Since the discovery of the active metabolite of vitamin D, i.e., 1␣,25-dihydroxyvitamin D3, there has been a continuous effort to synthesize analogs able to carry out many of the functions of the native hormone without raising serum calcium concentration. The present report provides a series of previously undescribed analogs wherein this goal is realized. We have prepared 2-methylene-19-nor-1␣-hydroxyvitamin D analogs of 1,25-(OH)2D3 that possess only two to four carbons of the side chain without a hydroxyl thereon. Compared to 1,25-(OH)2D3, these analogs are slightly less active in binding to the vitamin D receptor, in causing HL-60 differentiation, and are slightly less active in in vitro transcription assays using the 24-hydroxylase promoter attached to a luciferase reporter gene. Of considerable importance is that these analogs, given to rats at daily doses of up to 70 g͞kg of body weight per day, are either unable or only slightly able to raise serum calcium concentration but are nevertheless able to suppress parathyroid hormone levels in plasma up to 100% and induce 24-hydroxylase mRNA in skin. Because of their ability to act in vivo without raising serum calcium levels, they may be of considerable interest for the systemic treatment of diseases such as psoriasis, cancer, and secondary hyperparathyroidism of renal failure, where a rise in serum calcium is undesirable.S ince the discovery that vitamin D must be metabolized to its biologically active form, 1␣,25-dihydroxyvitamin D 3 [1,25-(OH) 2 D 3 ], before it can function, an intense synthetic effort has been placed on preparing analogs of the vitamin D hormone with the hope that these analogs may be selective in their activity and might be useful in treating specific disorders (1). Most notable among new analogs are 19-nor-1,25-dihydroxyvitamin D 2 (Zemplar, Abbott) (2), 22-oxa-1␣,25-dihydroxyvitamin D 2 (3), MC-903 (calcipotriol) (4), 16-ene-23-yne-1␣,25-dihydroxyvitamin D 3 (5), and 24-difluoro-26,27-dimethyl-16-ene-1␣,25-dihydroxyvitamin D 3 (6). Calcipotriol has been successfully applied in topical treatment of psoriasis under the trade name of Dovonex (7), whereas the 22-oxa-1␣,25-(OH) 2 D 3 has been applied to renal osteodystrophy and psoriasis (3). These two compounds appear to be noncalcemic in their activity, primarily because they are rapidly metabolized and excreted (8, 9). Nevertheless, they have been quite useful in that their metabolic lability renders them considerably safer than the native hormone. Other analogs are also known to be metabolized rapidly (8, 9). The 19-nor-1␣,25-dihydroxyvitamin D 2 that is successfully marketed for renal osteodystrophy is also less calcemic but not because of rapid metabolism (10). Thus, the search continues for a vitamin D compound that remains in the circulation but is not effective in raising serum calcium, while still retaining noncalcemic activities. This paper reports a series of analogs that are clearly noncalcemic but are nevertheless systemically active.
Materials and MethodsCompounds. Structures ...