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Title:
SMALL MOLECULE INHIBITORS OF SECRETION OF PROTEINS ENCODED BY ARE-MRNAS
Document Type and Number:
WIPO Patent Application WO/2002/083842
Kind Code:
A2
Abstract:
The invention features compounds that inhibit section of a protein encoded by an ARE-mRNA or that modulate regulation of an ARE-mRNA. These compounds are useful for the treatment or prevention of conditions involving proteins encoded by ARE-mRNAs, such as TNF$g(a).

Inventors:
GIORDANO TONY (US)
STURGESS MICHAEL A (US)
Application Number:
PCT/US2002/010898
Publication Date:
October 24, 2002
Filing Date:
April 08, 2002
Export Citation:
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Assignee:
MESSAGE PHARMACEUTICALS INC (US)
GIORDANO TONY (US)
STURGESS MICHAEL A (US)
International Classes:
C07C281/18; C07D213/56; C07D217/06; C07D295/185; (IPC1-7): C12N/
Foreign References:
US6063819A2000-05-16
US5892039A1999-04-06
Attorney, Agent or Firm:
Bieker-brady, Kristina (101 Federal Street Boston, MA, US)
Download PDF:
Claims:
Claims
1. A compound having the formula : or a derivative or salt thereof, wherein Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R2 and R5 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group; X is oxygen or H2N (HN) C (H) NN ; and m is at least one.
2. The compound of claim 1, wherein X is a H2N (HN) C (H) NN moiety.
3. The compound of claim 1, wherein m is one or two.
4. The compound of claim 1, Rl or R6 is a methyl group.
5. The compound of claim 1, wherein R or Rs is a phenyl, 4Clphenyl, 4Iphenyl, 4Fphenyl, 4nitrophenyl, 4phenylphenyl, or 4methoxyphenyl group.
6. The compound of claim 1, wherein R3 and R4 are hydrogen.
7. The compound of claim 1, wherein R2 is a phenyl group and R5 is an isopropyl group; or R is an isopropyl group and RS is a phenyl group.
8. A compound having the formula : or a derivative or salt or salt thereof, wherein Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R2 and RS are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl ; and m is at least one.
9. The compound of claim 8, wherein m is one or two.
10. The compound of claim 8, wherein Rl or R6 is a methyl group.
11. The compound of claim 8, wherein Ri or R6 is a phenyl group.
12. The compound of claim 8, wherein R or R5 is a phenyl, 4Clphenyl, 41phenyl, 4Fphenyl, 4nitrophenyl, 4phenylphenyl, or 4methoxyphenyl group.
13. The compound of claim 8, wherein R3 and R4 are hydrogen.
14. The compound of claim 8, wherein R2 is a phenyl group and R5 is an isopropyl group; or R2 is an isopropyl group and R5 is a phenyl group.
15. A compound having the formula : or a derivative or salt or salt thereof, wherein Rl and R2 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of an alkyl and an aryl group; and X is oxygen or H2N (HN) C (H) NN.
16. The compound of claim 15, wherein X is a H2N (HN) C (H) NN moiety.
17. The compound of claim 15, wherein R3 or R4 is a phenyl group.
18. The compound of claim 15, wherein R3 or R4 is a methyl group.
19. The compound of claim 15, wherein R'or W is a phenyl, 4Clphenyl, 41phenyl, 4Fphenyl, 4nitrophenyl, 4phenylphenyl, or 4methoxyphenyl group.
20. The compound of claim 15, wherein Rl is a phenyl group and R2 is an isopropyl group; or Rl is an isopropyl group and R2 is a phenyl group.
21. A compound having the formula : or a derivative or salt or salt thereof, wherein Rl and R4 are independently selected from the group consisting of an alkyl and an aryl group; and R2 and R3 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group.
22. The compound of claim 21, wherein Rl or R4 is a phenyl group.
23. The compound of claim 21, wherein Rl or R4 is a methyl group.
24. The compound of claim 21, wherein R or is a phenyl, 4Clphenyl, 4Iphenyl, 4Fphenyl, 4nitrophenyl, 4phenylphenyl, or 4methoxyphenyl group.
25. The compound of claim 21, wherein R is a phenyl group and R3 is an isopropyl group; or R is an isopropyl group and R3 is a phenyl group.
26. A compound having the formula: or a derivative or salt or salt thereof, wherein R1 and R5 are independently selected from the group consisting an aryl and an allcyl group; R is hydrogen, an alkyl, or aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group; X is oxygen or H2N (HN) C (H) NN ; and m is at least one.
27. The compound of claim 26, wherein X is a H2N (HN) C (H) NN moiety.
28. The compound of claim 26, wherein m is one or two.
29. The compound of claim 26, wherein Rl or R5 is a methyl group.
30. The compound of claim 26, wherein R1 or R5 is a phenyl group.
31. The compound of claim 26, wherein R2 is a phenyl, 4Clphenyl, 4I phenyl, 4Fphenyl, 4nitrophenyl, 4phenylphenyl, or 4methoxyphenyl group.
32. The compound of claim 26, wherein R3 and R4 are hydrogen.
33. A compound having the formula: or a derivative or salt or salt thereof, wherein Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R3 is hydrogen, an alkyl, or an aryl group; R2, R4, and RS are independently selected from the group consisting of hydrogen and an alkyl ; and m is at least one.
34. The compound of claim 33, wherein m is one or two.
35. The compound of claim 33, wherein Rl or R6 is a methyl group.
36. The compound of claim 33, wherein Ri or R6 is a phenyl group.
37. The compound of claim 33, wherein R3 is a benzyl, 4Clbenzyl, 4I benzyl, 4Fbenzyl, 4nitrobenzyl, 4phenylbenzyl, or 4methoxybenzyl group phenyl, 4Clphenyl, 4Iphenyl, 4Fphenyl, 4nitrophenyl, 4phenylphenyl, or 4methoxyphenyl group.
38. The compound of claim 33, wherein R, R4, and R5 are hydrogen.
39. A compound having the formula : or a derivative or salt or salt thereof, wherein R1 and R2 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 is an aryl group; and m is at least one.
40. The compound of claim 39, wherein m is one or two.
41. The compound of claim 39, wherein R1 or R2 is a methyl or isopropyl group.
42. The compound of claim 39, wherein Rl or R2 is a phenyl group.
43. The compound of claim 39, wherein R3 is a phenyl, 4Clphenyl, 4I phenyl, 4Fphenyl, 4nitrophenyl, 4phenylphenyl, or 4methoxyphenyl group.
44. A method for treating or preventing a condition in a subject, said method comprising administering to said subject a chemical compound in an amount sufficient to inhibit secretion of a protein encoded by an AREmRNA or modulate regulation of an AREmRNA in said subject; said compound having the formula: or a derivative or salt or salt thereof, wherein Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R and RS are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group; X is oxygen or H2N (HN) C (H) NN ; and m is at least one.
45. A method for treating or preventing a condition in a subject, said method comprising administering to said subject a chemical compound in an amount sufficient to inhibit secretion of a protein encoded by an AREmRNA or modulate regulation of an AREmRNA in said subject; said compound having the formula: or a derivative or salt thereof, wherein Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R2 and RS are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl ; and m is at least one.
46. A method for treating or preventing a condition in a subject, said method comprising administering to said subject a chemical compound in an amount sufficient to inhibit secretion of a protein encoded by an AREmRNA or modulate regulation of an AREmRNA in said subject; said compound having the formula: or a derivative or salt thereof, wherein Ri and R are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of an alkyl and an aryl group; and X is oxygen or H2N (HN) C (H) NN.
47. A method for treating or preventing a condition in a subject, said method comprising administering to said subject a chemical compound in an amount sufficient to inhibit secretion of a protein encoded by an AREmRNA or modulate regulation of an AREmRNA in said subject; said compound having the formula: or a derivative or salt thereof, wherein Ri and R4 are independently selected from the group consisting of an alkyl or an aryl group; and W and R3 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group.
48. A method for treating or preventing a condition in a subject, said method comprising administering to said subject a chemical compound in an amount sufficient to inhibit secretion of a protein encoded by an AREmRNA or modulate regulation of an AREmRNA in said subject; said compound having the formula: or a derivative or salt thereof, wherein Ri and R5 are independently selected from the group consisting an aryl or alkyl group; R2 is hydrogen, an alkyl, or aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group; X is oxygen or H2N (HN) C (H) NN ; and m is at least one.
49. A method for treating or preventing a condition in a subject, said method comprising administering to said subject a chemical compound in an amount sufficient to inhibit secretion of a protein encoded by an AREmRNA or modulate regulation of an AREmRNA in said subject; said compound having the formula: or a derivative or salt thereof, wherein Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R3 is hydrogen, an alkyl, and an aryl group; R2, R4, and R5 are independently selected from the group consisting of hydrogen and an alkyl ; and m is at least one.
50. A method for treating or preventing a condition in a subject, said method comprising administering to said subject a chemical compound in an amount sufficient to inhibit secretion of a protein encoded by an AREmRNA or modulate regulation of an AREmRNA in said subject; said compound having the formula: or a derivative or salt thereof, wherein Rl and R2 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 is an aryl group; and m is at least one.
51. The method of any of claims 4450, wherein said AREmRNA is an TNFa, interleukin, interferon, cyclooxygenase1, or cyclooxygenase2 mRNA.
52. The method of any of claims 4450, wherein said condition is inflammation, arthritis, autoimmune diseases, septic shock, blood clot, or stroke.
53. The method any of claims 4450, wherein said subject is a mammal.
54. The method of claim 53, wherein said mammal is a human.
55. The method of any of claims 4450, wherein said compound is in a pharmaceutically acceptable carrier.
56. A method of forming a compound of interest, said method comprising reacting (a) a first compound having the formula: (b) a second compound having the formula: (c) a third compound having the formula : (d) a fourth compound having the formula : (e) a fifth compound having the formula : (f) a sixth compound having the formula: wherein R1, R3, R6, and R9 are each a protecting group; R2 is selected from the group consisting of hydrogen and an alkyl ; R4 is hydrogen; R5, R7, R8, R10, and Rllare independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; X is carbon, nitrogen, oxygen, or sulfur; and m and n are at least one.
57. The method of claim 56, wherein R5 or RS is a benzyl, 4Clbenzyl, 41benzyl, 4Fbenzyl, 4nitrobenzyl, 4phenylbenzyl, or 4 methoxybenzyl.
58. The method of claim 56, wherein R2 or R4 is hydrogen.
59. The method of claim 56, wherein m or n is one or two.
60. The method of claim 56, further comprising reacting a second said sixth compound.
61. A method of forming a compound of interest, said method comprising reacting (a) a first compound having the formula: (b) a second compound having the formula : (c) a third compound having the formula: (d) a fourth compound having the formula: (e) a fifth compound having the formula : wherein Rl, R3, and R6 are each a protecting group; R2 is selected from the group consisting of hydrogen and an alkyl ; R4 is hydrogen; R5, R, R8, and R9 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; X is carbon, nitrogen, oxygen, or sulfur ; and m and n are at least one.
62. The method of claim 61, wherein R5 is a benzyl, 4Clbenzyl, 4Ibenzyl, 4Fbenzyl, 4nitrobenzyl, 4phenylbenzyl, or a 4 methoxybenzyl group.
63. The method of claim 61, wherein R is hydrogen.
64. The method of claim 61, wherein m or n is one or two.
65. The method of claim 61, further comprising reacting a second said fifth compound.
66. A method of forming a compound of interest, said method comprising reacting (a) a first compound having the formula: (b) a second compound having the formula: wherein R4 is hydrogen; Rl, R2, R3, and R5 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R6 is an aryl group X is carbon or nitrogen; and m is at least one.
67. The method of claim 66, R5 is a benzyl, 4Clbenzyl, 4Ibenzyl, 4F benzyl, 4nitrobenzyl, 4phenylbenzyl, or 4methoxybenzyl group.
68. The method of claim 61, wherein R4 is hydrogen.
69. The method of claim 67, wherein m is one or two.
Description:
SMALL MOLECULE INHIBITORS OF SECRETION OF PROTEINS ENCODED BY ARE-mRNAs Background of the Invention In general, the invention relates to methods and compounds that decrease secretion of proteins encoded by ARE-mRNAs, such as Tumor Necrosis Factor (TNFa), or that modulate regulation of ARE-mRNAs.

ARE-mRNAs are mRNA molecules that contain an adenylate uridylate (AU) -rich element. AREs are usually found in the 3'untranslated region (3' UTR) of mRNAs rather than in the coding region. ARE regulatory regions modulate the rate of mRNA degradation and the rate of translation. A database of human mRNAs containing an ARE consensus sequence was recently reported (Bakheet et al., Nucleic Acids Research 29: 246-254,2001).

One such ARE-mRNA encodes TNFa, which is a pleiotropic cytokine produced predominantly by activated monocytes/macrophages. TNFa is a primary mediator of numerous immune functions, including hemorrhagic cytotoxicity, inflammation, and regulation of antiviral and immune proliferative and activation responses. As a central member of the cytokine network, TNFa has been implicated in a variety of disease states, including cachexia, endotoxic (septic) shock, acute respiratory distress syndrome, and a number of necrotic, proliferative, and autoimmune diseases.

TNFa exhibits a potent cytolytic and cytostatic activity towards a variety of cells, including tumor cell lines and virally infected cells. For example, TNFa is a potent mediator of monocyte/macrophage migration, activation, and differentiation. In addition, TNFa stimulates activated T-cells and B-cells and enhances neutrophil chemotaxis and phagocytic activity. Endothelial cells are also primary targets of TNFa activity; for example, TNFa induces the release of IL-1 from endothelial cells and promotes endothelial cell procoagulant activity

and neutrophil adhesion, which are involved in local inflammatory responses.

TNFa also stimulates fibroblast migration, proliferation, and cytokine production.

Summary of the Invention The present invention features compounds and methods for inhibiting secretion of proteins encoded by ARE-mRNAs, such as Tumor Necrosis Factor (TNFa), or modulating regulation of ARE-mRNAs. The compounds of the present invention may be used as therapeutics to inhibit TNFa secretion in a desired cell, such as a cell of the immune system (e. g. , a macrophage, monocyte, T-cell, B-cell, granulocyte, eosinophil, mast cell, fibroblast, smooth muscle cell, chondrocyte, osteoblast, glial cell, keratinocyte, or endothelial cell). These compounds are useful for treating or preventing a number of diseases, including but not limited to inflammatory conditions, arthritis, autoimmune diseases, septic shock, blood clots, and stroke.

Accordingly, in one aspect, the invention features a compound having the formula: or a derivative thereof. Rl and R6 are independently selected from the group consisting of an allcyl and an aryl group, R2 and Rs are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; and R3 and R4 are independently selected from the group consisting of hydrogen and an allcyl group. X is oxygen or H2N (HN) C (H) NN-, and m is at least one. In various embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive. In other embodiments, m is one or two. In still other embodiments, Rl or R6 is a methyl group. In yet other embodiments, R2 or R5 is a phenyl, 4-Cl-phenyl, 4-I-phenyl,

4-F-phenyl, 4-nitro-phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group. In other embodiments, R3 and R4 are hydrogen. In still other embodiments, R2 is a phenyl group and RS is an isopropyl group, or R2 is an isopropyl group and Rs is a phenyl group.

In a related aspect, the invention features a compound having the formula :

or a derivative or salt thereof. Rl and R6 are independently selected from the group consisting of an allcyl and an aryl group; R2 and R5 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group ; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl. M is at least one. In various embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive. In other embodiments, m is one or two. In still other embodiments, Rl or R6 is a methyl or phenyl group. In other embodiments, W or R5 is a phenyl, 4-Cl-phenyl, 4-I-phenyl, 4-F-phenyl, 4-nitro-phenyl, 4-phenyl- phenyl, or 4-methoxy-phenyl group. In yet other embodiments, R3 and R4 are hydrogen. In another embodiment, W is a phenyl group and RS is an isopropyl group, or Ra is an isopropyl group and R5 is a phenyl group.

In another aspect, the invention provides a compound having the formula:

or a derivative or salt thereof. R1 and R2 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of an alkyl and an aryl group.

X is oxygen or H2N (HN) C (H) NN-. In various embodiments, R3 or R4 is a phenyl or methyl group. In particular embodiments, R1 or R2 is a phenyl, 4-Cl-phenyl, 4- I-phenyl, 4-F-phenyl, 4-nitro-phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group. In still other embodiments, R1 is a phenyl group and R2 is an isopropyl group, or Rl is an isopropyl group and R2 is a phenyl group.

In another aspect, the invention provides a compound having the formula:

or a derivative or salt thereof. Ri and R4 are independently selected from the group consisting of an alkyl or an aryl group. W and R3 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. In various embodiments, Rl or R4 is a phenyl or methyl group. In other embodiments, W or R3 is a phenyl, 4-Cl-phenyl, 4-I-phenyl, 4-F-phenyl, 4-nitro- phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group. In still other embodiments, W is a phenyl group and R3 is an isopropyl group, or W is an isopropyl group and R3 is a phenyl group.

In a related aspect, the invention features a compound having the formula:

or a derivative or salt thereof. R1 and R5 are independently selected from the group consisting an aryl or allcyl group; R is hydrogen, an alkyl, or aryl group.

R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group. X is oxygen or H2N (HN) C (H) NN- ; and m is at least one. In various embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive. In particular embodiments, m is one or two, and R'or W is a methyl or phenyl group. In other embodiments, W is a phenyl, 4-Cl-phenyl, 4-I-phenyl, 4-F- phenyl, 4-nitro-phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group. In still other embodiments, R3 and R4 are hydrogen.

In a related aspect, the invention features a compound having the formula: or a derivative or salt thereof. Rl and R6 are independently selected from the group consisting of an allcyl and an aryl group; R3 is hydrogen, an alkyl, or an aryl group. R2, R4, and RS are independently selected from the group consisting of hydrogen and an alkyl. M is at least one. In other embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive. In particular embodiments, m is one or two. In other embodiments, R1 or R6 is a methyl or phenyl group. In still other embodiments, wherein R3 is a benzyl, 4-Cl-benzyl, 4-1-benzyl, 4-F-benzyl, 4- nitro-benzyl, 4-phenyl-benzyl, or 4-methoxy-benzyl group phenyl, 4-Cl-phenyl, 4-1-phenyl, 4-F-phenyl, 4-nitro-phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group. In still other embodiments, R2, R4, and R are hydrogen.

In another aspect, the invention provides a compound having the formula:

or a derivative or salt thereof. Rl and R2 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. R3 is an aryl group. M is at least one. In various embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive. In other embodiments, m is one or two. In still other embodiments, Rl or R2 is a methyl, isopropyl, or phenyl group. In yet other embodiments, R3 is a phenyl, 4-Cl-phenyl, 4-1-phenyl, 4-F-phenyl, 4-nitro- phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group. In various other embodiments, R3 is an aryl group that has a substituent bound to carbon 4 of the aromatic ring.

The compounds of the present invention are useful for the prevention and treatment of a variety of conditions involving ARE-mRNAs or proteins encoded by ARE-mRNAs. Accordingly, the invention features a pharmaceutical composition that includes one or more of the compounds of the present invention in a pharmaceutically acceptable carrier.

A compound described in any of the embodiments of the above aspects of the invention may be used in any of the following clinical applications.

One such method for treating or preventing a condition in a subject involves administering a compound to the subject in an amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA or modulate regulation of an ARE-mRNA in the subject. The compound has the formula:

or a derivative or salt thereof. Ri and R6 are independently selected from the group consisting of an alkyl and an aryl group; R2 and R are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group ; R3 and R4 are independently selected from the group consisting of hydrogen and an allcyl group. X is oxygen or H2N (HN) C (H) NN- ; and m is at least one.

In a related aspect, the invention provides another method for treating or preventing a condition in a subject that involves administering a compound to the subject in an amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA or modulate regulation of an ARE-mRNA in the subject. The compound has the formula: or a derivative or salt thereof. Rl and R6 are independently selected from the group consisting of an allcyl and an aryl group; R and RS are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl. M is at least one.

In a related aspect, the invention provides yet another method for treating or preventing a condition in a subject that involves administering a compound to the subject in an amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA or modulate regulation of an ARE-mRNA in the subject. The compound has the formula :

or a derivative or salt thereof. Rl and R are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. R3 and R4 are independently selected from the group consisting of an alkyl. and an aryl group.

X is oxygen or H2N (HN) C (H) NN-.

In a related aspect, the invention provides still another method for treating or preventing a condition in a subject that involves administering a compound to the subject in an amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA or modulate regulation of an ARE-mRNA in the subject. The compound has the formula: or a derivative or salt thereof. Rl and R4 are independently selected from the group consisting of an allcyl and an aryl group; and R and R3 are independently selected from the group consisting of hydrogen, an allcyl, and an aryl group.

In a related aspect, the invention provides another method for treating or preventing a condition in a subject that involves administering a compound to the subject in an amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA or modulate regulation of an ARE-mRNA in the subject. The compound has the formula :

or a derivative or salt thereof. Rl and R5 are independently selected from the group consisting an aryl or allcyl group; R2 is hydrogen, an alkyl, or aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group. X is oxygen or H2N (HN) C (H) NN- ; and m is at least one.

In another related aspect, the invention provides a method for treating or preventing a condition in a subject that involves administering a compound to the subject in an amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA or modulate regulation of an ARE-mRNA in the subject. The compound has the formula: or a derivative or salt thereof. Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R3 is hydrogen, an alkyl, and an aryl group. R2, R4, and R5 are independently selected from the group consisting of hydrogen and an alkyl, and m is at least one.

In a related aspect, the invention provides another method for treating or preventing a condition in a subject that involves administering a compound to the subject in an amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA or modulate regulation of an ARE-mRNA in the subject. The compound has the formula :

or a derivative or salt thereof. Rl and R2 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. R3 is an aryl group, and m is at least one. In various embodiments, R3 is an aryl group that has a substituent bound to carbon 4 of the aromatic ring.

In another aspect, the invention features a method of forming a compound of interest by reacting (a) a first compound having the formula : (b) a second compound having the formula : (c) a third compound having the formula:

(d) a fourth compound having the formula : (e) a fifth compound having the formula : (f) a sixth compotmd having the formula : Rl, R3, R6, and R9 are each a protecting group. R2 and R4 are independently selected from the group consisting of hydrogen and an alkyl. R5, R7, R8, R10, and Rllare independently selected from the group consisting of hydrogen, an alkyl,

and an aryl group. X is carbon, nitrogen, oxygen, or sulfur; and m and n are at least one. In various embodiments, m or n is between 1 and 15,1 and 10, or 1 and 5, inclusive. In particular embodiments, m or n is one or two. In other embodiments, RS or R8 is a benzyl, 4-Cl-benzyl, 4-1-benzyl, 4-F-benzyl, 4-nitro- benzyl, 4-phenyl-benzyl, 4-methoxy-benzyl, 3-acetyl-benzoyl, 4-benzyol- benzoyl, phenyl, 4-Cl-phenyl, 4-I-phenyl, 4-F-phenyl, 4-nitro-phenyl, 4-phenyl- phenyl, or 4-methoxy-phenyl group. In yet other embodiments, R2, R4, or R9 is hydrogen. In particular embodiments, R or Rl° is a methyl or phenyl group. In other embodiments, R5, R7, R8, Rl°, or Rll includeXs, or is modified to include, a protecting group, such as a t-butyloxycarbonyl or benzyloxycarbonyl group. In various embodiments, either one or two sixth compounds are incorporated into the compound of interest. In still other embodiments, the method further includes reacting another sixth compound. In yet other embodiments, the method also includes reacting the second, third, fourth, or fifth compound with a condensing agent to accelerate its rate of reaction with another compound. The method may also include removing a protecting group from an intermediate or from the compound of interest. If desired, other third or fifth compounds that have additional substituents on the benzene ring may be used in this method.

Additionally, a first compound having a substituent in place of one or both hydrogens of a methylene group (-CH2-) may be used.

In another aspect, the invention features a method of forming a compound of interest by reacting (a) a first compound having the formula: (b) a second compound having the formula :

(c) a third compound having the formula : (d) a fourth compound having the formula: (e) a fifth compound having the formula :

Ri, R3, and R6 are each a protecting group. R2 and R4 are independently selected from the group consisting of hydrogen and an alkyl group. R5, R, R8, and R9 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. X is carbon, nitrogen, oxygen, or sulfur; and m and n are at least one.

In various embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive.

In particular embodiments, m is one or two. In other embodiments, RS is a benzyl, 4-Cl-benzyl, 4-1-benzyl, 4-F-benzyl, 4-nitro-benzyl, 4-phenyl-benzyl, 4- methoxy-benzyl, 3-acetyl-benzoyl, 4-benzyol-benzoyl, phenyl, 4-Cl-phenyl, 4-I- phenyl, 4-F-phenyl,4-nitro-phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group.

In still other embodiments, R2 or R4 is hydrogen. In particular embodiments, R7 or R8 is a methyl or phenyl group. In other embodiments, R5, R7, R8, or R9 includes, or is modified to include, a protecting group, such as a t- butyloxycarbonyl or benzyloxycarbonyl group. In various embodiments, either one or two fifth compounds are incorporated into the compound of interest. In still other embodiments, the method further includes reacting another fifth compound. In yet other embodiments, the method also includes reacting the second, third, or fourth compound with a condensing agent to accelerate its rate of reaction with another compound. The method may also include removing a protecting group from an intermediate or from the compound of interest. If desired, other third or fourth compounds that have additional substituents on the benzene ring may be used in this method. Additionally, a first compound having a substituent in place of one or both hydrogens of a methylene group (-CH2-) may be used.

In another aspect, the invention features a method of forming a compound of interest by reacting (a) a first compound having the formula:

(b) a second compound having the formula : R4 is hydrogen; Rl, R2, R3, R5, and R6 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. X is carbon or nitrogen, and m is at least one. In various embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive. In particular embodiments, m is one or two. In other embodiments, Rl, R2, R3, or R5 is a benzyl, 4-Cl-benzyl, 4-I-benzyl, 4-F-benzyl, 4-nitro-benzyl, 4-phenyl-benzyl, 4-methoxy-benzyl, 3-acetyl-benzoyl, 4-benzyol- benzoyl, phenyl, 4-Cl-phenyl, 4-1-phenyl, 4-F-phenyl, 4-nitro-phenyl, 4-phenyl- phenyl, or 4-methoxy-phenyl group. In yet other embodiments, R6 is an aryl group, such as a phenyl, 4-Cl-phenyl, 4-I-phenyl, 4-F-phenyl, 4-nitro-phenyl, 4- phenyl-phenyl, or 4-methoxy-phenyl group. In various other embodiments, R6 is an aryl group that has a substituent bound to carbon 4 of the aromatic ring. In other embodiments, Rl, R2, R3, R5, or R6 includes, or is modified to include, a protecting group, such as a t-butyloxycarbonyl or benzyloxycarbonyl group. In yet other embodiments, the method also includes reacting the first compound with a condensing agent to accelerate its rate of reaction with the second compound.

The method may also include removing a protecting group from the compound of interest.

In various embodiments of any of the aspects of the invention, the alkyl group is a linear or branched saturated hydrocarbon group of 1 to 5,1 to 10,1 to 20,1 to 50, or 1 to 100 carbon atoms; such as a methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, t-butyl, octyl, decyl, or tetradcyl group; or a cycloalkyl group, such as a cyclopentyl or cyclohexyl group. Other suitable alkyl groups include heteroalkyl groups in which one or more carbons have been replaced with another atom, such as nitrogen, sulfur, oxygen, or phosphate. One or more of the hydrogens in an alkyl group may be optionally substituted with a hydroxy, cyano, thio, halo, nitro, amino, or alkoxy group. In other embodiments, the alkyl group is the side-chain of any naturally-occurring or modified L-or D-amino acid with an alkyl or substituted allcyl side-chain (e. g. , alanine, beta-alanine, cyclohexylalanine, ethylglycine, valine, norleucine, leucine, norleucine isoleucine, allo-isoleucine, methionine, norvaline, homocysteine, cysteine, threonine, serine, homoserine, or 3-aminobutyric acid).

Desirable aryl groups include monovalent aromatic hydrocarbon radicals consisting of one or more rings in which at least one ring is aromatic in nature, which may optionally be substituted with one of the following substituents : hydroxy, cyano, alkyl, alkoxy, thioalkyl, halo, haloalkyl, hydroxyalkyl, nitro, amino, alkylamino, diakylamino, or acyl. Other suitable aryl groups include heteroaryl groups in which one or more carbons in a ring have been replaced with another atom, such as nitrogen, sulfur, or oxygen. Yet other suitable aryl groups include a phenyl, benzyl, or benzoyl moiety that is either unsubstituted or that contain one or more nitro, halo (e. g., chloro, fluoro, iodo, or bromo), aryl, (e. g., phenyl or benzyl), alkyl, alkoxy (e. g. , methoxy), or acyl (e. g. acetyl or benzoyl) substituents. In various embodiments, a substituent is bound to carbon 2,3, 4,5, or 6 of one of these moieties. Other suitable aryl groups include benzoyl-NH- benzoyl and groups with fused aromatic rings, such as naphthalene, anthracene, phenanthrene, pyrene, and benzo [a] pyrene. In other embodiments, the aryl group is the side-chain of any naturally-occurring or modified L-or D-amino acid

with an aryl or substituted aryl side-chain (e. g., phenylalanine, homophenylalanine, 2-napthylalanine, tyrosine, tryptophan, or tetrahydroisoquinoline-l-carboxylic acid).

Suitable alkoxy groups have the formula-OR, and suitable acyl groups have the formula-C (O) R, wherein R is an alkyl or aryl group as defined above.

Examples of alkoxy groups include, but are not limited to, methoxy, ethoxy, and isopropoxy groups. Examples of acyl groups include acetyl and benzoyl groups.

It is also noted that the acyl or guanylhydrozone substituents on the benzene rings in any of the structures shown above (i. e, the RC (O)- or RC [NN (H) C (NH) NH2]- groups) may be bound to any carbon in the ring, such as carbon 2,3, 4,5, or 6. Additionally, the benzene rings may be modified to contain other substituents, such as a nitro, halo, aryl, alkyl, alkoxy, or acyl substituent.

In an embodiment of any one of the aspects of the invention, the compound is in a pharmaceutically acceptable carrier. Suitable carriers include, but are not limited to, saline, buffered saline, dextrose, water, glycerol, ethanol, and combinations thereof. The composition can be adapted for the mode of administration and is typically in the form of a pill, tablet, capsule, spray, powder, or liquid.

In embodiments of any of the above methods of the invention, the ARE- mRNA is an ARE-mRNA molecule identified by Bakheet et al. (supra), such as TNFa, an interleukiil family member, an interferon family member, cyclooxygenase-1, or cyclooxygenase-2. Other ARE-mRNAs are listed in Figs.

4-7. In other embodiments, the protein is encoded by any of the ARE-mRNAs identified by Bakheet et al. (supra) (Fig. 4-7). The condition that is treated or prevented in the clinical applications of the invention may include any condition associated with an ARE-mRNA or a protein encoded by an ARE-mRNA. In various embodiments, the condition is inflammation, fever, arthritis, septic shock, blood clot, stroke, acute respiratory distress syndrome, cachexia, or an autoimmune disease. In another embodiment, administration is oral or intravenous. In yet another embodiment, the subject is a mammal, for example, a

human, cow, goat, horse, or mouse. In still other embodiments, a compound of the invention is effective in at least 20,40, 60,80, or 90% of the subjects having a condition or an increased risk for a condition. By"effective"is meant ablates, reduces, or stabilizes symptoms in a subject suffering from the condition, prevents the onset of symptoms in a subject at risk for the condition, or results in a later age-at-onset of symptoms in the subject compared to the average age-of- onset for the corresponding untreated subjects.

As used herein, by"ARE-mRNA"is meant an mRNA molecule containing an AU-rich element (ARE). Many ARE-mRNAs have been identified and reported by Bakheet et al. (supra). A list of ARE-mRNAs is available at the ARE Home Page (http://rc. kfshrc. edu. sa/ared/main. htm) which contains a database of human ARE-mRNAs. This database contains five clusters of ARE- mRNAs (http://rc. kfshrc. edu. sa/ared/diversity. htm, Figs. 5-7). Additional ARE- mRNA molecules may be readily identified by one skilled in the art. For example, the method described by Bakheet et al. (supra) may be used to identify other mRNA molecules that contain the consensus motif WWUAUUUAUWWW with at most one mismatch in each direction of the nucleotides flanking the core UAUUUAU pattern.

By"secretion of a protein encoded by an ARE-mRNA"is meant the production of a protein encoded by an ARE-mRNA in a cell and the subsequent secretion of the protein from the cell. Protein production or secretion may be assayed in a number of ways, for example, using a reporter gene assay system, measuring the amount of a protein secreted from a cell, or using protein functional assays (see, for example, Humphreys et aL Cytokine 11: 773-782, 1999). An example of a reporter gene assay that may be used to determine the effect of a candidate inhibitor on a step involved in secretion of a protein encoded by an ARE-mRNA is the luciferase assay described herein. Alternatively, a standard Northern blot analysis may be used to measure the amount of ARE- mRNA produced in a cell, or a standard ELISA or Western blot assay may be used to determine the amount of a protein encoded by an ARE-mRNA produced

in a cell or secreted from a cell (see, for example, Ausubel et al., Current Protocols in Molecular Biology, John Wiley & Sons, New York, 2000).

By"inhibiting secretion of a protein encoded by an ARE-mRNA"is meant decreasing the amount of a protein encoded by an ARE-mRNA that is secreted by a cell or tissue by administering a candidate inhibitor of secretion of a protein encoded by an ARE-mRNA. Typically, the amount of TNFa secreted by a cell or tissue is compared to that secreted by a control cell or tissue that has not been administered the candidate inhibitor of secretion of a protein encoded by an ARE- mRNA or that has been administered a moderately active inhibitor of secretion of a protein encoded by an ARE-mRNA. Alternatively, the amount of a protein encoded by an ARE-mRNA that is secreted by a cell or tissue after administration of a candidate inhibitor may be compared to that secreted by the cell or tissue before administration of the candidate inhibitor. In various desirable embodiments, secretion of a protein encoded by an ARE-mRNA is decreased by at least 10,30, 40,50, 75,90, or 95% relative to a control cell receiving vehicle only (for example, DMSO or saline). In other embodiments, a compound that inhibits secretion of a protein encoded by an ARE-mRNA reduces or stabilizes the level of ARE-mRNA or the encoded protein, the half-life of ARE-mRNA or the encoded protein, the processing of ARE-mRNA, the binding of ARE-mRNA or the encoded protein to a receptor or to another molecule, or the rate of passive or active diffusion of a protein encoded by an ARE-mRNA out of a cell, as measured using the cell-based assays described herein or in any other standard assay (see, for example, Ausubel et al., supra). If desired, any of the cell-based assays may be performed in the presence of lipopolysaccharide (LPS) or any other activator of TNFa biosynthesis or secretion to increase the level of TNFa secretion, thereby facilitating the detection of a decrease in TNFa secretion caused by a candidate compound. The effect of a compound of the invention on the level of secretion of a protein encoded by an ARE-mRNA in a subject may be determined, if desired, by performing a routine ELISA assay on a serum sample from the subject to determine the amount of the protein that is present.

By a"test compound"or"candidate compound"is meant a naturally- occurring or artificially-derived chemical that is assayed for its ability to modulate secretion of a protein encoded by an ARE-mRNA or modulate ARE- mRNA regulation in one of the assay methods described herein or in any other appropriate assay.

By"treating"is meant subjecting an animal, tissue, cell, cell lysate, cell extract, or molecule to a compound that modulates secretion of a protein encoded by an ARE-mRNA or modulates ARE-mRNA regulation.

By"condition"is meant a state of being or feeling. Conditions include, but are not limited to, inflammation, inflammatory diseases, arthritis, autoimmune diseases, septic shock, blood clots, and injuries.

By"inflammation"is meant an immune reaction that occurs when immunologically competent cells are activated in response to tissue damage, such as damage resulting from trauma, lack of blood supply, hemorrhage, foreign organisms, antigens, chemicals, irritants, allergens, electricity, heat, cold, microorganisms, surgical operations, or ionizing radiation. Examples of possible antigens include viral, bacterial, protozoal, and fungal proteins, carbohydrates, and lipids. Inflammation may be characterized by redness, swelling, heat, or pain, including hypersensitivity at the site of injury (primary hyperalgesia), hypersensitivity in neighboring non-injured tissue (secondary hyperalgesia), and diffuse pain. Additionally, any known animal model for inflammation may be used to test the ability of a compound of the present invention to prevent, stabilize, or treat inflammation. Suitable models of inflammatory pain include unilateral injection of formalin, carrageenan, or complete Freund's adjuvant (CFA) into the hindpaw of rodent, such as a rat or mouse (Honor et al., J.

Neruosci 19: 7670-7678,1999). For a model of chronic inflammatory pain, CFA may be used to induce arthritis in mice or rats (Honor et al., supra ; Vieira et al., Eur. J. Pharmacol. 407: 109-116,2000).

By"amount sufficient to inhibit secretion of a protein encoded by an ARE-mRNA"is meant an amount of a compound that decreases secretion of a protein encoded by an ARE-mRNA when administered to a subject. In desirable

embodiments, the decrease in secretion of a protein encoded by an ARE-mRNA is at least 10%, 30%, 40%, 50%, 75%, or 90% greater in a treated subject than in an untreated, control subject. In other embodiments, the amount of the protein encoded by an ARE-mRNA that is secreted is at least 2,5, 10, or 20-fold lower in a treated subject than in the same subject prior to the administration of the inhibitor or than in an untreated, control subject.

By"amount sufficient to modulate regulation of an ARE-mRNA"is an amount of a compound that modulates regulation of an ARE-mRNA when administered to a subject. In desirable embodiments, the rate of mRNA degradation, mRNA processing, or mRNA translation in a treated subject is less than 90,80, 70,60, 50,30, or 10% of the corresponding rate in an untreated, control subject. In other desirable embodiments, the amount of an ARE-mRNA or a protein encoded by an ARE-mRNA is at least 2,5, 10, or 20-fold lower in a treated subject than in the same subject prior to the administration of the inhibitor or than in an untreated, control subject. In a particularly desirable assay, regulation of an ARE-mRNA is measured by determining the decrease in the amount of the encoded protein that is effected by the administration of a compound to a subject.

By a"derivative"is meant a structural derivative having a chemical modification that enhances the bioavailability, solubility, stability, or potency of a compound in vivo or in vitro or that reduces the toxicity of a compound in vivo or in vitro. In other desirable embodiments, the inhibition of secretion of a protein encoded by an ARE-mRNA by the derivative is at least 10%, 30%, 40%, 50%, 75%, 90%, 95%, or 100% of that by the compound from which the derivative was derived. Such modifications are known to those skilled in the field of medicinal chemistry.

By"condensing agent"is meant a compound that accelerates the reaction between an amine and a carboxylic acid. The condensing agent reacts with the carboxylic acid such that the hydroxyl group of the carboxylic acid is converted into a better leaving group for the nucleophilic substitution reaction between this

activated carboxylic acid and the amine. Condensing agents are well known in the art of organic synthesis.

Other features and advantages of the invention will be apparent from the following detailed description.

Brief Description of the Drawings Fig. 1 is a graph showing the effect of MES 10094 on luciferase activity.

Fig. 2 is a graph showing the effect of MES 10164 or MES 10170 on luciferase activity and TNFa secretion.

Fig. 3 is a graph showing the effect of MES 10171 or MES 10173 on luciferase activity.

Fig. 4 is a list of ARE-mRNAs using by Bakheet et al. (supra) in generating the ARE consensus motif (http ://rc. kfshrc. edu. sa/ared/methodology. htm).

Fig. 5 is a list of ARE-mRNAs from the human ARE-mRNA database (Bakheet et al. (supra) ; http ://rc. kfshrc. edu. sa/ared/diversity. htm). These ARE-mRNAs were clustered into five groups containing five, four, three, two, or one pentameric repeat within the ARE pattern, respectively. Fig. 5 lists the mRNAs in Clusters 1,2, and 3. The mRNAs in Cluster 4 are listed in Fig. 6, and the mRNAs in Cluster 5 are listed in Fig. 7.

Fig. 6 is a list of ARE-mRNAs from Cluster 4 of the human ARE-mRNA database (Bakheet et al. (supra) ; http ://rc. kfshrc. edu. sa/ARED/group4cluster. txt).

Fig. 7 is a list of ARE-mRNAs from Cluster 5 of the human ARE-mRNA database (Bakheet et al. (supra) ; http ://rc. kfshrc. edu. sa/ARED/group5cluster. txt).

Detailed Description of the Invention We have identified a variety of compounds that inhibit TNFa secretion.

These compounds are useful for clinical applications involving the treatment or prevention of diseases or injuries involving TNFa. Because of the high level of sequence identity between the ARE element in the 3'UTR of TNFa and the ARE element in other ARE-mRNAs, these compounds may also be used to inhibit

secretion of other proteins encoded by ARE-mRNAs or to modulate the regulation of other ARE-mRNAs.

Some of the inhibitors of TNFa secretion that we identified are mono or bisguanylhydrazones having the formula:

or a derivative or salt thereof. Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R2 and RS are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; and R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group. X is oxygen or H2N (HN) C (H) NN-, and m is at least one.

Other inhibitors of TNFa secretion are monoguanylhydrazones having the formula:

or a derivative or salt thereof. R'and R6 are independently selected from the group consisting of an alkyl and an aryl group; R2 and Rs are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl. M is at least one.

Several mono or bisguanylhydrazones with a piperazine linker were also inhibitors of TNFa secretion. These compounds have the formula:

or a derivative or salt thereof. R1 and R2 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group; R3 and R4 are independently selected from the group consisting of an alkyl and an aryl group.

X is oxygen or H2N (HN) C (H) NN-. In various embodiments, R3 or R4 is a phenyl or methyl group. In other embodiments, R1 or R2 is a phenyl, 4-Cl-phenyl, 4-I- phenyl, 4-F-phenyl, 4-nitro-phenyl, 4-phenyl-phenyl, or 4-methoxy-phenyl group.

In still other embodiments, Rl is a phenyl group and W is an isopropyl group, or Rl is an isopropyl group and R2 is a phenyl group.

Additional inhibitory, monoguanylhydrazone compounds with a piperazine linker have the formula: or a derivative or salt thereof. Rl and R4 are independently selected from the group consisting of an alkyl or an aryl group. R2 and R3 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group.

Additional mono or bisguanylhydrazones that inhibited TNFa secretion have the fonnula :

or a derivative or salt thereof. R'and W are independently selected from the group consisting an aryl or alkyl group; R2 is hydrogen, an alkyl, or aryl group.

R3 and R4 are independently selected from the group consisting of hydrogen and an alkyl group. X is oxygen or H2N (HN) C (H) NN- ; and m is at least one.

Related monoguanylhydrazones that also inhibited TNFa secretion have the formula : or a derivative or salt thereof. Rl and R6 are independently selected from the group consisting of an alkyl and an aryl group; R3 is hydrogen, an alkyl, or an aryl group. R2, R4, and R5 are independently selected from the group consisting of hydrogen and an alkyl. M is at least one.

In addition to the guanylhydrazone compounds described above, compounds containing a N-phenyl-4-piperazinyl succinate group also inhibited TNFa secretion. These compounds have the formula:

or a derivative or salt thereof. Rl, R2, and R3 are independently selected from the group consisting of hydrogen, an alkyl, and an aryl group. M is at least one. In various embodiments, m is between 1 and 15,1 and 10, or 1 and 5, inclusive.

The ability of these compounds to inhibit TNFa secretion was confirmed in a standard ELISA assay that detected TNFa secreted by cells into the media (described further in Example 1). Additionally, the specificity of the compounds for inhibition of TNFa secretion was tested by comparing luciferase activity in cells expressing luciferase fused to the 3'UTR of TNFa to luciferase activity in control cells expressing luciferase without the heterologous 3'UTR of TNFa (Example 1).

Therapy A compound identified as capable of inhibiting secretion of a protein encoded by an ARE-mRNA or modulating regulation of an ARE-mRNA using any of the methods described herein may be administered to humans, domestic pets, livestock, or other animals with a pharmaceutically acceptable diluent, carrier, or excipient, in unit dosage form.

The compound be optionally may administered as a pharmaceutically acceptable salt, such as a non-toxic acid addition salt or metal complex that are commonly used in the pharmaceutical industry. Examples of acid addition salts include organic acids such as acetic, lactic, pamoic, maleic, citric, malic, ascorbic, succinic, benzoic, palmitic, suberic, salicylic, tartaric, methanesulfonic, toluenesulfonic, or trifluoroacetic acids or the like ; polymeric acids such as tannic acid, carboxymethyl cellulose, or the like; and inorganic acid such as hydrochloric acid, hydrobromic acid, sulfuric acid phosphoric acid, or the like.

Metal complexes include zinc, iron, and the like.

The chemical compounds for use in such therapies may be produced and isolated as described herein or by any standard technique known to those in the field of medicinal chemistry. Conventional pharmaceutical practice may be employed to provide suitable formulations or compositions to administer the identified compound to patients suffering from a condition or at increased for a condition involving secreted TNFa. Administration may begin before or after the patient is symptomatic.

Any appropriate route of administration may be employed. For example, the therapy may be administered either directly to the site of inflammation (for example, by injection) or systemically (for example, by any conventional administration teclmique). Administration of the compound may also be oral, topical parenteral, intravenous, intraarterial, subcutaneous, intramuscular, <BR> <BR> intracranial, intraorbital, ophthalmalic, intraventricular, intracapsular, intraspinal, intracistemal, intraperitoneal, or intranasal. Alternatively, the compound may be administered as part of a suppository. Therapeutic formulations may be in the form of liquid solutions or suspensions; for oral administration, formulations may be in the form of tablets or capsules; and for intranasal formulations, in the form of powders, nasal drops, or aerosols. The dosage of the therapeutic compounds in a pharmaceutically acceptable formulation depends on a number of factors, including the size and health of the individual patient. The dosage to deliver may be determined by one skilled in the art.

Methods well known in the art for making formulations are found, for example, in"Remington: The Science and Practice of Pharmacy" ( (19th ed. ) ed.

A. R. Gennaro AR. , 1995, Mack Publishing Company, Easton, PA). Formulations for parenteral administration may, for example, contain excipients, sterile water, saline, polyalkylene glycols such as polyethylene glycol, oils of vegetable origin, or hydrogenated napthalenes. Biocompatible, biodegradable lactide polymer, lactide/glycolide copolymer, or polyoxyethylene-polyoxypropylene copolymers may be used to control the release of the compounds. Other potentially useful parenteral delivery systems for compounds that decreases TNFa secretion include ethylene-vinyl acetate copolymer particles, osmotic pumps, implantable infusion

systems, and liposomes. Formulations for inhalation may contain excipients, for example, lactose, or may be aqueous solutions containing, for example, polyoxyethylene-9-lauryl ether, glycocholate and deoxycholate, or may be oily solutions for administration in the form of nasal drops, or as a gel.

If desired, treatment with a compound identified according to the methods described above, may be combined with more traditional therapies for a disease characterized by inflammation, such as nonsteroidal anti-inflammatory drugs, or for a procoagulant condition, such as an anticoagulant.

The following examples are provided to illustrate the invention. These examples should not be construed as limiting.

Example 1 : In Vivo Screening of Candidate Inhibitors of TNFa Secretion Compounds that inhibit TNFa secretion may be purified or substantially purified, or may be one component of a mixture of compounds, such as a pool of chemical compounds. When assaying of a mixture of compounds, inhibition of TNFa secretion is tested using progressively smaller subsets of the compound pool (e. g., produced by standard purification techniques such as HPLC or FPLC) until a single compound or minimal number of effective compounds is demonstrated to inhibit TNFa secretion. A molecule that inhibits TNFa secretion is considered particularly useful as a therapeutic to decrease TNFa secretion in a patient with a condition in which deleterious TNFa secretion occurs, such as an inflammatory condition, arthritis, an autoimmune disease, fever, or stroke.

The candidate compounds were tested in a high-throughput, cell-based luciferase reporter assay. For this assay, a commercially available mouse macrophage Raw 264.7 cell line was stably transfected with a construct containing the CMV promoter operably linked to the luciferase gene which was modified using standard molecular biology techniques to contain the entire 3' UTR of the TNFa gene. This 3'UTR is important for the stability and translation of TNFa in cells. To control for effects of candidate compounds that are not specific for TNFa, a control cell line, called"3B, "was generated by stably transfecting the 264.7 cell line with a commercially available construct containing

the luciferase gene (without the addition of the heterologous 3'UTR of the TNFa gene) under the regulation of the CMV promoter.

Both the 3B and 5B cell lines were incubated in the presence of 10 uM of a candidate compound for one hour. Then, lipopolysaccharide (LPS) was added to stimulate TNFa secretion. Luciferase activity was measured by determining the luminescence intensity due to the reaction of lucifern, ATP, Mg2+, and molecular 02 (see, for example, Ausubel et al., supra). The luciferase activity in a cell incubated with a candidate compound was reported as a percentage of the luciferase activity for the corresponding cell incubated with DMSO vehicle only.

After correction for any effect caused by the administration of the DMSO only vehicle control, the effect of a candidate compound on luciferase activity in the 3B control cell line represents the global effect of the compound on any step required for expression or activity of luciferase protein, such as luciferase gene transcription, mRNA processing, mRNA stability, translation, protein stability, or enzymatic activity. Thus, in desirable embodiments, a candidate compound that decreases luciferase activity in the 5B cell line which contains the 3'UTR of the qTNFa gene has little or no effect on luciferase activity in the control 3B cell line which does not contain the 3'UTR of the TNFa gene. Such a result suggests that the effect of the candidate compound is predominantly associated with TNFa rather than a global effect on any step required for expression or activity of a protein. In this case, the luciferase activity in the 5B cell line treated with the DMSO vehicle control is similar to the luciferase activity in the control 3B cell line treated with the candidate compound. Thus, the response of the 5B cell line (as a percent of the DMSO control) and the ratio of the luciferase activity in the 5B cell line (as a percent of the DMSO control) to the luciferase activity in the control 3B cell line (as a percent of the DMSO control) are similar. In desirable embodiments, the response of the 5B cell line and the 5B/3B ratio differ by less than 50,40, 30,20, 10, or 5%.

For the identification of candidate compounds that modulate the regulation of other ARE-mRNAs, the above luciferase assay may be performed using the heterologous 3'UTR of an ARE-mRNA of interest instead of the 3'UTR of

TNFa. The polynucleotide sequences of many ARE-mRNAs are publicly available (see, for example, Bakheet et al., supra). Thus, standard molecular biology techniques may be used to add the 3'UTR of an ARE-mRNA of interest to the luciferase gene, as described above.

The ability of candidate compounds to reduce the amount of secreted TNFa was also directly tested using an ELISA assay. For this assay, cells were incubated with 10 uM candidate compound for one hour, and then LPS was added. A standard ELISA analysis was used to measure the amount of TNFa secreted into the media (see, for example, Ausubel et al., supra). The effect of a candidate compound on TNFa secretion in this assay is reported in the following tables as a percentage of the amount of TNFa secreted by a control cell that was administered a DMSO vehicle control only.

To determine which candidate compounds inhibit the secretion of other proteins encoded by ARE-mRNAs, the above ELISA assay may be performed using an antibody that is reactive with the protein of interest. Optionally, the cells may be treated with a compound that activates secretion of the protein of interest to facilitate the detection of candidate compounds that inhibit this secretion.

Chemical compounds that are found by the methods described above to effectively inhibit secretion of a protein encoded by an ARE-mRNA or to modulate regulation of ARE-mRNA in an in vitro or cell-based system may be tested further in animal models (such as those described in Examples 11 and 12).

Particularly useful animal models include mouse and rat models of inflammation (see, for example, Kerland et al., Clin. Exp. Immunol. 115: 32-41,1999 ; and U. S.

Patent No. 6,022, 900, incorporated herein by reference). Compounds that demonstrate an ability to decrease TNFa secretion in animal models may be used as therapeutics in humans to prevent, stabilize, or reduce TNFa secretion.

Example 2: Characterization of Identified Inhibitors of TNFa Secretion The general structure of the members of an initial guanylhydrazone library is listed below.

General Structure for Initial Library Members These compounds were initially tested in the cell-based assays described above as crude synthetic samples containing a predictable number of isomers of mono and bisguanylhydrazones.

The ability of confonnationally undefined guanylhydrazones to inhibit TNFa secretion was demonstrated by the inhibitory activity of MES 10094, shown below.

MES 10094 strongly inhibited luciferase activity in the 5B cell line and only weakly inhibited luciferase activity in the 3B cell line, producing a close correlation of the 5B and 5B/3B data (Fig. 1). This result suggests that MES 10094 effects expression or stability of the 3'UTR of TNFa. Additionally, MES 10094 inhibited TNFa secretion after LPS stimulation. HPLC analysis of MES 11094 revealed that this compounds exists as only one bisguanylhydrazone isomer.

Other candidate compounds containing a 1,3-proplyenediamine linker (denoted"Pr") or a conformationally restrained piperazine linker (denoted"P") between the two ends of the molecules were also tested in these assays (Table 1). Table 1: Inhibition of TNFa Secretion by Guanylhydrazone Library Members MES# GH R, Linker R2 GH Luciferase Luciferase TNFa (10 5B 5B/3B Secretion $1M) (% of (% of DMSO (% of DMSO control 5B)/ (% of DMSO control) DMSO control control) 3B) 11461 4Bn Phe P Leu 4Bn 28 31 44 11462 4Bn Phe P Leu 3Ac 24 37 55 11405 3Ac Phe P Leu 4Bn 39 49 55 11408 4Bn Leu P Leu 3Ac 59 54 11408 4Bn Leu P Leu 3Ac 59 54 11465 4Bn Phe P Ala 3Ac 72 71 11452 4Ac Phe P Leu 3Ac 13 50 88 11411 4Bn Ala Pr Leu 3Ac 65 71 11561 4Bn Phe Pr Leu 4Bn 24 26 41 11562 4Bn Phe Pr Leu 3Ac 44 38 50

For the columns of Table 1 labeled"R, and"R2, "the amino acids listed (i. e. , Phe, Leu, and Ala) represent the side chains that were used as the"Rl"or "R2,"group illustrated in the general structure for initial library members shown above. The"GH"column lists the type of guanylhydrazone present in the compound; for example, "4Bn"refers to a 4-benzoyl-benzamide derived guanylhydrazone moiety, and"3Ac"refers to a 3-acetyl-benzamide derived guanylhydrazone moiety. In subsequent tables, "4-Bn Bn"denotes a 4-benzoyl- <BR> <BR> <BR> benzoyl group (i. e. , C6H5-C (O)-C6H4-C (O)-)."Ac"denotes an acetyl group (i. e. , CH3C (O)-) ; "Ph"denotes a phenyl group (i.e, C6H5), and"Bzl"denotes a benzyl group (i. e, C6H5-CH3-).

The results of the luciferase assay indicated that MES 11461,11462, 11405,11408, 11465,11411, 11561, and 11562 decrease TNFa secretion, with MES 11461,11462, and 11561 producing the greatest inhibition. Many of the compounds were further tested by assaying directly for TNFa polypeptide secretion. MES 11461,11462, 11405,11452, 11561, and 11562 decreased the amount of secreted TNFa. In addition, reversal of the interior component of MES 11462 (MES 11405) resulted in a molecule that displayed TNFa secretion inhibitory activity similar to that of MES 11461 and MES 11462.

HPLC analysis of MES 11461 indicated that the sample was a mixture of four bisguanylhydrazone isomers (MES 10164, 10165,10166, and 10167, described further below) and probably four monoguanylhydrazone isomers, although only three fractions were observed (MES 10168, 10169, and 10170).

These data are consistent with each 4-benzoylbenzamide derived guanylhydrazone existing in either an E or Z configuration relative to the central core. Similarly, MES 11462 was shown to comprise two bisguanylhydrazones (MES 10171 and 10172) and one monoguanylhydrazone (MES 10173).

Separation of the components of these mixtures by HPLC and characterization by 1H NMR and mass spectrometry confirmed the nature of the individual components. Analysis of the ability of these individual compounds to inhibit TNFoc secretion is presented in Tables 2 and 3 and Fig. 2.

Bisguanylhydrazones of MES 11461 Table 2: Inhibition of TNFa Secretion by Components of MES 11461 MES# Luciferase SB Luciferase 5B/3B TNFa 10, uM (% of DMSO (% of DMSO control 5B)/ (% of DMSO Secretion control) control 3B) (% of DMSO control) MES 28 31 44 11461 MES 29 31 45 10164 MES 37 63 36 10165 MES 37 43 41 10166 MES 43 42 35 10167 MES 104 127 35 10168 MES 57 59 51 10169 MES 33 39 41 10170

As shown in Table 2, each bisguanylhydrazone component of MES 11461 (MES 10164, 10165,10166, and 10167) inhibited TNFa secretion, based on the luciferase reporter assay and direct measurement of TNFa secretion. Both MES 10169 and 10170 (an inseparable mixture of the two Z-monoguanylhydrazone species) inhibited luciferase activity in the 5B cell line and had minimal effect on the 3B cell line (Fig. 3). In addition, each of the monoguanylhydrazone components of MES 11461 reduced the amount of secreted TNFa in the direct TNFa secretion assay.

A similar trend was observed for the components of MES 11462 (Table 3).

Based on the two cell-based assays, all of the components of MES 11462 inhibit TNFoc secretion.

Bisguanylhydrazones of MES 11462 Table 3: Inhibition of TNFa Secretion by Components of MES 11462 10pM Luciferase 5B Luciferase 5B/3B TNFa (% of DMSO (% of DMSO control 5B)/(% of DMSO Secretion control) control 3B) (% of DMSO control) MES 24 37 55 11462 MES 20 24 57 10171 MES 38 49 60 10172 MES 26 38 42 10173 Example 3: Analogs of MES library members A series of modifications of the MES library members were prepared.

These modifications were divided into three groups: (i) amino acid analogs of the guanylhydrazone library members, (ii) a series of analogs of the monoguanylhydrazones, and (iii) a series of N-phenyl-4-piperazinyl succinate derivatives.

Amino Acid Analogs Several analogs of MES 11461 and 11462 were prepared by independently varying the Phe and Leu residues in these compounds. The inhibitory activity of these analogs in the cell-based assays is reported in Tables 4-7. In these tables, the"Modification"column lists the groups that were used to replace either Phe or Leu in MES 11461 or MES 11462. "Homo Phe"denotes homophenylalanine;

"2-Nal"denotes 2-napthylalanine;"Tic"denotes tetrahydroisoquinoline-1- carboxylic acid, and"Chx"denotes cyclohexylalanine.

Within the Phe modifications of MES 11461, all of the analogs inhibited TNFa secretion, based on their activity in the luciferase assay and the direct assay for TNFa secretion (Table 4). Moreover, a modification of the Leu residue of MES 11461, the norleucine analog, also had inhibitory activity (Table 5).

Table 4: Modifications of the Phe residue of MES 11461 101im Modification Luciferase Luciferase 5B/3B TNFa 5B (% of DMSO control 5B)/(% of Secretion (% of DMSO DMSO control 3B) (% of DMSO control) control) MES---28 31 44 11461 MES 1-Nal 46 86 22 10191 MES 4-Cl Phe 37 47 17 10192 MES 4-Ph Phe 23 38 20 10193 MES homo Phe 34 49 22 10194 MES 2-Nal 36 82 33 10195 MES Tic 45 51 35 10196 MES 4-F Phe 18 25 34 10236 MES 4-MeO Phe 20 27 39 10237 MES Chx 32 78 23 10238

Table 5: Modifications of the Leu residue of MES 11461 101lM Modification Luciferase 5B Luciferase 5B/3B TNFoc (% of DMSO (% of DMSO control 5B)/(% of Secretion control) DMSO control 3B) (% of DMSO control) MES --- 28 31 44 11461 MES Nle 22 35 10184

The effects of Phe analogs of MES 11462 on TNFa secretion are summarized in Table 6. Based on their activity in one or both of the TNFa secretion assays, these analogs also decreased TNFα secretion. Three Leu analogs of MES 11462 (MES 10181, MES 10183, and MES 10185) also inhibited TNFa secretion (Table 7).

Table 6: Modifications of the Phe residue of MES 11462 10, uM Modification Luciferase Luciferase 5B/3B TNFa 5B (% of DMSO control 5B)/(% of Secretion (% of DMSO DMSO control 3B) (% of DMSO control) control) MES---24 37 55 11462 MES 4-NO2 Phe 34 60 10257 MES 4-Cl Phe 43 39 42 10258 MES 4-Ph Phe 22 38 36 10259 MES 2-Nal 76 71 40 10261 MES Tic 47 47 68 10262

Table 7: Modifications of the Leu residue of MES 11462 10pLM Modification Luciferase Luciferase 5B/3B TNFa 5B (% of DMSO control 5B)/ (% of Secretion (% of DMSO DMSO control 3B) (% of DMSO control) control) MES-24 37 55 11462 MES Chx 17 49 10181 MES Val 58 57 10183 MES Nle 31 35 37 10185

Monoguanylhydrazone Analogs A series of analogs of the monoguanylhydrazone species compounds were generated by varying the uncharged aromatic end unit. Since MES 10170 was an inseparable mixture of the two Z-monoguanylhydrazones, the monoguanylhydrazone analogs of both species were prepared (Tables 8 and 9).

Samples were prepared as unseparated E and Z geometric isomers. Two analogs (MES 10222 and MES 10231) were resynthesized and separated by HPLC. In the luciferase assay, each of the analogs decreased luciferase activity in the 5B cell line and had little effect on luciferase activity in the control 3B cell line. In addition, those analogs that were tested directly for inhibition ofTNFa secretion also exhibited this inhibitory activity. In particular, the 4-iodobenzamide (MES 10226) had the greatest inhibitor activity in these assays.

Analogs of MES 10170 Z-Mono Isomer 1 Table 8: Modifications of MES 10170: Z-mono isomer 1 10µ M GH R Luciferase Luciferase 5B/3B TNFa 5B (% of DMSO control Secretion (% of DMSO SB)/(% of DMSO control (% of DMSO control) 3B) control) MES Z 4-Bn Bn 33 39 41 10170 MES E/Z Bn 36 49 49 10222 MES E Bn 58 68 40 10249 MES Z Bn 37 49 40 10250 MES E/Z 4-NO2 Bn 36 37 10224 MES E/Z 4-1 Bn 23 26 10226 MES E/Z 4-Cl Bn 34 39 10227 MES E/Z 2-Naphthoyl 38 40 10228

"Bn"denotes benzoyl Analogs of MES 10170 Z-mono isomer 2 Table 9: Modifications of MES 10170: Z-mono isomer 2

10)-tM GH R Luciferase Luciferase TNFa 5B 5B/3B Secretion (% of DMSO (% of DMSO (% of DMSO control) control 5B)/ (% of control) DMSO control 3B) MES Z 4-Bn Bn 33 39 41 10170 MES E/Z Bn 34 33 49 10231 MES E Bn 37 41 39 10247 MES Z Bn 56 72 39 10248 MES E/Z 4-NO2 Bn 36 40 42 10233 MES E/Z 3-pyr-60 58 10234 CH2CH2CO MES E/Z C4H3N2CO 70 75 10235 "Pyr"denotes pyridinyl;"C4H3N2"denotes pyrazine; and"Bn"denotes benzoyl.

Similar studies as those described above were carried out on analogs of the monoguanylhydrazone MES 10173. In the luciferase assay, each of the analogs decreased the luciferase activity in the 5B cell line. In addition, all analogs shown below, except MES 10241, inhibited TNFa secretion in the direct assay of this activity.

Analogs of MES 10173 Table 10: Modifications of MES 10173 10µM G R Luciferase Luciferase TNFα H 5B 5B/3B Secretion (% of DMSO (% of DMSO (% of DMSO control) control 5B)/(% control) of DMSO control 3B) MES 10173 E 4-Bn Bn 26 38 42 MES 10241 E Bn 68 90 100 MES 10242 E 4-1 Bn 53 50 67 MES 10243 E 4-NO2 Bn 81 79 73 MES 10244 E 4-PhBn 46 36 48 MES 10306 E Ac 85 125 MES 10307 E 4-BzlO-38 40 45 C6H4CO MES 10308 E 4-BnNH-77 108 C6H4CO

Other guanylhydrazones Other guanylhydrazones were synthesized as described in Example 10 and assayed for TNFa secretion inhibitory activity (Table 11). These compounds have the general structure shown below in which X is either O or NN (H) C (NH) NH2.

MES 10091-10093 Table 11: Guanylhydrazones GH Luciferase 5B/3B TNFa Secretion (% of DMSO control 5B)/ (% of DMSO control) (% of DMSO control 3B concentration of 1 µM 3 µM 10 µM 1 µM 3 µM 10 µM compound M) MES 10091 E, E 113 68 73 97 41 22 MES 10092 1-Z, 100 78 69 108 81 107 4-E MES 10093 4-E 47

N-phenyl-4-piperazinyl succinate derivatives In addition to the guanylhydrazone compounds described above, compounds containing a N-phenyl-4-piperazinyl succinate (NPPS) unit were also synthesized and tested for inhibition of TNFa secretion (Table 12). These compounds were synthesized with either succinyl (denoted"S"in the"Linker" column and corresponding to n=2 in the structure below) or glutaryl linkers (denoted"G"in the"Linker"column and corresponding to n=3 in the structure below). Inhibition of TNFa was greatest in cells treated with analogs containing a large benzamide moiety as an end cap (e. g., 4-Bn-C6H4CO). This result is consistent with that observed for the other series of compounds described above.

N-phenyl-4-piperazinyl Derivatives Table 12: N-Phenyl-4-Piperazinyl Derivatives 10 µM R1 Linker R2 End Luciferase Luciferase TNFa Cap 5B 5B/3B Secretion (% of DMSO (% of DMSO (% of DMSO control) control control) 5B)/ (% of DMSO control 3B) MES Ph S Ph 4-Bn-31 49 65 10229 C6H4CO MES Ph G Ph 4-Bn-46 74 10246 C6H4CO MES Ph S Ph 4-Ac-89 92 10253 C6H4CO MES Ph S Ph 4-Ac-107 89 10255 C6H4CO MES CHMe2 S Ph 4-Bn-41 52 77 10230 C6H4CO MES CHMe2 G Ph 4-Bn-38 57 66 10245 C6H4CO MES CHMe2 S Ph 3-Ac-114 119 98 10239 C6H4CO MES Me S Ph 4-Bn-49 64 10304 C6H4CO MES (Boc) S Ph H 107 112 100 10240 MES Ph S Me 4-Bn-76 105 10301 C6H4CO

Example 4: General Synthetic Strategy for the Compounds of the Present Invention The general strategy for the synthesis of the compounds of the present invention using commercially available starting materials is illustrated in Scheme 1.

Scheme I

This synthetic method may be used to rapidly synthesize a variety of analogs by varying any of the Rl-R6 groups or by using other linker-containing compounds (compound 1). For example, a variety of naturally-occurring and modified amino acids (compounds 2 and 6) may be either obtained from commercial sources (such as Sigma and Novabiochem) as protected amino acids or protected using standard chemical methods. In other embodiments, any of the Rl-R6 groups may contain one of the suitable alkyl, aryl, or alkoxy groups described herein. Additionally, various benzoic acids (compounds 6 and 8) may be used in this method, such as those shown below.

Acylbenzoic Acids Examples of suitable Rl-R4 groups for these acylbenzoic acids include alkyl groups, aryl groups, halogens, and-OR5 groups in which R5 is an alkyl group.

Furthermore, other linkers may be incorporated into these compounds by using other diamines with the nitrogen atoms separated by additional hydrocarbon moieties (e. g., 3,4, 5,6, 7,8, or more carbons) or with fewer hydrocarbon moieties (i. e., 1 carbon). Alternatively, a piperazine linkage may be formed by using a piperazine containing compound, instead of the diamine compound 1 shown below. Moreover, if desired, one or more hydrogens in an amine group or hydrocarbon moiety of a linker may be substituted with a hydroxy, cyano, alkyl, aryl, alkoxy, thio, halo, nitro, or amino group. Additionally, one or more of the carbons in these linkers may be replaced with another atom, such as nitrogen, sulfur, or oxygen. Other variations can also be introduced into the mono and bisguanylhydrazones through the incorporation of substituted aminoguanidine moieties, such as those shown below.

Aminoguanidine Moieties

Suitable R6 groups include any alkyl or aryl group. In various embodiments, n is an integer between 1 and 10, inclusive. X is carbon, nitrogen, oxygen, or sulfur.

Each of the steps illustrated in Scheme I is described further below to illustrate this general synthetic strategy.

General Procedure for the Preparation of l-Acyl-4-Boc-1, 4-diazabutanes (compound 3) Compound 1 [ (t-Butoxycarbonyl) ethylenediamine] (10 mmol) was weighed directly into a flask. Z-protected aminoacid (compound 2) (10 mmol) was added directly to the amine in the flask. Under a nitrogen atmosphere, dry dimethylformamide (30 mL) was added to the flask using a syringe.

Benzotriazole-1-yl-oxy-tris- (dimethylamino)-phosphonium hexafluorophosphate (BOP) (10 mmol, 4.43 g) was added to the solution in the flask. N- Methylmorpholine (20 mmol, 2.02 g, 2.20 mL) was added to the solution using a syringe, and the mixture was allowed to stir for 2-3 hours. The reaction mixture was quenched by the addition of 30mL of water to the reaction flask, and the resultant mixture was partitioned between ethyl acetate (600 mL) and water (600 mL). The ethyl acetate layer was washed successively with saturated aqueous sodium bicarbonate (400 mL), water (4 x 600mL), and brine (400 mL) and then dried over magnesium sulfate. Removal of the drying agent by filtration and evaporation of the organic phase to almost dryness (-20-30 mL) yielded a white solid precipitate. Hexanes (-30 mL) were added, and the mixture gently heated to reflux. Cooling to room temperature yielded the semicrystalline product as a white powder. The product was collected by filtration and dried under a stream of air.

General Procedure for the Preparation of 1-(N-Benzoyl-Acyl)-4-Boc-1, 4- diazabuta77es (Compound 5) Compound 3 (1-Acyl-4-Boc-1, 4-diazabutane) (2mmol) was dissolved in dimethyl-formamide (6 mL) and methanol (6 mL) in a Parr hydrogenation flask.

Trifluoroacetic acid (1.2 equivalents, 2.4 mmol) was added. The flask was flushed with a stream of nitrogen gas and palladium on carbon (5 mol% of 10% on carbon, 106 mg) was carefully added. The flask was refilled with hydrogen gas to 30 psi and allowed to agitate for 30 minutes. Complete hydrogenation was assayed by thin layer chromatography to ensure that no starting material remained.

The catalyst was removed by filtration through a short pad of celite, and the celite was washed with minimal amounts of methanol (1-2 mL). The methanol in the solution was removed under vacuum on a rotary evaporator. To the remaining DMF solution was added the desired benzoic acid (compound 4) (2 mmol), benzotriazole-1-yl-oxy-tris- (dimethylamino)-phosphonium hexafluorophosphate (BOP) (2 mmol, 886 mg), and N-methylmorpholine (3 equivalents, 6 mmol, 606 mg, 660 pL). The resulting solution was stirred overnight. The reaction was quenched by pouring into dilute aqueous sodium hydroxide (0.2 M, 120 mL). The resulting white solid was collected by filtration, and washed with water (2 x 20mL). The remaining solid was partially air dried under a stream of air, and fully dried under high vacuum to yield a white powdery solid. If desired, this material may be crystallized from various ratios of ethylacetate/hexanes. <BR> <BR> <P>GeneralProcedureforthePreparation of l-(N-Benzoyl-Acyl)-4-(Acyl-Boc)-1, 4- diazabutanes (compound 7) Compound 5 [1- (N-Benzoyl-Acyl)-4-Boc-1, 4-diazabutane] (0. 5mmol) was dissolved in a 50/50 mixture of dichloromethane and trifluoroacetic acid (2mL) and stirred for 30 minutes. Then, the volatile components were removed by

rotary evaporation, and toluene (2 mL) was added to the flask. The volatile components were again removed, and the residue was further dried under high vacuum for 5 minutes. The oily residue was dissolved in dimethylformamide (1.5 mL). Benzotriazole-l-yl-oxy-tris- (dimethylamino)-phosphonium hexafluorophosphate (BOP) (1.0 equivalents, 220 mg), the desired N-Boc- protected aminoacid (compound 6) (1.0 equivalent), and N-methylmorpholine (3.0 equivalents, 202 mg, 220 IlL) were added, and the resulting mixture was stirred overnight. The reaction mixture was poured into aqueous 0.2N NaOH (30 mL) and stirred for 30 minutes. The resulting white solid was collected by filtration, washed with water (2 x 5 mL), and dried to leave the desired product.

For compounds with moderate water/DMF solubility, two approaches were taken,. Initially enough NaCl was added to the sodium hydroxide solution to salt out the product, If this was unsuccessful the brine solution was extracted with ethyl acetate (30 mL). The organic phase was washed with 50/50 brine/water (3 x30 mL) and dried over magnesium sulfate. Evaporation of the solvent left a foamy residue which was taken up into ethyl acetate (-1 mL) and precipitated from hot ethyl acetate with minimal hexanes (-2 mL). The resulting solid was allowed to precipitate overnight and then collected by filtration.

General Procedure for the Preparation of 1- (N-Benzoyl-Acyl)-4- (Acyl-N- Benzoyl)-1, 4-diazabutanes (coznpound 9) Compound 7 [1- (N-Benzoyl-Acyl)-4- (Acyl-Boc)-1, 4-diazabutane] (0.1 mmol) was dissolved in a 50/50 mixture of dichloromethane and trifluoroacetic acid (1 mL) and stirred for 30 minutes. After which time the volatiles were removed on the rotary evaporator and toluene (2 mL) was added to the flask. The volatiles were again removed, and the residue was further dried under high vacuum for 5min. The oily residue was dissolved in dimethylformamide (0.5 mL). Benzotriazole-1-yl-oxy-tris- (dimethylamino)-phosphonium hexafluorophosphate (BOP) (1.0 equivalent, 44 mg), the desired benzoic acid (compound 8) (1.0 equivalent), and N-methylmorpholine (4.0 equivalents, 40

mg, 44 LL) were added, and the resulting mixture was stirred overnight. The reaction mixture was poured into aqueous 0.2N NaOH (6 mL) and stirred for 30 minutes. The resulting white solid was collected by filtration, washed with water (2 x 2mL). and dried to leave the desired product.

For compounds with moderate water/DMF solubility two approaches were taken. Initially enough NaCl was added to the sodium hydroxide solution to salt out the product, If this was unsuccessful, the brine solution was extracted with ethyl acetate (30mL). The organic phase was washed with 50/50 brine/water (3x30mL) and dried over magnesium sulfate. Evaporation of the solvent left a foamy residue which was taken up into ethyl acetate (~lmL) and precipitated from hot ethyl acetate with minimal hexanes (-2mL). The resulting solid was allowed to precipitate overnight and was then collected by filtration. Those samples that did not produce solids were evaporated to dryness, and used without further purification. <BR> <BR> <BR> <BR> <BR> <BR> <P>General Procedure for the Preparation of Bisguanylhydrazones of l-(N-Benzoyl-<BR> <BR> <BR> <BR> <BR> Acyl)-4- (Acyl-N-Benzoyl)-1, 4-diazabutanes (compouzd 10) Compound 9 [1-(N-Benzoyl-Acyl)-4-(Acyl-N-Benzoyl)-1, 4-diazabutane] (0.2 mmol) was dissolved in a mixture of DMSO (1 mL) and ethanol (672 pL).

To this was added aminoguanidine hydrochloride (3 equivalents) and hydrochloric acid in ethanol (20 mol% of a 99: 1 mixture of concentrated EtOH : HCl (-0. 12M, 320 pL). The vial was sealed and heated to 110°C for 5 days. After which time the ethanol was removed under vacuum. If desired, the samples can be stored as 0.2M DMSO solutions in a freezer at -5 OC.

Addition of this DMSO solution to a stirred solution of sodium hydroxide (0.2 N) in water (10 mL) resulted in precipitation of a fine white solid, which was collected by filtration, washed with water (3 x lOmL), and dried. Hydrochloric acid (0.1 N, 5 mL) in water (20 mL) was added, and the solution was stirred for

30 minutes. The guanylhydrazone solution was filtered and lyophilized to give a white powder.

Guanylhydrazones derived from acetylbenzoylamides are formed predominantly (>20: 1) in an E-conformation. Other substituted benzamides may form varying amounts of the Z-conformation in addition to the E-conformation.

These isomeric forms can be separated by standard chromatographic techniques employing a reverse phase column such as a Gig-capped silica gel column.

Additionally, the differential reactivity of the benzamides with aminoguanidines may be employed to prepare monoguanylhydrazone. These species may be efficiently purified by the same chromatographic techniques.

Example 5 : Synthesis of the Bisguanylhydrazone MES 10094 To further describe the synthesis of the compounds of the invention, the synthesis of the bisguanylhydrazone MES 10094 is illustrated in Scheme II, and each of the steps are described below.

Scheme II

Synthesis of 1-[(S)-N-Cbz-2-Amino-3-phenylpropanoyl)-4-(t-butoxycarbonyl] - 1, 4-diazabuta7te (compound 3) N- (t-Butoxycarbonyl) ethylenediamine (compound 1) (10 mmol) was weighed directly into a clean dry flask, which was then tightly sealed with a stopper. N-Cbz- (S)-Phenylalanine (compound 2) (10 mmol) was added directly to the amine in the flask. Under an inert atmosphere, dry dimethylformamide (30 mL) was added. Benzotriazole-1-yl-oxy-tris- (dimethylamino)-phosphonium hexafluorophosphate (10 mmol, 4.43 g) and then N-methylmorpholine (20 mmol, 2.02 g, 2.20 mL) were added to the solution, and the mixture was allowed to stir for 2-3 hours. The reaction mixture was quenched by the addition of 30mL of water to the reaction flask, and partitioned between water (600 mL) and ethyl acetate (600 mL. The organic phase was washed successively with saturated sodium bicarbonate (400 mL), water (4 x 600mL), and brine (400 mL) and then dried over magnesium sulfate. Filtering off the drying agent and concentration of the organic phase to-20-30 mL yielded a white solid. Hexanes (-30 mL) were added and the mixture gently heated to reflux. Upon cooling, the semicrystalline product was precipitated as a white powder. This product was collected by filtration and dried. <BR> <BR> <P>Synthesis of l-[(S)-N-(4-Acetylbenzoyl)-2-Amino-3-phenylpropanoyly-4-(t-& lt;BR> butoxycarbonyl)-1, 4-diazabutane (corrapozcnd 5) Trifluoroacetic acid (1.2 equivalents, 2.4 mmol) was added to a solution of 1-[(S)-N-Cbz-2-Amino-3-phenylpropanoyl]-4-(t-butoxycarbonyl) -1, 4- diazabutane (compound 3) (2mmol) in dimethylformamide (6 mL) and methanol (6 mL). Under a stream of nitrogen gas palladium on carbon (5 mol% of 10% on carbon, 106 mg) was carefully added. The reaction mixture was hydrogenated at 30 psi for-30 minutes. Complete hydrogenation was assayed by thin layer chromatography to ensure that no starting material remains.

The catalyst was removed by filtration through a short pad of celite, and the celite was washed with minimal amounts of methanol (1-2 mL). The resultant solution was evaporated under reduced pressure to remove the methanol. To the remaining DMF solution was added 4-acetylbenzoic acid (compound 4) (2 mmol), benzotriazole-l-yl-oxy-tris-(dimethylamino)-phosphonium hexafluorophosphate (2 mmol, 886 mg) and N-methylmorpholine (3equivalents, 6 mmol, 606 mg, 660 pL). The resulting solution was stirred overnight. The reaction was quenched by pouring into dilute aqueous sodium hydroxide (0.2 M, 120 mL). The resulting white solid was collected by filtration and washed with water (2 x 20 mL). The remaining solid was partially air dried under a stream of air, and fully dried under high vacuum to leave a white powdery solid.

Synthesis of 1-[(S)-N-(4-Acetylbenzoyl)-2-amino-3-phenylpropanoyl]-4-[(S) -N-(t- butoxycarbonyl)-2-amino-3-phefzylpopanoylJ-1, 4-diazabutane (compound 7) Compound 5 [1- [ (S)-N- (4-Acetylbenzoyl)-2-amino-3-phenylpropanoyl]-4- (t-butoxycarbonyl)-1, 4-diazabutane] (0.5 mmol) was dissolved in a 50/50 mixture of dichloromethane and trifluoroacetic acid (2 mL) and stirred for 30 minutes.

Then, the volatiles were removed on a rotary evaporator and toluene (2 mL) was added to the flask. The volatiles were again removed, and the residue was further dried under high vacuum for 5 minutes. The oily residue was dissolved in dimethylformamide (1.5 mL). Next, benzotriazole-1-yl-oxy-tris- (dimethylamino) -phosphonium hexafluorophosphate (1.0 equivalent, 220 mg) and N- (t-butoxycarbonyl) phenylalanine (compound 6) (1.0 equivalent), and N- methylmorpholine (3.0 equivalents, 202 mg, 220 pL) were added, and the resulting mixture was stirred overnight. The reaction mixture was poured into aqueous 0.2N NaOH (30 mL) and stirred for 30minutes. The resulting white solid was collected by filtration, washed with water (2 x 5 mL), and dried to leave the desired product.

Synthesis of 1-[(S)-(N-(4-Acetylbenzoyl)-2-amino-3-phenylpropanoyl]-4-[(S )-(N- <BR> <BR> <BR> (4-acetylbenzoyl)-2-amino-3-phenylylpopanoylJ-1, 4-diazabutane (compound 9) Compound 7 [1- [ (S)-N- (4-Acetylbenzoyl)-2-amino-3-phenylpropanoyl]-4- [(S)-(N-(t-butoxycarbonyl)-2-amino-3-phenylpropanoyl]-1, 4-diazabutane] (0.1 mmol) was dissolved in a 50/50 mixture of dichloromethane and trifluoroacetic acid (1 mL) and stirred for 30 minutes. After which time the volatiles were removed on the rotary evaporator and toluene (2 mL) was added. The volatiles were again removed, and the residue was further dried under high vacuum for 5min. The oily residue was dissolved in dimethylformamide (0.5 mL) and to this solution was added benzotriazole-1-yl-oxy-tris- (dimethylamino)-phosphonium hexafluoro-phosphate (1.0 equivalent, 44 mg) and 4-acetTlbenzoic acid (compound 8) (1.0 equivalent), and N-methylmorpholine (4.0 equivalents, 40 mg, 44 L). The resulting mixture was stirred overnight, and then the reaction mixture was poured into aqueous 0.2N NaOH (6 mL) and stirred for 30 minutes.

The resulting white solid was collected by filtration, washed with water (2 x 2 mL), and dried to leave the desired product.

Synthesis of Bisguanylhydrazones of 1-[(S)-N-(4-Acetylbenzoyl)-2-amino-3- phenylpropanoyl)-4-[(S)-N-(4-acetylbenzoyl)-2-amino-3-phenyl propanoyl]-1,4 diazabutane (compound 10) Compound 9 [1-[(S)-N-(4-Acetylbenzoyl)-2-amino-3-phenylpropanoyl)-4- [ (S)-N- (4-acetylbenzoyl)-2-amino-3-phenylpropanoyl]-1, 4-diazabutane] (0.2mmol) was dissolved in a mixture of DMSO (1 mL) and ethanol (672 1L).

Aminoguanidine hydrochloride (3 equivalents) and hydrochloric acid in ethanol (20mol% of a 99: 1 mixture of EtOH : HCl (conc) (-0. 12 M), 320 pL) were added to this solution. The vial was sealed and heated to 110°C for 5 days. Then, the ethanol was removed under vacuum. If desired, the samples can be stored as 0.2 M DMSO solutions in a freezer at-5 OC.

Addition of this DMSO solution to a stirred solution of sodium hydroxide (0.2 N) in water (10 mL) resulted in precipitation of a fine white solid which was collected by filtration, washed with water (3 x 10 mL), and dried. Hydrochloric acid (0.1N, 5 mL) in water (20 mL) was added, and the solution was stirred for 30 minutes. The guanylhydrazone solution was filtered and lyophilized to give a white powder. The identity of the desired bisguanylhydrazone [ (E, E)- Bisguanylhydrazone of 1- [ (S)-N- (4-Acetylbenzoyl)-2-amino-3-phenylpro- panoyl] -4- [(S)-N-(4-acetylbenzoyl)-2-amino-3-phenylpropanoyl]-1, 4-diaza- butane bis hydrochloride] was confirmed by mass spectrometry,'H NMR, and 13C NMR.

M/S (FAB) [M+H] = 759 'H NMR (DMSO) 6 = 2.34 (s, 6H), 3.0-3. 25 (m, 8H), 4.65 (m, 2H), 7.1-7. 4 (m, 10H), 7.8 (br s, 8H), 7.84 (d, 4H), 8.02 (d, 4H), 8.26 (bs s, 2H), 8.73 (d, 2H), 11.1 (s, 2H) ppm.

"C NMR (DMSO) 8 = 14. 3,37. 2,38. 2,55. 1,126. 1,126. 3,127. 3, 127. 9,129. 1, 134. 5, 138. 4, 139. 1, 150. 7, 155. 8,165. 5,171. 4ppm Example 6: Synthesis of MES 11461 (Mixture of Four Bisguanylhydrazones and Four Monoguanvlhvdrazones) MES 11461 was prepared in a manner analogous to the above examples employing N- (t-butoxycarbonyl) piperazine (as compound 1), N-Cbz- (S)- Phenylalanine (as compound 2), 4-benzoylbenzoic acid (as compound 4), N- (t- butoxycarbonyl) leucine (as compound 6), and 4-benzoylbenzoic acid (as compound 8). The resulting crude guanylhydrazone product was a mixture of four bisguanylhydrazones and four monoguanylhydrazones which were separated by HPLC chromatography employing a reverse phase Cl8-capped silica gel column and an eluent consisting of 30 % (0.5% trifluoroacetic acid in water) and 70% acetonitrile. Results from 1H NMR analysis of three of these compounds is listed below.

MES 10164: (E, E) -Bisguanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2-amino- <BR> <BR> <BR> 3-phenylpropanoyl]-4- [ (2S)-N- (4-benzoylbenzoyl)-2-amino-4-methylpentanoyl]- 1,4-piperazine bis trifluoroacetate.

'H NMR (DMSO) 6 = 0.89 (m, 6H), 1.48 (m, 1H), 1.69 (m, 2H), 3.0-3. 9 (br m, 10H), 4.89 (m, 1H), 5.09 (m, 1H), 6.58 (br s, 4H), 7.1-7. 52 ( m, 12H), 7.68 (m, 9H), 7.80 (d, 1H), 7.80 (br s, 4H), 7.89 (t, 1H), 8.70 (d, 1H), 8.90 (d, 1H), 9.80 (s, 2H) ppm.

MES 10165: (Z, Z)-Bisguanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2- amino-3-phenylpropanoyl]-4- [ (2S)-N- (4-benzoylbenzoyl)-2-amino-4- methylpentanoyl]-1, 4-piperazine bis trifluoroacetate.

'H NMR (DMSO) 8 =0.89 (d, 6H), 1.48 (m, 1H), 1.69 (m, 2H), 3.05-3. 80 (br m, 10H), 4.92 (m, 1H), 5.18, m, 1H), 6.56 (br s, 4H), 7.1-7. 5 (br m, 12H), 7.6-7. 76 (m, 9H, 7.78 (br s, 4H), 7.91 (t, 1H), 8.13 (d, 1H), 8.73 (br d, 1H), 9.01 (d, 1H), 9.48 (s, 1H), 9.80 (s, lH) ppm. <BR> <BR> <BR> <BR> <BR> <BR> <P>MES 10168: (4-E) -Guanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2-amino-3- phenylpropanoyl]-4-[(2S)-N-(4-benzoylbenzoyl)-2-amino-4-meth ylpentanoyl]- 1,4-piperazine trifluoroacetate.

1H NMR (DMSO) 6 = 0.90 (m, 6H), 1.49 (m, 1H), 1.69 (m, 2H), 3.06 (m, 2H), 3.20-3. 70 (m, 8H), 4.92 (m, 1H), 5.12 (m, 1H), 7.1-7. 4 (br m, 7H), 7.59 (t, 2H), 7.62-7. 85 (br m, 12H), 7.90 (t, 1H), 7.98 (d, 1H), 8.72 (d, 1H), 9.08 (br t, 1H), 9.79 (s, lH) ppm Example 7: Synthesis of MES 11462 (Mixture of Two Bisguanylhydrazones and One Monosuanylhydrazone) MES 1142 was synthesized as described for the above examples. This particular example used N- (t-butoxycarbonyl) piperazine (as compound 1), N- Cbz- (S)-phenylalanine (as compound 2), 4-benzoylbenzoic acid phenylalanine (as compound 4), N- (t-butoxycarbonyl) leucine phenylalanine (as compound 6), and 3-acetylbenzoic acid phenylalanine (as compound 8). The resulting crude

guanylhydrazone product was a mixture of two bisguanylhydrazones and one monoguanylhydrazone which were separated by HPLC chromatography employing a reverse phase Cl8-capped silica gel column and an eluent consisting of 30 % (0.5% trifluoroacetic acid in water) and 70% acetonitrile. The results of 1H NMR analysis of three of these compounds is listed below.

MES 10171: (E, E)-Bisguanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2- amino-3-phenylpropanoyl]-4-[(2S)-N-(3-acetylbenzoyl)-2-amino -4- methylpentanoyl]-1, 4-piperazine bis trifluoroacetate.

1H NMR (DMSO) 8 = 0.92 (m, 6H), 1.50 (m, 1H), 1.72 (m, 2H), 2.36 (s, 3H), 3.06 (m, 2H), 3.10-3. 70 (br m, 8H), 4.94 (m, 1H), 5.11 (m, 1H), 7.10-7. 40. (br m, 9H), 7.56 (t, 1H), 7.62 (br s, 8H), 7.68 (m, 4H), 7.87 (d, 1H), 7.96 (t, 1H), 8.22 (t, 1H), 8.29 (m, 1H), 8.75 (d, 1H), 8.92 (d, 1H), 9.78 (s, 1H), 10.57 (s, 1H) ppm. <BR> <BR> <BR> <BR> <BR> <BR> <P>MES 10172: (1-Z, 4-E) -Bisguanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2-<BR> <BR> <BR> <BR> amino-3-phenylpropanoyl]-4-[(2S)-N-(3-acetylbenzoyl)-2-amino -4- methylpentanoyl] -piperazine bis trifluoroacetate.

1H NMR (DMSO) 8 = 0.93 (d, 6H), 1.51 (m, 1H), 1.62 (m, 2H), 2.36 (s, 3H), 3.08 (m, 2H), 3.15-3. 75 (br m, 8H), 4.96 (m, 1H), 5.19 (m, 1H), 7.10-7. 90 (br m, 21H), 7.97 (m, 1H), 8.24 (d, 2H), 8.23 (br t, 1H), 8.30 (d, 1H), 8.78 (m, 1H), 9.01 (d, 1H), 9.70 (s, 1H), 10.62 (s, 1H) ppm.

MES 10173: (4-E) -Guanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2-amino-3- phenylpropanoyl]-4- [ (2S)-N- (3-acetylbenzoyl)-2-amino-4-methylpentanoyl]- piperazine trifluoroaceteate.

1H NMR (DMSO) 8 = 0.91 9m, 6H), 1.50 (m, 1H), 1.71 9m, 2H), 2.37 (d, 3H), 3.08 (m, 2H), 3.20-3. 78 (br m, 8H), 4.95 (m, 1H), 5.14 (m, 1H), 7.10-7. 38 (m, 6H), 7.54 (t, 1H), 7.58 (t, 2H), 7.65-7. 85 (m, 8H), 7. 94- 8. 02 (m, 3H), 8.21 (t, 1H), 8.30 (br d, 1H), 8.75 (d, 1H), 9.08 (br t, 1H), 10.61 (d, 1H) ppm.

Example 8: Synthesis of Analogs of Monoguanylhydrazone MES 10170 MES 10249 and 10250 were prepared in a manner analogous to the above examples employing N- (t-butoxycarbonyl) piperazine (as compound 1), N-Cbz- (S)-phenylalanine (as compound 2), 4-benzoylbenzoic acid (as compound 4), N- (t-butoxycarbonyl) leucine (as compound 6), and benzoic acid (as compound 8).

The resulting crude guanylhydrazone product was a mixture of 2 monoguanylhydrazones which were separated by HPLC chromatography employing a reverse phase Cl8-capped silica gel column and an eluent consisting of 30 % (0.5% trifluoroacetic acid in water) and 70% acetonitrile. The 1H NMR spectra are described below. <BR> <BR> <BR> <BR> <BR> <BR> <BR> <P>MES 10249: (E) -Guanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2-amino-3- phenylpropanoyl]-4-[(2S)-N-(benzoyl)-2-amino-4-methylpentano yl]-1, 4- piperazine trifluoroacetate.

1H NMR (DMSO) 8 = 0.9 (m, 6H), 1.43 (m, 1H), 1.69 (m, 2H), 2.98-3. 18 (m, 3H), 3.3-3. 75 (m, 7H), 4.90 (m, 1H), 5.10 (m, lH), 7.1-7. 4 (m, 11H), 7.68 (m, 4H), 7.70 (br, 4H), 7.80-7. 94 (m, 4H), 8.61 (d, 1H), 8.91 (d, 1H), 9.80 (s, 1H) ppm. <BR> <BR> <BR> <BR> <BR> <BR> <BR> <P>MES 10250: (Z) -Guanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2-amino-3- phenylpropanoyl]-4-[(2S)-N-(benzoyl)-2-amino-4-methylpentano yl]-1, 4- piperazine trifluoroacetate.

H NMR (DMSO) 8 = 0.9 (m, 6H), 1.48 (m, 1H), 1.70 (m, 2H), 3.0-3. 78 (m, 10H), 4.92 (m, 1H), 5.19 (m, 1H), 7.14-7. 56 (m, 13H), 7.6 (br, 4H), 7.62 (d, 2H), 7.89 (t, 2H), 8.12 (d, 2H), 8.64 (br t, 1H), 9.01 (d, 1H), 9.69 (s, 1H) ppm.

Example 9: Synthesis of N-phenyl-4-piperazinyl Succinate Derivatives MES 10229 and 10230 For the synthesis of N-phenyl-4-piperazinyl succinate derivative MES 10229, (S)-l-N- (4-Benzylbenzoyl)-2-amino-3-phenylpropanoyl]-4- (t- butoxycarbonyl)-1, 4-piperazine (54 mg, 0.1 mmol) was prepared as described above and treated with a 1: 1 mixture of trifluoroacetic acid and methylene

chloride (2mL) for 45 minutes at room temperature. Then, the volatile components of the mixture were removed under reduced pressure. Toluene (2 mL) was added, and the volatile components were removed. To the resulting oily residue was added consecutively dimethylformamide (1 mL), (N-phenylpiperazine) succinamide 26 mg, 0.1 mmol), benzotriazole-1-yl-oxy-tris- (dimethylamino) -phosphonium hexafluoro-phosphate (44 mg, 0.1 mmol), and N-methylmorpholine (40 mg, 0.4 mmol). The mixture was stirred for 24 hours and then quenched with 0.2 N aqueous sodium hydroxide (12mL). Stirring was continued for 3 hours, and then the precipitated solid was collected by filtration, washed with water (3 x 5mL), and dried under vacuum to give the desired product (58 mg), <BR> <BR> 1- [ (S)-N- (4-benzoylbenzoyl)-2-amino-3-phenylpropanoyl]-4 [ 1- (4- (N-<BR> <BR> phenylpiperazine) succinyl]-1, 4-piperazine.

'H NMR (DMSO) 8 = 2.58 (m, 4H), 3.08 (m, 4H), 3.15 (m, 2H), 3.3-3. 7 (m, 12H), 5.16 9 (dd, 1H), 6.80 (t, 1H), 6.95 (d, 2H), 7.18-7. 38 (m, 7H), 7.59 (t, 2H), 7.71 (t, 1H), 7.78 (m, 4H), 8.00 (d, 2H), 9.07 9t, lH) ppm.

The synthesis of other N-phenyl-4-piperazinyl succinate derivatives was performed as described above for MES 10229. For example, MES 10230 [1-[(S)- N- (4-benzoylbenzoyl)-2-amino-4-methylpentanoyl]-4 [1- (4- (N- phenylpiperazine) succinyl]-1, 4-piperazine] was prepared by using (S)-1-N- (4- Benzylbenzoyl)-2-amino-4-methylpentanoyl]-4- (t-butoxycarbonyl)-1, 4- piperazine as the starting compound.

1H NMR (DMSO) 8 = 0.92 (d, 6H), 1.50 (m, 1HO, 1.72 (m, 2H), 2.60 (m, 4H), 3.09 (m, 2H), 3.17 (m, 2H), 3.3-3. 7 (m, 12H), 4.99 (m, 1H), 6.80 (t, 1H), 6.96 (d, 2H), 7.22 (t, 2H), 7.59 (t, 2H), 7.71 (t, 1H), 7.72-7. 85 (m, 4H), 8.06 (d, 2H), 8.89 (br d, 1H) ppm.

Additional NPPS derivatives may be prepared by using other linker- containing compounds such as those shown below.

Linker-Containing Compounds For these compounds, each of the Rl-R5 groups may be an alkyl, cycloalkyl, aryl, or heteroaryl group, such as those listed herein.

Example 10: Synthesis of Guanylhydrazones Another group of guanylhydrazones were prepared in a manner analogous to the above examples employing N- (t-butoxycarbonyl) ethylenediamine, N-Cbz- (S) -phenylalanine, 4-benzoylbenzoic acid, and 3-acetylbenzoic acid. The resulting crude guanylhydrazone product was a mixture of two bisguanylhydrazones and one monoguanylhydrazone which were separated by HPLC chromatography employing a reverse phase Cl8-capped silica gel column and an eluent consisting of 30 % (0.5% trifluoroacetic acid in water) and 70% acetonitrile. These compounds have the general structure shown below in which X is either O or NN (H) C (NH) NH2.

MES 10091: (E, E)=Bisguanylhydrazone of 1-[(S)-N-(4-benzoylbenzoyl)-2- amino-3-phenylpropanoyl]-4- (3-acetylbenzoyl)-1, 4-diazabutane bis trifluoroacetate M/S (FAB) [M+H] = 674 1H NMR (DMSO) 6 2.33 (S, 3H), 2.96 (dd, 1H), 3.12 (dd, 1H), 3.25 (m, 1H), 3.33 (m, 3H), 4.65 (m, 1H), 7.15 (dt, 1H), 7.22 (t, 2H), 7.31 (m, 2H), 7.35 (m, 2H), 7.50 (t, 1H), 7.65 (d, 2H), 7.67 (m, 3H), 7.72 (br s, 4H), 7.78 (d, 2H), 7.87 (br d, 1H), 8.18 (br d, 1H), 8.26 (s, 1H), 8.33 (br t, 1H), 8.59 (br t, 1H), 8.68 (d, 1H), 9.78 (s, 1H), 10.61 (s, lH) ppm. <BR> <BR> <P>MES 10092: (1-Z, 4-E) -Bisguanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2- amino-3-phenylpropanoyl]-4- (3-acetylbenzoyl)-1, 4-diazabutane bis trifluoroacetate.

M/S (FAB) [M+H] = 674 1H NMR (DMSO) 8 = 2. 50 (s, 3H), 3.02 (dd, 1H), 3.15 (dd, 1H), 3.22-3. 54 (m, 4H), 4.78 (m, 1H), 7.19 (t, 1H), 7.37 (t, 2H), 7.31-7. 48 (m, 7H), 7.52 (t, 1H), 7.60 (d, 2H), 7.74 (br s, 4H), 7.90 (d, 1H), 8.09 (d, 2H), 8.19 (d, 1H), 8.26 (s, 1H), 8.37 (br t, 1H), 8.62 (br t, 1H), 8.79 9d, 1H), 9.68 (s, 1H), 10.69 (s, 1H) ppm. <BR> <BR> <P>MES 10093: (4-E) -Guanylhydrazone of 1- [ (S)-N- (4-benzoylbenzoyl)-2-amino-3- phenylpropanoyl]-4- (3-acetylbenzoyl)-1, 4-diazabutane trifluoroacetate.

M/S (FAB) [M+H] = 618 1H NMR (DMSO) 8 = 2.31 (s, 3H), 3.00 (dd, 1H), 3.16 (dd, 1H), 3.25-3. 4- (m, 4H), 4.69 (m, 1H), 7.17 (dt, 1H), 7.26 (t, 2H), 7.33 (d, 2H), 7.50 (t, 1H), 7.57 (t,

2H), 7.66 (br s, 4H), 7.68-7. 78 (m, 3H), 7.87 (d, 1H), 7.94 (d, 2H), 8.17 (d, 1H), 8.50 (s, 1H), 8.32 9br t, 1H), 8.58 (br t, 1H), 8.82 (d, 1H), 10.56 (s, 1H) ppm.

Example 11: Treatment of Inflammation in Vivo The compounds of the present invention can be assessed for their in vivo efficacy in treating inflammation. For example, a standard animal model of inflammation is utilized to directly test the efficacy of a candidate compound as an anti-inflammatory agent. Paw swelling induced by injection of the irritant carrageenan into murine footpads is a standard technique used to detect clinically useful anti-inflammatory compounds.

In one particular system, C3H/HeN mice are divided into two groups. One groups receives the vehicle of the candidate compound only through intraperitoneal injection, in each of its hindpaws (control 1), while the other group of mice receives the candidate compound and vehicle through intraperitoneal injection in each of its hindpaws. Paw edema is induced by injection of 50 microliters of 1% Lambda-carrageenan in HEPES 25 mM, pH 7.4, into the planter surface of the left hindpaw of each mouse (test paw, receiving candidate compound and carraggeenan; and control 2, receiving candidate compound vehicle and carraggeenan), while the right paw is injected with 50 microliters of HEPES alone (control 3). Three hours after paw injection, inflammation is measured by determining the thickness of each paw using a caliper. A candidate compound that decreases carraggeenan-induced paw inflammation more than the vehicle control may be useful in clinical applications for the treatment or prevention of inflammatory or other TNFa-mediated conditions.

Example 12: Effect of Candidate Compounds on Fatal Endotoxic Shock Candidate inhibitors of TNFa secretion may also be tested in vivo for their ability to prevent the lethal toxicity of lipopolysaccharide (LPS). In this system, a candidate compound or vehicle control is administered to BALB/c mice and 1.5 hours later LPS is intraperitoneally injected into the mice in an amount sufficient to induce lethality due to endotoxic shock in 50% of the control mice within 72

hours. The ability of a candidate compound to decrease the frequency of death indicates that the compound decreases TNFa secretion in vivo. Such compounds are useful in the treatment or prevention of fatal endotoxic shock and of other TNFa-mediated conditions.

Other Embodiments From the foregoing description, it will be apparent that variations and modifications may be made to the invention described herein to adopt it to various usages and conditions.

All publications mentioned in this specification are herein incorporated by reference to the same extent as if each independent publication or patent application was specifically and individually indicated to be incorporated by reference.

What is claimed is: