This study was aimed at the development of novel CB1 cannabinoid receptor antago­nists that may have clinical applications for the treatment of cannabinoid and psychostimulant addiction. The rationale for the design for our target was to incorporate a bioisosteric 1,2,3-triazole ring into the vicinal diaryl group revealed in the prototypical antagonist/inverse agonist SR141716 (Rimonabant) that was pre­sumed to interact with a unique region in the CB1 receptors. Based on our prelimi­nary results we identified a novel series of 1,2,3-triazole ester and keto deriva­tives as lead compounds for biological evaluation. Here in the design rationale, syn­thesis and CB1 receptor affinity for a series of 4,5-diaryl-1-substituted-1,2,3-triazoles of ester and ketones is described. These derivatives were synthesized via a one-pot regiospecific click/acylation reaction sequence from 1-azido-2,4-dichlorobenzene and commercially available arylacetylenes. From the structure-activity studies the 5-(4-chlorophenyl) congeners exhibited the most potent CB1 receptor affinities relative to other 5-(substituted-phenyl) moieties. The 1-(2,4-dichlorophenyl)-5-(4-chlorophenyl)-4-propylcarbonyl-1,2,3-triazole (­31a) was found to be the most potent (Ki = 4.6 nM) CB1 receptor ligand of the series and exhibited high CB1 selectivity (CB2/CB1 = 417). The triazole ester 31a was further characterized as a cannabinoid antagonist in locomotor-activity studies by blocking the locomotor-reducing effects of cannabinoid agonist WIN55,212-2. In addition, unlike the prototypical cannabinoid antagonist SR141716A (Rimonabant), the triazole ester 31a did not exhibit increased activity in locomotor activ­ity studies, thus indicating the potential for a neutral antagonist profile.

Im Rahmen der vorliegenden Arbeit wurden neuartige siliciumhaltige Muscarinrezeptor-Antagonisten, Dopaminrezeptor-Antagonisten, Ca2+-Kanal-Blocker sowie alpha1-Rezeptor-Antagonisten synthetisiert, welche Sila-Analoga (C/Si-Austausch) bekannter organischer Pharmaka darstellen. Die C/Si-Analoga wurden pharmakologisch charakterisiert und damit Beiträge zur Thematik der C/Si-Bioisosterie geleistet. / In this work novel silicon-containing muscarinic antagonists, dopamine receptor antagonists, Ca2+ channel blockers, and alpha1-adrenoceptor antagonists – representing sila-analogues (C/Si replacement) of known organic drugs – were synthesized and pharmacologically characterized (studies on C/Si bioisosterism).

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in the branch of Psychiatry Melbourne, 2005 / Sexual dysfunction is a common side effect of treatment with antidepressants, particularly those with a serotonergic action. The problem has significant implications for a patient’s quality of life and their compliance with medication. Given the often longterm nature of depressive disorders and their treatment this side effect poses a potential management challenge and may have serious prognostic implications. There are currently few evidence-based treatment strategies for the management of antidepressant induced sexual dysfunction. This study was conducted to evaluate the usefulness of granisetron, a serotonin type-3 receptor antagonist, in the treatment of women experiencing sexual dysfunction due to serotonergic antidepressants. Twelve women with antidepressant induced sexual dysfunction were assigned to receive either granisetron (N=5) or placebo (N=7) in a 14-day randomised, double blind, placebo controlled drug trial. Two subjects in the granisetron group did not complete the study. Each subject’s sexual functioning was assessed at baseline, day 7 and day 14 using both the Arizona Sexual Experience Scale and the Feiger Sexual Function and Satisfaction Questionnaire. No statistical differences were measured either at baseline or at endpoint between the granisetron and placebo groups. The study did not produce evidence supporting the usefulness of granisetron as an adjunctive medication in women with antidepressant induced sexual dysfunction. Furthermore, this finding does not suggest a primary role for the serotonin type-3 receptor in the pathogenesis of this side effect.

Les intégrines, protéines transmembranaires hétérodimériques de type αβ, sont impliquées dans un grand nombre de phénomènes physiologiques et pathologiques. L’intégrine α5β1 est considérée à l’heure actuelle comme une cible thérapeutique pertinente en oncologie, en particulier pour le traitement des glioblastomes. Ces tumeurs cérébrales très agressives résistent aux traitements actuels, en partie par leur capacité à envahir le tissu cérébral sain. Nos résultats mettent en évidence, in vitro, le rôle de l’intégrine α5β1 dans la migration de cellules de glioblastome. Ils ont permis également de caractériser les effets inhibiteurs de la migration d’antagonistes sélectifs de l’intégrine α5β1 non reproduits par des antagonistes de l’intégrine αvβ3. Pour caractériser des antagonistes originaux de l’intégrine α5β1, nous avons combiné des techniques in silico et un test fonctionnel de migration in vitro. Cette démarche a permis la sélection de 3 molécules intéressantes, antagonistes allostériques de l’intégrine α5β1, se démarquant des antagonistes de référence par leur capacité à inhiber la migration cellulaire sans affecter la liaison du ligand endogène de l’intégrine, la fibronectine. / Integrins are αβ heterodimeric transmembrane proteins implicated in various physiological and pathological processes. Currently, α5β1 integrin is considered as a relevant therapeutic target in oncology, particularly for the treatment of glioblastomas. These highly aggressive brain tumours are resistant to current therapies, notably by their ability to invade healthy brain tissues. Our results highlight the role of the α5β1 integrin in the in vitro migration of glioblastoma cells. We characterized the inhibitory effects of selective α5β1 integrin antagonists in cell migration, which are not reproduced by αVβ3 integrin antagonists. To identify original and selective α5β1 integrin antagonists, we combined in silico screening and in vitro functional cell migration assays. This allowed the selection of 3 interesting molecules, behaving as allosteric α5β1 integrin antagonists. Contrarily to known α5β1 antagonists, our three hits inhibit cell migration without interfering with the binding of fibronectin, the endogenous ligand of this integrin.

La voie de signalisation Sonic Hedgehog (Shh) joue un rôle fondamental au cours de l’embryogenèse pour la mise en place de nombreux tissus. Elle persiste à l’âge adulte et régulerait notamment le contrôle de fonctions cérébrales. Son activation requiert la liaison d’un peptide Shh sur le récepteur Patched (Ptc) qui réprime l’activité constitutive de Smoothened (Smo), un récepteur apparenté à la famille des récepteurs couplés aux protéines G (RCPG). Récemment, des essais cliniques pour le traitement de médulloblastomes et de diverses tumeurs solides chez l’Homme ont été menés avec des antagonistes de Smo. Cependant, ces molécules ont révélé des limitations à leur utilisation puisque des résistances au traitement sont apparues. Le travail de cette thèse a conduit au développement d’un modèle pharmacophorique des antagonistes de Smo qui a ensuite permis le criblage virtuel d’une banque de molécules et l’identification de nouvelles familles d’antagonistes de Smo. L’acylthiourée MRT-10 et l’acylurée MRT-14 ont été les deux premiers composés caractérisés. Des études de relations structure-activité ont permis l’identification d’une nouvelle famille d’inhibiteurs du récepteur Smo de haute affinité à laquelle l’acylguanidine MRT-83 appartient. Ce composé s’adapte parfaitement au modèle pharmacophorique des antagonistes de Smo. Les modifications structurales que MRT-83 présentes en comparaison avec les deux têtes de séries précédemment caractérisées sont à l’origine du gain d’activité de MRT-83 sur de nombreux tests cellulaires mettant en jeu l’activation de la voie Shh. Le composé MRT-83 inhibe la liaison de la BODIPY-cyclopamine sur le récepteur Smo humain et bloque la prolifération des précurseurs des cellules granulaires de rat avec une affinité de l’ordre du nanomolaire, comparable à celle des antagonistes de référence de Smo tels que le GDC-0449 et le LDE-225. Malgré l’homologie de séquence entre Smo et la famille des récepteurs Frizzled impliqués dans la signalisation Wnt, le composé MRT-83 ne présente aucun effet sur la voie Wnt. MRT-83 bloque la translocation de Smo dans le cil primaire induite par l’activation de la voie Shh dans les cellules NT2, une lignée issue d’un tératocarcinome humain, contrairement à l’antagoniste de Smo de référence, la cyclopamine qui induit l’adressage du récepteur dans le cil primaire. L’injection stéréotaxique dans le ventricule latéral de cerveau de souris adulte de MRT-83, contrairement à celle d’un composé de structure analogue, dépourvu d’activité sur Smo, inhibe l’expression des transcrits de Ptc induite par l’injection de Shh dans la zone sous-ventriculaire, l’une des deux principales aires de neurogenèse adulte. Ces résultats démontrent que les dérivés MRT bloquent également la signalisation Shh in vivo. Ainsi, les composés MRT-10, MRT-14, MRT-83 et les molécules de structure analogues caractérisées sont de puissants antagonistes de Smo. Ces molécules constituent de nouveaux outils pharmacologiques qui pourraient permettre d’améliorer notre compréhension des mécanismes moléculaires et biochimiques régulant la signalisation Hh et permettre le développement de nouvelles molécules en clinique pour le traitement des tumeurs Hh-dépendantes. / The Sonic Hedgehog (Shh) signaling pathway is implicated in multiple physiological responses including the control of brain functions. In mammals, the Shh pathway is expressed at the primary cilium and its activation requires the binding of a Shh peptide to the Patched (Ptc) receptor which represses the constitutive activity of Smoothened (Smo), a proposed member of the G-protein-coupled receptor (GPCR) family. Recently, clinical trials for treating medulloblastoma and various solid tumors in human have been conducted with Smo antagonists such as GDC-0449 or LDE-225. Such molecules may have some limitations leading to treatment resistance. In the present work, the development of a pharmacophoric model of Smo antagonists allowed a virtual screening strategy to identify novel Smo inhibitors. The acylthiourea MRT-10 and the acylurea MRT-14 were the two first leads identified. Structure-activity relationship experiments led to the discovery of new series of Smo inhibitors with high potency and to which the acylguanidine MRT-83 belongs. This inhibitor perfectly fits with the proposed pharmacophoric model for Smo antagonists. The discrete structural differences between MRT-83 and the original leads may account for the increased potency of MRT-83 observed in various in vitro Shh-based assays. MRT-83 inhibits BODIPY-cyclopamine binding to human Smo and Shh-mediated proliferation of rat granule cell proliferation with nanomolar potency similar to GDC-0449 or LDE-225. Despite significant homology of Smo with the Frizzled family of receptors which are involved in the Wnt signaling pathway, MRT-83 displays no significant effect on this pathway. MRT-83 blocks Smo translocation induced by Shh pathway activation to the primary cilia of NT2 cells that derive from a pluripotent testicular carcinoma whereas cyclopamine, a reference Smo antagonist, induces Smo accumulation of Smo signals at the primary cilium. Therefore, it might be anticipated that MRT-83, like GDC-0449 and LDE-225, interacts with Smo in a manner different from that of cyclopamine, suggesting that while their binding sites are overlapping, they are not identical. Stereotaxic injection of MRT-83 into the lateral ventricle of adult mice but not of a structurally-related compound inactive at Smo, abolished upregulation of Ptc transcription induced by Shh in the neighboring subventricular zone, one of the two main neurogenic areas of the adult brain. These data demonstrate that MRT derivatives efficiently antagonize Shh signaling in vivo. Thus, MRT-10, MRT-14, MRT-83 and structurally-related molecules are potent Smo antagonists. These compounds should be useful for clarifying the molecular and biochemical mechanisms underlying the resistance of Smo inhibitors in brain cancer cells and may help develop new therapies against Shh pathway-related brain diseases.

by Wing Shun Cheung. / Thesis (Ph.D.)--Chinese University of Hong Kong, 1999. / Includes bibliographical references (p. 159-178). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.

This thesis combines five published research papers investigating methods of improving the safety and control of oral anticoagulation, with the use of computer assisted dosage and the standardisation of the International Normalised Ratio (INR). The INR is a conventional measurement derived from the time it takes blood of a patient to form a clot and is used to monitor the effects of widely used oral anticoagulants such as warfarin for the prevention of stroke and other related disorders. The first paper investigates whether the use of computer-assisted programs was as safe and effective as medical staff manual dosage in the prevention of bleeding or thrombotic complications during oral anticoagulant treatment. This was an international multi-centre randomised study conducted by the European Action on Anticoagulation (EAA) investigating the clinical benefit of two computer programs, PARMA 5 (Italy) and DAWN AC (UK). Composite clinical events were reduced by 7.6% using computer programs, though not achieving statistical significance (p=0.1), showing computer programs to be not dissimilar to medical staff dosage. The second paper recommends guidelines for screening safety and effectiveness of other marketed computer programs based on the results of the EAA study. A process for a candidate computer program to achieve non-inferiority relative to the medical staff dosage arm from the EAA study is explained. The third paper introduces a modified approach to the 'Direct INR' method for the standardisation of INR termed the 'Prothrombin Time/INR Line' (PT/INR). This was directly compared to the local International Sensitivity Index (ISI) calibration procedure originally approved by the World Health Organisation and later by the United States Food and Drug Administration (FDA). Using manually certified lyophilised plasmas tested by specialist centres, the PT/INR Line using a set of 5 calibrant plasmas to establish a fitted line to estimate local INR was shown to be as effective as the FDA procedure. The fourth paper investigates the PT/INR Line further by using simulated sets of calibrant plasmas across the therapeutic range of 2.0-4.5 INR and determining the PT/INR Line. Local INR of five validation plasmas, certified by 3 centres using the manual PT technique, was determined using the estimated PT/INR Lines and compared with local ISI calibration. Using 4 or 5 calibrant plasmas to determine the PT/INR Line was shown to be as accurate as local ISI calibrations for reliable local INR.The fifth and final paper assessed INR variability and control in oral anticoagulant therapy using a method termed the Variance Growth Rate (VGR), and compared its predictive ability of adverse events with the Time in Target INR range (TIR), the conventional method used in evaluating the quality of oral anticoagulant therapy. The VGR method was shown to be a better predictor of adverse bleeding or thrombotic episodes in the short term period prior to an event (3 and 6 months) compared with TIR.

O sistema de expressão baseado nos promotores PL ou PR do fago lambda que usualmente é regulado pelo repressor termo lábil (cIts) é amplamente utilizado para produzir proteínas recombinantes em células procarióticas. No entanto, o aumento da temperatura requerido neste sistema para promover a inativação do repressor apresenta algumas limitações, como o aumento da expressão de proteínas de HSP (Heat Shock Proteins), por exemplo, proteases, que dependendo da natureza da proteína expressa podem ser prejudiciais ou não. Uma outra limitação é a ativação da resposta SOS, resultando na parada da replicação do DNA celular ou dependendo da cepa pode ocorrer lise celular. Nesse trabalho nós descrevemos o uso do promotor λPL para expressão constitutiva, isto é, sem a regulação do repressor. Nós otimizamos diferentes condições de cultura para aumentar a secreção no espaço periplásmico de Escherichia coli de cinco proteínas: o hormônio do crescimento humano (hGH), que tem sido amplamente utilizado no tratamento de crianças com deficiência e/ou resistência ao hGH, síndrome de Turner, entre outras desordens; prolactina humana (hPRL), um hormônio polipeptídico conhecido por estimular a lactação e por exercer ação regulatória no crescimento e na diferenciação da glândula mamária, dois antagonistas de hPRL, estudados como potenciais fármacos para o tratamento de alguns tipos de cânceres e por fim o interferon α2a (IFN-α2a), que é uma citocina produzida pelas células, em resposta a diferentes estímulos, incluindo ácidos nucléicos virais, células estranhas (particularmente as neoplásicas), antígenos de bactérias, protozoários e vírus. No caso do IFN-α2a, essa citocina de alto valor agregado e de importante aplicação terapêutica, foi desenvolvida em nosso laboratório como parte desse trabalho, incluindo o desenvolvimento e a validação da metodologia de análise por HPLC de fase reversa para determinação do IFN presente no fluído periplásmico bacteriano ou na sua forma pura. As principais estratégias utilizadas para melhorar a expressão foram iniciar a indução junto à densidade óptica máxima do crescimento bacteriano e otimizar a temperatura de indução para controlar a expressão da proteína heteróloga. Essa metodologia pode ser utilizada nos casos onde o produto não será tóxico para a célula hospedeira ou quando a instabilidade do plasmídeo não é problema. A possibilidade de cultivo em temperaturas mais baixas, já que o repressor termo-sensível não se encontra presente, colaborou para o aumento significativo da expressão, mesmo para proteínas menos sensíveis à temperatura de cultivo, como o hGH. / The expression system based on the PL or PR promoters of the lambda phage that is usually regulated by the term labile repressor (clts) is widely used to produce recombinant proteins in prokaryotic cells. However, the temperature increase required in this system to promote the repressor inactivation shows some limitations, like the increase of the HSP (Heat Shock Proteins) proteins expression, proteases e.g., that depending on the nature of the expressed protein can be harmful or not. Another limitation is the activation of SOS response, resulting on the stop of the DNA cell replication or depending on the strain can occur cell lysis. In this paper we describe the use of the λPL promoter for constitutive expression, without the repressor regulation. We optimized different cultivation conditions to increase the secretion in the periplasmic space of Escherichia coli of five proteins: the human growth hormone (hGH), that is being widely used in the treatment of children with disabilities and/or resistance to hGH, Turner syndrome, within another disorders; human prolactin (hPRL), a polypeptide hormone known for stimulating the lactation and for exercising regulatory action on growth and on the differentiation of the mammary gland; two hPRL antagonists, studied as potential medicine to the treatment of some kinds of cancers and finally the interferon α2a (IFN-α2a), that is a cytokine produced by the cells, in response to different actions, including viral nucleic acids, neoplastic cells, antigens of bacteria, protozoa and viruses. In the case of IFN-α2a, this high value added and important therapeutic application, was developed in our laboratory as a part of this paper, including the development and the validation of the analysis methodology by reversed-phase HPLC to determine the IFN present in the bacterial periplasmic fluid or in its pure form. The main strategies used to improve the expression were to start the induction with the maximum optical density of bacterial growth and optimize the induction temperature to control the expression of heterologous protein. This methodology can be used in cases where the product wont be toxic to the host cell or when the instability of the plasmid is not a problem. The possibility of cultivation in lower temperatures, since the heat-sensitive repressor is not present, contributed to the significant increase of the expression, even to proteins that are less sensitive to the cultivation temperature, like the hGH.

O sistema de expressão baseado nos promotores PL ou PR do fago lambda que usualmente é regulado pelo repressor termo lábil (cIts) é amplamente utilizado para produzir proteínas recombinantes em células procarióticas. No entanto, o aumento da temperatura requerido neste sistema para promover a inativação do repressor apresenta algumas limitações, como o aumento da expressão de proteínas de HSP (Heat Shock Proteins), por exemplo, proteases, que dependendo da natureza da proteína expressa podem ser prejudiciais ou não. Uma outra limitação é a ativação da resposta SOS, resultando na parada da replicação do DNA celular ou dependendo da cepa pode ocorrer lise celular. Nesse trabalho nós descrevemos o uso do promotor λPL para expressão constitutiva, isto é, sem a regulação do repressor. Nós otimizamos diferentes condições de cultura para aumentar a secreção no espaço periplásmico de Escherichia coli de cinco proteínas: o hormônio do crescimento humano (hGH), que tem sido amplamente utilizado no tratamento de crianças com deficiência e/ou resistência ao hGH, síndrome de Turner, entre outras desordens; prolactina humana (hPRL), um hormônio polipeptídico conhecido por estimular a lactação e por exercer ação regulatória no crescimento e na diferenciação da glândula mamária, dois antagonistas de hPRL, estudados como potenciais fármacos para o tratamento de alguns tipos de cânceres e por fim o interferon α2a (IFN-α2a), que é uma citocina produzida pelas células, em resposta a diferentes estímulos, incluindo ácidos nucléicos virais, células estranhas (particularmente as neoplásicas), antígenos de bactérias, protozoários e vírus. No caso do IFN-α2a, essa citocina de alto valor agregado e de importante aplicação terapêutica, foi desenvolvida em nosso laboratório como parte desse trabalho, incluindo o desenvolvimento e a validação da metodologia de análise por HPLC de fase reversa para determinação do IFN presente no fluído periplásmico bacteriano ou na sua forma pura. As principais estratégias utilizadas para melhorar a expressão foram iniciar a indução junto à densidade óptica máxima do crescimento bacteriano e otimizar a temperatura de indução para controlar a expressão da proteína heteróloga. Essa metodologia pode ser utilizada nos casos onde o produto não será tóxico para a célula hospedeira ou quando a instabilidade do plasmídeo não é problema. A possibilidade de cultivo em temperaturas mais baixas, já que o repressor termo-sensível não se encontra presente, colaborou para o aumento significativo da expressão, mesmo para proteínas menos sensíveis à temperatura de cultivo, como o hGH. / The expression system based on the PL or PR promoters of the lambda phage that is usually regulated by the term labile repressor (clts) is widely used to produce recombinant proteins in prokaryotic cells. However, the temperature increase required in this system to promote the repressor inactivation shows some limitations, like the increase of the HSP (Heat Shock Proteins) proteins expression, proteases e.g., that depending on the nature of the expressed protein can be harmful or not. Another limitation is the activation of SOS response, resulting on the stop of the DNA cell replication or depending on the strain can occur cell lysis. In this paper we describe the use of the λPL promoter for constitutive expression, without the repressor regulation. We optimized different cultivation conditions to increase the secretion in the periplasmic space of Escherichia coli of five proteins: the human growth hormone (hGH), that is being widely used in the treatment of children with disabilities and/or resistance to hGH, Turner syndrome, within another disorders; human prolactin (hPRL), a polypeptide hormone known for stimulating the lactation and for exercising regulatory action on growth and on the differentiation of the mammary gland; two hPRL antagonists, studied as potential medicine to the treatment of some kinds of cancers and finally the interferon α2a (IFN-α2a), that is a cytokine produced by the cells, in response to different actions, including viral nucleic acids, neoplastic cells, antigens of bacteria, protozoa and viruses. In the case of IFN-α2a, this high value added and important therapeutic application, was developed in our laboratory as a part of this paper, including the development and the validation of the analysis methodology by reversed-phase HPLC to determine the IFN present in the bacterial periplasmic fluid or in its pure form. The main strategies used to improve the expression were to start the induction with the maximum optical density of bacterial growth and optimize the induction temperature to control the expression of heterologous protein. This methodology can be used in cases where the product wont be toxic to the host cell or when the instability of the plasmid is not a problem. The possibility of cultivation in lower temperatures, since the heat-sensitive repressor is not present, contributed to the significant increase of the expression, even to proteins that are less sensitive to the cultivation temperature, like the hGH.

Immunological stressors, in the form of clinical and sub-clinical disease are currently controlled using both prophylactic antibiotics in-feed, and therapeutic antibiotic treatment. Respiratory disease, primarily Actinobacillus pleuropneumoniae (App) infection, is recognised as a major factor causing reduced productivity in pigs. This thesis reports investigations into the use of novel immunomodulators in particular Interleukin 4 (IL-4) and Interleukin 1 receptor antagonist (IL-1ra) as alternatives to antibiotics to treat App infection. Immunological and molecular biological assays were used to investigate and accumulate data. An in vitro study undertaken to find potential anti-inflammatory substances, revealed that Interleukin 8 (IL-8) mRNA production stimulated by PMA or LPS in whole pigs' blood was suppressed by IL-4. IL-1ra also suppressed stimulated IL-8 mRNA production by heat killed App bacteria (KB) in vitro. An acute LPS challenge in pigs in vivo however, showed no variation in illness or weight loss between pigs treated prophylactically with anti-inflammatory substance (IL-4 and IL-1ra) and saline treated pigs. The use of plasmids as a delivery system for anti-inflammatory substance did not show promise since it did not enhance growth or prolong the expression of the substances in the pigs. However, in the chronic App challenge model IL-4 and IL-1ra administered prophylactically in vivo showed an ability to improve growth. The therapeutic administration of IL-4 and IL-1ra to App challenged pigs showed no difference in pigs' growth, regardless of the treatment or control administered. To conclude, IL-4 and IL-1ra showed promise when administered prophylactically and improved growth and abrogated disease under conditions of App challenge. However when IL-4 and IL-1ra where administered therapeutically they did not perform as well. Moreover these compounds have potential as a commercial application to reduce the growth reduction caused by disease such as App.