EP0349545A1

New cardiodilatin fragment, process for preparing same and use thereof.

Abstract

A peptide fragment comprising the amino acid sequence 95-126 of ANF / CDD 1-126 (gamma-hANaP) and formed in the kidney. The urodilatin fragment (ANF / CDD 95-126) has the amino acid sequence (I), wherein R1 and R2 each represent other peptide fragments of ANF / CDD 1-126 (gamma-hANaP). In this amino acid sequence, R1 is Thr-Ala-Pro-Arg-Ser-Leu-Arg-Arg-Ser-Ser and R2 is Asn-Ser-Phe-Arg-Tyr. Also disclosed are methods for the preparation and / or extraction of this novel peptide fragment, a drug containing urodilatin (ANF / CDD 95-126) as well as the medical indications for this drug.

Term

Term ended

Projected expiry passed 27 February 2008, 18.6 years ago.

  1. Priority
  2. Filed
  3. Published
  4. Projected expiry
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4 claims: 2 independent, 2 dependent

  1. 1
    Claims of equivalent WO 8806596 A1 C L A I S :1. A peptide having the amino acid sequence 95-126 of ANF/CDD 1-126 (gamma-hANaP) having the designation urodilatin (ANF/CDD 95-126) according to the formula R -Cys-Phe-Gly-Gly-Arg-Met- S Asp-Arg-Ile-Gly-Ala-Gln-Ser-Gly-Lsu-Gly-Cy 1 s-R2, wherein R 1 and R2 each represent further peptide fragments of ANF/CDD 1-126 (gamma-hANaP) . The peptide fragment according to claim 1, wherein R I 11 is Thr-Ala-Pro-Arg-Ser-Leu-Arg-Arg-Ser-Ser and ,2 is Asn-Ser-Phe-Arg-Tyr. 3. A process or preparing the cardiodilatin fragment urodilatin (ANF/CDD 95-126) according to claims 1 and/or 2 by stepwise synthesis on a solid phase using amino acids protected by protective groups. 4. . The process according to claim 3, character¬ ized in that tert-butyloxycarbonyl, fluorenylmethyloxy- carbonyl and/or 3,5-dimethoxyphenyl-2,2-propyloxy- carbonyl groups are used as protective groups. 5. A process for preparing the cardiodilatin fragment urodilatin (ANF/CDD 95-126) according to claims 1 and/or 2, characterized in that ANF/CDD 99-126 which has been bonded to a solid phase is reacted with the tetrapeptide Thr-Ala-Pro-Arg, the resulting peptide is detached from the carrier, subjected to cyclization after removal of the protective groups and worked up and purified in a per se known manner. 6. A process for preparing the cardiodilatin fragment urodilatin (ANF/CDD 95-126) according to claims 1 and/or 2, characterized in that the peptide ANF/CDD 99-126 is dissolved in a solvent, the tetra¬ peptide Thr-Ala-Pro-Arg, provided with protective groups, if appropriate, is added together with an activating agent, the resulting product is subjected to chromatography after removal of the protective groups is further purified in a per se known manner. 7. The process according to anyone of claims 5 or 6, characterized in that Boc-Thr(But) -Ala-Pro-Arg(Tos) is employed as the tetrapeptide. 8. A process for recovering urodilatin (ANF/CDD 95-126) according to claims 1 and/or 2 from body liquids, characterized in that urine is used as the starting material, alginic acid is added to the solution, the peptides adsorbed on the alginic acid are eluted, the eluate is fractionated according to con¬ ventional biochemical purification methods, and the active fraction is determined by conventional methods for the detection of the biological activity. 9. The process according to claim 8, character¬ ized in that the urodilatin (ANF/CDD 95-126) adsorbed on the alginic acid is eluted, the eluate is subjected to a salt precipitation or is lyophilized, the precipi¬ tate is desalted by gel chromatography, the obtained crude extract is subjected to ion exchange chromato¬ graphy and subsequently separated by HPLC. 10. The process according to claim 9, character¬ ized in that the separation by HPLC is carried out using a reversed-phase silicagel. 11. A process for recovering urodilatin (ANF/CDD 95-126) , characterized in that urine is contacted with alginic acid, the urodilatin (ANF/CDD 95-126) adsorbed on the alginic acid is eluted, the eluate is fraction¬ ated according to conventional biochemical purification methods using a test in which the fraction containing urodilatin (ANF/CDD 95-126) is determined by way of its relaxing effect on the smooth musculature. 12. Medicament, containing .urodilatin (ANF/CDD 95-126) according to claims 1 and/or 2 as the active ingredient in combination with a pharmacologically compatible carrier and/or diluent. 13. The medicament according to claim 12 for diagnostics and therapy of hypertonia, vessel and heart diseases, skin diseases including perspiration dis¬ orders, cardiovascular - shock, renal and adrenal cortical disorders, diseases of the gastro-intestinal tract, and more particularly motility disorders, brain edemae, glaucoma, spastic coronaropathies and neurological diseases. 1 . The medicament according to claim 12 for the treatment of acute renal insuffiency, nephrotic and nephritic syndrome, terminal renal insufficiency, acute coronary insufficiency, asσites, generalized edemae, lung edema, brain edema, primary and secondary lymph edemae, hydrothorax, glaucoma, vena cava stenosis, hypoproteinemia, hearing impairment, essential and renal hypertonia, malignant hypertonia, EPH gestosis such as hypertonia of pregnancy, nephrosis of pregnan¬ cy, cerebral sodium storage syndrome, vessel spasms such as Morbus Raynaud, angina abdominalis, coronary spasms, coronary heart disease, vasomotor headache, headache upon hypertonia, Bing-Horton syndrome migraine, blood circulation disorders in the vertebralis-basilaris flow path region, disorders of the renin-angiotensin system, primary and secondary hyperaldosteronism, renin-secernent tumors, phaeo- chromocytoma, Bartter's syndrome, Schwartz-Bartter's syndrome, pancreas insufficiency, primary sweat gland insufficiency such as anhidrosis, miction and defecat¬ ion disorders, dysregulation of the anterior lobe of the pituitary gland, cardiovascular side-effects in the therapy of psych(iatr)ic diseases and agitation with catechol increase. 15. The medicament according to claim 12 for the supporting treatment upon heart transplantations, "PEEP-respiration" (an artificial respiration with positive end expiratory- pressure) as well as by-pass operations. 16. The medicament according to claim 12 for the treatment of complications after implantation of an artificial heart. 17. The medicament according to claim 12 as a diuretic for the treatment of multiple diseases such as gout combined with hypertonia/heart insufficiency, as well as diabetes with hypertonia/heart insufficiency. 18. The medicament according to claim 12 as a diu¬ retic in combination with cephalosporins, aminoglyco- sides or anticoagulants. 19. The medicament according to claim 12 for the prophylaxis of an acute renal failure after kidney transplantations and treatment with nephrotoxic sub¬ stances such as cyclosporin, σisplatin and/or ifosfamid.
  2. 3
    30. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the prophylaxis of an acute renal failure after kidney transplantations and treatment with nephrotoxic substances such as cycJ-osporin, cisplatin and/or ifosfamid. 31. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the prophylaxis of an acute kidney failure which may occur postoperative or after hypertonic crisis as well as after dosis of contrast medium for a patient suffering from limited function of the kidney. 32. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 as a diagnostic for dif¬ ferential diagnostics of endothelial changes. 33. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions for the treatment of acute renal insuffiency, nephrotic and nephritic syndrome, terminal renal insufficiency, acute coronary insufficiency, ascites, generalized edemae, lung edema, brain edema, primary and secondary lymph edemae, hydrothorax, glaucoma, vena cava stenosis, hypoproteinemia, hearing impairment, essential and renal hypertonia, malignant hypertonia, EPH gestosis such as hypertonia of pregnancy, nephrosis of pregnan¬ cy, cerebral sodium storage syndrome, vessel spasms such as Morbus Raynaud, angina abdominalis, coronary spasms, coronary heart disease, vasomotor headache, headache upon hypertonia, Bing-Horton syndrome migraine, blood circulation disorders in the vertebra¬ lis-basilaris flow path region, disorders of the renin- angiotensin system, primary and secondary hyper- aldosteronism, renin-secernent tumors, phaeochro o- cytoma, Bartter's syndrome, Schwartz-Bartter*s syndrome, pancreas insufficiency, primary sweat gland insufficiency such as- anhidrosis, miction and defecat¬ ion disorders, dysregulation of the anterior lobe of the pituitary gland, cardiovascular side-effects in the therapy of psych(iatr) ic diseases and agitation with catechol increase. 34. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions for the supporting treatment upon heart transplantations, "PEEP-respiration" (an artificial respiration with positive end expiratory pressure) as well as by-pass operations. 35. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions for the treatment of complications after implantation of an artificial heart. 36. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions as a diuretic for the treatment of multiple diseases such as gout combined with hypertonia/heart insufficiency, as well as diabetes with hypertonia/heart insuffici¬ ency. 37. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions as a diuretic in combination with cephalosporins, amino- glycosides or anticoagulants. 38. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions for the prophylaxis of an acute renal failure after kidney transplantations and treatment with nephrotoxic sub¬ stances such as cyclosporin, cisplatin and/or ifosfam¬ id. 39. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions for the prophylaxis of an acute kidney failure which may occur postoperative or after hypertonic crisis as well as after dosis of contrast medium for a patient suf¬ fering from limited function of the kidney.
  3. 4
    40. Use of the urodilatin (ANF/CDD 95-126) accord¬ ing to anyone of claims 1 or 2 for the preparation of medicaments such as injection or infusion solutions as a diagnostic for differential diagnostics of endothel- ial changes.