P PARASITOLOGY 122 R RESPIRATORY SYSTEM 124 S SENSORY ORGANS 136 T DIAGNOSTIC AGENTS 143 V VARIOUS 145 Anatomical Classification Guidelines V2021 INTRODUCTION The Anatomical Classification was initiated in 1971 by EphMRA. It has been developed jointly by Intellus/PBIRG and EphMRA. It is a subjective method of grouping certain pharmaceutical products and does not represent any particular market, as would be the case with any other classification system.
    [Show full text]
  • Anatomical Classification Guidelines V2020 EPHMRA ANATOMICAL
    EPHMRA ANATOMICAL CLASSIFICATION GUIDELINES 2020 Anatomical Classification Guidelines V2020 "The Anatomical Classification of Pharmaceutical Products has been developed and maintained by the European Pharmaceutical Marketing Research Association (EphMRA) and is therefore the intellectual property of this Association. EphMRA's Classification Committee prepares the guidelines for this classification system and takes care for new entries, changes and improvements in consultation with the product's manufacturer. The contents of the Anatomical Classification of Pharmaceutical Products remain the copyright to EphMRA. Permission for use need not be sought and no fee is required. We would appreciate, however, the acknowledgement of EphMRA Copyright in publications etc. Users of this classification system should keep in mind that Pharmaceutical markets can be segmented according to numerous criteria." © EphMRA 2020 Anatomical Classification Guidelines V2020 CONTENTS PAGE INTRODUCTION A ALIMENTARY TRACT AND METABOLISM 1 B BLOOD AND BLOOD FORMING ORGANS 28 C CARDIOVASCULAR SYSTEM 35 D DERMATOLOGICALS 50 G GENITO-URINARY SYSTEM AND SEX HORMONES 57 H SYSTEMIC HORMONAL PREPARATIONS (EXCLUDING SEX HORMONES) 65 J GENERAL ANTI-INFECTIVES SYSTEMIC 69 K HOSPITAL SOLUTIONS 84 L ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS 92 M MUSCULO-SKELETAL SYSTEM 102 N NERVOUS SYSTEM 107 P PARASITOLOGY 118 R RESPIRATORY SYSTEM 120 S SENSORY ORGANS 132 T DIAGNOSTIC AGENTS 139 V VARIOUS 141 Anatomical Classification Guidelines V2020 INTRODUCTION The Anatomical Classification was initiated in 1971 by EphMRA. It has been developed jointly by Intellus/PBIRG and EphMRA. It is a subjective method of grouping certain pharmaceutical products and does not represent any particular market, as would be the case with any other classification system.
    [Show full text]
  • Anti- Hypertensive Activity of Ayurvedic Medicinal Plants
    International Journal of Complementary & Alternative Medicine Review Article Open Access Anti- hypertensive activity of Ayurvedic medicinal plants Abstract Volume 13 Issue 1 - 2020 Hypertension is a chronic non communicable disease and often asymptomatic medical condition in which the pressure exerted by the blood on the wall of the artery is elevated. It Hari Khanal, Ram Kishor Joshi, Abhishek is chiefly of unknown aetiology, but genetic factors play significant role for its development. Upadhyay Uncontrolled hypertension is a risk factor for various pathological conditions such as Department of Kayachikitsa, National Institute of Ayurveda, heart attack, heart failure, stroke, retinal haemorrhage and kidney disease. In Ayurveda a India number of medicinal plants and Ayurveda compound formulations have been prescribed by Ayurveda doctors for the treatment of hypertension. The therapeutic efficacy of those Correspondence: Hari Khanal, PG Scholar, Department of plants has also being verified by using modern pharmacological experimental models. This Kayachikitsa, National Institute of Ayurveda, Jaipur, Rajasthan, India, Email [email protected] paper reviews various clinical and experimental studies conducted in the last few decades on plants showing anti-hypertensive property. Received: November 20, 2019 | Published: January 10, 2020 Keywords: Ayurveda, hypertension, medicinal plants, heart failure, stroke, retinal haemorrhage, kidney disease Introduction Aims and objectives The pressure exerted on the wall of arteries by the strength of the Despite the massive investment in drugs and therapeutics for contraction of the heart is called Blood Pressure.1 Hypertension is the management of hypertension, its prevalence is increasing at a lifestyle disease that is characterized by abnormally high arterial an alarming rate. Human race today is looking towards Ayurveda blood pressure that is usually indicated by an adult systolic blood in search of effective, sustainable and safe treatment.
    [Show full text]
  • Prestwick Collection
    (-) -Levobunolol hydrochloride (-)-Adenosine 3',5'-cyclic monophosphate (-)-Cinchonidine (-)-Eseroline fumarate salt (-)-Isoproterenol hydrochloride (-)-MK 801 hydrogen maleate (-)-Quinpirole hydrochloride (+) -Levobunolol hydrochloride (+)-Isoproterenol (+)-bitartrate salt (+,-)-Octopamine hydrochloride (+,-)-Synephrine (±)-Nipecotic acid (1-[(4-Chlorophenyl)phenyl-methyl]-4-methylpiperazine) (cis-) Nanophine (d,l)-Tetrahydroberberine (R) -Naproxen sodium salt (R)-(+)-Atenolol (R)-Propranolol hydrochloride (S)-(-)-Atenolol (S)-(-)-Cycloserine (S)-propranolol hydrochloride 2-Aminobenzenesulfonamide 2-Chloropyrazine 3-Acetamidocoumarin 3-Acetylcoumarin 3-alpha-Hydroxy-5-beta-androstan-17-one 6-Furfurylaminopurine 6-Hydroxytropinone Acacetin Acebutolol hydrochloride Aceclofenac Acemetacin Acenocoumarol Acetaminophen Acetazolamide Acetohexamide Acetopromazine maleate salt Acetylsalicylsalicylic acid Aconitine Acyclovir Adamantamine fumarate Adenosine 5'-monophosphate monohydrate Adiphenine hydrochloride Adrenosterone Ajmalicine hydrochloride Ajmaline Albendazole Alclometasone dipropionate Alcuronium chloride Alexidine dihydrochloride Alfadolone acetate Alfaxalone Alfuzosin hydrochloride Allantoin alpha-Santonin Alprenolol hydrochloride Alprostadil Althiazide Altretamine Alverine citrate salt Ambroxol hydrochloride Amethopterin (R,S) Amidopyrine Amikacin hydrate Amiloride hydrochloride dihydrate Aminocaproic acid Aminohippuric acid Aminophylline Aminopurine, 6-benzyl Amiodarone hydrochloride Amiprilose hydrochloride Amitryptiline hydrochloride
    [Show full text]
  • (12) United States Patent (10) Patent No.: US 8,637,524 B2 Rao Et Al
    USOO8637524B2 (12) United States Patent (10) Patent No.: US 8,637,524 B2 Rao et al. (45) Date of Patent: Jan. 28, 2014 (54) PYRIMIDINONE INHIBITORS OF Tonn, Biological Mass Spectrometry vol. 22 Issue 11, pp. 633-642 LIPOPROTEIN-ASSOCATED (1993).* PHOSPHOLPASE A2 Hist Biomedical Spectrometry vol. 9 Issue 7, pp. 269-277 Wolen, Journal of Clinical Pharmacology 1986; 26: 419-424.* (75) Inventors: Tadimeti Rao, San Diego, CA (US); Browne, Journal of Clinical Pharmacology 1998; 38: 213-220.* Chengzhi Zhang, San Diego, CA (US) Baillie, Pharmacology Rev. 1981: 33:81-132.* Gouyette, Biomedical and Environmental Mass Spectrometry, vol. (73) Assignee: Auspex Pharmaceuticals, Inc, La Jolla, 15, 243-247 (1988).* CA (US) Cherrah, Biomedical and Environmental Mass Spectrometry vol. 14 Issue 11, pp. 653-657 (1987).* Pieniaszek, J. Clin Pharmacol. 1999; 39: 817-825.* (*) Notice: Subject to any disclaimer, the term of this Honma et al., Drug Metab Dispos 15 (4): 551 (1987).* patent is extended or adjusted under 35 Kushner, D. Jet al., Pharmacological uses and perspectives of heavy U.S.C. 154(b) by 58 days. water and deuterated compounds, Can. J. Physiol. Pharmacol. (1999), 77, 79-88. (21) Appl. No.: 12/840,725 Bauer et al., Influence of long-term infusions on lidocaine kinetics, Clin. Pharmacol. Ther. (1982), 31(4), 433-7. (22) Filed: Jul. 21, 2010 Borgstrom et al., Comparative Pharmacokinetics of Unlabeled and Deuterium-Labeled Terbutaline: Demonstration of a Small Isotope Effect, J Pharm. Sci., (1988), 77(11) 952-4. (65) Prior Publication Data Browne et al., Chapter 2. Isotope Effect: Implications for pharma US 2011/0306552 A1 Dec.
    [Show full text]