2002
DOI: 10.1016/s0960-894x(02)00483-3
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Novel Piperidinium and Pyridinium Agents as Water-Soluble Acetylcholinesterase Inhibitors for the Reversal of Neuromuscular Blockade

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Cited by 28 publications
(10 citation statements)
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“…To ensure a peripheral effect and prevent blood‒brain barrier (BBB) crossing and, hence, potential central cholinergic side-effects, the design of novel AChEIs against myasthenia gravis is commonly based on the introduction of permanently charged quaternary nitrogens [ 9 ]. A number of alkylammonium [ 10 ], piperidinium [ 11 , 12 ], pyridinium [ 13 ], quinolinium [ 14 ], and isoquinolinium [ 15 ] derivatives have been developed as potential drug candidates against myasthenia gravis or as reversal agents of neuromuscular blockade in surgical anesthesia. These compounds usually exhibit AChE inhibitory potencies in the low micromolar to low nanomolar range.…”
Section: Introductionmentioning
confidence: 99%
“…To ensure a peripheral effect and prevent blood‒brain barrier (BBB) crossing and, hence, potential central cholinergic side-effects, the design of novel AChEIs against myasthenia gravis is commonly based on the introduction of permanently charged quaternary nitrogens [ 9 ]. A number of alkylammonium [ 10 ], piperidinium [ 11 , 12 ], pyridinium [ 13 ], quinolinium [ 14 ], and isoquinolinium [ 15 ] derivatives have been developed as potential drug candidates against myasthenia gravis or as reversal agents of neuromuscular blockade in surgical anesthesia. These compounds usually exhibit AChE inhibitory potencies in the low micromolar to low nanomolar range.…”
Section: Introductionmentioning
confidence: 99%
“…As these compounds contain quaternary ammonium moieties, they have limited permeability through the blood-brain barrier [9,10]. Furthermore, they may be used as prophylaxis against OPCs or as new drugs for the treatment of Myasthenia gravis, and in anesthetic practice to reverse the skeletal muscle relaxation induced by non-depolarizing neuromuscular blocking agents [11]. …”
Section: Introductionmentioning
confidence: 99%
“…The synthesis used in this study is a practical procedure that permits us to prepare very beautiful crystalline dyes 2 – 4 (R1 = H, phenyl) from Zincke salts ( DNP) 2,4‐dinitrophenyl 1 and secondary amines diethylamine or pyrrolidine according to Scheme . Pyridinium salts are a versatile class of compounds used as phase transfer catalysts,16 initiators of cationic polymerization,17 wide range antimicrobials,18 enzyme inhibitors,19, 20 acylating agents,21 dyes, and cationic surfactants 22. Their chiral representatives, that is, pyridinium salts containing a chiral auxiliary group linked to the ring nitrogen, have been largely used as starting materials in asymmetric synthesis to obtain substituted chiral dihydropyridines,23 tetrahydropyridines,24 piperidines,25 and nitrogenated complex compounds such as natural alkaloids26 and synthetic candidates for drugs 20…”
Section: Resultsmentioning
confidence: 99%