Doctor of Philosophy / Department of Chemistry / Duy H. Hua / The objectives of this research project were to (i) synthesize different bicyclic and tricyclic pyrone and pyridinone compounds; (ii) study the mechanism of action of these compounds in solution as anti-Aβ (amyloid β) agents using different biophysical techniques; and (iii) study the biological activity of pyrone compounds for the counteraction of Aβ toxicity using MC65 cells, a human neuroblastoma cell line and 5X- familial Alzheimer’s disease (5X FAD, a transgenic mice with five different mutations) mice. A series of tricyclic pyrone and pyridinone compounds were investigated. The tricyclic pyrones and pyridinones were synthesized utilizing a condensation reaction between cyclohexenecarboxaldehye (25) and 4-hydroxy-6-methyl-2-pyone (24) or 4-hydroxy-6-methyl-2-pyridinone (51), respectively. A tricylic pyrone molecule CP2 (2, code name) was synthesized and has an adenine base unit attached to the pyrone core. For structure activity relationship (SAR) studies, the adenine group of CP2 was replaced with other DNA base units (thymine, cytosine and guanine) and various heterocyclic moieties. Since nitrogen containing compounds often exhibit increased bioactivity and brain-penetrating abilities, oxygen atom (O5’) was displaced with a nitrogen atom in the middle ring of the tricyclic pyrone. A condensation reaction of pyrone 51 and 25 was carried out to give the linear pyranoquinoline (52) and the L-shaped pyranoisoquinoline (53). The neurotoxicity of amyloid-β protein (Aβ) is widely regarded as one of the fundamental causes of neurodegeneration in Alzheimer’s disease (AD). Recent studies suggest that soluble Aβ oligomers rather then protofibrils and fibrils may be the primary toxic species. Different biophysical techniques including atomic force microscopy (AFM), circular dichroism (CD), surface plasmon resonance (SPR) spectroscopy, and protein quantification assays were used to study the mechanism of aggregation of Alzheimer Aβ peptide in solution. In search of potentially bioactive compounds for AD therapies, MC65 cell line was used as a screening model. Different tricyclic pyrone and pyridinone compounds protect MC65 cells from death. We studied the efficacy of CP2 in vivo by treatment of 5X FAD mice, a robust Aβ42-producing animal model of AD, with a 2-week course of CP2, which resulted in 40% and 50% decreases in non-fibrillar and fibrillar Aβ species respectively.

Atualmente, a quantidade de pacientes que são diagnosticados com alguma forma de depressão, entre elas, o transtorno depressivo maior, aumenta consideravelmente, quer seja em razão de diagnósticos mais precisos ou pela própria epidemiologia da doença. Acresça-se o fato de que muitos pacientes, apesar da quantidade de tipos de antidepressivos atualmente disponíveis para a terapêutica, são refratários ao tratamento prescrito, em razão dos efeitos adversos apresentados, ou de seus efeitos tóxicos, ou ainda por simplesmente não se observar melhora com a prescrição seguida. Portanto, novos tratamentos farmacológicos são disponibilizados, e entre eles, a duloxetina, um duplo inibidor de recaptação de serotonina e norepinefrina. Para auxiliar na máxima eficácia em sua utilização, esse trabalho apresenta metodologia em HPLC para determinação simultânea de sete antidepressivos, tricíclicos e não tricíclicos, moclobemida, venlafaxina, citalopram, agomelatina, duloxetina, amitriptilina e sertralina, em plasma humano, para posteriormente ser aplicada na monitorização de pacientes depressivos. O simples e preciso método de preparo da amostra consiste na extração líquido-líquido, com recuperação entre 73% a 86% (exceto para moclobemida, de 55%), e para a duloxetina, de aproximadamente 73%. A separação foi obtida usando uma coluna em fase reversa Lichrospher® 60 RP-select B em LichroCART 250mm x 4mm, 5?m de diâmetro interno, Merck, sob condições isocráticas, com detecção em UV em 230nm, com fase móvel composta por 35% de uma mistura de acetonitrila:metanol 55/5 (v/v) e 65% de tampão acetato 0,25M, pH 4,4. As curvas padrões foram lineares em uma faixa de trabalho de 2,5-1000ng/mL para moclobemida, 5-2000ng/mL para venlafaxina, citalopram, agomelatina, duloxetina e amitriptilina, e 10-2000ng/mL para sertralina. As precisões intra e interensaios foram efetuadas em três concentrações (50, 200 e 500ng/mL). Os coeficientes de variação para a precisão intraensaio foram menores que 8,6% para todos os compostos e os coeficientes de variação para a precisão interensaio foram menores que 8,5%. Os limites de quantificação foram de 2,5ng/mL para a moclobemida, 5ng/mL para venlafaxina, citalopram, duloxetina, agomelatina, amitriptilina e 10ng/mL para sertralina. Não se observou qualquer interferência das drogas normalmente associadas aos antidepressivos. / Currently, the number of patients who are diagnosed with some form of depression, among them, major depressive disorder, increases considerably, either because of more accurate diagnosis or by the epidemiology of the disease. One should add the fact that many patients, despite the amount of types of antidepressants currently available for therapy are refractory to the treatment prescribed, because of the adverse effects appear, or their toxic effects, or by simply not observed improvement then the prescription. Therefore, new pharmacological treatments are available, and among them, duloxetine, a dual reuptake inhibitor of serotonin and norepinephrine. To assist in maximum effectiveness in its use, this paper presents a methodology on HPLC for simultaneous determination of seven antidepressants, tricyclic and non-tricyclic, moclobemide, venlafaxine, citalopram, agomelatine, duloxetine, amitriptyline and sertraline in human plasma, later to be applied in monitoring depressed patients. The simple and accurate method of sample preparation consists of the liquid-liquid extraction with recovery between 73% to 86% (except for moclobemide, 55%), and duloxetine, of approximately 73%. Separation was achieved using a reverse phase column Lichrospher® 60 RP-select B LiChroCART 4mm x 250mm, 5?m internal diameter, Merck, under isocratic conditions, with UV detection at 230nm, with a mobile phase consisting of a mixture of 35% acetonitrile:methanol 55/5 (v/v) and 65% 0.25M acetate buffer, pH 4.4. The standard curves were linear in the working range of 2,5-1000ng/mL for moclobemide, 5-2000ng/mL to venlafaxine, citalopram, agomelatine, duloxetine and amitriptyline and 10-2000ng/mL to sertraline. The intra and interassay precisions were performed at three concentrations (50, 200 and 500ng/mL). The coefficients of variation for intra-assay precision were less than 8.6% for all compounds and the coefficients of variation for interassay precision were lower than 8.5%. The limits of quantification were 2.5ng/mL for moclobemide, 5ng/mL for venlafaxine, citalopram, duloxetine, agomelatine, amitriptyline and 10ng/mL for sertraline. No interference of drugs normally associated with antidepressants was observed.

Atualmente, a quantidade de pacientes que são diagnosticados com alguma forma de depressão, entre elas, o transtorno depressivo maior, aumenta consideravelmente, quer seja em razão de diagnósticos mais precisos ou pela própria epidemiologia da doença. Acresça-se o fato de que muitos pacientes, apesar da quantidade de tipos de antidepressivos atualmente disponíveis para a terapêutica, são refratários ao tratamento prescrito, em razão dos efeitos adversos apresentados, ou de seus efeitos tóxicos, ou ainda por simplesmente não se observar melhora com a prescrição seguida. Portanto, novos tratamentos farmacológicos são disponibilizados, e entre eles, a duloxetina, um duplo inibidor de recaptação de serotonina e norepinefrina. Para auxiliar na máxima eficácia em sua utilização, esse trabalho apresenta metodologia em HPLC para determinação simultânea de sete antidepressivos, tricíclicos e não tricíclicos, moclobemida, venlafaxina, citalopram, agomelatina, duloxetina, amitriptilina e sertralina, em plasma humano, para posteriormente ser aplicada na monitorização de pacientes depressivos. O simples e preciso método de preparo da amostra consiste na extração líquido-líquido, com recuperação entre 73% a 86% (exceto para moclobemida, de 55%), e para a duloxetina, de aproximadamente 73%. A separação foi obtida usando uma coluna em fase reversa Lichrospher® 60 RP-select B em LichroCART 250mm x 4mm, 5?m de diâmetro interno, Merck, sob condições isocráticas, com detecção em UV em 230nm, com fase móvel composta por 35% de uma mistura de acetonitrila:metanol 55/5 (v/v) e 65% de tampão acetato 0,25M, pH 4,4. As curvas padrões foram lineares em uma faixa de trabalho de 2,5-1000ng/mL para moclobemida, 5-2000ng/mL para venlafaxina, citalopram, agomelatina, duloxetina e amitriptilina, e 10-2000ng/mL para sertralina. As precisões intra e interensaios foram efetuadas em três concentrações (50, 200 e 500ng/mL). Os coeficientes de variação para a precisão intraensaio foram menores que 8,6% para todos os compostos e os coeficientes de variação para a precisão interensaio foram menores que 8,5%. Os limites de quantificação foram de 2,5ng/mL para a moclobemida, 5ng/mL para venlafaxina, citalopram, duloxetina, agomelatina, amitriptilina e 10ng/mL para sertralina. Não se observou qualquer interferência das drogas normalmente associadas aos antidepressivos. / Currently, the number of patients who are diagnosed with some form of depression, among them, major depressive disorder, increases considerably, either because of more accurate diagnosis or by the epidemiology of the disease. One should add the fact that many patients, despite the amount of types of antidepressants currently available for therapy are refractory to the treatment prescribed, because of the adverse effects appear, or their toxic effects, or by simply not observed improvement then the prescription. Therefore, new pharmacological treatments are available, and among them, duloxetine, a dual reuptake inhibitor of serotonin and norepinephrine. To assist in maximum effectiveness in its use, this paper presents a methodology on HPLC for simultaneous determination of seven antidepressants, tricyclic and non-tricyclic, moclobemide, venlafaxine, citalopram, agomelatine, duloxetine, amitriptyline and sertraline in human plasma, later to be applied in monitoring depressed patients. The simple and accurate method of sample preparation consists of the liquid-liquid extraction with recovery between 73% to 86% (except for moclobemide, 55%), and duloxetine, of approximately 73%. Separation was achieved using a reverse phase column Lichrospher® 60 RP-select B LiChroCART 4mm x 250mm, 5?m internal diameter, Merck, under isocratic conditions, with UV detection at 230nm, with a mobile phase consisting of a mixture of 35% acetonitrile:methanol 55/5 (v/v) and 65% 0.25M acetate buffer, pH 4.4. The standard curves were linear in the working range of 2,5-1000ng/mL for moclobemide, 5-2000ng/mL to venlafaxine, citalopram, agomelatine, duloxetine and amitriptyline and 10-2000ng/mL to sertraline. The intra and interassay precisions were performed at three concentrations (50, 200 and 500ng/mL). The coefficients of variation for intra-assay precision were less than 8.6% for all compounds and the coefficients of variation for interassay precision were lower than 8.5%. The limits of quantification were 2.5ng/mL for moclobemide, 5ng/mL for venlafaxine, citalopram, duloxetine, agomelatine, amitriptyline and 10ng/mL for sertraline. No interference of drugs normally associated with antidepressants was observed.

Thesis advisor: Marc L. Snapper / Intramolecular cycloadditions of cyclobutadiene provide rapid access to rigid polycyclic systems with high strain energies and unique molecular geometries. Further functionalization of these systems followed by strain-release fragmentation provides great opportunities to construct fused-medium-ring architecture, which are very common in natural products but challenging to achieve efficiently. An intermolecular cyclopropanation/acid-mediated rearrangement strategy has been previously developed to access the 5-7 bicyclic ring systems in a highly stereospecific manner. The application of this strategy is being studied for the synthesis of a biologically interesting guaiane natural product: torilin. In a complementary fashion, an intramolecular cyclopropanation/thermal rearrangement sequence is developed to access two different molecular frameworks of 5-7-5 tricyclic ring systems. A library of functionalized 5-7-5 tricyclic ring systems can be systematically built up from the same starting material for potential future use in high-throughput screening. / Thesis (PhD) — Boston College, 2012. / Submitted to: Boston College. Graduate School of Arts and Sciences. / Discipline: Chemistry.

Thesis (Ph. D.)--University of Washington, 1997. / Vita. Includes bibliographical references (leaves [128]-151).

Doctor of Philosophy / Department of Chemistry / Duy H. Hua / Four research projects were carried out and they are described in this dissertation. Glycogen synthase kinase-3 beta (GSK3β) plays a pivotal and central role in the pathogenesis of Alzheimer's disease (AD) and protein kinase C (PKC) controls the function of other proteins via phosphorylation and involves in tumor promotion. In pursuit of identifying novel GSK3β and/or PKC inhibitors, substituted quinoline molecules were designed and synthesized based on the structure-activity-relationship studies. Synthesized molecules were evaluated for their neural protective activities and selected molecules were further tested for inhibitory activities on GSK3β and PKC enzymes. Among these compounds, compound 2 was found to have better GSK3β enzyme inhibitory and MC65 cell protection activities at low nanomolar concentrations and poor PKC inhibitory activity whereas compound 3 shows better PKC inhibitory activity. This demonstrates the potential for uses of quinoline scaffold in designing novel compounds for AD and cancer. Pharmacokinetics and distribution profiles of two anti-Alzheimer molecules, CP2 and TP70, discovered in our laboratory were assessed using HPLC/MS. Plasma samples of mice and rats fed with TP70 via different routes over various times were analyzed to quantify the amounts of TP70 in plasma of both species. Distribution profiles of TP70 in various tissues of mice were studied and results show that TP70 penetrated the blood brain barrier and accumulated in the brain tissue in significant amounts. Similarly, the amount of CP2 in plasma of mice was analyzed. The HPLC analysis revealed that both compounds have good PK profiles and bioavailability, which would make them suitable candidates for further in vivo efficacy studies. Nanodelivery of specific dsRNA for suppressing the western corn rootworm (WCR, Diabrotica virgifera virgifera) genes was studied using modified chitosan or modified polyvinylpyrrolidinone (PVP) as nanocarriers. Computational simulation studies of dsRNA with these polymers revealed that nanoparticles can be formed between dsRNA and modified chitosan and PVP polymers. Nanocarriers of hydroxylated PVP (HO-PVP) and chitosan conjugated with polyethylene glycol (PEG) were synthesized, and analyzed using IR spectroscopy. Particle sizes and morphology were evaluated using AFM and encapsulation was studied using UV spectroscopy. However, the formation of stable nanoparticles with dsRNA could not be achieved with either of the polymers, and further efforts are ongoing to discover a better nanocarrier for nanodelivery of siRNA by using chitosan-galactose nanocarrier. In our efforts to discover a novel class of tripeptidyl anti-norovirus compounds that can strongly inhibit NV3CLpro, a set of tripeptidyl molecules were synthesized by modifying the P1 - P3 of the substrate peptide including a warhead. It was found that the replacement of P1 glutamine surrogate with triazole functionality does not improve the inhibitory activities of the compounds. In addition, the synthesis of a known dipeptidyl compound (GC376) was carried out for evaluating its efficacy on feline infectious peritonitis (FIP) in cats.

To assess the long-term effects of antidepressant medication on balance, equilibrium, and postural reflexes, we studied 30 patients, ages 20-76 years, who had a diagnosis of depressive disorder (as defined by DSM-III-R criteria) and had been treated with tricyclic antidepressants (TCAs) or selective serotonin reuptake inhibitors (SSRIs) for ≤1 year. They were assessed by a Balance Master System. The assessment included three tasks: static balance, rhythmic weight shift, and limits of stability. When compared with 30 nonhospitalized healthy controls (of comparable age and the same sex), patients who took TCAs showed impaired balance function in all main indices. The results suggest that the impairment of balance function includes motor coordination, fine-motor control, postural reflexes,maintaining equilibrium, and reaction time. No obvious impairment of balance function was observed in patients who took SSRIs.

京都大学 / 新制・論文博士 / 博士(工学) / 乙第13581号 / 論工博第4212号 / 新制||工||1990(附属図書館) / (主査)教授 松原 誠二郎, 教授 中尾 佳亮, 教授 浦山 健治 / 学位規則第4条第2項該当 / Doctor of Philosophy (Engineering) / Kyoto University / DFAM

Among Nature's creation, terpenoids are more versatile and exciting natural products. In a remarkable display of synthetic ingenuity and creativity, nature has endowed terpenes with a bewildering array of carbocyclic frameworks with unusual assemblage of rings and functionalities. This phenomenal structural diversity of terpenes makes them ideal targets for developing and testing new synthetic strategies for efficient articulation of carbocyclic frameworks. The thesis entitled “Enantiospecific approaches to komarovispiranes” describes the utility of the monoterpene α-campholenaldehyde as chiral starting material in the enantiospecific synthesis of a variety of bi- and tricyclic compounds, and enantiospecific first total synthesis of spiro diterpenes komarovispiranes. For convenience the results are described in two different sections, viz., (a) Chiral synthons from α-campholenaldehyde; and (b) Enantiospecific synthesis of a komarovispirane. In the thesis, the compounds are sequentially numbered (bold) and the references are marked sequentially as superscripts and listed in the last section of the thesis. Complete details of the experimental procedures and the spectroscopic data were provided in the experimental section. A brief introduction is provided wherever appropriate to keep the present work in proper perspective. All the spectra included in the thesis were obtained by xeroxing the original NMR spectra. Monoterpenes are widely used as chiral auxiliaries, but their potential as chiral synthons has not been properly exploited. In the present thesis, utility of α-campholenaldehyde, which is readily available from α-pinene in two steps, as chiral synthon has been demonstrated in the enantiospecific synthesis of a few bi- and tricarbocyclic frameworks as well as spiroditerpenes komarovispiranes. To begin with, synthesis of several bi- and tricyclic compounds, namely bicyclo[3.3.0]octan-3-one; bicyclo[3.2.1]octan-2-one; bicyclo[3.2.1]octan-3-one; 3-cyclopentylcyclopentanone; bicyclo[4.3.0]non-3-one; spiro[4.4]non-2-one; tricyclo[6.3.0.02,6]undecan-6-ol; and spiro[4.5]decan-2-one; have been accomplished employing an intramolecular rhodium carbenoid C-H insertion, intramolecular type II carbonyl ene cyclisation, intramolecular acid catalysed diazoketone cyclisation reactions and ring-closing metathesis (RCM) reaction as the key steps. Komarovispirone is a tricyclic spiro diterpene isolated from Dracocephalum komarovi Lipsky, a perennial semishrub available in Uzbekistan and exhibits trypanocidal activity. The novel diterpene containing an unusual carbon framework, cyclohexane spiro fused to bicyclo[4.3.0]nonane, coupled with the potential biological activity have made komarovispirone, and its analogues interesting and challenging synthetic targets. Initially, as a model study, enantiospecific synthesis of a bis-norkomarovispirane was developed employing 7,8,8-trimethylbicyclo[3.3.0]oct-6-en-3-one as the starting material, which was readily available from campholenaldehyde. A Claisen rearrangement and RCM reaction based methodology was developed for the spiroannulation of a cyclohexane ring at the C-3 position of the bicyclo[3.3.0]octan-3-one. For the enantiospecific first total synthesis of komarovispiranes, the AB-trans ring system was generated via ring expansion of 7,8,8-trimethylbicyclo[3.3.0]oct-6-en-3-one employing ozonolytic cleavage followed by an intramolecular aldol condensation reaction of the resultant keto aldehyde. For the generation of the ABC ring system of the komarovispiranes, initially, a Claisen rearrangement and intramolecular type II carbonyl ene reaction based methodology was developed for the spiroannulation of a cyclohexane ring at the C-8 position of the bicyclo[4.3.0]nonan-8-one. Subsequently, an alternate Claisen rearrangement-RCM reaction based methodology was also developed for the spiroannulation, and extended it to the first total synthesis of a komarovispirane.

This thesis aims to review if there is an association between antidepressants and caries in children and adolescents. Previous established evidence exhibits that adults prescribed tricyclic antidepressants have an increased risk of caries. Simultaneously, a global trend of increased prescriptions of antidepressant medications is seen. In Sweden during 2018, 0–17-year old’s on antidepressant medication represented 1,6% percent of the total population. It is of utmost relevance to investigate the association between antidepressants and caries as the increasing population of medicating children may lead to an increased caries prevalence. A systematic literature review was performed in accordance with PRISMAs guidelines. The title-abstract and keywords searches were conducted in the following seven bibliographic databases: PubMed, EMBASE, CINAHL, Scopus, Web of Science, PsycINFO and MedLine. The search consisted of blocks based on “caries”, “children” and “antidepressants”. Unique articles were reviewed from title and abstract. Articles that met the criteria were reviewed in full text. The search generated 1829 unique articles, 1891 were excluded from the predefined criteria. 10 articles were reviewed in full text. None of the articles were eligible within the criteria of inclusion. The conclusion is that further research is needed in this area to assess the possible association between antidepressants and caries in children and adolescents. / Uppsatsen syftar till att sammanställa forskningsläget för sambandet mellan antidepressiv medicinering och karies hos barn och ungdomar. Tidigare evidens visar att vuxna som medicinerar med tricykliska antidepressiva har ökad kariesrisk. Samtidigt kan man globalt se en generell förskrivningsökning av antidepressiva. I Sverige under 2018, utgjorde användarna av antidepressiva i åldersgruppen 0–17 år 1,6% av totalpopulationen. Det är av högsta relevans att undersöka om det finns en potentiell association mellan antidepressiva och karies finns då den ökande populationen av medicinerande barn kan medföra ökad kariesprevalens. En systematisk litteraturöversikt genomfördes enligt PRISMAs riktlinjer. Titel- sammanfattnings och nyckelordssökningen utnyttjade följande sju elektroniska databaser: PubMed, EMBASE, CINAHL, Scopus, Web of Science, PsycINFO och MedLine. Sökningen utfördes i block utifrån “karies”, “barn” och “antidepressiva”. Unika artiklar granskades utifrån titel och abstrakt. Artiklar som uppfyllde förutbestämda kriterier för inklusion granskades i fulltext. Utifrån sökningen påträffades 1829 unika artiklar, varav 1819 exkluderades utifrån från titel och abstrakt. 10 artiklar granskades i fulltext och vi konstaterade att ingen artikel uppfyllde kriterierierna. Slutsatsen för studien är att fler studier och mer forskning behövs inom området. Detta för att kunna svara på om det finns ett samband mellan antidepressiva och karies hos barn.