The increase in the aging population has prompted us to develop new drugs for geriatric diseases. Among these diseases, cerebrovascular lesion (stroke) is one of the major causes of death in many countries. It can cause memory impairment and lead consequently to serious social and medical problems. Basic research findings suggest that biochemical changes and physiological dysfunction of cells damaged by cerebral infarction and hemorrhage can be improved, to some extent, by treating the decreased respiratory function of these cells.Cerebral hemodynamic changes caused by cerebrovascular lesions reduce the supply of nutrients (mainly glucose) and oxygen to the nerve cells and consequently interfere with the cerebral energy metabolism. As cerebral mitochondria are highly sensitive to ischemic conditions, their adenosine triphosphate (ATP) production rapidly decreases. Various cellular brain functions are therefore reduced. The above described changes seem to be basic to cerebrovascular diseases, particularly occlusive cerebrovascular disease, and are closely related to the onset of sequelae. With the aim of activating the function of mitochondria, where cellular energy is produced, various chemical compounds including idebenone were synthesized.To evaluate those newly synthesized compounds, animal models that reflect the above-described pathophysiological changes were needed. We reported the development of stroke-prone spontaneously hypertensive rats (SHR-SP) in 1974 (49). More recently we developed new models of memory impairment, analyzed their characteristics, and tentatively established a system to evaluate drug effects in these animals (25,30,75). Okamoto et al. (50) synthesized a number of benzoquinone compounds. One of them, idebenone, was found to be pharmacologically effective in these models.
CHEMISTRYIdebenone (CV-2619), 6-( 1 O-hydroxydecyl)-2,3-dimethoxy-5-methyl-1,4-benzoquinone (Fig. l), was synthesized by Imada and co-workers (50)