Etozolin: A Novel Diuretic - ACS Symposium Series (ACS Publications)

Jul 23, 2009 - However, more detailed studies, particularly with furosemide and ethacrynic acid, have proved that biliary osmolality is not affected h...
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10 Etozolin: A Novel Diuretic G. SATZINGER, M . HERRMANN, K.-O. VOLLMER, A. MERZWEILER, and H . GOMAHR Goedecke Research Institute, Goedecke AG, D-78 Freiburg (in Breisgau), West Germany O. HEIDENREICH and J. GREVEN Pharmacological Department, Rhein.-Westf. Technical University of Aachen, West Germany

Introduction - Investigations to date seem to indicate that choleresis i s , to some extent, part of the extrarenal effect of diuretic substances. However, more detailed studies, p a r t i c ularly with furosemide and ethacrynic acid, have proved that b i l i a r y osmolality i s not affected hereby (1-4). The question as to whether choleretics, which do not influence the b i l i a r y electrolyte concentration, would make suitable models in the search for novel diuretic substances has never been investigated. We have recently described (5) some highly potent diuretic and well-tolerated compounds which were discovered in the course of investigating a new class of heterocycles (Structure 1), many of which possess choleretic properties.

One of these compounds, ethyl Z-[3-methyl-4-oxo-5-(1-piperidinyl)-2-thiazolidinylidene]acetate (Compound 3, etozolin), has been introduced as a therapeutic agent on the German market under the trademark Elkapin . Table I summarizes the current synthetic work i n the f i e l d of 2-acylmethylene-4-thiazolidinones. Table II shows the substitution pattern of the compounds of type 1 which are active diuretics. As a consequence of these findings, six other series of heterocycles were synthesized and tested (Table III). None of the representatives of these heterocycles exhibited diuretic a c t i v i t y , even when the successful substitution pattern shown in Table II was employed (as far as this was feasible and led to stable compounds). R

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DIURETIC

156

AGENTS

TABLE I Synthesized and Tested D e r i v a t i v e s of 1

Substituent

Notes

Groups H, a l k y l , a r a l k y l , (CH ) X 2

CH X,

X = f u n c t i o n a l groups such as -OR, -NR acyl (R = lower a l k y l ) 2>

2

H, a l k y l , a r y l , a r a l k y l , CH X, ( C H ) X ; NHCOCH ; 2

2

2

3

C0 R

only f o r R

= CH„

CH

only f o r R

= C0 R

2

3

2

-C0 H, -C0 R, R-CO-, 2

2

ArCO-, R-S0 ~, A r S 0 ~ , 2

2

>NCO-, -HNCO-, R NC0-,

AR = a r y l , h e t e r o aryl

2

-CN; p y r i d y l , benzimidazolyl, indolyl H, a l k y l ,

RV

aryl 2

>CR

-N