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阿加曲班有效分离的21R和21S非对映异构体的晶体学、光谱学及理论研究。

Crystallographic, spectroscopic, and theoretical investigation of the efficiently separated 21R and 21S-diastereoisomers of argatroban.

作者信息

Ferraboschi Patrizia, Colombo Diego, Legnani Laura, Toma Lucio, Grisenti Paride, Vistoli Giulio, Meneghetti Fiorella

机构信息

Dipartimento di Biotecnologie Mediche e Medicina Traslazionale, Università degli Studi di Milano, Milano, Italy.

出版信息

Chirality. 2013 Dec;25(12):871-82. doi: 10.1002/chir.22228. Epub 2013 Aug 22.

DOI:10.1002/chir.22228
PMID:23966356
Abstract

Argatroban (I), a potent noncovalent reversible thrombin inhibitor, is used as an anticoagulant for the parenteral treatment of heparin-induced thrombocytopenia (HIT) patients. By virtue of its pharmacological properties and the well-balanced risks and benefits, argatroban is now emerging as a clinically relevant antithrombotic agent. The availability of this drug as a mixture of 21R and 21S-diastereoisomers, in a ratio of roughly 64:36, prompted us to design an efficient separation setup of the two epimers. We pursued our efforts on their detailed structural analysis with the aim of understanding their different activity and aqueous solubility. These investigations were accompanied by a modeling study of the two diastereoisomers, with particular attention on the easy interconverting half-chair of the tetrahydroquinoline system and its preferred conformation, which is determined by the configuration at C21. These results, together with the analysis of their physicochemical profiles, provide new useful information for the development of the individual diastereoisomers.

摘要

阿加曲班(I)是一种强效的非共价可逆凝血酶抑制剂,用作肝素诱导的血小板减少症(HIT)患者肠外治疗的抗凝剂。凭借其药理特性以及良好平衡的风险和益处,阿加曲班正逐渐成为一种具有临床相关性的抗血栓形成药物。该药物以21R和21S-非对映异构体的混合物形式存在,比例约为64:36,这促使我们设计一种高效的两种差向异构体分离装置。我们致力于对它们进行详细的结构分析,旨在了解它们不同的活性和水溶性。这些研究伴随着对两种非对映异构体的建模研究,特别关注四氢喹啉系统易于相互转化的半椅式构象及其优选构象,其由C21处的构型决定。这些结果,连同对它们物理化学特征的分析,为开发单个非对映异构体提供了新的有用信息。

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Crystallographic, spectroscopic, and theoretical investigation of the efficiently separated 21R and 21S-diastereoisomers of argatroban.阿加曲班有效分离的21R和21S非对映异构体的晶体学、光谱学及理论研究。
Chirality. 2013 Dec;25(12):871-82. doi: 10.1002/chir.22228. Epub 2013 Aug 22.
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Complete 1H and 13C assignments of (21R) and (21S) diastereomers of argatroban.阿加曲班(21R)和(21S)非对映异构体的完整氢-1和碳-13化学位移归属
Magn Reson Chem. 2008 Jan;46(1):99-102. doi: 10.1002/mrc.2122.
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[Experimental and clinical results with the thrombin inhibitor Argatroban].[凝血酶抑制剂阿加曲班的实验与临床结果]
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Results of a consensus meeting on the use of argatroban in patients with heparin-induced thrombocytopenia requiring antithrombotic therapy - a European Perspective.在需要抗血栓治疗的肝素诱导血小板减少症患者中使用阿加曲班的共识会议结果 - 欧洲视角。
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A randomized, open-label pilot study comparing desirudin and argatroban in patients with suspected heparin-induced thrombocytopenia with or without thrombosis: PREVENT-HIT Study.一项比较达肝素和阿加曲班在伴有或不伴有血栓形成的肝素诱导血小板减少症患者中的随机、开放标签的初步研究:PREVENT-HIT 研究。
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Argatroban: a review of its use in the management of heparin-induced thrombocytopenia.阿加曲班:关于其在肝素诱导的血小板减少症管理中的应用综述
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