A DRUG BASED ON A SUBSTANCE P ANTAGONIST

Abstract: A Substance P antagonist for use in drugs for the prophylactic or therapeutic treatment of diseases released by Substance P. The antagonist consists of (D-Pro<2>, D-Trp<7,9>) Substance P having the formula <IMAGE> A drug for the prophylactic or therapeutic treatment of inflammations, especially in the eye, is also described, said drug containing as the active substance the above-mentioned Substance P antagonist. Furthermore, there is described a method of prophylactically or therapeutically treating a disease which is released by Substance P, or inflammations, especially in the eye. In this method, use is made of a therapeutically active amount of (D-Pro<2>, D-Trp<7,9>) Substance P, especially in a form suitable for topical application.

Description: A DRUG BASED ON A SUBSTANCE P ANTAGONIST The present invention relates to a Substance P an¬ tagonist for use in drugs for the prophylactic or the¬ rapeutic treatment of diseases released by Substance P, to a method of prophylactically or therapeutically treat- ing such a disease, and to a drug for prophylactically. or therapeutically treating inflammations. More speci¬ fically, the invention relates to a Substance P anta¬ gonist which, in relation to Substance P, has a struc¬ ture in which L-prσline in position 2 has been replaced by D-proline, and -phenylalanine in position 7 and L-glycocoll in position 9 have been replaced by D-tryp- tophan. The Substance P antagonist according to this inven- tion thus is (D-Pro 2, D-Trp7'9) Substance P having the formula Background In recent years, it has been shown that substances which transmit signals to the nervous system, so-called transmitter substances or transmitters, consist not only of substances related to adrenaline and acetyl choline (adrenergic and cholinergic nerves, respectively) , but also of chemical compounds made up of a series of a ino acids joined by peptide bonds, i.e. polypeptides or oligopeptides. In most cases, peptides alone can serve as such neur©transmitters. A whole series of peptides having this function are already known (see for example the papers published in the New England Journal of Me- dicine, Vol. 304, pp. 876-885 and 944-951). Nowadays a polypeptide called Substance P may be classed among transmitter substances because it has been shown to occur both in nerves transmitting impulses from peripheral parts of the body to the brain (afferents) and nerves extending from the brain (or peripheral gang¬ lia) to different peripheral organs (efferents) . Substance P is deemed to play an important part in the transmission of pain stimuli from the periphery to the brain. The efferent nerves which contain Substance P are apparently capable of stimulating secretion from endocrine glands and causing vasodilation and. contrac¬ tion of smooth muscle. Although Substance P was discovered already in 1931 by von Euler and Gaddu , J. Physiol. 7_2, 74 (1931), the structure of Substance P -teg-Pro-ys-Prcr^ln * ^-Uι-Phe-Phe^ly-Leu-Met-NH was not discovered until 1971 by Chang et al, Nature New Biol. 232, 86 (1971). It has long been known that stimulating effects produced by neurotransmitters can be reduced or suspend¬ ed. Such blocking of the nervous impulse or its effect can be achieved by substances which are in close che- mical relation to the transmitter itself and which there¬ fore react with the sensors (receptors) via which the transmitter substances transmit impulses in the nerve synapses or act upon their targets. A great number of substances are known which have such a blocking (anta— gonistic) effect on neurotransmitters, although most of them refer to the neurotransmitters in the adrenergic or cholinergic nerves. Prior Art It is only in the last few years that one has tried to find antagonists against Substance P. Recently publish¬ ed results of examinations of some antagonists against Substance P have shown that these antagonists have an inhibiting effect on Substance P-induced salivation and on smooth muscle stimulated by Substance P. (See K Fol- kers et al, Acta Physiol, Scand 1981, 111, 505-506). It has been suggested that a compound having the 2 7 9 structure (D-Pro , D-Trp ' •7 ) Substance P as referred to in the present application, is an antagonist against Substance P. The compound in question was shown speci- . fically to block in vivo the Substance P-induced excita¬ tion of locus coerulens neurons and was therefore con- sidered to be a CNS antagonist against Substance P. The works which have so far been published on an¬ tagonists against Substance P have solely aimed at find¬ ing antagonists, thereby to be able to establish which physiological functions in the body are controlled or affected by Substance P, but any effective drugs have not been developed. The Invention It has now been found, very surprisingly, that the substance (D-Pro 2-D-Trp7'9) Substance P as synthetized by us has an inhibiting effect on inflammatory condi¬ tions in the body, especially the skin, the upper air- passages, the intestine and the eye. The present invention therefore relates to the Sub- stance P antagonist (D-Pro 2, D-Trp7'9) Substance P for use in drugs for the prophylactic or therapeutic treat- ment " of diseases released by substance P. In addition, the invention concerns a drug for the prophylactic or therapeutic treatment of inflammations, in particular inflammations in the eye. Furthermore, the invention relates to a method of prophylatically or therapeutical¬ ly treating diseases released by Substance P, in par¬ ticular such diseases as inflammations in the skin, the upper air-passages, the intestine and/or the eye. A suit¬ able form for administration of the drug according to this invention is by topical application. Preparation of the Substance P antagonist according to the invention The following abbreviations are used: Met Methionine Leu Leucine Trp Tryptophan Phe Phenylalanine Gin Glutamine Pro Proline Lys Lysine Arg Arginine DCC Dicyclohexyl carbodiimide AC_0 Acetic anhydride Py Pyridine HONp p-nitrophenol Np Nitrophenyl Boc t-butyloxycarbonyl TFA Trifluoroacetic acid DMF Dimethylformamide BH Benzhydrylamine 2 7 9 (D-Pro , D-Trp ' ) Substance P having the formula I ^g-l Pro-I Lys-L-Pro-L- * -^^ is prepared in a manner that is conventional in this particular field, viz. by the solid phase method describ¬ ed by R.B. Merrifield (J. Am. Chem. Soc. , _85, (1963), 2149-2154) . The solid phase employed is the benzhydryl¬ amine resin described by Monahan et al. (Biochem. Bio- phys. Res. Com. 8, 1100-1105, (1972)). The starting materials employed in the preparation were Boc-Arg-Tos, Boc-Gln-ONp and Boc-Leu from Ferring AB, Malmδ, Sweden? D-Pro, Pro, D-Trp and Phe from Merck Darm¬ stadt, Federal Republic of Germany; and the benzhydryl- amine resin from Beckman Inc. The t-butyloxycarbonyl protective group (Boc) was coupled to D-Pro, Pro, Phe and D-Trp by means of 2-(t- butyloxycarbonyl oxyimino)-2-ρhenylacetonitrile (Boc-ON) . (M. Itoh, D. Hagiwara, T. Kamiya, Tetrahedron Letters 4393 (1975)). The synthesis was conducted by stages, starting from 5 g BHA resin, 0.51 eq. NH_/g, and the a ino acids in the compound according to the invention were coupled according to the following schedule 1 Boc-Het-NH-BHA 2 Boc-Leo-Het-NH-BHA 3 Boc-D-Trp-leu-Het-NH-BHA 4 Boc-Phe-D-Trp-Leu-Het-NH-BHA 5 Boc-O-Trp-Phe-D-Trp-Leu-Het-NH-BHA 6 Bf3C-Gln-D-Trp-Phβ-D-Trp-Leu-Het-NH-BHA 7 Boc-Gln-Gln-D-Trp-Phe-D-Trp-leu-Het-NH-BHA 8 Boc-Pro-Gln-Gln-O-Trp-Phe-D-Trp-Leu-Het-NH-BHA 9 Boc-Lys(Z}-Pro-Gln-Gln-0-Trp ' -Phe-D-Trp-Leu-Het-NH-BHA 10 Boc-0-Pro-Lys(Z)-Pro-Gln-Gln-0-Trp-Phe-D-Trp-Leu-Het-NH-BHA H Boc-Arg (To S >D-Pro-Lys{Z)-Pro-Gln-Gln-0-Trp-Phe-D-Trp-Leu-Met-NH-BHA After the coupling stages, the peptide was split off ' from the resin, and after purification of the peptide by gel filtration and column chromatography as well as lyophilization, the required product was obtained which was then analyzed. HPLC Column: μ-Bondapak C 18, (Waters), 2.4x300 mm Mobile phase: 32% CH.CN, 68% K-phosphate buffer 0.1 M, ph 3.0 Flow rate: , 1.5 ml/min Detection: .210 nm In this system, the substance had a retention time of 8.14 min. It gave a single symmetrical shoulderless peak, with an integral of 98.1 area percent. Thin-layer chromatography Thin-layer chromatography was run on Merck HPTLC plates (Silica gel 60) . Distance run: 15 cm. The sub¬ stance was uniform in the following solvent system: OMPI -v CHCl 3 -conc. H 3 -CH 3 OH = 60/ 20/45 V- 0..4 EtOAc-Py-AcOH-H 2 0 = 5/ 5/ 1/3 R f : . 0. .78 n-BuOH-EtOAc-AcOH-H O = 2/2/1/1 R f : 0. , 02 n-BuOH-Py-AcOH-H 2 0 = 30/3/6/24 R f : 0. .59 2-PrOH-lN AcOH = 2/1 R f : 0. , 03 Amino acid analysis For the analysis , the substance (1 mg) was hydro- lized in 1 ml 4 M methane sulphonic acid containing 0.2% tryptamme for 24 h in a sealed tube at 120°C. The amino acid analysis was carried out on a Biotronik-LC-2000 amino acid analyser. For the individual amino acids, the following results were obtained: Glu: 2.08; Pro: 2.00; Met: 1.05; Leu: 0.99; Phe: 1.01; Arg: 1.06; Trp: 1.9. The peptide content of the material was 86.7%, based on the triacetate,- Optical rotation Measuring was effected with a Perkin-Elmer polari- eter. For the measuring, 10 mg of the substance were dissolved in 1 ml methanol, and measuring was carried out at a layer thickness of 10 cm. mation The Substance P antagonist used for the present invention was shown to inhibit or cure inflammation by the following experiment. Injection of Substance P into the corpus vitrium of a rabbit's eye evokes inflammatory reaction. The in¬ flammatory effects were recorded on the basis of the ensuing miosis and the increase in the amount of pro¬ tein within the chamber fluid. The change in the pupil¬ lary diameter was measured with a ruler, and the amount of protein in the chamber fluid was estimated by measur- ** ing the so-called "light path" which is determined by admitting a luminous ray into the eye and recording the Tyndall phenomenon in the eye chamber which is a con¬ sequence of the light-reflecting ability of the protein in the chamber fluid. This reflection phenomenon may be quantized and related to a standard according to a method previously described by Anjou and Krakau (Acta Ophthalmol. 33, 1, 1961) . A similar inflammatory reaction can be evoked by infrared radiation of a restricted area on the iris. Three rabbits were injected with 30 nmol Substance P antagonist according to the invention in the corpus vitrium of the left eye, and with 0.9% saline in the corpus vitrium of the right eye. After three hours, 3 nmol Substance P were injected in the same localities. One hour later the differences between the pupillary dia¬ meters of both eyes were measured, and it was found that the pupillary diameter of the left eye had been reduced by about 0.5 mm, while the pupillary diameter of the right eye had been reduced by about 2.7 mm, and the a- mount of protein in the chamber fluid in the right eye had increased twice as much as in the left eye. By these experiments, it could be established that the Substance P antagonist according to this invention in itself had but an insignificant effect on the eye. 90 nmol of the Substance P antagonist according to this invention were injected into the corpus vitrium of the left eye (3 rabbits) . The right eye was used for control purposes and was given 0.9% saline. After three hours, the irises of both eyes were exposed to infrared radiation. One hour after radiation, the amount of pro¬ tein in the chamber fluid was measured, and it was found that the so-called light path in the left, treated eye was substantially unchanged, whereas it had been trebled in the right control eye. Analogous experiments were carried out by administer¬ ing the Substance P antagonist and the saline in eye drops, and it was found that the so-called light path was more than twice as large in the control eye than in the treated eye. The experiments carried out to induce inflammation by infrared radiation also comprised experiments which showed that the minimum amount of recordable effects was 0.9 nmol of the Substance P antagonist in saline, while the minimum dose for maximum effect was 90 nmol in saline. The effect of the antagonist was found to be dose-dependent and rather linear. To sum up, it can be established that inflammation of the eye, evoked by injection of Substance P into the corpus vitrium or by infrared radiation of the iris, was inhibited or cured by the Substance P antagonist according to this invention which was injected into the corpus vitrium or administered in the form of eye drops. Preparation of a solution for topical application •* > 7 9 The purified substance (D-Pro , D-Trp ' ) Substance P which had been kept in lyophilized form, was dissolved in saline to suitable concentration. The solution was filtered under sterile conditions and filled into ste¬ rile bottles, whereupon it was used for the experiments described above. In the above experiments, the Substance P antago- nist according to the invention was used dissolved in saline for injection and eye drops, but other forms of administration for topical application by spraying, inha¬ lation, instillation, insufflation and injection are also possible. Furthermore, salves, creams, supposito— ries, tablets, " capsules and granulates can be prepared in which the active constituent consists of the Substance P antagonist according to this invention and the remain¬ ing ingredients are conventional inert carriers, diluents, excipients etc.

Claims: CLAIMS 1. A Substance P antagonist for use in drugs for the prophylactic or therapeutic treatment of diseases released by Substance P, c h a r a c t e r i s e d in that it consists of (D-Pro 2 , D-Trp ,9 ) Substance P hav- ing the formula I ^g-D-PrO-L-Lys-L-Prc--] G:in^ 2. A drug for the prophylactic or therapeutic treat¬ ment of inflammations, c h a r a c t e r i s e d in 2 that it comprises, as the active substance, (D-Pro , D-Trp 7'9) Substance P together with an inert carrier or excipient. 3. A drug for the prophylactic or therapeutic treat¬ ment of inflammations in the eye, c h a r a c t e r i s ¬ e d in that it comprises, as the active substance, 2 7 9 (D-Pro , D-Trp ' ) Substance P together with an inert carrier or excipient. 4. A drug as claimed in claim 2 or 3, c h a r a c ¬ t e r i s e d in that it is available in a form suit¬ able for topical application. 5. A method of prophylactically or therapeutically treating a disease released by Substance P, c h a r a c ¬ t e r i s e d by administering a prophylactically or therapeutically active amount of (D-Pro 2 , D-Trp 7 ' 9 ) Sub¬ stance P. 6. A method as claimed in claim 5, c h a r a c ¬ t e r i s e d by administering the prophylactically or therapeutically active amount of (D-Pro 2, D-Trp7'9) Substance P by topical application. 7. A method of prophylactically or therapeutically treating inflammations, c h a r a c e r i s e d by ad¬ ministering a prophylactically or therapeutically active 2 7 y~ amount of (D-Pro , D-Trp ,:7 ) Substance P. .8. A method as claimed in claim 7, c h a r a c ¬ t e r i s e d by administering the prophylactically 7 7 9 or therapeutically active amount of (D-Pro , D-Trp ' ) Substance P by topical application. 9. A method of prophylactically or therapeutically treating inflammations in the eye, c h a r a c t e r i s ¬ e d by administering a prophylactically or therapeu- 2 7 9 ttiiically active amount of (D-Pro , D-Trp ' ) Substance P. 10. A method as' claimed in claim 9, c h a r a c ¬ t e r i s e d by administering the prophylactically 2 7 9 or therapeutically active amount of (D-Pro , D-Trp ' ) Substance P by topical application. OMPI

Inventors: HAOKANSON ROLF, HOERIG JOACHIM, HAOKANSON, ROLF, HOERIG, JOACHIM
Applicants: FERRING AB
Application year: 1981
Main classification: C07C103
IPC codes: C07K7