Chemistry & Biodiversity · 2008 · 45 citations · 15 references
PharmacyMedicinal ChemistryPharmacologyDrug DiscoveryOrganic ChemistryStructure-activity RelationshipsSickle Cell DiseaseStructure-activity Relationship AnalysisAllosteric MechanismsAllosteric Modulation PotencyHemoglobin AdductsMedicinal Chemistry ApplicationsSickle Cell AnemiaSickle Cell Hemoglobin PhysiologyStereochemical Structure - Activity Relationship
Compounds that bind to sickle hemoglobin (Hb S) producing an allosteric shift to the high-affinity Hb S that does not polymerize are being developed to treat sickle cell anemia (SCA). In this study, three series of pyridyl derivatives of substituted benzaldehydes (Classes I-III) that combine structural features of two previously determined potent antisickling agents, vanillin and pyridoxal, were synthesized. When analyzed with normal human whole blood, the compounds form Schiff-base adducts with Hb and left shift the oxygen equilibrium curve (OEC) to the more soluble high-affinity Hb, more than vanillin or pyridoxal. Generally, Class-I compounds with an aromatic aldehyde located ortho to the pyridyl substituent are the most potent, followed by the Class-II compounds with the aldehyde at the meta-position. Class-III compounds with the aldehyde at the para position show the weakest activity. The structure-activity studies of these pyridyl derivatives of substituted benzaldehydes demonstrate significant allosteric potency that may be useful for treating SCA.
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Natural History of Sickle Cell Anemia in Saudi Arabs
Richard P. Perrine · Annals of Internal Medicine · 1978 · 286 citations
Samuel Charache, G Dover, Kerry Smith et al. · Proceedings of the National Academy of Sciences · 1983 · 275 citations · Full text
Medicine, Genetics, Hematology +10