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<dc:title>Design, synthesis and SAR of small molecules acting on pain pathways</dc:title>
<dc:creator>DEPLANO, ALESSANDRO</dc:creator>
<dc:subject>FAAH</dc:subject>
<dc:subject>SAR</dc:subject>
<dc:subject>TRPV1</dc:subject>
<dc:subject>agonisti</dc:subject>
<dc:subject>antagonisti recettoriali</dc:subject>
<dc:subject>enzimatic inhibitor</dc:subject>
<dc:subject>inibitori enziamatici</dc:subject>
<dc:subject>prokineticine</dc:subject>
<dc:subject>receptor agonists</dc:subject>
<dc:subject>sintesi</dc:subject>
<dc:subject>synthesis</dc:subject>
<dc:subject>Settore CHIM/08 - Chimica Farmaceutica</dc:subject>
<dc:description>Pain is a pathological disease that constitutes one of the most&#xd;
important problems of public health. Epidemiological studies showed&#xd;
that about 20% of the Europe population is affected by moderate or&#xd;
chronic pain. This data highlighted the gigantic impact of this&#xd;
problem not only in the suffering people but also in term of costs for&#xd;
public health. The classes of drugs most used today in the treatment&#xd;
of pain are NSAIDs and opioids. Unfortunately, both have important&#xd;
side effects specially when used in chronic treatment. Therefore, the&#xd;
research of new drugs which exploiting new targets that have an&#xd;
analgesic effect without the side effects is important.&#xd;
This thesis describes the design, synthesis and biological activity of&#xd;
compounds which have potential analgesic activity by their action on&#xd;
three different pathways involved in pain information transmission.&#xd;
1. The first class of compounds, are amide derivatives of the&#xd;
principal NSAIDs or correlated molecules, they are designed&#xd;
to be able to interact with the endocannabinoid system. In&#xd;
particular, described compounds were designed and tested as&#xd;
inhibitors of FAAH, the principal enzyme involved on the&#xd;
metabolization of endocannabinoids. The aim was to cause an&#xd;
increase of the endocannabinoids concentration which leads&#xd;
to analgesic effect by the potentiation of the&#xd;
endocannabinoid tone. Some of the studied compounds&#xd;
showed inhibitory activity against FAAH at micromolar to&#xd;
nanomolar concentrations.&#xd;
2. The second class of compounds were designed to interact&#xd;
with prokineticin system. Numerous studies highlighted the&#xd;
involvement of this system in different physiological&#xd;
processes including nociception. Activation of these receptors&#xd;
on the neurons on the pain pathways produces hyperalgesic&#xd;
effects. Therefore, the development of prokineticin receptor&#xd;
antagonists could be a new strategy for pain therapy.&#xd;
Compounds described in this thesis are endowed with&#xd;
triazinedione structure. A new synthetic procedure was set&#xd;
up allowing yields up to 50% higher than reported for&#xd;
analogue compounds. The triazinediones showed in vivo&#xd;
Design, synthesis and SAR of small molecules acting on pain pathways analgesic activity at picomolar concentrations and&#xd;
demonstrated antagonistic activity on prokineticin receptors.&#xd;
3. The third target on which the compounds reported in this&#xd;
thesis act is the channel-receptor TRPV1, which is an&#xd;
important component of pain information transmission&#xd;
pathways. TRPV1 opening causes an influx of positive ions&#xd;
inside the cell that lead to its depolarization and consequent&#xd;
propagation of the information on the upper levels. In this&#xd;
case then the block of this channel with antagonist or&#xd;
molecules that cause receptor desensitization could result in&#xd;
an analgesic effect. The above mentioned triazinediones&#xd;
demonstrated a modulatory activity component against&#xd;
TRPV1 receptor, which may explain at least in part their in&#xd;
vivo analgesic activity.</dc:description>
<dc:date>2016-03-24</dc:date>
<dc:type>info:eu-repo/semantics/doctoralThesis</dc:type>
<dc:identifier>http://hdl.handle.net/11584/266710</dc:identifier>
<dc:language>eng</dc:language>
<dc:relation>numberofpages:410</dc:relation>
<dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
<dc:publisher>Università degli Studi di Cagliari</dc:publisher>
<dc:rights>license:Non specificato</dc:rights>
</oai_dc:dc></metadata></record></GetRecord></OAI-PMH>