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| United States Patent | 4,822,817 |
| Orimo , et al. | April 18, 1989 |
Remedy for bone disease
Abstract
This invention provides remedies for bone diseases characterized by comprising organogermanium compounds expressed by the following formula: ##STR1## (wherein R.sub.1, R.sub.2 and R.sub.3 respectively denote a hydrogen atom, a lower alkyl group such as a methyl or ethyl group, or a substituted or non-substituted phenyl group; X denotes a hydroxyl, O-lower alkyl or amino group; and Y denotes an oxygen or sulfur atom) as an effective ingredient. These remedies are effect for the remedy of osteoporosis.
| Inventors: | Orimo; Hajime (Tokyo, JP); Kakimoto; Norihiro (Machida, JP); Miyao; Kohei (Tokyo, JP) |
| Assignee: | Asai Germanium Research Institute (Tokyo, JP) |
| Appl. No.: | 058278 |
| Filed: | June 4, 1987 |
Foreign Application Priority Data
| Jun 18, 1986[JP] | 61-142198 |
| Current U.S. Class: | 514/492 |
| Intern'l Class: | A61K 031/32; A61K 031/28 |
| Field of Search: | 556/83 514/492 |
References Cited [Referenced By]
U.S. Patent Documents
| 3812167 | May., 1974 | Pahk | 556/83. |
| 4420430 | Dec., 1983 | Chang et al. | 556/83. |
| 4508654 | Apr., 1985 | Chang et al. | 556/83. |
| Foreign Patent Documents | |||
| 55-105696 | Aug., 1980 | JP | 556/83. |
| 57-203090 | Dec., 1982 | JP | 556/492. |
| 203090 | Dec., 1982 | JP | 514/492. |
| 58-146507 | Sep., 1983 | JP | 556/83. |
| 59-184193 | Oct., 1984 | JP | 556/83. |
| 61-145116 | Feb., 1986 | JP | 556/492. |
| 145116 | Jul., 1986 | JP | 514/492. |
| 1365997 | Sep., 1974 | GB | 514/492. |
| 2158070 | Nov., 1985 | GB | 514/492. |
Primary Examiner: Shaver; Paul F.
Attorney, Agent or Firm: Burns, Doane, Swecker & Mathis
Claims
We claim:
1. A method for ameliorating the imbalance between osteogenesis and bone
resorption, said method comprising administering to an organism in need of such
treatment an effective amount to ameliorate the imbalance between osteogenesis
and bone resorption of a compound of the formula: ##STR6## wherein R.sub.1,
R.sub.2 and R.sub.3 are independently selected from a hydrogen atom, a lower
alkyl group and a phenyl group; X denotes a hydroxyl, O-lower alkyl or amino
group; and Y denotes an oxygen or sulfur atom.
2. The method as claimed in claim 2 wherein the lower alkyl group is a methyl
group, an ethyl group, a propyl group or a butyl group.
3. The method as claimed in claim 1 wherein R.sub.1, R.sub.2 and R.sub.3 are
each a hydrogen atom.
4. The method as claimed in claim 1 wherein R.sub.1, R.sub.2 and R.sub.3 is a
phenyl group.
5. The method as claimed in claim 1 wherein X is a hydroxyl group.
6. The method as claimed in claim 1 wherein Y is an oxygen atom.
7. The method as claimed in claim 6 wherein R.sub.1, R.sub.2 and R.sub.3 are
each a hydrogen atom, X is a hydroxyl group and Y is an oxygen atom.
8. The method as claimed in claim 1 wherein Y is a sulfur atom.
9. The method as claimed in claim 8 wherein R.sub.1, R.sub.2 and R.sub.3 are
each a hydrogen atom, X is a hydroxyl group and Y is a sulfur atom
Description
BACKGROUND OF THE INVENTION
The present invention relates to remedies for bone diseases, and particularly to
strong remedies for bone diseases containing organogermanium compounds as
effective ingredients.
Recently, metabolic bone diseases such as senile osteoporosis and renal
osteodystrophy, which are due to calcium metabolism or other causes related
thereto, have been increasing. In addition, such diseases have become a matter
of great concern in the medical field because the pathologic physiology of the
above-described metabolic bone diseases and analytical methods concerned
therewith which were unknown heretofore have been established.
It is generally said that the above-described bone diseases are closely related
to calcium metabolism and abnormalities thereof. For example, it is thought that
senile osteoporosis is caused by a decrease in osteogenesis compared with bone
resorption produced by an imbalance between osteogenesis and bone resorption due
to combinations of calcium metabolism and other factors.
Since this sort of disease however creates pain which is generally difficult to
counteract with usual analgesics or is accompanied with illnesses in which bones
easily break and are difficult to mend, a rapid remedy is required.
Since the above-described metabolic bone diseases are, however, not a single
disease but a general term for a particular pathology and their causes have not
yet been determined, or various views about their origins have been advanced,
there are problems with respect to the difficulty in establishing therapeutics
and remedies for such bone diseases.
On the other hand, although calcitonon and active vitamin D have been recently
developed as a remedy for metabolic bone diseases, their effects cannot be said
to be strong and they have disadvantages in that they have strong side-effects
and are difficult to use.
SUMMARY OF THE INVENTION
The present invention has been achieved against the background of the situation
described above, and is characterized by comprising organogermanium compounds
expressed by the following formula: ##STR2## (wherein R.sub.1, R.sub.2 and
R.sub.3 respectively denote a hydrogen atom, a lower alkyl group such as a
methyl or ethyl group, or a substituted or non-substituted phenyl group; X
denotes a hydroxyl, O-lower alkyl or amino group; and Y denotes an oxygen or
sulfur atom) as an effective ingredient.
In other words, the inventors have investigated in detail the pathology and the
origins of the above metabolic bone diseases, have noticed organogermanium
compounds and have thought of an effective therapeutic for such diseases,
utilizing these compounds for the purpose of, for example, ameliorating the
imbalance between osteogenesis and bone resorption. Therefore, the inventors
have energetically researched into usable compounds, resulting in the
achievement of the present invention.
DETAILED DESCRIPTION OF THE INVENTION
Germanium (Ge), which is a known metal, is conventionally an object of
investigation in the fields of physics and inorganic chemistry. Investigations
into organic compounds of germanium have recently proceeded and the results of
these investigations have been actively reported, and consequently these organic
compounds have attracted attention in various technical fields.
For example, it is becoming well known in the field of pharmaceutics that
carboxyethylgermanium sesquioxide (GeCH.sub.2 CH.sub.2 COOH).sub.2 O.sub.3,
which is an organogermanium compound and in which propionic acid derivatives of
germanium and oxygen atoms are bonded in a ratio of 2:3, exhibits the effects of
reducing blood pressure and amiloyd degeneration, produces excellent
physiological reactions such as the activation of macrophages and has an
antitumor effect obtained by inducing interferons, but exhibits no toxicity and
side-effects at all, and this compound is being clinically tested.
Since the remedies for bone diseases of the present invention contain the
organogermanium compounds shown in the above Formula I as effective ingredients,
these compounds are first described below. The basic skeletons of these
compounds are germyl propionic acid in which propionic acid derivatives having
three substituents R.sub.1 to R.sub.3 and oxygen functional groups OX in
molecules are bonded to germanium atoms. The germanium atoms in these basic
skeletons are bonded to oxygen atoms (when Y=O) or sulfur atoms (when Y=S) in
the ratio of 2:3.
In these compounds, the substituents R.sub.1, R.sub.2 and R.sub.3 respectively
denote a hydrogen atom, a lower alkyl group such as a methyl, ethyl, propyl or
butyl group, or a substituted or non-substituted phenyl group; and the
substituent X denotes a hydroxyl, O-lower alkyl, or amino group.
In addition, the substituents R.sub.1 and R.sub.2 are bonded at the
.alpha.-position relative to the germanium atom and the substituent R.sub.3 is
bonded at the .beta.-position relative to the same. Therefore, examples of
organogermanium compounds used as remedies of the present invention include the
following compounds: ##STR3##
The organogermanium compounds having the above-described structures can be
produced by various methods.
For example, when X=OH and Y=O in the above-described formula I, a trihalogermyl
propionic acid such as trichlorogermyl propionic acid (1) in which the
substituents R.sub.1 to R.sub.3 have been previously introduced may be
hydrolyzed, as shown in the following reaction formula 1: ##STR4##
When X=OH and Y=S in the above formula I, a trihalogermyl propionic acid such as
the above trichlorogermyl propionic acid (1) may be reacted with hydrogen
sulfide H.sub.2 S, as shown in the following reaction formula 2: ##STR5##
On the other hand, when X=O-lower alkyl group in the formula I, for example, the
above-described compound (1) may be reacted with thionyl chloride to be changed
into the corresponding acid halide which may then be reacted with the alcohol
corresponding to the above lower alkyl group and subsequently with hydrogen
sulfide, and which may then be reacted with ammonia and subsequently with
hydrogen sulfide when X=NH.sub.2 in the formula I.
The results of the instrumental analyses such as the nuclear magnetic resonance
(NMR) and the infrared absorption (IR) spectra of the organogermanium compounds
obtained in the above-mentioned methods support well the fact that these
compounds are those expressed by the formula I. Remedies for bone diseases of
the present invention contain organogermanium compounds synthesized by the
above-mentioned methods as effective ingredients. No difficulty will be
experienced in their administration in either oral or parenteral form, but in
the case of oral administration it is possible to utilize conventionally-used
forms such as tablets, capsules, powder or granules.
EFFECT AND FUNCTION OF THE INVENTION
Osteoblasts which are important for bone diseases are cells arranged to form a
monolayer cylinder on the surface of osteogenesis and are said to synthesize
organic substrates such as collagen and glycoproteins and to form substrate
vesicles so as to deposit bone salts such as hydroxyapatite therein. When the
remedies of the present invention were allowed to act on these osteoblasts, the
effect of direct activation was recognized.
In addition, since the concentration of the compounds required for the
above-described effect to be exhibited is extremely low, combined with the low
toxicity of the organogermanium compounds per se, it can be said that the
remedies of the present invention are strong and safe. The remedies can
therefore ameliorate the imbalance between osteogenesis and bone resorption and
be used for remedying osteoporosis.
When the remedies of the present invention were actually administered to
patients with osteoporosis and their effect on bone metabolism was investigated
by measuring the bone-salt content of left radius, a significant difference was
observed between the test group and a control group and it was confirmed that
the remedies of the present invention were effective for the remedy of
osteoporosis.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a graph showing the feature of activation of cloned osteoblasts by
remedies of the present invention;
FIG. 2 is a graph showing the feature of dose response of remedies of the prsent
invention;
FIG. 3 is a graph showing that remedies of the present invention can prevent the
reduction of the bone-salt content of the left radius;
FIG. 4 is a graph showing that remedies of the present invention can reduce
A1-Pase in blood; and
FIG. 5 is a graph showing that remedies of the present invention can reduce iPTH
in blood.
DESCRIPTION OF EXAMPLES
The present invention is described in detail below with reference to
Experimental Examples and Examples.
EXPERIMENTAL EXAMPLE 1
Synthesis 1 of Organogermanium Compound
500 ml of water was added to 50.4 g (0.2 mol) of trichlorogermyl propionic acid
and the mixture was agitated for 1 hour and then allowed to stand for 24 hours.
The separated crystals were filtered and recrystallized from water to obtain
28.0 g of Compound I1. The values of the physical properties of Compound I1
obrtained corresponded with the values reported in literature.
The other compounds were produced in accordance with the methods described, for
example, in Japanese Patent Laid-Open No. 226592/1985.
EXPERIMENTAL EXAMPLE 2
synthesis 2 of Organogermanium Compound
25.2 g (0.1 mol) of trichlorogermyl propionic acid was dissolved in 200 ml of
anhydrous benzene and 2.4 g (0.1 mol) of anhydrous pyridine was added to the
resulting solution. The mixture obtained was agitated and a dried hydrogen
sulfide gas was passed therethrough for 60 minutes. Benzene was removed from the
mixture with attention being paid to the oil substance produced which was then
dissolved in methanol. 300 ml of purified water was added to the solution
obtained and the separated crystals were recrystallized from methanol to obtain
17.1 g of Compound I10. The values of the physical properties of Compound I10
obtained corresponded with the values reported in literature.
The other compounds were produced in accordance with the methods described, for
example, in Japanese Patent Laid-Open No. 35916/1984.
EXAMPLE 1
Examination 1 of Pharmaceutical Effect (Method)
Clone MC3T3-E1 cells obtained from new born mouse calvaria was used as
cultivation osteoblasts. The osteoblasts were sown in .alpha.-MEM containing 10%
fetal calf serum so as to become 10.sup.5 /dish and cultivated under the
conditions of 37.degree. C. and 95% air/5% CO.sub.2 until they reached a
confluent state.
The effects of remedies of the present invention were examined by adding the
remedies respectively containing as an effective ingredient Compounds I1 to I18
into .alpha.-MEM containing 0.3% BSA so that the final concentration of these
compounds became 10 .mu.g/ml.
Alkaline phosphatase was used as an index of the activation of osteoblasts and
measured after cultivation for 1 to 4 days.
(Result)
By adding the remedies of the present invention, as shown in FIG. 1, the
alkaline phosphatase activity of MC3T3-E1 reached a peak after cultivation for 4
days when Compound I1 was used as a main ingredient (Agent 1 of this invention),
and it reached a peak after cultivation for 1 day when Compound I10 was used as
a main ingredient (Agent 10 of this invention), with a significant difference
being recognized between the respective agents and a control sample.
It was confirmed from the above-described facts that the remedies of the present
invention were able to increase the activity of cloned osteoblasts. In addition,
when the remedies of the present invention containing the other compounds as
effective ingredients were used, the results obtained were substantially the
same as those described above.
Since the alkaline phosphatase activity reached a peak after culivation for 4
days and 1 day in the cases of Agents 1 and 10 of this invention, respectively,
the investigation of the dose response of each case clarified that Agents 1 and
10 of this invention exhibited the required effect at concentrations of as low
as 100 ng/ml and 10 .mu.g/ml, respectively, as shown in FIG. 2.
EXAMPLE 2
Examination 2 of Pharmaceutical Effect
Six capsules of the agent of this invention containing 250 mg of Compound I1 as
a main ingredient were administered to eight patients suffering from
osteoporosis (all patients being female; average age: 72 years old.+-.4 years)
for 12 months and the bone-salt content of the left radius of each patient was
measured before administration started and after 3, 6, 9 and 12 months had
passed.
As seen from FIG. 3, the results obtained clarified that the bone-salt content
of the left radius in a group to which no agent was administered gradually
reduced during the time of observation over the period of 12 months, while the
reduction of the content in a group to which the agent of this invention was
administered was significantly inhibited.
A significant difference of P 0.05 was found at each of the measurements after
3, 6 and 12 months.
In addition, it was found that A1-Pase in blood and iPTH in blood were
significantly reduced, as shown in FIGS. 4 and 5, respectively.
A significant difference of P<0.05 with respect to iPTH in blood was also found.
* * * * *
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