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Title:
NAPTHTHALENE DERIVATIVES WHICH INHIBIT THE CYTOKINE OR BIOLOGICAL ACTIVITY OF MACROPHAGE MIGRATION INHIBITORY FACTOR (MIF)
Document Type and Number:
WIPO Patent Application WO/2003/104178
Kind Code:
A1
Abstract:
Where Y, R¿1?-R¿8? and R¿101?-R¿108? are as defined in the specification. Compounds of formula (II) and methods of inhibiting the cytokine or biological activity of Macrophage Migrating Inhibitory Factor (MIF) comprising contacting MIF with a compound of formula (I) are provided. The invention also relates to methods of treating diseases or conditions where MIF cytokine or biological activity is implicated comprising administration of compounds of formula (I), either alone or as part of a combination therapy.

Inventors:
MORAND ERIC FRANCIS (AU)
ISKANDER MAGDY NAGUIB (AU)
Application Number:
PCT/AU2003/000716
Publication Date:
December 18, 2003
Filing Date:
June 06, 2003
Export Citation:
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Assignee:
CORTICAL PTY LTD (AU)
MORAND ERIC FRANCIS (AU)
ISKANDER MAGDY NAGUIB (AU)
International Classes:
A61K31/075; A61K31/12; A61K31/185; A61K31/192; A61K31/205; A61K31/216; A61K31/255; A61K31/277; A61K31/357; A61K31/4184; A61K31/585; A61P25/00; A61P29/00; A61P31/00; A61P35/00; A61P37/00; A61P43/00; C07C43/205; C07C43/225; C07C43/23; C07C45/00; C07C45/46; C07C49/84; C07C57/50; C07C59/58; C07C65/24; C07C65/28; C07C69/76; C07C69/94; C07C205/59; C07C211/57; C07C215/50; C07C219/22; C07C229/70; C07C255/37; C07C309/47; C07C309/60; C07C309/75; C07C323/43; C07C333/04; C07D235/26; C07D307/83; C07D319/18; C07D319/22; C07D403/12; C07H13/10; (IPC1-7): C07C43/205; C07C49/84; C07C65/24; C07C309/60; C07C309/75; C07C309/47; C07C69/94; C07C57/50; C07C205/59; C07C323/43; C07C215/50; C07C219/22; C07C69/76; C07C211/57; C07C43/23; C07C43/225; C07C255/37; C07C65/28; C07D319/22; A61K31/075; A61K31/12; A61K31/185; A61K31/192; A61K31/205; A61K31/216; A61K31/255; A61K31/277; A61K31/357; A61P25/00; A61P29/00; A61P31/00; A61P35/00; A61P37/00; A61P43/00
Domestic Patent References:
WO1991008744A11991-06-27
WO1996004267A11996-02-15
WO1997031006A11997-08-28
WO1997030992A11997-08-28
WO1999001768A11999-01-14
WO2001044172A12001-06-21
Foreign References:
NL6809942A1970-01-14
US3562336A1971-02-09
DE2051012A11972-04-20
DE2258349A11973-06-07
DE2329298A11973-12-20
DE2442305A11975-03-13
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JPS52133962A1977-11-09
JPS63203631A1988-08-23
EP0279466B11993-05-19
EP0284359B11992-01-08
EP0286944B11992-07-08
EP0301813B11990-08-08
US4910208A1990-03-20
EP0372385A21990-06-13
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Other References:
PATENT ABSTRACTS OF JAPAN
BOSCA F. ET AL.: "A photophysical and photochemical study of 6-methoxy-2-naphthylacetic acid, the major metabolite of the phototoxic nonsteroidal antiinflammatory drug nabumetone", PHOTOCHEMISTRY AND PHOTOBIOLOGY, vol. 71, no. 2, 2000, pages 173 - 177, XP008094979
PRABHAKAR C. ET AL.: "Synthesis and biological activity of novel thiazolidinediones", BIOORGANIC & MEDICINAL CHEMISTRY LETTERS, vol. 8, no. 19, 1998, pages 2725 - 2730, XP004139609
BOSCA F. ET AL.: "New photodegradation pathways for naproxen, a photoxic non-steroidal anti-inflammatory drug", PRELIMINARY NOTE IN JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY A: CHEMISTRY, vol. 54, no. 1, 1990, pages 131 - 134, XP008092329
HIYAMA T. ET AL.: "A facile, practical synthesis of 2-(6-methoxy-2-naphthyl)propenoic acid", BULLETIN OF THE CHEMICAL SOCIETY OF JAPAN, vol. 63, no. 2, 1990, pages 640 - 642, XP008092240
HARUSAWA S. ET AL.: "A new synthesis of some non-steroidal anti-inflammatory agents via cyanophosphates", SYNTHETIC COMMUNICATIONS, vol. 14, no. 14, 1984, pages 1365 - 1371, XP008095048
RAY J.E. ET AL.: "High-performance liquid chromatographic determination of a new anti-inflammatory agent, nabumetone and its major metabolite in plasma using fluorimetric detection", NOTE IN JOURNAL OF CHROMATOGRAPHY, vol. 336, no. 1, 1984, pages 234 - 238, XP008094794
CAVRINI V. ET AL.: "Synthesis of derivatives of 2-methoxynaphthalene as potential antiinflammatories", FARMACO, EDIZIONE SCIENTIFICA, vol. 37, no. 3, 1982, pages 171 - 178, XP008092792
GOUDIE A.C. ET AL.: "4-(6-methoxy-2-naphthyl)butan-2-one and related analogues, a novel structural class of antiinflammatory compounds", JOURNAL OF MEDICINAL CHEMISTRY, vol. 21, no. 12, 1978, pages 1260 - 1264, XP001024131
DATABASE CA [online] XP008093017, accession no. STN Database accession no. 91:91390
DATABASE CA [online] KAMETANI T. ET AL., XP008093016, accession no. STN Database accession no. 89:6137
DATABASE CA [online] XP008093018, accession no. STN Database accession no. 77:114208
DATABASE CA [online] XP008093011, accession no. STN Database accession no. 71:81118
DATABASE CA [online] XP008093012, accession no. STN Database accession no. 67:79969
DATABASE CA [online] XP008093013, accession no. STN Database accession no. 64:3950
DATABASE CA [online] XP008093014, accession no. STN Database accession no. 57:10708
DATABASE CA [online] XP008093015, accession no. STN Database accession no. 51:17182
See also references of EP 1549598A4
Attorney, Agent or Firm:
BLAKE DAWSON WALDRON PATENT SERVICES (101 Collins Street Melbourne, VIC 3000, AU)
Download PDF:
Claims:
CLAIMS :
1. A method of inhibiting cytokine or biological activity of MIF comprising contacting MIF with a cytokine or biological activity inhibiting effective amount of a compound of formula (I), or a pharmaceutically acceptable salt or prodrug thereof wherein Y is 0, NR9 or S (O) q, RI is selected from hydrogen, Cl (CR10R10')nhalo, (CR10R10')nOR11, (CR10R10')nSR11, (CR10R10')nN(R12)2, (CR10R10')nS(O)R11, (CR10R10')nS (0) 2RI 1, (CR10R10')nS(O)3R11, (CR10R10')nC(O)R13, (CR10R10')nC(=NR14)R15 or (CR10R10')nR16; R2 is selected from hydrogen, C20alkyl, C22oalkenyl, C220alkynyl, (CR10R10')mOR17, (CR10R10')mSR17, (CR10R10')mNR18R19, (CR10R10')mS(O)R20, (CR10R10')mS(O)2R20, (CR10R10')mC(O)R20, (CR10R10')mC (S) R2o, (CR10R10')mC(=NR11)R15 or (CR10R10')mR16; R3, R4 and Rs are independently selected from hydrogen, Cl (CRtoRio') nN (Rt4) 2, (CR10R10')nOR14, (CR10R10')nSR14 or (CR10R10')nhalo ; R6 is selected from hydrogen, Cl_6alkyl,C (O) Cl6alkyl,C (O) N (R9) 2,C (S) N (R9) 2, (CR10R10')nR21, or R6Y and R5 together may formX (CH2) tZ, where X and Z may be independently selected from 0, S or NR14 ; R7 and R8 are independently selected from hydrogen, C13alkyl, C23alkenyl, C23alkynyl or (CR10R10')nR22 ; Each Rg is independently selected from H or Cl 6alkyl ; Each Rio and R10' is independently selected from hydrogen, C16alkyl, C26alkenyl, C26alkynyl, halogen, OR,,, SR11, C13alkoxy, CO2R14, N (R14) 2,CN, NO2, aryl or heterocyclyl; Rl is hydrogen or Alkyl ; Each Rl2 is independently selected from hydrogen, C16alkyl, NHC (=NR14) Ris, C (O) R14 or C (S) R14 ; Ri3 is hydrogen, C16alkyl, OR14, SR14 or N(R14)2 ; Each RI4 is independently selected from hydrogen or C 3alkyl ; R15 is C16alkyl, NH2, NH (Ci. 3alkyl) or N (C13alkyl)2, OR23 or SR23 ; R16 is hydroxy, Cl 3alkoxy, SH, SC13alkyl, halo, C (O) R31, C(R24) 3, CN, aryl or heterocyclyl; Rn is selected from hydrogen, C120alkyl, C20alkenyl, C220alkenyl, (CR26R26')sR27, C (O) R25, C02R25, C (S) R25, C (S) OR25, S (O) R25, S (0) 2R25, [C (O) CH (R29) NH]rR23 or [sugar]r ; Ris and Rig are independently selected from hydrogen, C120alkyl, C220alkenyl, C22oalkynyl, (CR26R26') sR27, C (O) R25, C (S) R25, S (O) R25, S (0) 2R25, [C (O) CH (R29) NH]rR23, [sugar]r, C (=NR23) NH2 orNHC (=NR23) NH2 ; R20 is selected from hydrogen, Ci2oalkyl, C22oalkenyl, C22oalkynyl, OR2s, SR28, N (R28) 2, [NHCHR29C (O)]rOR23, [sugar]r or (CR26R26')sR27; R21 is OR28, SR28, halo or N (R25) 2 ; R22 is halo, C02H, SO3H, NO2, NHz, CO2C13alkyl, SO3C13alkyl or C(R24)3; R23 is hydrogen or C, 3alkyl ; Each R24 is independently selected from hydrogen, Cl or F; Each R25 is independently selected from hydrogen, C13alkyl, C220alkenyl, C220alkynyl, aryl or (CR26R26) sR27; Each R26 and R26is independently selected from hydrogen, C16alkyl, C26alkenyl, C26alkynyl, halogen, hydroxy, C13alkoxy, CO2H, CO2C13alkyl, NH2, NH (C13alkyl), N (C13alkyl)2, CN, NOz, aryl or heteroaryl; R27 is hydroxy, C13alkoxy, SH, SC13alkyl, halo, NH2, NH (C13alkyl), N (C13alkyl)2, C (O) R31, aryl or heterocyclyl; Each R28 is independently selected from hydrogen, C120alkyl, C220alkenyl, C220alkynyl or (CR26R26') sR30 ; R29 is the characterising group of an amino acid; R3o is halogen, hydroxy, C13alkoxy, NH2, NH (C13alkyl), N (C13alkyl)2, C (O) R31, aryl or heterocyclyl; R31 is C13alkyl, OH, C13alkoxy, aryl, aryloxy, heterocyclyl or heterocyclyloxy ; qisO, 1, 2 or 3 ; n is 0, 1, 2 or 3 ; m is 0 or 1 to 20 ; rislto5 ; s is 1 to 10; and t is 1 or 2 ; wherein an alkyl, alkenyl, alkynyl, alkyloxy, aryl or heterocyclyl group may be optionally substituted one or more times.
2. A method according to claim 1 wherein Y is O, NH, NCl6alkyl, or S (O) q wherein q is 0, 1, 2 or 3.
3. A method according to claim 1 wherein Ri is hydrogen, C16alkyl, (CH2)nOH, (CH2) nNH2, (CH2) nSH, (CH2) nCF3, (CH2) nC02H, (CH2)nCO2C13alkyl, (CH2)nC(O)NH2, (CH2)nC(O)NHC13alkyl, (CH2)nC(O) N (C, 3alkyl) 2, (CH2) nSO3H or (CH2)nSO3C13alkyl, where n is 0,1, 2 or 3.
4. A method according to claim 1 wherein R2 is selected from C220alkyl, C120alkenyl, (CR10R10')mOH, (CR10R10')mOC120alkyl, (CR10R10')mOC220alkenyl, (CR10R10')mOC(O)C1 20alkyl, (CRlORlO) mOC (O) C220alkenyl, (CR10R10')mOC(O)aryl, (CR10R10') mO [C (O) CH (R29) NH] rH, (CR10R10')mO[sugar]r, (CR10R10')mNHC120alkyl, (CR10R10') mN (C120alkyl)2, (CR10R10')mNHC220alkenyl, (CR10R10')mN(C220alkenyl)2, (CR10R10'mN(C120alkyl)(C220alkenyl), (CR10R10')mNHC(O)C120alkyl, (CR10R10')mNHC(O)C220alkenyl, (CR10R10')mNHC(O)aryl, (CR10R10')mNH [C (O) CH (R29) NH]rH, (CR10R10')mNH[sugar]r, (CR10R10')mSO3H, (CR10R10')mSO3C120alkyl, (CR10R10')mSO3C220alkenyl, (CR10R10')mC(O)C120alkyl, (CR10R10') mC (O) C22oalkenyl, (CR10R10')mCO2H, (CR10R10')mCO2C120alkyl, (CR10R10')mCO2C220alkenyl, (CR10R10')mC(O)NHC120alkyl, (CR10R10')mC(O) N (C1 20alkyl)2, (CR10R10')mC(O)NHC220alkenyl, (CR10R10')mC(O) N (C22oalkenyl) 2, (CRloRlo) mC (O) N (C120alkyl)(C220alkenyl), (CR10R10')mC(O)[NHCH(R29)C(O)]rOH, (CR10R10') mC (O) [sugar]r, (CR10R10')mhalo, (CR10R10')mCN, (CR10R10')mheterocyclyl, (CR10R10')maryl, (CR10R10')mNHC(=NH) NH2, (CR10R10') mS02NHC12oalkyl, (CR10R10') mC(O)O(CH2)110CO2H or (CR10R10)mC(O)O(CH2)110CO2C13alkyl ; wherein each Rlo and RIO, is independently selected from hydrogen, C16alkyl, C26alkenyl, C26alkynyl, halogen, OH, OC16alkyl, CO2H, CO2C13alkyl, NH2, NHC13alkyl, N(C13alkyl) 2, CN, NO2, aryl or heterocyclyl; R29 is the characterising group of an amino acid, m is 0 or an integer from 1 to 20 and r is an integer from 1 to 5;.
5. A method according to claim 1 wherein R3 is selected from hydrogen, halo, NH2, OH, OC13alkyl, SH or SC13alkyl.
6. A method according to claim 1 wherein R4 is selected from hydrogen, halogen, C 3alkyl, (CH2)nNH2, (CH2)nNHC13alkyl, (CH2)nNH(C13alkyl)2, (CH2)nOH or (CH2) nOC 3alkyl and n is 0,1, 2 or 3.
7. A method according to claim 1 wherein R5 is selected from hydrogen, halogen, (CH2) nNH2, (CH2)) OH, (CH2)) OCi3alkyl, (CH2) nSH or (CH2) nSC13alkyl and n is 0,1, 2 or 3.
8. A method according to claim 1 wherein R6 is selected from hydrogen, C13alkyl, C (O) C13alkyl, C (O) NH (CI 3alkyl), C (O) N (C13alkyl)2, C (S) NH (Cz 3alkyl) or C (S) N (Ci 3alkyl) 2.
9. A method according to claim 1 wherein R5 and R6Y taken together formX (CH2) t Zwherein X and Z are independently selected from O and S and t is 1 or 2.
10. A method according to claim 1 wherein R7 is selected from hydrogen, C13alkyl, (CH2)nSO3H, (CH2)nNO2, (CH2)nOH, (CH2)nCO2H, (CH2)nNH2, (CH2)nhalo, (CH2) nCH2halo, (CH2) nCH (halo) 2 or (CH2) nC (halo) 3 and n is 0,1, 2 or 3.
11. A method according to claim 1 wherein R8 is selected from hydrogen, C13alkyl, or (CH2) nR22, wherein Ræ is halo, CH2halo, CH (halo) 2 or C (halo) 3 and n is 0,1, 2 or 3.
12. A method according to claim 1 wherein at least one of Rio and Rio'in each (CRloRlo) is hydrogen.
13. A method according to claim 1 wherein at least one of R26 and R26' in each (CR26R26') is hydrogen.
14. A method according to claim 1 wherein Y is 0, NR9 or S (O) q; Rl is hydrogen, C16alkyl, (CH2)nC(O)R13, (CH2)nS(O)3R11, (CH2)nNH2, (CH2)nOH, (CH2)nSH or (CH2) nCF3, where R11 and R13 are defined in claim 1 ; R2 is selected from hydrogen, Cz20alkyl, C220alkenyl, C220alkynyl, (CR10R10')mOR17, (CR10R10')mSR17, (CR10R10')mNR18R19, (CR10R10')mS(O)R20, (CR10R10')mS(O)2R20, (CR10R10')mC(O)R20, (CR10R10')mC (S) R20, (CR10R10')mC(=NR11)R15 or (CR10R10')mR16, where m, R10, R10', R11, R15, R16, R17, R18, R19, R20 are as defined in claim 1; R3 is selected from hydrogen, halo, amino, OH, Oc 3alkyl or SH; R4 is selected from hydrogen, halogen, C13alkyl, (CH2)nNH2, (CH2)nNHC13alkyl, (CH2) nNH (Cz 3alkyl) 2, (CH2) nOH or (CH2)nOC13alkyl ; Rs is selected from hydrogen, halogen, (CH2)nNH2, (CH2)nOH, (CH2)nOC13alkyl, (CH2)nSH or (CH2)nSC13alkyl ; R6 is hydrogen, C13alkyl, CH2halo, C (O) NH (Cz 3alkyl), C (O) N (C,. 3alkyl) 2, C (S) NH (C1 3alkyl) or C (S) N (Cz 3alkyl) 2, CH20H or CH2SH ; or Rs and YR6 together form X (CH2) tZ wherein X and Z are independently selected from 0 and S ; R7 is selected from hydrogen, C13alkyl, or (CH2) nS03H, (CH2) nNO2, (CH2) nOH, (CH2) nCO2H, (CH2) nNH2, (CH2) nhalo, (CH2) nCH2halo, (CH2) nCH (halo) 2 or (CH2) nC (halo) 3, R8 is hydrogen, Cl 3alkyl or (CH2) nhalo, and q and n are 0, 1, 2 or 3.
15. A method according to claim 1 wherein Y is O, NR9 or S(O) q; RI is hydrogen, (CH2)nCO2H, (CH2)nCO2C13alkyl, (CH2)nSO3H, (CH2)nNH2, C13alkyl, (CH2) nOH or (CH2) nCF3 ; R2 is selected from hydrogen, C120alkyl, C220alkenyl, C220alkynyl, (CR10R10')mOR17, (CR10R10')mSR17, (CR10R10')mNR18R19, (CR10R10')mS(O)R20, (CR10R10')mS(O)2R20, (CR10R10')mC(O)R20, (CR10R10')mC(S)R20, (CR10R10') mC (=NR11)R15 or (CR1010')mR16, where m, R10, R10', R11, R15, R16, R17, R18, R19, R20 are as defined in claim 1 ; R3 is selected from hydrogen, OH or OCI 3alkyl, R4 is selected from hydrogen, C13alkyl, (CH2)nNH2, (CH2)nOH or (CH2) nOC13alkyl ; Rs is hydrogen, (CH2) nOH or (CH2)nOC13alkyl ; R6 is hydrogen, Cl 3alkyl, CH2halo, C (O) NH (C13alkyl), C (O) N (C13alkyl)2, C (S) NH (C 3alkyl) or C (S) N (Cl3alkyl) 2, CH2OH or CH2SH ; or R5 and R6 are taken together to formO(CH2) tO where t is 1 or 2; R7 is selected from hydrogen, (CH2)nSO3H, (CH2)nNO2, (CH2)nNH2, or (CH2) nhalo R8 is hydrogen, CH3, CF3 or CC13 ; and q and n are 0, 1, 2 or 3.
16. A method according to claim 1 wherein Y is O, NR9 or S(O)q ; R, is hydrogen, (CH2)nCO2H, (CH2)nCO2C13alkyl, (CH2)nSO3H, (CH2)nNH2, C13alkyl, (CH2) nOH or (CH2) nCF3 ; R2 is selected from hydrogen, C120alkyl, C220alkenyl, (CR10R10')mOH, (CR10R10')mNHC1 20alkyl, (CR10R10')mNH[C(O) CH (R29) NH]H, (CR10R10')mSO3H, (CR10R10')mSO3C1 20alkyl, (CR10R10')mC(O)C120alkyl, (CR10R10')mCO2H, (CR10R10')mCO2C120alkyl, (CR10R10')mCN, (CR10R10')mhalo, (CR10R10')maryl, (CR10R10')mheterocyclyl, (CR10R10')mNHC(=NH)NH2, (CR10R10')mSO2NHC120alkyl, CO2(CH)110CO2H or CO2 (CH2) 110CO2C13alkyl, where m, RIO and R10' are as defined in claim 1 ; R3 is selected from hydrogen, OH or OCi3alkyl, R4 is selected from hydrogen, C13alkyl, (CH2)nNH2, (CH2)nOH or (CH2) nOCl3alkyl ; R5 is hydrogen, (CH2) nOH or (CH2)nOC13alkyl ; R6 is hydrogen, Cl3alkyl, CH2halo, C (O) NH (C13alkyl), C (O) N (C13alkyl)2, C (S) NH (Cl 3alkyl) or C (S) N (C13alkyl)2, CH2OH or CH2SH ; or R5 and R6 are taken together to form O(CH2)tO where t is 1 or 2; R7 is selected from hydrogen, (CH2)nSO3H, (CH2)nNO2, (CH2)nNH2, or (CH2) nhalo ; R8 is hydrogen, CH3, CF3 or CCl3 ; and q and n are 0, 1, 2 or 3.
17. A method according to claim 1 wherein the compound of formula (I) is a compound of formula (II) : (u) wherein Y is selected from O, NH, NC13alkyl or S(O)q; RIO, is selected hydrogen, Ci6alkyl, C02H or CO2C16alkyl ; R, 02 is selected from C120alkyl, C220alkenyl, CO2H, CO2C120alkyl, CO2C220alkenyl, C02 (CH2) mR109, SO3H, SO3C120alkyl, SO3C220alkenyl, SO3(CH2)mR109, C (O) Cl 20alkyl or (CH2) mRI 10 ; R103 is selected from hydrogen, hydroxy, methoxy or Cl 3alkyl ; Rio4 is selected from hydrogen, C13alkyl, NH2, NH (C13alkyl), N (C13alkyl) 2 or (CH2) nOH ; Rio5 is selected from hydrogen, (CH2)nOH or (CH2) nOCi3alkyl ; Rio6 is selected from hydrogen, C13alkyl, C (O) NH2, C (O) NH (C13alkyl), C (O) N (C1 3alkyl) 2, C (S) NH2, C (S) NH (CI 3alkyl) or C (S) N (C,3alkyl) 2; Rl07 is selected from hydrogen, hydroxy, halo, amino, nitro, cyano, S03H. or CO2H ; Rions is selected from hydrogen or methyl; Rlog is selected from halogen, hydroxy, Cl 3alkoxy, NH2, NH (C13alkyl), N (C13alkyl) 2, C02H or CO2C13alkyl ; R110 is selected from hydroxy, C13alkyl, halo, C02H, C02CI3alkyl, CN, NH2, NH (CI_ 3alkyl) or N(C13alkyl) 2; n is 0 or an integer from 1 to 3 ; m is 0 or an integer from 1 to 20; and wherein an alkyl, alkenyl or alkyloxy, group may be optionally substituted one or more times.
18. A method according to claim 1 wherein the compound of formula (I) is selected from the group consisting of : 6,7dihydroxy2naphthalene 6,7dimethoxy2naphthalene 6, 7dimethoxy2acetonoaphthone 6,7Dimethoxy2naphthoic acid 2carboxy6hydroxynaphthalene5sulfonic acid 6, 7dihydroxy2naphthalenesulfonic acid Pentyl 6, 7dihydroxy2naphthalenesulfonate 6hydroxy2naphthalenesulfonic acid 6methylamino2naphthalenesulfonic acid 2,3dihydronaphtho [2,3b] [1, 4] dioxine7carboxylic acid Methyl 6hydroxy2naphthoate dodecanyl6hydroxy2naphthoate [ (6hydroxy2naphthyl) carbonyl] oxyhexanoic acid (6methoxy6oxohexyl)6hydroxy2naphthoate 6hydroxy5nitro2naphthoic acid Ethyl 1, 6dihydroxy2naphthoate Ethyl 6 [ (dimethylamino) carbonyl] sulfanyl1methoxy2naphthoate Ethyl 6hydroxy1methoxy2naphthoate Ethyl 6[(dimethylamino) thiocarbonyl] oxy1methoxy2naphthoate 7methoxy3hydroxy2naphthoic acid Methyl 7methoxy3hydroxy2naphthoate Methyl 7methoxy3methyl2naphthoate 7methoxy3methyl2naphthoic acid 5bromo6methoxy2methyl3naphthoic acid 6hydroxy [2 (1pentylamino) methyl] 3naphthoic acid Methyl 3bromomethyl7hydroxy2naphthoate Methyl 7methoxy2naphthoate Methyl 7hydroxy2naphthoate Methyl 7hydroxy8nitro2naphthoate Methyl 6hydroxy5nitro2naphthoate Methyl 6methoxy5nitro2naphthoate Methyl 5amino6methoxy2naphthoate Methyl 6methoxy2naphthoate 2hydroxymethyl6methoxynaphthalene 2bromomethyl6methoxynaphthalene 2cyanomethyl6methoxynaphthalene 2 (1cyano1hex5enyl)6methoxynaphthalene 2 (6methoxy2naphthyl) hept6enoic acid Methyl 2 (6methoxy2naphthyl) hept6enoate 7hydroxy2 (6methoxy2naphthyl) heptanoic acid Methyl 6methoxy8methyl2naphthoate ester 6hydroxy2naphthanoic acid 6methoxyamethyl2naphthalene acetic acid 2,6naphthalene disulfonic acid.
19. A method of treating, preventing or diagnosing a disease or condition wherein MIF cytokine or biological activity is implicated comprising the administration of a treatment, prevention or diagnostic effective amount of a compound of formula (I) as defined in claim 1 or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.
20. A method according to claim 19 wherein the disease or condition is selected from autoimmune diseases, solid or haemopoeitic tumours, or chronic or acute inflammatory diseases.
21. A method according to claim 19 wherein the disease or condition selected from the group comprising rheumatic diseases, spondyloarthropathies, crystal arthropathies, Lyme disease, connective tissue diseases, vasculitides, glomerulonephritis, interstitial nephritis, inflammatory bowel disease, peptic ulceration, gastritis, oesophagitis, liver disease, autoimmune diseases, pulmonary diseases, cancers whether primary or metastatic, atherosclerosis, disorders of the hypothalamicpituitaryadrenal axis, brain disorders, corneal disease, iritis, iridocyclitis, cataracts, uveitis, sarcoidosis, diseases characterised by modified angiogenesis, endometrial function, psoriasis, endotoxic (septic) shock, exotoxic (septic) shock, infective (true septic) shock, other complications of infection, pelvic inflammatory disease, transplant rejection, allergies, allergic rhinitis, bone diseases, atopic dermatitis, UV (B) induced dermal cell activation, malarial complications, diabetes mellitus, pain, inflammatory consequences of trauma or ischaemia, testicular dysfunctions and wound healing.
22. A method according to claim 21 wherein the disease or condition is selected from the group consisting of rheumatoid arthritis, osteoarthritis, psoriatic arthritis, ankylosing spondylitis, reactive arthritis, Reiter's syndrome, gout, pseudogout, calcium pyrophosphate deposition disease, systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis, Sjögren's syndrome, polyarteritis nodosa, Wegener's granulomatosis, ChurgStrauss syndrome, ulcerative colitis, Crohn's disease, cirrhosis, hepatitis, diabetes mellitus, thyroiditis, myasthenia gravis, sclerosing cholangitis, primary biliary cirrhosis, diffuse interstitial lung diseases, pneumoconioses, fibrosing alveolitis, asthma, bronchitis, bronchiectasis, chronic obstructive pulmonary disease, adult respiratory distress syndrome, colon cancer, lymphoma, lung cancer, melanoma, prostate cancer, breast cancer, stomach cancer, leukemia, cervical cancer and metastatic cancer, ischaemic heart disease, myocardial infarction, stroke, peripheral vascular disease, Alzheimer's disease, multiple sclerosis, diabetic retinopathy, parturition, endometriosis, osteoporosis, Paget's disease, sunburn and skin cancer.
23. A method according to claim 19 wherein the subject is a human subject.
24. A pharmaceutical composition comprising a compound of formula (I) as defined in claim 1 or a pharmaceutically acceptable salt or prodrug thereof and a pharmaceutically acceptable carrier, diluent or excipient.
25. A pharmaceutical composition according to claim 24 further comprising a glucocorticoid.
26. A method of treating or preventing a disease or condition wherein MIF cytokine or biological activity is implicated comprising administering to a mammal a compound of formula (I) as defined in claim 1 or a pharmaceutically acceptable salt or prodrug thereof and a second therapeutic agent.
27. A method according to claim 26 wherein the second therapeutic agent is a glucocorticoid.
28. A method of prophylaxis or treatment of a disease or condition for which treatment with a glucocorticoid is indicated, said method comprising administering to a mammal a glucocorticoid and a compound of formula (I) as defined in claim 1 or a pharmaceutically acceptable salt or prodrug thereof.
29. A method of treating steroidresistant diseases comprising administering to a mammal a glucocorticoid and a compound of formula (I) as defined in claim 1 or a pharmaceutically acceptable salt or prodrug thereof.
30. A method of enhancing the effect of a glucocorticoid in mammals comprising administering a compound of formula (I) as defined in claim 1 or a pharmaceutically acceptable salt or prodrug thereof, simultaneously, separately or sequentially with said glucocorticoid.
31. A compound of formula (II) or a pharmaceutically acceptable salt or prodrug thereof : wherein Y is selected from0,NH,NCI3alkylorS (O) q ; Rio, is selected hydrogen, C16alkyl, CO2H or CO2C16alkyl ; R102 is selected from C120alkyl, C220alkenyl, CO2H, CO2C120alkyl, CO2C220alkenyl, C02 (CH2) Riog, SO3H, SO3C120alkyl, S03C22oalkenyl, SO3 (CH2) mRI09, C (O) C120alkyl or (CH2) rio ; R103 is selected from hydrogen, hydroxy, methoxy or Cl 3alkyl ; Razz is selected from hydrogen, CI3alkyl, NH2, NH (C13alkyl), N (CI 3alkyl) 2 or (CH2) nOH ; R105 is selected from hydrogen, (CH2)nOH or (CH2)nOC13alkyl ; R, 06 is selected from hydrogen, C13alkyl, C (O) NH2, C (O) NH (C13alkyl), C (O) N (C1 3alkyl) 2, C (S) NH2, C (S) NH (Ci. 3alkyl) or C (S) N (Ci. 3alkyl) 2 ; R107 is selected from hydrogen, hydroxy, halo, amino, nitro, cyano, S03H or C02H ; R, 08 is selected from hydrogen or methyl; Rlog is selected from halogen, hydroxy, C13alkoxy, NH2, NH (C13alkyl), N (C13alkyl)2, C02H or CO2C13alkyl ; Rllo is selected from hydroxy, C13alkyl, halo, C02H, C02C13alkyl, CN, NH2, NH (C 3alkyl) or N(C13alkyl)2 ; n is 0 or an integer from 1 to 3; m is 0 or an integer from 1 to 20; and wherein an alkyl, alkenyl or alkyloxy, group may be optionally substituted one or more times.
32. A compound according to claim 31 wherein Y is selected fromO,S,NHor SO3.
33. A compound according to claim 31 wherein Rio, is selected from hydrogen, CO2H or CO2C13alkyl.
34. A compound according to claim 31 wherein Rloz is selected from from C120alkyl, C220alkenyl, CO2H, CO2C120alkyl, CO2C220alkenyl, CO2(CH2)mCO2H, SO3H, SO3C1 20alkyl, S03C23oalkenyl, SO3 (CH2) mCO2H, (CH2)mhydroxy, (CH2)mNH2, (CH2)mCN or (CH2) mhalo.
35. A compound according to claim 31 wherein Rio3 is selected from hydrogen, hydroxy or methoxy.
36. A compound according to claim 31 wherein R104 is selected from hydrogen, hydroxy, methyl, NH2 or CH2OH.
37. A compound according to claim 31 wherein Rl05 is selected from hydrogen, hydroxy or methoxy.
38. A compound according to claim 31 wherein RIO6 is selected from hydrogen, Ci 3alkyl, C (O) NH2, C (O) NH (C13alkyl), C (O) N (Cl3alkyl) 2, C (S) NH2, C (S) NH (Cl 3alkyl) or C (S) N (Cz3alkYl) 2.
39. A compound according to claim 31 wherein Rjo ? is selected from hydrogen, hydroxy, halo, cyano, NH2, nitro or SO3H.
40. A compound according to claim 31 wherein R108 is hydrogen.
41. A compound of formula (I) selected from the group consisting of 6,7dimethoxy2acetonoaphthone 2carboxy6hydroxynaphthalene5sulfonic acid Pentyl 6, 7dihydroxy2naphthalenesulfonate 2,3dihydronaphtho [2,3b] [1,4] dioxine7carboxylic acid Methyl 6hydroxy2naphthoate dodecanyl6hydroxy2naphthoate [ (6hydroxy2naphthyl) carbonyl] oxyhexanoic acid (6methoxy6oxohexyl)6hydroxy2naphthoate 6hydroxy5nitro2naphthoic acid Ethyl 1, 6dihydroxy2naphthoate Ethyl 6 [ (dimethylamino) carbonyl] sulfanyl1methoxy2naphthoate Ethyl 6hydroxy1methoxy2naphthoate Ethyl 6 [ (dimethylamino) thiocarbonyl] oxy1methoxy2naphthoate 7methoxy3hydroxy2naphthoic acid Methyl 7methoxy3hydroxy2naphthoate Methyl 7methoxy3methyl2naphthoate 7methoxy3methyl2naphthoic acid 5bromo6methoxy2methyl3naphthoic acid 6hydroxy [2 (lpentylamino) methyl] 3naphthoic acid Methyl 3bromomethyl7hydroxy2naphthoate Methyl 7methoxy2naphthoate Methyl 7hydroxy2naphthoate Methyl 7hydroxy8nitro2naphthoate Methyl 6hydroxy5nitro2naphthoate Methyl 6methoxy5nitro2naphthoate Methyl 5amino6methoxy2naphthoate Methyl 6methoxy2naphthoate 2hydroxymethyl6methoxynaphthalene 2bromomethyl6methoxynaphthalene 2cyanomethyl6methoxynaphthalene 2 (1cyano1hex5enyl)6methoxynaphthalene 2 (6methoxy2naphthyl) hept6enoic acid Methyl 2 (6methoxy2naphthyl) hept6enoate 7hydroxy2 (6methoxy2naphthyl) heptanoic acid Methyl 6methoxy8methyl2naphthoate ester.
Description:
NAPTHTHALENE DERIVATIVES WHICH INHIBIT THE CYTOKINE OR BIOLOGICAL ACTIVITY OF MACROPHAGE MIGRATION INHIBITORY FACTOR (MIF) FIELD OF THE INVENTION The present invention relates generally to the treatment of diseases or conditions resulting from cellular activation, such as inflammatory or cancerous diseases or conditions. In particular, the invention relates to the use of naphthalene derivatives to inhibit the cytokine or biological activity of macrophage migration inhibitory factor (MIF), and diseases or conditions wherein MIF cytokine or biological activity is implicated.

BACKGROUND OF THE INVENTION MIF is the first identified T-cell-derived soluble lymphokine. MIF was first described as a soluble factor with the ability to modify the migration of macrophages (1). The molecule responsible for the biological actions ascribed to MIF was identified and cloned in 1989 (2). Initially found to activate macrophages at inflammatory sites, it has been shown to possess pluripotential actions in the immune system. MIF has been shown to be expressed in human diseases which include inflammation, injury, ischaemia or malignancy. MIF also has a unique relationship with glucocorticoids by overriding their anti-inflammatory effects.

Recent studies have indicated that monoclonal antibody antagonism of MIF may be useful in the treatment of sepsis, certain types of cancers and delayed type hypersensitivity.

Antibody antagonism of MIF has also been shown to have activity in adjuvant-or collagen-induced arthritis animal models and other models of inflammatory and immune diseases.

Although antibody antagonism of MIF is one potential way to provide therapeutic treatments, such biological molecules can be expensive to prepare on a commercial basis and further, can be limited in the way they are administered (generally by injection) and do

not readily lend themselves to formulations for administration by other means eg oral administration.

Small molecule inhibitors may overcome one or more such difficulties connected with the use of biological therapeutic treatments. There exists a need, therefore, for small molecule inhibitors of the cytokine or biological activity of MIF. Small molecule inhibitors of the MIF would have therapeutic effects in a broad range of diseases, whether given alone or in combination with other therapies.

Examples of agents which could be used in combination with a compound of formula (I) include glucocorticoids, antirheumatic drugs, immunosuppressive drugs, anti-cytokine therapies, antagonists or inhibitors of nitrogen-activated protein (MAP) kinases, antagonists or inhibitors of nuclear factor kappa-B (NF-KB) signal transduction pathway, antibodies, protein therapeutics or small molecule therapeutics interacting with adhesion molecules and co-stimulatory molecules, bronchodilators, antagonists of eicosanoid synthesis pathways, agents used for the treatment of inflammatory bowel disease, anti- cancer drugs, antisense olionucleotides, interfering RNA and ribozymes.

For example, glucocorticoids have been used to treat human diseases for over fifty years and are effective in a range of diseases which include inflammation, injury, ischaemia or malignancy. Although debate continues in relation to their impact on disease prognosis, their influence on symptoms and signs of inflammation, especially in the short term, can be dramatic.

Despite their benefits and efficacy, the use of glucocorticoids is limited by universal, predictable, dose-dependent toxicity. Mimicking Cushing's disease, a disease wherein the adrenal glands produce excess endogenous glucocorticoids, glucocorticoid treatment is associated with side effects including immunosuppression (resulting in increased susceptibility to infections), weight gain, change in body habitus, hypertension, oedema, diabetes mellitus, cataracts, osteoporosis, poor wound healing, thinning of the skin,

vascular fragility, hirsutism and other features of masculinization (in females). In children, growth retardation is also noted. These side effects are known as Cushingoid side effects.

Since the side effects of glucocorticoids are dose dependent, attempts to reduce the dosage requirement have been investigated, including combination therapies in which glucocorticoids are administered with other therapeutic agents. These combination therapies are sometimes referred to as"steroid-sparing"therapies. However, currently available combination therapies are non-specific as the other therapeutic agents do not address biological events which inhibit the effectiveness of glucocorticoids. Such combination therapies are also typically associated with serious side effects.

Furthermore, glucocorticoids are incompletely effective in a number of disease settings, leading to the concept of"steroid-resistant"diseases. Agents which amplify or enhance the effects of glucocorticoids would not only allow the reduction of dose of these agents but may also potentially render"steroid-resistant"diseases steroid-sensitive.

There is a need for effective therapies which enable a reduction in the dosage level of glucocorticoids. There is also a need for effective treatment of"steroid-resistant"diseases.

Preferably, such therapies or treatments would address factors which directly limit the effectiveness of glucocorticoids.

Therapeutic antagonism of MIF may provide"steroid-sparing"effects or be therapeutic in "steroid-resistant"diseases. Unlike other pro-inflammatory molecules, such as cytokines, the expression and/or release of MIF can be induced by glucocorticoids (3), (4).

Moreover, MIF is able to directly antagonize the effects of glucocorticoids. This has been shown to be the case for macrophage TNF, IL-1p, IL-6 and IL-8 secretion (5), (6), and for T cell proliferation and IL-2 release (7). 111 vivo, MIF exerts a powerful glucocorticoid- antagonist effect in models including endotoxic shock and experimental arthritis (5), (8).

In the context of an inflammatory or other disease treated with glucocorticoids, then, MIF is expressed but exerts an effect which prevents the glucocorticoid inhibition of inflammation. It can therefore be proposed that therapeutic antagonism of MIF would

remove MIF's role in inhibiting the anti-inflammatory effect of glucocorticoids, thereby allowing glucocorticoids to prevail. This would be the first example of true"steroid- sparing"therapy. In support of this hypothesis is the observation that anti-MIF antibody therapy reverses the effect of adrenalectomy in rat adjuvant arthritis (9). By neutralizing the natural glucocorticoid'counter-regulator'effect of MIF, it is envisioned that with MIF antagonism, steroid dosages could be reduced or even eliminated in inflammatory disease, particularly in those diseases that are associated with the glucocorticoid resistance (10), (11). There is a need, therefore, for therapeutic antagonists of the cytokine or biological activity of MIF.

SUMMARY OF THE INVENTION Throughout this specification and the claims which follow, unless the context requires otherwise, the word"comprise", and variations such as"comprises"and"comprising", will be understood to imply the inclusion of a stated integer or step or group of integers or steps but not the exclusion of any other integer or step or group of integers or steps.

In a first aspect, the present invention provides a method of inhibiting cytokine or biological activity of MIF comprising contacting MIF with a cytokine or biological activity inhibiting effective amount of a compound of formula (I), or a pharmaceutically acceptable salt or prodrug thereof wherein

Y is 0, NRg or S (O) q, Rl is selected from hydrogen, Cl (CR10R10')nhalo, -(CR10R10')nOR11, - (CR10R10')n-SR11, -(CR10R10')n-N(R12)2, -(CR10R10') nS (O) R11, -(CR10R10')nS(O)2R11, - (CR10R10')n-S(O)3R11, -(CR10R10')nC(O)R13, -(CR10R10')n-C(=NR14)R15 or -(CR10R10')nR16 ; R2 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, -(CR10R10')mOR17, - (CRloRlo') mSRl7,- (CRloRlo') mNR18Rl9,- (CRloRlo') mS (O) R2o,- (CRloRlO') mS (0) 2R20, - (CR10R10')mC(O)R20, -(CR10R10')mC(S)R20, -(CR10R10')mC(=NR11)R15 or -(CR10R10')mR16; R3, R4 and Rs are independently selected from hydrogen, Cl (CR10R10')nN(R14)2, - (CR10R10')nOR14, -(CR10R10')nSR14 or -(CR10R10') nhalo; R6 is selected from hydrogen, C1-6alkyl, -C(O)C1-6alkyl, -C(O) N (Rg) 2-,-C (S) N (R9) 2- or -(CR10R10')nR21, or R6Y and Rs together may form-X- (CH2) t-Z-, where X and Z may be independently selected from O, S or NR14 ; R7 and Rs are independently selected from hydrogen, Cl-3alkyl, C2-3alkenyl, C2-3alkynyl or -(CR10R10')nR22; Each Rg is independently selected from hydrogen or Cl 6alkyl ; Each Rio and Rlo is independently selected from hydrogen, C1-6alkyl, C2-6alkenyl, C2-6alkynyl, halogen, ORII, SR11, CI-3alkoxy, C02RI4, N (R14) 2, CN, NO2, aryl or heterocyclyl; Rll is hydrogen or Cl 6alkyl ; Each Rl2 is independently selected from hydrogen, Cl 6alkyl, C (=NR14)R15, NH-C (=NR14) R15, C (O) RI4 or C (S) RM ;

R13 is hydrogen, Cl-6alkyl, OR14, SR14 or N (R14) 2 ; Each R14 is independently selected from hydrogen or Cl 3alkyl ; Rls is Cl-6alkyl, NH2, NH (C1-3alkyl) or N (C1-3alkyl) 2, OR23 or SR23 ; R16 is hydroxy, C1-3alkoxy, SH, SC1-3alkyl, halo, C (O) R3], C (R24) 3, CN, aryl or heterocyclyl; Rl7 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, (CR26R26')sR27, C (O) R25, C02R25, C (S) R25, C (S) OR25, S (O) R25, S (0) 2R25, [C (O) CH (R29) NH] r~R23 or [sugar]r; R18 and Rig are independently selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, (CR26R26')sR27, C (O) R25, C (S) R25, S (O) R25, S (0) 2R25, [C (O) CH (R29) NH]r-R23, [sugar]r, C(=NR23)NH2 or NH-C(=NR23)NH2; Rzo is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, OR28, SR28, N (R28) 2, [NH-CHR29C (O)] r-OR23, [sugar]r, or (CR26R26')sR27; R21 is OR28, SR28, halo or N (R25) 2 ; R22 is halo, CO2H, S03H, N02, NH2, CO2C1-3alkyl, SO2C13alkyl or C (R24) 3; R23 is hydrogen or Cl 3alkyl ; Each R24 is independently selected from hydrogen, Cl or F; Each R25 is independently selected from hydrogen, Ci-2oalkyl, C2-2oalkenyl, C2-2oalkynyl, aryl or (CR26R26')sR27;

Each R26 and R26' is independently selected from hydrogen, C1-6alkyl, C2-6alkenyl, C2-6alkynyol, halogen, hydroxy, Cl 3alkoxy, SH, C1-3alkylthio, CO2H, CO2C1-3alkyl, NH2, NH (CI-3alkyl), N (C1-3alkyl)2, CN, NO2, aryl or heteroaryl; R27 is hydroxy, Cl 6alkoxy, SH, SC1-6alkyl, halo, NH2, NH (C1-3alkyl), N (Cl 3alkyl) 2, C (O) R31, aryl or heterocyclyl ; Each R28 is independently selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl or (CR26R26') sR30 ; R29 is the characterising group of an amino acid; R30 is halogen, hydroxy, C1-3alkoxy, NH2, NH (C1-3alkyl), N (C1-3alkyl) 2, C (O) R31, aryl or heterocyclyl; R31 is C1-3alkyl, OH, Cl 3alkoxy, aryl, aryloxy, heterocyclyl or heterocyclyloxy ; q is 0, 1, 2 or 3 ; nisO, 1, 2 or 3 ; mis0 orl to20 ; ris 1 to 5 ; s is 1 to 10 ; and t is 1 or 2 ; wherein an alkyl, alkenyl, alkynyl, alkyloxy, aryl or heterocyclyl group may be optionally substituted one or more times.

In another aspect, the invention provides a method of treating, preventing or diagnosing a disease or condition wherein MIF cytokine or biological activity is implicated comprising the administration of a treatment, prevention or diagnostic effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need

thereof.

In a further aspect, there is provided the use of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof in the manufacture of a medicament for the treatment, prevention or diagnosis of a disease or condition wherein MIF cytokine or biological activity is implicated.

In particular, the invention provides a method of treating, diagnosing or preventing autoimmune diseases, solid or haemopoeitic tumours, or chronic or acute inflammatory diseases, including a disease or condition selected from the group comprising: Rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis, Reiter's syndrome), crystal arthropathies (including but not limited to gout, pseudogout, calcium pyrophosphate deposition disease), Lyme disease, connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis, Sjogren's syndrome), vasculitides (including but not limited to polyarteritis nodosa, Wegener's granulomatosis, Churg-Strauss syndrome), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), peptic ulceration, gastritis, oesophagitis, liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis, sclerosing cholangitis, primary biliary cirrhosis), pulmonary diseases (including but not limited to diffuse interstitial lung diseases, pneumoconioses, fibrosing alveolitis, asthma, bronchitis, bronchiectasis, chronic obstructive pulmonary disease, adult respiratory distress syndrome), cancers whether primary or metastatic (including but not limited to colon cancer, lymphoma, lung cancer, melanoma, prostate cancer, breast cancer, stomach cancer, leukemia, cervical cancer, multiple myeloma and metastatic cancer), atherosclerosis (eg ischaemic heart disease, myocardial infarction, stroke,

peripheral vascular disease), disorders of the hypothalamic-pituitary-adrenal axis, brain disorders (eg dementia, Alzheimer's disease, multiple sclerosis, demyelinating diseases), corneal disease, iritis, iridocyclitis, cataracts, uveitis, sarcoidosis, diseases characterised by modified angiogenesis (eg diabetic retinopathy, rheumatoid arthritis, cancer), endometrial function (menstruation, implantation, parturition, endometriosis), psoriasis, endotoxic (septic) shock, exotoxic (septic) shock, infective (true septic) shock, other complications of infection, pelvic inflammatory disease, transplant rejection, allergies, allergic rhinitis, bone diseases (eg osteoporosis, Paget's disease), atopic dermatitis, UV (B) -induced dermal cell activation (eg sunburn, skin cancer), malarial complications, diabetes mellitus, pain, inflammatory consequences of trauma or ischaemia, testicular dysfunctions, and wound healing, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (1) or a pharmaceutically acceptable salt or prodrug thereof, to a subject in need thereof.

A further aspect of the invention provides for the use of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof, in the manufacture of a medicament for the treatment of a disease or condition as above.

A further aspect of the invention provides a pharmaceutical composition comprising a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof and a pharmaceutically acceptable carrier, diluent or excipient.

In another aspect, the invention provides a method of treating or preventing a disease or condition wherein MIF cytokine or biological activity is implicated comprising administering to a mammal a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof and a second therapeutic agent.

In another aspect, the present invention provides a method of prophylaxis or treatment of a disease or condition for which treatment with a glucocorticoid is indicated, said method

comprising administering to a mammal a glucocorticoid and a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof.

In yet another aspect, the present invention provides a method of treating steroid-resistant diseases comprising administering to a mammal a glucocorticoid and a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof.

In a further aspect, the present invention provides a method of enhancing the effect of a glucocorticoid in mammals comprising administering a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof, simultaneously, separately or sequentially with said glucocorticoid.

In yet a further aspect, the present invention provides a pharmaceutical composition comprising a glucocorticoid and a compound of formula (1) or a pharmaceutically acceptable salt or prodrug thereof.

In a further aspect of the invention there is provided a use of a glucocorticoid in the manufacture of a medicament for administration with a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof for the treatment or prophylaxis of a disease or condition for which treatment with a glucocorticoid is indicated.

In yet a further aspect of the invention there is provided a use of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof in the manufacture of a medicament for administration with a glucocorticoid for the treatment or prophylaxis of a disease or condition for which treatment of a glucocorticoid is indicated.

In yet a further aspect of the invention there is provided a use of a glucocorticoid and a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof in the manufacture of a medicament for the treatment or prophylaxis of a disease or condition for which treatment with a glucocorticoid is indicated.

In preferred embodiments, the compounds of formula (1) or a pharmaceutically acceptable salt or prodrug thereof are used to treat or prevent a disease or condition, particularly in a human subject.

In yet a further aspect of the invention, there is provided a compound of formula (II) or a pharmaceutically acceptable salt or prodrug thereof : (H) Wherein Y is selected from -O-, -NH-, NC1-3alkyl or-S (O) q- R101 is selected hydrogen, C1-6alkyl, CO2H or CO2C1-6alkyl ; Ri02 is selected from C1-20alkyl, C2-20alkenyl, CO2H, CO2C1-20alkyl, CO2C2-20alkenyl, C02 (CH2) mR109, SO3H, SO3C1-20alkyl, SO3S2-30alkenyl, SO3(CH2)mR109, C (O) Cl 20alkyl or (CH2) mRs ; Ri03 is selected from hydrogen, hydroxy or C1-3alkyl ; Rio4 is selected from hydrogen, C1-3alkyl, NH2, NH (C1-3alkyl), N (Cl 3alkyl) 2 or (CH2) nOH ; R, 05 is selected from hydrogen, (CH2) nOH or (CH2) nOC1-3alkyl ;

R, 06 is selected from hydrogen, Cl-3alkyl, C (O) NH2, C (O) NH (C1-3alkyl), C (O) N (C1- 3alkyl) 2, C (S) NH2, C (S) NH (C1-3alkyl) or C (S) N (Cl 3alkyl) 2 ; Rio ? is selected from hydrogen, hydroxy, halo, amino, nitro, cyano, S03H or C02H ; Rio8 is selected from hydrogen or methyl; Rio9 is selected from halogen, hydroxy, C1-3aloxy, NH2, NH (C1-3alkyl), N (CI-3alkyl) 2, C02H or CO2C1-3alkyl ; Ruo is selected from hydroxy, C1-3alkyl, halo, C02H, CO2C1-3alkyl, CN, NH2v NH (Ci- 3alkyl) orN (CI 3alkyl) 2 ; n is 0 or an integer from 1 to 3; m is 0 or an integer from 1 to 20; and wherein an alkyl, alkenyl or alkyloxy, group may be optionally substituted one or more times.

BRIEF DESCRIPTION OF THE FIGURES Figure 1 graphically depicts the effect of a 1M ratio equivalent of 6,7-dimethoxy-2- naphthanoic acid on MIF-induced proliferation of human dermal fibroblasts.

Figure 2 graphically depicts the effect of a 1M ratio equivalent of 6-hydroxy-2- naphthalene-sulfonic acid (compound 24) on MIF-induced proliferation of human dermal fibroblasts.

Figure 3 graphically depicts the effect of different doses of 6,7- dihydroxynaphthalene-3-sulfonic acid (compound 6) on IL-1 induced COX- 2 expression.

Figure 4 graphically depicts the effect of a combination of dexamethasone and 6,7- dihydroxynaphthalene-3-sulfonic acid (compound 6) on IL-1 induced COX- 2 expression.

Figure 5 graphically depicts the arthritis index in the rat adjuvant-induced arthritis model for 6,7-dimethoxy-2-naphthanoic acid (compound 4).

Figure 6 graphically depicts the synovial fluid cell number in the rat adjuvant- induced arthritis model for 6,7-dimethoxy-2-naphthanoic acid (compound 4).

Figure 7 graphically depicts the effect of 6, 7-dihydroxynaphthalene-3-sulfonic acid (compound 6) on in vivo serum IL-1 production in a murine endotoxic shock model.

Figure 8 graphically depicts the effect of 6, 7-dihydroxynaphthalene-3-sulfonic acid (compound 6) on in vivo serum IL-6 production in a murine endotoxic shock model.

Figure 9 graphically depicts the cytotoxicity effect of a number of compounds in formula (I) in vitro.

Figure 10 graphically depicts the effect of compound 6 on antigen-specific activation of splenic T lymphocytes from mice pre-immunised against mBSA.

Activation is measured using tritiated (H)-thymidine incorporation, as a measure of antigen-induced T cell proliferation.

Figure 11 graphically depicts the in vivo effects of compound 23 on murine antigen induced arthritis, an animal model of rheumatoid arthritis.

Figure 12 graphically depicts the inhibitory effect of compound 6 on the proliferation of S112 human dermal fibroblast cells treated with recombinant human MIF.

Figure 13 graphically depicts the results of a dose-response experiment with compound 6 on endotoxin-induced interleukin-1 release from murine peritoneal macrophages.

DETAILED DESCRIPTION OF THE INVENTION As used herein, the term"alkyl", either used alone or in compound terms such as NHCalkyl, N (Calkyl) 2 etc, refers to monovalent straight, branched or, where appropriate, cyclic aliphatic radicals having from 1 to 3,1 to 6,1 to 10 or 1 to 20 carbon atoms as appropriate, ie methyl, ethyl, n-propyl, iso-propyl, cyclopropyl, n-butyl, sec-butyl, t-butyl and cyclobutyl, n-pentyl, 1-methylbutyl, 2-methylbutyl, 3-methylbutyl, cyclopentyl, n- hexyl, 1-2-3-or 4-methylpentyl, 1-2-or 3-ethylbutyl, 1 or 2-propylpropyl or cyclohexyl.

An alkyl group may be optionally substituted one or more times by halo (eg chloro, fluoro or bromo), CN, NO2, CO2H, CO2Cz 6alkyl, CONH2, CONH (Cz 6alkyl), CONH (Ci. 6alkyl) 2, OH, hydroxyalkyl, alkoxy, methyl, ethyl, propyl, butyl, methoxy, ethoxy, propoxy, butoxy, acyl, carboxyalkyl, acetyl, trifluoromethyl, benzyloxy, phenoxy, NH2, NH (C, 6alkyl) or NH (C, 6alkyl) 2. A preferred optional substituent is a polar substituent. Preferred optional substituents are hydroxy, NH2 and C02H. Examples of alkoxy include methoxy, ethoxy, n-propoxy, iso-propoxy, cyclopropoxy, and butoxy (n-, sec-t-and cyclo) pentoxy and hexyloxy. The"alkyl"portion of an alkoxy group may be substituted as described above.

As used herein, the term"alkenyl"refers to straight, branched or, where appropriate, cyclic carbon containing radicals having one or more double bonds between carbon atoms. Examples of such radicals include vinyl, allyl, butenyl, or longer carbon chains such as those derived from palmitoleic, oleic, linoleic, linolenic or arachidonic acids. An alkenyl group may be optionally substituted one or more times by halo (eg chloro, fluoro or bromo), CN, NO2, CO2H, CO2Cz 6alkyl, CONH2, CONH (CI-6alkyl), CON (Ci. 6alkyl) 2, OH, hydroxyalkyl, alkoxy, methyl, ethyl, propyl, butyl, methoxy, ethoxy, propoxy, butoxy, acyl, carboxyalkyl, acetyl, trifluoromethyl, benzyloxy, phenoxy, NH2, NH (Cl 6alkyl) or NH (C, 6alkyl) 2. A preferred optional substituent is a polar substituent, such as OH, NH2 or C02H.

As used herein, the term"alkynyl"refers to straight or branched carbon containing radicals having one or more triple bonds between carbon atoms. Examples of such radicals include propargyl, butynyl and hexynyl. An alkynyl group may be optionally substituted one or more times by halo (eg chloro, fluoro or bromo), CN, NO2, C02H, C02C1-6alkyl, CONH2, CONH (C1 6alkyl), CON (Cl-6alkyl) 2, OH, hydroxyalkyl, alkoxy, methyl, ethyl, propyl, butyl, methoxy, ethoxy, propoxy, butoxy, acyl, carboxyalkyl, acetyl, trifluoromethyl, benzyloxy, phenoxy, NH2, NH (CI-6alkyl) or NH (CI 6alkyl) 2. A preferred optional substituent is a polar substituent, such as NH2, OH and C02H.

Examples of suitable NH (alkyl) and N (alkyl) 2 include methylamino, ethylamino, n- propylamino, iso-propylamino, dimethylamino, diethylamino and di-isopropylamino.

The term"halogen" (or"halo") refers to fluorine (fluoro), chlorine (chloro), bromine (bromo) or iodine (iodo).

As used herein, "the characterising group of an amino acid"refers to the substituent at Ca of a naturally occurring or non-naturally occurring amino acid and which defines the amino acid. The amino acid may be in the L or D configuration. For example, methyl is the characterising group of alanine, phenylmethyl is the characterising group of phenylalanine, hydroxymethyl is the characterising group of serine, hydroxyethyl is the

characterising group of homoserine and n-propyl is the characterising group of norvaline.

The term"sugar"refers to a pyranosyl or furanosyl moiety such as derived from glucose, galactose, mannose, allose, altrose, gulose, idose, talose, ribose, arabinose or xylose.

Derivatives of such sugars include deoxy or aminopyranosyl or furanosyl sugar derivatives. Each sugar moiety is incorporated into a compound of formula (I) through a hydroxy group of the sugar.

An aryl group refers to a C6-Cs2 aromatic carbocycle, for example, phenyl or naphthyl. An aryl group, either alone or part of a phenoxy, benzyl or benzyloxy group may be optionally substituted one or more times by halo (eg, chloro, fluoro or bromo), CN, NO2, C02H, C02C1-6alkyl, CONH2, CONH (C1_6alkyl), CON (Ci. 6alkyl) 2, OH, hydroxyalkyl, alkoxy, methyl, ethyl, propyl, butyl, methoxy, ethoxy, propoxy, butoxy, acyl, carboxyalkyl, acetyl, trifluoromethyl, benzyloxy, phenoxy, NH2, NH (CI-6alkyl) or NH (Cl 6alkyl) 2, particularly hydroxy, or hydroxyalkyl or halo.

As used herein, the term"heterocyclyl"refers to a cyclic, aliphatic or aromatic radical containing at least one heteroatom independently selected from 0, N or S. Examples of suitable heterocyclyl groups include furyl, pyridinyl, pyrimidinyl, pyrazolyl, piperidinyl, pyrrolyl, thiophenyl, oxazolyl, imidazolyl, thiazolyl, isoxazolyl, isothiazolyl, quinolyl, isoquinolyl, indolyl, benzofuranyl, benzothiophenyl, triazolyl, tetrazolyl, oxadiazolyl and purinyl. A heterocyclyl group may be optionally substituted one or more times by halo (eg, chloro, fluoro or bromo), CN, N02, C02H, CO2Cl 6alkyl, CONH2, CONH (Cl 6alkyl), CON (CI 6alkyl) 2, OH, hydroxyalkyl, alkoxy, methyl, ethyl, propyl, butyl, methoxy, ethoxy, propoxy, butoxy, acyl, carboxyalkyl, acetyl, trifluoromethyl, benzyloxy, phenoxy, NH2, NH (Cl 6alkyl) or NH (C, 6alkyl) 2.

In a first aspect, the present invention provides a method of inhibiting cytokine or biological activity of MIF comprising contacting MIF with a cytokine or biological activity inhibiting effective amount of a compound of formula (I), or a pharmaceutically acceptable salt or prodrug thereof

wherein Y is O, NR9 or S (O) q, Ri is selected from hydrogen, C1-6alkyl, -(CR10R10')nhalo, -(CR10R10')nOR11, -(CR10R10')n-SR11, -(CR10R10')n-N(R12)2, -(CR10R10')nS(O)R11, -(CR10R10')nS(O)2R11, -(CR10R10')n-S(O)3R11, -(CR10R10')nC(O)R13, -(CR10R10')n-C(=NR14)R15 or -(CR10R10')nR16; R2 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, -(CR10R10')mOR17, -(CR10R10')mSR17, 0-(CR10R10')mNR18R19, -(CR10R10')mS(O)R20, -(CR10R10')mS(O)2R20, -(CRI0Rlo) mC (O) R20, -(CR10R10')mC (S) R20,- (CR10R10')mC(=NR11)R15 or -(CR10R10')mR16; R3, R4 and Rs are independently selected from hydrogen, Cl (CR10R10')nN(R14)2, -(CR10R10')nOR14, -(CR10R10')nSR14 oR -(CR10R10')nhalo ; R6 is selected from hydrogen, C1-6alkyl, -C(O)C1-6alkyl, -C(O) N (R9) 2-,-C (S) N (Rg) 2- or -(CR10R10')nR21, or R6Y and Rs together may form-X- (CH2) t-Z-, where X and Z may be independently selected from 0, S or NRI4 ; R7 and Rs are independently selected from hydrogen, C1-3alkyl, C2-3alkenyl, C2-3alkynyl or -(CR10R10')nR22; Each Rois independently selected from hydrogen or C, 6alkyl ;

Each Rio and R10' is independently selected from hydrogen, C1-6alkyl, C2-6alkenyl, C2-6alkynyl, halogen, OR11, SR11, C1-3alkoxy, CO2R14, N (R14) 2, CN, NOz, aryl or heterocyclyl; Rll is hydrogen or Cl 6alkyl ; Each Ri2 is independently selected from hydrogen, C1-6alkyl, C (=NR14) R15, NH-C (=NRi4) Ris, C (O) RI4 or C (S) R14 ; R13 is hydrogen, C1-6alkyl, OR14, SR14 or N (RI4) 2 ; Each R14 is independently selected from hydrogen or Cl 3alkyl ; Rls is C1-6alkyl NH2, NH(C1-3alkyl) or N (Cl 3alkyl) 2, OR23 or SR23 ; R16 is hydroxy, C1-3alkoxy, SH, SC1-3alkyl, halo, C (O) R31, C (R24) 3, CN, aryl or heterocyclyl; Rl7 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, (CR26R26')sR27, C (O) R25, C02R25, C (S) R25, C (S) oR25 S (O) R25, S (0) 2R25, [C (O) CH(R29)NH]r-R23 or [sugar] r ; R18 and R19 are independently selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, (CR26R26')sR27, C (O) R25, C (S) R25, S (O) R25, S (0) 2R25, [C (O) CH (R29) NH]r-R23, [sugar]r, C(=NR23)NH2 or NH-C(=NR23)NH2; R0 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, OR28, SR28, N (R28) 2, [NH-CHR29C (O) ]r-OR23, [sugar]r or (CR26R26')sR27; R21 is OR28, SR28, halo or N (R2s) 2 ;

R22 is halo, COSH, S03H, NO2, NH2, CO2C1-3alkyl, SO3C1-3alkyl or C (R24) 3; R23 is hydrogen or C, 3alkyl ; Each R24 is independently selected from hydrogen, Cl or F; Each R25 is independently selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, aryl or (CR26R26') sR27; Each R26 and R26'is independently selected from hydrogen, C1-6alkyl, C2-6alkenyl, C2-6alkynyl, halogen, hydroxy, CI-3alkoxy, C02H, C02Cl-3alkyl, NH2, NH (C1-3alkyl), N (CI3alkyl) 2, CN, NO2, aryl or heteroaryl; R27 is hydroxy, C1-3alkoxy, SH, SC,. 3alkyl, halo, NH2, NH (C1-3alkyl), N (C1-3alkyl) 2, C (O) R31, aryl or heterocyclyl ; Each R28 is independently selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl or (CR26R26') sR30; R29 is the characterising group of an amino acid; R30 is halogen, hydroxy, C1-3alkoxy, NH2, NH (C1-3alkyl), N (CI 3alkyl) 2, C (O) R31, aryl or heterocyclyl; R3l is C1-3alkyl, OH, Cl 3alkoxy, aryl, aryloxy, heterocyclyl or heterocyclyloxy ; q is 0, 1, 2 or 3 ; nisO, 1, 2 or 3 ; m is 0 or 1 to 20 ; r is 1 to 5;

s is 1 to 10; and t is 1 or 2 ; wherein an alkyl, alkenyl, alkynyl, alkyloxy, aryl or heterocyclyl group may be optionally substituted one or more times.

In a preferred embodiment, one or more of the following definitions apply: Y is 0, NH, NCI 6alkyl, or S (O) q wherein q is 0,1, 2 or 3; Ri is hydrogen, C1-6alkyl, (CH2)nOH, (CH2)nNH2, (CH2)nSH, (CH2)nCF3, (CH2)nCO2H, (CH2) nCO2C1-3alkyl, (CH2) nC (O) NH2, (CH2) nC (O) NHC1-3alkyl, (CH2) nC (O) N (CI 3alkyl) 2, (CH2) nSO3H or (CH2) nSO3Cl 3alkyl, where n is 0,1, 2 or 3; preferably H, C02H or C02Ci- 3alkyl ; R2 is selected from C2-20alkyl, C1-20alkenyl, (CR10R10')mOH, (CR10R10')mOC1-20alkyl, (CR10R10')mOC2-20alkenyl, (CR10R10')mOC(O)C1-20alkyl, (CR10R10')mOC(O)C2-20alkenyl, (CR10R10')mOC(O)aryl, (CR10R10')mO [C (O) CH (R29) NH]r-H, (CR10R10')mO[sugar]r, (CR10R10')mNHC1-20alkyl, (CR10R10')mN(C1-20alkyl)2, (CR10R10')mNHC2-20alkenyl, (CR10R10')mN(C2-20alkenyl)2, (CR10R10'mN(C1-20alkyl)(C2-20alkenyl), (CR10R10')mNHC(O)C1-20alkyl, (CR10R10')mNHC(O)C2-20alkenyl, (CR10R10') mNHC (O) aryl, (CR10R10')mNH [C (O) CH (R29) NH]r-H, (CR10R10')mNH-[sugar]r, (CR10R10')mSO3H, (CR10R10')mSO3C1-20alkyl, (CR10R10')mSO3C2-20alkenyl, (CR10R10')mC(O)C1-20alkyl, (CR10R10')mC(O)C2-20alkenyl, (CR10R10')mCO2H, (CR10R10')mCO2C1-20alkyl, (CR10R10')mCO2C2-20alkenyl, (CR10R10')mC(O)NHC1-20alkyl, (CR10R10') mC (O) N (Cl- 20alkyl) 2, (CRloRlo') mC (O) NHC2-2oalkenyl, (CRIoRlo) mC (O) N (C2-2oalkenyl) 2, (CR10R10')mC(O) N (C1-20alkyl)(C2-20alkenyl), (CR10R10')mC(O)[NHCH(R29)C(O)]r-OH, (CRlORIo) mC (O) [sugar], (CR10R10')mhalo, (CR10R10')mCN, (CR10R10')mheterocyclyl, (CR10R10')maryl, (CR10R10')mNHC(=NH)NH2, (CR10R10')mSO2NHC1-20alkyl, (CRIoRlO) mC (O) O (CH2) i-ioC02H or (CR10R10')mC(O)O(CH2)1-10CO2C1-3alkyl wherein each Rio and Rio'is independently selected from hydrogen, C1-6alkyl, C2-6alkenyl,

C2-6alkynyl, halogen, OH, OCI-6alkyl, C02H, C02CI-3alkyl, NH2, NHC1_3alkyl, -N(C1-3alkyl)2, CN, NO2, aryl or heterocyclyl; R29 is the characterising group of an amino acid, m is 0 or an integer from 1 to 20 and r is an integer from 1 to 5; R3 is selected from hydrogen, halo, NH2, OH, OCl-3alkyl, SH or SCl-3alkyl, preferably hydrogen, OH or OC, 3alkyl ; R4 is selected from hydrogen, halogen, C1-3alkyl, (CH2)nNH2, (CH2)nNHC1-3alkyl, (CH2) nNH (CI-3alkyl) 2, (CH2) nOH or (CH2)nOC1-3alkyl, preferably hydrogen, C1-3alkyl, (CH2) nNH2, (CH2) nOH or (CH2)nOC1-3alkyl ; Rs is selected from hydrogen, halogen, (CH2)nNH2, (CH2)nOH, (CH2nOC1-3alkyl, (CH2) nSH or (CH2) nSCI 3alkyl ; preferably hydrogen, (CH2) nOH or (CH2)nOC1-3alkyl ; R6 is selected from hydrogen, Ci-3alkyl, C (O) C1-3alkyl, C (O) NH (C1-3alkyl), C (O) N (C1- 3alkyl) 2, C (S) NH (C, 3alkyl) or C (S) N (C1-3alkyl) 2; or Rs and R6Y taken together form-X- (CH2) t-Z- wherein X and Z are independently selected from O and S and t is 1 or 2; R7 is selected from hydrogen, C1-3alkyl, (CH2)nSO3H, (CH2)nNO2, (CH2)nOH, (CH2)nCO2H, (CH2)nNH2, (CH2)nhalo, (CH2)nCH2halo, (CH2)nCH(halo)2 or (CH2) nC (halo) 3, preferably hydrogen, (CH2) nSO3H, (CH2) nNO2, (CH2) nNH2, or (CH2) nhalo ; Rg is selected from hydrogen, C1-3alkyl, or (CH2) nR22, wherein R22 is halo, CH2halo, CH (halo) 2 or C (halo) 3 and n is 0,1, 2 or 3; preferably hydrogen; At least one of Rio and Rio in each (CR10R10') is hydrogen and wherein the number of (CRloRlo) as designated by n is greater than 2, preferably less then 2 of RIO and Rio'are other than hydrogen, and wherein the number of (CRloRlo) as designated by m is greater than 5, preferably less than 5 of Rio and Rio, are other than hydrogen; preferably (CR10R10')n and (CR10R10')m represent an unsubstituted alkylene chain with n or m

designating the number of methylene groups in the chain.

At least one of R26 and R26'is hydrogen in each (CR26R26') and wherein the number of (CR26R26) as designated by s is greater than 5, preferably less than 5 of R26 and R26' are other than hydrogen, more preferably (CR26R26')s represents an unsubstituted alkylene chain with s designating the number of methylene groups in the chain.

In certain preferred forms of the invention, the compounds of formula (I) comprise: wherein Y is O, NR9 or S (O) q; Rl is hydrogen, C1-6alkyl, -(CH2)nC(O)R13, -(CH2)nS(O)3R11, -(CH2nNH2, -(CH2)nOH, -(CH2nSH or -(CH2)nCF3, whee R11 and R13 are defined above; R2 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, -(CR10R10')mOR17, - (CR10R10')mSR17, -(CR10R10')mNR18R19, -(CR10R10')mS(O)R20, -(CR10R10')S(O)2R20, - (CRloRlo') mC (O) R2o,- (CRioRio') mC (S) R2o,- (CR10R10')mC(=NR11)R15 or -(CR10R10')mR16, where m, Rlo, Rio', R11, Ris, R16, Razz R18, R19, R20 are as defined above; R3 is selected from hydrogen, halo, amino, OH, OCI-3alkyl or SH;

R4 is selected from hydrogen, halogen, C1-3alkyl, (CH2)nNH2, (CH2)nNHC1-3alkyl, (CH2)nNH(C1-3alkyl)2, (CH2)nOH or (CH2)nOC1-3alkyl ; Rs is selected from hydrogen, halogen, (CH2)NH2, (CH2) nOH, (CH2)nOC1-3alkyl, (CH2) nSH or (CH2)nSC1-3alkyl ; R6 is hydrogen, Ci-3alkyl, CH2halo, C (O) NH (C1-3alkyl), C (O) N (Cl 3alkyl) 2, C (S) NH (C1- 3alkyl), C (S) N (Cl 3alkyl) 2, CH20H or CH2SH ; or R5 and YR6 together form X-(CH2)t-Z wherein X and Z are independently selected from O and S ; R7 is selected from hydrogen, C1-3alkyl, or (CH2) nS03H, (CH2) nNO2, (CH2) nOH, (CH2) nC02H, (CH2) nNH2, (CH2) nhalo, (CH2)) CH2halo, (CH2) nCH (halo) 2 or (CH2) nC (halo) 3, Rg is hydrogen, Cl 3alkyl or (CH2) nhalo, and qandnare0, 1, 2or3.

More preferably, the compounds of formula (1) comprise:

wherein Y is 0, NR9 or S (O) q ; Rl is hydrogen, (CH2)nCO2H, (CH2)nCO2C1-3alkyl, (CH2)nSO3H, (CH2)nNH2, C1-3alkyl, (CH2) OH or (CH2) nCF3; R2 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, C2-20alkynyl, -(CR10R10')mOR17, -(CR10R10')mSR17, -(CR10R10')mNR18R19, -(CR10R10') mS (O) R20, -(CR10R10')mS(O)2R20, - (CR10R10')mC(O)R20, -(CR10R10')mC (S) R20,- (CR10R10')mC(=NR11)R15 or -(CR10R10')mR16, where m, Rio, Rio,, R11, Ri5, R16, Ru, R18, R19, R20 are as defined above; R3 is selected from hydrogen, OH or OC1-3alkyl, R4 is selected from hydrogen, Cl-3alkyl, (CH2)nNH2, (CH2)nOH or (CH2)nOC1-3alkyl ; R5 is hydrogen, (CH2) nOH or (CH2)nOC1-3alkyl ; R6 is hydrogen, C1-3alkyl, CH2halo, C (O) NH (C1-3alkyl), C (O) N (Ci. 3alkyl) 2, C (S) NH (Cl- 3alkyl), C (S) N (CI 3alkyl) 2, CH20H or CH2SH ; or Rs and R6Y are taken together to form-O-(CH2) t-O where t is 1 or 2; R7 is selected from hydrogen, (CH2)nSO3H, (CH2)nNO2, (CH2) nNH2, or (CH2) nhalo R8 is hydrogen, CH3, CF3 or CCl3 ; and q and n are 0,1, 2 or 3.

More preferably, the compounds of formula (I) comprise:

wherein Y is O, NR9 or S (O) q; Rl is hydrogen, (CH2)nCO2H, (CH2)nCO2C1-3alkyl, (CH2)nSO3H, (CH2)nNH2, C1-3alkyl, (CH2) nOH or (CH2) nCF3 ; R2 is selected from hydrogen, C1-20alkyl, C2-20alkenyl, -(CR10R10')mOH, -(CR10R10')mNHC1- 2oalkyl,- (CR10R10')mNH [C (O) CH (R29) NH]-H,- (CR10R10')mSO3H, -(CR10R10')mSO3C1- 2alkyl,- (CR10R10')mC(O)C1-20alkyl, -(CR10R10')mCO2H, -(CR10R10')mCO2C1-20alkyl, (CR10R10')mCN, -(CR10R10')mhalo, -(CR10R10')maryl, -(CR10R10')mhetercyclyl, (CR10R10')mNHC (=NH) NH2, -(CR10R10')mSO2NHC1-20alkyl, CO2(CH2)1-10CO2H or C02 (CH2) 1-10CO2C1-3alkyl, where m, Rio and Rio'are as defined above; R3 is selected from hydrogen, OH or OC1-3alkyl, R4 is selected from hydrogen, CI_3alkyl, (CH2) nNH2, (CH2)nOH or (CH2)nOC1-3alkyl ; R5 is hydrogen, (CH2) nOH or (CH2) nOCI-3alkyl ; R6 is hydrogen, Cl 3alkyl, CH2halo, C (O) NH (C1-3alkyl), C (O) N (C1-3alkyl) 2, C (S) NH (C1- 3alkyl) or C (S) N (C, 3alkyl) 2, CH20H or CH2SH ;

or R5 and R6 are taken together to form-O- (CH2) t-O where t is 1 or 2; R7 is selected from hydrogen, (CH2)nSO3H, (CH2)nNO2, (CH2)nNH2, or (CH2) nhalo ; R8 is hydrogen, CH3, CF3 or CC13 ; and q and n are 0, 1, 2 or 3.

Yet further preferred compounds of formula (I) are those of formula (II) or a pharmaceutically acceptable salts or prodrugs thereof : (n) wherein Y is selected from -O-, -NH-, -NC1-3alkyl- or-S(O)q-; RIO, is selected hydrogen, C1-6alkyl, CO2H or CO2C1-6alkyl ; Rio2 is selected from C1-20alkyl, C2-20alkenyl, CO2H, CO2C1-20alkyl, CO2C2-20alkenyl, C02 (CH2) mR109, SO3H, SO3C1-20alkyl, SO3C2-20alkenyl, SO3(CH2)mR109, C (O) Cl 20alkyl or (CH2) Ri ; Rica is selected from hydrogen, hydroxy, methoxy or Cl 3alkyl ;

Rio4 is selected from hydrogen, C1-3alkyl, NH2, NH (Cl 3alkyl), N (CI 3alkyl) 2 or (CH2) nOH ; Rio5 is selected from hydrogen, (CH2) nOH or (CH2)nOC1-3alkyl ; R, 06 is selected from hydrogen, C1-3alkyl, C (O) NH2, C (O) NH (C1-3alkyl), C (O) N (C1- 3alkyl) 2, C (S) NH2, C (S) NH (Cl 3alkyl) or C (S) N (Cl 3alkyl) 2 ; R107 is selected from hydrogen, hydroxy, halo, amino, nitro, cyano, SO3H or CO2H ; R, 08 is selected from hydrogen or methyl; Rio9 is selected from halogen, hydroxy, Cl 3alkoxy, NH2, NH (C1-3alkyl), N (Cl 3alkyl) 2, C02H or CO2C1-3alkyl ; R10 is selected from hydroxy, C1-3alkyl, halo, C02H, CO2C1-3alkyl, CN, NH2, NH (C 3alkyl) or N (Cl 3alkyl) 2; n is 0 or an integer from 1 to 3; m is 0 or an integer from 1 to 20; and wherein an alkyl, alkenyl or alkyloxy, group may be optionally substituted one or more times.

Examples of suitable compounds for use in the invention may include:

where R' is H or C1-3alkyl ; R'' is H or C1-3alkyl ; R''' is OH or SO3H ; and R'''' is H, SO3H or NO2.

Compounds of formula (I) may be prepared using the methods depicted or described herein or known in the art for example (12). It will be understood that minor modifications to methods described herein or known in the art may be required to synthesize particular compounds of formula (I). General synthetic procedures applicable to the synthesis of compounds may be found in standard references such as Comprehensive Organic Transformations, R. C. Larock, 1989, VCH Publishers and Advanced Organic Chemistry, J. March, 4th Edition (1992), Wiley InterScience, and references therein, and may include Friedel Crafts acylation and/or electrophilic aromatic substitution of the naphthalene nucleus followed, where appropriate, by synthetic conversion (using standard procedures) to the desired groups. It will also be recognised that certain reactive groups may require protection and deprotection during the synthetic process. Suitable protecting and deprotecting methods for reactive functional groups are known in the art for example in Protective Groups in Organic Synthesis, T. W. Green & P. Wutz, John Wiley & Son, 3td Edition, 1999.

Thus, for certain embodiments of the invention, compounds of formula (1), where Rl or R2 is COSH, can be prepared in accordance with the exemplified general methods or steps depicted in any of Schemes 1-3. Suitable starting materials can be obtained commercially or prepared using methods known in the art. Methodology relating to Schemes 1 and 2 can be found in (13) and (14) respectively. Methods for derivatizing NH2, SH and OH to provide further compounds of formula I are known in the art.

Scheme 1 Ra R3 R4 R3 0 R5 (PrCO) 20 R5 p AlClg/PhNOz A1C 3/Ph Oi RsY \ R RsY /R RaY A R7 R oxidation, eg BBr3 R4 R3 R5 I C02H R5 o CO2H R7 R8 Scheme 2 R4 4 Ozon Nitration COaH (eg HN03/HzS04) COZH R6Y ray R ? Ps R ? Ps R7 R8 R7 R8 Reduction w 1. Diazotization 2. H20 or H2S R R4 R4 H2 (or SH) H derivatization CO2H CO2H of NH2 I I RsY RsY R R8 R R8 derivitization of OH or SH

Scheme 3 Conversion of a CO2H group to the amide (CONH2) can be carried out using standard procedures in the art. Conversion of the amide to C=NH (NH2) can be achieved by aminolysis eg NH3/dry methanol.

A methylene group can be inserted between the naphthalene nucleus and the carboxylic acid group by Arndt-Eistert synthesis, eg by conversion of the carboxylic acid to an acyl halide and conversion to the diazoketone. Rearrangement of the diazoketone (eg with silver oxide and water) affords access to the CH2-CO2H group. Repeating these steps allows for further incorporation of methylene groups. The CO2H group can be converted as above.

In other embodiments, compounds of formula (I), where Rl or R2 is a substituted methyl group, can be prepared by conversion of Rl or R2 being a methyl substituent into a

halomethyl substituent (eg by treatment with a N-halosuccinimide such as NBS) followed by nucleophilic substitution by an appropriate nucleophile and/or insertion of additional methylene groups by, for example, Wittig reaction (see Scheme 4 where R* can be (CH2) mOH, (CH2) mSH, (CH2) mNH2 (CH2) mC (O) C1-3alkyl, (CH2) mOC (O) Cl 6alkyl, (CH2) mOC1-6alkyl, (CH2)mOphenyl, (CH2) benzyl, (CH2) mNHC1-6alkyl, (CH2) mNC1- 6alkyl) 2, (CH2) mNHphenyl, (CH2)mNHbenzyl, (CH2)mSC1-6alkyl, (CH2) mSC (O) CI 6alkyl, (CH2) phenyl, (CH2) benzyl, (CH2) mNHsugar, (CH2) mSsugar, (CH2) mOsugar, (CH2) mNHC (O) CI-6alkyl, (CH2) mNHC (O) phenyl, (CH2)mNHC(O) benzyl, (CH2) NHCO2C1-6alkyl, (CH2)mNHCO2phenyl, or (CH2) mNHC02benzyl, where m is 0 or 1 to 20). R4 R3 R4 R3 R5 CH2Br R5 CH2Br R6 Rl RsY Rt R7 R8 R7 R8 nucleophilic substitution and/or Wittig Reaction R4 R3 R5 CH2R R6Y R R7 R8 Scheme 4

In other embodiments, compounds where an 0, S or N atom is directly bonded to the naphthalene nucleus can be prepared by suitable substitution (derivatization) of the corresponding OH, SH or NH2 group on the naphthalene nucleus eg by standard alkylating or acylating methodology.

In other embodiments, compounds where R1 or R2 is CH2halo can be prepared by reaction of a suitable naphthalene carboxylic acid derivative with a reducing agent such as LiAlH4, followed by halogenation, eg treatment with thionyl chloride. R4 R3 R4 3 R5 R5 Reduction CO2H CHaOH Rsy R6Y R7 R8 R7 R8 ReY) ) RgY i t R ? Pg R ? Ps I SOC12 R4 R3 R5 t X CH2C1 Ru CHANCI RsY R7 R8 10 15 Scheme 5 Coupling of compounds wherein Rl or R2 is CH2halo with a Cl 6alkylhalide, halo (CH2)n/m heterocyclyl in the presence of CuLi affords the corresponding compounds where the R1 and/or R2 substituent is C1-6alkyl, (CH2)n/mheterocyclyl.

Reaction of CH2halo with NH2-NH-C (=NH) -NH2 in the presence of base affords access to compounds wherein Rl/R2 is CH2-NH-NH-C (=NH)-NH2. Alternatively, reaction of the

CH2halo group with halo (CH2) nNH-NH-C (=NH)-NH2 (where n is 1 or 2), affords the group (CH2) nNH-NH-C (=NH)-NH2 where n is 2 or 3.

The term"salt, or prodrug"includes any pharmaceutically acceptable salt, ester, solvate, hydrate or any other compound which, upon administration to the recipient is capable of providing (directly or indirectly) a compound of formula (I) as described herein. The term "pro-drug"is used in its broadest sense and encompasses those derivatives that are converted in vivo to the compounds of the invention. Such derivatives would readily occur to those skilled in the art, and include, for example, compounds where a free hydroxy group is converted into an ester, such as an acetate, or where a free amino group is converted into an amide. Procedures for acylating hydroxy or amino groups of the compounds of the invention are well known in the art and may include treatment of the compound with an appropriate carboxylic acid, anhydride or acylchloride in the presence of a suitable catalyst or base.

Suitable pharmaceutically acceptable salts include, but are not limited to, salts of pharmaceutically acceptable inorganic acids such as hydrochloric, sulphuric, phosphoric, nitric, carbonic, boric, sulfamic, and hydrobromic acids, or salts of pharmaceutically acceptable organic acids such as acetic, propionic, butyric, tartaric, maleic, hydroxymaleic, fumaric, maleic, citric, lactic, mucic, gluconic, benzoic, succinic, oxalic, phenylacetic, methanesulphonic, toluenesulphonic, benezenesulphonic, salicyclic sulphanilic, aspartic, glutamic, edetic, stearic, palmitic, oleic, lauric, pantothenic, tannic, ascorbic and valeric acids.

Base salts include, but are not limited to, those formed with pharmaceutically acceptable cations, such as sodium, potassium, lithium, calcium, magnesium, ammonium and alkylammonium.

Basic nitrogen-containing groups may be quarternised with such agents as lower alkyl halide, such as methyl, ethyl, propyl, and butyl chlorides, bromides and iodides; dialkyl sulfates like dimethyl and diethyl sulfate ; and others.

It will also be recognised that some compounds of formula (I) may possess asymmetric centres and are therefore capable of existing in more than one stereoisomeric form. The invention thus also relates to compounds in substantially pure isomeric form at one or more asymmetric centres eg. , greater than about 90% ee, such as about 95% or 97% ee or greater than 99% ee, as well as mixtures, including racemic mixtures, thereof. Such isomers may be prepared by asymmetric synthesis, for example using chiral intermediates, or by chiral resolution.

In another aspect, the invention provides a method of treating, preventing or diagnosing a disease or condition wherein MIF cytokine or biological activity is implicated comprising the administration of a treatment, prevention or diagnostic effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.

In a further aspect, there is provided the use of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof in the manufacture of a medicament for the treatment, prevention or diagnosis of a disease or condition wherein MIF cytokine or biological activity is implicated.

In yet a further aspect, there is provided an agent for the treatment, prevention or diagnosis of a disease or condition where MIF cytokine or biological activity is implicated comprising a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof.

As used herein, MIF includes human or other animal MIF and derivatives and naturally occurring variants thereof which at least partially retain MIF cytokine or biological activity. Thus, the subject to be treated may be human or other animal such as a mammal.

Non-human subjects include, but are not limited to primates, livestock animals (eg sheep, cows, horses, pigs, goats), domestic animals (eg dogs, cats), birds and laboratory test animals (eg mice rats, guinea pigs, rabbits). MIF is also expressed in plants (thus"MIF"

may also refer to plant MIF) and where appropriate, compounds of formula (I) may be used in botanical/agricultural applications such as crop control.

Reference herein to"cytokine or biological activity"of MIF includes the cytokine or biological effect on cellular function via autocrine, endocrine, paracrine, cytokine, hormone or growth factor activity, or via intracellular effects.

In particular, the invention provides a method of treating, diagnosing or preventing autoimmune diseases, solid or haemopoeitic tumours, or chronic or acute inflammatory diseases, including a disease or condition selected from the group comprising: Rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis, Reiter's syndrome), crystal arthropathies (including but not limited to gout, pseudogout, calcium pyrophosphate deposition disease), Lyme disease, connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis, Sjögren's syndrome), vasculitides (including but not limited to polyarteritis nodosa, Wegener's granulomatosis, Churg-Strauss syndrome), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), peptic ulceration, gastritis, oesophagitis, liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis, sclerosing cholangitis, primary biliary cirrhosis), pulmonary diseases (including but not limited to diffuse interstitial lung diseases, pneumoconioses, fibrosing alveolitis, asthma, bronchitis, bronchiectasis, chronic obstructive pulmonary disease, adult respiratory distress syndrome), cancers whether primary or metastatic (including but not limited to colon cancer, lymphoma, lung cancer, melanoma, prostate cancer, breast cancer, stomach cancer, leukemia, cervical cancer, multiple myeloma and metastatic cancer), atherosclerosis (eg ischaemic heart disease, myocardial infarction, stroke,

peripheral vascular disease), disorders of the hypothalamic-pituitary-adrenal axis, brain disorders (eg dementia, Alzheimer's disease, multiple sclerosis, demyelinating diseases), corneal disease, iritis, iridocyclitis, cataracts, uveitis, sarcoidosis, diseases characterised by modified angiogenesis (eg diabetic retinopathy, rheumatoid arthritis, cancer), endometrial function (menstruation, implantation, parturition, endometriosis), psoriasis, endotoxic (septic) shock, exotoxic (septic) shock, infective (true septic) shock, other complications of infection, pelvic inflammatory disease, transplant rejection, allergies, allergic rhinitis, bone diseases (eg osteoporosis, Paget's disease), atopic dermatitis, UV (B) -induced dermal cell activation (eg sunburn, skin cancer), malarial complications, diabetes mellitus, pain, inflammatory consequences of trauma or ischaemia, testicular dysfunctions and wound healing, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.

In a preferred embodiment, the invention provides a method of treating, diagnosing or preventing autoimmune diseases, solid or haemopoeitic tumours, or chronic or acute inflammatory diseases, including a disease or condition selected from the group comprising rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis, Reiter's syndrome), crystal arthropathies (including but not limited to gout, pseudogout, calcium pyrophosphate deposition disease), connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis, Sjögren's syndrome), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), peptic ulceration, gastritis, oesophagitis, liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis), pulmonary diseases (including but not limited to diffuse interstitial lung diseases, asthma, bronchitis, chronic obstructive pulmonary disease, adult respiratory distress syndrome), cancers whether

primary or metastatic (including but not limited to colon cancer, lymphoma, lung cancer, melanoma, prostate cancer, breast cancer, stomach cancer, leukemia, cervical cancer, multiple myeloma and metastatic cancer), atherosclerosis (eg ischaemic heart disease, myocardial infarction), brain disorders (eg multiple sclerosis, demyelinating diseases), iritis, iridocyclitis, uveitis, sarcoidosis, diseases characterised by modified angiogenesis (eg diabetic retinopathy, rheumatoid arthritis, cancer), psoriasis, endotoxic (septic) shock, exotoxic (septic) shock, infective (true septic) shock, pelvic inflammatory disease, transplant rejection, allergies, allergic rhinitis, bone diseases (including but not limited to osteoporosis, Paget's disease), atopic dermatitis, malarial complications, diabetes mellitus, pain, inflammatory consequences of trauma or ischaemia, and wound healing, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.

In yet another preferred embodiment of the invention there is provided a method of treating, diagnosing or preventing autoimmune diseases, solid or haemopoeitic tumours, or chronic or acute inflammatory diseases, including a disease or condition selected from the group comprising rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis), crystal arthropathies (including but not limited to gout, pseudogout, calcium pyrophosphate deposition disease), connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis,), pulmonary diseases (including but not limited to asthma, chronic obstructive pulmonary disease, adult respiratory distress syndrome), cancers whether primary or metastatic (including but not limited to colon cancer, lymphoma, lung cancer, leukemia, cervical cancer, multiple myeloma and metastatic cancer), atherosclerosis (eg ischaemic heart disease, myocardial infarction), brain disorders (eg multiple sclerosis, demyelinating

diseases), uveitis, sarcoidosis, diseases characterised by modified angiogenesis (eg diabetic retinopathy, rheumatoid arthritis, cancer), psoriasis, endotoxic (septic) shock, exotoxic (septic) shock, infective (true septic) shock, transplant rejection, allergies, allergic rhinitis, bone diseases (including but not limited to osteoporosis, Paget's disease), atopic dermatitis, malarial complications, diabetes mellitus, pain, inflammatory consequences of trauma or ischaemia, and wound healing, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.

In yet another preferred embodiment, the invention provides a method of treating, diagnosing or preventing autoimmune diseases, solid or haemopoeitic tumours, or chronic or acute inflammatory diseases, including a disease or condition selected from the group comprising rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis), connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis,), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis, ), pulmonary diseases (including but not limited to asthma, chronic obstructive pulmonary disease, adult respiratory distress syndrome), cancers whether primary or metastatic (including but not limited to colon cancer, lymphoma, lung cancer, leukemia, cervical cancer, multiple myeloma and metastatic cancer), atherosclerosis (eg ischaemic heart disease, myocardial infarction), brain disorders (eg multiple sclerosis, demyelinating diseases), psoriasis, transplant rejection, allergies, allergic rhinitis, atopic dermatitis, and wound healing, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.

In a further preferred embodiment, the invention provides a method of treating, diagnosing or preventing autoimmune diseases, or chronic or acute inflammatory diseases, including a

disease or condition selected from the group comprising rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis, ), connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis, ), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited toulcerative colitis, Crohn's disease), liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis,), pulmonary diseases (including but not limited to asthma, chronic obstructive pulmonary disease, adult respiratory distress syndrome), atherosclerosis (eg ischaemic heart disease, myocardial infarction), brain disorders (eg multiple sclerosis, demyelinating diseases), psoriasis, transplant rejection, allergies, allergic rhinitis, atopic dermatitis, and wound healing, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.

In yet a further preferred embodiment, the invention provides a method of treating, diagnosing or preventing autoimmune diseases, or chronic or acute inflammatory diseases, including a disease or condition selected from the group comprising rheumatic diseases (including but not limited to rheumatoid arthritis, psoriatic arthritis, polymyalgia rheumatica), spondyloarthropathies (including but not limited to ankylosing spondylitis,), connective tissue diseases (including but not limited to systemic lupus erythematosus), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis, ), pulmonary diseases (including but not limited to asthma, chronic obstructive pulmonary disease, adult respiratory distress syndrome), atherosclerosis (eg ischaemic heart disease, myocardial infarction), brain disorders (eg multiple sclerosis, demyelinating diseases), psoriasis, transplant rejection, allergic rhinitis, and atopic dermatitis, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or

prodrug thereof to a subject in need thereof.

In yet a further preferred embodiment, the invention provides a method of treating, diagnosing or preventing autoimmune diseases, or chronic or acute inflammatory diseases, including a disease or condition selected from the group comprising rheumatic diseases (including but not limited to rheumatoid arthritis, psoriatic arthritis, polymyalgia rheumatica), spondyloarthropathies (including but not limited to ankylosing spondylitis), connective tissue diseases (including but not limited to systemic lupus erythematosus), glomerulonephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), pulmonary diseases (including but not limited to asthma, chronic obstructive pulmonary disease, adult respiratory distress syndrome), atherosclerosis (eg ischaemic heart disease, myocardial infarction), brain disorders (eg multiple sclerosis, demyelinating diseases), psoriasis, and transplant rejection, comprising the administration of a treatment, diagnosis or prevention effective amount of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof to a subject in need thereof.

A further aspect of the invention provides for the use of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof in the manufacture of a medicament for the treatment of a disease or condition as above.

As used herein, the term"effective amount"relates to an amount of compound which, when administered according to a desired dosing regimen, provides the desired MIF cytokine inhibiting or treatment or therapeutic activity, or disease/condition prevention.

Dosing may occur at intervals of minutes, hours, days, weeks, months or years or continuously over any one of these periods. A cytokine or biological activity inhibiting amount is an amount which will at least partially inhibit the cytokine or biological activity of MIF. A therapeutic, or treatment, effective amount is an amount of the compound which, when administered according to a desired dosing regimen, is sufficient to at least partially attain the desired therapeutic effect, or delay the onset of, or inhibit the progression of or halt or partially or fully reverse the onset or progression of a particular disease condition being treated. A prevention effective amount is an amount of compound

which when administered according to the desired dosing regimen is sufficient to at least partially prevent or delay the onset of a particular disease or condition. A diagnostic effective amount of compound is an amount sufficient to bind to MIF to enable detection of the MIF-compound complex such that diagnosis of a disease or condition is possible.

Suitable dosages may lie within the range of about 0.1 ng per kg of body weight to 1 g per kg of body weight per dosage. The dosage is preferably in the range of 1 llg to 1 g per kg of body weight per dosage, such as is in the range of 1 mg to 1 g per kg of body weight per dosage. In one embodiment, the dosage is in the range of 1 mg to 500 mg per kg of body weight per dosage. In another embodiment, the dosage is in the range of 1 mg to 250 mg per kg of body weight per dosage. In yet another preferred embodiment, the dosage is in the range of 1 mg to 100 mg per kg of body weight per dosage, such as up to 50 mg per kg of body weight per dosage. In yet another embodiment, the dosage is in the range of 1 u. g to lmg per kg of body weight per dosage.

Suitable dosage amounts and dosing regimens can be determined by the attending physician or veterinarian and may depend on the desired level of inhibiting activity, the particular condition being treated, the severity of the condition as well as the general age, health and weight of the subject.

The active ingredient may be administered in a single dose or a series of doses. While it is possible for the active ingredient to be administered alone, it is preferable to present it as a composition, preferably as a pharmaceutical composition.

In a further aspect of the invention, there is provided a pharmaceutical composition comprising a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof together with a pharmaceutically acceptable carrier, diluent or excipient.

The formulation of such compositions is well known to those skilled in the art. The composition may contain pharmaceutically acceptable additives such as carriers, diluents or excipients. These include, where appropriate, all conventional solvents, dispersion

agents, fillers, solid carriers, coating agents, antifungal and antibacterial agents, dermal penetration agents, surfactants, isotonic and absorption agents and the like. It will be understood that the compositions of the invention may also include other supplementary physiologically active agents.

The carrier must be pharmaceutically acceptable in the sense of being compatible with the other ingredients of the composition and not injurious to the subject. Compositions include those suitable for oral, rectal, inhalational, nasal, transdermal, topical (including buccal and sublingual), vaginal or parenteral (including subcutaneous, intramuscular, intraspinal, intravenous and intradermal) administration. The compositions may conveniently be presented in unit dosage form and may be prepared by any methods well known in the art of pharmacy. Such methods include the step of bringing into association the active ingredient with the carrier which constitutes one or more accessory ingredients.

In general, the compositions are prepared by uniformly and intimately bringing into association the active ingredient with liquid carriers or finely divided solid carriers or both, and then if necessary shaping the product.

Depending on the disease or condition to be treated, it may or may not be desirable for a compound of formula (I) to cross the blood/brain barrier. Thus the compositions for use in the present invention may be formulated to be water or lipid soluble.

Compositions of the present invention suitable for oral administration may be presented as discrete units such as capsules, sachets or tablets each containing a predetermined amount of the active ingredient; as a powder or granules; as a solution or a suspension in an aqueous or non-aqueous liquid; or as an oil-in-water liquid emulsion or a water-in-oil liquid emulsion. The active ingredient may also be presented as a bolus, electuary or paste.

A tablet may be made by compression or moulding, optionally with one or more accessory ingredients. Compressed tablets may be prepared by compressing in a suitable machine the active ingredient in a free-flowing form such as a powder or granules, optionally mixed

with a binder (eg inert diluent, preservative, disintegrant (eg. sodium starch glycolate, cross-linked polyvinyl pyrrolidone, cross-linked sodium carboxymethyl cellulose)) surface-active or dispersing agent. Moulded tablets may be made by moulding in a suitable machine a mixture of the powdered compound moistened with an inert liquid diluent. The tablets may optionally be coated or scored and may be formulated so as to provide slow or controlled release of the active ingredient therein using, for example, hydroxypropylmethyl cellulose in varying proportions to provide the desired release profile. Tablets may optionally be provided with an enteric coating, to provide release in parts of the gut other than the stomach.

Compositions suitable for topical administration in the mouth include lozenges comprising the active ingredient in a flavoured base, usually sucrose and acacia or tragacanth gum; pastilles comprising the active ingredient in an inert basis such as gelatin and glycerin, or sucrose and acacia gum; and mouthwashes comprising the active ingredient in a suitable liquid carrier.

The compounds of formula (1) may also be administered intranasally or via inhalation, for example by atomiser, aerosol or nebulizer means.

Compositions suitable for topical administration to the skin may comprise the compounds dissolved or suspended in any suitable carrier or base and may be in the form of lotions, gel, creams, pastes, ointments and the like. Suitable carriers include mineral oil, propylene glycol, polyoxyethylene, polyoxypropylene, emulsifying wax, sorbitan monostearate, polysorbate 60, cetyl esters wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water. Transdermal devices, such as patches, may also be used to administer the compounds of the invention.

Compositions for rectal administration may be presented as a suppository with a suitable carrier base comprising, for example, cocoa butter, gelatin, glycerin or polyethylene glycol.

Compositions suitable for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams or spray formulations containing in addition to the active ingredient such carriers as are known in the art to be appropriate.

Compositions suitable for parenteral administration include aqueous and non-aqueous isotonic sterile injection solutions which may contain anti-oxidants, buffers, bactericides and solutes which render the composition isotonic with the blood of the intended recipient; and aqueous and non-aqueous sterile suspensions which may include suspending agents and thickening agents. The compositions may be presented in unit-dose or multi-dose sealed containers, for example, ampoules and vials, and may be stored in a freeze-dried (lyophilised) condition requiring only the addition of the sterile liquid carrier, for example water for injections, immediately prior to use. Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules and tablets of the kind previously described.

Preferred unit dosage compositions are those containing a daily dose or unit, daily sub- dose, as herein above described, or an appropriate fraction thereof, of the active ingredient.

It should be understood that in addition to the active ingredients particularly mentioned above, the compositions of this invention may include other agents conventional in the art having regard to the type of composition in question, for example, those suitable for oral administration may include such further agents as binders, sweeteners, thickeners, flavouring agents, disintegrating agents, coating agents, preservatives, lubricants and/or time delay agents. Suitable sweeteners include sucrose, lactose, glucose, aspartame or saccharine. Suitable disintegrating agents include corn starch, methylcellulose, polyvinylpyrrolidone, xanthan gum, bentonite, alginic acid or agar. Suitable flavouring agents include peppermint oil, oil of wintergreen, cherry, orange or raspberry flavouring.

Suitable coating agents include polymers or copolymers of acrylic acid and/or methacrylic acid and/or their esters, waxes, fatty alcohols, zein, shellac or gluten. Suitable preservatives include sodium benzoate, vitamin E, alpha-tocopherol, ascorbic acid, methyl paraben, propyl paraben or sodium bisulphite. Suitable lubricants include magnesium

stearate, stearic acid, sodium oleate, sodium chloride or talc. Suitable time delay agents include glyceryl monostearate or glyceryl distearate.

It will be recognised that other therapeutically active agents such as anti-inflammatory (eg steroids such as glucocorticoids) or anti-cancer agents may be used in conjunction with a compound of formula (I). Compounds of formula (I) when administered in conjunction with other therapeutically active agents may exhibit an additive or synergistic effect.

These may be administered simultaneously, either as a combined form (ie as a single composition containing the active agents) or as discrete dosages. Alternatively, the other therapeutically active agents may be administered sequentially or separately with the compounds of the invention. Thus, the invention also relates to kits and combinations, comprising a compound of formula (I) and one or more other therapeutically active ingredients for use in the treatment of diseases or conditions described herein.

Without being limiting, examples of agents which could be used in combination with a compound of formula (I) include: glucocorticoids, antirheumatic drugs (including but not limited to methotrexate, leflunomide, sulphasalazine, hydroxycholorquine, gold salts); immunosuppressive drugs (including but not limited to cyclosporin, mycophenyllate mofetil, azathioprine, cyclophosphamide) ; anti-cytokine therapies (including but not limited to antagonists of, antibodies to, binding proteins for, or soluble receptors for tumor necrosis factor, interleukin 1, interleukin 3, interleukin 5, interleukin 6, interleukin 8, interleukin 12, interleukin 18, interleukin 17, and other pro-inflammatory cytokines as may be found relevant to pathological states); antagonists or inhibitors of mitogen-activated protein (MAP) kinases (including but not limited to antagonists or inhibitors of extracellular signal-regulated kinases (ERK), the c-Jun N-terminal kinases/stress-activated protein kinases (JNK/SAPK), and the p38 MAP kinases, and other kinases or enzymes or proteins involved in MAP kinase-dependent cell activation); antagonists or inhibitors of the nuclear factor kappa-B (NF-<B) signal transduction pathway (including but not limited to antagonists or inhibitors of I-KB-kinase, interleukin receptor activated kinase, and other kinases or enzymes or proteins involved in NF-KB-dependent cell activation); antibodies, protein therapeutics, or small molecule therapeutics interacting with adhesion molecules

and co-stimulatory molecules (including but not limited to therapeutic agents directed against intercellular adhesion molecule-1, CD40, CD40-ligand, CD28, CD4, CD-3, selectins such as P-selectin or E-selectin); bronchodilators such as P-adrenoceptor agonists or anti-cholinergics ; antagonists of eicosanoid synthesis pathways such as non-steroidal anti-inflammatory drugs, cyclooxygenase-2 inhibitors, thromboxane inhibitors, or lipoxygenase inhibitors; antibodies or other agents directed against leukocyte surface antigens (including but not limited to antibodies or other agents directed against CD3, CD4, CD5, CD 19, CD20, HLA molecules); agents used for the treatment of inflammatory bowel disease (including but not limited to sulphasalazine, mesalazine, salicylic acid derivatives); anti-cancer drugs (including but not limited to cytotoxic drugs, cytolytic drugs, monoclonal antibodies).

In another aspect, the invention provides a method of treating or preventing a disease or condition wherein MIF cytokine or biological activity is implicated comprising administering to a mammal a compound of formula (1) or a pharmaceutically acceptable salt or prodrug thereof and a second therapeutic agent.

In a preferred embodiment of the invention, the second therapeutic agent is a glucocorticoid compound. The mechanism through which MIF antagonises the effects of glucocorticoids has not been fully eludicated. Glucocorticoid effects on inflammation are dependent upon the transactivation of genes which exert inhibitory effects on cell activation, or on the transrepression of genes which exert stimulatory effects on cell activation. Transrepression effects are in part mediated via effects on intra-cellular signal transduction pathways such as the nuclear factor KB (NF-KB) and mitogen activated protein kinase (MAPK) pathways.

Without wishing to be bound by theory, it is possible that suppression of activation of signal transduction pathways by a MIF inhibitor may allow a glucocorticoid to be more effective. The ability of glucocorticoids to inhibit the activation of MAPK pathways is uncertain. Glucocorticoids have been variously reported either to suppress, or to be unable to suppress, MAPK activation under various conditions (15-17). Activation of the MAPK

pathway known as ERK (extracellular signal regulated kinase, also known as p44/42 MAP kinase), as measured by the phosphorylation of ERK protein detected with a phospho- specific antibody, is increased by stimuli such as interleukin-1 (IL-1) (Figure 3). The ERK pathway is also known to be activated by MIF (18). In experiments using human dermal fibroblasts, the glucocorticoid dexamethasone does not inhibit ERK pathway activation by IL-1. The combination of dexamethasone with a compound that inhibits the cytokine or biological activity of MIF, however, was able to inhibit ERK activation (Figure 3).

Notwithstanding the incomplete understanding of the interacting pathways involved, it is possible that administration of a compound which inhibits the cytokine or biological activity of MIF in combination with a glucocorticoid exerts inhibitory effects on signal transduction pathways that are greater than the effects of the glucocorticoid alone. Where these signal transduction pathways are known to be important in the regulation of cell activation in conditions such as inflammatory diseases, it is likely that this greater effect would permit the use of lower doses of the glucococorticoid in a given patient ; that is, the compound which inhibits the cytokine or biological activity of MIF would have a"steroid- sparing"effect.

In another aspect, the present invention provides a method of prophylaxis or treatment of a disease or condition for which treatment with a glucocorticoid is indicated, said method comprising administering to a mammal a glucocorticoid and a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof.

In yet another aspect, the present invention provides a method of treating steroid-resistant diseases comprising administering to a mammal a glucocorticoid and a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof.

In a further aspect, the present invention provides a method of enhancing the effect of a glucocorticoid in mammals comprising administering a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof simultaneously, separately or sequentially with said glucocorticoid.

In yet a further aspect, the present invention provides a composition comprising a glucocorticoid and a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof.

In a further aspect of the invention there is provided a use of a glucocorticoid in the manufacture of a medicament for administration with a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof for the treatment or prophylaxis of a disease or condition for which treatment with a glucocorticoid is indicated.

In yet a further aspect of the invention there is provided a use of a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof in the manufacture of a medicament for administration with a glucocorticoid for the treatment or prophylaxis of a disease or condition for which treatment of a glucocorticoid is indicated.

In yet a further aspect of the invention there is provided a use of a glucocorticoid and a compound of formula (I) or a pharmaceutically acceptable salt or prodrug thereof in the manufacture of a medicament for the treatment or prophylaxis of a disease or condition for which treatment with a glucocorticoid is indicated.

Preferably the amount of glucocorticoid used in the methods, uses and compositions of the invention is less than the amount which would be effective in the absence of the compound of formula (I). In the treatment of steroid-resistant diseases or conditions which are not responsive to glucocorticoids, any amount of glucocorticoid which is effective in combination with a compound of formula (I) is considered less than the amount which would be effective in the absence of a compound formula (I). Accordingly, the invention provides a steroid-sparing therapy.

In preferred embodiments of the invention, the glucocorticoid and the compound of formula (I) are used to treat or prevent a disease or condition in a mammal, preferably in a human subject.

The term"disease or condition for which treatment with a glucocorticoid is indicated" refers to diseases or conditions which are capable of being treated by administration of a glucocorticoid including but not limited to autoimmune diseases, solid or haemopoitic tumours, or chronic or acute inflammatory diseases. Examples of such diseases or conditions include: Rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis, Reiter's syndrome), crystal arthropathies (including but not limited to gout, pseudogout, calcium pyrophosphate deposition disease), Lyme disease, connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis, Sjögren's syndrome), vasculitides (including but not limited to polyarteritis nodosa, Wegener's granulomatosis, Churg-Strauss syndrome), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), peptic ulceration, gastritis, oesophagitis, liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis, sclerosing cholangitis, primary biliary cirrhosis), pulmonary diseases (including but not limited to diffuse interstitial lung diseases, pneumoconioses, fibrosing alveolitis, asthma, bronchitis, bronchiectasis, chronic obstructive pulmonary disease, adult respiratory distress syndrome), cancers whether primary or metastatic (including but not limited to colon cancer, lymphoma, lung cancer, melanoma, prostate cancer, breast cancer, stomach cancer, leukemia, cervical cancer, multiple myeloma and metastatic cancer), atherosclerosis (eg ischaemic heart disease, myocardial infarction, stroke, peripheral vascular disease), disorders of the hypothalamic-pituitary-adrenal axis, brain disorders (eg dementia, Alzheimer's disease, multiple sclerosis, demyelinating diseases), corneal disease, iritis, iridocyclitis, cataracts, uveitis, sarcoidosis, diseases characterised by modified angiogenesis (eg diabetic retinopathy,

rheumatoid arthritis, cancer), endometrial function (menstruation, implantation, parturition, endometriosis), psoriasis, endotoxic (septic) shock, exotoxic (septic) shock, infective (true septic) shock, other complications of infection, pelvic inflammatory disease, transplant rejection, allergies, allergic rhinitis, bone diseases (eg osteoporosis, Paget's disease), atopic dermatitis, UV (B)-induced dermal cell activation (eg sunburn, skin cancer), malarial complications, diabetes mellitus, pain, inflammatory consequences of trauma or ischaemia, testicular dysfunctions and wound healing.

These diseases or conditions may also include steroid-resistant diseases or conditions where treatment with a glucocorticoid is indicated, but where the glucocorticoid is ineffective or is not as effective as expected.

Compounds of formula (I) may be particularly useful in combination with a glucocorticoid, for the treatment of a disease or condition selected from autoimmune diseases, or chronic or acute inflammatory diseases, including rheumatic diseases (including but not limited to rheumatoid arthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica) spondyloarthropathies (including but not limited to ankylosing spondylitis, reactive arthritis, Reiter's syndrome), crystal arthropathies (including but not limited to gout, pseudogout, calcium pyrophosphate deposition disease), connective tissue diseases (including but not limited to systemic lupus erythematosus, systemic sclerosis, polymyositis, dermatomyositis, Sjogren's syndrome), vasculitides (including but not limited to polyarteritis nodosa, Wegener's granulomatosis, Churg-Strauss syndrome), glomerulonephritis, interstitial nephritis, inflammatory bowel disease (including but not limited to ulcerative colitis, Crohn's disease), liver disease (including but not limited to cirrhosis, hepatitis), autoimmune diseases (including but not limited to diabetes mellitus, thyroiditis, myasthenia gravis, sclerosing cholangitis, primary biliary cirrhosis), pulmonary diseases (including but not limited to diffuse interstitial lung diseases, fibrosing alveolitis, asthma, bronchitis, bronchiectasis, chronic obstructive pulmonary disease, adult respiratory distress syndrome), cancers whether primary or metastatic (including but not limited to myeloma, lymphoma, lung cancer, leukemia, cervical cancer and metastatic cancer),

atherosclerosis (eg ischaemic heart disease, myocardial infarction, stroke, peripheral vascular disease), disorders of the hypothalamic-pituitary-adrenal axis, brain disorders (including but not limited to multiple sclerosis, demyelinating diseases), corneal disease, iritis, iridocyclitis, uveitis, sarcoidosis, psoriasis, endotoxic (septic) shock, exotoxic (septic) shock, infective (true septic) shock, other complications of infection, transplant rejection, allergies, allergic rhinitis, bone diseases (including but not limited to osteoporosis), atopic dermatitis, malarial complications, inflammatory consequences of trauma or ischaemia, and wound healing.

The combination of glucocorticoid and compound of formula (1) may be particularly useful when used in a steroid-sparing manner. The term"steroid-sparing"refers to a combination therapy method that allows a reduction in the amount of glucocorticoid administered while still providing an effective therapy for the disease or condition being treated or prevented.

Steroid-resistant diseases or conditions are diseases or conditions for which treatment with a glucocorticoid is indicated, but where the glucocorticoid is ineffective or is not as effective as expected. This term encompasses diseases or conditions for which the effective dose of glucocorticoid results in unacceptable side effects and/or toxicity. Some steroid-resistant diseases or conditions may require a dosage of glucocorticoid so large that they are considered non-responsive and therefore are not able to be successfully treated with glucocorticoids. Some steroid-resistant diseases or conditions may require a large dosage of glucocorticoid to achieve only a small effect on the symptoms of the disease or condition. Furthermore, some patients, diseases or conditions present with symptoms that do not respond to treatment with a glucocorticoid, or may become less sensitive to glucocorticoid treatment over time. Examples of diseases which may commonly exhibit features of steroid-resistance include asthma, chronic obstructive pulmonary disease, rheumatoid arthritis, glomerulonephritis, systemic lupus erythematosus, inflammatory bowel disease and transplant rejection.

Glucocorticoids are a group of steroid hormones, which are used to treat or prevent a wide range of diseases or conditions. Suitable glucocorticoids may be synthetic or naturally

occurring and include but are not limited to prednisolone, prednisone, cortisone acetate, beclamethasone, fluticasone, hydrocortisone, dexamethasone, methyl prednisolone, triamcinolone, budesonide and betamethasone. A person skilled in the art would be able to identify other suitable glucocorticoids that may benefit from being used in a combination treatment with a MIF antagonist.

In preferred embodiments of the invention, the glucocorticoid used is selected from prednisone, prednisolone, hydrocortisone, fluticasone, beclamethasone, betamethasone, methyl prednisolone, budesonide, triamcinolone, dexamethasone and cortisone. Most preferably, the glucocorticoid is selected from prednisone, prednisolone, methyl prednisolone, fluticasone and beclamethasone. Beclamethasone and fluticasone are particularly preferred for treating asthma. Prednisone, prednisolone and methyl prednisolone are particularly preferred in the treatment of systemic or local inflammatory diseases.

The amounts of glucocorticoid and compound of formula (I) are selected such that in combination they provide complete or partial treatment or prophylaxis of a disease or condition for which a glucocorticoid is indicated. The amount of compound formula (I) is preferably an amount that will at least partially inhibit the cytokine or biological activity of MIF. The amount of glucocorticoid is preferably less than the amount required in the absence of the compound of formula (I). The amounts of glucocorticoid and compound of formula (I) used in a treatment or therapy are selected such that in combination they at least partially attain the desired therapeutic effect, or delay onset of, or inhibit the progression of, or halt or partially or fully reverse the onset or progression of the disease or condition being treated. The amounts of glucocorticoid and compound of formula (I) used in the prophylaxis of a disease or condition are selected such that in combination they at least partially prevent or delay the onset of the disease or condition. Dosing may occur at intervals of minutes, hours, days, weeks, months or years or continuously over any one of these periods.

Suitable doses of a compound of formula (I) may lie within the range of about 0. 1 ng per kg of body weight to 1 g per kg of body weight per dosage. The dosage is preferably in the range of 1 lug to 1 g per kg of body weight per dosage, such as is in the range of 1 mg to 1 g per kg of body weight per dosage. In one embodiment, the dosage is in the range of 1 mg to 500 mg per kg of body weight per dosage. In another embodiment, the dosage is in the range of 1 mg to 250 mg per kg of body weight per dosage. In yet another preferred embodiment, the dosage is in the range of 1 mg to 100 mg per kg of body weight per dosage, such as up to 50 mg per kg of body weight per dosage. In yet another embodiment, the dosage is in the range of lug to lmg per kg of body weight per dosage.

Suitable dosage amounts of glucocorticoids will depend, in part, on the mode of administration and whether the dosage is being administered in a single, daily or divided dose, or as a continuous infusion. When administered orally, intravenously, intramuscularly, intralesionally or intracavity (eg. intra-articular, intrathecal, intrathoracic), dosages are typically between 1 mg to 1000 mg, preferably 1 mg to 100 mg, more preferably 1 mg to 50 mg or 1 mg to 10 mg per dose. When administered topically or by inhalation as a single, daily or divided dose, dosages are typically 1 ng to 1 u. g, 1 ng to 1 mg or 1 pg to 1 u. g.

Suitable dosage amounts and dosing regimens can be determined by the attending physician or veterinarian and may depend on the desired level of inhibiting activity, the particular condition being treated, the severity of the condition as well as the general age, health and weight of the subject.

The glucocorticoid and compound of formula (I) may be administered simultaneously or sequentially. The active ingredients may be administered alone but are preferably administered as a pharmaceutically acceptable composition or separate pharmaceutically acceptable compositions.

The formulation of such compositions is well known to those skilled in the art and are described above in relation to compounds of formula (I). The composition or

compositions may contain pharmaceutically acceptable additives such as carriers, diluents or excipients. These include, where appropriate, all conventional solvents, dispersion agents, fillers, solid carriers, coating agents, antifungal and antibacterial agents, dermal penetration agents, surfactants, isotonic and absorption agents and the like. It will be understood that the compositions of the invention may also include other supplementary physiologically active agents.

Preferred unit dosage compositions are those containing a daily dose or unit, daily sub- dose, as herein above described, or an appropriate fraction thereof, of the glucocorticoids and/or compound of formula (I) which inihibit the cytokine or biological activity of MIF.

In one preferred aspect of the invention, the compounds of formula (I) may be administered together with, simultaneously or sequentially, glucocorticoids. In such a therapy, the amount of glucocorticoid required may be significantly reduced.

The compounds of formula (I), either as the only active agent or together with another active agent, eg. a glucocorticoid may also be presented for use in veterinary compositions. These may be prepared by any suitable means known in the art. Examples of such compositions include those adapted for: (a) oral administration, external application (eg drenches including aqueous and non- aqueous solutions or suspensions), tablets, boluses, powders, granules, pellets for admixture with feedstuffs, pastes for application to the tongue; (b) parenteral administration, eg subcutaneous, intramuscular or intravenous injection as a sterile solution or suspension; and (c) topical application eg creams, ointments, gels, lotions, etc.

By virtue of their ability to bind to or antagonise MIF, compounds of formula (I) or salts or derivatives thereof may be used as laboratory or diagnostic or in vivo imaging reagents.

Typically, for such use the compounds would be labelled in some way, for example, radio isotope, fluorescence or colorimetric labelling, or be chelator conjugated. In particular,

compounds of formula (I) could be used as part of an assay system for MIF or as controls in screens for identifying other inhibitors. Those skilled in the art are familiar with such screens and could readily establish such screens using compounds of formula (I). Those skilled in the art will also be familiar with the use of chelate conjugated molecules for in vivo diagnostic imaging.

In yet a further aspect of the invention, there is provided a compound of formula (II) or a pharmaceutically acceptable salt or prodrug thereof : (ici) Wherein Y is selected from-O-,-NH-,-NCl 3alkyl or-S (O) q- RIO, is selected hydrogen, CI-6alkyl, C02H or CO2C1-6alkyl ; Rlo2 is selected from C1-20alkyl, C2-20alkenyl, CO2H, CO2C1-20alkyl, CO2C2-20alkenyl, C02 (CH2) mRlo9, S03H, SO3C1-20alkyl, SO3C2-30alkenyl, SO3(CH2)mR109, C (O) Cl 20alkyl or (CH2) Ri ; Rio3 is selected from hydrogen, hydroxy, methoxy or Cl 3alkyl ; R104 is selected from hydrogen, C1-3alkyl, NH2, NH (CI 3alkyl), N C1-3alkyl)2 or (CH2) nOH;

Rio5 is selected from hydrogen, (CH2) nOH or (CH2)nOC1-3alkyl ; R106 is selected from hydrogen, CI-3alkyl, C (O) NH2, C (O) NH (C1-3alkyl), C (O) N (C1- 3alkyl) 2, C (S) NH2, C (S) NH (Cl 3alkyl) or C (S) N (Cl 3alkyl) 2; Rio ? is selected from hydrogen, hydroxy, halo, amino, nitro, cyano, S03H or CO2H ; Rions is selected from hydrogen or methyl; Rlog is selected from halogen, hydroxy, C1-3alkoxy, NH2, NH (C1-3alkyl), N (Cl-3alkyl) 2, C02H or CO2C1-3alkyl ; R110 is selected from hydroxy, C1-3alkyl, halo, C02H, CO2C1-3alkyl, CN, NH2, NH (C 3alkyl) or N(C1-3alkyl) 2; n is 0 or an integer from 1 to 3; m is 0 or an integer from 1 to 20; and wherein an alkyl, alkenyl or alkyloxy, group may be optionally substituted one or more times.

Preferably the compounds of formula (II) ar those in which at least one or more of the following definitions apply: Y is selected from -O-, -S-, -NH- or SO3 ; Rio, is selected from hydrogen, C02H or CO2C1-3alkyl ;

Rio2 is selected from from Ci-2oalkyl, C2-2oalkenyl, C02H, C02Ct-2oalkyl, C02C2-2oalkenyl, C02 (CH2) mCO2H, S03H, S03C1-2oallcyl, S03C2-3oalkenyl, S03 (CH2) mCO2H, (CH2) hydroxy, (CH2) mNHz, (CH2) mCN or (CH2) mhalo ; Rio3 is selected from hydrogen, hydroxy or methoxy; Rio4 is selected from hydrogen, hydroxy, methyl, NH2 or CH20H; Rios is selected from hydrogen, hydroxy or methoxy; R, 06 is selected from hydrogen, C1-3alkyl, C (O) NH2, C (O) NH (C1-3alkyl), C (O) N (C1- 3alkyl) 2, C (S) NH2, C (S) NH (Cl 3alkyl) or C (S) N (C1-3alkyl)2 ; R107 is selected from hydrogen, hydroxy, halo, cyano, NH2, nitro or S03H ; Rions is hydrogen.

Preferred compounds of formula (I) include 6,7-dimethoxy-2-acetonoaphthone 2-carboxy-6-hydroxynaphthalene-5-sulfonic acid Pentyl 6, 7-dihydroxy-2-naphthalenesulfonate 2,3-dihydronaphtho [2,3-b] [1,4] dioxine-7-carboxylic acid Methyl 6-hydroxy-2-naphthoate dodecanyl-6-hydroxy-2-naphthoate [ (6-hydroxy-2-naphthyl) carbonyl] oxyhexanoic acid (6-methoxy-6-oxohexyl)-6-hydroxy-2-naphthoate 6-hydroxy-5-nitro-2-naphthoic acid Ethyl 1, 6-dihydroxy-2-naphthoate Ethyl 6- [ (dimethylamino) carbonyl] sulfanyl-1-methoxy-2-naphthoate Ethyl 6-hydroxy-1-methoxy-2-naphthoate Ethyl 6- [ (dimethylamino) thiocarbonyl] oxy-1-methoxy-2-naphthoate

7-methoxy-3-hydroxy-2-naphthoic acid Methyl 7-methoxy-3-hydroxy-2-naphthoate Methyl 7-methoxy-3-methyl-2-naphthoate 7-methoxy-3-methyl-2-naphthoic acid 5-bromo-6-methoxy-2-methyl-3-naphthoic acid 6-hydroxy- [2- (l-pentylamino) methyl] -3-naphthoic acid Methyl 3-bromomethyl-7-hydroxy-2-naphthoate Methyl 7-methoxy-2-naphthoate Methyl 7-hydroxy-2-naphthoate Methyl 7-hydroxy-8-nitro-2-naphthoate Methyl 6-hydroxy-5-nitro-2-naphthoate Methyl 6-methoxy-5-nitro-2-naphthoate Methyl 5-amino-6-methoxy-2-naphthoate Methyl 6-methoxy-2-naphthoate 2-hydroxymethyl-6-methoxynaphthalene 2-bromomethyl-6-methoxy-naphthalene 2-cyanomethyl-6-methoxynaphthalene 2- (1-cyano-1-hex-5-enyl)-6-methoxynaphthalene 2- (6-methoxy-2-naphthyl) hept-6-enoic acid Methyl 2- (6-methoxy-2-naphthyl) hept-6-enoate 7-hydroxy-2- (6-methoxy-2-naphthyl) heptanoic acid Methyl 6-methoxy-8-methyl-2-naphthoate.

Unless the context indicates otherwise, reference to any prior art in this specification is not, and should not be taken as, an acknowledgment or any form of suggestion that that prior art forms part of the common general knowledge in Australia.

Those skilled in the art will appreciate that the invention described herein is susceptible to variations and modifications other than those specifically described. It is to be understood that the invention includes all such variations and modifications which fall within the spirit and scope. The invention also includes all of the steps, features, compositions and

compounds referred to or indicated in this specification, individually or collectively, and any and all combinations of any two or more of said steps or features.

The invention will now be described with reference to the following examples which are included for the purpose of illustration only and are not intended to limit the generality of the invention hereinbefore described.

EXAMPLES Synthesis of compounds of Formula (I).

Exanaple 1 : 6, 7-Dimetlloxy-2-naplathalene<BR> <BR> 2, 3-DimethoxynapAthalene (1) (2) A suspension of 2,3-dihydroxynaphthalene (5. 00g, 0.0312 mol) in water (25 mL) in a three-necked round-bottomed flask was cooled in an ice-bath. Two pressure equilibrating funnels were set up and these charged with dimethyl sulphate (7.20 mL, 9.57 g, 0.0759 mol) and aqueous potassium hydroxide (5.57 g, 0.0993 mol in 17.0 mL of water) respectively. Both of these were added together dropwise over 10 minutes resulting in the suspension first dissolving and then a precipitate forming. The reaction was left overnight at room temperature. The solid was then filtered off, washed with water until the washings were neutral (5 x 200 mL), and dried to give 2,3-dimethoxynaphthalene (4.09 g, 70% yield) as a white powder;

Rf:0. 71 (19: 1 CHCl3 : MeOH), 0.82 (9: 1 CHCl3 : MeOH), mp: 112-113 °C, lit. mp: l 13-116°C ; IH NMR (CDCl3/TMS) : 6 4.01 (s, 6 H, 2 x OCH3), 7.13 (s, 2H), 7.33-7. 36 (m, 2H), 7.68- 7.71 (m, 2H); LRESI mass spectrum: m/z 189 (100%, MH+).

Example 2 : 6, 7-Dimetlzoxy-2-acetoaaphthone (2) (3) A suspension of aluminium chloride (6.02g, 0.0451 mol) in sieve-dried nitrobenzene (10 mL) was cooled in an ice-bath and acetyl chloride (3.57 mL, 3.93 g, 0.0501 mol) added over 5 minutes. 2,3-Dimethoxynaphthalene (7.52 g, 0.0400 mol) in nitrobenzene (25 mL) was then added over 10 minutes. The reaction was stirred for a further 60 minutes at 0°C and then left overnight at room temperature. The mixture was poured onto a mixture of ice (60 g) and 10% HC1 (100 mL). Chloroform (300 mL) was added and the two phases separated. The aqueous was further extracted with chloroform (2 x 150 mL) and the combined organics then washed with 5% aqueous sodium hydroxide (3 x 100 mL) and water (2 x 100 mL), dried (anhydrous Na2SO4), filtered and evaporated under vacuo to give a brown oil. This was flash column chromatographed (silica gel, chloroform) to give 6,7-dimethoxy-2-acetonaphthone (8.51 g. 93% yield) as an orange solid. A sample was further recrystallised from ethanol to give fine orange needles; Rf:0. 36 (CHCl3), 0.62 (25: 1 CHCl3 : MeOH),

mp: 100-102°C, lit. mp: 113-116°C ; 'H NMR (CDC13/TMS) : 8 2.69 (s, 3H, COCH3), 4.02 (s, 3H, OCH3), 4.03 (s, 3H, OCH3), 7.14 (s, 1H, H-8), 7.22 (s, 1H, H-5), 7.72 (d, 1H, J4, 3 8.4 Hz, H-4), 7.89 (dd, 1H, 3, 1 1.7 Hz, H-3), 8.33 (bs, 1H, H-1) ; LRESI mass spectrum : nzlz 231 (100%, MH+).

Example 3: 6,7-Dimethoxy-2-napthoic acid (3) (4) Sodium hypochlorite (55 mL, 12.5% w/v) was first added to sodium hydroxide (1.80 g, 0.0450 mole) dissolved in water (5.5 mL). This solution was gently heated to 45°C and 6,7-dimethoxy-2-acetonaphthone (2.50 g. 0.0187 mole) then added. Heating was gradually increased until the suspension dissolved at a temperature of 85°C and the solution was maintained at 85°C for a further 60 minutes. The solution was then allowed to cool to room temperature and filtered to remove a small amount of orange gum. Small quantities of sodium bisulfite (spatulla ends) were then added to the filtrate until it no longer darkened iodine/starch indicator paper. The solution was then cooled in an ice-bath and concentrated Hcl added drop-wise until a pH of 1. The resultant white precipitate was filtered off, washed with cold water (3 x 20 mL) and dried under vacuum over a desiccant to give 6,7-dimethoxy-2-naphthanoic acid (2.2601 g, 90% yield as a white powder; Rf:0. 36 (9: 1 CHCl3 : MeOH), mp: 248-250°C ; lit. mp: 246-248°C ;

'H NMR (CDC13/CD30D/TMS) : # 4.02 (s, 3H, OCH3), 4.03 (s, 3H, OCH3), 7.19 (s, 1H, H-8), 7.26 (s, 1H, H-5), 7.73 (d, 1H, J4, 3 8.5 Hz, H-4), 7.93 (dd, 1H, J3, 1 1.7 Hz, H-3), 8.47 (bs, 1H, H-1) ; LRESI mass spectrum: rralz 233 (41%, MH+), 255 (100%, MNa+).

Example 4: 2-carboxy-6-hydroxynaphthalene-5-sulfonic acid (5) Conc. sulfuric acid (95-98%, 12 ml) was cooled in ice-bath and 6-hydroxy-2-naphthanoic acid (2.83 g; 15.05 mmol) added in small portions. The reaction mixture was stirred at room temperature for 4 hours. The white solid was filtered and recrystallised from water.

This gave yield of 62%.

'H NMR (DMSO-d6): 6 7.09 (d, 1H, Jortho=8. 7 Hz, aromatic), 7.90 (d, IH, Jortho=9. 3 Hz, aromatic), 7.95 (d, IH, Jortho=8. 7 Hz, aromatic), 8.41 (s, 1H, aromatic) and 8.66 (d, IH, Jortho=9.1 Hz, aromatic).

Negative ion mass spectrum 267 m/z (100%).

Example 5 : Pentyl 6, 7-dihvdroxv-2-naphthalenesulfonate (10)

To a solution of the sulfonate (500 mg, 1.91 mmol) in anhydrous 1-pentanol (50 mL) was added Dowex H+ resin (500 mg). The mixture was refluxed for 42 hrs before filtering. Concentration of the solvent furnished a black gum. The gum was chromatographed on silica (hexanes/EtAc, 2: 1) to furnish the title compound as a light brown solid (183 mg, 31%).

'H NMR (CDC13) : 6 7.6-7. 11 (bm, 5H, ArH), 4.2 (t, 2H,-OCH2CH2CH2CH2CH3), 1.9 (m, 2H,-OCH2CH2CH2CH2CH3), 1.4 (m, 4H,-OCH2CH2CH2CH2CH3), 0.9 (t, 3H, -OCH2CH2CH2CH2CH3) ; LRMS (ESI): walz 311 [M+H+] ; ClsHlsOsS : 310.37 Example 6: 6-methylamino-2-naphthalene sulphonic acid, sodium salt (11) Prepared by a procedure according to Cory et al. (19).

A mixture of sodium 6-hydroxy-2-naphthalene sulfonate 24 (1.00 g; 4.06 mmol), sodium bisulfite (3.6 g; 35 mmol), N-methylamine (2 M in THF; 19.9 mL; 40 mmol) and water (14 mL) was heated at reflux for 3 days before the aqueous phase was filtered through a plug of glass wool. Upon cooling to room temperature, the organic solution was treated with chloroform and the newly formed precipitate was collected by filtration. The white amorphous solid was crystallised from hot 1 % aqueous NaOH solution and then recrystallised from water to afford a colourless crystalline solid (179 mg).

IH NMR (d4-MeOH) S 2.76 (3 H, d, J= 5.0 Hz, CH3), 6.05 (1H, q, J= 5.0 Hz, NH), 6.65 (1H, d, J= 2.1 Hz), 6.96 (1H, dd, J= 8.8, 2.3 Hz), 7.50-7. 57 (2H, m), 7.62 (1H, d, J= 8.9 Hz), 7.91 (1H, s);

3C NMR 6 29.68 (CH3), 101.55, 118.51, 124.01, 124.28, 124.77, 124.97, 128.96, 135.20, 140.55, 148.37 ; Vmax 3438 vs, 3371 vs, 1633s, 1169s, 1101 m, 1036 m cm~l.

Example 7: 2,3-dihydronaphtho[2,3-b][1,4]dioxine-7-carboxylic acid (14) HO I//BrBr HO K2CO31acetone O (1) (12)

(a) Dry K2CO3 (12.17 g) and 1,2-dibromoethane (4.0 mL) were added to a solution of 2,3-dihydroxynaphthalene (5.0 g) in acetone (120 mL). The reaction mixture was heated under reflux for 24 h. The reaction mixture was cooled and diluted with ethyl acetate (100 mL) and the ethyl acetate layer was washed with brine. The organic layer was dried (Na2S04) and evaporated to dryness to give the crude product which was purified by flash chromatography (ethyl acetate/hexane ; 20: 80). The dihydronaphthodioxin 12 was obtained as a white, shiny solid (3.5 g). 0 00D=g AICI3/acetyl chloride O I o nltrobenzene t0/< (13)

(b) The dihydronaphthodioxin 12 (0.75 g; 4.0 mmol) was dissolved in nitrobenzene (10 mL) and cooled to 0°C. Aluminium chloride (2.14 g; 16.1 mmol) was added portionwise.

After 30 min, acetyl chloride (0.32 mL; 4.0 mmol) was added dropwise and stirring was continued for a further 30 minutes at 0 °C before ice-water (30 mL) was added slowly.

The product was extracted into ether and the combined extracts were dried (Na2S04) and evaporated to dryness. The nitrobenzene was removed by Kugelrohr distillation (100-110 °C/2. 5 mm). The resulting crude solid was triturated with ether to give the acetyl derivative 13 as an off-white solid (0.32 g).

(c) The acid 14 was prepared by a procedure according to Bäckström et al. (20).

Bromine (0.32 mL; 6.3 mmol) was added to a solution of NaOH (2.5 M; 8.5 mL) at 0 °C. After 5 minutes the resulting solution was warmed to 35 °C and a suspension of the acetylated dioxin 13 (0.32 g; 1.4 mmol) in dioxane (4 mL) was added. Stirring was continued at 35 °C for a further 20 minutes before cooling to room temperature and adding sodium bisulfite (0.4 g) in water (3 mL). After 30 minutes at room temperature water (20 mL) was added and the reaction mixture was extracted with dichloromethane (20 mL). The aqueous layer was acidified to give a white precipitate which was collected by filtration. The acid 14 was obtained by trituration with warm methanol as a white solid (150 mg), m. p. 280-281°C.

IH NMR (d4-MeOH) 8 4.32 (4H, s), 7.24 (1H, s), 7.32 (1H, s), 7. 62 (1H, d, J= 8.5 Hz), 7.83 (1H, d, J= 8.5 Hz), 8.32 (1H, s); 13C NMR 5 65.6, 65.8, 113.2, 114.6, 125.3, 126.9, 129.9, 130.1, 131.4, 132.7, 145.9, 146.9, 173.4 (C=O) ; wax 3430-3000 br s, 17g7 s, 1698 s, 1520 m, 1280s, 1197s cm'\ Exaaple 8 : Methyl-6-hvdroxy-2-naphthoate (15) < 2 t eq DMSIK2CO3 mCO2Me 1 ! , 1- (9) (15) 6-Hydroxy-2-naphthoic acid (2.0, 0.01 mol) was dissolved in acetone (100 mL), containing potassium carbonate (3.45 g, 0.0265 mmol) and then dimethyl sulfate (1. 10 mL) was added dropwise. The reaction mixture was heated to reflux under nitrogen for 40 minutes and then cooled. Ammonium chloride (4%, 50 mL) was added. The aqueous layer was

extracted with dichloromethane (3 x 40 mL) and the combined organic extracts were washed with ammonia solution (25%, 40 mL) and dried (Na2S04). Evaporation of the solvent gave the crude ester 15 and this was triturated with 5% ethyl acetate/hexane and dichloromethane added dropwise, to give 15 as a white solid (1.75 g).

Exarnple 9 : Dodecafavl-6-hydroxy-2-naphthoate (19).

(a) The hydroxy ester 15 (0.5 g, 2.5 mmol) was dissolved in CH2Cl2 (15 mL) and cooled to 0°C. PPTS (20 mg) was added followed by DHP (0.25 mL, 2.7 mmol) added dropwise. The reaction mixture was left to stir at room temperature overnight after which time more DHP (0.25 mL) and PPTS (10 mg) were added. The reaction mixture was heated under reflux for 2 h. Upon cooling, water (40 mL) was added and the product was extracted into dichloromethane. The crude product was purified by flash chromatography (ethyl acetate, 40: 60) to give the THP ether 16 as a white crystalline compound (0.8 g).

(b) The ester THP ether 16 (800 mg, 2.8 mmol) was dissolved in DME (40 mL) and cooled in an ice bath. KOH (1 M, 15 mL) was added slowly and the reaction mixture warmed to room temperature. Stirring was continued for 18 hours and then water (50 mL) was added before extracting with ether (50 mL) to remove impurities. The aqueous layer was cooled in ice and carefully neutralised with 1M NaHS04 (ca. 10 mL). The acid precipitated and was extracted with ethyl acetate (4 x 40 mL). The extracts were dried (Na2S04), and evaporated to give the acid THP ether 17 as a white powder of sufficient purity to be used in the next step.

(c) A solution of the acid THP ether 17 (0.20 g, 0.73 mmol), 1-eicosanol (0.20 g, 0.73 mmol) and DMAP (9 mg, 0.073 mmol) in dichloromethane (5 mL) was cooled to 0°C. A solution of DCC (0.17 g, 0.8 mmol), in CH2Cl2 (0.5 mL) was added dropwise. The reaction mixture was left to stir for 5 minutes and then allowed to warm to room temperature.

Stirring was continued for 17 hours and then the reaction mixture was filtered and the dicyclohexylurea by-product was washed with dichloromethane. The filtrate was concentrated and the crude product purified by flash chromatography (ether/hexane, 60: 40) to give the ester 18 as a white solid (250 mg). (d) To a solution of the ester THP ether 18 (0.23 g) in methanol (7 mL) was added PPTS (10 mg). The reaction mixture was heated under reflux for 2.5 h. The MeOH was removed by evaporation, water (15 mL) and dichloromethane (20 mL) were added and the whole was shaken. The organic layer was separated and the aqueous layer was was extracted into dichloromethane (3 x 10 mL). The combined extracts were dried (Na2S04) and evaporated to dryness. The crude product was purified by flash chromatography (ether/hexane, 70: 30) and trituration with ether/hexane (30: 70) to give 19 as a white solid (130 mg), m. p. 103-104°C ; 'H NMR (CDC13) 6 0.88 (3H, t, J= 7.0 Hz), 1.23-1. 60 (34H, m), 1.81 (2H, quin, J= 6.7 Hz), 4. 36 (2H, t, J= 6.7 Hz), 5. 56 (1H, br s, Wh/2 = 7.5 Hz), 7.13-7. 19 (2H, m), 7.69 (1H, d, J= 8. 6 Hz), 7. 86 (1H, d, J= 8.6 Hz), 8.01 (1H, dd, J= 8.6, 1.6 Hz), 8. 52 (1H, s); 13C NMR 6 14.1, 22.7, 26.1, 28.8, 29.3, 29.4, 29.5, 29.6 (10C), 29.7, 31.9, 65.2, 109.4, 118.6, 125.6, 126.0, 126.4, 127.9, 130.9, 131.5, 137.1, 155.5, 167.1 (C=O) ; Vmax (KBr) 3402 s, 1684 s, 1297 m, 1210 m cm''.

Example 10: [(6-hydroxy-2-naphthyl)carbonyl]oxyhexanoic acid (22)

(a) A solution of the acid THP ether 17 (0.20 g, 0.73 mmol), methyl 6- hydroxyhexanoate (0.11 g, 0.73 mmol), and DMAP (9 mg, 0.073 mmol) in dichloromethane (5 mL) was cooled to 0°C and then a solution of DCC (0.17 g, 0.8 mmol) in CH2Cl2 (0.5 mL) was added dropwise. The reaction mixture was left to stir for 5 minutes before warming to room temperature. After 17 hours the dicyclohexylurea was filtered off washing with dichloromethane. The filtrate was concentrated and the crude product purified by flash chromatography (ether/hexane, 60: 40) to give the ester 20 as a white solid (160 mg).

(b) To a solution of the ester THP ether 20 (0. 14 g) in methanol (7 mL) was added PPTS (10 mg). The reaction mixture was heated under reflux for 2.5 h. The MeOH was removed by evaporation, water (15 mL) and dichloromethane (20 mL) were added and the whole was shaken. The organic layer was separated and the aqueous layer was extracted into dichloromethane (3 x 10 mL). The combined extracts were dried (Na2SO4) and evaporated to dryness. The crude product trituration with ether/hexane (30: 70) to give (6- methoxy-6-oxohexyl) -6-hydroxy-2-naphthoate 21 as a white solid (100 mg).

c) The hydroxy ester (80 mg) was dissolved in DME (8 mL) and treated with lithium hydroxide (2 mL, 1 M) dropwise at room temperature. Stirring was continued for 4 hours whereupon water (5 mL) was added and the reaction mixture was acidified to pH 4/5, with HCl (1 M). The product was then extracted into dichloromethane, dried (Na2S04) and evaporated to dryness. The crude product was purified by flash chromatography (ether/hexane/CH3COOH, 85: 15: 1), to give 22 as a white solid (50 mg), m. p. 133-134°C ; IH NMR (d4-MeOH) 6 1.50-1. 87 (6H, m), 2.35 (2H, t, J= 7.2 Hz), 4.35 (2H, t, J= 6. 5 Hz), 7.11-7. 16 (2H, m), 7.69 (1H, d, J= 8.7 Hz), 7.84-7. 88 (1H, m), 7.92 (1H, dd, J= 8.7, 1. 7 Hz), 8.47 (1 H, s); 3C NMR 8 25.8, 26.8, 29.6, 34.9, 65.9, 109.9, 120.4, 125.7, 126.4, 127.4, 128.6, 131.9, 132.2, 139.1, 159.1, 168.6 (C=O), 177.7 (C=O) ; Vmax 3068 w, 3053 w, 1689 w, 1614 m, 1587 m, 1510 s, 1477s, 1290s, 1245 s crri 1.

Example 11 : 6-hvdroxy-5-nitro-2-naptlaoic acid (23) (9) (23) A solution of conc. sulfuric acid (0.27 ml) and water (0.80 ml) was cooled in an ice-bath and sodium nitrate (300mg, 0.004 mole) added. The solution was left to stir until no solid was observed, then 6-hydroxy-2-naphthoic acid (400mg, 0.002 mmole) was added. The solution was firstly stirred for 10 minutes in ice and then stirred for a further 3 hr at room temperature. Water (20 ml) was added and the solid filtered off. The compound was chromatographed over silica gel and eluted with 4: 1 CHCl3 and MeOH to yield 349mg of 23.

Negative ion ESI MS: M/Z 232.024609 (MH).

Example 12 : Ethvl 1. 6-dihvdroxv-2-napAthaote (28) (a) 6-Hydroxytetralone 25 (2.0 g; 12.3 mmol) was suspended in dichloromethane (100 mL) and stirred in the presence of 3, 4-dihydropyran (3.11 g; 37 mmol ; 3.38 mL) and PPTS (100 mg) for 3.5 days. The organic layer was washed with water and brine and dried (Na2S04). The solid remaining after removing the solvent was purified by flash chromatography (ether/hexane; 20: 80) to give the tetrahydropyran 26 as an off-white solid (2.67 g; 88%). (b) The tetrahydropyran 26 (0.90 g; 3.7 mmol) was dissolved in THF (10 mL) together with diethyl carbonate (0.86 g; 7.3 mmol; 0.88 mL). Sodium hydride (0.39 g ; 16 mmol ; 60% dispersion in oil) was added portionwise with stirring at room temperature and then the reaction mixture was heated under reflux for a further 17 hours. The resulting brown mixture was cooled, treated with acetic acid (17 M, 0.6 mL) and extracted with ether. The ether extracts were washed with brine and dried (Na2SO4). Evaporation of the solvents left an orange viscous oil. This was purified by flash chromatography (ether/hexane; 40: 60) to give the ketoester 27 as a yellow waxy solid (1.0 g).

(c) Aromatisation was conducted according to a literature procedure (21). The ketoester 27 0.53 g; 1.66 mmol) was dissolved in chloroform (5 mL) and then N bromosuccinimide (0.32 g; 1.83 mmol) and a few crystals of AIBN were added. The reaction mixture was heated under reflux for 40 minutes before being allowed to cool and diluting it with hexane (5 mL). Succinimide precipitated out and was removed by filtration. The filtrate was evaporated to dryness and then the residue was redissolved in anhydrous THF (2.5 mL). While stirring under a slow stream of nitrogen, DBN (0.40 mL; 3.32 mmol) was added dropwise and then the resulting solution was stirred overnight.

During this time a precipitate formed. The reaction mixture was cooled in ice, diluted with ether, treated with acetic acid (17 M; 0.3 mL) and extracted with ether. The combined extracts were dried (Na2S04) and evaporated to dryness to give a brown oil. The dihydroxynaphthoate 28 was obtained by flash chromatography (ether/hexane; 20: 80) as a white solid (76 mg).

'H NMR (CDCl3/d4-MeOH, 5: 1) 5 1.43 (3H, t, J= 7.1 Hz), 4.42 (2H, q, J = 7.1 Hz), 7.06-7. 11 (3H, m), 7.68 (1H, d, J= 8.9 Hz), 8.26 (1H, d, J= 8.9 Hz); 13C NMR 8 14.09, 61.05, 103.53, 109.36, 117. 11, 117.31, 118.81, 124.82, 125.72, 139.32, 157.91, 160.79, 171.05 (C=O) ; vax 3386-3485 brm, 1684m, 1653 s, 1559 s, 1507 s, 1273 s crri 1.

Example 13: Ethyl-6-[(dimethylamino)carbonyl]sulfanyl-1-methoxy-2-naptho ate (33) (a) The dihydroxynaphthoate 28 (76 mg; 0.33 mmol) was dissolved in dichloromethane (3 mL) and treated with dihydropyran (45 I1L ; 0.49 mmol) and a few crystals of PPTS. The reaction mixture was stirred for 3 days, diluted with ether and washed with water. The aqueous layer was further extracted with ether and the combined extracts were dried (Na2S04) and evaporated to dryness. Flash chromatography (ether/hexane; 10: 90) afforded the THP ether 29 (55 mg). This was used immediately in the next step.

OH 0 OMe O OMe O OEt DMS/K2CO3 OEt PPTS/MeOH OEt THPO acetone THPO HO 29 30 31 (b) The THP ether 29 (55 mg; 0.17 mmol) was dissolved in acetone (5 mL) and heated under reflux with dimethyl sulfate (25 I1L ; 0.26 mmol) and potassium carbonate (48 mg; 0.35 mmol) for 2.5 hours. The reaction mixture was allowed to cool, poured onto 25% ammonia solution and extracted with ether. The ether extracts were dried (Na2S04) and evaporated to dryness. The crude methyl ether 30 was immediately submitted to hydrolysis conditions by dissolving in methanol (5 mL) and heating under reflux in the presence of catalytic PPTS for 3 hours. The reaction mixture was diluted with water and extracted with ether. Drying and evaporation of the solvent left the hydroxymethoxynaphthoate 31 as a white solid (38 mg) which was not purified.

(c) Introduction of latent thiol functionality at the 6-position was conducted according to a literature procedure (22). The hydroxymethoxynaphthoate 31 (38 mg; 0.15 mmol) was dissolved in anhydrous DMF, cooled in ice and treated all at once with sodium hydride (42 mg; 0.17 mmol; 60% dispersion in oil). After H2 evolution had ceased the yellow mixture was stirred for a further 15 minutes and then while cooling, dimethylcarbamoyl chloride (0.214 g; 0.17 mmol) was added all at once. The reaction mixture was stirred at ca. 30 °C for 1 hour becoming green in colour and then blue. The reaction mixture was quenched with water while cooling in ice and extracted with ether.

The ether extracts were dried (Na2S04) and evaporated to dryness. Flash chromatography (ether/hexane; 50: 50) afforded the O-aryl thiocarbamate 32 as a white crystalline solid (25 mg).

(d) The 0-aryl thiocarbamate 32 (25 mg) in a 25 mL round bottom flask was submerged in a sand bath heated to 260 °C for 2 hours while a slow stream of nitrogen was passed over it. Rearrangement proceeded to greater than 50% conversion to give 33 as a compound more polar than 32. Chromatography (ether/hexane; 1: 1) afforded the S-aryl thiocarbamate 33 as an oil that crystallised on standing (11 mg).

IH NMR (CDCl3) 81. 45 (3H, t, J=7 Hz), 3.05 (3H, br s), 3.14 (3H, br s), 4.05 (3H, s), 4.45 (2H, q, J= 7 Hz), 7.58 (1H, d, J= 8.6 Hz), 7.62 (1H, dd, J= 8.8, 1.7 Hz), 7.87 (1H, d, J= 8.6 Hz), 8.02 (1H, d, J= 1.7 Hz), 8.26 (1H, d, J= 8.8 Hz); 13C NMR 8 14.32, 36.99 (2C), 61.22, 63.47, 119. 99, 120.51, 123.53, 124.15, 127.41, 128.50, 129.37, 132.80, 134.81, 136.69, 157.99, 166.13 (C=O), 166.43 (C=O) ; Vmax 1699 s, 1654 s, 1333 m, 1272 m, 1249 m, 1137 m ami 1.

Example 14 : 7-naetlzoxy-3-methyl-2-naphtlaoic acid ; 2-amino-2-methvlpropan-l-ol salt (39) OH DMS/K2CO3 OH Ho I C02H acetone-MeOJMC02Me 34 35 (a) The following represents an improvement on a previously reported procedure (23).

Dimethyl sulfate (11.1 g; 88 mmol; 8.4 mL) was added slowly to a stirred suspension of 2,6-dihydroxy-3-naphthoic acid 34 (9.0 g; 44 mmol) and potassium carbonate (12.0 g; 92.4 mmol) in acetone (150 mL). The reaction mixture was heated under reflux for 21 hour with more dimethyl sulfate being added after 2 hours (2.1 mL; 11 mmol) and after 4 hours (2.1 mL; 11 mmol). The reaction mixture was poured onto water and extracted into dichloromethane. The dichloromethane layer was dried (Na2S04) and evaporated to

dryness to give a yellow solid. This was recrystallised from methanol (300 mL) to give methyl 2-hydroxy-6-methoxy-3-naphthoate 35 (24) as yellow needles (6.19 g). A second crop (1.94 g) was obtained from the mother liquor.

IH NMR (CDC13) 6 3.8 (3H, s), 4.01 (3H, s), 7.07 (1H, d, J= 2.4 Hz), 7.19 (1H, dd, J= 9.0, 2.6 Hz), 7.26 (1H, s), 7.58 (1H, d, J= 9.0 Hz), 8.36 (1H, s), 10.26 (1H, s); 13C NMR 8 52.6, 55.4, 106.4, 112.0, 114.4, 122.8, 127.9 (2C), 130.7, 133.8, 155.1, 156.3, 170.5 (C=O) ; V,,, ax 3500-3100 br s, 1687 s, 1679s, 1519 s, 1292 vs, 1236 vs, 1081s, 1028 s crri 1.

(b) Methyl 2-hydroxy-6-methoxy-3-naphthoate 35 (3.5 g; 15 mmol) was dissolved in pyridine (10 mL) and treated slowly with trifluoromethanesulfonic anhydride (4.7 g; 16.5 mmol; 2.8 mL) at 0 °C. Stirring was continued at this temperature for a further 30 minutes and then the reaction mixture was allowed to warm to room temperature. After 4.5 hours water (50 mL) was added and the mixture was extracted with ether. The combined extracts were dried (Na2S04) and the solvent removed by evaporation. The pyridine was removed under high vacuum and the resulting viscous oil was crystallised in the freezer overnight. The brown crystals so obtained were triturated with hexane/ethyl acetate to give the triflate 36 as a pale yellow solid (4.2 g).

(c) The 2-methyl substituted naphthalene was prepared by modification of a related procedure (25). The triflate 36 (0.5 g; 1.4 mmol), anhydrous lithium chloride (0.49 g; 11.5 mmol), triphenylphosphine (0.216 g; 0.82 mmol), PdCl2 (PPh3) 2 (60 mg; 0.86 mmol) and a few crystals of BHT were stirred in anhydrous degassed DMF (7 mL) under argon at 85°C.

Tetramethyltin (0.736 g; 4.12 mmol; 0.57 mL) was added dropwise. After 2.5 hours more tetramethyltin (0.736 g; 4.12 mmol; 0.57 mL) was added. Stirring was continued for a

total of 21 hours ensuring that the reaction temperature was maintained at 80-90 °C. After this time the reaction mixture was cooled, diluted with water and extracted with dichloromethane. The organic layer was washed with saturated potassium fluoride, and brine, and dried (Na2SO4). Evaporation of the solvent left a crude solid that was purified by flash chromatography (ethyl acetate/hexane, 10: 90). Methyl 6-methoxy-2-methyl-3- naphthoate 37 was obtained as white crystals (180 mg).

(d) 1 M NaOH (2 mL) was added slowly to a stirred solution of the ester 37 (210 mg; 0.912 mmol) in acetonitrile (7 mL). The reaction mixture was then heated under reflux for 2.5 hours and stirred at room temperature for a further 15 hours. Water (20 mL) was added and the whole was extracted with dichloromethane (20 mL). The aqueous layer was acidified with 3 M HCl and then the product was extracted into dichloromethane (3 x 30 mL). The combined extracts were dried (Na2SO4) and evaporated to dryness to give the acid 38 as a white solid (185 mg) that did not require further purification. CH3 H2N-rOH CH Me0 I CO H Me0 I 3 3$ 2 toluene/reflux H3N KOH (e) The acid 38 (350 mg; 1.62 mmol) and 2-amino-2-methyl-1-propanol (231 uL ; 2.43 mmol) were heated in toluene (10 mL) under reflux for 16 hours and then the toluene was removed under reduced pressure. The resulting solid was triturated with hexane/ether to give the ammonium salt 39 (465 mg) as an off-white solid.

'H NMR (d4-MeOH) 1.27 (6H, s, ), 2.56 (3H, s), 3.46 (2H, s), 3.87 (3H, s, OMe), 7.06 (1H, dd, J = 8.9, 2.5 Hz), 7.18 (1H, d, J= 2.5 Hz), 7.52 (1H, s), 7.62 (1H, d, J= 8.9 Hz), 7.83 (1H, s); 3C NMR 8 20.72, 22.81 (2C), 55.70, 55.91, 68.20, 106.77, 119.87, 126.15, 128.93, 129.36, 130.34, 131.69, 134.09, 141.16, 158.73, C=O not visible; Vmax 3200-2000 br vs, 1607 m, 1560 s, 1542 s, 1363 s, 1227 m, 1200 m cm'\ Example 15: 5-bromo-6-methoxy-2-methyl-3-naphthaoic acid (40)

CL CH3 NBS _ Me0\<°'%) CCH/renux Me0\ 39 oH3N<OH Br 40 O The ammonium salt 39 (200 mg; 0.66 mmol), N-bromosuccinimide (150 mg; 0.85 mmol) and dibenzoyl peroxide (2 mg) were heated in carbon tetrachloride (10 mL) under reflux for 4 hours. Upon cooling the resulting solid was filtered off and found to contain the product and succinimide, with more product being in the filtrate. The solid was triturated with ether/hexane and methanol added dropwise to give the bromide as an off-white solid 40 (80 mg). Further purification was achieved by flash chromatography (ethyl acetate/hexane, 45: 55).

'H NMR (d6-DMSO) 8 2.63 (3H, s), 3.99 (3H, s), 7.60 (1H, d, J= 9.0 Hz) 7.83 (1H, s), 7.96 (1H, d, J= 9.0 Hz), 8. 60 (1H, s) ; 3C NMR (CDCl3) 6 21. 0,56. 95,107. 30,116. 50,128. 24,128. 37,129. 97,130. 07,130. 56, 131.13, 133.05, 153.62, 168.52 (C=O) ; Vmax 3200-2000 brvs, 1684 s, 1259 s crri 1.

Example 16: 6-hydroxy-[2-(1-pentylamino)methyl]-3-naphthoic acid (43) (a) The methoxy ester 37 (280 mg; 1.22 mmol) in dichloromethane (7 mL) was cooled in ice and treated with BBr3 (2.43 mL; 2.43 mmol; 1 M in hexane) dropwise. After 30 minutes water (20 mL) was added and the reaction mixture was extracted with dichloromethane. The combined extracts were dried (Na2SO4) and evaporated to dryness.

The resulting solid was triturated with hexane and ether added dropwise to give methyl 6-

hydroxy-2-methylnaphthoate as a white solid (170 mg; 0.79 mmol). This was heated under reflux with DHP (0.16 mL; 1.75 mmol) and PPTS (10 mg) in dichloromethane (7 mL) for 15 hours. After this time water (20 mL) was added and the mixture was extracted with dichloromethane. The combined extracts were dried (Na2S04) and evaporated to dryness to give the crude THP ether. The ester THP ether 41 was isolated by flash chromatography (ethyl acetate/hexane, 15 : 85) as a colourless oil that solidified on standing (100 mg). CH3 NBS w W Br THP 41 CO2Me CCl4/reflux HO 42 CO2Me 41 42 (b) The ester THP ether 41 (100 mg; 0.33 mmol), N-bromosuccinimide (71 mg; 0.40 mmol) and dibenzoyl peroxide (1 mg) were heated in carbon tetrachloride (5 mL) under reflux for 4 hours. After this time the reaction mixture was diluted with dichloromethane (30 mL) and washed with water (30 mL). The aqueous layer was extracted with dichloromethane and the combined extracts were dried (Na2SO4) and evaporated to dryness. The 2-bromomethyl derivative 42, resulting from concomitant benzylic bromination and deprotection of the 6-hydroxyl, was isolated by flash chromatography (ethyl acetate/hexane, 30: 70) as a white solid (40 mg).

(c) The bromide 42 (26 mg; 0.088 mmol) and pentylamine (400 , L) were dissolved in anhydrous acetonitrile (2.5 mL) and heated at 60 °C for 3 days. After this time the solvent was removed under reduced pressure and the crude solid was purified by flash chromatography (ethyl acetate/hexane, 40: 60) to give and amine 43 as a white solid (23 mg).

IH NMR (CDCl3) 5 0.80-0. 98 (3H, m), 1.32-1. 45 (4H, m), 1.57-1. 70 (2H, m), 3.44 (2H, q, J= 6.8 Hz), 3.89 (3H, s), 4.62 (2H, d, J= 6.0 Hz), 4.70-4. 80 (1H, m), 6.70-6. 85 (1H, m),

7.08 (1H, d, J= 2.5 Hz), 7.19 (1H, dd, J= 8.9, 2.5 Hz), 7.62 (1H, s), 7.67 (1H, d, J= 8.9 Hz), 7.85 (1H, s); 3C NMR 8 14.12, 22.49, 29.27, 29.37, 40.42, 55.46, 65.02, 106.15, 120.67, 126.92, 129.34, 129.66 (2C), 133.48, 134.34, 134.54, 158.49, 170.45 (C=O) ; vmax 3360-3140 br s, 3140-3000 br s, 1624 vs, 1559 s, 1206 s, 1031 m, 1016 mem''.

Example 17: Methyl 7-methoxy-2-naphthoate ester (44) Ester (44) was prepared according to a related literature procedure (26). To a stirred solution of the aryl triflate 36 (0.5 g; 1.37 mmol) in anhydrous DMF (7 mL) under argon were added sequentially, triethylamine (0.765 mL; 5.49 mmol), formic acid (0.207 mL; 5.49 mmol), PPh3 (72 mg; 0.27 mmol), and Pd (OAc) 2 (15.4 mg; 0.069 mmol). The reaction mixture was heated at 60 °C (bath) for 3.5 hours, after which time dichloromethane (40 mL) was added and the whole was washed with 5% HCl (2 x 20 mL) until pH 7, and water (30 mL). The organic layer was dried (Na2S04) and evaporated to dryness. The crude product was isolated by flash chromatography (ether/hexane, 40: 60) to give methyl 7-methoxy-2-naphthoate 44 as a yellow solid (190 mg); IH NMR (CDCl3) 5 3.93 (3H, s), 3.97 (3H, s), 7.23 (1H, s), 7.24 (1H, d, J= 8.5 Hz), 7.77 (1H, d, J= 8.5 Hz), 7.80 (1H, d, J= 8.6 Hz), 7.92 (1H, dd, J= 8.5, 1.6 Hz), 8.50 (1H, s); 13C NMR 6 52.3, 55.5, 107.0, 121.4, 123.2, 128.0, 129.3, 129.9, 131.3, 133.9, 158.3, 167.5 (C=O) (note: one 4° aromatic carbon obscured), Vmax 1717 s, 1608 m, 1517 m, 1286 s, 1220 s, 1099 m cm-1.

Example 18 : Methyl 7-hydroxy-2-naphanoate ester (45)

The ester 44 (0.39 g; 1.80 mmol) in dichloromethane (10 mL) was cooled to 0 °C and treated with BBr3 (7.21 mL; 7.21 mmol, 1 M in dichloromethane) dropwise. Stirring was continued at this temperature for 1 hour and then water (30 mL) was added. The reaction mixture was extracted with dichloromethane and-the combined extracts were dried (Na2S04) and evaporated to dryness. The crude product was purified by flash chromatography (ether/hexane, 60: 40) thereby affording the hydroxy ester 45 as a white solid (140 mg).

IH NMR (CDC13) 8 3.98 (3H, s), 7.21 (1H, dd, J= 8.8, 2.6 Hz), 7.26 (1H, br s), 7.79 (1H, d, J= 8.8 Hz), 7.81 (1H, d, J= 8.6 Hz), 7.91 (1H, dd, J= 8.6, 1.7 Hz), 8.45 (1H, br s); V,, a, 3500-3200 br s, 1722 m, 1693 s, 1606 s, 1274 s, 1213 s, 1129 m, 1103 m cm-1. fM-8-nitro-2-naphthoate ester (46) [jYt CAN/si ! ica fr CAN/silica HO<OMe HO<OMe O NO2 46 o The nitro group was introduced according to a related procedure (27). The hydroxy ester 45 (140 mg; 0.69 mmol) and ceric ammonium nitrate (0.42 g; 0.77 mmol) were separately dissolved in acetonitrile (0.56 mL each) and these solutions were individually mixed to form a slurry with silica gel (0.28 g and 0.70 g respectively). Both slurries were dried under reduced pressure with vigorous stirring for more than 2 hours. Once dry both were combined in a conical flask and stirred vigorously for 40 minutes. The mixture was then applied to a prepacked column of silica (benzene/hexane, 10: 90) using a glass rod to remove air bubbles from the top of the column. The column was eluted with the following solvents: benzene/hexane (10: 90,200 mL), benzene/hexane (30: 70,200 mL), benzene/hexane (40: 60,200 mL), benzene/hexane (60: 40,100 mL), benzene (100 mL), ether/hexane (10: 90,100 mL). The 8-nitro derivative 46 was obtained as a yellow solid (50 mg).

IH NMR (CDCIs) 8 4.02 (3H, s), 7.38 (1H, d, J= 9.1 Hz), 7.88 (1H, d, J= 8.4 Hz), 8.05 (1H, d, J= 9.1 Hz), 8.12 (1H, dd, J= 8.4, 1.6 Hz), 9.62 (1H, s), 12.08 (1H, s, OH).

Example 20: Methyl 6-hydroxy-5-nitro-2-naphthoate ester (47) 0 0 5 OMe CAN/silica XOMe Ho- HO- NO2 47 The hydroxy ester 15 (1.5 g; 7.42 mmol) in acetonitrile (6 mL) and ceric ammonium nitrate (4.47 g; 8.16 mmol) in acetonitrile (6 mL) were each slurried with silica (3 g and 7.5 g respectively). The slurries were dried under reduced pressure over ca. 2 hours and then combined in a conical flask. The mixture was stirred vigorously for 60 minutes and applied to a silica column as described above. Gradient elution of the column with benzene/hexane (10: 90), benzene/hexane (50: 50), ether/hexane (10: 90), ether/hexane (50: 50) and methanol afforded the 5-nitro derivative 47 as a yellow solid (0.94 g); 1H NMR (CDC13) 6 3.99 (3H, s), 7.33 (1H, d, J= 9.1 Hz), 8.10 (1H, d, J= 9.1 Hz), 8.30 (1H, dd, J= 9.2, 1.9 Hz), 8.53 (1H, d, J= 1.8 Hz), 8.96 (1H, d, J= 9.2 Hz), 12.20 (1H, br s, OH); 13C NMR 8 52.59, 120.60, 123.62, 127.35, 128. 13, 129.66, 130.59, 131.71, 139.96, 160.07, 166.34 (C=O) (note: one 4° aromatic carbon obscured); VmaX 3500-3100 brvs, 1683 s, 1527 s, 1304 vs, 1288 s, 1203 s, 1151 m, 1110 m cm~l.

Example 21 : Metlavl 6-fnethoxy-5-nitro-2-napthoate ester (48) 0 0 oome DMS/K2C-03 Me H acetone M Ot NO2 47 NO2 48 The nitro compound 47 (1.0 g; 4.05 mmol) in acetone (40 mL) was heated under reflux in the presence of K2CO3 (2.10 g; 16.2 mmol) and dimethyl sulfate (0.92 mL; 9.7 mmol) for 3 hours. Saturated ammonium chloride (40 mL) was added and then the aqueous layer

was extracted with dichloromethane (3 x 40 mL). The combine extracts were washed with ammonia solution (25%, 30 mL) and dried (Na2S04). Evaporation of the solvent afforded the crude product which was triturated with hexane/ether added dropwise to give the methyl ether 48 as an off-white solid (1.25 g).

Example 22 : Methvl 5-amiyao-6-methoxy-2-naphtlaoate ester (49) The amine 49 was prepared according to a literature procedure (28). A mixture of the nitro compound 48 (500 mg; 1.91 mmol) and 10% Pd-C (125 mg) in dry degassed methanol (10 mL) under argon was treated with anhydrous ammonium formate (555 mg; 8.81 mmol) which was added in one portion. The reaction mixture was stirred at room temperature for 1.5 hours. The catalyst was removed by filtration through a celite pad, washing with methanol (6 x 3 mL). The filtrate was evaporated to dryness and then the residue was treated with water (10 mL) and the mixture was extracted with dichloromethane and dried (Na2S04). Evaporation of the solvents left a solid that was purified by flash chromatography (ether/hexane, 80: 20) thereby affording the amine 49 as a yellow solid (210 mg).

'H NMR (CDCl3) 8 3.96 (3H, s), 3.99 (3H, s), 4.25 (2H, br s), 7.28 (1H, d, J= 8.9 Hz), 7.44 (1H, d, J= 8.8 Hz), 7.78 (1H, J= 8.9 Hz), 7.98 (1H, dd, J= 8.9, 1.7 Hz), 8.52 (1H, d, J= 1. 7 Hz); 3C NMR 6 52.06, 56.44, 113.63, 120.22, 120.57, 124.19, 125.03, 125.55, 128.22, 129.55, 131.89, 144.44, 167.44 (C=O) ; vmax 3474 s, 3380 s, 1696 s, 1617 s, 1292 s, 1278 s, 1221 s cm.

Example 23 : Methl 6-methoxy-2-naphtlzoate ester (51) < 2 2eq DMS/K2CO3 CO2Me f. yY 2eq DMS/KCOs f ! HOmJ acetone MeOW 50 51

6-Hydroxy-2-napthoic acid 50 (2. 0g, 0.01 mol) was dissolved in acetone (100 mL), containing potassium carbonate (6.90 g, 0.0532 mol) and then dimethyl sulfate (4.0 g; 5.40 mL; 0.032 mol) was added, dropwise. The reaction mixture was heated to reflux under nitrogen for 2.5 hours during which time all of the starting material was consumed. The reaction mixture was cooled, and then ammonium chloride (4%; 50 mL) was added. The aqueous layer was extracted with dichloromethane (3 x 40 mL) and the combined organic extracts washed with ammonia solution (25%, 40 mL) and dried (Na2SO4). Evaporation of the solvent gave the methoxy methyl ester 51. The crude product was triturated with 5% ethyl acetate/n-pentane and dichloromethane dropwise, to give a white solid (2.1 g).

Example 24 : 2-hydrox-6-metlioxviiaphthaleize (52) , <, CO2Me LiAIH4 v OH Me0/ ether Me0/ 51 S2 The methoxy methyl ester 51 (3.14 g; 14.5 mmol) was dissolved in dry ether (100 mL) and treated with LiAlH4 (14.5 mL; 14.5 mmol; 1 M in THF) dropwise while cooling in ice. On completion of the addition the reaction mixture was warmed to room temperature and stirring was continued for a further 50 minutes. The reaction mixture was then cooled in ice and treated sequentially with ethyl acetate (5 mL), water (5 mL) and excess sodium sulfate until a dry solid was formed. The solid was filtered off and washed with dichloromethane. The filtrate was evaporated to dryness to give the alcohol 52 as a pale pink crystalline solid (1.95 g) after drying under high vacuum.

Example 25: 2-bromomethyl-6-methoxy-naphthalene (53) OH PBr3/0 °C Br Me0 ether Me0 52 53

The bromide 53 was prepared according to a literature procedure (29). The alcohol 52 (1.95 g; 10. 4 mmol) was partially dissolved in dry ether (150 mL) and cooled in an ice/salt/water bath. A solution of PBr3 (1.13 mL; 11.9 mmol) in ether (20 mL) was added slowly to the stirred solution of 52 to give a white suspension. The reaction mixture was stirred with slow warming to room temperature over 2 hours at which point all solids went into solution. The resulting solution was cooled in ice and treated with 5% NaHCO3. The ether layer was separated and washed with more 5% NaHCO3 and dried (Na2S04).

Removal of the solvent left the bromide 53 as a white crystalline solid (2.05 g).

Example 26: 2-cyanomethyl-6-metl2oxy-naphthalene (54) The bromide 53 (2.05 g; 8. 2 mmol) was dissolved in dichloromethane (30 mL) and treated with tetrabutylammonium bromide (0.53 g; 1.63 mmol) and then a solution of sodium cyanide (1.20 g; 24.5 mmol) in water (12 mL). The reaction mixture was stirred at 50 °C for 29 hours and then diluted with ether (150 mL). The organic layer was washed with brine and dried (Na2S04). Evaporation of the solvent left a solid (1.61 g) that was recrystallised from ethanol. The nitrile 54 was obtained as plates (1.19 g). The aqueous layer was treated with one volume of 1 M NaOH and 2 volumes of calcium hyochlorite overnight followed by neutralisation to decompose excess NaCN.

Example 27 : 2-I-cyano-l-hex-5-enyl)-6-methoxy-naphtlaalerre (55)

Sodium hydride (0.207 g; 8.62 mmol; 60% dispersion in oil) was added in one portion to an ice cold stirred solution of the nitrile 54 (0.85 g; 4.31 mmol) in dry DMF (10 mL). This gave rise to an intense red precipitate. After 30 minutes 4-pentenyl bromide (0.77g ; 5.17 mmol ; 0.61 mL) was added dropwise causing the intensity of the red colour to diminish. The reaction mixture was stirred overnight with slow warming to room temperature and after 15 hours the clear red-orange solution was poured onto ethyl acetate (100 mL) and water (50 mL) and shaken in a separating funnel. The yellow organic layer was washed with brine and dried (Na2SO4). Evaporation of the solvent left a yellow oil that was fractionated by flash chromatography (ether/hexane, 10: 90) to give the monoalkenylated nitrile 55 as the third fraction and as a clear oil (270 mg).

Example 28 : 2-(6-methoxv-2-naphthYl) hept-6-e7loic acid (56) CN KOH/EtOH < ° MeO> reflux MeOw O 55 56 The nitrile 55 (258 mg; 0.97 mmol) was dissolved in saturated KOH in ethanol (2 mL) and allowed to stand overnight for 16 hours thereby forming a thick solid. Water (0.43 mL) was added then the whole was heated under reflux for 3 hours. The reaction mixture was cooled, diluted with water (10 mL) and extracted with ether (5 mL) to remove sideproducts and a small amount of unreacted starting material. The aqueous layer was acidified causing the required acid to precipitate. The acid was extracted with ether, the extracts were dried (Na2S04) and the solvent was removed. The acid 56 was thereby obtained as a crystalline solid (67 mg).

Example 29 : Methyl 2-6-methoxy-2-rzaphtlayl) hept-6-enoate ester (57) v v OH MSIK2C03 OMe acetons MeO 0-Meoco OOM 56 57

The acid 56 (67 mg; 0.24 mmol) was dissolved in acetone (5 mL) and treated with potassium carbonate (49 mg; 0.35 mmol) and dimethyl sulfate (32. 8 mg; 0.26 mmol ; 24.6 gel). The mixture was heated under reflux for 3 hours, cooled, diluted with 25% ammonia solution and extracted with ether. The combined extracts were dried (Na2SO4) and evaporated to dryness to give methyl ester 57 (66 mg).

Example 30: 7-hydroxy-2-(6-methoxy-2-naphthyl)heptanoic acid (58) The methyl ester 57 (66 mg; 0.22 mmol) was dissolved in dry THF (1.5 mL) and treated dropwise with 9-BBN (0.48 mL; 0.24 mmol; 0.5 M in THF) at room temperature. The reaction mixture was stirred for 3 hours and then treated sequentially with ethanol (1 mL), 6 M NaOH (0.3 mL) and then 30% H202 (0.6 mL). The whole was heated at 50 °C for 1.5 hours and then kept in the refrigerator overnight. The reaction mixture was acidified and extracted into ether. The ether extracts were dried (Na2S04) and evaporated to dryness.

The product mixture was fractionated by flash chromatography (ether, then MeOH/CH2CI- 2; 5: 95-10: 90) to give the hydroxyacid 58 as the most polar fraction and as a white solid (16. 2 mg).

1H NMR (CDCl3/d4-MeOH, 5: 1) 6 1.25-2. 24 (8H, m), 3.54 (2H, t, J= 6. 5 Hz), 3.65 (1H, t, J= 7.6 Hz), 3.91 (3H, s), 7.12-7. 15 (2H, m), 7.43 (1H, dd, J= 8.5, 1.3 Hz), 7.68 (1H, s), 7.70 (1H, d, J= 9. 1 Hz);

13C NMR 8 25.30, 27.15, 32.02, 35.76, 51.52, 55.06, 61.99, 105.43, 118.59, 126.28, 126.37, 126.84, 128.75, 129.03, 133.52, 134.53, 157.33, 176.91 (C=O) ; Vmax 3500-3200 br s, 1699 s, 1605 s, 1267 s, 1028 s, cm~l.

Example 31 : MetZtvl 6-methoxv-8-methvl-2-naptl1oate ester (65)

(a) The aldehyde was prepared according to a literature procedure (30). To a stirred solution of 4-bromo-3-methylanisole 59 10.0 g; 49.7 mmol ; 7.02 mL) in dry THF (130 mL) in a flame-dried round-bottomed flask under nitrogen was added magnesium turnings (4. 84 g; 199 mmol) and iodine (4.04 g; 15.9 mmol). The reaction mixture was heated under reflux for 4 hours before cooling to 0°C. The cloudy white solution was treated with DMF (15.4 mL; 199 mmol) and stirring was continued at 0 °C for a further 1.5 hours before warming to room temperature. The reaction was quenched with saturated NH4Cl and the product was extracted into ether. The combined extracts were dried (MgS04) and evaporated to dryness to give 4-methoxy-2-methylbenzaldehyde 60 as a yellow oil (7.23 g). . 0 t H H dimethyl succinate,, ¢9CO2Me MeO NaOMe Me CO2Me 60 61 (b) Further steps (steps b-d) were carried out with some modification of a related procedure (31). To a stirred solution of the aldehyde 60 (1.50 g; 10.0 mmol) and dimethyl succinate (1.49 mL; 11.4 mmol) in methanol (26 mL) was added a solution of sodium methoxide (3.3 mL; 10.5 mmol; 3.2 M in methanol). The reaction mixture was heated under reflux for 2 hours before cooling to room temperature. The reaction volume was reduced by half under reduced pressure and the remaining solution was cooled in ice and acidified with 6 M HCl and then diluted with water (100 mL). The product was extracted

into chloroform (200 mL) and the extract was dried (MgS04) and evaporated to give an orange oil. Flash chromatography (ethyl acetate/hexane, 25: 75) afforded the monoester as a viscous oil (419 mg). This was dissolved in acetone (15 mL) and treated with anhydrous K2CO3 (543 mg; 3.93 mmol) and dimethyl sulfate (373 1L ; 3.93 mmol). The whole was heated under reflux for 2.5 hours before cooling to room temperature and quenching with saturated ammonium chloride solution. The product was extracted into dichloromethane (3 x 50 mL) and the combined extracts were washed with 25% ammonia solution and dried (MgSO4). Evaporation of the solvent gave the diester 61 as a yellow oil (485 mg). This was used in the next step without purification.

(c) The diester 61 (321 mg; 1.15 mmol) was dissolved in ethyl acetate and hydrogenated in the presence of 10% Pd-C (75 mg) on a Parr medium pressure hydrogenator at 60 psi for 20 hours. The reaction mixture was filtered through Celite and evaporated to dryness to give the saturated diester 62 as a pale yellow oil (177 mg). This was used without further purification in the next step.

(d) The saturated diester 62 (155 mg; 0. 55 mmol) in methanesulfonic acid (10 mL) was heated under reflux for 2 hours. The reaction was quenched by pouring onto ice/water (50 mL) and the product was extracted into chloroform (100 mL). The extract was dried (MgS04) and evaporated to dryness to give a mixture (146 mg) of the keto ester 63 and the keto acid. This mixture was treated with dimethyl sulfate (150 LL ; 1.55 mmol) and K2C03 (214 mg; 1.55 mmol) in boiling acetone (6 mL) as previously described (step b). Workup gave a brown oil that was purified by flash chromatography (ethyl acetate/hexane, 50: 50) thereby affording the keto ester 63 as a colourless viscous oil (144 mg). COZMe JX 1. NaBH4 eCO2Me MeO jg 2. TsOH/toluene MeO, 6a 63 O 64

(e) The following steps (steps e and f) involve carbonyl removal and aromatisation of the A-ring. A related procedure has been reported (32). The keto ester 63 (144 mg; 0.58 mmol) was treated with sodium borohydride (20 mg) in methanol (10 mL) at 0 °C over 3 hours. The reaction was quenched with saturated ammonium chloride solution and the product was extracted with ethyl acetate. The combined extracts were washed with brine and dried (MgS04). Evaporation of the solvent left the hydroxy acid as a colourless oil (85 mg). This was heated under reflux in toluene (3 mL) in the presence of a few crystals ofp- toluenesulfonic acid for 4 hours. After this time the reaction mixture was diluted with ethyl acetate and washed with water and brine. The organic layer was dried (MgS04) and evaporated to dryness to give the 1,2-dihydronaphthoate 64 as a pale yellow oil (40 mg) that was used directly in the next step without purification. , DDQ, CO2Me i s Me benzene Me 64 65 (f) The dihydronaphthoate 64 (40 mg; 0.17 mmol) was heated under reflux in benzene (4.8 mL) in the presence of DDQ (30 mg; 0.17 mmol) for 14 hours. The reaction mixture was partitioned between water and ethyl acetate and the organic layer was washed with brine and dried (MgSO4). Evaporation of the solvent left a dark brown oil that was purified by flash chromatography (ethyl acetate/hexane, 33: 67) thereby affording the naphthoate 65 as a solid (18. 3 mg).

'H NMR (d4-MeOH) 8 2.61 (3H, 2), 3.88 (3H, s), 3.93 (3H, s), 7.00 (1H, br s), 7.05 (1H, br s), 7.72 (1H, d, J= 12. 9 Hz), 7.91 (1H, dd, J= 12. 9,2. 5 Hz), 8. 56 (1H, s); 13C NMR 8 19.03, 52.52, 55.73, 105.12, 121.19, 126.38, 127.88, 128.64.

Biological testing 6-Hydroxy-2-naphthalene-sulfonic acid (compound 24) was obtained commercially from Merck. Sodium-6, 7-dihydroxynaphthalene-sulfonate (compound 6) was also commercially available. 6, 7-dihydroxynaphthalene-2-sulfonic acid (compound 6) (cat. No.

21,896-0), S- (+)-6-methoxy-a-methyl-2-naphthalene acetic acid (compound 8) (cat. No.

25,478-5), 2,6-naphthalene disulfonic acid (compound 24) (cat. No. N60-5) and 6- hydroxy-2-naphthanoic acid (compound 9) (cat. No. 46,915-7) were obtained from Aldrich.

In vitro assay of MIF antagonisvBt The activity of each compound was studied in a bioassay utilising MIF-induced proliferation of human dermal fibroblasts. S112 human dermal fibroblasts were propagated in RPMI/10% foetal calf serum (FCS). Prior to experimentation, cells were seeded at 105 cells/ml in RPMI/0.1% BSA for 18 hours. At time point zero, culture medium was replaced with RPMI/10% FCS and treatments administered. Cells were treated with recombinant human macrophage migration inhibitory factor (MIF) 50 ng/ml (1.353x 10-9 M) and/or the compound at a 1 or 1000 molar ratio to the concentration of MIF. In some experiments the compound was combined with MIF at time point-30 minutes, prior to adding at time point zero. At time point 30 hours, cells were pulsed with 1 pLCi3H-thymidine. At time point 48 hours, cells were harvested using a semi-automated cell harvester. The radioactivity incorporated into DNA was determined by liquid scintillation counting, with results expressed as [3H] thymidine incorporation. The proliferation of untreated cells was expressed as 100% and the effect of MIF and each compound expressed in relative %.

The results for 6,7-dimethoxy-2-naphthanoic acid 4 and 6-hydroxy-2-naphthalene-sulfonic acid 5 are depicted on Figures 1 and 2 respectively. The inhibition of MIF-induced proliferation by these compounds is consistent with their acting as inhibitors of the cytokine or biological activity of MIF.

Alterrzative in vitro assay of MIF arztagorzisrn The activity of each compound was studied in a bioassay utilising MIF-dependent activation of human dermal fibroblasts. Sampey et al have shown that induction of the expression of cyclooxygenase-2 (COX-2) by the cytokine interleukin 1 (IL-1) is dependent upon the presence of MIF, i. e. can be prevented using specific anti-MIF monoclonal antibody (33). IL-1-induced COX-2 expression is therefore a MIF-dependent event.

S112 human dermal fibroblasts were propagated in RPMI/10% foetal calf serum (FCS).

Prior to experimentation, cells were seeded at 105 cells/ml in RPMI/0.1% BSA for 18 hours. Cells were treated with recombinant human IL-1 (0.1 ng/ml) and with each compound at 1-100 uM. After 6 hours, cells were collected and intracellular COX-2 protein determined by permeabilisation flow cytometry. Cells permeabilised with 0.1% saponin were sequentially labelled with a mouse anti-human COX-2 monoclonal antibody and with sheep-anti-mouse F (ab) 2 fragment labelled with fluoroscein isothiocyanate.

Cellular fluorescence was determined using a flow cytometer. At least 5000 events were counted for each reading, each of which was performed in duplicate, and the results expressed in mean fluorescence intensity (MFI) after subtraction of negative control- labelled cell fluorescence.

The effect of each compound was determined by subtracting the IL-1+compound-treated cell MFI from the IL-1-treated cell MFI and expressed as % inhibition.

Results are shown in Table 1, below. In each case the % inhibition of IL-1-induced COX2 expression is shown as the mean, or mean SEM where results are available from multiple experiments.

The results show that these compounds generally exert a powerful inhibitory effect on IL- 1-induced COX2 expression, consistent with a significant MIF-inhibitory effect.

Table 1. Compound Effect Concentration (µM) number of expts. 65 50. 40% 50uM 1 7 32. 70% 1uM 1 10 27. 70% 50uM 1 6 24.4+/-6. 4% lOOuM 2 6 25. 7 3. 6% 50uM 11 6 21. 30% 25uM 1 6 22. 4 5. 4% 10uM 5 6 16.4+/-3. 2% 1uM 5 14 24.1+/-17.1% 50uM 2 43 24.10% 50uM 1 15 17. 30% 1uM 1 11 13. 60% 25uM 1 39 13. 30% 50uM 1 11. 60% O. 1uM 1 2 11. 60% 50uM 1 4 9. 80% 50uM 1 46 9. 30% 50uM 1 0 8. 50% 50uM 1 24 8. 20% luM 1 3 8.0+/-6. 8% 10uM 2 8 7. 80% 25uM 1 19 7. 70% 10uM 1 9 7. 50% 1uM 1 33 5. 30% 50uM 1 2. 7% 1uM 1

Figure 3 shows a dose response curve for 6,7-dihydroxynaphthalene-2-sulphonic acid (compound 6). This compound was tested for IL-1 induced COX-2 expression inhibition, as discussed above at a concentration of 0.01, 0.1, 1.0, 10 and 50 µM. Dose-dependent inhibition of IL1-induced COX-2 expression was observed, consistent with compound 6 exerting an inhibitory effect on the cytokine or biological activity of MIF.

Effect of glucocorticoids on MIF antagonisot In vitro assay of MIF antagonism in the presence of glucocorticoid The above alternative in vitro assay for analysing IL-1 induced COX-2 expression was repeated using 6, 7-dihydroxynaphthalene-2-sulfonic acid (compound 6) (6) (50 u. M) (column 1), dexamethasone (10-9 M) (column 2) or a combination of dexamethasone (10-9 M) and 6, 7-dihydroxynaphthalene-2-sulfonic acid (50 pM) (column 3). The results are shown in Table 2 and Figure 4. The concentration of compound 6 with dexamethasone resulted in increased effectiveness of the inhibition of ILl-induced COX-2, consistent with an effect of compound 6 on MIF cytokine or biological activity.

Table 2 Experiment Compound % inhibition 1 6, 7-dihydroxynaphthalene-2-sulfonic acid 38.0 2 dexamethasone 63.8 3 6, 7-dihydroxynaphthalene-2-sulfonic acid and 83.3 dexamethasone In vivo assay of MIF antagonism The activity of each compound was studied in the rat adjuvant-induced arthritis (AIA) model of rheumatoid arthritis. This model has been demonstrated to be dependent on MIF (34). Male Sprague-Dawley rats (150+ 20 g) were used. Adjuvant arthritis was induced by intradermal injection at the tail base of 150 p of a 10 mg/ml suspension of heat- inactivated Mycobacterium tuberculosis (Difco, Detroit, MI) in squalane. The compound was administered at a dose of 1.0 mg/kg body weight by once daily intraperitoneal injection on each day (treated). Control animals received an identical volume injection of vehicle (control). Joint inflammation in adjuvant arthritis was assessed clinically as follows: i) Articulcir iradexlscore : A score of 0 (no observable erythema or swelling) to 4 (severe swelling and erythema) was given for each paw. All four paws were scored, resulting in a maximum possible score of 16 for each animal (34).

ii) Sjnovial fluid cell number : Joints were exposed by removal of overlying skin, needle arthrocentesis performed and joint space cells obtained by closed needle lavage with 2 ml saline using a 26 gauge needle and syringe. Lavaged cells from both ankle joints were pooled, washed in saline (300g for 5 minutes), and counted in a hemocytometer (Improved Nebauer, Weber, UK) (34).

The results for 6, 7-dimethoxy-2-naphthanoic acid (compound 2) in relation to i) and ii) are depicted in Figures 5 and 6 respectively. Compound 2 administration resulted in a significant inhibition of arthritis severity, consistent with an inhibitory effect on MIF cytokine or biological activity.

Alternative iyz vivo assay of MIF afztagonisfn The activity of 6, 7-dihydroxynaphthalene-3-sulfonic acid (compound 6) was studied in the murine endotoxic shock model. This model has been previously shown to be dependent on MIF (35). Reductions in the toxic effects of endotoxin were observed in animals treated with anti-MIF antibodies (35). A substance capable of exerting an inhibitory effect on the cytokine or biological effect of MIF may be expected to result in reductions in the serum concentration of cytokines such as interleukin 1 or interleukin 6. Endotoxaemia was induced by intra-peritoneal injection of lipopolysaccharide (LPS) (15 mg/kg) in 400 saline. Mice were treated with a saline solution (control) only, a saline solution and LPS, or LPS and 6, 7-dihydroxynaphthalene-2-sulfonic acid (compound 6) at a dose of 15 mg/kg body weight by intra-peritoneal injection at 24 hours, 12 hours and 1 hour before intra- peritoneal LPS injection. After 1.5 or 6 hours mice were humanely killed by C02 inhalation then neck dislocation. Serum was obtained from blood obtained by cardiac puncture prior to death and measured for cytokines including interleukin 1 (IL-1) and interleukin 6 (IL-6) by ELISA. The production of IL-1 and IL-6 has been previously shown to be dependent on MIF (36). Figure 7 shows analysis of serum IL-1 (ng/ml) when LPS is administered alone or in combination with 6, 7-dihydroxynaphthalene-2-sulfonic acid. Figure 8 shows analysis of serum IL-6 (ng/ml) when LPS is administered alone or in combination with 6, 7-dihydroxynaphthalene-2-sulfonic acid (compound 6).

The effect of compounds was further tested under a variety of conditions in animals exposed to endotoxic shock induced as above by the injection of 15 mg/kg LPS by intraperitoneal injection. In each case, compounds were administered by intraperitoneal injection at a dose of 15mg/kg. Compound administration was associated with reductions in serum cytokine concentration under a variety of administration regimens. These data, shown in Table 3, suggests that compounds of formula (I) are active inhibitors of the biological or cytokine activity of MIF.

Table 3 Compound Treatment Result control LPS LPS plus Inhibitory regimen* compound 23-16h serum 12 # 5 105#29 58#13 Y IL-1 (ng/ml) 6-18h Serum 4263i1399 6664i1124 3970#2565 Y TNF (pg/ml) 24-24h,-lh Serum Y IL-6 (ng/ml) 776i499 144#18 6-24h,-lh Serum 199#41 150#19 Y IL-6 (ng/ml) 6-24h,-Scrum 48487 25770 Y 12h, -1h IL-1 (ng/ml) 6-24h,-lh Serum Y IL-6 (ng/ml) 142i6 104i11

*times refer to the time points prior to administration of LPS at which compound was administered. All treatments were administred by intra-peritoneal injection.

In vitro toxicity assay The compounds of formula (I) may have low toxicity towards cells. The toxicity of compounds of formula (I) were examined iii vitro to assess cytotoxicity. Human dermal fibroblast cell line (Sl 12) cells were exposed to vehicle (control) or compounds of formula (1) (50 p. M) in vehicle. Toxicity was assessed by analysis of apoptosis using flow cytometric detection of cell surface Annexin V binding and propidium iodide staining. At least 5000 events were analysed for each experiment. Cells positive for both Annexin V and propidium iodide were designated as apoptotic and cells negative for both Annexin V and propidium iodide were designated as viable. Results are expressed as the percentage (%) of cells with each of these labels. No compound of formula (I) induced apoptosis at levels above the control. The results for a number of compounds of formula (I) are shown in Figure 9.

Table 4: Key to compounds tested in Figure 9 Compound Name 6 6, 7-dihydroxynaphthalene-2-sulphonic acid 2 6, 7-dimethoxynaphthalene 4 6, 7-dimethoxy-2-naphthanoic acid 1 6, 7-dihydroxynaphthalene 8 (S)- (+)-6-methoxy-a-methyl-2-naphthalene acetic acid 9 6-hydroxy-2-naphthanoic acid In vitro assay of MIF antago7ZisnZ : T cell activation Activation of T lymphocyte responses is a critical event in the development of autoimmune and chronic inflammatory diseases. T lymphocyte activation in vitro and in vivo are known to be dependent upon the presence of bioactive MIF. For example, administration of specific monoclonal antibodies directed against MIF have been shown to inhibit development of T cell activation in vitro and of cutaneous delayed-type hypersensitivity responses in vivo (37) (7). The demonstration that compounds inhibitory of the cytokine

and biological activity of MIF are inhibitory of T cell activation in vitro will be seen by those skilled in the art as supportive of the biological and functional antagonism of MIF provided by those compounds.

C57BL6/J male mice, aged 7-10 weeks old, were immunised with 200 u, g of methylated bovine serum albumin (mBSA) dissolved in 20 il of saline, emulsified in 200 cl of Freund's complete adjuvant (FCA) by subcutaneous injection. Seven (7) days later mice received a booster immunisation with 100 pg mBSA in 10 gel saline plus 100 jj. L FCA by subcutaneous injection. After a further seven (7) days mice were killed and spleens collected aseptically into Hanks buffered saline solution (HBSS). A single cell suspension was prepared in Petri dishes by flushing DMEM through the organ using a 26G needle and 2 mL syringe. The resulting cell suspension was centrifuged for 5-7 minutes and supernatant discarded. Erythrocytes were lysed using a solution containing 0.579% NH4Cl, 0.000037% EDTA, and 0. 1% NaHCO3 in a 37 °C water bath. Tubes were then filled with DMEM and centrifuged for 5-7 minutes. The cell-containing pellet was then resuspended in DMEM containing 5% fetal calf serum (FCS) and 0.05% 2-mercapto-ethanol at a concentration of 1x106 cells/mL and plated at 1x105 cells/well in 96-well plastic tissue culture plates. Test substances (compound or vehicle) were added and incubated for 1 hour in a 37°C, 5% CO2 incubator. The specific stimulating antigen, mBSA, was then added at 10-50 pg/mL and plates incubated for 30 hours in a 37°C, 5% CO2 incubator. Tritiated3H- thymidine was then added at a concentration of 0.5 uCi/well for a further 18 hours. Cells were harvested on a Packard cell harvester, and the harvested material added to 750 LL/tube scintillation fluid. Scintillation counts were read on a Wallac beta-emission counter. Incorporation of 3H-thymidine into DNA is a measure of cell proliferation, and hence of antigen-specific T cell activation.

As shown in figure 10, T cell proliferation was significant increased in the presence of the specific sensitising antigen, mBSA, at 50 ptg/mL. The addition of compound 23 in increasing concentrations exerted a dose-dependent and statistically significant inhibitory effect on antigen-specific T cell activation. In figure 10, asterisks signify a statistically significant result (* p < 0.05, ** p < 0.01).

The concentration at which T cell activation was suppressed by 50% compared to vehicle- only-treated cells (EC50) was calculated using Prism@ software.

Further compounds were also tested for their ability to inhibit antigen-specific T cell activation as a marker of the inhibition of the cytokine or biological activity of MIF using this assay. Table 5 lists the EC50 for each compound in this assay, performed with concentrations of mBSA of either 50 or 10 µg/ml.

Table 5 mBSA 50 µg/ml mBSA 10 µg/ml Compound EC50(µM) no. expts EC50 (µM) no.expts 14 0.12 1 10.20 35 0. 22 1 8. 89 1 33 0.54 1 12.50 19 0.95 10.84 28 1.18 6.40 11 3. 34 1 0. 02 1 0 8. 90 1 2. 57 1 49 11.91 1 1.01 10 16.67 1 10 65 17. 97 1 Not done 15 21. 47 3 51. 74 1 58 22. 26 1 Not done 6 28.07 Not done 45 32. 35 1 14. 76 1 43 41.49 1 18.85 4 49.54 3 14.84 2 2 51.97 3 18.14 1 9 87.71 3 72.24 1 39 89. 77 1 49. 27 1 6 104. 40 4 21.76 2 23 >100 3 >100 5 >100 3 2.39 8>100357. 671 2 >100 1 3.5 1 44 >100 1 12. 72 1 47 >100 1 13. 1 1

In vivo assay ofMIF antagonism : antigeii-induced artliritis.

Rheumatoid arthritis is a common, serious, chronic inflammatory disease affecting synovial joints, of which the etiology is unknown. Rheumatoid arthritis is one of the most common autoimmune or chronic inflammatory diseases, and can be seen as a model for other, less common, autoimmune and chronic inflammatory diseases. MIF has been confirmed as an important mediator in several animal models of rheumatoid arthritis, through studies in which antagonism of MIF with a monoclonal anti-MIF antibody exerted significant inhibitory effects on disease (38) (34) (8). Included among the animal models of rheumatoid arthritis in which MIF has been shown to be an essential factor is murine antigen-induced arthritis (8). A compound which inhibits the cytokine of biological activity of MIF might be expected to inhibit the development of murine antigen-induced arthritis in vivo.

Antigen-induced arthritis was induced in mice. C57BL6/J male mice, aged 7-10 weeks old, were immunized on day 0 with 200 Lg methylated BSA (mBSA) emulsified in 200 pl of Freund's complete adjuvant (FCA) injected subcutaneously into the flank skin. Mice were treated with compound 5, administered by intraperitoneal injection, once per 24 hours at a dose of 15 mg/kg body weight. After seven days, mice received 100yg mBSA and 100, 1 FCA by intradermal injection at the base of the tail. After a further 14 days, arthritis was induced by intra-articular injection of 30 pg mBSA in 10 Ill of sterile saline into the left knee, the right knee being injected with sterile saline alone.

Arthritis was analysed histologically at day 28 after first immunisation. Knee joints were dissected and fixed in 10% buffered formalin for 7 days. Fixed tissues were decalcified for 3 weeks in 15% ethylene-diamine-tetra-acetic acid (EDTA), dehydrated and embedded in paraffin. Sagittal sections (5 llm) of the knee joint were stained with Safranin-O and counterstained with fast green/iron hematoxylin. Histological sections were scored from 0 to 3 for four parameters: Synovitis was defined as hyper-cellularity of the synovium including pannus formation. Joint space exudate was identified as leukocytes, discretely or

in aggregates, in the joint space. Cartilage degradation was defined as the loss of Safranin- O staining of articular cartilage (0 = full stained cartilage, 3 = totally unstained cartilage).

Bone drainage was defined as the extent and depth of the subchondral bone invasion by pannus. A total score was also generated from the sum of these four parameters (maximum 12).

The results of treating mice with compound 23 are shown in figure 11. In figure 11 a, the total arthritis score for vehicle and compound-treated animals is presented graphically. A clinically significant reduction in total arthritis score is seen. In figure llb, individual parameters of arthritis are presented graphically. Clinically significant reductions in the severity of all individual parameters of arthritis can be seen for animals treated with compound 23.

In vivo assay of MIF asztagonisnz : ex vivo T cell activation As MIF is important in T cell activation, a compound capable of inhibiting the cytokine or biological activity of MIF might be expected to be exert inhibitory effects on T cell responsiveness. In vivo administration of such a compound might be expected to exert effects on T cell responsiveness even after the T cells have been removed from exposure to the compound, that is, if T cells were studied ex vivo after in vivo treatment with the MIF antagonist compound. To measure ex vivo antigen-specific T cell activation, spleens were removed from mice with murine antigen induced arthritis, induced as above with mBSA, at day 28 after first immunisation and a single cell suspension prepared in DMEM containing 5% FCS and 0.05% 2-mercaptoethanol. 1 x 105 cells/200pL1 were cultured in triplicate in the presence or absence of mBSA (0.1, 1.0, 10 pg/ml) in 96-well plates for 48 hours (37°C, 5% C02.) The T cell proliferation response was determined by measuring 3H- thymidine incorporation during the final 18 hr. The cells were harvested and radioactivity incorporation into the DNA was measured with a Wallac 1409 liquid scintillation counter.

The means of each triplicate culture were calculated. Each experiment comprised at least three individual animals and the results presented represent the mean SEM of groups of animals in each experiment. The percentage inhibition of T cell proliferation was calculated using the result of the 3H-thymidine incorporation of cells from compound-

treated animals divided by the 3H-thymidine incorporation of cells from vehicle-treated animals.

Table 6 displays the results obtained using splenic T cells obtained from mice which received in vivo administration of compound 4. The compound exerted an inhibitory effect on ex vivo splenic T cell proliferation.

Table 6 Compound % inhibition [mBSA] (ug/mL) no. expts 18% 10 1 hz vitro assay of MIF antagonism: dermal fibroblast proliferation induced by reconibiiiant MIF.

It is well known to those skilled in the art that MIF is able to induce proliferation in a number of cell types including cells derived from patients with rheumatoid arthritis (39). It has also been demonstrated that antagonism of MIF with a monoclonal anti-MIF antibody can inhibit the proliferation of cells iii vitro. A compound with the ability to inhibit the cytokine or biological function of MIF might be expected to inhibit the proliferative effect of MIF.

The activity of compound 5 was studied in a bioassay utilising MIF-induced proliferation of human dermal fibroblasts. S112 human dermal fibroblasts were propagated in RPMI/10% foetal calf serum (FCS). Prior to experimentation, cells were seeded at 105 cells/ml in RPMI/0. 1% BSA for 18 hours. At time point zero, culture medium was replaced with RPMI/10% FCS and treatments administered. Cells were treated with recombinant human macrophage migration inhibitory factor (MIF) 50 ng/ml and/or compound 5 at a 1-1000 molar ratio to the concentration of MIF. At a time point 30 hours later, cells were pulsed with 1 yCi/well of 3H-thymidine. At a time point 48 hours after commencement of the experiment, cells were harvested using a semi-automated cell harvester. The radioactivity incorporated into DNA was determined by liquid scintillation counting, with results expressed as [3H] thymidine incorporation.

Figure 12 depicts graphically the effect of compound 6 (0.013-1. 3 pM) on proliferation of S112 cells treated with recombinant human MIF. A marked inhibitory effect was observed. The data presented are the mean SEM of six separate experiments.

In table 7, the inhibitory effect of a number of compounds are expressed as the % inhibition of proliferation, compared to the proliferation of vehicle plus rhMIF-treated cells.

Table 7 Compound% inhibition concentration M no. expts 1 47% 0. 13 11 6 47% 0. 13 7 7 41% 0. 13 3 8 36% 0. 13 6 4 24% 0. 013 6 24 18% 0. 013 7 8 4% 0. 013 In vitro assay of MIF antagonisen : inhibition of peritoneal macrophage cytokine production.

MIF is known to be a participant in the innate immune response to toxins such as the bacterial endotoxin lipopolysaccharide (LPS). As shown above, antagonists of MIF can inhibit endotoxin-induced macrophage cytokine production in vivo. A compound with the ability to inhibit the cytokine or biological function of MIF might be expected to inhibit the activation of cytokine production by macrophages in response to LPS.

C57BL6/J male mice were injected intraperitoneally with 2ml of thioglycollate. Five (5) days later peritoneal macrophages were collected by lavaging the peritoneum of anaesthetized mice with 3ml of cold Hanks buffered saline solution. Cells from several mice were pooled, washed and re-suspended in DMEM supplemented with 5% FCS. Cells were plated in 96 well plastic tissue culture plates at 1x105 cells/well. Cells were treated with compound or vehicle for 1 hour in a 5% C02 incubator at 37 °C. Cells were then

treated with LPS (10 ng/ml) and incubated for 24 hours. After 24 hours, 50 pi of supernatant from each well was carefully removed and transferred to ELISA plates. The concentration of interleukin 1 (IL-1) was measured by ELISA. The concentration of compound at which LPS-induced cytokine release was suppressed by 50% compared to vehicle-only-treated cells (EC50) was calculated using Prism@ software. Figure 13 and Table 8 provide the data for compound 6 tested in this assay.

In figure 13, the results of a dose-response experiment with compound 6 are depicted graphically. This is representative of two independent experiments. A marked and statistically significant inhibition of macrophage IL-1 release was observed in cells treated with compound 6 (*p < 0.02).

In table 8, the EC50 data for similar experiments with compound 6 are presented. These results are consistent with the inhibition of the biological and cytokine activity of MIF by compound 6.

Table 8 CompoundEC50 (juM) [LPS] ng/mL no. expts P value 6 1 27. 04 1 10 1 2 1 < 0. 02 In vitro assay of MIF antagonisnz : inlzibition of peritoneal macroplzage nitric oxide release.

MIF is able to induce or facilitate the expression and release of a wide variety of pro- inflammatory and/or destructive molecules. In the case of macrophages, in addition to the facilitation of cytokine release, MIF is able to facilitate the release of nitric oxide (NO) (40). A compound with the ability to inhibit the cytokine or biological function of MIF might be expected to inhibit the activation of NO production by macrophages.

C57BL6/J male mice were injected intraperitoneally with 2ml of thioglycollate. Five (5) days later peritoneal macrophages were collected by lavaging the peritoneum of anaesthetized mice with 3ml of cold Hanks buffered saline solution. Cells from several mice were pooled, washed and re-suspended in DMEM supplemented with 5% FCS. Cells

were plated in 96 well plastic tissue culture plates at 1x105 cells/well. Cells were treated with compound or vehicle for 1 hour in a 5% C02 incubator at 37 °C. Cells were then treated with LPS (10 ng/ml) and recombinant human interferon-y (10 units/ml) and incubated for 24 hours. After 24 hours, 50 u. l of supernatant from each well was carefully removed and transferred to ELISA plates. The concentration of nitrite in culture supernatants was measured by the Greiss assay (41). The results were defined as the percentage inhibition of nitrite concentration in compound-treated cell culture supernatants compared to that of vehicle-treated cells.

Table 9 displays the results for compound 2 tested in this assay. Marked and statistically significant reductions in nitrite concentration were observed in the supernatants of cells treated with compound 2. These data are consistent with compound 2 exerting an inhibitory effect on the cytokine and biological activity of MIF.

Table 9: Inhibition of murine peritoneal macrophage nitric oxide production. Compound Concentration % Nitrite P value (uM) concentration inhibition from control 2 25uM 5. 8 +/-1. 6% 50x1M 8. 5 +/-2. 1% P<0.01 100uM 13. 6 +/-0. 8% P<0.001

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