Title:
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Synthesis of analogues of the anti-megakaryocytic agent anagrelide
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The pharmaceutical agent anagrelide 1 is used to reduce the levels of circulating
blood platelets in the treatment of myeloproliferative disorders by inhibiting the growth
of megakaryocytes (the precursors of platelets). It is metabolised extensively in vivo into
two major metabolites: 3-hydroxyanagrelide (or BCH24426 2) and RL603 3 (Figure i).
BCH24426 2 is also active against megakaryocyte growth, whereas RL603 3 is an
inactive metabolite. Both anagrelide 1 and BCH24426 2 are known to inhibit the enzyme
phosphodiesterase (PDE) III, which causes positive inotropic effects. This can manifest
itself as undesirable side effects, such as heart palpitations and, in severe cases, heart
attacks. In addition to this unwanted PDE III inhibition, anagrelide also has a poor
pharmacokinetic profile. It undergoes rapid metabolism, and as such has to be
administered up to four times per day. Analogues of anagrelide that prevent or reduce
metabolism to a 3-hydroxylated metabolite would likely decrease the side effects and
may improve the pharmacokinetic profile of the drug by increasing the half life of the
parent compound.
A series of 3-mono-substitued and 3,3-di-substituted anagrelide analogues were
prepared as hydrobromide salts using a well established synthetic route, starting from an
amino acid ester and 2,3-dichloro-6-nitrobenzyl bromide. Substitution varied from simple
alkyl chains to those containing heteroatoms such as halogens, oxygen and sulfur. A total
of 13 analogues were prepared in this manner. The anagrelide analogues were tested
against the two targets of anagrelide (the inhibition of megakaryocyte growth and PDE
III) in order to select target compounds for further development, with a view to
advancing one or more into pre-clinical and clinical testing as a replacement for
anagrelide.
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