3538 J ournal of Medicinal Chemistry, 1998, Vol. 41, No. 18
Papageorgiou et al.
(5) Dalamsso, A. P.; Bach, F. H. Expression of human regulators of
complement on pig endothelial cells. Xenotransplantation 1996,
4, 55-57. Cozzi, E.; White, D. J . G. The generation of transgenic
pigs as potential organ donors for humans. Nature Med. 1995,
1, 964-966.
(6) Lin, Y.; Goebels, J .; Xia, G.; J i, P.; Vandeputte, M.; Waer, M.
Induction of specific transplantation tolerance across xenogeneic
barriers in the T-independent immune compartment. Nature
Med. 1998, 4, 173-180.
(7) Lawson, J . H.; Daniels, L. J .; Hoopes, C. W.; Lin, S. S.; Weidner,
B. C.; Mccurry, K. R.; Davis, R. D.; Bollinger, R. R.; Harland, R.
C.; Logan, J .; Diamond, L. E.; Martin, M.; Byrne, G.; Platt, J . L.
The role of transgenic expression of human complement regula-
tory proteins in discordant xenotransplantation. Surg. Forum
1997, 48, 487-489 Leventhal, J . R.; Sakiyalak, P.; Witson, J .;
Simone, P.; Matas, A. J .; Bolman, R. M.; Dalmasso, A. P. The
synergistic effect of combined antibody and complement deple-
tion on discordant cardiac xenograft survival in non-human
primates. Transplantation 1994, 57, 974-977. Leventhal, J . R.;
Matas, A. J .; Sun, L. H.; Reif, S.; Bolman, R. M.; Dalmasso, A.
P.; Platt, J . L. The immunopathology of cardiac xenograft
rejection in the guinea pig-to-rat model. Transplantation 1993,
56, 1-8. Blakely, M. L.; van der Werf, W. J .; Berndt, M. C.;
Dalmasso, A. P.; Bach, F. H.; Hancock, W. W. Activation of
intragraft endothelial and mononuclear cells during discordant
xenograft rejection. Transplantation 1994, 58, 1059-1066. So-
heyla, S.; Platt, J . L. Immunology of xenotransplantation. Life
Sci. 1997, 62, 365-387.
Grary, G. S.; Guijarro, C.; O’Donnell, M. P.; Keane, W. F.;
Kasiske, B. L. Immunosuppressive Effects of leflunomide in
Experimental Chronic Vascular Rejection. Transplantation 1995,
60, 887-890. Xiao, F.; Chong, A.; Shen, J .; Yang, J .; Short, J .;
Foster, P.; Sankary, H.; J ensik, S.; Mital, D.; McChesney, L.;
Koukoulis, G.; Williams, J . W. Pharmacologically Induced
Regression of Chronic Transplant Rejection. Transplantation
1995, 60, 1065-1072.
(14) Dias, V. C.; Lucien, J .; LeGatt, D. F.; Yatscoff, R. W. Measure-
ment of the Active Leflunomide Metabolite by Reverse-Phase
High-Performance Liquid Chromatography. Ther. Drug Monitor.
1995, 17, 84-88.
(15) Kuo, E. A.; Hambleton, P. T.; Kay, D. P.; Evans, P. L.; Matharu,
S. S.; Little, E.; McDowall, N.; J ones, B. C.; Hedgecock, C. J . R.;
Yea, C. M.; Chan, E. A. W.; Hairsine, P. W.; Ager, I. A.; Tully,
R. W.; Williamson, R. A.; Westwood, R. J . Med. Chem. 1996,
39, 4608-4612.
(16) Shuurman, H.-J .; Tanner, M. Unpublished results (NOVARTIS
Pharma AG).
(17) Papageorgiou, C.; Zurini, M.; Weber, H.-P.; Borer, X. Lefluno-
mide’s Bioactive Metabolite Has the Minimal Structural Re-
quirements for the Efficient Inhibition of Human Dihydroorotate
Dehydrogenase. Bioorg. Chem. 1997, 25, 233-238.
(18) Papageorgiou, C.; Kayan, A.; Oberer, L.; Borer, X.; Rihs, G.
Hydroxy- and Alkoxy-Cyanopropenamides: Synthesis, Structure
and Solvent Dependent (E)/(Z) Isomerisation. Helv. Chim. Acta
1998, 81, 1319-1328.
(19) Bertolini, G.; Aquino, M.; Biffi, M.; d’Atri, G.; Di Pierro, F.;
Ferrario, F.; Mascagni, P.; Somenzi, F.; Zaliani, A.; Leoni, F. A
New Rational Hypothesis for the Pharmacophore of the active
Metabolite of Leflunomide, a Potent Immunosuppressive Drug.
J . Med. Chem. 1997, 40, 2011-2016.
(8) Ha¨ry, P. Molecular Pathology of Acute and Chronic Rejection.
Transplant. Proc. 1994, 26, 3280-3284. Azuma, H.; Tilney, N.
L. Chronic graft rejection. Curr. Opin. Immunol. 1994, 6, 770-
776.
(9) Hess, M. L.; Hastillo, A.; Mohanakumar, D. V. M.; Cowley, M.
J .; Vetrovac, G.; Szentpetery, S.; Wolfgang, T. C.; Lower, R. R.
Accelerated atherosclerosis in cardiac transplantation: role of
cytotoxic B-cell antibodies and hyperlidemia. Circulation 1983,
68 (Suppl. II), II-94, II-101. Diethelm, A. G.; Deierhoi, M. H.;
Hudson, S. L.; Laskow, D. A.; J ulian, B. A.; Gaston, R. S.; Bynon,
J . S.; Cutris, J . J . Progress in renal transplantation. A single
center study of 3359 patients over 25 years. Ann. Surg. 1995,
221, 446-457. Lobo, P. I.; Spencer, C. E.; Stevenson, W. C.;
Pruett, T. L. Evidence demonstrating poor kidney graft survival
when acute rejections are associated with IgG donor-specific
lymphocytotoxin. Transplantation 1995, 59, 357-360. Suciu-
Foca, N.; Reed, E.; Marboe, C.; Harris, P.; Xi, Y. P.; Yu-Kai, S.;
Ho, E.; Rose, E.; Reemtsma, K.; King, D. W. The role of Anti-
HLA Antibodies in Heart Transplantation. Transplantation
1991, 57, 716-724. Winter, J . B.; Clelland, C.; Gouw, A. S.; Prop,
J . Distinct phenotypes of infiltrating cells during acute and
chronic lung rejection in human heart-lung transplants. Trans-
plantation 1995, 59, 63-69.
(10) Shi, C.; Lee, W.-S.; He, Q.; Zhang, D.; Fletcher, D. L.; Newell, J .
B.; Haber, E. Immunological basis of transplant-associated
arteriosclerosis. Proc. Natl. Acad. Sci. U.S.A. 1996, 93, 4051-
4056.
(11) Silva, H. T.; Morris, R. E. Leflunomide and malononitriloamides.
Exp. Opin. Invest. Drugs 1997, 6, 51-64.
(12) Lucien, J .; Marath, A.; Rayat, G.; Koshal, A.; Yatscoff, R. Efficacy
of Leflunomide to Reduce Xenoantibody Titers In Vivo: An
Evaluation of the Prolongation of Discordant Xenograft Survival.
Transplant. Proc. 1996, 28, 704-707. Lin, Y.; Sobis, H.;
Vandeputte, M.; Waer, M. Long-Term Xenograft Survival and
Suppression of Xenoantibody Formation in the Hamster-to-Rat
(20) Ibrahim, N. S. Reaction of isothiocyanates with active methylene
reagent: a new approach for the synthesis of pyrazole, pyrimi-
dine and pyrazolo[1,5-a]pyrimidine derivatives. Chem. Ind. 1989,
654-655.
(21) Mohareb, R. M.; Shams, H. Z.; Aziz, S. I. Reactions with
4-Phenyl-3-thiosemicarbazide: A New Approach for the Syn-
thesis of Pyrazole, Thiazole, Pyridine and Pyrazolo[3,4-b]-
pyridine derivatives. Sulfur Lett. 1991, 13, 101-113.
(22) Vishwakarma, J . N.; Chowdhury, B. K.; Roy, H.; J umjappa, H.
Reactions of polarized ketene S,N-acetals with hydrazine:
a
facile general route to 3(5)-substituted amino-4,5(3)-substituted
pyrazoles. Part XLV. Indian J . Chem., Sect. B 1985, 24B, 472-
476.
(23) Hackler, R. E.; Wickiser, D. I. 3-Substituted 3-aminonitriles.
Patent GB 2141712 A, J an 3, 1985.
(24) Lang, S. A.; Cohen, E. â-Aminocinnamonitriles as potent anti-
inflammatory agents. J . Med. Chem. 1975, 18, 441-443.
(25) Suesse, M.; J ohne, S. Synthese von Chinazolin-4-thion- und 1H-
Indazol-Derivaten. (Synthesis of Quinazoline-4-thiones and 1H-
Indazole Derivatives.) J . Prakt. Chem. 1986, 328, 635-639.
(26) Goerdeler, J .; Laqua, A.; Linder, C. Imidoylketene imines. II.
Preparartion of vinylogous thioureas and isothioureas. Chem.
Ber. 1974, 107, 3518-3532.
(27) Radl, S. Preparation of some pyrazole derivatives by extrusion
of elemental sulfur from 1,3,4-thiadiazines. Collect. Czech. Chem.
Commun. 1992, 5, 656-659.
(28) Taylor, R.; Kennard, O. Crystallographic Evidence for Existence
of C-H‚‚‚O, C-H‚‚‚N, and C-H‚‚‚Cl Hydrogen Bonds. J . Am.
Chem. Soc. 1982, 104, 5063-5070.
(29) The molecular modeling program packet Sybyl6.4 r4, from
Evans & Sutherland, Tripos Assoc. Inc., St. Louis, MO, was used.
(30) Kallen, J .; Mikol, V.; Quesniaux, V.; Walkinshaw, M. D.;
Schneider-Scherzer, E.; Schorgendorfer, K.; Weber, G.; Fliri, H.
G. Cyclosporins: recent developments in biosynthesis, pharma-
cology and biology, and clinical applications. In Biotechnology,
2nd ed.; Kleinkauf, H., Von Doehren, H., Eds.; VCH: Weinheim,
Germany, 1997; pp 535-591.
(31) Meo, T. The MLR test in the mouse. In Immunological Methods;
Lefkovits, I., Pernis, B., Eds.; Academic Press: New York, 1979;
pp 227-239.
(32) Davies, J . P.; Cain, G. A.; Pitts, W. J .; Magolda, R. L.; Copeland,
R. A. Biochemistry 1996, 35, 1270-1273.
(33) Fersht, A. R. The hydrogen bond in molecular recognition.
Trends Biol. Sci. 1987, 13, 301-304.
(34) Schreier, M. H.; Tees, R. Long-term culture and cloning of
specific helper T cells. In Immunological Methods; Lefkovits, I.,
Pernis, B., Eds.; Academic Press: New York, 1981; pp 263-275.
Heart Transplant Model Using
a Combination Therapy of
Leflunomide and Cyclosporin. Transplant. Proc. 1994, 26, 3202.
Xiao, F.; Chong, A.; Foster, P.; Sankary, H.; McChesney, L.;
Koukoulis, G.; Yang, J .; Frieders, D.; Williams, J . W. Lefluno-
mide Controls Rejection in Hamster to Rat Cardiac Xeno-
grafts. Transplantation 1994, 58, 828-834. Lin, Y.; Sobis, H.;
Vandeputte, M.; Waer, M. Mechanism of Leflunomide-Induced
Prevention of Xenoantibody Formation and Xenograft Rejection
in the Hamster to Rat Heart Transplantation Model. Transplant.
Proc. 1995, 27, 305-306.
(13) MacDonald, A. S.; Sabr, K.; MacAuley, M. A.; McAlister, V. C.;
Bitter-Suermann, H.; Lee, T. Effects of Leflunomide and Cy-
closporin on Aortic Allograft Chronic Rejection in the Rat.
Transplant. Proc. 1994, 26, 3244-3245. Morris, R. E.; Huang,
X.; Gregory, C. R.; Billingham, M. E.; Rowan, R.; Shorthouse,
R.; Berry, G. J . Studies in Experimental Models of Chronic
Rejection: Use of Rapamycin and Isoxazole Derivatives for the
Suppression of Graft Vascular Disease and Obliterative Bron-
chiolitis. Transplant. Proc. 1995, 27, 2068-2069. Swan, S. K.;
J M981028C