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    • 80. 发明专利
    • Method of treating dry eye disease with UTP, ATP, and CTP sterile topical formulation
    • NZ337405A
    • 2001-07-27
    • NZ33740598
    • 1998-02-06
    • INSPIRE PHARMACEUTICALS INC
    • YERXA BENJAMIN JJACOBUS KARLA MPENDERGAST WILLIAMRIDEOUT JANET L
    • A61K9/06A61K9/00A61K9/08A61K9/10A61K9/12A61K9/127A61K9/14A61K31/7068A61K31/7072A61K31/7076A61K31/7084A61K45/06A61K47/02A61K47/14A61K47/26A61K47/32A61K47/34A61K47/36A61P27/02A61P27/04C07H19/10C07H19/20C07H21/00C07H19/06
    • A method and ophthalmic preparation comprising compounds of Formula II, II(a) and II(b) for the stimulation of tear secretion. The method comprises administering to the ocular surfaces of the subject a purinergic receptor agonist such as uridine 5'-triphosphate [UTP], dinucleotides, cytidine 5'-triphosphate [CTP], adenosine 5'-triphosphate [ATP], or their therapeutically useful analogs and derivatives, in an amount effective to stimulate tear fluid secretion. Methods of administering would include: topical administration via a liquid, gel, cream, or as part of a contact lens or selective release membrane; or systemic administration via nasal drops or spray, inhalation by nebuliser or other device, oral form (liquid or pill), injectable, intra-operative instillation or suppository form. Wherein; X is oxygen, imido, methylene or difluoromethylene; n = 0 or 1; m = 0 or 1; n+m = 0, 1 or 2; and B and B' are each independently a purine residue, as in Formula II(a), or a pyrimidine residue, as in Formula II(b), linked through the 9- or 1-position, respectively; wherein R3 is hydrogen or NHR', R1 and R' of the 8-NHR' groups are chosen from the group consisting of hydrogen, C1-6aryalkyl groups with the aryl moiety optionally having functional groups alkyl, alky groups with functional groups w-A(aIkyl)CONH(alkyl)-, and w-A(alkyl)NHCO(alkyl)-, wherein A is amino, mercaptor, hydroxy, or carboxyl; R2 is O or is absent; or R1 and R2 taken together form a 5-membered fused imidazole ring optionally substituted on the 4' and 5' positions, wherein R4 is hydroxy, mercapto, amino, cyano, aralkoxy, C1-6alkoxy, C1-6alkylamino and dialkylamino, with the alkyl groups optionally linked to form a heterocycle; R5 is hydrogen, acyl, C1-6alkyl, aroyl, C1-5alkanoyl, benzoyl, or sulphonate; R6 is hydroxy, mercapto, alkoxy, aralkoxy, C1-6alkylthio, C1-5disubstitllted amino, triazolyl, alkylamino or dialkylamino, where the alkyl groups are optionally linked to form a heterocycle or linked to N3 to form an optionally substituted ring; R7 is hydrogen, hydroxy, cyano, nitro, alkenyl with the alkenyl moiety optionally linked through oxygen to form a ring optionally substituted on the carbon adjacent to the oxygen with alkyl or aryl groups, substituted alkynyl, halogen, alkyl, substituted alkyl, perhalomethyl, C2-6alkyl, C2-3alkenyl, or substituted ethenyl, C2-3alkynyl or substituted alkynyl; or together R6 -R7 form a 5 or 6-membered saturated or unsaturated ring bonded through N or O at R6, such a ring optionally contains substituents that themselves contain functionalities; provided that when R8 is amino or substituted amino, R7 is hydrogen; and R8 is hydrogen, alkoxy, arylalkoxy, alkylthio, arylalkylthio, carboxamidomethyl, carboxymethyl, methoxy, methylthio, phenoxy or phenylthio; R8 is hydrogen, alkoxy, arylalkoxy, alkylthio, arylalkylthio, carboxamidomethyl, carboxymethyl, methoxy, methylthio, phenoxy or phenylthio.