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CN105998032B - Application of oleanolic acid derivatives and pharmaceutical compositions thereof in medicine - Google Patents

Application of oleanolic acid derivatives and pharmaceutical compositions thereof in medicine Download PDF

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CN105998032B
CN105998032B CN201610383933.2A CN201610383933A CN105998032B CN 105998032 B CN105998032 B CN 105998032B CN 201610383933 A CN201610383933 A CN 201610383933A CN 105998032 B CN105998032 B CN 105998032B
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张吉泉
汤磊
杜克斯
陈瑞
李维
吴昊姝
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Guizhou Medical University
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Abstract

本发明公开了一种齐墩果酸衍生物,其如式(I)所示、其立体异构体、几何异构体、互变异构体、或药学上可接受的盐和其药物组合物在药物中的应用,具体公开了一种使用式(I)所示化合物或式(I)所示化合物的药物组合物来制备用于预防或治疗下列疾病,减轻下列疾病症状或者延缓下列疾病的发展或发作的药品的用途,其中所述的疾病是II型糖尿病、高脂血症:本发明还公开了式(I)所示化合物、或其立体异构体、几何异构体、互变异构体、药学上可接受的盐在蛋白酪氨酸磷酸酯酶(PTP‑1B)、TGR5、或AMPK或其组合介导疾病中的应用,所述疾病主要为II型糖尿病。The invention discloses an oleanolic acid derivative, which is represented by formula (I), its stereoisomer, geometric isomer, tautomer, or pharmaceutically acceptable salt and its pharmaceutical combination The application of the compound in medicine specifically discloses a compound of the formula (I) or a pharmaceutical composition of the compound of the formula (I) to prepare for preventing or treating the following diseases, alleviating the symptoms of the following diseases or delaying the following diseases The use of medicines for the development or onset, wherein said disease is type II diabetes, hyperlipidemia: The present invention also discloses the compound represented by formula (I), or its stereoisomer, geometric isomer, tautomer, pharmaceutically acceptable salt in protein tyrosine phosphatase (PTP-1B) , TGR5, or AMPK, or a combination thereof, in mediating diseases, primarily type II diabetes.

Description

齐墩果酸衍生物及其药物组合物在药物中的应用Application of oleanolic acid derivatives and pharmaceutical compositions thereof in medicine

发明领域field of invention

本发明涉及齐墩果酸衍生物及其药物组合物,还涉及所述衍生物及其药物组合物在降血糖、降血脂、抗肿瘤、抗感染、炎性疾病等方面的应用。The present invention relates to oleanolic acid derivatives and pharmaceutical compositions thereof, and also relates to the application of said derivatives and pharmaceutical compositions in reducing blood sugar, blood fat, antitumor, antiinfection, inflammatory diseases and the like.

发明背景Background of the invention

糖尿病(Diabetes mellitus,DM)是一种与遗传因素相关联的全身性慢性分泌代谢疾病,是由于体内胰岛素分泌的绝对或相对不足而引起糖、脂肪、蛋白质的代谢紊乱。其主要特点是高血糖和尿糖,临床上常伴有动脉粥样硬化性心脑血管疾病、糖尿病性肾病、神经系统病变及眼部病变如白内障、视网膜病变等多种并发症。随着生活水平的不断提高,糖尿病的患病率呈快速上升趋势,已成为危害人类健康的第三大慢性病。而中国已经跃居成为世界上糖尿病患者人数最多的国家,2013年中国糖尿病患者人数就高达1.14亿,每百人中就有近10个人是糖尿病患者。2010年全球糖尿病用药市场规模高达344.3亿美元,近五年复合增长率为12.7%,显著高于其他疾病用药市场同期增速。2013年中国糖尿病用药市场规模已达173.3亿元,预计2018年糖尿病用药市场规模将达到341.4亿元。因此,糖尿病的防治是国际糖尿病界研究的重大课题,寻找有效治疗糖尿病及其并发症的方法及手段刻不容缓。Diabetes mellitus (DM) is a systemic chronic secretory and metabolic disease associated with genetic factors. It is a metabolic disorder of sugar, fat, and protein caused by absolute or relative insufficiency of insulin secretion in the body. Its main features are hyperglycemia and urine sugar, often accompanied by atherosclerotic cardiovascular and cerebrovascular diseases, diabetic nephropathy, nervous system lesions and eye lesions such as cataracts, retinopathy and other complications in clinical practice. With the continuous improvement of living standards, the prevalence of diabetes is rising rapidly, and it has become the third major chronic disease that endangers human health. And China has become the country with the largest number of diabetic patients in the world. In 2013, the number of diabetic patients in China was as high as 114 million, and nearly 10 out of every 100 people were diabetics. In 2010, the global diabetes drug market was as high as US$34.43 billion, with a compound growth rate of 12.7% in the past five years, significantly higher than the growth rate of other disease drug markets over the same period. In 2013, the market size of China's diabetes drugs reached 17.33 billion yuan, and it is expected that the market size of diabetes drugs will reach 34.14 billion yuan in 2018. Therefore, the prevention and treatment of diabetes is a major research topic in the international diabetes community, and it is urgent to find effective methods and means for treating diabetes and its complications.

糖尿病在临床上分为1型和2型,其中2型糖尿病占整个糖尿病患者比例的90%以上。胰岛素抵抗是2型糖尿病的重要病因和显著特征。改善胰岛素抵抗或增加胰岛素敏感性是治疗2型糖尿病的有效手段之一。Diabetes is clinically divided into type 1 and type 2, of which type 2 diabetes accounts for more than 90% of all diabetic patients. Insulin resistance is an important etiology and distinctive feature of type 2 diabetes. Improving insulin resistance or increasing insulin sensitivity is one of the effective means to treat type 2 diabetes.

PTP1B(蛋白酪氨酸磷酸酶1B)属于蛋白质酪氨酸磷酸酶家族,通过对胰岛素受体或其底物上的酪氨酸残基去磷酸化作用,对胰岛素信号转导进行负调节,使胰岛素受体无法与胰岛素结合,进而引起胰岛素抵抗,最终导致2型糖尿病。是公认的一个新颖的糖尿病和肥胖症治疗靶点(PTP1B as adrug target:recent developments in PTP1B inhibitordiscovery[J].Drug discovery today,12(9-10):373-381.Natural and semisyntheticprotein tyrosine phosphatase 1B(PTP1B)inhibitors as anti-diabetic agents[J].RSC Advances,5(60):48822-48834.)。PTP1B抑制剂在体内外药理实验中,均可以促进胰岛素抵抗和脂肪代谢异常的改善,是胰岛素增敏剂的另一个重要研究方向。PTP1B (protein tyrosine phosphatase 1B) belongs to the protein tyrosine phosphatase family, which negatively regulates insulin signal transduction by dephosphorylating the tyrosine residues on the insulin receptor or its substrate, so that The inability of the insulin receptors to bind insulin leads to insulin resistance, which eventually leads to type 2 diabetes. It is recognized as a novel therapeutic target for diabetes and obesity (PTP1B as adrug target:recent developments in PTP1B inhibitor discovery[J].Drug discovery today,12(9-10):373-381.Natural and semisyntheticprotein tyrosine phosphatase 1B( PTP1B) inhibitors as anti-diabetic agents[J].RSC Advances,5(60):48822-48834.). In both in vivo and in vitro pharmacological experiments, PTP1B inhibitors can promote the improvement of insulin resistance and abnormal fat metabolism, which is another important research direction of insulin sensitizers.

胆汁酸激活促分裂原活化蛋白酶途径,是G-蛋白偶联受体(GPCR)TGR5的配体,且激活细胞核激素受体诸如farnesoidX受体α(FXR-α)。通过激活这些不同的信号转导途径,胆汁酸不仅可以调节它们自身的肠肝循环,还可以调节甘油三酯、胆固醇、能量和葡萄糖的体内平衡。因此,控制信号转导途径的胆汁酸(BA)有希望成为新的治疗常见新陈代谢疾病的药物靶标,所述疾病诸如肥胖、II型糖尿病、高脂血症和动脉粥样硬化。Houten等人,TheEMBO Journal,2006,25,1419-1425;Watanabe等人,Nature,2006,439(7075),484-489发现向老鼠给予胆汁酸增加了褐脂组织中的能量消耗,可以预防肥胖和耐受胰岛素。胆汁酸的这种新代谢作用高度依赖于环AMP依赖性甲状腺激素活化酶II型碘化甲腺氨酸脱碘酶(D2)的诱导,这是因为后者不存在于D2-/-小鼠中。使用胆汁酸治疗褐脂细胞和人类骨骼肌细胞增强了D2活性和氧消耗。上述效应并不依赖于FXR-a,而是通过增加cAMP的生成来介导,所述增加cAMP的生成源自胆汁酸与TGR5的结合。Bile acids activate the mitogen-activated protease pathway, are ligands for the G-protein coupled receptor (GPCR) TGR5, and activate nuclear hormone receptors such as farnesoid X receptor alpha (FXR-alpha). By activating these distinct signaling pathways, bile acids not only regulate their own enterohepatic circulation, but also triglyceride, cholesterol, energy, and glucose homeostasis. Therefore, bile acids (BAs), which control signal transduction pathways, hold promise as new drug targets for the treatment of common metabolic diseases such as obesity, type II diabetes, hyperlipidemia, and atherosclerosis. Houten et al., TheEMBO Journal, 2006, 25, 1419-1425; Watanabe et al., Nature, 2006, 439(7075), 484-489 found that administration of bile acids to mice increased energy expenditure in brown fat tissue and could prevent obesity and insulin resistance. This new metabolism of bile acids is highly dependent on the induction of cyclic AMP-dependent thyroid hormone activating enzyme type II iodothyronine deiodinase (D2), which is absent in D2-/- mice middle. Treatment of brown adipocytes and human skeletal muscle cells with bile acids enhanced D2 activity and oxygen consumption. The above effects are not dependent on FXR-a, but are mediated by increased cAMP production resulting from the binding of bile acids to TGR5.

近年来,为了寻找作用机制新颖、安全性高的2型糖尿病治疗药物,研究人员不断探索新靶点。其中,腺苷酸活化蛋白激酶(AMPK)便是最受关注且最具潜力的靶点之一。AMPK是一种丝氨酸/苏氨酸蛋白激酶,是细胞内重要的能量感受器,在各组织中广泛分布,能够调节机体的能量代谢状态,其结构为异源三聚体,由一个催化亚基α以及两个调节亚基β和γ组成。体内不同的AMPK亚型受不同基因编码,因而具有不同生理功能。AMPK的激活作用是在诸多因素的协同参与下完成的。其中,α亚基的N末端氨基酸残基Thr172的磷酸化,对活化AMPK是必须的。AMPK被激活后,通过磷酸化各种下游底物发挥多种生理作用。在糖代谢方面,AMPK激活可以抑制肝葡萄糖生成过量,降低血药浓度;同时,还可以通过诱导葡萄糖转运蛋白(GLUT)向细胞膜转位以及磷酸化转录因子从而开启GLUT基因的表达来促进周围组织对葡萄糖的摄取。此外,还有研究表明激活的AMPK可以增加葡萄糖的转运,促进细胞内线粒体的生物合成,促进能量代谢,增加相关组织的胰岛素敏感性,从而改善胰岛素抵抗。在脂代谢方面,活化的AMPK磷酸化羟甲基戊二酸单酰辅酶A还原酶(HMGR),引起胆固醇的合成作用下降;激活AMPK也可以磷酸化乙酰辅酶A羧化酶(ACC)阻碍乙酰辅酶A向丙二酰辅酶A转变,促进了脂肪酸在线粒体内的氧化代谢,抑制脂肪的合成。总之,AMPK与糖及脂肪的代谢密切相关,激活AMPK能够在糖脂代谢中发挥积极作用,对糖尿病的治疗具有重要意义。In recent years, in order to find drugs for the treatment of type 2 diabetes with novel mechanism of action and high safety, researchers continue to explore new targets. Among them, adenylate-activated protein kinase (AMPK) is one of the most concerned and potential targets. AMPK is a serine/threonine protein kinase and an important energy sensor in cells. It is widely distributed in various tissues and can regulate the energy metabolism state of the body. Its structure is a heterotrimer, composed of a catalytic subunit α and two regulatory subunits β and γ. Different AMPK subtypes in the body are encoded by different genes and thus have different physiological functions. The activation of AMPK is completed under the cooperation of many factors. Among them, the phosphorylation of the N-terminal amino acid residue Thr172 of the α subunit is necessary for the activation of AMPK. After being activated, AMPK exerts various physiological functions by phosphorylating various downstream substrates. In terms of glucose metabolism, AMPK activation can inhibit excessive hepatic glucose production and reduce blood drug concentration; at the same time, it can also induce the translocation of glucose transporter (GLUT) to the cell membrane and phosphorylate transcription factors to turn on the expression of GLUT gene to promote the development of peripheral tissues. uptake of glucose. In addition, studies have shown that activated AMPK can increase glucose transport, promote intracellular mitochondrial biosynthesis, promote energy metabolism, increase insulin sensitivity in related tissues, and improve insulin resistance. In terms of lipid metabolism, activated AMPK phosphorylates hydroxymethylglutaryl-CoA reductase (HMGR), causing a decrease in the synthesis of cholesterol; activating AMPK can also phosphorylate acetyl-CoA carboxylase (ACC) to hinder acetylation The conversion of coenzyme A to malonyl coenzyme A promotes the oxidative metabolism of fatty acids in the mitochondria and inhibits the synthesis of fat. In conclusion, AMPK is closely related to the metabolism of sugar and fat. Activating AMPK can play an active role in glucose and lipid metabolism, which is of great significance to the treatment of diabetes.

近年,随着人们生活环境改善,三高等富贵病也是困扰人们的一大问题,尤其是高血脂,可引起多种并发疾病,目前主流治疗方法为服用降血脂药物,如HMGCoA还原酶抑制剂(他汀类)并适当运动,另外像MTP抑制剂、角鲨烯合成酶抑制剂、纤维酸衍生物、ACAT抑制剂、脂加氧酶抑制剂、胆固醇吸收抑制剂、回肠钠离子/胆汁酸协同转运蛋白抑制剂、LDL受体活性的向上调节物、烟酸或其衍生物、胆汁酸螯合物或药物联用等也有一定应用。In recent years, with the improvement of people's living environment, the three high-level diseases of affluence are also a major problem that plagues people, especially hyperlipidemia, which can cause a variety of concurrent diseases. At present, the mainstream treatment method is to take blood lipid-lowering drugs, such as HMGCoA reductase inhibitors (statin class) and appropriate exercise, in addition, like MTP inhibitors, squalene synthase inhibitors, fibric acid derivatives, ACAT inhibitors, lipoxygenase inhibitors, cholesterol absorption inhibitors, ileal sodium ion / bile acid cotransporter Inhibitors, up-regulators of LDL receptor activity, nicotinic acid or its derivatives, bile acid chelates or drug combinations also have certain applications.

齐墩果酸(Oleanolic acid,OA)又名庆四素,五环三萜类化合物,以游离或结合成苷的形式广泛存在多种植物中,如人参、甘草、丁香、女贞子、三七等。齐墩果酸具有抗HIV、抗菌、抗癌、抗溃疡、治疗骨质疏松症等广泛的药理作用和生物活性。目前在针对抗糖尿病、抗炎活性和抗肿瘤活性的结构修饰研究中,表明齐墩果酸是一个极具有前途的先导化合物。在针对抗糖尿病的结构修饰中,齐墩果酸衍生物通过抑制小肠上段的α-葡萄糖苷酶,能够延迟碳水化合物中双糖和寡糖水解成葡萄糖,减少葡萄糖的吸收到达降低血糖的作用;通过抑制糖原磷酸化酶,活化糖原合酶,使葡萄糖合成糖原来降低血糖;通过抑制蛋白酪氨酸磷酸酶1B(PTP1B)调节胰岛素信号转导,增加胰岛素靶组织对胰岛素的敏感性,降低对葡萄糖的利用而降低血糖。在针对抗炎的结构修饰中,齐墩果酸衍生物抑制γ-干扰素诱导生产的NO,而抑制巨噬细胞中NO起抗炎作用。除了降糖和抗炎作用外,齐墩果酸衍生物也具有较强的抗肿瘤活性,能抑制多种肿瘤细胞的增殖,如抑制人肺癌细胞增殖和侵袭、抑制慢性粒细胞白血病K562细胞、抑制人宫颈癌Hela细胞、人乳腺癌MCF细胞、肝癌细胞株HepG2等。然而,由于齐墩果酸抗糖尿病、抗炎和抗肿瘤的活性较弱,并存在着药代动力学指标未达到临床标准,水溶性差等缺陷,影响了其在临床上的应用。因此,为了提高抗糖尿病、抗炎和抗肿瘤的活性,改善其药代动力学性质,以齐墩果酸为先导化合物进行结构修饰展开了大量的工作。Oleanolic acid (Oleanolic acid, OA), also known as Qingsisu, pentacyclic triterpenoids, widely exists in a variety of plants in the form of free or combined glycosides, such as ginseng, licorice, clove, privet fruit, three Seven and so on. Oleanolic acid has a wide range of pharmacological effects and biological activities such as anti-HIV, antibacterial, anti-cancer, anti-ulcer, and treatment of osteoporosis. Currently, oleanolic acid is a very promising lead compound in the research on structural modification of anti-diabetic, anti-inflammatory and anti-tumor activities. In the anti-diabetic structural modification, oleanolic acid derivatives can delay the hydrolysis of disaccharides and oligosaccharides in carbohydrates into glucose by inhibiting α-glucosidase in the upper small intestine, reducing the absorption of glucose to lower blood sugar; By inhibiting glycogen phosphorylase and activating glycogen synthase, glucose is synthesized into glycogen to lower blood sugar; by inhibiting protein tyrosine phosphatase 1B (PTP1B), regulating insulin signal transduction, increasing the sensitivity of insulin target tissues to insulin, Reduces glucose utilization and lowers blood sugar. Among the structural modifications aimed at anti-inflammation, oleanolic acid derivatives inhibited the production of NO induced by γ-interferon, and the inhibition of NO in macrophages played an anti-inflammatory role. In addition to hypoglycemic and anti-inflammatory effects, oleanolic acid derivatives also have strong anti-tumor activity, which can inhibit the proliferation of various tumor cells, such as inhibiting the proliferation and invasion of human lung cancer cells, inhibiting chronic myelogenous leukemia K562 cells, Inhibit human cervical cancer Hela cells, human breast cancer MCF cells, liver cancer cell line HepG2, etc. However, due to the weak anti-diabetic, anti-inflammatory and anti-tumor activities of oleanolic acid, and there are defects such as pharmacokinetic indicators that do not meet clinical standards and poor water solubility, it affects its clinical application. Therefore, in order to improve the anti-diabetic, anti-inflammatory and anti-tumor activities and improve its pharmacokinetic properties, a lot of work has been done on the structural modification of oleanolic acid as the lead compound.

式(I)所示化合物最早公开于Otting-Walter,Drawert-Friedrich et al,Chemische Berichte,1955,88,1469-78,但并未提及式(I)、(Ia)或(Ib)所示化合物可用于降血糖、降血脂、抗肿瘤、抗感染、炎性疾病等方面的用途。后亦有相关文献报道齐墩果酸衍生物在降糖及作为蛋白酪氨酸磷酸酶1B(PTP1B)抑制剂方面的应用,如文献J.J.Ramírez-Espinosa et al.European Journal of Medicinal Chemistry,2014,87,316-327,其中提及式(2)所示化合物对蛋白酪氨酸磷酸酶1B(PTP1B)并无抑制作用,表示并无降糖作用,而本发明惊奇地发现式(I)、(Ia)或(Ib)所示化合物有很明显的降血糖和降血脂作用。其他相关文献亦未提及式(I)、(Ia)或(Ib)所示化合物可用于糖尿病及高血脂方面的治疗,通过现有文献根本无法预知式(I)、(Ia)或(Ib)所示化合物的强降糖和降脂作用。The compound shown in formula (I) was first disclosed in Otting-Walter, Drawert-Friedrich et al, Chemische Berichte, 1955,88,1469-78, but did not mention formula (I), (Ia) or (Ib) shown in The compound can be used for lowering blood sugar, lowering blood fat, anti-tumor, anti-infection, inflammatory diseases and the like. Later, there were also related literature reports on the application of oleanolic acid derivatives in hypoglycemic and as protein tyrosine phosphatase 1B (PTP1B) inhibitors, such as the literature J.J.Ramírez-Espinosa et al.European Journal of Medicinal Chemistry, 2014, 87,316-327, wherein it is mentioned that the compound shown in formula (2) has no inhibitory effect on protein tyrosine phosphatase 1B (PTP1B), indicating that there is no hypoglycemic effect, and the present invention surprisingly finds that formula (I), (Ia ) or compounds shown in (Ib) have obvious hypoglycemic and hypolipidemic effects. Other relevant documents also do not mention that the compounds shown in formula (I), (Ia) or (Ib) can be used for the treatment of diabetes and hyperlipidemia, and it is impossible to predict formula (I), (Ia) or (Ib) through existing documents. ) strong hypoglycemic and lipid-lowering effects of the compound shown.

本发明参照文献Shaojing Liu,Yannan Peng,Synlett,2012,23,1501–1504及中国专利CN 201410745230,合成了一种齐墩果酸衍生物,其如式(I)所示化合物,并测定了其在小鼠体内外降低血糖的效果,以及在小鼠体内外降低血脂的效果,结果令人惊讶地发现,式(I)所示化合物对人肝HepG2细胞24h葡萄糖消耗为67.7%,明显高于齐墩果酸和二甲双胍;且本发明式(I)化合物对db/db糖尿病小鼠降血糖百分率明显高于齐墩果酸,并且还与二甲双胍相当。本发明式(I)化合物在小鼠体内曝露量高,生物利用度高,达40.06%。式(I)化合物降脂效果亦明显优于齐墩果酸和二甲双胍,可有效降低小鼠血浆甘油三酯和总胆固醇的含量。因此,本发明式(I)、(Ia)或(Ib)化合物可作为PTP1B(蛋白酪氨酸磷酸酶1B)抑制剂、TGR5激动剂、或AMPK激动剂或同时对其有作用,具有显著降糖和降脂效果,可有效用于II型糖尿病患者和高脂血患者的治疗,取得了意料不到的效果。The present invention refers to the literature Shaojing Liu, Yannan Peng, Synlett, 2012, 23, 1501-1504 and Chinese patent CN 201410745230, synthesized a kind of oleanolic acid derivative, which is shown in the compound of formula (I), and determined its The effect of reducing blood sugar in mice in vivo and in vitro, and the effect of reducing blood lipids in mice in vitro and in vivo, the result is surprisingly found that the compound shown in formula (I) consumes 67.7% of glucose in 24h of human liver HepG2 cells, which is significantly higher than Oleanolic acid and metformin; and the compound of formula (I) of the present invention has a significantly lower blood sugar percentage than oleanolic acid in db/db diabetic mice, and is also equivalent to metformin. The compound of the formula (I) of the present invention has a high exposure amount in mice and a high bioavailability of 40.06%. The lipid-lowering effect of the compound of formula (I) is also obviously better than oleanolic acid and metformin, and can effectively reduce the contents of plasma triglyceride and total cholesterol in mice. Therefore, the compound of the formula (I), (Ia) or (Ib) of the present invention can act as a PTP1B (protein tyrosine phosphatase 1B) inhibitor, a TGR5 agonist, or an AMPK agonist or have an effect on it at the same time, with a significant decrease in Sugar and lipid-lowering effects can be effectively used in the treatment of type II diabetes patients and hyperlipidemia patients, and unexpected effects have been achieved.

发明内容Contents of the invention

本发明制备了一种齐墩果酸衍生物,如式(I)、(Ia)或(Ib)所示结构或其立体异构体、几何异构体、互变异构体、药学上可接受的盐,及其药物组合物,并对所述化合物进行了药理作用活性筛选,结果令人惊讶地发现,式(I)所示化合物对人肝HepG2细胞24h葡萄糖消耗为67.7%,明显高于齐墩果酸和二甲双胍;且本发明式(I)化合物对db/db糖尿病小鼠体内降血糖百分率明显高于齐墩果酸,并且还与二甲双胍相当。本发明式(I)化合物在小鼠体内曝露量高,生物利用度高,达40.06%。式(I)化合物降脂效果亦明显优于齐墩果酸和二甲双胍,可有效降低小鼠血浆甘油三酯和总胆固醇的含量。因此,本发明式(I)化合物可作为PTP1B(蛋白酪氨酸磷酸酶1B)抑制剂、TGR5激动剂、或AMPK激动剂或同时对其有作用,具有显著降糖和降脂效果,可有效用于II型糖尿病患者和高脂血患者的治疗,取得了意料不到的效果。本发明式(I)、(Ia)或(Ib)所示化合物及其药物组合物在降血糖、降血脂、抗肿瘤、抗感染、炎性疾病等方面有非常积极的应用前景,为II型糖尿病患者或高血脂患者提供了又一有效治疗方案。The present invention prepares an oleanolic acid derivative, such as the structure shown in formula (I), (Ia) or (Ib), or its stereoisomer, geometric isomer, tautomer, pharmaceutically acceptable Accepted salt, and pharmaceutical composition thereof, and described compound has been carried out pharmacological action active screening, the result surprisingly finds, the compound shown in formula (I) consumes 67.7% to human liver HepG2 cell 24h glucose, obviously high in oleanolic acid and metformin; and the compound of formula (I) of the present invention has a significantly lower blood sugar percentage in db/db diabetic mice than oleanolic acid, and is also equivalent to metformin. The compound of the formula (I) of the present invention has a high exposure amount in mice and a high bioavailability of 40.06%. The lipid-lowering effect of the compound of formula (I) is also obviously better than oleanolic acid and metformin, and can effectively reduce the contents of plasma triglyceride and total cholesterol in mice. Therefore, the compound of formula (I) of the present invention can be used as a PTP1B (protein tyrosine phosphatase 1B) inhibitor, a TGR5 agonist, or an AMPK agonist or have an effect on it at the same time, have significant hypoglycemic and lipid-lowering effects, and may have It is effective in the treatment of patients with type II diabetes and hyperlipidemia, and has achieved unexpected results. The compounds represented by the formula (I), (Ia) or (Ib) of the present invention and their pharmaceutical compositions have very positive application prospects in reducing blood sugar, blood fat, anti-tumor, anti-infection, inflammatory diseases, etc., and are type II Patients with diabetes or hyperlipidemia provide another effective treatment option.

一方面,本发明涉及一种药物组合物,包含式(I)所示的化合物、或其立体异构体、几何异构体、互变异构体、药学上可接受的盐,以及药学上可以接受的载体、赋形剂、稀释剂、辅剂、媒介物或其组合,In one aspect, the present invention relates to a pharmaceutical composition, comprising a compound represented by formula (I), or its stereoisomer, geometric isomer, tautomer, pharmaceutically acceptable salt, and pharmaceutically acceptable carrier, excipient, diluent, adjuvant, vehicle or combination thereof,

在一些实施方案,本发明所述的药物组合物,其中式(I)所示化合物具有如下结构:In some embodiments, the pharmaceutical composition of the present invention, wherein the compound represented by formula (I) has the following structure:

在一些实施方案,本发明所述的药物组合物,其更进一步地包含附加治疗剂,其中所述的附加治疗剂选自DPP-IV抑制剂的抗糖尿病药物、双胍类药物、磺酰脲类药物、葡糖苷酶抑制剂、PPAR激动剂、αP2抑制剂、TGR5激动剂、AMPK激动剂、PPARα/γ双激活剂、SGLT-2抑制剂、格列奈类药物、胰岛素、胰高血糖素样肽-1(GLP-1)抑制剂、PTP1B抑制剂、糖原磷酸化酶抑制剂、葡糖-6-磷酸酶抑制剂、抗高血糖药物、抗肥胖症药物、抗高血压药物、抗血小板药物、抗动脉粥样硬化药物、降脂药物、消炎药物或其组合。In some embodiments, the pharmaceutical composition of the present invention further comprises an additional therapeutic agent, wherein the additional therapeutic agent is selected from antidiabetic drugs of DPP-IV inhibitors, biguanide drugs, sulfonylureas Drugs, glucosidase inhibitors, PPAR agonists, αP2 inhibitors, TGR5 agonists, AMPK agonists, PPARα/γ dual activators, SGLT-2 inhibitors, glinides, insulin, glucagon-like Peptide-1 (GLP-1) inhibitors, PTP1B inhibitors, glycogen phosphorylase inhibitors, glucose-6-phosphatase inhibitors, antihyperglycemic agents, antiobesity agents, antihypertensive agents, antiplatelets Drugs, anti-atherosclerotic drugs, lipid-lowering drugs, anti-inflammatory drugs or a combination thereof.

在另一些实施方案,本发明所述的药物组合物,其中所述的降脂药物选自MTP抑制剂、HMGCoA还原酶抑制剂、角鲨烯合成酶抑制剂、纤维酸衍生物、ACAT抑制剂、脂加氧酶抑制剂、胆固醇吸收抑制剂、回肠钠离子/胆汁酸协同转运蛋白抑制剂、LDL受体活性的向上调节物、烟酸或其衍生物、胆汁酸螯合物或其组合。In other embodiments, the pharmaceutical composition of the present invention, wherein the lipid-lowering drug is selected from MTP inhibitors, HMGCoA reductase inhibitors, squalene synthase inhibitors, fibric acid derivatives, ACAT inhibitors , lipoxygenase inhibitors, cholesterol absorption inhibitors, ileal sodium ion/bile acid cotransporter inhibitors, upregulators of LDL receptor activity, niacin or derivatives thereof, bile acid chelates, or combinations thereof.

在在另一些实施方案,本发明所述的药物组合物,其中所述的HMGCoA还原酶抑制剂选自普伐他汀、辛伐他汀、阿伐他汀、氟伐他汀、西立伐他汀、埃塔伐他汀、罗苏伐他汀或其组合。In other embodiments, the pharmaceutical composition of the present invention, wherein the HMGCoA reductase inhibitor is selected from pravastatin, simvastatin, atorvastatin, fluvastatin, cerivastatin, Eta Vastatin, rosuvastatin, or a combination thereof.

在另一些实施方案,本发明所述的药物组合物,其中所述的降脂药物选自普伐他汀、辛伐他汀、阿伐他汀、氟伐他汀、西立伐他汀、埃塔伐他汀、罗苏伐他汀或其组合。In other embodiments, the pharmaceutical composition of the present invention, wherein the lipid-lowering drug is selected from pravastatin, simvastatin, atorvastatin, fluvastatin, cerivastatin, etavastatin, rosuvastatin or a combination thereof.

另一方面,本发明涉及一种使用式(I)、(Ia)或(Ib)所示化合物、或其立体异构体、几何异构体、互变异构体、药学上可接受的盐或本发明所述的药物组合物来制备用于预防或治疗下列疾病,减轻下列疾病症状或者延缓下列疾病的发展或发作的药品的用途,其中所述的疾病是糖尿病、糖尿病性视网膜病、糖尿病性神经病、糖尿病性肾病、胰岛素抗性、高血糖、高胰岛素血症、血液中脂肪酸或甘油水平的升高、高脂血症、肥胖症、高甘油三酯血症、X综合症、糖尿病并发症、动脉粥样硬化、高血压、急性贫血、中性粒细胞减少、阿尔茨海默病疾病、抑郁症、HIV、HBV、HCV、炎性疾病或肿瘤疾病,In another aspect, the present invention relates to a compound represented by formula (I), (Ia) or (Ib), or its stereoisomer, geometric isomer, tautomer, pharmaceutically acceptable salt Or the pharmaceutical composition of the present invention is prepared for the prevention or treatment of following diseases, the purposes of alleviating the following disease symptoms or delaying the development or onset of following diseases, wherein said diseases are diabetes, diabetic retinopathy, diabetes mellitus Neuropathy, diabetic nephropathy, insulin resistance, hyperglycemia, hyperinsulinemia, elevated levels of fatty acids or glycerol in the blood, hyperlipidemia, obesity, hypertriglyceridemia, Syndrome X, complications of diabetes disease, atherosclerosis, hypertension, acute anemia, neutropenia, Alzheimer's disease, depression, HIV, HBV, HCV, inflammatory disease or neoplastic disease,

在一些实施方案,本发明所述的用途,其中所述糖尿病为II型糖尿病。In some embodiments, the use of the present invention, wherein the diabetes is type II diabetes.

另一方面,本发明涉及一种使用式(I)、(Ia)或(Ib)所示化合物、或其立体异构体、几何异构体、互变异构体、药学上可接受的盐在制备治疗蛋白酪氨酸磷酸酯酶(PTP-1B)、TGR5、或AMPK或其组合介导疾病药物中的用途。In another aspect, the present invention relates to a compound represented by formula (I), (Ia) or (Ib), or its stereoisomer, geometric isomer, tautomer, pharmaceutically acceptable salt Use in the preparation of medicines for treating diseases mediated by protein tyrosine phosphatase (PTP-1B), TGR5, or AMPK or a combination thereof.

在一些实施方案,本发明所述的用途,其中所述蛋白酪氨酸磷酸酯酶(PTP-1B)、TGR5、或AMPK或其组合介导疾病为II型糖尿病。In some embodiments, the use described in the present invention, wherein the disease mediated by protein tyrosine phosphatase (PTP-1B), TGR5, or AMPK or a combination thereof is type II diabetes.

另一方面,本发明涉及一种制备治疗II型糖尿病的药物的用途,包括给予人或哺乳动物治疗有效量的式(I)、(Ia)或(Ib)化合物或包含治疗有效量的式(I)、(Ia)或(Ib)化合物的药物组合物。In another aspect, the present invention relates to a preparation of a medicine for treating type II diabetes, comprising administering a therapeutically effective amount of a compound of formula (I), (Ia) or (Ib) to humans or mammals or comprising a therapeutically effective amount of a compound of formula ( Pharmaceutical compositions of I), (Ia) or (Ib) compounds.

在一些实施方案,本发明所述的用途,其中包括以100mg/kg的给药剂量给予小鼠式(I)、(Ia)或(Ib)化合物,每天给药2次,连续给药2周或3周。In some embodiments, the use of the present invention includes administering the compound of formula (I), (Ia) or (Ib) to mice at a dosage of 100 mg/kg, twice a day, for 2 consecutive weeks or 3 weeks.

现在详细描述本发明的某些实施方案,其实例由随附的试验方法说明。本发明意图涵盖所有的替代、修改和等同技术方案,它们均包括在如权利要求定义的本发明范围内。本领域技术人员应认识到,许多与本文所述类似或等同的方法和材料能够用于实践本发明。本发明绝不限于本文所述的方法和材料。在所结合的文献、专利和类似材料的一篇或多篇与本申请不同或相矛盾的情况下(包括但不限于所定义的术语、术语应用、所描述的技术,等等),以本申请为准。Certain embodiments of the invention will now be described in detail, examples of which are illustrated by the accompanying test procedures. The present invention is intended to cover all alternatives, modifications and equivalent technical solutions, which are included within the scope of the present invention as defined by the claims. Those skilled in the art will recognize many methods and materials similar or equivalent to those described herein, which could be used in the practice of the present invention. The present invention is in no way limited to the methods and materials described herein. In the event that one or more of the incorporated literature, patents, and similar materials differs from or contradicts this application (including, but not limited to, defined terms, term usage, described techniques, etc.), this Application shall prevail.

应进一步认识到,本发明的某些特征,为清楚可见,在多个独立的实施方案中进行了描述,但也可以在单个实施例中以组合形式提供。反之,本发明的各种特征,为简洁起见,在单个实施方案中进行了描述,但也可以单独或以任意适合的子组合提供。It is further appreciated that certain features of the invention, which, for clarity, have been described in multiple separate embodiments, may also be provided in combination in a single embodiment. Conversely, various features of the invention, which are, for brevity, described in the context of a single embodiment, may also be provided separately or in any suitable subcombination.

除非另外说明,本发明所使用的所有科技术语具有与本发明所属领域技术人员的通常理解相同的含义。本发明涉及的所有专利和公开出版物通过引用方式整体并入本发明。Unless otherwise specified, all technical and scientific terms used in the present invention have the same meaning as commonly understood by those skilled in the art to which the present invention belongs. All patents and publications referred to herein are hereby incorporated by reference in their entirety.

如本发明所使用的术语“治疗”任何疾病或病症,在其中一些实施方案中指改善疾病或病症(即减缓或阻止或减轻疾病或其至少一种临床症状的发展)。在另一些实施方案中,“治疗”指缓和或改善至少一种身体参数,包括可能不为患者所察觉的身体参数。在另一些实施方案中,“治疗”指从身体上(例如稳定可察觉的症状)或生理学上(例如稳定身体的参数)或上述两方面调节疾病或病症。在另一些实施方案中,“治疗”指预防或延迟疾病或病症的发作、发生或恶化。The term "treating" any disease or condition as used herein means, in some embodiments, ameliorating the disease or condition (ie, slowing or arresting or alleviating the development of the disease or at least one clinical symptom thereof). In other embodiments, "treating" refers to alleviating or improving at least one physical parameter, including physical parameters that may not be perceived by the patient. In other embodiments, "treating" refers to modulating a disease or condition either physically (eg, stabilizing a perceived symptom) or physiologically (eg, stabilizing a parameter of the body), or both. In other embodiments, "treating" refers to preventing or delaying the onset, development or worsening of a disease or condition.

如本发明所述,术语“药学上可接受的载体”包括任何溶剂,分散介质,包衣衣料,表面活性剂,抗氧化剂,防腐剂(例如抗细菌剂、抗真菌剂),等渗剂,盐,药物稳定剂,粘合剂,赋形剂,分散剂,润滑剂,甜味剂,调味剂,着色剂,或其组合物,这些载体都是所属技术领域技术人员的已知的(如Remington's Pharmaceutical Sciences,18th Ed.MackPrinting Company,1990,p1289-1329所述)。除了任意常规载体与活性成分不相容的情况外,涵盖其在治疗或药物组合物中的用途。As described in the present invention, the term "pharmaceutically acceptable carrier" includes any solvent, dispersion medium, coating material, surfactant, antioxidant, preservative (such as antibacterial agent, antifungal agent), isotonic agent, Salts, drug stabilizers, binders, excipients, dispersants, lubricants, sweeteners, flavoring agents, coloring agents, or combinations thereof, these carriers are known to those skilled in the art (such as Remington's Pharmaceutical Sciences, 18th Ed. Mack Printing Company, 1990, pp 1289-1329). Except where any conventional carrier is incompatible with the active ingredient, its use in therapeutic or pharmaceutical compositions is contemplated.

本发明所使用的术语“受试对象”是指动物。典型地所述动物是哺乳动物。受试对象,例如也指灵长类动物(例如人类,男性或女性)、牛、绵羊、山羊、马、犬、猫、兔、大鼠、小鼠、鱼、鸟等。在某些实施方案中,所述受试对象是灵长类动物。在其他实施方案中,所述受试对象是人。The term "subject" as used in the present invention refers to an animal. Typically the animal is a mammal. Subjects, for example, also refer to primates (such as humans, male or female), cows, sheep, goats, horses, dogs, cats, rabbits, rats, mice, fish, birds and the like. In certain embodiments, the subject is a primate. In other embodiments, the subject is a human.

本发明所使用的术语“患者”是指人(包括成人和儿童)或者其他动物。在一些实施方案中,“患者”是指人。The term "patient" as used herein refers to a human (including adults and children) or other animals. In some embodiments, "patient" refers to a human.

术语“包含”为开放式表达,即包括本发明所指明的内容,但并不排除其他方面的内容。The term "comprising" is an open expression, that is, it includes the content specified in the present invention, but does not exclude other content.

“立体异构体”是指具有相同化学构造,但原子或基团在空间上排列方式不同的化合物。立体异构体包括对映异构体、非对映异构体、构象异构体(旋转异构体)、几何异构体(顺/反)异构体、阻转异构体,等等。"Stereoisomers" refer to compounds that have the same chemical structure, but differ in the way the atoms or groups are arranged in space. Stereoisomers include enantiomers, diastereomers, conformers (rotamers), geometric isomers (cis/trans) isomers, atropisomers, etc. .

“对映异构体”是指一个化合物的两个不能重叠但互成镜像关系的异构体。"Enantiomer" refers to two non-superimposable isomers of a compound that are mirror images of each other.

“非对映异构体”是指有两个或多个手性中心并且其分子不互为镜像的立体异构体。非对映异构体具有不同的物理性质,如熔点、沸点、光谱性质和反应性。非对映异构体混合物可通过高分辨分析操作如电泳和色谱,例如HPLC来分离。"Diastereoisomer" refers to stereoisomers that have two or more chiral centers and whose molecules are not mirror images of each other. Diastereomers have different physical properties such as melting points, boiling points, spectral properties and reactivity. Diastereomeric mixtures can be separated by high resolution analytical procedures such as electrophoresis and chromatography, eg HPLC.

术语“互变异构体”或“互变异构形式”是指具有不同能量的可通过低能垒(lowenergy barrier)互相转化的结构异构体。若互变异构是可能的(如在溶液中),则可以达到互变异构体的化学平衡。例如,质子互变异构体(protontautomer)(也称为质子转移互变异构体(prototropic tautomer))包括通过质子迁移来进行的互相转化,如酮-烯醇异构化和亚胺-烯胺异构化。价键互变异构体(valence tautomer)包括通过一些成键电子的重组来进行的互相转化。酮-烯醇互变异构的具体实例是戊烷-2,4-二酮和4-羟基戊-3-烯-2-酮互变异构体的互变。互变异构的另一个实例是酚-酮互变异构。酚-酮互变异构的一个具体实例是吡啶-4-醇和吡啶-4(1H)-酮互变异构体的互变。除非另外指出,本发明化合物的所有互变异构体形式都在本发明的范围之内。The term "tautomer" or "tautomeric form" refers to structural isomers having different energies that are interconvertible through a low energy barrier. If tautomerism is possible (eg, in solution), then a chemical equilibrium of the tautomers can be achieved. For example, proton tautomers (also known as prototropic tautomers) include interconversions via migration of a proton, such as keto-enol isomerization and imine-enol isomerization Amine isomerization. Valence tautomers include interconversions by recombination of some of the bonding electrons. A specific example of keto-enol tautomerization is the interconversion of pentane-2,4-dione and 4-hydroxypent-3-en-2-one tautomers. Another example of tautomerization is phenol-keto tautomerization. A specific example of phenol-keto tautomerization is the interconversion of pyridin-4-ol and pyridin-4(1H)-one tautomers. Unless otherwise indicated, all tautomeric forms of the compounds of the invention are within the scope of the invention.

本发明所使用的“药学上可接受的盐”是指本发明的化合物的有机盐和无机盐。药学上可接受的盐在所属领域是为我们所熟知的,如文献:S.M.Berge et al.,describepharmaceutically acceptable salts in detail in J.Pharmaceutical Sciences,1977,66:1-19.所记载的。药学上可接受的无毒的酸形成的盐包括,但并不限于,与氨基基团反应形成的无机酸盐有盐酸盐,氢溴酸盐,磷酸盐,硫酸盐,高氯酸盐,和有机酸盐如乙酸盐,草酸盐,马来酸盐,酒石酸盐,柠檬酸盐,琥珀酸盐,丙二酸盐,或通过书籍文献上所记载的其他方法如离子交换法来得到这些盐。其他药学上可接受的盐包括己二酸盐,藻酸盐,抗坏血酸盐,天冬氨酸盐,苯磺酸盐,苯甲酸盐,重硫酸盐,硼酸盐,丁酸盐,樟脑酸盐,樟脑磺酸盐,环戊基丙酸盐,二葡萄糖酸盐,十二烷基硫酸盐,乙磺酸盐,甲酸盐,反丁烯二酸盐,葡庚糖酸盐,甘油磷酸盐,葡萄糖酸盐,半硫酸盐,庚酸盐,己酸盐,氢碘酸盐,2-羟基-乙磺酸盐,乳糖醛酸盐,乳酸盐,月桂酸盐,月桂基硫酸盐,苹果酸盐,丙二酸盐,甲磺酸盐,2-萘磺酸盐,烟酸盐,硝酸盐,油酸盐,棕榈酸盐,扑酸盐,果胶酸盐,过硫酸盐,3-苯基丙酸盐,苦味酸盐,特戊酸盐,丙酸盐,硬脂酸盐,硫氰酸盐,对甲苯磺酸盐,十一酸盐,戊酸盐,等等。通过适当的碱得到的盐包括碱金属,碱土金属,铵和N+(C1-4烷基)4的盐。本发明也拟构思了任何所包含N的基团的化合物所形成的季铵盐。水溶性或油溶性或分散产物可以通过季铵化作用得到。碱金属或碱土金属盐包括钠,锂,钾,钙,镁,等等。药学上可接受的盐进一步包括适当的、无毒的铵,季铵盐和抗平衡离子形成的胺阳离子,如卤化物,氢氧化物,羧化物,硫酸化物,磷酸化物,硝酸化物,C1-8磺酸化物和芳香磺酸化物。The "pharmaceutically acceptable salt" used in the present invention refers to organic and inorganic salts of the compounds of the present invention. Pharmaceutically acceptable salts are well known in the art, as described in the literature: SM Berge et al., describe pharmaceutically acceptable salts in detail in J. Pharmaceutical Sciences, 1977, 66: 1-19. Pharmaceutically acceptable non-toxic acid salts include, but are not limited to, inorganic acid salts formed by reaction with amino groups such as hydrochloride, hydrobromide, phosphate, sulfate, perchlorate, and organic acid salts such as acetate, oxalate, maleate, tartrate, citrate, succinate, malonate, or other methods such as ion exchange methods recorded in books and literature these salts. Other pharmaceutically acceptable salts include adipate, alginate, ascorbate, aspartate, besylate, benzoate, bisulfate, borate, butyrate, camphorate Salt, camphorsulfonate, cyclopentylpropionate, digluconate, lauryl sulfate, ethanesulfonate, formate, fumarate, glucoheptonate, glycerophosphate Salt, gluconate, hemisulfate, heptanoate, hexanoate, hydroiodide, 2-hydroxy-ethanesulfonate, lactobionate, lactate, laurate, lauryl sulfate, Malate, malonate, methanesulfonate, 2-naphthalenesulfonate, nicotinate, nitrate, oleate, palmitate, pamoate, pectate, persulfate, 3 - Phenylpropionate, picrate, pivalate, propionate, stearate, thiocyanate, p-toluenesulfonate, undecanoate, valerate, etc. Salts obtained with appropriate bases include alkali metal, alkaline earth metal, ammonium and N + (C 1-4 alkyl) 4 salts. The present invention also contemplates the quaternary ammonium salts of any compound containing an N group. Water-soluble or oil-soluble or dispersed products can be obtained by quaternization. Alkali metal or alkaline earth metal salts include sodium, lithium, potassium, calcium, magnesium, and the like. Pharmaceutically acceptable salts further include suitable, non-toxic ammonium, quaternary ammonium salts and amine cations formed as counterions, such as halides, hydroxides, carboxylates, sulfates, phosphates, nitrates, C 1 -8 sulfonates and aromatic sulfonates.

下面简写词的使用贯穿本发明:The following abbreviations are used throughout this disclosure:

CDC13 氘代氯仿CDC1 3 deuterated chloroform

DMF N,N'-二甲基甲酰胺DMF N,N'-Dimethylformamide

FBS 胎牛血清FBS fetal bovine serum

THF 四氢呋喃THF Tetrahydrofuran

m-CPBA 3-氯过氧苯甲酸m-CPBA 3-chloroperoxybenzoic acid

Py 吡啶Py pyridine

h 小时hours

mL 毫升mL milliliter

mol 摩尔mole mole

g 克g grams

V 体积V volume

本发明的化合物的组合物,制剂和给药Compositions, Formulations and Administration of Compounds of the Invention

本发明的药物组合物包括式(I)、(Ia)或(Ib)所示化合物,本发明所列出的化合物,或其立体异构体、几何异构体、互变异构体、外消旋体、氮氧化物、水合物、溶剂化物、代谢产物以及药学上可接受的盐或前药,以及药学上可以接受的载体、赋形剂、稀释剂、辅剂、媒介物或其组合。The pharmaceutical composition of the present invention includes the compound shown in formula (I), (Ia) or (Ib), the compound listed in the present invention, or its stereoisomer, geometric isomer, tautomer, external Racemates, nitrogen oxides, hydrates, solvates, metabolites, and pharmaceutically acceptable salts or prodrugs, as well as pharmaceutically acceptable carriers, excipients, diluents, adjuvants, vehicles, or combinations thereof .

本发明的化合物存在自由形态,或合适的、作为药学上可接受的衍生物。根据本发明,药学上可接受的衍生物包括,但并不限于,药学上可接受的前药,盐,酯,酯类的盐,或能直接或间接地根据患者的需要给药的其他任何加合物或衍生物,本发明其他方面所描述的化合物,其代谢产物或他的残留物。The compounds of the present invention exist in free form, or suitably, as pharmaceutically acceptable derivatives. According to the present invention, pharmaceutically acceptable derivatives include, but are not limited to, pharmaceutically acceptable prodrugs, salts, esters, salts of esters, or any other compounds that can be administered directly or indirectly according to the needs of patients. Adducts or derivatives, compounds described in other aspects of the present invention, their metabolites or their residues.

像本发明所描述的,本发明药学上可接受的药物组合物进一步包含药学上可接受的载体、稀释剂、辅剂、或赋形剂,这些像本发明所应用的,包括任何溶剂、稀释剂或其他液体赋形剂、分散剂或悬浮剂、表面活性剂、等渗剂、增稠剂、乳化剂、防腐剂、固体粘合剂或润滑剂等,适合于特定的目标剂型。如以下文献所描述的:In Remington:The Science andPractice of Pharmacy,21st edition,2005,ed.D.B.Troy,Lippincott Williams&Wilkins,Philadelphia,and Encyclopedia of Pharmaceutical Technology,eds.J.Swarbrick and J.C.Boylan,1988-1999,Marcel Dekker,NewYork,综合此处文献的内容,表明不同的载体可应用于药学上可接受的药物组合物的制剂和它们公知的制备方法。除了任何常规的载体媒介与本发明的化合物不相容的范围,例如所产生的任何不良的生物效应或与药学上可接受的药物组合物的任何其他组分以有害的方式产生的相互作用,它们的用途也是本发明所考虑的范围。As described in the present invention, the pharmaceutically acceptable pharmaceutical composition of the present invention further comprises a pharmaceutically acceptable carrier, diluent, adjuvant, or excipient, which, as used in the present invention, includes any solvent, diluent Agents or other liquid excipients, dispersants or suspending agents, surfactants, isotonic agents, thickeners, emulsifiers, preservatives, solid binders or lubricants, etc., are suitable for specific target dosage forms. As described in: In Remington: The Science and Practice of Pharmacy, 21st edition, 2005, ed. D.B. Troy, Lippincott Williams & Wilkins, Philadelphia, and Encyclopedia of Pharmaceutical Technology, eds. J. Swarbrick and J. C. Boylan, 1988-1999, Marcel Dekker, New York, summarizing the literature herein, shows that different carriers can be used in the formulation of pharmaceutically acceptable pharmaceutical compositions and their known methods of preparation. Except to the extent that any conventional carrier medium is incompatible with the compounds of the present invention, such as any adverse biological effects produced or interactions in a deleterious manner with any other components of the pharmaceutically acceptable pharmaceutical composition, Their use is also contemplated by the present invention.

可作为药学上可接受载体的物质包括,但并不限于,离子交换剂,铝,硬脂酸铝,卵磷脂,血清蛋白,如人血清蛋白,缓冲物质如磷酸盐,甘氨酸,山梨酸,山梨酸钾,饱和植物脂肪酸的部分甘油酯混合物,水,盐或电解质,如硫酸鱼精蛋白,磷酸氢二钠,磷酸氢钾,氯化钠,锌盐,胶体硅,三硅酸镁,聚乙烯吡咯烷酮,聚丙烯酸脂,蜡,聚乙烯-聚氧丙烯-阻断聚合体,羊毛脂,糖,如乳糖,葡萄糖和蔗糖;淀粉如玉米淀粉和土豆淀粉;纤维素和它的衍生物如羧甲基纤维素钠,乙基纤维素和乙酸纤维素;树胶粉;麦芽;明胶;滑石粉;辅料如可可豆脂和栓剂蜡状物;油如花生油,棉子油,红花油,麻油,橄榄油,玉米油和豆油;二醇类化合物,如丙二醇和聚乙二醇;酯类如乙基油酸酯和乙基月桂酸酯;琼脂;缓冲剂如氢氧化镁和氢氧化铝;海藻酸;无热原的水;等渗盐;林格(氏)溶液;乙醇,磷酸缓冲溶液,和其他无毒的合适的润滑剂如月桂硫酸钠和硬脂酸镁,着色剂,释放剂,包衣衣料,甜味剂,调味剂和香料,防腐剂和抗氧化剂。Substances that can be used as pharmaceutically acceptable carriers include, but are not limited to, ion exchangers, aluminum, aluminum stearate, lecithin, serum proteins, such as human serum albumin, buffer substances such as phosphate, glycine, sorbic acid, sorbic acid, Potassium phosphate, partial glyceride mixture of saturated vegetable fatty acids, water, salts or electrolytes such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silicon, magnesium trisilicate, polyethylene Pyrrolidone, polyacrylates, waxes, polyethylene-polyoxypropylene-blocking polymers, lanolin, sugars such as lactose, glucose and sucrose; starches such as corn starch and potato starch; cellulose and its derivatives such as carboxymethyl sodium cellulose, ethyl cellulose, and cellulose acetate; gum powder; malt; gelatin; talc; excipients such as cocoa butter and suppository waxes; oils such as peanut oil, cottonseed oil, safflower oil, sesame oil, Olive, corn, and soybean oils; glycols, such as propylene glycol and polyethylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffers such as magnesium hydroxide and aluminum hydroxide; seaweed acid; pyrogen-free water; isotonic salts; Ringer's solution; ethanol, phosphate buffered solution, and other nontoxic suitable lubricants such as sodium lauryl sulfate and magnesium stearate, colorants, release agents, Coatings, sweeteners, flavors and fragrances, preservatives and antioxidants.

本发明的化合物可以以仅有的药学试剂或结合一个或多个其他附加治疗(药学的)剂来给药,其中联合用药引起可接受的不良反应,这对于糖尿病、糖尿病并发症以及其它相关疾病的治疗具有特殊的意义,所述的这些疾病包括,但并不限于,I型糖尿病、II型糖尿病、糖尿病性视网膜病、糖尿病性神经病、糖尿病性肾病、胰岛素抗性、高血糖、高胰岛素血症、血液中脂肪酸或甘油水平的升高、高脂血症、肥胖症、高甘油三酯血症、X综合症、糖尿病并发症、动脉粥样硬化、高血压等。本发明所使用的“附加治疗剂”包括已知的抗糖尿病药物、抗高血糖药物、抗肥胖症药物、抗高血压药物、抗血小板药物、抗动脉粥样硬化药物、降脂药物或者消炎剂,或其组合。The compounds of the present invention can be administered as the only pharmaceutical agent or in combination with one or more other additional therapeutic (pharmaceutical) agents, wherein the combination causes acceptable adverse reactions, which is important for diabetes, diabetic complications and other related diseases. The treatment of these diseases is of special significance, including, but not limited to, type I diabetes, type II diabetes, diabetic retinopathy, diabetic neuropathy, diabetic nephropathy, insulin resistance, hyperglycemia, hyperinsulinemia hyperlipidemia, obesity, hypertriglyceridemia, Syndrome X, diabetic complications, atherosclerosis, hypertension, etc. The "additional therapeutic agent" used in the present invention includes known antidiabetic drugs, antihyperglycemic drugs, antiobesity drugs, antihypertensive drugs, antiplatelet drugs, antiatherosclerotic drugs, lipid-lowering drugs or anti-inflammatory agents , or a combination thereof.

其中,本发明所述的抗糖尿病试剂包括,但并不限于双胍类药物(例如苯乙双胍、二甲双胍(metformin))、磺酰脲类药物(例如醋磺环已脲、氯磺丙脲(diabinese)、格列本脲(glibenclamide,优降糖)、格列吡嗪(glipizide,吡磺环已脲)、格列齐特(gliclazide,达美康)、格列美脲(glimepiride)、格列戊脲(glipentide)、格列喹酮(gliquidone)、妥拉磺脲及甲苯磺丁脲、氯茴苯酸(meglitinide))、格列奈类药物(例如瑞格列奈及那格列奈)、α-葡萄糖苷水解酶抑制剂(例如阿卡波糖(acarbose))、α-葡萄糖苷酶抑制剂(例如酯解素、卡格列波糖(camiglibose)、乙格列酯(emiglitate)、米格列醇(miglitol)、伏格列波糖(voglibose)、普那米星(pradimicin)及沙玻制菌素(salbostatin))、PPAR激动剂(例如巴拉列酮(balaglitazone)、环格列酮(ciglitazone)、达格列酮(darglitazone)、恩格列酮(englitazone)、爱沙列酮(isaglitazone)、吡格列酮(pioglitazone)、罗格列酮(rosiglitazone)及曲格列酮(troglitazone))、PPARα/γ双激活剂(例如CLX-0940、GW-1536、GW-1929、GW-2433、KRP-297、L-796449、LR-90、MK-0767及SB-219994)、DPP-IV抑制剂(西格列汀(sitagliptin)、维格列汀(vidagliptin)、阿格列汀(alogliptin)、利格列汀(linagliptin)及沙格列汀(saxagliptin))、胰高血糖素样肽-1(GLP-1)激动剂(乙先素-3(exendin-3)与乙先素-4(exendin-4))、蛋白质酪氨酸磷酸酶-1B(PTP1B)抑制剂(曲度奎明、海提索萃取物及由Zhang,S.等人,现代药物发现,12(9/10),373-381(2007)所公开的化合物)、TGR5激动剂、AMPK激动剂、胰岛素、胰岛素拟似物、肝糖磷酸化酶抑制剂、VPAC2受体激动剂、葡糖激酶活化剂、糖原磷酸化酶抑制剂或者葡糖-6-磷酸酶抑制剂;αP2抑制剂、乙酰基-CoA羧化酶-2(ACC-2)抑制剂、磷酸二酯酶(PDE)-10抑制剂、二酰基甘油酰基转移酶(DGAT)1或2抑制剂、葡萄糖转运载体4(GLUT4)调节剂及谷氨酰胺-果糖-6-磷酸酰胺转移酶(GFAT)抑制剂、SGLT-2抑制剂。Wherein, the antidiabetic agent described in the present invention includes, but is not limited to biguanide drugs (such as phenformin, metformin (metformin)), sulfonylurea drugs (such as acesulfame, chlorpropamide (diabinese ), glibenclamide (glibenclamide, glibenclamide), glipizide (glipizide, pisulfuron), gliclazide (gliclazide, Dameikang), glimepiride (glimepiride), glipizide Glipentide, gliquidone, tolazamide and tolbutamide, meglitinide), meglitinides (such as repaglinide and nateglinide) , α-glucoside hydrolase inhibitors (such as acarbose (acarbose)), α-glucosidase inhibitors (such as esteridin, camiglibose (camiglibose), emiglitate (emiglitate), Miglitol, voglibose, pradimicin, and salbostatin), PPAR agonists (eg, balaglitazone, cyclamate ciglitazone, darglitazone, englitazone, isaglitazone, pioglitazone, rosiglitazone, and troglitazone ), PPARα/γ dual activators (e.g. CLX-0940, GW-1536, GW-1929, GW-2433, KRP-297, L-796449, LR-90, MK-0767 and SB-219994), DPP-IV Inhibitors (sitagliptin, vildagliptin, alogliptin, linagliptin, and saxagliptin), glucagon-like peptide -1 (GLP-1) agonist (exendin-3 (exendin-3) and exendin-4 (exendin-4)), protein tyrosine phosphatase-1B (PTP1B) inhibitor (qudukui Ming, Haitisol extract and compounds disclosed by Zhang, S. et al., Modern Drug Discovery, 12 (9/10), 373-381 (2007), TGR5 agonist, AMPK agonist, insulin, insulin Mimetics, glycogen phosphorylase inhibitors, VPAC2 receptor agonists, glucokinase activators, glycogen phosphorylase inhibitors, or glucose-6-phosphatase inhibitors; αP2 inhibitors, acetyl-CoA Carboxylase-2 (ACC -2) inhibitors, phosphodiesterase (PDE)-10 inhibitors, diacylglycerol acyltransferase (DGAT) 1 or 2 inhibitors, glucose transporter 4 (GLUT4) modulators, and glutamine-fructose-6 - Phosphate amidotransferase (GFAT) inhibitors, SGLT-2 inhibitors.

其中,本发明所述的抗高血糖试剂包括,但并不限于双胍类药物(例如苯乙双胍、二甲双胍(metformin))、齐墩果酸及其衍生物、磺酰脲类药物(例如醋磺环已脲、氯磺丙脲(diabinese)、格列本脲(glibenclamide,优降糖)、格列吡嗪(glipizide,吡磺环已脲)、格列齐特(gliclazide,达美康)、格列美脲(glimepiride)、格列戊脲(glipentide)、格列喹酮(gliquidone)、妥拉磺脲及甲苯磺丁脲、氯茴苯酸(meglitinide))、格列奈类药物(例如瑞格列奈及那格列奈)、α-葡萄糖苷水解酶抑制剂(例如阿卡波糖(acarbose))、α-葡萄糖苷酶抑制剂(例如酯解素、卡格列波糖(camiglibose)、乙格列酯(emiglitate)、米格列醇(miglitol)、伏格列波糖(voglibose)、普那米星(pradimicin)及沙玻制菌素(salbostatin))、PPAR激动剂(例如巴拉列酮(balaglitazone)、环格列酮(ciglitazone)、达格列酮(darglitazone)、恩格列酮(englitazone)、爱沙列酮(isaglitazone)、吡格列酮(pioglitazone)、罗格列酮(rosiglitazone)及曲格列酮(troglitazone))、PPARα/γ双激活剂(例如CLX-0940、GW-1536、GW-1929、GW-2433、KRP-297、L-796449、LR-90、MK-0767及SB-219994)、二肽基肽酶IV(DPP-IV)(例如西格列汀(sitagliptin)、维格列汀(vidagliptin)、阿格列汀(alogliptin)及沙格列汀(saxagliptin))、胰高血糖素样肽-1(GLP-1)激动剂(乙先素-3(exendin-3)与乙先素-4(exendin-4))、蛋白质酪氨酸磷酸酶-1B(PTP1B)抑制剂(曲度奎明、海提索萃取物及由Zhang,S.等人,现代药物发现,12(9/10),373-381(2007)所公开的化合物)、胰岛素、胰岛素拟似物、肝糖磷酸化酶抑制剂、VPAC2受体激动剂、葡糖激酶活化剂、糖原磷酸化酶抑制剂或者葡糖-6-磷酸酶抑制剂;αP2抑制剂、乙酰基-CoA羧化酶-2(ACC-2抑制剂)、磷酸二酯酶(PDE)-10抑制剂、TGR5激动剂、AMPK激动剂、二酰基甘油酰基转移酶(DGAT)1或2抑制剂、葡萄糖转运载体4(GLUT4)调节剂及谷氨酰胺-果糖-6-磷酸酰胺转移酶(GFAT)抑制剂。Among them, the anti-hyperglycemic agents of the present invention include, but are not limited to, biguanide drugs (such as phenformin, metformin (metformin)), oleanolic acid and its derivatives, sulfonylurea drugs (such as acesulfame Cyclohexamide, chlorpropamide (diabinese), glibenclamide (glibenclamide, glibenclamide), glipizide (glipizide, sulfonyl urea), gliclazide (gliclazide, Dameikang), Glimepiride, glipentide, gliquidone, tolazamide and tolbutamide, meglitinide), meglitinides (such as repaglinide and nateglinide), α-glucoside hydrolase inhibitors (such as acarbose (acarbose)), α-glucosidase inhibitors (such as esteridins, camiglibose (camiglibose) ), emiglitate, miglitol, voglibose, pradimicin, and salbostatin), PPAR agonists (such as Balaglitazone, ciglitazone, darglitazone, englitazone, isaglitazone, pioglitazone, rosiglitazone ( rosiglitazone) and troglitazone), PPARα/γ dual activators (such as CLX-0940, GW-1536, GW-1929, GW-2433, KRP-297, L-796449, LR-90, MK- 0767 and SB-219994), dipeptidyl peptidase IV (DPP-IV) (such as sitagliptin, vildagliptin, alogliptin, and saxagliptin )), glucagon-like peptide-1 (GLP-1) agonist (exendin-3 (exendin-3) and exendin-4 (exendin-4)), protein tyrosine phosphatase-1B (PTP1B) inhibitors (Traduquimin, Hetisol extract and compounds disclosed by Zhang, S. et al., Modern Drug Discovery, 12(9/10), 373-381(2007)), insulin, Insulin mimetics, glycogen phosphorylase inhibitors, VPAC2 receptor agonists, glucokinase activators, glycogen phosphorylase inhibitors, or glucose-6-phosphatase inhibitors; αP2 inhibitors, acetyl- CoA carboxylase-2 (ACC-2 inhibitor), phosphodiesterase (PDE )-10 inhibitors, TGR5 agonists, AMPK agonists, diacylglycerol acyltransferase (DGAT) 1 or 2 inhibitors, glucose transporter 4 (GLUT4) modulators, and glutamine-fructose-6-phosphate amidotransferase Enzyme (GFAT) inhibitors.

其中,本发明所述的降脂试剂包括,但并不限于MTP抑制剂、HMG CoA还原酶抑制剂、角鲨烯合成酶抑制剂、纤维酸衍生物、ACAT抑制剂、脂加氧酶抑制剂、胆固醇吸收抑制剂、回肠钠离子/胆汁酸协同转运蛋白抑制剂、LDL受体活性的向上调节物、胆汁酸螯合物或者烟酸以及其衍生物。其中一些实施例是,所述的降脂试剂选自普伐他汀、辛伐他汀、阿伐他汀、氟伐他汀、西立伐他汀、埃塔伐他汀或者罗苏伐他汀。其中,所述的抗肥胖症试剂选自CB-1拮抗剂(例如利莫那班(rimonabant)、泰伦那班(taranabant)、速利那班(surinabant)、奥特那班(otenabant)、SLV319与AVE1625)、肠-选择性MTP抑制剂(例如得洛他派(dirlotapide)、米搓他派(mitratapide)及英普他派(implitapide))、CCKa激动剂、5HT2c激动剂(例如洛卡色林(lorcaserin))、TGR5激动剂、AMPK激动剂、MCR4激动剂、脂肪酶抑制剂(例如替丽斯特(Cetilistat))、PYY3-36、类阿片拮抗剂(例如纳曲酮(naltrexone))、油酰基-雌酮、奥尼匹肽(obinepitide)、普拉林肽(pramlintide)、提索吩辛(tesofensine)、勒帕茄碱、利拉葡肽(liraglutide)、溴麦角环肽、奥利司他(orlistat)、依泽那太(exenatide)、AOD-9604及西布曲明(sibutramide)。Among them, the lipid-lowering agents described in the present invention include, but are not limited to, MTP inhibitors, HMG CoA reductase inhibitors, squalene synthase inhibitors, fibric acid derivatives, ACAT inhibitors, lipoxygenase inhibitors , cholesterol absorption inhibitors, ileal sodium ion/bile acid cotransporter inhibitors, upregulators of LDL receptor activity, bile acid chelates or niacin and derivatives thereof. In some embodiments, the lipid-lowering agent is selected from pravastatin, simvastatin, atorvastatin, fluvastatin, cerivastatin, ertavastatin or rosuvastatin. Wherein, the anti-obesity agent is selected from CB-1 antagonists (such as rimonabant, taranabant, surinabant, otenabant, SLV319 and AVE1625), gut-selective MTP inhibitors (such as dirlotapide, mitratapide, and implitapide), CCKa agonists, 5HT2c agonists (such as loca lorcaserin), TGR5 agonists, AMPK agonists, MCR4 agonists, lipase inhibitors (such as Cetilistat), PYY 3-36 , opioid antagonists (such as naltrexone )), oleoyl-estrone, obinepitide, pramlintide, tesofensine, leptide, liraglutide, bromocriptide , orlistat (orlistat), exenatide (exenatide), AOD-9604 and sibutramine (sibutramide).

其中,本发明所述的适当消炎剂包括生殖道/尿道感染预防与治疗药品,例如酸果蔓(Vaccinium macrocarpon)与酸果蔓衍生物,譬如酸果蔓汁液、酸果蔓萃液或酸果蔓的黄酮醇类。此外,其他的适当消炎剂还包括,但并不限于阿司匹林、非类固醇消炎药、糖皮质类固醇、柳氮磺吡啶和环氧酶II选择抑制剂等。Among them, the suitable anti-inflammatory agents of the present invention include drugs for the prevention and treatment of reproductive tract/urethral infection, such as cranberry (Vaccinium macrocarpon) and cranberry derivatives, such as cranberry juice, cranberry extract or cranberry Vine flavonols. In addition, other suitable anti-inflammatory agents include, but are not limited to, aspirin, non-steroidal anti-inflammatory drugs, glucocorticoids, sulfasalazine, and cyclooxygenase II selective inhibitors, among others.

本发明的药物组合物可以是口服给药,注射给药,喷雾吸入法,局部给药,经直肠给药,经鼻给药,含服给药,阴道给药或通过植入性药盒给药。此处所使用的术语“经注射的”包括皮下的,静脉的,肌内的,关节内的,滑膜(腔)内的,胸骨内的,膜内的,眼内的,肝内的,病灶内的,和颅内的注射或输注技术。优选的药物组合物为口服给药,向腹膜内给药或静脉注射。本发明的药物组合物无菌的注射方式可以是水的或油脂性的悬浮液。这些悬浮液可以根据公知技术采用合适的分散剂、湿润剂和悬浮剂按配方制造。无菌注射剂可以是无菌注射液或悬浮液,是注射无毒的可接受的稀释剂或溶剂,如1,3-丁二醇溶液。这些可接受的赋形剂和溶剂可以是水,林格溶液和等渗氯化钠溶液。更进一步地,无菌的非挥发性的油按照惯例可以作为溶剂或悬浮介质。The pharmaceutical composition of the present invention can be administered orally, by injection, by spray inhalation, topically, rectally, nasally, buccally, vaginally or via an implantable kit. medicine. The term "injected" as used herein includes subcutaneous, intravenous, intramuscular, intra-articular, intrasynovial (cavity), intrasternal, intrathecal, intraocular, intrahepatic, focal Intracranial, and intracranial injection or infusion techniques. Preferred pharmaceutical compositions are administered orally, intraperitoneally or intravenously. The sterile injection form of the pharmaceutical composition of the present invention can be aqueous or oily suspension. These suspensions may be formulated according to the known art using suitable dispersing agents, wetting agents and suspending agents. Sterile injections can be sterile injection solutions or suspensions, which are non-toxic acceptable diluents or solvents for injection, such as 1,3-butanediol solution. Among the acceptable vehicles and solvents are water, Ringer's solution and isotonic sodium chloride solution. Furthermore, sterile, fixed oils are conventionally employed as a solvent or suspending medium.

以此为目的,任何温和的非挥发性的油可以是合成的单或二葡基甘油二酯。脂肪酸,如油酸和它的甘油酯衍生物可用于血管注射剂的制备,作为天然的药学上可接受的油脂,如橄榄油或蓖麻油,特别是它们的聚氧乙烯衍生物。这些油溶液或悬浮液可以包含长链醇稀释剂或分散剂,如羧甲基纤维素或相似分散剂,一般用于药学上可接受剂型的药物制剂包括乳化液和悬浮液。其他常用的表面活性剂,如吐温类,司盘类和其他乳化剂或生物药效率的强化剂,一般用于药学上可接受的固体,液体,或其他剂型,并可以应用于目标药物制剂的制备。For this purpose any bland fixed oil may be a synthetic mono- or diglyceride. Fatty acids, such as oleic acid and its glyceride derivatives are useful in the preparation of injectables, as are natural pharmaceutically-acceptable oils, such as olive oil or castor oil, especially their polyoxyethylene derivatives. These oil solutions or suspensions may contain a long-chain alcohol diluent or dispersant, such as carboxymethylcellulose or similar dispersing agents, commonly used in pharmaceutical formulations of pharmaceutically acceptable dosage forms including emulsions and suspensions. Other commonly used surfactants, such as Tweens, Spans and other emulsifiers or enhancers of bioavailability, are generally used in pharmaceutically acceptable solid, liquid, or other dosage forms, and can be applied to target pharmaceutical preparations preparation.

本发明化合物和药物组合物的用途Uses of the compounds and pharmaceutical compositions of the present invention

一方面,本发明式(I)、(Ia)或(Ib)所示化合物、或其立体异构体、几何异构体、互变异构体、药学上可接受的盐或包含式(I)、(Ia)或(Ib)化合物的药物组合物可用来制备用于预防或治疗下列疾病,减轻下列疾病症状或者延缓下列疾病的发展或发作的药品的用途,其中所述的疾病是糖尿病、糖尿病性视网膜病、糖尿病性神经病、糖尿病性肾病、胰岛素抗性、高血糖、高胰岛素血症、血液中脂肪酸或甘油水平的升高、高脂血症、肥胖症、高甘油三酯血症、X综合症、糖尿病并发症、动脉粥样硬化、高血压、急性贫血、中性粒细胞减少、阿尔茨海默病疾病、抑郁症、HIV、HBV、HCV、炎性疾病或肿瘤疾病。其中所述糖尿病是但不限于II型糖尿病。In one aspect, the compound represented by formula (I), (Ia) or (Ib) of the present invention, or its stereoisomer, geometric isomer, tautomer, pharmaceutically acceptable salt or comprising formula (I ), the pharmaceutical composition of (Ia) or (Ib) compound can be used to prepare the purposes of the medicine that is used for preventing or treating following disease, alleviating following disease symptom or delaying the development or onset of following disease, wherein said disease is diabetes, Diabetic retinopathy, diabetic neuropathy, diabetic nephropathy, insulin resistance, hyperglycemia, hyperinsulinemia, elevated blood fatty acid or glycerol levels, hyperlipidemia, obesity, hypertriglyceridemia, Syndrome X, diabetic complications, atherosclerosis, hypertension, acute anemia, neutropenia, Alzheimer's disease, depression, HIV, HBV, HCV, inflammatory disease or neoplastic disease. Wherein said diabetes is but not limited to type II diabetes.

另一方面,使用本发明式(I)、(Ia)或(Ib)所示化合物、或其立体异构体、几何异构体、互变异构体、药学上可接受的盐可用于制备治疗蛋白酪氨酸磷酸酯酶(PTP-1B)、TGR5、或AMPK或其组合介导疾病药物的用途。其中,所述蛋白酪氨酸磷酸酯酶(PTP-1B)、TGR5、或AMPK或其组合介导疾病不限于II型糖尿病。On the other hand, the compounds represented by formula (I), (Ia) or (Ib) of the present invention, or their stereoisomers, geometric isomers, tautomers, and pharmaceutically acceptable salts can be used to prepare Use of medicines for treating diseases mediated by protein tyrosine phosphatase (PTP-1B), TGR5, or AMPK or a combination thereof. Wherein, the disease mediated by protein tyrosine phosphatase (PTP-1B), TGR5, or AMPK or a combination thereof is not limited to type II diabetes.

本发明所述制备治疗II型糖尿病的药物的用途,包括给予人或哺乳动物治疗有效量的式(I)、(Ia)或(Ib)化合物或包含治疗有效量的式(I)、(Ia)或(Ib)化合物的药物组合物。包括以100mg/kg的给药剂量给予小鼠式(I)、(Ia)或(Ib)化合物,每天给药2次,连续给药2周或3周。The purposes of the medicament for preparing the treatment type II diabetes described in the present invention, comprise administering the compound of formula (I), (Ia) or (Ib) of therapeutically effective amount to human or mammal or comprise the compound of formula (I), (Ia) of therapeutically effective amount ) or a pharmaceutical composition of (Ib) compound. It includes administering the compound of formula (I), (Ia) or (Ib) to mice at a dose of 100 mg/kg, twice a day, for 2 weeks or 3 weeks.

本发明式(I)、(Ia)或(Ib)化合物可作为PTP1B(蛋白酪氨酸磷酸酶1B)抑制剂、TGR5激动剂、或AMPK激动剂或同时对其有作用,具有显著降糖和降脂效果,可有效用于II型糖尿病患者和高脂血患者的治疗,取得了意料不到的效果。The compound of formula (I), (Ia) or (Ib) of the present invention can be used as PTP1B (protein tyrosine phosphatase 1B) inhibitor, TGR5 agonist, or AMPK agonist or have effect on it at the same time, have significant hypoglycemic and The lipid-lowering effect can be effectively used in the treatment of patients with type II diabetes and hyperlipidemia, and unexpected effects have been achieved.

式(I)化合物的制备The preparation of formula (I) compound

步骤1)齐墩果酸28-位羧基甲酯化Step 1) 28-position carboxyl methyl esterification of oleanolic acid

取齐墩果酸5g(0.011mol),K2CO31.824g(1.2当量),加入DMF 80ml搅拌溶解,再加入CH3I 4.7ml(3当量)反应10h;反应完全后用乙酸乙酯萃取,有机层分别用1N HCl、蒸馏水、饱和NaCl溶液洗涤,无水Na2SO4干燥;减压蒸馏得淡黄色固体;用甲醇重结晶得纯品4.656g,呈白色粉末状,收率90%。Take 5 g (0.011 mol) of oleanolic acid, 1.824 g (1.2 equivalents) of K 2 CO 3 , add 80 ml of DMF and stir to dissolve, then add 4.7 ml (3 equivalents) of CH 3 I to react for 10 hours; after the reaction is complete, extract with ethyl acetate , the organic layer was washed with 1N HCl, distilled water, and saturated NaCl solution, and dried over anhydrous Na 2 SO 4 ; distilled under reduced pressure to obtain a light yellow solid; recrystallized with methanol to obtain 4.656 g of pure product in the form of white powder, with a yield of 90% .

IR(KBr),ν,cm-1:3445(-OH),2944(-CH2-),1727(-C=O),1464(-CH3),1388(-CH3),1363,1270,1184,1034,996,655。IR(KBr), ν, cm -1 : 3445(-OH), 2944(-CH 2 -), 1727(-C=O), 1464(-CH 3 ), 1388(-CH 3 ), 1363, 1270 ,1184,1034,996,655.

步骤2)齐墩果酸甲酯3-羟基的乙酰化Step 2) Acetylation of the 3-hydroxyl group of methyl oleanate

齐墩果酸甲酯4.6g(0.01mol)溶于无水吡啶70ml中,搅拌下加入醋酸酐10.2ml(10当量),室温搅拌反应,TLC跟踪至反应完全,反应14h;用二氯甲烷萃取,1N HCl(10ml×3)洗,水洗,无水Na2SO4干燥,减压蒸干,过硅胶柱(石油醚:乙酸乙酯=10:1)得纯品4.584g,呈白色粉末状,收率92%。Dissolve 4.6g (0.01mol) of methyl oleanolic acid in 70ml of anhydrous pyridine, add 10.2ml (10 equivalents) of acetic anhydride under stirring, and stir at room temperature for reaction. TLC traces until the reaction is complete. React for 14h; extract with dichloromethane , washed with 1N HCl (10ml×3), washed with water, dried over anhydrous Na 2 SO 4 , evaporated to dryness under reduced pressure, and passed through a silica gel column (petroleum ether:ethyl acetate=10:1) to obtain 4.584g of pure product in the form of white powder , yield 92%.

IR(KBr),ν,cm-1:2937(-CH2-),1729(-C=O),1726(-C=O),1470(-CH3),1363(-CH3),1266,1239,1203,1123,1022。IR(KBr), ν, cm -1 : 2937(-CH 2 -), 1729(-C=O), 1726(-C=O), 1470(-CH 3 ), 1363(-CH 3 ), 1266 ,1239,1203,1123,1022.

步骤3)3-乙酰氧基齐墩果酸甲酯的12,13-双键羰基化Step 3) 12,13-double bond carbonylation of methyl 3-acetoxyoleanate

取齐墩果酸双酯4.5g(0.009mol)加入CHCl380ml搅拌溶解,冰浴降温0℃,再加入m-CPBA 6.213g(4当量),搅拌片刻移至室温反应,TLC跟踪至13h反应结束,CH2Cl2萃取,饱和NaHSO3溶液,饱和NaHCO3,水,饱和NaCl水洗涤,无水Na2SO4干燥,此时TLC检测生成的环氧都转化为3-乙酰氧基-12-氧-齐墩果酸甲酯,减压浓缩,过硅胶柱(石油醚:乙酸乙酯=35:2)得纯品3.698g,呈白色粉末状,收率80%。Take 4.5g (0.009mol) of oleanolic acid diester, add CHCl 3 80ml and stir to dissolve, cool down to 0°C in an ice bath, then add 6.213g (4 equivalents) of m-CPBA, stir for a while and move to room temperature for reaction, TLC tracking to 13h reaction At the end, CH 2 Cl 2 extraction, saturated NaHSO 3 solution, saturated NaHCO 3 , water, saturated NaCl water washing, anhydrous Na 2 SO 4 drying, at this time the epoxy generated by TLC detection is converted to 3-acetoxy-12 Oxygen-methyl oleanolic acid was concentrated under reduced pressure and passed through a silica gel column (petroleum ether: ethyl acetate = 35:2) to obtain 3.698 g of pure product in the form of white powder with a yield of 80%.

IR(KBr),ν,cm-1:2947(-CH2-),1725(-C=O),1698(-C=O),1466(-CH3),1368(-CH3),1243,1193,1036。IR(KBr), ν, cm -1 : 2947(-CH 2 -), 1725(-C=O), 1698(-C=O), 1466(-CH 3 ), 1368(-CH 3 ), 1243 , 1193, 1036.

ESI:M/Z=529.38[M+1]。ESI: M/Z = 529.38 [M+1].

步骤4)3-乙酰氧基-12-氧-齐墩果酸甲酯的还原Step 4) Reduction of 3-acetoxy-12-oxo-oleanolic acid methyl ester

取3-乙酰氧基-12-氧-齐墩果酸甲酯3.6g(0.0068mmol),二甘醇100ml,KOH 8.77g(23当量),水合肼35ml,125℃搅拌回流,混悬液逐渐变澄清,反应3h;改蒸馏装置逐渐升温蒸出水和水合肼,升温至210℃反应约7h;然后冷至室温,倒入冰水中析出白色固体,再用1NHCl调pH至3~4,抽滤,减压旋干;过硅胶柱(二氯甲烷:甲醇=40:1)得纯品1.881g,呈白色粉末状,收率60%。Take 3.6g (0.0068mmol) of 3-acetoxy-12-oxo-oleanolic acid methyl ester, 100ml of diethylene glycol, 8.77g of KOH (23 equivalents), 35ml of hydrazine hydrate, stir and reflux at 125°C, and the suspension gradually Change the distillation device to gradually increase the temperature to distill out water and hydrazine hydrate, raise the temperature to 210°C and react for about 7 hours; then cool to room temperature, pour into ice water to precipitate a white solid, then adjust the pH to 3-4 with 1N HCl, and filter with suction , spin-dried under reduced pressure; through a silica gel column (dichloromethane:methanol=40:1) to obtain 1.881g of pure product in the form of white powder, with a yield of 60%.

ESI:M/Z=939.7[2M+Na-1];IR(KBr),ν,cm-1:3462(-OH,-CO-OH),2943(-CH2-),1692(-C=O),1456(-CH3),1387(-CH3),1265,1029。ESI: M/Z=939.7[2M+Na-1]; IR(KBr), ν, cm -1 : 3462(-OH,-CO-OH), 2943(-CH 2 -), 1692(-C= O), 1456(-CH 3 ), 1387(-CH 3 ), 1265, 1029.

1H NMR(400MHz,)δ3.18(dd,J=11.3,4.8Hz,1H),2.15(dd,J=9.1,4.6Hz,1H),1.89-1.74(m,3H),1.71-1.40(m,10H),1.40-1.13(m,12H),1.09-1.01(m,1H),0.95(s,6H),0.89(s,3H),0.84(s,6H),0.78(s,3H),0.72(s,3H),0.65(d,J=11.2Hz,1H)。 1 H NMR (400MHz,) δ3.18 (dd, J = 11.3, 4.8Hz, 1H), 2.15 (dd, J = 9.1, 4.6Hz, 1H), 1.89-1.74 (m, 3H), 1.71-1.40 ( m,10H),1.40-1.13(m,12H),1.09-1.01(m,1H),0.95(s,6H),0.89(s,3H),0.84(s,6H),0.78(s,3H) , 0.72 (s, 3H), 0.65 (d, J=11.2Hz, 1H).

步骤5)12,13-二氢齐墩果酸的28-位羧基甲酯化Step 5) 28-position carboxymethyl esterification of 12,13-dihydrooleanolic acid

取12,13-二氢齐墩果酸1.8g(0.004mol),K2CO30.663g(1.2当量),加入DMF 20ml搅拌溶解,再加入CH3I 1.7ml(3当量)反应12h;反应完全后用乙酸乙酯萃取,有机层分别用1NHCl、蒸馏水、饱和NaCl溶液洗涤,无水Na2SO4干燥;减压蒸馏得淡黄色固体;过硅胶柱(石油醚:乙酸乙酯=5:1)得纯品1.711g,呈白色粉末状,收率92%。Take 1.8g (0.004mol) of 12,13-dihydrooleanolic acid and 0.663g (1.2 equivalents) of K 2 CO 3 , add 20ml of DMF and stir to dissolve, then add 1.7ml (3 equivalents) of CH 3 I to react for 12h; After complete extraction with ethyl acetate, the organic layer was washed with 1N HCl, distilled water, and saturated NaCl solution, and dried over anhydrous Na 2 SO 4 ; distilled under reduced pressure to obtain a light yellow solid; pass through a silica gel column (petroleum ether: ethyl acetate = 5: 1) 1.711 g of pure product was obtained in the form of white powder, with a yield of 92%.

1H NMR(400MHz,CDCl3)δ:3.70(s,3H),3.24-3.16(m,1H),2.23-2.14(m,1H),1.85-1.74(m,2H),1.74-1.58(m,7H),1.57-1.14(m,15H),1.08-1.01(m,1H),0.96(d,J=3.1Hz,6H),0.90(d,J=4.9Hz,4H),0.84(d,J=7.3Hz,6H),0.80(d,J=5.8Hz,3H),0.75(s,3H)。 1 H NMR (400MHz, CDCl 3 ) δ: 3.70(s, 3H), 3.24-3.16(m, 1H), 2.23-2.14(m, 1H), 1.85-1.74(m, 2H), 1.74-1.58(m ,7H),1.57-1.14(m,15H),1.08-1.01(m,1H),0.96(d,J=3.1Hz,6H),0.90(d,J=4.9Hz,4H),0.84(d, J=7.3Hz, 6H), 0.80(d, J=5.8Hz, 3H), 0.75(s, 3H).

13C NMR(100MHz,CDCl3)δ:158.7,78.5,59.5,56.7,55.9,53.8,48.8,47.6,46.6,45.0,44.5,44.2,43.0,42.2,41.9,41.6,39.7,38.1,37.8,37.3,36.8,34.1,34.0,32.2,30.0,29.0,28.3,28.1,27.8。 13 C NMR (100MHz, CDCl 3 ) δ: 158.7, 78.5, 59.5, 56.7, 55.9, 53.8, 48.8, 47.6, 46.6, 45.0, 44.5, 44.2, 43.0, 42.2, 41.9, 41.6, 39.7, 38.1, 37.8, 37.3 ,36.8,34.1,34.0,32.2,30.0,29.0,28.3,28.1,27.8.

生物活性测定Bioactivity assay

1.式(I)化合物对HepG2细胞葡萄糖消耗的影响1. The effect of formula (I) compound on HepG 2 cell glucose consumption

HepG2细胞是一种与人肝细胞表型极为相似的肝胚胎瘤细胞株,它基本保留了正常肝细胞的胰代谢反应,能全面模拟肝细胞对周围环境中葡萄糖的摄入和消耗。降糖药物可增加HepG2细胞的葡萄糖消耗量。因此,可利用受试药物影响HepG2细胞葡萄糖消耗能力,评价其胰岛素增敏活性。HepG2 cells are a hepatic embryonoma cell line that is very similar in phenotype to human hepatocytes. It basically retains the pancreatic metabolic response of normal hepatocytes and can fully simulate the uptake and consumption of glucose in the surrounding environment by hepatocytes. Hypoglycemic drugs can increase glucose consumption in HepG2 cells. Therefore, the test drug can be used to affect the glucose consumption ability of HepG2 cells and evaluate its insulin-sensitizing activity.

将HepG2细胞用含10%胎牛血清的高糖型DMEM培养基于37℃、5%CO2细胞培养箱中孵育,隔天更换新鲜培养液,2~3天传代1次。实验时,HepG2细胞接种于96孔板,并设无细胞空白对照孔。待细胞生长至70~80%融合,弃去原培养基,用PBS缓冲液洗2遍,换上含0.2%BSA、1nM胰岛素的无血清1640培养液,分组加药。设无受试药物正常对照组、二甲双胍阳性和齐墩果酸对照组(终浓度均为10μmol/L)和式(I)化合物对照组,每组设3个以上复孔。作用24h后,用葡萄糖氧化酶法测定每孔培养液的葡萄糖含量。HepG2 cells were cultured in high-glucose DMEM containing 10% fetal bovine serum and incubated in a 37°C, 5% CO 2 cell incubator, and replaced with fresh culture medium every other day, and passaged once every 2-3 days. During the experiment, HepG2 cells were seeded in 96-well plates, and blank control wells without cells were set. When the cells grew to 70-80% confluence, the original medium was discarded, washed twice with PBS buffer, replaced with serum-free 1640 medium containing 0.2% BSA and 1nM insulin, and drugs were added in groups. Set no test drug normal control group, metformin positive and oleanolic acid control group (final concentration is 10 μmol/L) and formula (I) compound control group, each group is set more than 3 duplicate wells. After acting for 24 hours, the glucose content in the culture solution of each well was measured by the glucose oxidase method.

完成葡萄糖含量测定后,细胞用10%三氯醋酸固定1小时,用双蒸水洗涤并干燥后,每孔加入100μl SRB溶液(4mg/mL),室温染色20分钟,再用1%醋酸洗涤,干燥。每孔加入100μl 10mM Tris溶液使SRB溶解。于515nm处用酶标仪检,来反映细胞增殖状况,以校正细胞接种数目及化合物毒性等综合因素造成的实验误差。最后计算各组葡萄糖消耗量与空白对照组比较的增加百分率,再计算样品促进葡萄糖的消耗量即可评价受试化合物的降糖活性。After the determination of glucose content was completed, the cells were fixed with 10% trichloroacetic acid for 1 hour, washed with double distilled water and dried, and 100 μl of SRB solution (4 mg/mL) was added to each well, stained at room temperature for 20 minutes, and then washed with 1% acetic acid. dry. Add 100 μl of 10 mM Tris solution to each well to dissolve SRB. Use a microplate reader at 515nm to reflect the status of cell proliferation and correct the experimental error caused by comprehensive factors such as the number of cells inoculated and the toxicity of the compound. Finally, calculate the increase percentage of glucose consumption in each group compared with the blank control group, and then calculate the glucose consumption promoted by the sample to evaluate the hypoglycemic activity of the test compound.

取如表1所示的化合物进行HepG2细胞活性测试,并与二甲双胍和齐墩果酸作对比,结果惊人地发现,在二甲双胍受试浓度为本发明式(I)化合物的100倍时,本发明式(I)化合物增加葡萄糖消耗的最大作用仍比二甲双胍和齐墩果酸均显著增强。Get the compound shown in table 1 to carry out HepG2 cell viability test, and compare with metformin and oleanolic acid, the result surprisingly finds, when metformin test concentration is 100 times of the compound of formula (I) of the present invention, the present invention The maximal effect of compounds of formula (I) on increasing glucose consumption was still significantly stronger than both metformin and oleanolic acid.

表1.化合物对人肝HepG2细胞24h葡萄糖消耗的影响(n=4)Table 1. Effects of compounds on 24h glucose consumption in human liver HepG2 cells ( n=4)

注:数据用均数±标准差表示,组间比较采用t-检验,与DMSO溶剂对照组比较,*P<0.05,Note: The data are mean ± standard deviation Indicates that the t-test was used for comparison between groups, compared with the DMSO solvent control group, *P<0.05,

**P<0.01,Met表示二甲双胍,OA表示齐墩果酸。**P<0.01, Met means metformin, OA means oleanolic acid.

2.式(I)化合物对db/db糖尿病小鼠的降血糖药效学研究2. The hypoglycemic pharmacodynamic study of the compound of formula (I) on db/db diabetic mice

选取空腹血糖值接近的8-10周龄SPF级db/db雌性小鼠,饲养3周后小鼠血糖高于10.6mmol/L,按随机血糖水平分组(小鼠数量及分组数视受试化合物数目而定),每组5只,分别为0.5%CMC-Na溶剂对照组、吡格列酮阳性对照组和受试品组。各组动物口服给药,分别于给药前,单次给药后2h、3h、5h采用强生稳豪型血糖仪测定血糖,计算与溶剂对照组比较的血糖降低百分率;给药1周后,分别于给药前,给药后3h和5h测定血糖水平并计算与溶剂对照组比较的血糖降低百分率;给药2周和3周后,分别于给药前、给药后2h测定血糖水平并计算与溶剂对照组比较的血糖降低百分率。Select 8-10 week-old SPF grade db/db female mice with similar fasting blood glucose values, and after feeding for 3 weeks, the blood glucose of the mice is higher than 10.6mmol/L, and they are grouped according to random blood glucose levels (the number of mice and the number of groups are determined by the test compound. depending on the number), 5 in each group, respectively 0.5% CMC-Na solvent control group, pioglitazone positive control group and test product group. Animals in each group were administered orally. Before administration, 2h, 3h, and 5h after a single administration, the blood glucose was measured with a Johnson & Johnson Wenhao blood glucose meter, and the blood glucose reduction percentage compared with the solvent control group was calculated; after 1 week of administration, Before the administration, measure the blood glucose level 3h and 5h after administration and calculate the blood glucose reduction percentage compared with the solvent control group; The percent reduction in blood glucose compared to the vehicle control group was calculated.

表2化合物对db/db糖尿病小鼠的降血糖药效学研究结果Table 2 compound to the hypoglycemic pharmacodynamic research result of db/db diabetic mice

注:P<0.05,Met表示二甲双胍,OA表示齐墩果酸。Note: P<0.05, Met means metformin, OA means oleanolic acid.

从表2可知,本发明式(I)化合物对db/db糖尿病小鼠降血糖百分率明显高于齐墩果酸,并且As can be seen from Table 2, formula (I) compound of the present invention is significantly higher than oleanolic acid to db/db diabetic mice hypoglycemic percentage rate, and

还与二甲双胍相当。Also comparable to metformin.

3.式(I)化合物药代动力学研究3. Pharmacokinetic study of the compound of formula (I)

取大鼠4只,雌雄各半,实验前禁食12h,正常饮水。大鼠称质量后按常用剂量换算灌胃给予GY3(2-甲基-1-(4-氯苯甲酰基)-5-苄氧基-1H-吲哚-3-乙酸)灌胃溶液,剂量为50mg/kg,于灌胃给药后10min、15min、20min、30min、45min、60min、1.5h、2h、4h、6h、8h、10h断尾取血0.3mL,置于肝素化1.5mL离心管中,4500r/min离心10min,按血浆样品的处理方法处理进样,测定血药浓度。灌胃后的SD大鼠标记记号一周以后静脉注射,剂量5mg/kg,于静脉注射给药后5min、10min、15min、20min、30min、45min、60min、2h、4h、6h、8h、10h断尾取血0.3mL,置于肝素化1.5mL离心管中,4500r/min离心10min,按血浆样品的处理方法处理进样,测定血药浓度。采用DAS 2.0药动学软件进行拟合,计算式(I)化合物在大鼠体内的药动学参数以及式(I)化合物的绝对口服生物利用度,结果如表3所示。Four rats were taken, half male and half male, fasted for 12 hours before the experiment, and drank water normally. After the rats were weighed, they were given GY3 (2-methyl-1-(4-chlorobenzoyl)-5-benzyloxy-1H-indole-3-acetic acid) gavage solution by gavage according to the usual dose conversion. 10min, 15min, 20min, 30min, 45min, 60min, 1.5h, 2h, 4h, 6h, 8h, 10h after intragastric administration, 0.3mL of blood was collected from the tail and placed in a heparinized 1.5mL centrifuge tube In the middle, centrifuge at 4500r/min for 10min, process the sample according to the processing method of the plasma sample, and measure the blood drug concentration. SD rats marked by gavage were injected intravenously one week later at a dose of 5 mg/kg, and the tails were docked at 5min, 10min, 15min, 20min, 30min, 45min, 60min, 2h, 4h, 6h, 8h, and 10h after intravenous administration. Take 0.3mL of blood, put it in a heparinized 1.5mL centrifuge tube, centrifuge at 4500r/min for 10min, process the sample according to the processing method of plasma sample, and measure the blood drug concentration. DAS 2.0 pharmacokinetic software was used for fitting, and the pharmacokinetic parameters of the compound of formula (I) in rats and the absolute oral bioavailability of the compound of formula (I) were calculated. The results are shown in Table 3.

表3式(I)化合物两种给药途径药代动力学参数(X±SD,n=4)Two kinds of route of administration pharmacokinetic parameters of the compound of table 3 formula (I) (X ± SD, n=4)

注:iv:静脉注射;ig:灌胃。Note: iv: intravenous injection; ig: gavage.

从表3可知,本发明式(I)化合物在小鼠体内曝露量高,生物利用度高,达40.06%。It can be seen from Table 3 that the compound of formula (I) of the present invention has a high exposure in mice and a high bioavailability of 40.06%.

4.式(I)化合物降脂效果试验4. Lipid-lowering effect test of the compound of formula (I)

8-10周龄的db/db小鼠45只,饲养3周后小鼠血糖高于10.6mmol/L(开始给药时有4只动物血糖小于11.10),按随机血糖水平分为9组,每组5只,分别为0.5%CMC-Na溶剂对照组、吡格列酮阳性对照组和受试品组。各组动物口服给药,分别于给药前,单次给药后2h、3h、5h采用强生稳豪型血糖仪测定血糖,计算与溶剂对照组比较的血糖降低百分率;给药1周后,分别于给药前,给药后3h和5h采用强生稳豪型血糖仪测定血糖,计算与溶剂对照组比较的血糖降低百分率;给药2周和3周后,分别于给药前、给药后3h采用强生稳豪型血糖仪测定血糖,计算与溶剂对照组比较的血糖降低百分率。分别于给药前和给药3周后,动物禁食5h,尾静脉取血,分离血浆,甘油三酯试剂盒和总胆固醇试剂盒测定小鼠血浆甘油三酯和总胆固醇水平。给药期间每周称量动物体重,计算与给药前自身比较的体重增加百分率,其结果分别如表4和表5所示。数据用均数±标准差表示,组间比较采用t-检验。45 db/db mice aged 8-10 weeks, the blood glucose of the mice was higher than 10.6mmol/L after feeding for 3 weeks (the blood glucose of 4 animals was less than 11.10 at the beginning of administration), and divided into 9 groups according to the random blood glucose level, 5 rats in each group, respectively 0.5% CMC-Na solvent control group, pioglitazone positive control group and test product group. Animals in each group were administered orally. Before administration, 2h, 3h, and 5h after a single administration, the blood glucose was measured with a Johnson & Johnson Wenhao blood glucose meter, and the blood glucose reduction percentage compared with the solvent control group was calculated; after 1 week of administration, Before administration, 3h and 5h after administration, the blood glucose was measured by Johnson & Johnson Wenhao blood glucose meter, and the blood glucose reduction percentage compared with the solvent control group was calculated; 2 weeks and 3 weeks after administration, before administration, administration, respectively After 3 hours, the blood glucose was measured with a Johnson & Johnson Wenhao blood glucose meter, and the blood glucose reduction percentage compared with the solvent control group was calculated. Before administration and 3 weeks after administration, the animals were fasted for 5 hours, blood was taken from the tail vein, plasma was separated, and the levels of plasma triglyceride and total cholesterol in mice were measured with a triglyceride kit and a total cholesterol kit. During the administration period, the body weight of the animals was weighed every week, and the body weight increase percentage compared with that before the administration was calculated, and the results are shown in Table 4 and Table 5 respectively. The data are mean ± standard deviation The t-test was used for comparison between groups.

表4 db/db小鼠降甘油三酯效果比较Table 4 Comparison of triglyceride-lowering effects in db/db mice

注:P<0.05,Met表示二甲双胍,OA表示齐墩果酸。Note: P<0.05, Met means metformin, OA means oleanolic acid.

表5 db/db小鼠降总胆固醇效果比较Table 5 Comparison of total cholesterol-lowering effects in db/db mice

注:P<0.05,Met表示二甲双胍,OA表示齐墩果酸。Note: P<0.05, Met means metformin, OA means oleanolic acid.

从表4和表5可知,本发明式(I)化合物可明显降低db/db小鼠甘油三酯含量和总胆固醇含量,As can be seen from Table 4 and Table 5, the compound of formula (I) of the present invention can obviously reduce triglyceride content and total cholesterol content in db/db mice,

其效果均明显优于二甲双胍和齐墩果酸。The effects are significantly better than metformin and oleanolic acid.

以上所述,仅是本发明的较佳实施例而已,并非对本发明作任何形式上的限制,任何未脱离本发明技术方案内容,依据本发明的技术实质对以上实施例所作的任何简单修改、等同变化与修饰,均仍属于本发明技术方案的范围内。The above is only a preferred embodiment of the present invention, and does not limit the present invention in any form. Any simple modification, Equivalent changes and modifications still fall within the scope of the technical solution of the present invention.

Claims (5)

1.一种使用式(I)所示化合物或药学上可接受的盐来制备用于预防或治疗下列疾病的药物中的用途,其中所述的疾病是糖尿病、糖尿病性视网膜病、糖尿病性神经病、糖尿病性肾病、胰岛素抗性、高血糖、高胰岛素血症、高脂血症、肥胖症、高甘油三酯血症,所述式(I)化合物为:1. Use a compound represented by formula (I) or a pharmaceutically acceptable salt to prepare medicines for preventing or treating the following diseases, wherein said diseases are diabetes, diabetic retinopathy, diabetic neuropathy , diabetic nephropathy, insulin resistance, hyperglycemia, hyperinsulinemia, hyperlipidemia, obesity, hypertriglyceridemia, the compound of formula (I) is: 2.根据权利要求1所述的用途,其中所述糖尿病为II型糖尿病。2. The use according to claim 1, wherein the diabetes is type II diabetes. 3.一种使用式(I)化合物或其药学上可接受的盐在制备治疗蛋白酪氨酸磷酸酯酶(PTP-1B)、TGR5、或AMPK或其组合介导的II型糖尿病的药物中的用途,所述式(I)化合物为:3. A compound of formula (I) or a pharmaceutically acceptable salt thereof is used in the preparation of a drug for treating protein tyrosine phosphatase (PTP-1B), TGR5, or AMPK or a combination thereof mediated type II diabetes purposes, the compound of formula (I) is: 4.一种制备治疗II型糖尿病的药物的用途,包括给予人或哺乳动物治疗有效量的式(I)化合物或包含治疗有效量的式(I)化合物的药物组合物,所述式(I)化合物为:4. A preparation of a medicine for the treatment of type II diabetes, comprising administering to humans or mammals a therapeutically effective dose of the compound of formula (I) or a pharmaceutical composition comprising a therapeutically effective dose of the compound of formula (I), said formula (I) ) compound is: 5.根据权利要求4所述的用途,其中以100mg/kg的给药剂量给予小鼠式(I)化合物,每天给药2次,连续给药2周或3周。5. The use according to claim 4, wherein the compound of formula (I) is given to mice at a dosage of 100 mg/kg, twice a day, for 2 or 3 weeks.
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