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Use of an estrogen agonist/antagonist to treat conditions responsive to estrogen such as rheumatoid arthritis, colon cancer, tissue wounds and cataracts

机译:雌激素激动剂/拮抗剂在治疗对雌激素有反应的疾病中的用途,例如类风湿性关节炎,结肠癌,组织伤口和白内障

摘要

A compound of formula (I) or an optical or geometric isomer thereof; or a nontoxic pharmacologically acceptable acid addition salt, N-oxide, ester, quaternary ammonium salt or prodrug thereof is used to treat a condition responsive to estrogen agonist/antagonist wherein: A is CH2 or NR; B, D and E are independently CH or N; Y is optionally substituted phenyl, naphthyl, cycloalkyl, cycloalkenyl, a five or six membered heterocycle containing up to two heteroatoms selected from -O-, -NR- and -S(O)n-, or a bicyclic ring system consisting of a five or six membered heterocyclic ring fused to a phenyl ring, said heterocyclic ring containing up to two heteroatoms selected from -O-, -NR- and -S(O)n-; Z1 is -(CH2)pW(CH2)q-; -O(CH2)pCR5R6-; -O(CH2)pW(CH2)q-; -OCHR2CHR3- or -SCHR2CHR3-; G is -NR7R8; an optionally substituted bicyclic amine containing five to twelve carbon atoms, either bridged or fused or Z and G in combination may be group of formula (II); W is -CH2-; -CH=CH-; -O-; -NR2-; -S(O)n-; -C(O)-; -CR2(OH)-; -CONR2-; -NR2CO-; a group of formula (III) or -C ºC-; R and R2 to R8 are as defined in the specification; e and n are independently 0, 1 or 2; m is 1, 2 or 3 and p and q are independently 0, 1, 2 or 3.
机译:式(I)的化合物或其光学或几何异构体;或其无毒的药学上可接受的酸加成盐,N-氧化物,酯,季铵盐或其前药用于治疗对雌激素激动剂/拮抗剂有反应的疾病,其中:A为CH2或NR; B,D和E独立地为CH或N; Y是任选取代的苯基,萘基,环烷基,环烯基,含有至多两个选自-O-,-NR-和-S(O)n-的杂原子的五元或六元杂环,或由五元组成的双环系统或与苯环稠合的六元杂环,所述杂环含有至多两个选自-O-,-NR-和-S(O)n-的杂原子; Z1是-(CH2)pW(CH2)q-; -O(CH2)pCR5R6-; -O(CH2)pW(CH2)q-; -OCHR2CHR3-或-SCHR2CHR3-; G为-NR7R8;任选地取代的,含有五个或十二个碳原子的,桥接或稠合的或Z和G结合的双环胺可以是式(II)的基团; W是-CH 2-; -CH = CH-; -O- ;; -NR2-; -儿子-; -C(O)-; -CR2(OH)-; -CONR2-; -NR2CO-;一组式(III)或-CºC-; R和R2至R8如说明书中所定义; e和n独立为0、1或2; m为1、2或3,p和q独立为0、1、2或3。

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