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Natural heparin pentasaccharide

Natural heparin pentasaccharide is a key structural component of the anticoagulant heparin, a complex polysaccharide found in various animal tissues.
This pentasacchride sequence plays a critical role in heparin's interaction with antithrombin III, a pivotal regulator of blood clotting.
Researchers studying natural heparin pentasacchride aim to better understand its structure, function, and potential therapeutic applications in the management of thrombotic disorders.
This MeSH term provides a concise overview of this important biomolecule and its relevance in the field of hematology and vascular biology.

Most cited protocols related to «Natural heparin pentasaccharide»

The synthetic natural pentasaccharide (fondaparinux) representing the antithrombin binding sequence in heparin and a “super” pentasaccharide containing an additional 3-O-sulfate on the reducing end saccharide (idraparinux) (10 (link),36 (link)) were generously provided by Sanofi-Aventis (Toulouse, France) or purchased from the University of Illinois Hospital pharmacy. Concentrations of pentasaccharides were determined by stoichiometric binding titrations of plasma antithrombin with the saccharides monitored from the tryptophan fluorescence enhancement that accompanies binding as described (37 (link)).
Publication 2018
Antithrombin III Carbohydrates Fluorescence Fondaparinux Heparin idraparinux Plasma Sulfates, Inorganic Titrimetry Tryptophan

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Publication 2009
Acceleration Chromogenic Substrates Disulfides Endopeptidases Heparin poly(tetramethylene succinate-co-tetramethylene adipate) Psychological Inhibition Thrombin

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Publication 2009
Crystallography Fondaparinux Glycerin idraparinux Molar Plasma polyethylene glycol 3350 Proteins Radiation Tromethamine
Second order association rate constants for antithrombin inhibition of proteases in the absence and presence of saturating pentasaccharide were measured under pseudo-first order conditions as in the kinetic titrations. Reactions of antithrombin with thrombin were done only in the absence of pentasaccharide in 20 mM sodium phosphate, 0.1 mM EDTA, 0.1% PEG 8000, pH 6.0 at 25°C. Reaction mixtures (100 μl) containing fixed concentrations of antithrombin and thrombin were incubated for varying times and then quenched with 900 μl 100 μM S-2238 substrate in 10.15 sodium phosphate buffer, pH 7.4 and residual thrombin activity measured from the initial rate of substrate hydrolysis at 405 nm. Reactions of antithrombin with factor Xa or with factor IXa were conducted in 20 mM MES, 5 mM CaCl2, 0.1% PEG 8000, pH 6.0 at 25°C in the absence and presence of the natural pentasaccharide. For reactions in the absence of pentasaccharide, fixed antithrombin and factor Xa or factor IXa concentrations were incubated for varying times or fixed protease and varying antithrombin concentrations were incubated for a fixed reaction time in 50–100 μl and then quenched with 1 ml chromogenic substrate to measure residual protease activity from the initial rate of substrate hydrolysis at 405 nm. The factor Xa substrate was 100 µM Spectrozyme FXa and the factor IXa substrate was 300 μM Pefachrome FIXa, both in 0.1 M Hepes, 0.1 M NaCl, 0.1 mM EDTA, 0.1% PEG 8000, pH 7.4. Factor IXa substrate solutions were supplemented with 33% ethylene glycol and 10 mM CaCl2 to enhance factor IXa activity (39 (link)). The loss in protease activity as a function of time or as a function of antithrombin concentration was fit by the exponential function:
vobs=voxexp-kHxAToxt
where vobs and vo are the observed velocity of substrate hydrolysis by protease after inhibitor reaction and control velocity without inhibitor, respectively, and k−H is the second order association rate constant for the free antithrombin reaction. Dividing the fitted exponential constant by the antithrombin concentration when time was varied or by the fixed time when the antithrombin concentration was varied then yielded k−H.
For reactions in the presence of pentasaccharide, fixed concentrations of antithrombin, protease and saturating pentasaccharide were reacted for varying times or varying antithrombin concentrations were reacted with fixed concentrations of protease and saturating pentasaccharide for a fixed reaction time in 50–100 μl and then quenched with 1 ml chromogenic substrate to measure residual protease activity at 405 nm. The loss of protease activity as a function of time or as a function of antithrombin concentration was fit by the exponential equation above with k-H replaced by kH, the second order association rate constant for the antithrombin-heparin complex reaction. Dividing the fitted exponential constant by the antithrombin concentration when time was varied or by the fixed time when the antithrombin concentration was varied yielded kH. Alternatively, fixed concentrations of antithrombin and protease were reacted with varying subsaturating pentasaccharide concentrations ([H]o « [AT]o) for a fixed reaction time. Fitting the loss of protease activity as a function of pentasaccharide concentration by an exponential function in this case gives a fitted exponential constant that must be divided by the product of the fixed reaction time and the factor, [AT]o/(KD,obs + [AT]o), to correct for the fraction of antithrombin that is complexed with pentasaccharide so as to obtain kH(19 (link)).
Publication 2018
Antithrombin III Buffers Chromogenic Substrates Edetic Acid Endopeptidases Factor IXa Factor Xa Free Association Glycol, Ethylene Heparin HEPES Hydrolysis Kinetics Peptide Hydrolases polyethylene glycol 8000 Protease Inhibitors Psychological Inhibition Sodium Chloride sodium phosphate Spectrozyme Thrombin Titrimetry

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Publication 2013

Most recents protocols related to «Natural heparin pentasaccharide»

Example 1

Preparation of Compounds A1, A2, A3, A4 and A5:

L-2,4-disulfated fucosyl-(α1→3)-L-4-deoxy-threo-hex-4-enepyranosyluronic acid-(α1→3)-{-D-N-acetyl-2-deoxy-2-amino-4,6-disulfated galactosyl-(β1→4)-[L-2,4-disulfated fucosyl-(α1→3)]-D-glucuronyl-(β1→3)}(n+1)-D-N-acetyl-2-deoxy-2-amino-4,6-disulfated galactitol (n=0, 1, 2, 3 and 4; hexasaccharide, nonasaccharide, dodecasaccharide, pentadecasaccharide and octadecasaccharide)

1.1 Materials

SvFG, Natural FG (sodium salt) from Stichopus variegatus, which was prepared according to the literature method (Zhao L Y et al., PNAS, 2015, 112: 8284-8289), with a purity of 98% (HPGPC, area normalization method) and a weight average molecular weight (Mw) of about 70 kDa.

The reagents used such as benzethonium chloride, benzyl chloride, DMF, sodium hydroxide, sodium chloride, and ethanol were all commercially available analytical reagents. Sephadex G10, medium (50-100 μm), GE Healthcare; Bio-Gel P-6/P-2 gel, fine (45-90 μm), Bio-Rad; Bio-Gel P-10 gel, medium (90-180 μm), Bio-Rad; HPLC Chromatograph, Agilent 1200/1260 Series Chromatograph.

1.2 Methods

(1) Quaternary ammonium salt conversion of SvFG: 2.0 g of SvFG was dissolved in 30 mL of deionized water; and 5.0 g of benzethonium chloride was dissolved in another 80 mL of deionized water. The SvFG solution was titrated with the benzethonium chloride solution with stirring to give a white precipitate. The obtained precipitate was washed three times with 55 mL of deionized water and dried under vacuum to give 5.34 g of SvFG quaternary ammonium salt.

(2) Carboxyl esterification of SvFG: The SvFG quaternary ammonium salt obtained in the step (1) was placed in a round bottom flask, dissolved in 26 mL of DMF, then added with 0.769 mL of benzyl chloride, reacted at 35° C. for 24 h with stirring; and allowed to stand and let the solution cool to room temperature (25° C.). The product sample was taken for 1H NMR detection and the degree of carboxyl esterification of the FG was calculated to be about 41%.

(3) β-elimination depolymerization in the presence of a reducing agent: a freshly prepared 8.9 mL of 0.08 M sodium ethoxide-ethanol solution (containing 0.4 M NaBH4) was added to the reaction solution of the step (2), and stirred for 30 min.

(4) Sodium salt conversion and carboxyl ester hydrolysis of the depolymerized product: 35 mL of a saturated NaCl solution and 284 mL of absolute ethanol were added to the reaction solution of the step (3), centrifuged at 4000 rpm×10 min to obtain a precipitate. The obtained precipitate was dissolved in 90 mL of water, added with 1.5 mL of 6 M NaOH solution, and stirred at room temperature for 30 min, and then dropwise added with 6 M HCl to neutralize the reaction solution (pH˜7.0). The reaction solution was filtered through a 0.45 μm filter, and the obtained filtrate was desalted by a G10 gel column chromatography and lyophilized to obtain a total of 1.059 g of depolymerized product dSvFG (depolymerized SvFG) (yield 53%).

(5) Isolation and purification of Compounds A1˜A5: 1 g of dSvFG was dissolved in 10 mL of 0.2 M NaCl, loaded on a Bio-Gel P-10 gel column (Ø2 cm, l 200 cm), eluted with 0.2 M NaCl solution at a flow rate 10 mL/h, and the eluate fractions of 2.5 mL/tube were collected. The eluate fractions were monitored and the elution profiles were plotted by the cysteine-sulfuric acid method, and the eluate fractions having the same compositions were combined. Purity was determined by HPGPC method (TSK gel G2000SW XL, Ø 7.8 mm×l 300 mm column). Unpurified samples were further purified on a Bio-Gel P-10 gel column. Purified oligosaccharides were desalted on a Sephadex G-10 or Bio-Gel P-2 gel column and then lyophilized.

(6) Spectral analysis: 1H-/13C- and 2D-NMR were detected using Bruker DRX 800 MHz NMR spectrometer with a spectral width of 16025.6 Hz, an acquisition time of 2.0447 s, a pulse width of 9.5 s, a relaxation time of 1 s, and a scan of 32 times. The sample had a concentration of (10-15) g/L, and was repeatedly lyophilized three times with heavy water before the test; ESI-Q-TOF MS was analyzed by micrOTOF-QII ESI-MS (Bruker, Germany) mass spectrometer. The mass spectrometry conditions were: capillary voltage 2500 V, nebulizer voltage 0.6 bar, dry gas flow rate 4.0 L/min, dry gas temperature+180° C., m/z scan range 50˜3000. Data were analyzed using Bruker Compass Data-Analysis 4.0 (Bruker-Daltonics, Germany) software.

1.3 Results

(1) Compound A1 35 mg, A2 45 mg, A3 55 mg, A4 35 mg, and A5 20 mg were obtained by the method described, and the purity was determined to be about 99% by HPGPC method. The HPGPC patterns of oligosaccharide compounds A1˜A5 are shown in FIG. 1.

(2) Structural analysis of Compounds A1˜A5: The 1H NMR spectrum and assignments for oligosaccharide compound A1 are shown in FIG. 2; the 13C NMR spectrum and assignments for Compound A2 are shown in FIG. 3; the 13C-1H HSQC spectrum and assignments for Compound A3 are shown in FIG. 4; the Q-TOF MS spectrum and assignments for Compound A1 are shown in FIG. 5; the 1H/13C NMR signal assignments for Compounds A1˜A2 are shown in Tables 1 and 2, respectively.

According to 1H-/13C-, 2D-NMR and Q-TOF MS analysis, the chemical structure of Compounds A1˜A5 is L-Fuc2S4S-(α1,3)-ΔUA-(α1,3)-{D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-GlcA-(β1,3)}n+1-D-GalNAc4S6S-ol, wherein n=1, 2, 3, 4 and 5, that is, Compounds A1˜A5 are hexasaccharide, nonasaccharide, dodecasaccharide, pentadecasaccharide and octadecasaccharide, respectively, having the chemical structural formula of:

[Figure (not displayed)]

In A1, n=1, in A2, n=2; in A3, n=3; in A4, n=4; in A5, n=5.

TABLE 1
1H/13C NMR signal assignments and coupling constant of Compound A1 (ppm, Hz)
rAUFAdUdF
H-13.6364.5365.6154.5504.8385.432
J1, 2 = 6.72J1, 2 = 8.22J1, 2 = 3.72J1, 2 = 8.28J1, 2 = 7.98J1, 2 = 3.60
H-24.1993.6664.4264.0793.8204.355
J2, 3 = 7.80J2, 3 = 8.61J2, 3 = 9.72J2, 3 = 9.60J2, 3 = 8.34J2, 3 = 10.44
H-34.2203.7214.0954.0884.4384.055
J3, 4 = 8.94J3, 4 = 4.02J3, 4 = 2.46J3, 4 = 2.64
H-44.3283.8794.7954.9125.6884.623
J4, 5 = 9.18/
H-54.3433.7134.8923.9894.282
J5, 6 = 6.36J5, 6,6′ = 7.08, 4.62J5, 6 = 6.78
H-64.0901.3204.245/4.1451.231
J6, 6′ = 11.10
Ac—CH31.9471.985
C-162.64106.0399.70102.73106.3199.19
C-254.5777.2977.9654.3473.2877.90
C-378.0880.3569.4779.1079.3369.37
C-480.8078.3484.0879.22109.3083.63
C-570.4879.2269.2374.80149.9769.25
C-672.63177.6318.7870.42171.8318.59
(Ac) C═O177.19177.97
(Ac) CH325.0225.46
Note:
rA represents D-GalNAc-ol at the reducing terminal; dU and dF represent ΔUA and L-Fuc linked to ΔUA.

TABLE 2
1H/13C NMR signals assignments for Compound A2 (ppm, Hz)
rArUrFAUFdAdUdF
H-13.6264.5205.6154.5124.3955.6284.5304.8325.435
H-24.1893.6614.4124.0103.5794.4124.0473.8304.348
H-34.2113.7374.0933.9563.6884.0934.0734.4464.060
H-44.4033.9584.8034.7113.8804.8034.9085.6864.623
H-54.3273.7064.8633.9193.6004.8633.9714.288
H-64.0791.2994.206/4.1231.3114.230/4.1221.231
Ac—CH31.9471.9801.988
C-162.62105.9299.58102.71106.9299.38102.68106.0299.10
C-254.5377.2377.8954.1976.7677.9054.2073.2277.84
C-378.0680.1569.4178.1479.9369.4178.8879.2369.32
C-480.7678.3383.9679.1878.3383.9679.09109.2683.54
C-570.4379.1069.2474.6979.6969.2074.65149.9569.20
C-672.59177.6218.8670.27177.8818.8670.21171.7818.59
(Ac) C═O177.15177.88177.94
(Ac) CH324.9925.5225.45
Note:
in the table, rA, rU and rF represent GalNAc-ol at the reducing terminal, D-GlcA and L-Fuc glycosyl near the reducing terminal, respectively; dU, dA and dF represent AUA, D-GalNAc linked to AUA, and L-Fuc linked to AUA, respectively.

Example 2

L-3,4-disulfated fucosyl-(α1,3)-L-4-deoxy-threo-hex-4-enepyranuronyl-(α1,3)-{D-N-acetyl-2-deoxy-2-amino-4, 6-disulfated galactosyl-(β1,4)-[L-3, 4-disulfated fucosyl-(α1,3)-]D-glucuronyl-(β1,3)}n-D-N-acetyl-2-deoxy-2-amino-4,6-disulfated galactose-[L-3,4-disulfated fucosyl-(α1,3)-]-L-gulonic acid (n=0, 1, 2, 3 and 4, pentasaccharide, octasaccharide, hendecasaccharide, tetradecasaccharide, and heptadecasaccharide).

2.1 Materials

HsFG Natural FG (sodium salt) from Holothuria fuscopunctata; which was prepared according to the literature method (Zhao L Y et al., PNAS, 2015, 112: 8284-8289), with a purity of 98% (HPGPC method), and a weight average molecular weight (Mw) of about 50 kDa.

The used reagents such as benzethonium chloride, benzyl chloride, DMF, sodium hydroxide, sodium chloride, and ethanol were all commercially available analytical reagents.

Sephadex G10/G25, medium (50-100 μm), GE Healthcare; Bio-Gel P-2 gel, fine (45-90 μm), Bio-Rad; Bio-Gel P-10 gel, medium (90-180 μm), Bio-Rad; 1200/1260 Series HPLC Chromatograph, Agilent.

2.2 Methods

(1) Quaternary ammonium salt conversion of HsFG: 3.5 g of HsFG was treated according to the method described in 1.2 (1) of Example 1, obtaining 10.3 g of HsFG quaternary ammonium salt.

(2) Carboxyl esterification of HsFG:HsFG quaternary ammonium salt was treated according to the method described in 1.2 (2) of Example 1 to obtain HsFG carboxylate, and the sample was taken for 1H NMR detection, and the degree of carboxyl esterification of the obtained product was calculated to be about 44%;

(3) β-elimination depolymerization and terminal peeling reaction of HsFG: To the reaction solution obtained in the step (2), a freshly prepared 16.7 mL of 0.08 M sodium ethoxide-ethanol solution was added, and stirred at room temperature for 30 min, and then 2.5 mL of 2 M NaOH solution was added, and stirred at 60° C. for 30 min.

(4) Sodium salt conversion, carboxylic ester hydrolysis and terminal reduction of depolymerized product: To the reaction solution in the step (3) was added sequentially 67 mL of saturated NaCl solution, 536 mL of absolute ethanol, centrifuged at 4000 rpm for 10 min; the obtained precipitate was dissolved in 120 mL of water, added with 1.0 mL of 6 M NaOH solution, and stirred at room temperature for 30 min; NaBH4 was added to a final concentration of about 0.1 M, and stirred at room temperature for 30 min, then 6 M HCl was added dropwise to neutralize the reaction solution (pH˜7.0). The reaction solution was filtered through a 0.45 μm filter, and the filtrate was ultrafiltered through a 30 kDa ultrafiltration membrane; the ultrafiltrate was concentrated and desalted by G25 gel column chromatography and lyophilized to obtain 1.53 g of depolymerized product dHsFG (yield 43.7%).

(5) Isolation and purification of Compounds B1˜B5: 1 g of dHsFG in the step (4) was dissolved in 10 mL of 0.2 M NaCl, loaded on a Bio-Gel P-10 gel column (Ø2 cm, l 200 cm), eluted with 0.2 M NaCl solution at a flow rate 15 mL/h, and the eluate fractions of 2.5 mL/tube were collected. UV spectrophotometry (λmax 234 nm) was used for monitoring. HPGPC (TSK G2000 SW column) was used to detect the sample purity and composition of the eluate fractions. The unpurified fractions were continued to be purified on a Bio-Gel P-10 gel column until the HPGPC spectrum of the product exhibited a single elution peak. The purified fractions were desalted on a Sephadex G-10 or Bio-Gel P-2 column and then lyophilized.

(6) Spectral analysis: the same as the method described in 1.2 (6) of Example 1, 1H-/13C- and 2D-NMR was detected using Bruker DRX 800 MHz NMR spectrometer, ESI-Q-TOF MS was analyzed using microTOF-QII ESI-MS (Bruker, Germany) mass spectrometer. The detected data were analyzed using Bruker Compass Data-Analysis 4.0 (Bruker-Daltonics, Germany) software.

2.3 Results

(1) Compound B1 54 mg, B2 177 mg, B3 154 mg, B4 86 mg, B5 57 mg were obtained by the method described above, and the purity was determined to be >99% by HPGPC method.

(2) Structure analysis of Compounds B1˜B5: The 1H NMR spectrum of oligosaccharide Compound B1 is shown in FIG. 6; the 13C NMR spectrum and assignments for Compound B2 are shown in FIG. 7; the 13C-1H HSQC spectrum and assignments of Compound B3 are shown in FIG. 8; the Q-TOF MS spectrum and assignments for Compound B2 are shown in FIG. 9; the 1H/13C NMR signal assignments for Compounds B1˜B2 are shown in Tables 3 and 4, respectively.

Combined with 1H-/13C-/2D-NMR and Q-TOF MS analysis, the chemical structure of Compounds B1 B5 is L-Fuc3S4S-(α1,3)-L-ΔUA-(α1,3)-{D-GalNAc4S6S-(β1,4)-[L-Fuc3S4S-(α1,3)]-D-GlcA-(β1,3)}n-D-GalNAc4S6S-(β1,4)-[L-Fuc3S4S-(α1,3)]-D-GlcA-ol (wherein n=0, 1, 2, 3 and 4). That is, Compounds B1˜B5 are pentasaccharide, octasaccharide, hendecasaccharide, tetradecasaccharide, and heptadecasaccharide, respectively, having the chemical structural formula of:

[Figure (not displayed)]

In B1, n=0; in B2, n=1; in B3, n=2; in B4, n=3; in B5, n=4.

TABLE 3
1H/13C NMR signal assignments and coupling constants
for Compound B1 (ppm, Hz)
rUrFrAdUdF
H-13.743/3.7005.0394.6394.8595.201
J1, 1' = 11.82J1, 2 = 3.96J1, 2 = 8.52J1, 2 = 8.64J1, 2 = 3.78
H-24.0603.8864.0433.8223.886
J1/1', 2 = 3.96/6.78J2, 3 = 10.38J2, 3 = 8.70J2, 3 =7.56J2, 3 = 10.38
H-34.0194.5464.1674.4184.529
J3, 4 = 2.76J3, 4 = 2.16J3, 4 = 2.40J3, 4 = 2.82
H-44.0714.8314.9185.6934.831
J4, 5 = 7.44
H-54.2564.3634.0194.273
J5, 6 = 6.84J5, 6/6' = 8.24, 3.52J5, 6 = 6.48
H-61.2404.268/4.1461.231
J6, 6' = 10.68
(Ac)-CH31.986
C-1 65.28104.26104.31105.82101.04/175.8
C-2 72.59 69.39 54.35 72.9069.27
C-3 82.44 77.93 78.56 79.1277.96
C-4 75.17 81.70 78.94109.5281.72
C-5 75.17 69.55 74.64149.5169.02
C-6180.08 18.85 70.64171.6518.56
(Ac)-C = O177.65
(Ac)-CH3 25.19
Note:
in the table, rU and dU represent D-GlcA-ol at the reducing terminal and ΔUA at the non-reducing terminal, respectively; rF and dF represent L-Fuc glycosyl groups linked to the reducing terminal D-GlcA-ol and ΔUA, respectively. A represents D-GalNAc.

TABLE 4
1H-/13C-NMR signal assignments for Compound B2 (ppm, Hz)
rUrFrAUFAdUdF
H-13.733/3.6915.0334.6224.4265.2864.5304.8465.204
H-24.0663.8863.9763.5463.8714.0903.8303.886
H-34.0124.5453.9813.6324.4584.0874.4264.530
H-44.0124.8374.7553.9544.9734.9125.6864.831
H-54.2484.3704.0223.6414.7994.0194.275
H-61.2414.211/4.1291.3434.321/4.2221.231
Ac—CH31.9921.997
C-165.21104.17104.17106.4101.97102.39105.8100.9
C-272.5969.2454.2676.2469.1654.2672.9669.10
C-382.3377.9178.0781.8878.0778.5579.1077.96
C-475.0381.6878.8777.9182.0978.98109.481.69
C-574.6269.5275.0379.8669.0074.62149.669.36
C-6180.0818.8470.52177.8818.7869.99171.618.56
(Ac) —C═O177.74177.74
(Ac) —CH325.2825.26
Note:
in the table, rA represent GalNAc near the reducing terminal, and rU and dU represent D-GlcA-ol at the reducing terminal and AUA at the non-reducing terminal, respectively; rF and dF represent L-Fuc glycosyl linked to D-GlcA-ol at the reducing terminal and AUA, respectively.

Example 3

L-3,4-disulfated fucosyl-(α1,3)-L-4-deoxy-threo-hex-4-enopyanosyluronyl-(α1,3)-{D-N-acetyl-2-deoxy-2-amino-4,6-disulfated galactosyl-(β1,4)-[L-3,4-disulfated fucosyl-(α1,3)-]D-glucuronyl-(β1,3)}n-D-N-acetyl-2-deoxy-2-amino-4,6-disulfated galactosyl-(β1,4)-[L-3,4-disulfated fucosyl-(α1,3)-]-D-glucuronic acid (n=0, 1 and 2)

3.1 Materials:

HsFG, FG sodium salt derived from Holothuria fuscopunctata, derived from the same as described in 2.1 of Example 2.

The reagents used such as benzethonium chloride, benzyl chloride, DMF, sodium hydroxide, sodium chloride and ethanol were all commercially available analytical reagents.

3.2 Methods:

(1) Quaternary ammonium salt conversion of HsFG: 9.55 g of HsFG quaternary ammonium salt was prepared from 3.5 g of HsFG by the method as described in 2.2(1) of Example 2.

(2) Carboxyl esterification of HsFG: carboxyl esterified HsFG was obtained by the method described in 2.2 (2) of Example 2, and the degree of carboxyl esterification was determined to be about 44% by 1H NMR;

(3) β-elimination depolymerization of HsFG: To the reaction solution obtained in the step (2), a freshly prepared 16.0 mL of 0.08 M sodium ethoxide-ethanol solution was added, and stirred at room temperature for 30 min.

(4) Sodium salt conversion and carboxylic ester hydrolysis of the depolymerized product: 67 mL of saturated sodium chloride solution and 536 mL of absolute ethanol were added to the reaction solution obtained in the step (3), centrifuged at 4000 rpm×10 min; the obtained precipitate was dissolved in water (125 mL), 1.05 mL of 6 M NaOH solution was added, stirred at room temperature for 30 min, and then neutralized by dropwise addition of 6 M HCl (pH˜7.0). The reaction solution was filtered through a 0.45 μm filter, and the filtrate was ultrafiltered through a 30 kDa ultrafiltration membrane package. The ultrafiltrate was desalted by G25 gel column chromatography and lyophilized to obtain 1.623 g of depolymerized product dHsFG′ (yield 46.4%).

(5) Isolation and purification of Compounds B6˜B8: 1 g of depolymerized product dHsFG′ was dissolved in 10 mL of 0.2 M NaCl, loaded on a Bio-Gel P-10 gel column (Ø2 cm, l 200 cm), and eluted with 0.2 M NaCl solution at a flow rate of 15 mL/h. The eluate fractions of 2.5 mL/tube were collected. Ultraviolet spectrophotometry (λmax 234 nm) was used for monitoring and the same eluate fractions were combined. HPGPC (TSK G2000 SW column) was used to detect the purity and composition of chromatographic samples. The unpurified samples were further purified by Bio-Gel P-10 column chromatography. The purified oligosaccharides were desalted on a Sephadex G-10 or Bio-Gel P-2 gel column and then lyophilized.

(6) Spectral analysis: By the same method described in 1.2 (6) of Example 1, 1H-/13C- and 2D-NMR were detected using Bruker DRX 800 MHz NMR spectrometer, Q-TOF MS was analyzed using microTOF-QII ESI-MS (Bruker, Germany) mass spectrometer. The detected data were analyzed using Bruker Compass Data-Analysis 4.0 (Bruker-Daltonics, Germany) software.

3.3 Results

(1) 47 mg of Compound B6, 55 mg of B7, 35 mg of B8 were obtained according to the treatment procedure described in 3.2. The purity was detected to be >99% by HPGPC method (area normalization method).

(2) Structural analysis of Compounds B6˜B8: The HPGPC profiles of Compounds B6˜B8 are shown in FIG. 10. Combined with 1H-/13C-/2D-NMR and Q-TOF MS analysis, Compounds B6, B7 and B8 are L-Fuc3S4S-(α1,3)-L-ΔUA-(α1,3)-{D-GalNAc4S6S-(β1,4)-[L-Fuc3S4S-(α1,3)]-D-GlcA-(β1,4)}n-D-GalNAc4S6S-(β1,4)-[L-Fuc3S4S-(α1,3)]-D-GlcA (wherein n=0, 1 and 2, namely pentasaccharide, octasaccharide and hendecasaccharide), having the chemical structural formula of:

[Figure (not displayed)]

In B6, n=0; in B7, n=1; in B8, n=2.

Example 4

L-Fuc2S4S-(α1,3)-[6-Me-ΔUA-(α1,3)]-{D-Gal-NAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)-]-D-6-Me-GlcA-(β1,4)}2-D-GalNAc4S6S-ol, and L-Fuc2S4S-(α1,3)-L-ΔUA-(α1,3)-{D-GalNS4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)-]-D-GlcA-(β1,3)}2-D-GalNS4S6S-ol and L-Fuc2S4S-(α1,3)-[6-Me-ΔUA-(α1,3)]-{D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)-]-D-6-Methyl-GlcA-(β1,3)}2-D-1-Me-GalNAc4S6S-ol

4.1 Materials

Compound A2, its preparation method and chemical structure were the same as described in Example 1.

Hydrazine sulfate, hydrazine hydrate, Et3N.SO3 ([Et3N—SO3H]Cl, N,N-diethyl-N-sulfoethanammonium chloride) were all commercially available analytical reagents.

4.2 Methods and Results

(1) Preparation of Compound A6: 10 mg of Compound A2 was dissolved in 0.5 mL of water, converted into H+ type by a Dowex 50X8 hydrogen-type cation exchange resin column, and the eluate was neutralized with tetrabutylammonium hydroxide and lyophilized to obtain 19 mg of A2 tetrabutylammonium salt. The obtained A2 tetrabutylammonium salt was dissolved in 1 mL of dimethyl sulfoxide (DMSO), 15 μL of 2 M trimethylsilyldiazomethane (TMSD) was added and reacted for 60 min at room temperature, 15 μL of acetic acid was added to remove the remaining TMSD, 4 mL of absolute ethanol was added at 4° C., and centrifuged at 4000 rpm×30 min, and the obtained precipitate was dissolved in 1 mL of water, and converted into sodium-type by a Dowex/r50w×8 50-100 (Na+ type) exchange resin. The obtained product was desalted on a Sephadex G-10 column and lyophilized to obtain 8.35 mg of A6. 1H-/13C- and 2D-NMR were detected by the method described in 1.2 (6) of Example 1, and the structure of Compound A6 (the methyl ester group signal on ΔUA was located at 3.70 ppm) was confirmed to be L-Fuc2S4S-(α1,3)-[6-Methyl-ΔUA-(α1,3)]-{D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)-]-D-6-Methyl-GlcA-(β1,4)}2-D-GalNAc4S6S-ol, having the structural formula of:

[Figure (not displayed)]

(2) Preparation of compound A7: 10 mg of Compound A2 was added with 2.5 mg of hydrazine sulfate and 0.25 mL of hydrazine hydrate, and stirred under nitrogen atmosphere at 105° C. for 15 h; 0.5 mL of 16% NaCl solution and 3 mL of absolute ethanol were added to the reaction solution, and centrifuged at 4000 rpm×20 min. The resulting precipitate was dissolved in 10 mL of water and dialyzed with a 500-1000 Da dialysis bag. The retentate was lyophilized to obtain 8 mg of deacetylated product. The NMR spectrum was detected by the method described in 1.2 (6) of Example 1, and the chemical structure of the deacetylated product (the Ac methyl signal at 2.0 ppm disappeared and the H signal at the 2-position of GalNH2 appeared at 3.0 ppm) was confirmed to be:

[Figure (not displayed)]

The A2 deacetylated product was dissolved in 1 mL of water, 36 mg of Na2CO3 was added and heated to 55° C., and 15 mg of Et3N.SO3 was added at 0, 5 and 10 h after the start of the reaction, respectively. The reaction mixture was stirred at 55° C. for 15 h. Then 1 mL of 16% NaCl solution and 8 mL of absolute ethanol were added to the reaction solution, and centrifuged at 4000 rpm×20 min; the precipitate was collected and dissolved in 10 mL of water, and then dialyzed with a 500-1000 Da dialysis bag. The dialysis retentate was lyophilized to obtain 6.8 mg of N-sulfated product A7.

1H-/13C- and 2D-NMR were detected according to method as described in 1.2(6) of Example 1, and the chemical structure of Compound A7 was confirmed to be L-Fuc2S4S-(α1,3)-L-ΔUA-(α1,3)-{D-GalNS4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)-]-D-GlcA-(β1,3)}2-D-Gal-NS4S6S-ol. The structural formula is:

[Figure (not displayed)]

(3) Preparation of Compound A8: 20 mg of Compound A2 was added with Dowex 50X8 hydrogen type cation exchange resin as a catalyst, and then 5 mL of methanol solution was added, and heated to reflux under a nitrogen atmosphere overnight. The resin was removed by filtration, and the filtrate was evaporated to remove the solvent to obtain C1-hydroxyalkylated product of A2. The product was converted into H+ type by a Dowex 50X8 cation exchange resin column, and the eluate was neutralized with tetrabutylammonium hydroxide and lyophilized to obtain 37 mg of tetrabutylammonium salt of the C1 hydroxyalkylated product of A2. The obtained product was dissolved in 2 mL of DMSO, added with 30 μL of 2 M TMSD, and reacted for 60 min at room temperature. Then 30 μL of acetic acid was added to remove the remaining TMSD, and 2 mL of 16% NaCl solution and 8 mL of absolute ethanol were added at 4° C., centrifuged at rpm×30 min, the obtained precipitate was dissolved in 2 mL of water and converted into sodium type by a Dowex/r50w×8 50-100 (Na+ type) exchange resin column. The obtained product was desalted on a Sephadex G-10 column and lyophilized to obtain 13.5 mg of A8.

1H-/13C- and 2D-NMR were detected by the method as described in 1.2 (6) of Example 1, and the structure of compound A8 (the methyl signal of ΔUA methyl ester was at 3.70 ppm, and the methyl signal at the reducing terminal was at 3.23 ppm) was confirmed to be L-Fuc2S4S-(α1,3)-[6-Methyl-ΔUA-(α1,3)]-{D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)-]-D-6-Methyl-GlcA-(β1,3)}2-D-1-Methyl-Gal-NAc4S6S-ol, having the structural formula of:

[Figure (not displayed)]

Similarly, according to the method of the present example, an alcohol corresponding to a C2-C6 linear or branched alkane or an alkene may be selected to prepare the corresponding hydroxyalkylated product A8′.

Example 5

L-Fuc2S4S-(α1,3)-L-ΔUA-(α1,3)-D-Gal-NAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-GlcA-(β1,3)-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-β1-Bn-GlcA, L-Fuc2S4S-(α1,3)-L-6-Me-ΔUA-(α1,3)-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-6-Me-ΔUA-GlcA-(β1,3)-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-β1-Bnz-6-Me-GlcA and L-Fuc2S4S-(α1,3)-L-ΔUA-(α1,3)-{D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-GlcA-(β1,3)}2-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-1-deoxy-1-amino-GlcA-ol-N-4-benzoic ethyl ester

5.1 Materials

Using SvFG as a starting material, hendecasaccharide (B3′) was prepared according to the method described in Example 2, and octasaccharide (B7′) was prepared according to the method described in Example 3.

Ethyl 4-aminobenzoate, tetrabutylammonium hydroxide, dichloromethane, pyridine, acetic anhydride, benzyl alcohol, boron trifluoride, ether, and so on were all commercially available analytical reagents.

5.2 Methods and Results

(1) Preparation of Compound B9: 40 mg of Compound B7′ was dissolved in 4 mL of water, converted into H+ type by a Dowex 50X8 hydrogen type cation exchange resin column, and the eluate was neutralized with tetrabutylammonium hydroxide and lyophilized to obtain 80 mg of B7′ tetrabutylammonium salt. The obtained B7′ tetrabutylammonium salt was added with 8 mL of pyridine and 8 mL of acetic anhydride, stirred at 100° C. for 30 min, and blowing-dried with nitrogen at room temperature. The residue was dissolved in 4 mL of dichloromethane, added with 128 μL of benzyl alcohol, and then added dropwise with 20 μL of boron trifluoride etherate (BF3OEt2) at 0° C., and heated under reflux for 36 h. The reaction was terminated by adding water. After shaking and standing, the CH2Cl2 layer was taken and evaporated to dryness to remove CH2Cl2. The residue was added with 4 mL of 0.02 M sodium methoxide-methanol solution at room temperature, stirred for 10 min to remove acetyl; evaporated to dryness to remove methanol, converted into H+ type by a Dowex 50X8 hydrogen-type cation exchange resin column. The eluate was neutralized with sodium hydroxide, and isolated and purified by Bio-gel P6, and the sugar-containing samples were combined, concentrated and desalted on a Sephadex G-10 column and lyophilized to obtain 24 mg of Compound B9.

1H-/13C- and 2D-NMR were detected by the same method as described in 1.2 (6) of Example 1, and the structure of Compound B9 (the benzyl-CH2 signal was at 4.6 ppm and the benzene ring signal was at 7.3 ppm) was confirmed to be L-Fuc2S4S-(α1,3)-L-ΔUA-(α1,3)-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-GlcA-(β1,3)-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-1-Benzyl-GlcA-ol, having the structural formula of:

[Figure (not displayed)]

(2) Preparation of Compound B10: 10 mg of Compound B9 was dissolved in 0.5 mL of water, converted into H+ type by a Dowex 50X 8 hydrogen type cation exchange resin column, and the eluate was neutralized with tetrabutylammonium hydroxide and lyophilized to obtain 19 mg of B9 tetrabutylammonium salt. The obtained B9 tetrabutylammonium salt was dissolved in 1 mL of dimethyl sulfoxide (DMSO), added with 15 μL of 2 M trimethylsilyldiazomethane (TMSD), and reacted at room temperature for 60 min, then added with 15 μL of acetic acid to remove the remaining TMSD. 4 mL of absolute ethanol was added at 4° C., centrifuged at 4000 rpm×30 min, and the obtained precipitate was dissolved in 1 mL of water and converted into sodium type by Dowex/r50w×8 50-100 (Na+ type) exchange resin. The obtained product was purified with Bio-Gel P-6, desalted on a Sephadex G-10 column and lyophilized to obtain 8.35 mg of B10.

1H-/13C- and 2D-NMR were detected by the method as described in 1.2 (6) of Example 1, and the structure of compound B10 (methyl signal of carboxyl ester was at 3.7 ppm, —CH2 signal of benzyl was at 4.6 ppm and the benzene ring signal was at 7.3 ppm) was confirmed to be L-Fuc2S4S-(α1,3)-L-6-Methyl-ΔUA-(α1,3)-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-6-Methyl-ΔUA-GlcA-(β1,3)-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-β-1-Benzyl-6-Methyl-GlcA, having the structural formula of:

[Figure (not displayed)]

(3) Preparation of compound B11 330 mg of ethyl 4-aminobenzoate was dissolved in 80 μL of a mixture solution of glacial acetic acid and methanol (1:9), and 70 mg of sodium cyanoborohydride was added and dissolved. 20 mg of Compound B3′ was dissolved in 2 mL of water, reacted with the mixed solution at 60° C. for 4 h in a constant temperature water bath, extracted with 2 mL of chloroform, and the aqueous phase was purified by Bio-gel P10 column chromatography, desalted by a Sephadex G-10 column and lyophilized to obtain about 14 mg of compound B11.

1H-/13C- and 2D-NMR were detected by the method as described in 1.2 (6) of Example 1, and the structure of compound B11 (the —CH3 and —CH2 signals of carbethoxy were located at 1.3 ppm and 4.3 ppm, respectively, and the benzene ring signals were divided into two groups at 6.78 ppm and 7.68 ppm, respectively) was confirmed to be L-Fuc2S4S-(α1,3)-L-ΔUA-(α1,3)-{D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-GlcA-(β1,3)}2-D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-1-deoxy-1-amino-GlcA-ol-N-4-benzoic ethyl ester, having the structural formula of:

[Figure (not displayed)]

Similarly, when benzyl alcohol is replaced by a corresponding C8-C12 aromatic alcohol (for example, p-methylbenzyl alcohol, p-pentylbenzyl alcohol), a series of derivatives B9′ having the corresponding C8-C12 aromatic hydrocarbon group were obtained according to the preparation method of B9 in this Example; when ethyl 4-aminobenzoate is replaced by 4-amino-aromatic (C8-C12) carboxylate (propyl 4-aminobenzoate, pentyl 4-aminobenzoate), a series of derivatives B11′ having the corresponding C8-C12 aromatic hydrocarbon group were obtained according to the preparation method of B11 in this Example.

Example 6

6.1 Materials

SvFG, obtained as described in Example 1.

The reagents used such as benzethonium chloride, benzyl chloride, DMF, sodium hydroxide, sodium borohydride, sodium chloride, and ethanol are all commercially available analytical reagents. Sephadex G-50 (medium, 50-100 μm), GE Healthcare product.

6.2 Methods

(1) Quaternary ammonium salt conversion of SvFG: 70 g of SvFG was dissolved in 1 L of water; and 175 g of benzethonium chloride was dissolved in 2.8 L of water. The SvFG solution was titrated with a benzethonium chloride solution with stirring. After the completion of the titration, the mixture was centrifuged, and the precipitate was washed three times with deionized water and dried under vacuum to obtain 210 g of SvFG quaternary ammonium salt.

(2) Carboxyl esterification of SvFG: The SvFG quaternary ammonium salt obtained in the step (1) was dissolved in 1.020 L of DMF, added with 29 mL of benzyl chloride, and stirred at 35° C. for 24 h, and then the reaction solution was allowed to stand and cool down to room temperature (25° C.). Sample was taken for detecting 1H NMR spectrum and the degree of carboxyl esterification of FG was calculated to be about 46%;

(3) β-elimination depolymerization of SvFG in the presence of a reducing agent: To the reaction solution of the step (2), a freshly prepared 333 mL of 0.08 M sodium ethoxide-ethanol solution containing 0.4 M NaBH4 was added, and stirred at room temperature for 30 min.

(4) Post-treatment: To the reaction solution obtained in the step (3), 1.333 L of a saturated sodium chloride solution and 10.7 L of absolute ethanol were added, and centrifuged at 4000 rpm×10 min, and the obtained precipitate was dissolved in 5 L of water, added with 40 mL of 6 M NaOH solution, and reacted for 30 min at room temperature. Then 6 M HCl was dropwise added to neutralize the reaction solution (pH˜7.0). The obtained product was ultrafiltered through a 0.1 m2 10 kDa and 3 kDa ultrafiltration membrane pack (Millipore) to remove macromolecular and small molecular impurities, to obtain 35 g of oligosaccharide mixture C1.

(5) Spectral analysis: 1H-/13C-/2D NMR spectra were detected according to the method described in 1.2 (6) of Example 1.

6.3 Results

(1) 35 g of oligosaccharide mixture C1 was obtained according to the described method, with a yield of 50%;

(2) HPGPC analysis showed that C1 contained hexasaccharide, nonasaccharide, dodecasaccharide, pentadecasaccharide, octadecasaccharide and heneicosasaccharide, which were 14.2%, 23.1%, 4.1%, 16.0%, 8.9%, and 5.1%, respectively.

(3) The 13C NMR spectrum and assignments for the oligosaccharide mixture C1 is shown in FIG. 11. In the 1H NMR of the oligosaccharide mixture C1, three strong signal peaks were observed in the range of 5.4˜5.7 ppm, wherein the signal peak at 5.77 ppm was H-4 position signal at the non-reducing terminal ΔUA of the oligosaccharide mixture C1. The signals at 5.6 ppm and 5.43 ppm were a terminal hydrogen signal of L-Fuc2S4S in the sugar chain near the reducing terminal and a terminal hydrogen signal of L-Fuc2S4S attached to the non-reducing terminal ΔUA, respectively.

By the signal analysis of the reducing terminal, in particular the carbon signal analysis of the C1 position (—CH2) of -D-GalNAc4S6S-ol and -D-GlcA-ol, the content of the oligosaccharide compound having -D-GalNAc4S6S-ol at the reducing terminal structure was greater than 95%.

In combination with the 13C-NMR and 2D-NMR analysis, C1 is composed of homologous oligosaccharide compounds, having the structure of L-Fuc2S4S-(α1,3)-L-ΔUA-(α1,3)-{D-GalNAc4S6S-(β1,4)-[L-Fuc2S4S-(α1,3)]-D-GlcA-(β1,3)}n-D-GalNAc4S6S-ol (n is a natural number), wherein the total content of the compounds of n=1˜7 is about 95%.

Example 7

7.1 Materials

HsFQG, derived as described in Example 2.

The reagents used such as benzethonium chloride, benzyl chloride, DMF, DMSO, TMSD, sodium hydroxide, sodium borohydride, sodium chloride, and ethanol were all commercially available analytical reagents. Ultrafiltration membrane (0.5 m2) with molecular weight cutoff of 30 kDa, 10 kDa, 3 kDa, Merk Millipore.

7.2 Methods

(1) HsFG quaternary ammonium salt conversion: 330 g of HsFG was dissolved in 4.9 L of water; 825 g of benzethonium chloride was dissolved in another 13.2 L of water, the resulting solution was added to the HsFG solution under stirring, centrifuged at 4000 rpm for 10 min. The precipitate was washed three times with 9 L of deionized water and vacuum dried to obtain 804 g of HsFG quaternary ammonium salt.

(2) Carboxyl esterification of HsFG: The HsFG quaternary ammonium salt obtained in the step (1) was placed in a 30 L reactor, dissolved in 3.9 L of DMF. 97 mL of benzyl chloride was added at 35° C., stirred for 24 h, and then the reaction solution was allowed to stand and cool down to room temperature (25° C.). Sample was taken for 1H NMR detection and the degree of carboxyl esterification was calculated to be about 46%;

(3) β-elimination depolymerization and terminal peeling reaction of HsFG: a freshly prepared 1.3 L of 0.08 M sodium ethoxide-ethanol solution was added to the reaction solution of step (2), stirred at room temperature for 30 min, and then 2.5 mL of 2 M NaOH solution was added to the reaction solution and stirred at 60° C. for 90 min.

(4) Post-treatment: 5.36 L of saturated sodium chloride solution and 57 L of absolute ethanol were added to the reaction solution of the step (3), centrifuged at 4000 rpm×10 min. The resulting precipitate was dissolved in 14.5 L of water, added with 122 mL of 6 M NaOH, stirred at room temperature for 30 min, and then added with 54.3 g of NaBH4, stirred at room temperature for another 30 min; and dropwise added with 6 M HCl to neutralize the reaction solution (pH˜7.0). The obtained reaction solution was filtered through a 0.45 μm membrance filter, and the filtrate was sequentially ultrafiltered with 0.5 m2 of 30 kDa (to obtain filtrate), 10 kDa (to obtain filtrate), and 3 kDa (to obtain retentate) ultrafiltration membrane package (Millipore product) and lyophilized, thereby obtaining an oligosaccharide mixture D1 (98.7 g). [Note: After the detection, the undepolymerized macromolecular compositions contained in the retentate obtained from ultrafiltration through a 30 kDa ultrafiltration membrane contains fucan and hexosamine-containing polysaccharides].

(5) D1 carboxymethylation: 20 g of oligosaccharide mixture D1 was dissolved in 300 mL of water, 800 mL of 6.25% benzethonium chloride solution was added with stirring, allowed to stand and then centrifuged at 4000 rpm×10 min. The precipitate was washed three times with 300 mL of deionized water and vacuum dried to obtain 58 g of D1 quaternary ammonium salt. The obtained D1 quaternary ammonium salt was dissolved in 5.8 L of DMSO, added with 87 mL of 2 M TMSD, stirred for 60 min at room temperature, and then added with 87 mL of acetic acid to remove the remaining TMSD; 5.9 L of saturated sodium chloride solution and 63 L of 95% ethanol was sequentially added under stirring, centrifuged at 4000 rpm×30 min. The resulting precipitate was dissolved in 2 L of deionized water, desalted by ultrafiltration through a 3 kDa ultrafiltration membrane, and the retentate was lyophilized to obtain D2 (16.3 g).

(6) Spectral analysis: 1H-/13C- and 2D-NMR were detected according to the method described in 1.2 (6) of Example 1.

7.3 Results

(1) Yield and Chemical Composition Analysis of Oligosaccharide Mixture D1

98.7 g of oligosaccharide mixture D1 was obtained according to the method, with a yield of about 30%.

HPGPC analysis (FIG. 12) showed that D1 contained pentasaccharide, octasaccharide, hendecasaccharide, tetradecasaccharide, heptadecasaccharide, eicosasaccharide, which were 4.3%, 17.1%, 18.0%, 16.3%, 14.1%, and 11.1%, respectively. The total content of pentasaccharide˜nonacosasaccharide was about 96%.

The 13C-NMR spectrum of the oligosaccharide mixture D1 is shown in FIG. 13. In the 1H-NMR of D1, there was a strong signal at 5.685 ppm, which was from 4-position hydrogen of ΔUA. There were three strong signal peaks at 5.0˜5.6 ppm (5.283, 5.201 and 5.030 ppm), which were the α-anomeric proton signals of L-Fuc3S4S linked to D-GlcA, ΔUA and D-GlcA-ol, respectively. By analyzing the terminal hydrocarbon signal of the reducing terminal glycosyl group, the content of the oligosaccharide compound having -D-GlcA-ol at the reducing terminal glycosyl group in D1 was more than 95%.

Combined with 13C- and 2D-NMR analysis, it can be seen that the mixture D1 was a mixture of homologous oligosaccharide compounds having a structure of L-Fuc3S4S-(α1,3)-L-ΔU-(α1,3)-{D-GalNAc4S6S-(β3,4)-[L-Fuc3S4S-(α1,3)]-D-GlcA-(β1,3)}n-D-GalNAc4S6S-(β1,4)-[L-Fuc3S4S-(a 1,3)]-D-GlcA-ol (n is a natural number).

(2) Analysis of Yield and Chemical Composition of Oligosaccharide Mixture D2

16.3 g of oligosaccharide mixture D2 was obtained according to the method, with a yield of about 80%;

HPGPC analysis showed that it contained pentasaccharide, octasaccharide, hendecasaccharide, tetradecasaccharide, heptadecasaccharide, eicosasaccharide, which were 3.34%, 16.71%, 17.03%, 17.25%, 13.78%, and 12.25%, respectively.

Compared to the 1H NMR spectrum of D1, new methyl (ester) group signals linked to hexuronic acid (-ol) appeared in the 1H NMR of D2, which were at 3.7 ppm and 3.2 ppm, respectively. In combination with 1H-/13C- and 2D-NMR analysis, it can be seen that the mixture D2 is a mixture of homologous oligosaccharide compounds having a structure of L-Fuc3S4S-(α1,3)-L-6-Me-ΔUA-(α1,3)-{D-GalNAc4S6S-(β1,4)-[L-Fuc3S4S-(α1,3)]-D-6-Me-GlcA-(β1,4)}n-D-GalNAc4S6S-(α1,3)-[L-Fuc3S4S-(α1,3)]-D-6-Me-GlcA-ol (n is a natural number). Wherein, the sum of the contents of the compounds of n=1˜9 is about 96%.

Example 8

8.1 Materials

Samples: oligosaccharide compounds A1˜A8, B1˜B11, oligosaccharide mixtures C1, D1, and D2, prepared according to the method described in Examples 1˜7.

Control: Enoxaparin Sodium Injection (LMWH, Mw 3500˜5500 Da, Sanofi-Aventis product);

Reagents: coagulation-controlled plasma (047B-D024A), activated partial thromboplastin time (APTT), prothrombin time (PT) assay kits, all of which were TECO GmbH company (Germany) products; Factor VIII test kit, Heparin Cofactor II (HCII), AT-dependent anti-factor IIa detection kit, AT-dependent anti-factor Xa detection kit, thrombin (factor IIa), thrombin substrate CS01 (38), KK substrate CS31 (02) were HYPHEN BioMed company (France) products; Factor VIII (FVIII), Bayer Healthcare LLC (Germany) product; ADP, Chronolog company (USA) product; sodium citrate, chloral hydrate, natural saline, were all commercial reagents.

Instruments: XS105 electronic balance, FE20 pH meter, METTLER TOLEDO products; HH-4 constant temperature water bath, Gongyi Yuhua company product, China; VOR76X-6 vortex oscillator, Hainan Qilin Bell product; Spectrafuge-24 D907386 centrifuge, Labnet product; MC-4000 blood coagulation instrument, TICO GmbH company (Germany) product; Microplate Reder ELx 808 microplate reader, Bio-Tek company product; Chronolog-700 platelet aggregation instrument, Chrono-log company (USA) product.

8.2 Methods

(1) Preparation of sample solution: Oligosaccharide compounds A1˜A8, B1˜B11 and oligosaccharide mixtures C1, D1, D2 were all dissolved in Tris-HCl buffer and diluted to the desired series of solubility.

(2) Anticoagulant activity assay: 90 μL of human-controlled plasma was added to the sample or 10 μL of the control solution, and then the clotting time (APTT and PT) was detected by the MC-4000 coagulometer according to the method described in the APTT and PT kit instructions.

(3) Coagulation Factor Inhibitory Activity Analysis:

Xase inhibitory activity assay: Detection was performed according to kit instructions and literature methods by combining the Factor VIII and Factor VIII detection kits. Specifically, to each well of a 96-well plate, 30 μL of test solution, control solution, or Tris-HCl buffer (negative control) was added, and 30 μl of FVIII (2 IU/ml), 30 μl of R2 (60 nM FIXa, containing FIIa, PC/PS, Ca2+) were sequentially added, mixed by shaking the plate, incubated at 37° C. for 2 min; and then 30 μL of R1 (50 nM FX, containing direct thrombin inhibitor) was added, mixed by shaking the plate, incubated at 37° C. for 1 min; and then 30 μL of R3 (FXa chromogenic substrate SXa-11, about 8.4 mM) was added. The absorbance at 405 nm (OD405) was detected with a microplate reader, continuously measuring for 7.5 min at a interval of 30 s. The Xase activity and IC50 value of Xase inhibition of the test sample were calculated based on the OD405 change value.

AT-dependent Xa inhibitory activity assay: Heparin Anti-FIIa kit was used for detection. To a 96-well plate, 30 μL of sample, control solution or Tris-HCl buffer (negative control) was added, then 30 μL of 1 IU/mL AT solution was added, mixed well and incubated at 37° C. for 1 min; and than 30 μL of 8 μg/mL FXa solution was added, mixed well and incubated at 37° C. for 1 min, then 30 μL of pre-warmed 1.25 mM Xa chromogenic substrate SXa-11 was added. OD405 was detected by a microplate reader.

AT-dependent IIa inhibitory activity assay: Heparin Anti-FIIa kit was used for detection. To a 96-well plate, 30 μL of sample, control solution or Tris-HCl buffer (negative control) was added, and then 30 μL of 1 IU/mL AT solution was added, mixed well by shaking the plate and incubated at 37° C. for 2 min; 30 μL of 24 IU/mL FIIa solution was added, mixed well by shaking the plate and incubated for 2 min at 37° C., and then 30 μL of pre-warmed 1.25 mM FIIa specific chromogenic substrate CS-01 (38) was added, mixed well by shaking the plate. The OD405 was detected by a microplate reader and the IC50 value of FIIa inhibition of each sample was calculated.

HC-II-dependent IIa inhibitory activity assay: 30 μL of sample, control solution or Tris-HCl buffer (negative control) was added, 30 μL of 1 μM HCII solution was added, and incubated at 37° C. for 2 min; and then 30 μL of 20 NIH/mL FIIa was added, and incubated at 37° C. for 1 min; and finally 30 μL of pre-warmed 4.5 mM FIIa chromogenic substrate CS-01 (38) was added. OD405 was detected by a microplate reader and the IC50 value of FIIa inhibition of each sample was calculated.

Data processing: The average value of OD405 detected by the duplicated well was used as the detection value of the test sample and the reference of each concentration, and the slope of the linear fit between the detected value to the time value (the change rate of the absorbance value OD405/min) indicated enzymatic activity of coagulation factor. Taking the clotting factor activity of the negative control well as 100%, coagulation factor activity (percentage) in the presence of the test sample was calculated. The coagulation factor activity in the presence of the test sample was plotted against the concentration of the test sample, and fitted according to the following formula, to calculate the IC50 value:
B=(IC50)n/{(IC50)n+[I]n}

in the formula, B is the coagulation factor activity (percentage) in the presence of the test sample, [I] is the concentration of the test sample, IC50 is the half inhibitory concentration (concentration of the test sample required to inhibit 50% of the activity), and n is the Hill coefficient.

(4) Effect on Surface Activation and Platelet Activity:

FXII activation activity assay: To a 96-well plate was added 30 μL of series concentration sample and reference solution, respectively, and then 30 μL of human standard plasma that was diluted 4 times with a 0.02 M Tris-HCl (pH 7.4) buffer containing 0.15 M NaCl was added, and incubated at 37° C. for 2 min, and then 30 μL of 6 mM kallikrein chromogenic substrate CS-31 (02) was added, and the OD405 value was detected by a microplate reader.

Platelet activation activity test: Anticoagulated blood was collected from healthy volunteers to prepare platelet-rich plasma (PRP) and platelet-poor plasma (PPP). Chronolog-700 platelet aggregation instrument and turbidimetry were used to detect platelet-induced aggregation activity of serial concentration solutions of the test sample, which were prepared by dissolving in natural saline.

8.3 Results

Anticoagulation and coagulation factor inhibitory activity: The results are shown in Table 5. The oligosaccharide compounds and the mixture thereof according to the present invention have significant prolonged APTT activity, without affecting PT and TT, indicating that they can have significant anticoagulant activity against intrinsic coagulation pathway, and have no significant effect on extrinsic coagulation. The oligosaccharide compounds and the mixture thereof according to the present invention have significant inhibitory activity on factor Xase; in the presence or absence of antithrombin (AT), they have no significant effect on coagulation factors such as coagulation factors IIa, Xa, XIIa, but may have a certain intensity of heparin cofactor II (HC-II)-dependent IIa inhibitory activity.

An alcohol corresponding to a C2-C6 linear or branched alkane or alkene was selected to prepare the corresponding hydroxyalkylated product A8′ according to Example 4. Studies on the activity of these series of derivatives show that they have similar activity to A8, that is, they have prolonged APTT activity (with the drug concentration for doubling the APTT clotting time being 7.0-10 μg/mL), without affecting PT and TT; have significant selective inhibitory activity against factor Xase (IC50, 50-100 ng/mL), have no significant effect on coagulation factors such as factor IIa, Xa, XIIa, and have a certain intensity of heparin cofactor II (HC-II)-dependent IIa inhibitory activity.

According to the preparation method of Example B9, a series of derivatives B9′ having a corresponding C8-C12 aromatic hydrocarbon group were obtained, and according to the preparation method of Example B11, a series of derivatives B11′ having a corresponding C8-C12 aromatic hydrocarbon group were obtained. They have similar activities to B9 and B11, respectively; have drug concentration of doubling APTT clotting time of 6.0-9 μg/mL, without affecting PT and TT; have significant selective inhibitory activity against factor Xase (IC50, 40-110 ng/mL), and have a certain intensity of heparin cofactor II (HC-II)-dependent IIa inhibitory activity.

TABLE 5
Anticoagulant and coagulation factor inhibitory activity of
oligosaccharide compounds and oligosaccharide mixtures
Drug concentration
required for
multiplication of Drug concentration required
coagulation timeto inhibit 50% of coagulation
(μg/mL)factor activity (IC50, ng/mL)
APTTPTTTXaseXa (AT)Ha (AT)Ha (HC-II)
A160.1########450
A27.2##60.5####323
A36.8##39.8####258
A45.3##28.2####231
A53.9##23.6####320
A67.5##68.4####385
A76.9##58.9####298
A88.2##70.6####335
B153.9##850####705
B27.5##64.2####753
B36.1##31.1####402
B44.5##20.6####408
B54.0##19.8####365
B650.2##1670####817
B77.3##58.3####432
B85.8##29.6####412
B97.6##59.6####706
B107.9##61.5####721
B116.3##30.3####375
C14.0##22.3####404
D14.3##21.2####230
D25.1##23.6####278
LMWH7.8644.0120.01636431
Note:
#, >128 μg/mL;
##, >5000 ng/mL

(2) Effect on Surface Activation and Platelet Activity:

XII activation activity analysis: Within the concentration range of not more than 100 μg/ml, all the oligosaccharide compounds and oligosaccharide mixtures have no significant XII activation activity;

Platelet activation activity assay: Within the concentration range of not more than 50 μg/ml, all oligosaccharide compounds and oligosaccharide mixtures have no significant platelet activation activity.

Example 9

9.1 Materials

The preparation of A2 was as shown in Example 1, and the preparation of D1 was as shown in Example 7.

Control: Low molecular weight heparin (LMWH), Sanofi-Aventis (France) product, batch number 4SH69.

Reagents: chloral hydrate (hydrated trichloroacetaldehyde), Sinopharm Chemical Reagent Co., Ltd.; natural saline, Kunming Nanjiang Pharmaceutical Co., Ltd.

Experimental animals: SD rats, weighing 250˜350 g, male, provided by Hunan Slack Jingda Experimental Animal Co., Ltd., license number SCXK (Xiang) 2011-0003; New Zealand rabbits provided by Kunming Medical University, SCXK (Dian) 2011-0004, used to make rabbit brain powder infusion.

9.2 Methods

9.2.1 Anti-Venous Thrombosis Experiment

Grouping and Administration: Rats were randomly divided into 8 groups with 8 animals in each group. The experimental groups and the dose of the animals in each group were (1) natural saline (NS) control group; (2) LMWH 4.0 mg/kg group; (3) A2 2.5 mg/kg group; (4) A2 group 5.0 mg/kg; (5) A2 10 mg/kg group; (6) D1 2.5 mg/kg group; (7) D1 5.0 mg/kg group; (8) D1 10 mg/kg group. The rats in each group were administered subcutaneously (sc.) into the back, and the administration volume was 1 mL/kg. The modeling experiment was performed 1 hour after administration.

Preparation of Rabbit Brain Powder Infusion:

A New Zealand rabbit was sacrificed, and the rabbit brain was taken out immediately. Rabbit brain powder infusion was prepared according to the literature method (Thromb Haemost, 2010, 103(5): 994-1004), and stored at −20° C. for use.

Induction of Inferior Vena Cava Thrombosis by Rabbit Brain Powder Infusion:

The rats were anesthetized by intraperitoneally injecting with 10% chloral hydrate (300 mg/kg), the abdominal wall was cut longitudinally along the midline of the abdomen, the viscera was removed, and the inferior vena cava and its branches were isolated. A ligature was passed through the lower margin of the left renal vein of the inferior vena cava, to ligate the inferior vena cava branches below the left renal vein. The femoral vein was injected with 2% rabbit brain powder infusion (1 mL/kg). After 20 seconds, the lower margin of the left renal vein was ligated. After the operation, the viscera was placed back into the abdominal cavity and covered with medical gauze (infiltrated with natural saline). After 20 minutes, the blood vessel was clamped at 2 cm below the ligature, and the blood vessel was longitudinally dissected to take out the thrombus. The length of the thrombus was measured, and the wet weight of the thrombus was weighed and then dry weight was weighed after drying at 50° C. for 24 h.

Data Processing and Statistics: The SPSS software was used to organize and analyze the data, and the measurement data were expressed as mean±standard deviation (x±s). Data normality in different groups was tested using One-Sample KS test, variance homogeneity was tested using Levene test. If the data conformed to the normal distribution, and the variance was uniform, the significance was judged by One-Way ANOVA, otherwise, the significance was judged by Two-Independent-Samples Test.

9.2.2 Bleeding Tendency Detection

Grouping and administration: Mice were randomly divided into 10 groups with 8 animals in each group. The experimental groups and the dose of the animals in each group were (1) natural saline (NS) control group; (2) LMWH 4.0 mg/kg group; (2) LMWH 20 mg/kg group; (3) LMWH 100 mg/Kg group; (4) A2 5 mg/kg group; (5) A2 25 mg/kg group; (6) A2 125 mg/kg group; (7) D1 5 mg/kg group; (8) D1 25 mg/Kg group; (10) D1 125 mg/kg group. The rats in each group were administered subcutaneously (sc.) into the back, and the dose volume was 10 mL/kg.

Test Methods:

After 60 min of subcutaneous administration in each experimental group, the mice were placed in a mouse holder, and the tail tip was cut by 5 mm by tail-clipping method, and the mouse tail was immersed in 40 mL of purified water (37° C.) in the beaker. Timing was started from the first drop of blood from the cut mouse tail, and stirring was continued. At 60 min, the beaker was placed for 60 min and then the absorbance of the solution (OD540) was detected by a UV spectrophotometer.

In addition, whole blood of healthy mice was taken, and the whole blood of different volumes of mice was added to 40 mL of purified water, stirred uniformly and allowed to stand for 60 min. The absorbance (OD540) of the solution was detected by the same method and the volume-absorbance curve was plotted and used as the standard curve for calculating the amount of bleeding. The amount of bleeding in each experimental group was calculated by the standard curve.

Data Processing and Statistics:

The SPSS software was used to organize and analyze the data, and the detected data was expressed as mean±standard deviation (x±s). Data normality in different groups was tested using One-Sample KS test, variance homogeneity was tested using Levene test. If the data conformed to the normal distribution, and the variance was uniform, the significance was judged by One-Way ANOVA, otherwise, the significance was judged by Two-Independent-Samples Test.

9.3 Results

(1) Antithrombotic activity: As shown in FIG. 14, the results show that both A2 and D1 have significant antithrombotic activity at the experimental dose, and the inhibition rate of thrombosis may reach above 70% at the dose of 5 mg/kg˜10 mg/kg.

(2) Bleeding tendency influence: As shown in FIG. 15, under high dose administration of equal multiple of the equivalent antithrombotic dose, the amount of bleeding in A2 and D1 administration groups is significantly lower than that in LMWH administration group.

Example 10

10.1 Materials

Compound A3, purified dodecasaccharide compound prepared according to the method described in Example 1.

NaCl, commercially available, pharmaceutical grade; Sterile water for injection; 2 mL medium borosilicate tube glass bottle for injection, Millipore Pellicon 2 ultrafiltration system (Merk Millipore); VirTis Ultra 35 EL lyophilizer.

10.2 Formulation

Raw material (Excipient)Dosage
A320 g
NaCl 4 g
H2O500 mL
Totally prepared into1000 vials

10.3 Preparation Process

(1) Process procedure: Twice the prescribed amount of A3 (40 g) and NaCl (8 g) were weighed and dissolved in 1.0 L of water for injection. After dissolved completely under stirring, it was treated by a Millipore ultrafiltration device having an ultrafiltration membrane package with a molecular weight cut-off of 10 kDa to remove the pyrogen. In a sterile environment, after 0.22 μm membrane filtration and sterilization, the solution was filled in a 2 mL vial of 0.5 mE per vial while monitoring the filling process, partially stoppered, and placed in the drying box of the pilot lyophilizer (VirTis, US), lyophilized according to the programmed lyophilization process, stoppered, withdrawn from the lyophilizer, capped, and inspected.

(2) Lyophilization process:

Pre-cooling: The samples were placed in the lyophilizer; the temperature of shelves was dropped to −25° C., maintaining for 1 h, then dropped to −45° C., maintaining for 3 h; the temperature of cold trap was dropped to −50° C., and the vacuum degree was pumped to 40 Pa.

Sublimation: The temperature was increased uniformly to −30° C. within 1 h, maintaining for 2 h; increased uniformly to −20° C. within 2 h, maintaining for 6 h; the vacuum degree was maintained at 40˜30 Pa.

Drying: The temperature was increased to −5° C. within 2 h, maintaining for 2 h, and the vacuum was maintained at 30˜20 Pa; the temperature was increased to 10° C. within 0.5 h, maintaining for 3 h, and the vacuum degree was maintained at 30˜20 Pa; the temperature was increased to 40° C. within 0.5 h, maintaining for 4 h, and the vacuum degree was pumped to the lowest.

10.4 Results

According to the preparation process, 1,960 vials of qualified products of A3 lyophilized preparation were obtained, and the qualified rate of the finished product was about 98%. After testing, the lyophilized cake had regular appearance; the sterility, pyrogen and insoluble particulate testing were all qualified; the moisture testing results showed that the water content was less than about 3%, and the loading testing results showed that the loading was within 95˜115% of the planned loading.

Example 11

11.1 Materials

Oligosaccharide mixture D1, prepared according to the method described in Example 7.

NaCl, commercially available, pharmaceutical grade; sterile water for injection; 2 mL medium borosilicate tube glass bottle for injection, Millipore Pellicon 2 ultrafiltration system (Merk Millipore); Lyophilizer (LYO-20 m2), Shanghai Toffion Sci &Tech Co., Ltd.

11.2 Formulation

Raw material (Excipient)Dosage
D150 g
NaCl 9 g
H2O1.0 L
Totally prepared into1000 vials

11.3 Preparation Process

(1) Process procedure: 20 times the prescribed amount of D1 (1000 g) and NaCl (180 g) were weighed and dissolved in 20 L of water for injection. After dissolved completely under stirring, it was treated by a Millipore ultrafiltration device having an ultrafiltration membrane package with a molecular weight cut-off of 10 kDa to remove the pyrogen. In a sterile environment, after 0.22 μm membrane filtration and sterilization, the solution was filled in a 2 mL vial of 0.5 mL per vial while monitoring the filling process, partially stoppered, and placed in the drying box of a production lyophilizer (VirTis, US), lyophilized according to the programmed lyophilization process, stoppered, withdrawn from the lyophilizer, capped, and inspected to be qualified, to obtain the final products.

(2) Lyophilization Process:

Pre-cooling: The samples were placed in the lyophilizer; the temperature of shelves was dropped to −25° C., maintaining for 1 h, then dropped to −45° C., maintaining for 3 h; the temperature of cold trap was dropped to −50° C., and the vacuum degree was pumped to 40 Pa.

Sublimation: The temperature was increased uniformly to −30° C. within 1 h, maintaining for 2 h; increased uniformly to −20° C. within 2 h, maintaining for 6 h; the vacuum degree was maintained at 40˜30 Pa.

Drying: The temperature was increased to −5° C. within 2 h, maintaining for 2 h, and the vacuum degree was maintained at 30˜20 Pa; the temperature was increased to 10° C. within 0.5 h, maintaining for 3 h, and the vacuum degree was maintained at 30˜20 Pa; the temperature was increased to 40° C. within 0.5 h, maintaining for 4 h, and the vacuum degree was pumped to the lowest.

11.4 Results:

According to the preparation process, 17,600 vials of qualified samples of D1 lyophilized preparation were obtained, and the qualified rate of the finished product was about 88%.

Appearance/characteristic: This product was a white loose mass.

Loading testing: The gravimetric testing was in compliance with the regulations.

Sterility testing: An appropriate amount of this product was taken and tested according to law (1101, Volume IV, Chinese Pharmacopoeia Edition 2015). The test results showed that the batch of samples met the quality requirements of injection.

Pyrogen testing: The product was prepared into a solution containing 3.5 mg of D1 per 1 mL, and tested according to the law (1142, Volume IV, Chinese Pharmacopoeia Edition 2015), the results showed that this batch of samples met the quality requirements of pyrogen testing for injection.

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Patent 2023
The synthetic natural pentasaccharide (fondaparinux) representing the antithrombin binding sequence in heparin and a “super” pentasaccharide containing an additional 3-O-sulfate on the reducing end saccharide (idraparinux) (10 (link),36 (link)) were generously provided by Sanofi-Aventis (Toulouse, France) or purchased from the University of Illinois Hospital pharmacy. Concentrations of pentasaccharides were determined by stoichiometric binding titrations of plasma antithrombin with the saccharides monitored from the tryptophan fluorescence enhancement that accompanies binding as described (37 (link)).
Publication 2018
Antithrombin III Carbohydrates Fluorescence Fondaparinux Heparin idraparinux Plasma Sulfates, Inorganic Titrimetry Tryptophan
Second order association rate constants for antithrombin inhibition of proteases in the absence and presence of saturating pentasaccharide were measured under pseudo-first order conditions as in the kinetic titrations. Reactions of antithrombin with thrombin were done only in the absence of pentasaccharide in 20 mM sodium phosphate, 0.1 mM EDTA, 0.1% PEG 8000, pH 6.0 at 25°C. Reaction mixtures (100 μl) containing fixed concentrations of antithrombin and thrombin were incubated for varying times and then quenched with 900 μl 100 μM S-2238 substrate in 10.15 sodium phosphate buffer, pH 7.4 and residual thrombin activity measured from the initial rate of substrate hydrolysis at 405 nm. Reactions of antithrombin with factor Xa or with factor IXa were conducted in 20 mM MES, 5 mM CaCl2, 0.1% PEG 8000, pH 6.0 at 25°C in the absence and presence of the natural pentasaccharide. For reactions in the absence of pentasaccharide, fixed antithrombin and factor Xa or factor IXa concentrations were incubated for varying times or fixed protease and varying antithrombin concentrations were incubated for a fixed reaction time in 50–100 μl and then quenched with 1 ml chromogenic substrate to measure residual protease activity from the initial rate of substrate hydrolysis at 405 nm. The factor Xa substrate was 100 µM Spectrozyme FXa and the factor IXa substrate was 300 μM Pefachrome FIXa, both in 0.1 M Hepes, 0.1 M NaCl, 0.1 mM EDTA, 0.1% PEG 8000, pH 7.4. Factor IXa substrate solutions were supplemented with 33% ethylene glycol and 10 mM CaCl2 to enhance factor IXa activity (39 (link)). The loss in protease activity as a function of time or as a function of antithrombin concentration was fit by the exponential function:
vobs=voxexp-kHxAToxt
where vobs and vo are the observed velocity of substrate hydrolysis by protease after inhibitor reaction and control velocity without inhibitor, respectively, and k−H is the second order association rate constant for the free antithrombin reaction. Dividing the fitted exponential constant by the antithrombin concentration when time was varied or by the fixed time when the antithrombin concentration was varied then yielded k−H.
For reactions in the presence of pentasaccharide, fixed concentrations of antithrombin, protease and saturating pentasaccharide were reacted for varying times or varying antithrombin concentrations were reacted with fixed concentrations of protease and saturating pentasaccharide for a fixed reaction time in 50–100 μl and then quenched with 1 ml chromogenic substrate to measure residual protease activity at 405 nm. The loss of protease activity as a function of time or as a function of antithrombin concentration was fit by the exponential equation above with k-H replaced by kH, the second order association rate constant for the antithrombin-heparin complex reaction. Dividing the fitted exponential constant by the antithrombin concentration when time was varied or by the fixed time when the antithrombin concentration was varied yielded kH. Alternatively, fixed concentrations of antithrombin and protease were reacted with varying subsaturating pentasaccharide concentrations ([H]o « [AT]o) for a fixed reaction time. Fitting the loss of protease activity as a function of pentasaccharide concentration by an exponential function in this case gives a fitted exponential constant that must be divided by the product of the fixed reaction time and the factor, [AT]o/(KD,obs + [AT]o), to correct for the fraction of antithrombin that is complexed with pentasaccharide so as to obtain kH(19 (link)).
Publication 2018
Antithrombin III Buffers Chromogenic Substrates Edetic Acid Endopeptidases Factor IXa Factor Xa Free Association Glycol, Ethylene Heparin HEPES Hydrolysis Kinetics Peptide Hydrolases polyethylene glycol 8000 Protease Inhibitors Psychological Inhibition Sodium Chloride sodium phosphate Spectrozyme Thrombin Titrimetry

Example 2

[Figure (not displayed)]

A mixture of 2-3 (105 mg, 0.169 mmol) and 7 M NH3 in methanol (5.0 mL) was stirred at room temperature for 1.75 h. The volatiles were removed under reduced pressure and the residue was purified by silica gel chromatography (0-50% acetone in hexane) followed by trituration with CH2Cl2/Et2O to provide 48.0 mg (51%) of Example 2 as a white solid: 1H NMR (400 MHz, DMSO-d6) δ 10.26 (1H, s), 7.94 (1H, d, J=1.6 Hz), 7.66-7.72 (3H, m), 7.57 (2H, m), 7.51 (2H, m), 7.39 (1H, dd, J=8.4, 1.6 Hz), 6.46 (1H, t, J=6.8 Hz), 6.29 (2H, br s), 6.26 (1H, d, J=6.2 Hz), 5.23 (1H, d, J=6.2 Hz); ESI-MS m/z 461 [C21H15F3N4O5+H]+.

Example 3

[Figure (not displayed)]

Example 3 was synthesized using a procedure similar to the synthesis of Example 2. Additionally, purification by silica gel chromatography (0-5% MeOH in CH2Cl2) gave Example 3 as a pale green solid: 1H NMR (400 MHz, CDCl3) δ 10.55 (1H, s), 7.85-7.9 (2H, m), 7.62 (1H, t, J=8.0 Hz), 7.44-7.53 (3H, m), 7.40 (1H, br d, J=8.4 Hz), 7.32 (1H, m), 7.28 (1H, dd, J=8.4, 1.6 Hz), 6.52 (1H, t, J=6.8 Hz), 5.44 (1H, d, J=5.0 Hz), 4.75 (1H, d, J=5.0 Hz), 4.35 (2H, s), 4.29 (2H, br s), 4.03-4.09 (2H, m), 3.81-3.93 (2H, m); ESI-MS m/z 476 [C24H21N5O6+H]+.

Example 5

[Figure (not displayed)]

1-(4-tert-butylphenyl)-2-oxo-1,2-dihydropyridine-3-carbaldehyde (5-2) was synthesized using a procedure similar to the synthesis of compound 3-2: 1H NMR (300 MHz, CDCl3) δ 10.35 (1H, d, J=0.6 Hz), 8.12 (1H, dd, J=6.9, 2.3 Hz), 7.67 (1H, dd, J=6.9, 2.3 Hz), 7.54 (2H, m), 7.32 (2H, m), 6.39 (1H, dt, J=0.6, 6.9 Hz), 1.36 (9H, s); ESI-MS m/z 256 [C16H17NO2+H]+.

(±)-1-(1-(4-tert-butylphenyl)-2-oxo-1,2-dihydropyridin-3-yl)-2-(3-(1,3-dioxoisoindolin-2-yl)benzo[d]isoxazol-6-ylamino)-2-oxoethyl acetate 5-3 was synthesized using a procedure similar to the synthesis of compound 2-3: 1H NMR (400 MHz, CDCl3) δ 10.17 (1H, s), 8.24 (1H, d, J=2.0 Hz), 8.03 (2H, m), 7.83-7.90 (3H, m), 7.51-7.59 (3H, m), 7.45 (1H, dd, J=6.8, 2.0 Hz), 7.30 (2H, m), 7.22-7.27 (2H, m), 6.49 (1H, t, J=6.8 Hz), 2.33 (3H, s), 1.37 (9H, s); ESI-MS m/z 605 [C34H28N4O7+H]+.

(±)-N-(3-aminobenzo[d]isoxazol-6-yl)-2-(1-(4-tert-butylphenyl)-2-oxo-1,2-dihydropyridin-3-yl)-2-hydroxyacetamide (Example 5) was synthesized using a procedure similar to the synthesis of Example 3: 1H NMR (400 MHz, DMSO-d6) δ 10.26 (1H, s), 7.94 (1H, d, J=1.6 Hz), 7.63-7.71 (3H, m), 7.52 (2H, m), 7.38 (1H, dd, J=8.8, 1.6 Hz), 7.32 (2H, m), 6.41 (1H, t, J=7.2 Hz), 6.29 (2H, br s), 6.24 (1H, br d, J=4.0 Hz), 5.23 (1H, br d, J=4.0 Hz), 1.31 (9H, s); ESI-MS m/z 433 [C24H24N4O4+H]+.

Example 6

[Figure (not displayed)]

(±)-N-(1-aminoisoquinolin-6-yl)-2-(1-(4-tert-butylphenyl)-2-oxo-1,2-dihydropyridin-3-yl)-2-hydroxyacetamide (Example 6) was synthesized using a procedure similar to Example 5: 1H NMR (400 MHz, DMSO-d6) δ 10.21 (1H, s), 8.11 (1H, d, J=9.2 Hz), 8.09 (1H, d, J=2.2 Hz), 7.71 (1H, d, J=6.0 Hz), 7.66 (2H, d, J=6.8 Hz), 7.61 (1H, dd, J=9.2, 2.2 Hz), 7.52 (2H, m), 7.32 (2H, m), 6.78 (1H, d, J=6.0 Hz), 6.72 (2H, br s), 6.42 (1H, t, J=6.8 Hz), 6.23 (1H, d, J=5.8 Hz), 5.25 (1H, d, J=5.8 Hz), 1.30 (9H, s); ESI-MS m/z 442 [C26H26N4O3+H]+.

EXAMPLE1H NMR (ppm 400 MHz)*
1CDCl3 δ 10.54 (1H, s), 7.93 (1H, br s), 7.87 (1H, br d, J = 7.2
Hz), 7.40-7.37 (2H, m), 7.29-7.22 (1H, m), 7.20 (1H, dd, J =
7.7, 1.6 Hz), 7.03 (1H, dd, J = 7.2, 2.4 Hz), 6.95-6.91 (1H, m),
6.50 (1H, t, J = 6.8 Hz), 5.42 (1H, d, J = 4.0 Hz), 4.75 (1H, d,
J = 4.0 Hz), 4.51 (1H, m), 4.31 (2H, br s), 4.03-3.98 (2H, m),
3.60-3.54 (2H, m), 2.10-2.03 (2H, m), 1.91-1.80 (2H, m).
2DMSO-d6 δ 10.26 (1H, s), 7.94 (1H, d, J = 1.6 Hz), 7.66-7.72
(3H, m), 7.57 (2H, m), 7.51 (2H, m), 7.39 (1H, dd, J = 8.4, 1.6
Hz), 6.46 (1H, t, J = 6.8 Hz), 6.29 (2H, br s), 6.26 (1H, d, J =
6.2 Hz), 5.23 (1H, d, J = 6.2 Hz).
3CDCl3 δ 10.55 (1H, s), 7.85-7.9 (2H, m), 7.62 (1H, t, J = 8.0
Hz), 7.44-7.53 (3H, m), 7.40 (1H, br d, J = 8.4 Hz), 7.32 (1H,
m), 7.28 (1H, dd, J = 8.4, 1.6 Hz), 6.52 (1H, t, J = 6.8 Hz),
5.44 (1H, d, J = 5.0 Hz), 4.75 (1H, d, J = 5.0 Hz), 4.35 (2H,
s), 4.29 (2H, br s), 4.03-4.09 (2H, m), 3.81-3.93 (2H, m).
4CD3OD δ 9.21 (1H, s), 8.28 (1H, s), 7.83 (1H, d, J = 6.2 Hz),
7.82-7.81 (1H, m), 7.65 (1H, dd, J = 6.8, 2.0 Hz), 7.57 (2H,
m), 7.44 (2H, m), 6.86 (1H, d, J = 6.2 Hz), 6.55 (1H, t, J = 7.2
Hz), 5.41 (1H, s).
5DMSO-d6 6 10.26 (1H, s), 7.94 (1H, d, J = 1.6 Hz), 7.63-7.71
(3H, m), 7.52 (2H, m), 7.38 (1H, dd, J = 8.8, 1.6 Hz), 7.32
(2H, m), 6.41 (1H, t, J = 7.2 Hz), 6.29 (2H, br s), 6.24 (1H, br
d, J = 4.0 Hz), 5.23 (1H, br d, J = 4.0 Hz), 1.31 (9H, s).
6DMSO-d6 δ 10.21 (1H, s), 8.11 (1H, d, J = 9.2 Hz), 8.09 (1H,
d, J = 2.2 Hz), 7.71 (1H, d, J = 6.0 Hz), 7.66 (2H, d, J = 6.8
Hz), 7.61 (1H, dd, J = 9.2, 2.2 Hz), 7.52 (2H, m), 7.32 (2H,
m), 6.78 (1H, d, J = 6.0 Hz), 6.72 (2H, br s), 6.42 (1H, t, J =
6.8 Hz), 6.23 (1H, d, J = 5.8 Hz), 5.25 (1H, d, J = 5.8 Hz),
1.30 (9H, s).
*Except when noted.

LC-MSHPLC
m/zRTSolvent RTSolvent
EXAMPLE[M + H]+minsystemminsystem
14952.02A21.98B
24612.17A19.41C
34761.72A14.85C
44721.66A24.33B
54332.43A20.70C
64431.84A20.98B
Solvent system A: Shim-pack XR-ODS II (2.0×75 mm, 2.2μ); flow: 0.4 mL/min; solvent A: 0.05% HCO2H in H2O; solvent B: 0.05% HCO2H in MeCN; Gradient Table: 0.0 min: 10% B; 0.2 min: 10% B; 0.6 min: 50% B; 2.5 min: 90% B; 3.2 min: 90% B; 3.5 min: 10% B; 5.0 min: 10% B; stop time 5.0 min.
Solvent system B: Luna C18(2) (4.6×250 mm, 5.0μ); flow: 1.0 mL/min; solvent A: 0.05% TFA in H2O; solvent B: 0.05% TFA in MeCN; Gradient Table: 0 min: 10% B; 5 min: 10% B; 20 min: 90% B; 30 min: 90% B; 35 min: 10% B; 40 min: 10% B; stop time 40 min.
Solvent system C: XTerra MS C18 (4.6×150 mm, 5.0μ); flow: 1.0 mL/min; solvent A: 0.05% TFA in H2O; solvent B: 0.05% TFA in MeCN; Gradient Table: 0 min: 10% B; 2.5 min: 10% B; 20 min: 90% B; 30 min: 90% B; 32.5 min: 10% B; 40 min: 10% B; stop time 40 min.
Solvent system D: Alltima C18 column (2.1×100 mm, 3.0μ); flow 0.4 mL/min; solvent A: 0.05% HCO2H in H2O; solvent B: 0.05% HCO2H in MeOH; Gradient Table: 0.0 min: 20% B; 0.30 min 20% B; 2.50 min: 95% B; 4.70 min: 95% B: 4.75 min: 20% B; 6.00 min: 20% B; stop time 6.00 min.
Determination of Inhibitory Activity Against Factor IXa

Inhibitory activity against Factor IXa was tested using the substrate SPECTROFLUOR FIXa (American Diagnostica Inc.; 500 West Avenue, Stamford, Conn. 06902 USA; Pr. No. 299F) and human Factor IXa (American Diagnostica Inc.; Pr. No. 449b). Test substances dissolved in buffer A (50 mM α,α,α-tris(hydroxymethyl)methylamine (Tris), 100 mM NaCl, 5 mM CaCl2, 15% (v/v) ethylene glycol, pH 8.0) were mixed with Factor IXa (2.0 μg/ml final concentration). The enzyme reaction was started by addition of SPECTROFLUOR FIXa (100 μM final concentration). After incubation for 60 minutes at room temperature, the reaction was stopped by the addition of 20% (v/v) acetic acid solution, and then fluorescence value measured (Excitation Wavelength: 355 nm, Emission Wavelength; 460 nm) in a microtiter plate reader (ARVO 1420 Multilabel Counter; PerkinElmer).

IC50 was calculated from a dilution series of the test substance with the aid of the software, Symix Assay Explorer (Symyx Technologies, Inc.). Table 3 shows the results.

TABLE 3
Factor IXa enzyme assay
CompoundIC50 [nM]
28600
51000
654
Determination of Inhibitory Activity Against Factor Xa

Inhibitory activity against Factor Xa is tested using the substrate SPECTROFLUOR FXa (American Diagnostica Inc.; 500 West Avenue, Stamford, Conn. 06902 USA; Pr. No. 222F) and human factor Xa (American Diagnostica Inc.; Pr. No. 526). Test substances dissolved in buffer B (20 mM Tris, 200 mM NaCl, 2.5 mM CaCl2, pH 8.0) are mixed with factor Xa (44 ng/ml final concentration). The enzyme reaction is started by addition of SPECTROFLUOR FXa (100 μM final concentration). After incubation for 60 minutes at room temperature, the reaction is stopped by the addition of 20% (v/v) acetic acid solution, and then fluorescence value measured (Excitation Wavelength: 355 nm, Emission Wavelength; 460 nm) in a microtiter plate reader (ARVO 1420 Multilabel Counter; PerkinElmer).

Selectivity Calculation

Selectivity for Factor IXa activity over Factor Xa activity can be determined by the following calculation: (IC50 Factor Xa)/(IC50 Factor IXa). Similar calculations can be made for selectivity of compounds for Factor IXa compared to other coagulation factors. These as well as other ways of minimizing contact between the components of combination products of the present invention, whether administered in a single dosage form or administered in separate forms but at the same time by the same manner, will be readily apparent to those skilled in the art, once armed with the present disclosure.

The present invention is not limited in scope by the specific embodiments disclosed in the examples which are intended as illustrations of a few aspects of the invention and any embodiments that are functionally equivalent are within the scope of this invention. Indeed, various modifications of the invention in addition to those shown and described herein will become apparent to those skilled in the relevant art and are intended to fall within the scope of the appended claim.

Because of their inhibitory action, these compounds are indicated for use in the prevention or treatment of physiological reactions, conditions including thromboembolic disorder (arterial cardiovascular thromboembolic disorders, venous cardiovascular thromboembolic disorders, thromboembolic disorders in the chambers of the heart, unstable angina, an acute coronary syndrome, atrial fibrillation, first myocardial infarction, recurrent myocardial infarction, ischemic sudden death, transient ischemic attack, stroke, atherosclerosis, peripheral occlusive arterial disease, venous thrombosis, deep vein thrombosis, thrombophlebitis, arterial embolism, coronary arterial thrombosis, cerebral arterial thrombosis, cerebral embolism, kidney embolism, pulmonary embolism, and thrombosis resulting from (a) prosthetic valves or other implants, (b) indwelling catheters, (c) stents, (d) cardiopulmonary bypass, (e) hemodialysis, or (f) other procedures in which blood is exposed to an artificial surface that promotes thrombosis), blood coagulation, fibrinolysis, blood pressure regulation and inflammation, and wound healing catalyzed by the aforesaid class of enzymes. Specifically, the compounds have utility as drugs for the treatment of diseases arising from elevated thrombin activity of the aforementioned serine proteases, such as myocardial infarction, and as reagents used as anticoagulants in the processing of blood to plasma for diagnostic and other commercial purposes.

The compounds of the present invention can be administered alone or in combination with one or more additional therapeutic agents. These include other anticoagulant or coagulation inhibitory agents anti-platelet or platelet inhibitory agents, anti-inflammatory agents, thrombin inhibitors, thrombolytic or fibrinolytic agents, thrombin receptor (PAR-1) antagonists, factor VIIa inhibitors, factor VIIIa inhibitor, factor IXa inhibitors different from the compounds of Formula I, factor Xa inhibitors, factor XIa inhibitors, a TAFI inhibitor, and fibrinogen receptor antagonists. Additionally, compounds of the invention can be administered in combination with warfarin, heparin, aprotinin, a synthetic pentasaccharide, a boroarginine derivative, a boropeptide, heparin, hirudin, argatroban, a thromboxane-A2-receptor antagonist, a thromboxane-A2-synthetase inhibitor, a PDE-III inhibitor, a PDE V inhibitor, a ADP receptor antagonist, an antagonist of the purinergic receptor P2Y1, an antagonist of the purinergic receptor P2Y12, tissue plasminogen activator and modified forms thereof, anistreplase, urokinase, streptokinase, tenecteplase, lanoteplase, a PAI-I inhibitor, an alpha-2-antiplasmin inhibitor, an anisoylated plasminogen streptokinase activator complex, a HMG-CoA reductase inhibitor, a squalene synthetase inhibitor, a fibrate, a bile acid sequestrant, an ACAT inhibitor, a MTP inhibitor, a lipooxygenase inhibitor, a cholesterol absorption inhibitor, a cholesterol ester transfer protein inhibitor, an alpha adrenergic blocker, a beta adrenergic blocker, a calcium channel blocker, a diuretic, a renin inhibitor, an angiotensin-converting enzyme inhibitor, an angiotensin-II-receptor antagnonist, an ET receptor antagonist, a Dual ET/All antagonist, a neutral endopeptidase inhibitor, a vasopepsidase inhibitor, a Class I agent, a Class II agent, a Class III agent, a Class IV agent, an IAch inhibitor, an IKur inhibitor and a cardiac glycoside.

The compounds are administered to a mammal in a therapeutically effective amount. By “therapeutically effective amount” it is meant an amount of a compound of the present invention that, when administered alone or in combination with an additional therapeutic agent to a mammal, is effective to treat (i.e. prevent, inhibit or ameliorate) the thromboembolic and/or inflammatory disease condition or treat the progression of the disease in a host.

The compounds of the invention are preferably administered alone to a mammal in a therapeutically effective amount. However, the compounds of the invention can also be administered in combination with an additional therapeutic agent, as defined below, to a mammal in a therapeutically effective amount. When administered in a combination, the combination of compounds in preferably, but not necessarily, a synergistic combination. Synergy, as described for example by Chou and Talalay, Adv. Enzyme Regul. 1984, 22, 27-55, occurs when the effect (in this case, inhibition of the desired target) of the compounds when administered in combination is greater than the additive effect of the compounds when administered alone as a single agent. In general, a synergistic effect is most clearly demonstrated at suboptimal concentrations of the compounds. Synergy can be in terms of lower cytotoxicity, increased anticoagulant effect, or some other beneficial effect of the combination compared with the individual components.

By “administered in combination” or “combination therapy” it is meant that the compound of the present invention and one or more additional therapeutic agents are administered concurrently to the mammal being treated. When administered in combination each component may be administered at the same time or sequentially in any order at different points in time. Thus, each component may be administered separately but sufficiently closely in time so as to provide the desired therapeutic effect.

One or more additional pharmacologically active agents may be administered in combination with a compound of the invention. The additional active agent (or agents) is intended to mean a pharmaceutically active agent (or agents) that is active in the body, including pro-drugs that convert to pharmaceutically active form after administration, which is different from the compound of Formula I, and also includes free-acid, free-base and pharmaceutically acceptable salts of said additional active agents when such forms are sold commercially or are otherwise chemically possible. Generally, any suitable additional active agent or agents, including but not limited to antihypertensive agents, additional diuretics, anti-atherosclerotic agents such as a lipid modifying compound, anti-diabetic agents and/or anti-obesity agents may be used in any combination with the compound of Formula I in a single dosage formulation (a fixed dose drug combination), or may be administered to the patient in one or more separate dosage formulations which allows for concurrent or sequential administration of the active agents (co-administration of the separate active agents). Examples of additional active agents which may be employed include but are not limited to angiotensin converting enzyme inhibitors (e.g., alacepril, benazepril, captopril, ceronapril, cilazapril, delapril, enalapril, enalaprilat, fosinopril, imidapril, lisinopril, moveltipril, perindopril, quinapril, ramipril, spirapril, temocapril, or trandolapril); angiotensin II receptor antagonists also known as angiotensin receptor blockers or ARBs (e.g., losartan i.e., COZAAR®, valsartan, candesartan, olmesartan, telmesartan, eprosartan, irbesartan and any of these drugs used in combination with hydrochlorothiazide such as HYZAAR®); diuretics, e.g. hydrochlorothiazide (HCTZ); potassium sparing diuretics such as amiloride HCl, spironolactone, epleranone, triamterene, each with or without HCTZ; neutral endopeptidase inhibitors (e.g., thiorphan and phosphoramidon); aldosterone antagonists; aldosterone synthase inhibitors; renin inhibitors (e.g. urea derivatives of di- and tri-peptides (See U.S. Pat. No. 5,116,835), amino acids and derivatives (U.S. Pat. Nos. 5,095,119 and 5,104,869), amino acid chains linked by non-peptidic bonds (U.S. Pat. No. 5,114,937), di- and tri-peptide derivatives (U.S. Pat. No. 5,106,835), peptidyl amino diols (U.S. Pat. Nos. 5,063,208 and 4,845,079) and peptidyl beta-aminoacyl aminodiol carbamates (U.S. Pat. No. 5,089,471); also, a variety of other peptide analogs as disclosed in the following U.S. Pat. Nos. 5,071,837; 5,064,965; 5,063,207; 5,036,054; 5,036,053; 5,034,512 and 4,894,437, and small molecule renin inhibitors (including diol sulfonamides and sulfinyls (U.S. Pat. No. 5,098,924), N-morpholino derivatives (U.S. Pat. No. 5,055,466), N-heterocyclic alcohols (U.S. Pat. No. 4,885,292) and pyrolimidazolones (U.S. Pat. No. 5,075,451); also, pepstatin derivatives (U.S. Pat. No. 4,980,283) and fluoro- and chloro-derivatives of statone-containing peptides (U.S. Pat. No. 5,066,643); enalkrein; RO 42-5892; A 65317; CP 80794; ES 1005; ES 8891; SQ 34017; aliskiren (2(S),4(S),5(S),7(S)-N-(2-carbamoyl-2-methylpropyl)-5-amino-4-hydroxy-2,7-diisopropyl-8-[4-methoxy-3-(3-methoxypropoxy)-phenyl]-octanamid hemifumarate) SPP600, SPP630 and SPP635); endothelin receptor antagonists; vasodilators (e.g. nitroprusside); calcium channel blockers (e.g., amlodipine, nifedipine, verapamil, diltiazem, felodipine, gallopamil, niludipine, nimodipine, nicardipine); potassium channel activators (e.g., nicorandil, pinacidil, cromakalim, minoxidil, aprilkalim, loprazolam); sympatholitics; beta-adrenergic blocking drugs (e.g., acebutolol, atenolol, betaxolol, bisoprolol, carvedilol, metoprolol, metoprolol tartate, nadolol, propranolol, sotalol, timolol); alpha adrenergic blocking drugs (e.g., doxazocin, prazocin or alpha methyldopa); central alpha adrenergic agonists; peripheral vasodilators (e.g. hydralazine); lipid lowering agents, e.g., HMG-CoA reductase inhibitors such as simvastatin and lovastatin which are marketed as ZOCOR® and MEVACOR® in lactone pro-drug form and function as inhibitors after administration, and pharmaceutically acceptable salts of dihydroxy open ring acid HMG-CoA reductase inhibitors such as atorvastatin (particularly the calcium salt sold in LIPITOR®), rosuvastatin (particularly the calcium salt sold in CRESTOR®), pravastatin (particularly the sodium salt sold in PRAVACHOL®), and fluvastatin (particularly the sodium salt sold in LESCOL®); a cholesterol absorption inhibitor such as ezetimibe (ZETIA®), and ezetimibe in combination with any other lipid lowering agents such as the HMG-CoA reductase inhibitors noted above and particularly with simvastatin (VYTORIN®) or with atorvastatin calcium; niacin in immediate-release or controlled release forms, and particularly niacin in combination with a DP antagonist such as laropiprant (TREDAPTIVE®) and/or with an HMG-CoA reductase inhibitor; niacin in immediate-release or controlled release forms, and particularly niacin in combination with a DP antagonist such as laropiprant (TREDAPTIVE®) and/or with an HMG-CoA reductase inhibitor; niacin receptor agonists such as acipimox and acifran, as well as niacin receptor partial agonists; metabolic altering agents including insulin sensitizing agents and related compounds for the treatment of diabetes such as biguanides (e.g., metformin), meglitinides (e.g., repaglinide, nateglinide), sulfonylureas (e.g., chlorpropamide, glimepiride, glipizide, glyburide, tolazamide, tolbutamide), thiazolidinediones also referred to as glitazones (e.g., pioglitazone, rosiglitazone), alpha glucosidase inhibitors (e.g., acarbose, miglitol), dipeptidyl peptidase inhibitors, (e.g., sitagliptin (JANUVIA®), alogliptin, vildagliptin, saxagliptin, linagliptin, dutogliptin, gemigliptin), ergot alkaloids (e.g., bromocriptine), combination medications such as JANUMET® (sitagliptin with metformin), and injectable diabetes medications such as exenatide and pramlintide acetate; or with other drugs beneficial for the prevention or the treatment of the above-mentioned diseases including but not limited to diazoxide; and including the free-acid, free-base, and pharmaceutically acceptable salt forms of the above active agents where chemically possible.

Compounds which can be alternatively or additionally administered in combination with the compounds of the present invention include, but are not limited to, anticoagulants, anti-thrombin agents, anti-platelet agents, fibrinolytics, hypolipidemic agents, antihypertensive agents, and anti-ischemic agents.

Anticoagulant agents (or coagulation inhibitory agents) that may be used in combination with the compounds of this invention include warfarin, heparin (either unfractionated heparin or any commercially available low molecular weight heparin, for example enoxaparin and dalteparin), aprotinin, synthetic pentasaccharide inhibitors of Factor Xa such as fondaparinux and idraparinux, direct Factor Xa inhibitors such as rivaroxaban, apixaban, betrixaban, edoxaban, otamixaban, direct acting thrombin inhibitors including hirudin, dabigatran, argatroban, ximelagatran, melagatran, lepirudin, desirudin, and bivalirudin, as well as other factor VIIa inhibitors, VIIIa inhibitors, IXa inhibitors, Xa inhibitors, XIa inhibitors, fibrinogen receptor antagonists (including abciximab, eptifibatide and tirofiban), TAFI inhibitors, and others known in the art. Factor IXa inhibitors different from the compounds of Formula (I) include synthetic active-site blocked competitive inhibitors, oral inhibitors and RNA aptamers. These are described in the previously cited Howard et al. reference (Howard, E L, Becker K C, Rusconi, C P, Becker R C. Factor IXa Inhibitors as Novel Anticoagulents. Arterioscler Thromb Vasc Biol. 2007; 27: 722-727.).

The term anti-platelet agents (or platelet inhibitory agents), as used herein, denotes agents that inhibit platelet function, for example, by inhibiting the aggregation, adhesion or granular secretion of platelets. Such agents include, but are not limited to, the various known non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin, ibuprofen, naproxen, sulindac, indomethacin, mefenamate, droxicam, diclofenac, sulfinpyrazone, and piroxicam, including pharmaceutically acceptable salts or prodrugs thereof. Of the NSAIDS, aspirin (acetylsalicylic acid or ASA), and piroxicam are preferred. Other suitable platelet inhibitory agents include IIb/IIIa antagonists (e.g., tirofiban, eptifibatide, and abciximab), thromboxane-A2-receptor antagonists (e.g., ifetroban), thromboxane-A2-synthetase inhibitors, phosphodiesterase-III (PDE-III) inhibitors (e.g., dipyridamole, cilostazol), and PDE V inhibitors (such as sildenafil), and pharmaceutically acceptable salts or prodrugs thereof.

The term anti-platelet agents (or platelet inhibitory agents), as used herein, is also intended to include ADP (adenosine diphosphate) receptor antagonists, preferable antagonists of the purinergic receptors P2Y1 and P2Y12 with P2Y12 being even more preferred. Preferred P2Y12 receptor antagonists include ticlopidine, prasugrel, clopidogrel, elinogrel, ticagrelor and cangrelor, including pharmaceutically acceptable salts or prodrugs thereof. Clopidogrel is an even more preferred agent. Ticlopidine and clopidogrel are also preferred compounds since they are known to be gentle on the gastro-intestinal tract in use. The compounds of the present invention may also be dosed in combination with aprotinin.

The term thrombin inhibitors (or anti-thrombin agents), as used herein, denotes inhibitors of the serine protease thrombin. By inhibiting thrombin, various thrombin-mediated processes, such as thrombin-mediated platelet activation (that is, for example, the aggregation of platelets, and/or the granular secretion of plasminogen activator inhibitor-I and/or serotonin), endothelial cell activation, inflammatory reactions, and/or fibrin formation are disrupted. A number of thrombin inhibitors are known to one of skill in the art and these inhibitors are contemplated to be used in combination with the present compounds. Such inhibitors include, but are not limited to, boroarginine derivatives, boropeptides, heparins, hirudin, dabigatran and argatroban, including pharmaceutically acceptable salts and prodrugs thereof. Boroarginine derivatives and boropeptiders include N-acetyl and peptide derivatives of boronic acid, such as C-terminal alpha-aminoboronic acid derivatives of lysine, ornithine, arginine, homoarginine and corresponding isothiouronium analogs thereof. The term hirudin, as used herein, includes suitable derivatives or analogs of hirudin, referred to herein as hirulogs, such as disulfatohirudin.

The term “thrombin receptor antagonists”, also known as protease activated receptor (PAR) antagonists or PAR-1 antagonists, are useful in the treatment of thrombotic, inflammatory, atherosclerotic and fibroproliferative disorders, as well as other disorders in which thrombin and its receptor play a pathological role.

Thrombin receptor antagonist peptides have been identified based on structure-activity studies involving substitutions of amino acids on thrombin receptors. In Bernatowicz et al, J. Med. Chem., vol. 39, pp. 4879-4887 (1996), tetra- and pentapeptides are disclosed as being potent thrombin receptor antagonists, for example N-trans-cinnamoyl-p-fluoroPhe-p-guanidinoPhe-Leu-Arg-NH2 and N-trans-cinnamoyl-p-fluoroPhe-p-guanidinoPhe-Leu-Arg-Arg-NH2. Peptide thrombin receptor antagonists are also disclosed in WO 94/03479.

Substituted tricyclic thrombin receptor antagonists are disclosed in U.S. Pat. Nos. 6,063,847, 6,326,380 and WO 01/96330 and Ser. No. 10/271,715.

Other thrombin receptor antagonists include those disclosed in U.S. Pat. Nos. 7,304,078; 7,235,567; 7,037,920; 6,645,987; and EP Patent Nos. EP1495018 and EP1294714.

The term thrombolytic (or fibrinolytic) agents (or thrombolytics or fibrinolytics), as used herein, denotes agents that lyse blood clots (thrombi). Such agents include tissue plasminogen activator (TPA, natural or recombinant) and modified forms thereof, anistreplase, urokinase, streptokinase, tenecteplase (TNK), lanoteplase (nPA), factor VIIa inhibitors, PAI-I inhibitors (i.e., inactivators of tissue plasminogen activator inhibitors), alpha-2-antiplasmin inhibitors, and anisoylated plasminogen streptokinase activator complexes, including pharmaceutically acceptable salts or prodrugs thereof. The term anistreplase, as used herein, refers to anisoylated plasminogen streptokinase activator complexes, as described, for example, in European Patent Application No. 028,489. The term urokinase, as used herein, is intended to denote both dual and single chain urokinase, the latter also being referred to herein as prourokinase.

Examples of suitable anti-arrhythmic agents for use in combination with the present compounds include: Class I agents (such as propafenone); Class II agents (such as carvedilol and propranolol); Class III agents (such as sotalol, dofetilide, aminodarone, azimilide and ibutilide); Class IV agents (such as ditiazem and verapamil); IAch inhibitors, and IKur inhibitors (e.g., compounds such as those disclosed in WO01/40231).

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