Phenothiazines development

Blood flow is greater in the muscles of the upper arm than in the gluteal mass and thigh, and also increases with physical exercise. (Usually these influences are vmimportant but one football-playing patient who was given an intramuscular injection of a sustained-release phenothiazine developed an... 

Many of the naturally occurring tricyclic thiazines are essentially naphtho analogues of the benzothiazines discussed in the previous section, and are isolated mainly from bacterial or marine sources, although the best-known tricyclic thiazine is the phenothiazine chlorpromazine. This compound, 2-chloro-l 0-(3-dimethylaminopropyl)phenothiazine developed in the early 1950s was one of the first antipsychotic drugs on the market, and although it is claimed to be a natural product (03MI05), the evidence is extremely weak, and therefore it is not included here. 

Figure 2.7 3,7-Dianilino-substituted W-hexyl phenothiazines developed by Pereteanu and Muller p9l-...

MoriciZine. Moricizine, a phenothiazine derivative, was synthesized and developed in Russia, where it has been in general use since 1971. EDA approval of the new dmg application (NDA) for use in the United States was granted in 1991. It is effective against atrial and ventricular arrhythmias (1,2,21). 

Oxidation of P-nicotinamide adenine dinucleotide (NADH) to NAD+ has attracted much interest from the viewpoint of its role in biosensors reactions. It has been reported that several quinone derivatives and polymerized redox dyes, such as phenoxazine and phenothiazine derivatives, possess catalytic activities for the oxidation of NADH and have been used for dehydrogenase biosensors development [1, 2]. Flavins (contain in chemical structure isoalloxazine ring) are the prosthetic groups responsible for NAD+/NADH conversion in the active sites of some dehydrogenase enzymes. Upon the electropolymerization of flavin derivatives, the effective catalysts of NAD+/NADH regeneration, which mimic the NADH-dehydrogenase activity, would be synthesized [3]. 

The role of fluonne in the development of CNS agents has been reviewed [14] Ruonnated phenothiazines, typified by fluphenazine (7[Pg.1121]

NADH. Immobilized redox mediators, such as the phenoxazine Meldola Blue or phenothiazine compoimds, have been particularly useful for this purpose (20) (see also Figure 4-12). Such mediation should be useful for many other dehydrogenase-based biosensors. High sensitivity and speed are indicated from the flow-injection response of Figure 3-21. The challenges of NADH detection and the development of dehydrogenase biosensors have been reviewed (21). Alcohol biosensing can also be accomplished in the presence of alcohol oxidase, based on measurements of the liberated peroxide product. 

Benzoyl leuco Methylene Blue (1), which is a phenothiazine leuco dye, has been known since 1900. The material was developed to extend the range of hues and colors obtainable in such applications as pressure-sensitive carbonless paper and to complement other classes of leuco dyes such as triarylmethanes, crystal violet lactone, and fluorans. Benzoyl leuco Basic Blue 3 (2), which is a phenoxazine leuco dye, is a more recent development. 

Derivatives of Methylene Violet 6 possessing long aliphatic chains are obtained by oxidative coupling of 3-acetoxyphenothiazine with a secondary amine in the presence of an oxidant such as iodine. The oxidative coupling of phenothiazine with amine is well known but in this case the reaction does not stop there but proceeds further at reflux temperatures to the phenothiazinone 74.9 Reduction of the latter dye and treatment with acetic anhydride yields the ballasted phenothiazine 6. Reaction of 75 with the dye chloroformate 70 yields the ballasted leuco dye developer 76. 

Chlorpromazine is technically described as a phenothiazine, as are thioridazine and fluphenazine. Together with their structural analogues the thioxanthenes (e.g., clopenthixol) and the butyrophenones (e.g., haloperidol), the phenothiazines comprise the three major families of typical neuroleptics. They were developed in the late 1950s and early 1960s (Table 11.3). All these drugs block dopamine receptors, principally the D2 subtypes, with an affinity that correlates highly (r = +0.90) with their clinical... 

Carbazole, A-methylcarbazole, IV-ethylcarbazole, dibenzofuran, dibenzothiophene, fluorene, dibenzo-p-dioxin, phenoxathiin, phenoxazine, phenothiazine, xanthene, biphenyl, naphthalene, phenanthrene, anthracene, and fluoranthene could be transformed by E. coli, [314] which was transformed using a plasmid bearing the carAa, Ac, and Ad genes, and expressing only the carA-encoded proteins. Further work is needed to develop a final biocatalyst and to prove the advantages that this degradative pathway would incorporate in a refining bioprocess. 

The most commonplace substrates in energy-transfer analytical CL methods are aryl oxalates such as to(2,4,6-trichlorophenyl) oxalate (TCPO) and z s(2,4-dinitrophenyl) oxalate (DNPO), which are oxidized with hydrogen peroxide [7, 8], In this process, which is known as the peroxyoxalate-CL (PO-CL) reaction, the fluorophore analyte is a native or derivatized fluorescent organic substance such as a polynuclear aromatic hydrocarbon, dansylamino acid, carboxylic acid, phenothiazine, or catecholamines, for example. The mechanism of the reaction between aryl oxalates and hydrogen peroxide is believed to generate dioxetane-l,2-dione, which may itself decompose to yield an excited-state species. Its interaction with a suitable fluorophore results in energy transfer to the fluorophore, and the subsequent emission can be exploited to develop analytical CL-based determinations. 

Opaque deposits in the cornea and lens may occur with chronic phenothi-azine treatment, especially with CPZ. Although visual acuity is not usually affected, periodic slit-lamp examinations are recommended with use of long-term phenothiazines. Baseline and periodic slit-lamp examinations are also recommended for quetiapine-treated patients because of cataract development and lenticular changes in animal studies. 

Phenothiazines The phenothiazines (PTZs) undergo extensive metabolism. Metabolic routes include S-oxidation, aromatic hydroxylation, N-dealkylation, N-oxidation, and a combination of these processes. Chlorpromazine, for example, possesses 168 possible metabolites, a large proportion of which are pharmacologically active compounds. The development of an HPLC assay capable of resolving a large number of these metabolites is virtually impossible and assays that permit the simultaneous determination of the parent compound and a selected number of active metabolites must suffice. The PTZ group of compounds includes chlorpromazine, thioridazine, fluphenazine, and perphenazine. 

Hf and H Receptors. Histamine exerts its actions by binding to receptors on cell membranes. Two types of histamine receptors, the Hi and H2 receptors, are known specific agonists and antagonists exist for each of these receptors. Black et al. (55) differentiated H and H2 receptors with the compounds, 2-methylhistamine and 4 methylhistamine. 2-Methylhistamine is active on tissues with H receptors 4-methylhistamine is active on tissues with H2 receptors. Classical antihistaminic drugs were developed in the 1930 s these compounds block H but not H2 receptors. Among the clinically used H -blockers are derivatives of ethanolamine, ethylenediamine, alkylamine, piperazine and phenothiazine (32). These agents are valuable in the treatment of... 

Synthesis of a new dipyrido-l,4-thiazine 328 has been described involving a Smiles rearrangement, and A -alkylation, arylation and heteroarylation of 328 have been repotted as well as its promising anti-tumor activity <2007H(71)1347>. Phenothiazine derivatives such as 329 and 330 have been developed for use in dye-sensitized solar cells <2007CC3741>. 

The butyrophenones are chemically unrelated to the phenothiazines, but show a similar antipsychotic action. They were developed by P. A. Jansen and derived from fentanyl-type analgesics (see chapter 5). More than 4000 derivatives have been synthesized, of which the three most widely used antipsychotics are shown. Pimozide (4.91) is clearly derived from benperidol (4.92), even though it is no longer a butyrophenone. 

Metoclopramide is structurally related to orthoclopramide, a procaine derivative, and it can prolong the action of suxamethonium because of competition for cholinesterase. However, its common side effects are similar to those seen with phenothiazine derivatives. In high doses, a range of extrapyramidal symptoms may develop. The anti-emetic effects of metoclopramide are due to two main actions. Centrally, it blocks dopamine in the CTZ and peripherally, it hastens gastric emptying, abolishes irregular intestinal contractions, and increases... 

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