Organophosphorous Compounds and Uses Thereof
20260015372 · 2026-01-15
Inventors
Cpc classification
A61P25/28
HUMAN NECESSITIES
A61K31/662
HUMAN NECESSITIES
International classification
A61K31/662
HUMAN NECESSITIES
Abstract
Provided herein are organophosphorous compounds useful as inhibitors of esterase proteins and in treating esterase-related diseases.
Claims
1. A compound, which is ##STR00216##
2. A composition, comprising the compound of claim 1.
3. The composition of claim 2, which is a pharmaceutical composition further comprising a pharmaceutically acceptable carrier.
4. A method of treating an esterase-related disease, e.g., a cholinesterase-related disease, e.g., an ACHE-related or BCHE-related disease, in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of the compound of claim 1 or the composition of claim 2 or claim 3.
5. The method of claim 4, wherein the esterase-related disease includes a disease associate with the cholinergic anti-inflammatory pathway.
6. The method of claim 4, wherein the esterase-related disease includes an autoimmune disease.
7. The method of claim 4, wherein the esterase-related disease includes an inflammatory disease.
8. The method of claim 4, wherein the esterase-related disease includes a disease associated with cholinergic dysfunction, and wherein by treating the disease associated with cholinergic dysfunction, the symptomatic effects of ACh deficiency are treated.
9. The method of claim 4, wherein the esterase-related disease includes, but is not limited to, long COVID disease, or symptoms thereof, which may be associated with inflammation, cholinergic dysfunction, or formation of beta-amyloid plaques, or a combination thereof, and wherein by treating the disease associated with cholinergic dysfunction, the symptomatic effects of ACh deficiency are treated.
10. The method of claim 9, wherein the long COVID disease includes inflammatory response, cholinergic dysfunction, or Alzheimer's-like symptoms.
11. A method of treating a disease in a subject in need thereof, comprising administering a therapeutically effective amount of the compound of claim 1 or the composition of claim 2 or claim 3 to the subject, wherein the disease is selected from inflammatory diseases, diseases associated with cholinergic dysfunction, autoimmune diseases, neurodegenerative disorders including Alzheimer's disease (AD), mild cognitive impairment (MCI), dementia with Lewy Bodies, subcortical vascular dementia, Parkinson's disease (PD), Huntington's disease (HD), and amyotrophic lateral sclerosis (ALS), or a combination thereof, and wherein by treating diseases associated with cholinergic dysfunction, the symptomatic effects of ACh deficiency are treated.
12. A method of treating a disease in a subject in need thereof, comprising administering a therapeutically effective amount of the compound of claim 1 or the composition of claim 2 or claim 3 to the subject, wherein the disease is selected from an inflammatory disease including, type 2 diabetes mellitus, hypertension, insulin resistance, hyperlipidemia, obesity, heart disease, metabolic syndrome, hyperthyroidism, nephrotic syndrome/kidney disease, proliferative diabetic retinopathy, age-related macular degeneration, chronic alcoholism, a viral infection, or a combination thereof.
13. The method of claim 12, wherein the inflammatory disease includes type 2 diabetes mellitus, metabolic syndrome, an ophthalmic disease, or a viral infection, or a combination thereof.
14. A method of treating a disease associated with cholinergic dysfunction, wherein by treating the disease associated with cholinergic dysfunction, the symptomatic effects of ACh deficiency are treated, comprising administering a therapeutically effective amount of the compound of claim 1 or the composition of claim 2 or claim 3 to the subject.
15. The method of claim 14, wherein the disease associated with cholinergic dysfunction is selected from Alzheimer's disease, mild cognitive impairment (MCI), dementia with Lewy Bodies, myasthenia gravis, multiple sclerosis (MS), autism spectrum disorder (ASD), Parkinson's disease, Huntington's disease, Lambert-Eaton myasthenic syndrome (LEMS), subcortical vascular dementia, opioid addiction, opiate use disorder, bipolar disorder, schizophrenia, metabolic syndrome, traumatic brain injury, or glaucoma, among other cholinergic disorders.
16. The method of claim 14, wherein the disease associated with cholinergic dysfunction includes dementia with Lewy Bodies, myasthenia gravis, multiple sclerosis (MS), autism spectrum disorder (ASD), opioid addiction, bipolar disorder, schizophrenia, an autoimmune disorder, or a combination thereof.
17. The method of any of claims 4-16, wherein the subject includes a genetic predisposition to increased risk of having AD or increased prevalence of beta-amyloid peptides or formation of beta-amyloid plaques.
18. The method of claim 17, wherein the genetic predisposition includes APOE e4 Gene, other Late-Onset Alzheimer's Genes (ABCA7, CLU, CR1, PICALM, PLD3, TREM2, or SORL1, or a combination thereof), Young-Onset Alzheimer's, Family History and Genetics Mutations, genetic mutations of amyloid precursor protein (APP), Presenilin 1 (PSEN1), Presenilin 2 (PSEN2), and Down Syndrome Mutations.
19. The method of claim 17, wherein the genetic predisposition includes APOE e4 gene, Young-Onset Alzheimer's, or Down Syndrome, or a combination thereof.
20. A method of modulating (e.g., inhibiting or reducing) expression or production of amyloid- precursor protein (APP) in a subject in need thereof, comprising administering a therapeutically effective amount of the compound of claim 1 or the composition of claim 2 or claim 3 to the subject.
21. A method of modulating (e.g., inhibiting or reducing) expression or production of intracellular neurofibrillary tangles made of hyperphosphorylated tau protein in a subject in need thereof, comprising administering a therapeutically effective amount of the compound of claim 1 or the composition of claim 2 or claim 3 to the subject.
22. A method of modulating differentiation of a stem cell, comprising contacting the stem cell with an effective amount of the compound of claim 1 or the composition of claim 2 or claim 3.
23. A method of treating an esterase-related disease, e.g., a cholinesterase-related disease, e.g., an ACHE-related or BCHE-related disease, in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound, or a pharmaceutical composition comprising the compound, and a pharmaceutically acceptable carrier, wherein the compound is selected from: A) Formula 1: ##STR00217## or a pharmaceutically acceptable salt thereof, wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or B) Formula 2: ##STR00218## or a pharmaceutically acceptable salt thereof, wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or C) Formula 1A: ##STR00219## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or D) Formula 1B: ##STR00220## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or E) Formula 1C: ##STR00221## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or F) Formula 1D: ##STR00222## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or G) Formula 2A: ##STR00223## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or H) Formula 2B: ##STR00224## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or I) Formula 2C: ##STR00225## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or J) Formula 2D: ##STR00226## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or K) Formula 3: ##STR00227## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or L) Formula 4: ##STR00228## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or M) Formula 5: ##STR00229## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or N) Formula 6: ##STR00230## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or O) Formula 7: ##STR00231## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or P) Formula 8: ##STR00232## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or Q) Formula 9: ##STR00233## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2), wherein the esterase-related disease includes: a disease associate with the cholinergic anti-inflammatory pathway; an autoimmune disease; an inflammatory disease; a disease associated with cholinergic dysfunction; long COVID disease, or symptoms thereof, which may be associated with inflammation, cholinergic dysfunction, or formation of beta-amyloid plaques, or a combination thereof.
24. The method of claim 23, wherein the long COVID disease includes inflammatory response, cholinergic dysfunction, or Alzheimer's-like symptoms.
25. A method of treating a disease in a subject in need thereof, comprising administering a therapeutically effective amount of a compound, or a pharmaceutical composition comprising the compound, and a pharmaceutically acceptable carrier, wherein the compound is selected from: A) Formula 1: ##STR00234## or a pharmaceutically acceptable salt thereof, wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or B) Formula 2: ##STR00235## or a pharmaceutically acceptable salt thereof, wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or C) Formula 1A: ##STR00236## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or D) Formula 1B: ##STR00237## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or E) Formula 1C: ##STR00238## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or F) Formula 1D: ##STR00239## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or G) Formula 2A: ##STR00240## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or H) Formula 2B: ##STR00241## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or I) Formula 2C: ##STR00242## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or J) Formula 2D: ##STR00243## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or K) Formula 3: ##STR00244## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or L) Formula 4: ##STR00245## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or M) Formula 5: ##STR00246## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or N) Formula 6: ##STR00247## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or O) Formula 7: ##STR00248## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or P) Formula 8: ##STR00249## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or Q) Formula 9: ##STR00250## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2), wherein the disease is selected from inflammatory diseases, diseases associated with cholinergic dysfunction, autoimmune diseases, neurodegenerative disorders including Parkinson's disease (PD), Huntington's disease (HD), and amyotrophic lateral sclerosis (ALS), or a combination thereof.
26. A method of treating a disease in a subject in need thereof, comprising administering a therapeutically effective amount of a compound, or a pharmaceutical composition comprising the compound, and a pharmaceutically acceptable carrier, wherein the compound is selected from: A) Formula 1: ##STR00251## or a pharmaceutically acceptable salt thereof, wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or B) Formula 2: ##STR00252## or a pharmaceutically acceptable salt thereof, wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or C) Formula 1A: ##STR00253## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or D) Formula 1B: ##STR00254## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or E) Formula 1C: ##STR00255## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or F) Formula 1D: ##STR00256## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or G) Formula 2A: ##STR00257## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or H) Formula 2B: ##STR00258## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or I) Formula 2C: ##STR00259## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or J) Formula 2D: ##STR00260## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or K) Formula 3: ##STR00261## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or L) Formula 4: ##STR00262## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or M) Formula 5: ##STR00263## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or N) Formula 6: ##STR00264## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or O) Formula 7: ##STR00265## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or P) Formula 8: ##STR00266## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or Q) Formula 9: ##STR00267## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2), wherein the disease is selected from an inflammatory disease including, type 2 diabetes mellitus, hypertension, insulin resistance, hyperlipidemia, obesity, heart disease, metabolic syndrome, hyperthyroidism, nephrotic syndrome/kidney disease, proliferative diabetic retinopathy, age-related macular degeneration, chronic alcoholism, a viral infection, or a combination thereof.
27. The method of claim 26, wherein the inflammatory disease includes type 2 diabetes mellitus, metabolic syndrome, an ophthalmic disease, or a viral infection, or a combination thereof.
28. A method of treating a disease associated with cholinergic dysfunction in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound, or a pharmaceutical composition comprising the compound, and a pharmaceutically acceptable carrier, wherein the compound is selected from: A) Formula 1: ##STR00268## or a pharmaceutically acceptable salt thereof, wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or B) Formula 2: ##STR00269## or a pharmaceutically acceptable salt thereof, wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or C) Formula 1A: ##STR00270## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or D) Formula 1B: ##STR00271## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or E) Formula 1C: ##STR00272## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or F) Formula 1D: ##STR00273## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or G) Formula 2A: ##STR00274## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or H) Formula 2B: ##STR00275## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or I) Formula 2C: ##STR00276## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or J) Formula 2D: ##STR00277## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or K) Formula 3: ##STR00278## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or L) Formula 4: ##STR00279## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or M) Formula 5: ##STR00280## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or N) Formula 6: ##STR00281## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or O) Formula 7: ##STR00282## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or P) Formula 8: ##STR00283## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or Q) Formula 9: ##STR00284## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2).
29. The method of claim 28, wherein the disease associated with cholinergic dysfunction is selected from dementia with Lewy Bodies, myasthenia gravis, multiple sclerosis (MS), autism spectrum disorder (ASD), Parkinson's disease, Huntington's disease, Lambert-Eaton myasthenic syndrome (LEMS), subcortical vascular dementia, opioid addiction, opiate use disorder, bipolar disorder, schizophrenia, metabolic syndrome, or glaucoma, among other cholinergic disorders.
30. The method of claim 28, wherein the disease associated with cholinergic dysfunction includes dementia with Lewy Bodies, myasthenia gravis, multiple sclerosis (MS), autism spectrum disorder (ASD), opioid addiction, bipolar disorder, schizophrenia, an autoimmune disorder, or a combination thereof.
31. The method of any of claims 23-30, wherein the subject includes a genetic predisposition to increased risk of having AD or increased prevalence of beta-amyloid peptides or formation of beta-amyloid plaques.
32. The method of claim 31, wherein the genetic predisposition includes APOE e4 Gene, other Late-Onset Alzheimer's Genes (ABCA7, CLU, CR1, PICALM, PLD3, TREM2, or SORL1, or a combination thereof), Young-Onset Alzheimer's, Family History and Genetics Mutations, genetic mutations of amyloid precursor protein (APP), Presenilin 1 (PSEN1), Presenilin 2 (PSEN2), and Down Syndrome Mutations.
33. The method of claim 31, wherein the genetic predisposition includes APOE e4 gene, Young-Onset Alzheimer's, or Down Syndrome, or a combination thereof.
34. A method of modulating (e.g., inhibiting or reducing) expression or production of amyloid- precursor protein (APP) in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound, or a pharmaceutical composition comprising the compound, and a pharmaceutically acceptable carrier, wherein the compound is selected from: A) Formula 1: ##STR00285## or a pharmaceutically acceptable salt thereof, wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or B) Formula 2: ##STR00286## or a pharmaceutically acceptable salt thereof, wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or C) Formula 1A: ##STR00287## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or D) Formula 1B: ##STR00288## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or E) Formula 1C: ##STR00289## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or F) Formula 1D: ##STR00290## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or G) Formula 2A: ##STR00291## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or H) Formula 2B: ##STR00292## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or I) Formula 2C: ##STR00293## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or J) Formula 2D: ##STR00294## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or K) Formula 3: ##STR00295## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or L) Formula 4: ##STR00296## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or M) Formula 5: ##STR00297## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or N) Formula 6: ##STR00298## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or O) Formula 7: ##STR00299## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or P) Formula 8: ##STR00300## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or Q) Formula 9: ##STR00301## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2).
35. A method of modulating (e.g., inhibiting or reducing) expression or production of intracellular neurofibrillary tangles made of hyperphosphorylated tau protein in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound, or a pharmaceutical composition comprising the compound, and a pharmaceutically acceptable carrier, wherein the compound is selected from: A) Formula 1: ##STR00302## or a pharmaceutically acceptable salt thereof, wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or B) Formula 2: ##STR00303## or a pharmaceutically acceptable salt thereof, wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or C) Formula 1A: ##STR00304## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or D) Formula 1B: ##STR00305## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or E) Formula 1C: ##STR00306## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or F) Formula 1D: ##STR00307## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or G) Formula 2A: ##STR00308## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or H) Formula 2B: ##STR00309## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or I) Formula 2C: ##STR00310## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or J) Formula 2D: ##STR00311## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or K) Formula 3: ##STR00312## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or L) Formula 4: ##STR00313## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or M) Formula 5: ##STR00314## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or N) Formula 6: ##STR00315## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or O) Formula 7: ##STR00316## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or P) Formula 8: ##STR00317## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or Q) Formula 9: ##STR00318## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2).
36. A method of modulating differentiation of a stem cell, comprising contacting the stem cell with an effective amount of a compound, or a pharmaceutical composition comprising the compound, and a pharmaceutically acceptable carrier, wherein the compound is selected from: A) Formula 1: ##STR00319## or a pharmaceutically acceptable salt thereof, wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or B) Formula 2: ##STR00320## or a pharmaceutically acceptable salt thereof, wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl; or C) Formula 1A: ##STR00321## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or D) Formula 1B: ##STR00322## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or E) Formula 1C: ##STR00323## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or F) Formula 1D: ##STR00324## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or G) Formula 2A: ##STR00325## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or H) Formula 2B: ##STR00326## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or I) Formula 2C: ##STR00327## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or J) Formula 2D: ##STR00328## or a pharmaceutically acceptable salt thereof, wherein, R.sup.1 is optionally substituted C.sub.1-12 alkyl; R.sup.2 is optionally substituted C.sub.1-12 alkyl; each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; or K) Formula 3: ##STR00329## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or L) Formula 4: ##STR00330## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or M) Formula 5: ##STR00331## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or N) Formula 6: ##STR00332## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or O) Formula 7: ##STR00333## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or P) Formula 8: ##STR00334## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); or Q) Formula 9: ##STR00335## or a pharmaceutically acceptable salt thereof, wherein X is O or S; Y is O or N; R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2).
37. The method of one of claims 23-36, wherein the compound is: 2-Bromophenyl di-n-butyl phosphate; 3-Bromophenyl n-dibutyl phosphate; Dibutyl 3-chlorophenyl phosphate; 4-Bromophenyl di-n-butyl phosphate; 2-Chlorophenyl dimethyl phosphate; 2-Chlorophenyl diethyl phosphate; 2-Chlorophenyl di-n-propyl phosphate; 2-Chlorophenyl di-i-propyl phosphate; Di-n-butyl 2-chlorophenyl phosphate; Di-i-butyl 2-Chlorophenyl phosphate; 2-Chlorophenyl di-n-pentyl phosphate; 2-Chlorophenyl dicyclohexyl phosphate; Di-n-butyl 4-chlorophenyl phosphate; Di-n-butyl 2,4-dichlorophenyl phosphate; Di-n-butyl 2-fluorophenyl phosphate; Di-n-butyl 3-fluorophenyl phosphate; Dibutyl 2-chlorophenyl thiophosphate; n-Butyl bis(2,4-dichlorophenyl) phosphate; Butyl bis(2-chlorophenyl) phosphate; 2-Chlorophenyl diphenyl phosphate; Di-n-butyl 4-nitrophenyl phosphate; Di-n-butyl 3-nitrophenyl phosphate; Di-n-butyl 2-methylphenyl phosphate; Di-n-butyl 3-methylphenyl phosphate; Di-n-butyl 4-methylphenyl phosphate; Di-n-butyl 3,4-dimethylphenyl phosphate; Di-n-butyl 3,5-dimethylphenyl phosphate; Diethyl 3,5-dimethylphenyl phosphate; Di-n-butyl 3,4,5-trimethylphenyl phosphate; Benzyl di-n-butyl phosphate; Di-n-butyl 2-methylbenzyl phosphate; Di-n-butyl 3-methylbenzyl phosphate; Di-n-butyl 4-methylbenzyl phosphate; Di-n-butyl 1-napthyl phosphate; Di-n-butyl 2-napthyl phosphate; Diethyl 2-napthyl phosphate; Di-n-butyl 2-phenylethyl phosphate; Butyl 2-chlorophenyl hexylphosphonate; Bis(2-chlorophenyl) ethylphosphonate; Butyl 2-chlorophenyl ethylphosphonate; Bis(3-nitrophenyl) ethylphosphonate; Butyl p-nitrophenyl ethylphosphonate; Bis (p-nitrophenyl) ethylphosphonate; Bis(2-chlorophenyl) hexylphosphonate; Bis(2-chlorophenyl) n-butylphosphonate; Bis(2-chlorophenyl) ethylphosphonate; 2-Chlorophenyl di-n-pentylphosphinate; 2-Chlorophenyl di-n-butylphosphinate; Phenyl di-n-pentylphosphinate; 4-nitrophenyl dipentylphosphinate; O-n-butyl-O-2-chlorophenyl-N-hexyl phosphoramidate; Bis(2-chlorophenyl) N-hexyl phosphoramidate; Tetraethyl propane-1,3-diyl bisphosphate; Tetraethyl butane-1,4-diyl bisphosphate; Tetraethyl pentane-1,5-diyl bisphosphate; Tetraethyl hexane-1,6-diyl bisphosphate; Tetraethyl heptane-1,7-diyl bisphosphate; Tetraethyl 3-oxapentane-1,5-diyl bisphosphate; Tetrabutyl propane-1,3-diyl bisphosphate; Tetrabutyl butane-1,4-diyl bisphosphate; Tetrabutyl pentane-1,5-diyl bisphosphate; Tetrabutyl hexane-1,6-diyl bisphosphate; Tetrabutyl heptane-1,7-diyl bisphosphate; Tetrabutyl octane-1,8-diyl bisphosphate; Tetrabutyl 3-oxapentane-1,5-diyl bisphosphate; Tetrabutyl 3-hexene-1,6-diyl bisphosphate; Tetraphenyl hexane-1,6-diyl bisphosphate; O,O,O,O-tetrabutyl S,S-(ethane-1,2-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(propane-1,3-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(butane-1,4-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(pentane-1,5-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(hexane-1,6-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(heptane-1,7-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(octane-1,8-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(nonane-1,9-diyl) Bis(phosphorothioate); O,O,O,O-tetrabutyl S,S-(decane-1,10-diyl) Bis(phosphorothioate); S,S-(hexane-1,6-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetraethyl Diphosphorodithioate; S,S-(butane-1,4-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate; S,S-(pentane-1,5-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate; S,S-(hexane-1,6-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate; S,S-(heptane-1,7-diylbis(azenediyl)) bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate; S,S-(octane-1,8-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate; S,S-(nonane-1,9-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate; S,S-(decane-1,10-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate; Di-n-butyl 4-methylbenzylphosphonate; Di-n-butyl 4-fluorobenzylphosphonate; Di-n-butyl 4-methoxybenzylphosphonate; Di-n-butyl 4-chlorobenzylphosphonate; Di-n-butyl 1-naphthylmethylphosphonate; Di-n-butyl benzylphosphonate; Di-n-butyl 3,5-dimethylbenzylphosphonate; Dimethyl phenyl phosphate; Diethyl phenyl phosphate; Di-n-propyl phenyl phosphate; Di-n-butyl phenyl phosphate; Di-n-pentyl phenyl phosphate; Di-cyclohexyl phenyl phosphate; or ()-n-Butyl ethyl phenyl phosphate; or a pharmaceutically acceptable salt thereof.
38. A compound described herein for use as described herein.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[1234] The following figures are included to illustrate certain aspects of the present disclosure and should not be viewed as exclusive embodiments. The subject matter disclosed is capable of considerable modifications, alterations, combinations, and equivalents in form and function, as will occur to one having ordinary skill in the art and having the benefit of this disclosure.
[1235]
[1236]
[1237]
[1238]
[1239]
[1240]
[1241]
[1242]
[1243]
DETAILED DESCRIPTION
[1244] Described herein are organophosphorous compounds that affect the function of esterases and other proteins, which are useful in treating diseases. It has been discovered that the compounds provided herein, acting as selective inhibitors of BCHE over other esterases, including ACHE, find use in treating a variety of diseases including inflammatory diseases, diseases associated with cholinergic dysfunction, autoimmune diseases, and long COVID, among others. For example, while other non-phosphorous compounds may be known to have some selectivity toward BCHE over ACHE, e.g., rivastigmine has approximately 12-fold selectivity (BCHE IC.sub.50 of 260 nM vs. ACHE IC.sub.50 of 3,030 nM), certain of the compounds provided herein have significantly higher selectivity, e.g., DB2CIPP has approximately 68,000-fold selectivity (BCHE IC.sub.50 of 0.69 nM vs. ACHE IC.sub.50 of 47,000 nM).
Definitions
[1245] Certain terms, whether used alone or as part of a phrase or another term, are defined below.
[1246] The articles a and an refer to one or to more than one of the grammatical object of the article.
[1247] Numerical values relating to measurements are subject to measurement errors that place limits on their accuracy. For this reason, all numerical values provided herein, unless otherwise indicated, are to be understood as being modified by the term about. Accordingly, the last decimal place of a numerical value provided herein indicates its degree of accuracy. Where no other error margins are given, the maximum margin is ascertained by applying the rounding-off convention to the last decimal place or last significant digit when a decimal is not present in the given numerical value.
[1248] The term alkyl or alkylene refers to branched, cyclic, or straight chain, or a combination thereof, saturated hydrocarbon.
[1249] The term alkenyl refers to an unsaturated hydrocarbon that includes at least one carbon-carbon double bond.
[1250] The term alkynyl refers to an unsaturated hydrocarbon that includes at least one carbon-carbon triple bond.
[1251] The term amelioration means a lessening of severity of at least one indicator of a condition or disease, such as a delay or slowing in the progression of one or more indicators of a condition or disease. The severity of indicators may be determined by subjective or objective measures which are known to those skilled in the art.
[1252] The term aryl refers to a carbocyclic aromatic system comprising one, two, three, or more rings.
[1253] The term C.sub.n-m refers to a moiety comprising n to m carbon atoms, wherein n and m are integers.
[1254] The terms composition and pharmaceutical composition refer to a mixture of at least one compound described herein with a pharmaceutically acceptable carrier. The pharmaceutical composition facilitates administration of the compound to a patient or subject. Multiple techniques of administering a compound exist including, but not limited to, intravenous, oral, aerosol, parenteral, ophthalmic, nasal, pulmonary, and topical administration.
[1255] The terms effective amount and therapeutically effective amount refer to an amount of therapeutic compound, such as a compound described herein, administered to a subject, either as a single dose or as part of a series of doses, which is effective to produce a desired therapeutic effect. In general, the therapeutically effective amount can be estimated initially either in cell culture assays or in mammalian animal models, for example, in non-human primates, mice, rabbits, dogs, or pigs. The animal model may also be used to determine the appropriate concentration range and route of administration. Such information can then be used to determine useful doses and routes for administration in non-human subjects and human subjects.
[1256] The term halo or halogen refers to one or more atoms independently selected from F, Br, Cl, or I.
[1257] The term heteroaryl refers to an aryl moiety comprising at least one ring heteroatom selected from O, S, or N, wherein each ring may comprise, independently, one, two, three, or four ring heteroatoms independently selected from O, S, or N.
[1258] The term pharmaceutically acceptable carrier means a pharmaceutically acceptable material, composition or carrier, such as a liquid filler, solid filler, stabilizer, dispersing agent, suspending agent, diluent, excipient, thickening agent, solvent, or encapsulating material, involved in carrying or transporting at least one compound described herein within or to the patient such that the compound may perform its intended function. A given carrier must be acceptable in the sense of being compatible with the other ingredients of a particular formulation, including the compounds described herein, and not injurious to the patient. Other ingredients that may be included in the pharmaceutical compositions described herein are known in the art and described, for example, in Remington's Pharmaceutical Sciences (Genaro (Ed.), Mack Publishing Co., 1985), the entire content of which is incorporated herein by reference.
[1259] As used herein, the term individual, patient, or subject used interchangeably, refers to any animal, including mammals, preferably mice, rats, other rodents, rabbits, dogs, cats, swine, cattle, sheep, horses, or primates, and most preferably humans.
[1260] The term refractory disease refers to a disease that continues to progress during treatment with a pharmaceutical ingredient other than the compounds provided herein, partially responds to the other treatment, or transiently responds to the other treatment. The term may be applied to each of the diseases referred to herein.
[1261] The terms treatment or treating refer to the application of one or more specific procedures used for the amelioration of a disease. A prophylactic treatment, refers to reducing the rate of progression of the disease or condition being treated, delaying the onset of that disease or condition, or reducing the severity of its onset.
[1262] As used herein, the term preventing or prevention of a disease, condition or disorder refers to decreasing the risk of occurrence of the disease, condition or disorder in a subject or group of subjects (e.g., a subject or group of subjects predisposed to or susceptible to the disease, condition or disorder). In some embodiments, preventing a disease, condition or disorder refers to decreasing the possibility of acquiring the disease, condition or disorder and/or its associated symptoms. In some embodiments, preventing a disease, condition or disorder refers to completely or almost completely stopping the disease, condition or disorder from occurring.
[1263] Recitation of ranges of values herein is merely intended to serve as a shorthand method of referring individually to each separate value falling within the range. Unless otherwise indicated herein, each individual value is incorporated into the specification as if it were individually recited herein. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g., such as) provided herein is intended merely to better illuminate the described subject matter and does not pose a limitation on the scope of the subject matter otherwise claimed. No language in the specification should be construed as indicating any non-claimed element essential to practicing the described subject matter.
[1264] Groupings of alternative elements or embodiments of this disclosure are not to be construed as limitations. Each group member may be referred to and claimed individually or in any combination with other members of the group or other elements found herein. Furthermore, a recited member of a group may be included in, or excluded from, another recited group for reasons of convenience or patentability. When any such inclusion or exclusion occurs, the specification is deemed to contain the group as modified thus fulfilling the written description of all Markush groups used in the appended claims.
[1265] References have been made to patents and printed publications throughout this specification, each of which are individually incorporated herein by reference in their entirety.
[1266] It is to be understood that the embodiments of this disclosure are illustrative. Accordingly, the present disclosure is not limited to that precisely as shown and described.
Compounds
[1267] It has been found that the compounds described herein are useful as selective inhibitors of esterases, including cholinesterases, e.g., butyrylcholinesterase (BCHE) selectivity over acetylcholinesterase (ACHE).
[1268] In some embodiments, the compounds described herein are selected from a compound of Formula 1:
##STR00123## [1269] or a pharmaceutically acceptable salt thereof, [1270] wherein R is C.sub.5-10 aryl, or C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, wherein the C.sub.5-10 aryl, or C.sub.5-6 heteroaryl can be optionally substituted with 1 to 5 of, independently, R.sup.7; [1271] R.sup.1 and R.sup.2 are, independently, C.sub.1-12 alkyl, and the C.sub.1-12 alkyl can be optionally substituted with R.sup.7; [1272] each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and [1273] R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl.
[1274] In some embodiments, the compounds described herein are selected from a compound of Formula 2:
##STR00124## [1275] or a pharmaceutically acceptable salt thereof, [1276] wherein R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected, independently, from N, O, or S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; [1277] X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7; [1278] each R.sup.7 is, independently, halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, OC(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b; and [1279] R.sup.a and R.sup.b are, independently, H or C.sub.1-6 alkyl.
[1280] In some embodiments, the compounds described herein are selected from a compound of Formula 1A, Formula 1B, Formula 1C, Formula 1D, Formula 2A, Formula 2B, Formula 2C, or Formula 2D:
##STR00125## [1281] or a pharmaceutically acceptable salt thereof, [1282] wherein, [1283] R.sup.1 is optionally substituted C.sub.1-12 alkyl; [1284] R.sup.2 is optionally substituted C.sub.1-12 alkyl; [1285] each R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are, independently, C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7; [1286] R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b, wherein R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl; and [1287] X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7.
[1288] In some embodiments, the compounds described herein are selected from a compound of Formula 3, Formula 4, Formula 5, Formula 6, Formula 7, Formula 8, or Formula 9:
##STR00126## [1289] or a pharmaceutically acceptable salt thereof, [1290] wherein [1291] X is O or S; [1292] Y is O or N; [1293] R.sup.1 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; [1294] R.sup.2 is H, C.sub.1-6 alkyl, C.sub.1-6 alkenyl, or C.sub.6-12 aryl; [1295] R.sup.3 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); [1296] R.sup.4 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); [1297] R.sup.5 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2); and [1298] R.sup.6 is H, C.sub.1-6 alkyl, O(C.sub.1-6 alkyl), or an electron withdrawing group (e.g., halo, CN, or NO.sub.2).
[1299] In some embodiments of the formulae provided herein, R is optionally substituted C.sub.5-10 aryl or C.sub.5-6 heteroaryl. In some embodiment, R is C.sub.5-10 aryl. In some embodiments, R is 5- or 6-membered heteroaryl. In some embodiments, R is 2-chlorophenyl, phenyl, or pyridine. In some embodiments, R is 2-chlorophenyl. In some embodiments R is phenyl.
[1300] In some embodiments of the formulae provided herein, R.sup.1 is optionally substituted C.sub.1-12 alkyl. In some embodiments, R.sup.1 is C.sub.1-6 alkyl, such as ethyl, propyl, or butyl, etc. In some embodiments, R.sup.1 is n-butyl.
[1301] In some embodiments of the formulae provided herein, R.sup.2 is optionally substituted C.sub.1-12 alkyl. In some embodiments, R.sup.2 is C.sub.1-6 alkyl, such as ethyl, propyl, or butyl, etc. In some embodiments, R.sup.2 is n-butyl.
[1302] In some embodiments of the formulae provided herein, R.sup.7 is halogen, cyano, C.sub.1-6 alkyl, C.sub.2-6 alkenyl, C.sub.2-6 alkynyl, OR.sup.a, C(O)R.sup.a, C(O)OR.sup.a, C(O)NR.sup.aR.sup.b, NR.sup.aR.sup.b, NR.sup.aS(O).sub.2R.sup.b, S(O).sub.1-2R.sup.a, or S(O).sub.2NR.sup.aR.sup.b. In some embodiments, R.sup.7 is halogen, such as F, Cl, CH.sub.3, OCH.sub.3, CN, OH, C(O)OH, C(O)NH.sub.2, S(O).sub.2NH.sub.2, S(O).sub.2CH.sub.3, NHS(O).sub.2CH.sub.3, or NH.sub.2, etc. In some embodiments, R.sup.7 is Cl. In some embodiment, Cl as R.sup.7 is located at the ortho-position of the phosphate group of the aryl or heteroaryl ring.
[1303] In some embodiments of the formulae provided herein, R.sup.a and R.sup.b are independently H or C.sub.1-6 alkyl. In some embodiments, R.sup.a and R.sup.b are independently C.sub.1-6 alkyl, such as CH.sub.3, C.sub.2H.sub.5, C.sub.3H.sub.7, C.sub.4H.sub.9, C.sub.5H.sub.11, or C.sub.6H.sub.13. In some embodiments, R.sup.a and R.sup.b are independently H.
[1304] In some embodiments of the formulae provided herein, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl, C.sub.5-6 heteroaryl containing 1-4 heteroatoms selected from N, O and S, or C.sub.1-12 alkyl, wherein the C.sub.5-10 aryl, C.sub.5-6 heteroaryl, and C.sub.1-12 alkyl can be optionally substituted with R.sup.7. In some embodiment, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-10 aryl. In some embodiments, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.5-6 heteroaryl. In some embodiment, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.1-12 alkyl. In some embodiments, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently C.sub.1-6 alkyl, such as methyl, ethyl, propyl, butyl, pentyl or hexyl. In some embodiments, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently ethyl. In some embodiments, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently n-butyl. In some embodiments, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 are independently phenyl.
[1305] In some embodiments of the formulae provided herein, X is C.sub.1-12 alkyl which can be optionally substituted with R.sup.7. In some embodiments, X is optionally substituted C.sub.1-12 alkyl. In some embodiments, X is ethyl, propyl, butyl, pentyl, or hexyl. In some embodiments, X is n-butyl.
[1306] Unless otherwise indicated, when a compound or chemical structural feature, such as alkyl, alkenyl, alkynyl, aryl, heteroaryl, etc., is referred to as being optionally substituted, it includes a feature that has no substituents (i.e. unsubstituted), or a feature that is substituted, meaning that the feature has one or more substituents. Optional substituents include, without limitation, C.sub.1-6 alkyl, halo, or haloalkyl.
[1307] The compounds referred to herein include those of Table 1, which, in some instances, may be provided as a pharmaceutically acceptable salt thereof.
TABLE-US-00001 TABLE 1 Com- pound Name 1 2-Bromophenyl di-n-butyl phosphate 2 3-Bromophenyl n-dibutyl phosphate 3 Dibutyl 3-chlorophenyl phosphate 4 4-Bromophenyl di-n-butyl phosphate 5 2-Chlorophenyl dimethyl phosphate 6 2-Chlorophenyl diethyl phosphate 7 2-Chlorophenyl di-n-propyl phosphate 8 2-Chlorophenyl di-i-propyl phosphate 9 Di-n-butyl 2-chlorophenyl phosphate 10 Di-i-butyl 2-Chlorophenyl phosphate 11 2-Chlorophenyl di-n-pentyl phosphate 12 2-Chlorophenyl dicyclohexyl phosphate 13 Di-n-butyl 4-chlorophenyl phosphate 14 Di-n-butyl 2,4-dichlorophenyl phosphate 15 Di-n-butyl 2-fluorophenyl phosphate 16 Di-n-butyl 3-fluorophenyl phosphate 17 Dibutyl 2-chlorophenyl thiophosphate 18 n-Butyl bis(2,4-dichlorophenyl) phosphate 19 Butyl bis(2-chlorophenyl) phosphate 20 2-Chlorophenyl diphenyl phosphate 21 Di-n-butyl 4-nitrophenyl phosphate 22 Di-n-butyl 3-nitrophenyl phosphate 23 Di-n-butyl 2-methylphenyl phosphate 24 Di-n-butyl 3-methylphenyl phosphate 25 Di-n-butyl 4-methylphenyl phosphate 26 Di-n-butyl 3,4-dimethylphenyl phosphate 27 Di-n-butyl 3,5-dimethylphenyl phosphate 28 Diethyl 3,5-dimethylphenyl phosphate 29 Di-n-butyl 3,4,5-trimethylphenyl phosphate 30 Benzyl di-n-butyl phosphate 31 Di-n-butyl 2-methylbenzyl phosphate 32 Di-n-butyl 3-methylbenzyl phosphate 33 Di-n-butyl 4-methylbenzyl phosphate 34 Di-n-butyl 1-napthyl phosphate 35 Di-n-butyl 2-napthyl phosphate 36 Diethyl 2-napthyl phosphate 37 Di-n-butyl 2-phenylethyl phosphate 38 Butyl 2-chlorophenyl hexylphosphonate 39 Bis(2-chlorophenyl) ethylphosphonate 40 Butyl 2-chlorophenyl ethylphosphonate 41 Bis(3-nitrophenyl) ethylphosphonate 42 Butyl p-nitrophenyl ethylphosphonate 43 Bis (p-nitrophenyl) ethylphosphonate 44 Bis(2-chlorophenyl) hexylphosphonate 45 Bis(2-chlorophenyl) n-butylphosphonate 46 Bis(2-chlorophenyl) ethylphosphonate 47 2-Chlorophenyl di-n-pentylphosphinate 48 2-Chlorophenyl di-n-butylphosphinate 49 Phenyl di-n-pentylphosphinate 50 4-nitrophenyl dipentylphosphinate 51 O-n-butyl-O-2-chlorophenyl-N-hexyl phosphoramidate 52 Bis(2-chlorophenyl) N-hexyl phosphoramidate 53 Tetraethyl propane-1,3-diyl bisphosphate 54 Tetraethyl butane-1,4-diyl bisphosphate 55 Tetraethyl pentane-1,5-diyl bisphosphate 56 Tetraethyl hexane-1,6-diyl bisphosphate 57 Tetraethyl heptane-1,7-diyl bisphosphate 58 Tetraethyl 3-oxapentane-1,5-diyl bisphosphate 59 Tetrabutyl propane-1,3-diyl bisphosphate 60 Tetrabutyl butane-1,4-diyl bisphosphate 61 Tetrabutyl pentane-1,5-diyl bisphosphate 62 Tetrabutyl hexane-1,6-diyl bisphosphate 63 Tetrabutyl heptane-1,7-diyl bisphosphate 64 Tetrabutyl octane-1,8-diyl bisphosphate 65 Tetrabutyl 3-oxapentane-1,5-diyl bisphosphate 66 Tetrabutyl 3-hexene-1,6-diyl bisphosphate 67 Tetraphenyl hexane-1,6-diyl bisphosphate 68 O,O,O,O-tetrabutyl S,S-(ethane-1,2-diyl) Bis(phosphorothioate) 69 O,O,O,O-tetrabutyl S,S-(propane-1,3-diyl) Bis(phosphorothioate) 70 O,O,O,O-tetrabutyl S,S-(butane-1,4-diyl) Bis(phosphorothioate) 71 O,O,O,O-tetrabutyl S,S-(pentane-1,5-diyl) Bis(phosphorothioate) 72 O,O,O,O-tetrabutyl S,S-(hexane-1,6-diyl) Bis(phosphorothioate) 73 O,O,O,O-tetrabutyl S,S-(heptane-1,7-diyl) Bis(phosphorothioate) 74 O,O,O,O-tetrabutyl S,S-(octane-1,8-diyl) Bis(phosphorothioate) 75 O,O,O,O-tetrabutyl S,S-(nonane-1,9-diyl) Bis(phosphorothioate) 76 O,O,O,O-tetrabutyl S,S-(decane-1,10-diyl) Bis(phosphorothioate) 77 S,S-(hexane-1,6-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetraethyl Diphosphorodithioate 78 S,S-(butane-1,4-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate 79 S,S-(pentane-1,5-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate 80 S,S-(hexane-1,6-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate 81 S,S-(heptane-1,7-diylbis(azenediyl)) bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate 82 S,S-(octane-1,8-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate 83 S,S-(nonane-1,9-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate 84 S,S-(decane-1,10-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate 85 Di-n-butyl 4-methylbenzylphosphonate 86 Di-n-butyl 4-fluorobenzylphosphonate 87 Di-n-butyl 4-methoxybenzylphosphonate 88 Di-n-butyl 4-chlorobenzylphosphonate 89 Di-n-butyl 1-naphthylmethylphosphonate 90 Di-n-butyl 2-naphthylmethylphosphonate 91 Di-n-butyl benzylphosphonate 92 Di-n-butyl 3,5-dimethylbenzylphosphonate 93 Dimethyl phenyl phosphate 94 Diethyl phenyl phosphate 95 Di-n-propyl phenyl phosphate 96 Di-n-butyl phenyl phosphate 97 Di-n-pentyl phenyl phosphate 98 Di-cyclohexyl phenyl phosphate 99 ()-n-Butyl ethyl phenyl phosphate
[1308] Compounds described herein also include isotopically-labeled compounds wherein one or more atoms is replaced by an atom having the same atomic number, but an atomic mass or mass number different from the atomic mass or mass number predominantly found in nature. Examples of isotopes suitable for inclusion in the compounds described herein include and are not limited to .sup.2H, .sup.3H, .sup.11C, .sup.13C, .sup.14C, .sup.36Cl, .sup.18F, .sup.123I, .sup.125I, .sup.13N, .sup.15N, .sup.15O, .sup.17O, .sup.18O, .sup.32P, and .sup.35S. In some embodiments, isotopically-labeled compounds are useful in drug or substrate tissue distribution studies. In another embodiment, substitution with heavier isotopes such as deuterium affords greater metabolic stability (for example, increased in vivo half-life or reduced dosage requirements). In yet another embodiment, substitution with positron emitting isotopes, such as .sup.11C, .sup.18F, .sup.15O and .sup.13N, is useful in Positron Emission Topography (PET) studies for examining substrate receptor occupancy. Isotopically-labeled compounds are prepared by any suitable method or by processes using an appropriate isotopically-labeled reagent in place of the non-labeled reagent otherwise employed.
[1309] In some embodiments, the compounds described herein are labeled by other means, including, but not limited to, the use of chromophores or fluorescent moieties, bioluminescent labels, or chemiluminescent labels.
Synthesis
[1310] Methods of synthesizing the herein described compounds will be evident to those of ordinary skill in the art. Synthetic chemistry transformations and protecting group methodologies (protection and deprotection) useful in synthesizing the compounds are known in the art and include, for example, those such as described in R. LaRock, Comprehensive Organic Transformations, VCH Publishers (1989); T. W. Greene and P. G. M. Wuts, Protective Groups in Organic Synthesis, 2d. Ed., John Wiley and Sons (1991); L. Fieser and M. Fieser, Fieser and Fieser's Reagents for Organic Synthesis, John Wiley and Sons (1994); and L. Paquette, ed., Encyclopedia of Reagents for Organic Synthesis, John Wiley and Sons (1995), and subsequent editions thereof. Accordingly, the compounds may be prepared by a method of synthesis comprising any one or more of Method A, Method B, Method C, Method D, Method E, Method F, Method G, or Method H, described below. Furthermore, the compounds may be prepared analogous to the synthetic sequences described in, for example, U.S. Pat. No. 9,757,399 B2, the entire content of which is incorporated herein by reference.
[1311] Representative Procedure for Method A. To a dry 50 mL round bottom flask were added 10 mL of CH.sub.2Cl.sub.2 and 1.3 mL (2.0 g, 8.2 mmol) of 2-chlorophenyl dichlorophosphate. The solution was cooled to 0 C. using an ice water bath. Then 2.5 equivalents of alcohol and 2.5 equivalents of pyridine in 10 mL of CH.sub.2Cl.sub.2 were added to the stirring solution via cannulation. The reaction was left to stir overnight at room temperature. The reaction mixture was diluted with 80 mL of diethyl ether and washed three times with 40 mL of 10% HCl. The aqueous layers were combined and washed with 40 mL of CH.sub.2Cl.sub.2. The combined organic layer was washed once with 40 mL of saturated sodium bicarbonate, dried over magnesium sulfate, filtered, concentrated in vacuo, and purified by evaporative distillation.
[1312] Representative Procedure for Method B. A solution of dibutyl phosphite (0.73 g, 3.8 mmol) in 3 mL CCl.sub.4 was added dropwise to a stirring solution containing the substituted phenol (3.0 mmol), 5 mL CCl.sub.4, tetra-n-butylammonium bromide (0.095 g, 0.3 mmol), NaOH (0.18 g, 4.4 mmol), and 5 mL water, and then stirred at room temperature. The reaction mixture was dissolved in 10 mL of CCl.sub.4, extracted with ice-cold distilled water (310 mL), and each of the aqueous layer was washed with 10 mL CCl.sub.4. The combined organic layer was dried under MgSO.sub.4, concentrated in vacuo, and purified by evaporative distillation, flash chromatography or gravity chromatography.
[1313] Representative Procedure for Method C. General procedure for the preparation of triphosphates: to a dried two or three-necked 150 mL round bottom flask, 1.04 mL (1.14 g, 5.00 mmol) of di-n-butyl chlorophosphate was dissolved in 12 mL CH.sub.2Cl.sub.2 with stirring. The solution was cooled to 0 C. Then 2.0 equivalents of alcohol and 2.0 equivalents of pyridine were added to the solution via syringe. The reaction was stirred overnight at room temperature. The reaction mixture was diluted with 80 mL of diethyl ether and washed three times with 30 mL of 10% HCl. The aqueous layers were combined and washed with 40 mL of CH.sub.2Cl.sub.2. The combined organic layer was washed once with 40 mL of saturated sodium bicarbonate, once with 40 mL of brine, dried over magnesium sulfate, filtered, concentrated in vacuo. The products were purified by flash chromatography.
[1314] Representative Procedure for Method D. General procedure for the synthesis of bisphosphates: to a dried two-necked, 50 mL round bottom flask, dialkyl chlorophosphate (12 mmol) was dissolved in 10 mL of CH.sub.2Cl.sub.2 while stirring. The solution was cooled to 0 C. Then pyridine (12 mmol) and diol (4 mmol) were added to the solution via syringe, respectively. The reaction was stirred for 3 days at room temperature. The reaction mixture was diluted with 40 mL of diethyl ether and washed three times with 20 mL of 10% HCl. The aqueous layers were combined and washed with 20 mL of CH.sub.2Cl.sub.2. The combined organic layer was washed once with 20 mL of saturated sodium bicarbonate, once with 20 mL of brine, dried over anhydrous magnesium sulfate, filtered, concentrated in vacuo, and purified by flash chromatography using non-flash silica gel.
[1315] Representative Procedure for Method E. Synthesis of O,O,O,O-tetrabutyl S,S-(alkane-,-diyl) Bis(phosphorothioate): dibutyl thiophosphate potassium salt (9 mmol), alkyl dibromide (3 mmol) and 20 mL of dried ethanol were added to a two-neck round-bottom flask equipped with magnetic stirrer, reflux condenser, and rubber septum under a nitrogen atmosphere. The reaction mixture was then heated to reflux and stirred for 1-2 days while monitored periodically through TLC and GC-MS analysis. After cooling to room temperature, the solution was filtered and reduced under pressure. After concentration, the reaction mixture was diluted with 40 mL of diethyl ether and washed three times with 60 mL of water; the aqueous layers were combined and extracted three times with 50 mL of diethyl ether. The combined organic layer was washed with 80 mL of brine and dried over Mg.sub.2SO.sub.4. Evaporation of the solvent afforded a light yellow oil crude material, which was purified by flash column chromatography on flash grade silica gel eluting with varying ratio of hexane and ethyl acetate to afford the final product.
[1316] Representative Procedure for Method F. Synthesis of O,O,O,O-tetrabutyl S,S-(alkane-,-diyl) Bis(phosphorothioate): to a flame-dried round-bottom-flask flushed with N.sub.2, NaH (9 mmol) and 1,8 octanedithiol (3 mmol) was stirred and cooled to 0 C. for 20 minutes in 20 mL THF. After 20 minutes the reaction mixture was taken off the ice bath and dibutyl chlorophosphate (9 mmol) was added. The reaction mixture was stirred at room temperature for 1 to 3 days and monitored via TLC and GC-MS. The solution was diluted with 40 mL diethyl ether and washed three times with 60 mL of water. The combined aqueous layer was extracted three times with 50 mL of diethyl ether. The combined organic layer was washed with 80 mL of brine. The collected organic layer was dried with magnesium sulfate, filtered and concentrated under vacuum. The final compound was purified through flash column chromatography using flash grade silica gel.
[1317] Representative Procedure for Method G. Synthesis of O,O,O,O-tetrabutyl S,S-(alkane-,-diyl) Bis(phosphorothioate): to a 100-mL round-bottom-flask, flushed with N.sub.2, NaH (9 mmol) and dithiol (4 mmol) were mixed with 20 mL of DMF and cooled to 0 C. for 20 minutes. After 20 minutes the reaction mixture was taken off the ice bath and dibutyl chlorophosphate (12 mmol) was added. The reaction mixture was stirred at room temperature for 1 to 3 days and monitored via TLC and GC-MS. The resulting solution was diluted with 40 mL diethyl ether and washed three times with 60 mL of water. The combined aqueous layer was extracted three times with 50 mL of diethyl ether. The combined organic layer was washed with 80 mL of brine. The collected organic layer was dried over Mg.sub.2SO.sub.4, filtered and concentrated under vacuum. The final compound was purified through flash column chromatography using flash grade silica gel.
[1318] Representative Procedure for Method H. Synthesis of S,S-(alkane-,-diylbis(azenediyl)) Bis(2-oxoethane-2,1-diyl) O,O,O,O-Tetrabutyl Diphosphorodithioate: Dibutyl thiophosphate potassium salt (9 mmol), the corresponding N,N-(alkane-,-diyl) bis(2-chloroacetamide) (3 mmol), 5% KI and 20 mL of dry methanol were added to a twoneck round-bottom flask equipped with magnetic stirrer, reflux condenser, and rubber septum under a nitrogen atmosphere. The reaction mixture was then heated to reflux and stirred for 1-2 days while monitored periodically through TLC and visualized in Iodine vapor. After cooling to room temperature, the solution was filtered and concentrated under reduced pressure. After concentration under vacuum, the reaction mixture was diluted with 40 mL of ethyl acetate and washed two times with 40 mL of water. The combined aqueous layer was extracted three times with 50 mL of ethyl acetate. The combined organic layer was washed with 80 mL of brine and dried over Mg.sub.2SO.sub.4. Evaporation of the solvent afforded the crude product as a viscous clear oil, which was purified by flash column chromatography on silica gel of particle size (40-63) m and varying ratios of ethanol:ethyl acetate or hexane:ethyl acetate as eluents.
[1319] Exemplary synthetic methods are described in Table 2.
TABLE-US-00002 TABLE 2 Compound 1.
Compositions
[1320] In some embodiments, provided herein are compositions, comprising a compound provided herein. In some embodiments, the composition is a pharmaceutical composition, further comprising one or more pharmaceutically acceptable carriers. In some embodiments, the carrier is, a solvent or an inert stabilizer, or both. In some embodiments, the inert stabilizer provides a dehydrating effect to the composition, which may enable a longer shelf life stability of the compounds for storing the composition. In some embodiments, the compositions may further include an additional pharmaceutical agent.
[1321] Also provided herein are dosage forms suitable for administration to a mammal, comprising a compound described herein.
[1322] Thus, the compounds of the present disclosure may be formulated for oral, buccal, transdermal (e.g., patch), intranasal, parenteral (e.g., intravenous, intramuscular or subcutaneous), ophthalmic or rectal administration or in a form suitable for administration by inhalation or insufflation.
[1323] For oral administration, the compounds may take the form of, for example, tablets or capsules prepared by conventional means with pharmaceutically acceptable excipients such as binding agents (e.g., pregelatinised maize starch, polyvinylpyrrolidone or hydroxypropyl methylcellulose); fillers (e.g., lactose, microcrystalline cellulose or calcium phosphate); lubricants (e.g., magnesium stearate, talc or silica); disintegrants (e.g., potato starch or sodium starch glycollate); or wetting agents (e.g., sodium lauryl sulphate). The tablets may be coated by methods well known in the art. In some embodiments, the coatings are non-nutritive. Liquid preparations for oral administration may take the form of, for example, solutions, syrups or suspensions, or they may be presented as a dry product for constitution with water or other suitable vehicle before use. Such liquid preparations may be prepared by conventional means with pharmaceutically acceptable additives such as suspending agents (e.g., sorbitol syrup, methyl cellulose or hydrogenated edible fats); emulsifying agents (e.g., lecithin or acacia); non-aqueous vehicles (e.g., almond oil, oily esters or ethyl alcohol); and preservatives (e.g., methyl or propyl p-hydroxybenzoates or sorbic acid).
[1324] For buccal administration, the compounds may take the form of tablets or lozenges formulated in conventional manner.
[1325] The compounds of the present disclosure may be formulated for parenteral administration by injection, including using conventional catheterization techniques or infusion. The compounds may also be formulated for topical ophthalmic administration.
[1326] Formulations for injection or topical ophthalmic administration may be presented in unit dosage form, for example in ampules, or in multi-dose containers, optionally with an added preservative. The compounds may take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulating agents such as suspending, stabilizing and/or dispersing agents. Alternatively, the active ingredient may be in powder form for reconstitution with a suitable vehicle, e.g., sterile pyrogen-free water, before use.
[1327] The compounds of the present disclosure may also be formulated in rectal compositions such as suppositories or retention enemas, e.g., containing conventional suppository bases such as cocoa butter or other glycerides.
[1328] For intranasal administration or administration by inhalation, the compounds of the present disclosure are conveniently delivered in the form of a solution or suspension from a pump spray container that is squeezed or pumped by the patient. The compounds of the disclosure can also be delivered in the form of an aerosol spray presentation from a pressurized container or a nebulizer, with the use of a suitable propellant, e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas. In the case of a pressurized aerosol, the dosage unit may be determined by providing a valve to deliver a metered amount. The pressurized container or nebulizer may contain a solution or suspension of the active compound. Capsules and cartridges (made, for example, from gelatin) for use in an inhaler or insufflator may be formulated containing a powder mix of a compound of the disclosure and a suitable powder base such as lactose or starch.
Methods
[1329] The compounds described herein have esterase modulatory activity. In some embodiments, the esterase modulatory activity includes inhibition of one or more cholinesterase proteins. In some embodiments, the esterase modulatory activity includes inhibition of BCHE. In some embodiments, esterase modulation is related to diseases including inflammatory diseases, diseases associated with cholinergic dysfunction, autoimmune diseases, and long COVID, among others.
[1330] Thus, in some embodiments, the compounds described herein are useful in modulating esterase activity, e.g., cholinesterase activity, in a subject in need thereof.
[1331] In some embodiments, the compounds described herein are useful in treating an esterase- or cholinesterase-related disease, e.g., an ACHE-related or BCHE-related disease, in a subject in need thereof. In some embodiments, provided herein are methods of treating an esterase- or cholinesterase-related disease, e.g., an ACHE-related or BCHE-related disease, in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound described herein.
[1332] In some embodiments, the esterase-related disease includes, but is not limited to, a disease associate with the cholinergic anti-inflammatory pathway.
[1333] In some embodiments, the esterase-related disease includes, but is not limited to, an autoimmune disease.
[1334] In some embodiments, the esterase-related disease includes, but is not limited to, an inflammatory disease.
[1335] In some embodiments, the esterase-related disease includes, but is not limited to, a disease associated with cholinergic dysfunction.
[1336] In some embodiments, the esterase-related disease includes, but is not limited to, long COVID, or symptoms thereof, which may be associated with inflammation, cholinergic dysfunction, or formation of beta-amyloid plaques, or a combination thereof. In some embodiments, Long COVID disease may include inflammatory response, cholinergic dysfunction, or Alzheimer's-like symptoms.
[1337] In some embodiments, provided herein are methods of treating a disease in a subject in need thereof, comprising administering a therapeutically effective amount of a compound provided herein to the subject, wherein the disease is selected from inflammatory diseases, diseases associated with cholinergic dysfunction, autoimmune diseases, neurodegenerative disorders including Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's disease (HD), and amyotrophic lateral sclerosis (ALS), or a combination thereof.
[1338] In some embodiments, provided herein are methods of treating a disease in a subject in need thereof, comprising administering a therapeutically effective amount of a compound provided herein to the subject, wherein the disease is selected from an inflammatory disease including, type 2 diabetes mellitus, hypertension, insulin resistance, hyperlipidemia, obesity, heart disease, metabolic syndrome, hyperthyroidism, nephrotic syndrome/kidney disease, proliferative diabetic retinopathy, age-related macular degeneration, chronic alcoholism, a viral infection, or a combination thereof. In some embodiments, the inflammatory disease includes type 2 diabetes mellitus, metabolic syndrome, an ophthalmic disease, or a viral infection, or a combination thereof.
[1339] Without wishing to be bound by theory, it is thought that the compounds provided herein activate the cholinergic anti-inflammatory pathway by way of selective inhibition of butyrylcholinesterase and associated restoration of acetylcholine to normal levels. Specifically, the compounds provided herein may be useful in a method of treatment for disease associated with cholinergic dysfunction, which in some embodiments are diseases associated with reduced acetylcholine activity and/or elevated butyrylcholinesterase levels. In some embodiments, the disease associated with cholinergic dysfunction is selected from Alzheimer's disease, dementia with Lewy Bodies, myasthenia gravis, multiple sclerosis (MS), autism spectrum disorder (ASD), Parkinson's disease, Huntington's disease, Lambert-Eaton myasthenic syndrome (LEMS), subcortical vascular dementia, opioid addiction, opiate use disorder, bipolar disorder, schizophrenia, metabolic syndrome, or glaucoma, among other cholinergic disorders. In some embodiments, the disease associated with cholinergic dysfunction includes dementia with Lewy Bodies, myasthenia gravis, multiple sclerosis (MS), autism spectrum disorder (ASD), opioid addiction, bipolar disorder, schizophrenia, an autoimmune disorder, or a combination thereof.
[1340] In some embodiments, the subject includes a genetic predisposition to increased risk of having AD or increased prevalence of beta-amyloid peptides or formation of beta-amyloid plaques, including APOE e4 Gene, other Late-Onset Alzheimer's Genes (ABCA7, CLU, CR1, PICALM, PLD3, TREM2, and SORL1) Young-Onset Alzheimer's, Family History and Genetics Mutations, genetic mutations of amyloid precursor protein (APP), Presenilin 1 (PSEN1), Presenilin 2 (PSEN2), and Down Syndrome Mutations. In some embodiments, the genetic predisposition includes APOE e4 gene, Young-Onset Alzheimer's, or Down Syndrome, or a combination thereof.
[1341] In some embodiments, the compounds provided herein are useful in various biochemical, pharmacological, or cell biology applications to study the role of BCHE in normal cell growth and development, e.g., stem cell differentiation.
[1342] In some embodiments, the subject comprises a refractory disease. In some embodiments, the refractory disease comprises a refractory esterase-related disease.
[1343] Another aspect of the present disclosure is drawn to therapeutic compositions comprising the presently disclosed compounds and a pharmaceutically acceptable carrier. The carrier may be any solid, semi-solid, or liquid material that acts as an excipient or vehicle for the active compound. The formulations may also include wetting agents, emulsifying agents, preserving agents, sweetening agents, bulking agents, coatings and/or flavoring agents. In some embodiments, the coatings can be a varnish. If used in an ophthalmic or infusion format, the formulation will usually contain one or more salts to adjust the osmotic pressure of the formulation.
[1344] The diseases or conditions which can be treated by the presently disclosed compounds include neurodegenerative diseases including, but not limited to, Alzheimer's disease.
[1345] Some embodiments include a method of treating Alzheimer's disease, comprising administering a compound described herein, to a mammal in need thereof.
[1346] Some embodiments include a method of reducing the level of a -amyloid peptide in a brain of a mammal comprising administering an effective amount of a compound described herein, to the mammal. In some embodiments, the -amyloid peptide is A40. For example, the level of A40 in the brain of the mammal can be reduced by at least about 10%, at least about 20%, or at least about 30%. In some embodiments, the -amyloid peptide is A42. For example, the level of A42 in the brain of the mammal can be reduced by at least about 10%, at least about 20%, or at least about 30%.
[1347] For any method described herein, such as treating Alzheimer's disease in a mammal, or reducing the level of a -amyloid peptide in a brain of a mammal, the mammal can be a human being that is at least about 50 years of age, at least about 65 years of age, at least about 70 years of age, at least about 75 years of age, at least about 80 years of age, or at least about 85 years of age.
[1348] The present disclosure also provides for methods of treating neurodegenerative diseases with a therapeutically effective amount of a compound disclosed herein.
[1349] Also provided herein are methods of inhibiting the formation of -amyloid peptide in a mammal, comprising administering to the mammal a therapeutically effective amount of a compound described herein.
[1350] Also provided herein are methods of inhibiting the aggregation of -amyloid peptide into neurotoxic plaques in a mammal, comprising administering to the mammal a therapeutically effective amount of a compound described herein.
[1351] Also provided herein are methods of treating Alzheimer's disease, comprising administering a compound described herein to a mammal in need thereof.
[1352] Also provided herein are uses of a compound described herein in the manufacture of a medicament for the treatment of a disease referred to herein.
[1353] The actual route of administration of a compound, a composition, or a combination disclosed herein used can be determined by a person of ordinary skill in the art by taking into account factors, including, without limitation, the type of esterase- or cholinesterase-related disease, the location of the esterase- or cholinesterase-related disease, the cause of the esterase- or cholinesterase-related disease, the severity of the esterase- or cholinesterase-related disease, the duration of treatment desired, the degree of relief desired, the duration of relief desired, the particular compound, composition, or combination, the rate of excretion of the compound, composition, or combination used, the pharmacodynamics of the compound, composition, or combination used, the nature of the other compounds to be included in the composition or combination, the particular route of administration, the particular characteristics, history and risk factors of the individual, such as, e.g., age, weight, general health and the like, the response of the individual to the treatment, or any combination thereof. An effective dosage amount of a compound, a composition, or a combination disclosed herein may thus be determined by the person of ordinary skill in the art considering all criteria and utilizing his best judgment on the individual's behalf.
[1354] In some embodiments, a compound described herein, is administered orally in an effective amount. For example, in some embodiments, an effective amount in a dosage form can be at least about 0.1 mg, at least about 1 mg, at least about 2 mg, at least about 5 mg, or at least about 10 mg, up to about 100 mg, up to about 200 mg, up to about 300 mg, up to about 400 mg, or up to about 500 mg, of the compound.
[1355] The potential as a therapeutic for Alzheimer's disease, or other conditions, may be improved if the compound in question is able to cross the blood brain barrier. In some embodiments, a sufficient amount of a compound described herein, is administered so that at least about 10 ng, at least about 50 ng, at least about 100 ng, up to about 1 g, up to about 1 mg, or up to about 100 mg, of the compound crosses the blood brain barrier.
[1356] In some embodiments, sufficient amount of a compound described herein, is administered so that the compound has a concentration of at least about 10.sup.10 M, at least about 10.sup.9 M, at least about 10.sup.8 M, up to about 10.sup.6 M, or up to about 10.sup.5 M, in the brain.
[1357] Aerosol formulations for treatment of the conditions referred to above in the average adult human are preferably arranged so that each metered dose or puff of aerosol contains 20 g to 1,000 g of the compound of the disclosure. The overall daily dose with an aerosol will be within the range a 100 g to 10 mg. Administration may be several times daily, for example 2, 3, 4 or 8 times, giving for example, 1, 2 or 3 doses each time.
Kits
[1358] In some embodiments, provided herein are packaged compounds, packaged compositions, or packaged pharmaceutical compositions, comprising a container holding a therapeutically effective amount of a compound described herein, and instructions for using the compound in accordance with one or more of the methods provided herein.
[1359] The present compounds and associated materials can be finished as a commercial product by the usual steps performed in the present field, for example by appropriate sterilization and packaging steps. For example, the material can be treated by UV/vis irradiation (200-500 nm), for example using photo-initiators with different absorption wavelengths (e.g. Irgacure 184, 2959), preferably water-soluble initiators (e.g. Irgacure 2959). Such irradiation is usually performed for an irradiation time of 1-60 min, but longer irradiation times may be applied, depending on the specific method. The material according to the present disclosure can be finally sterile-wrapped so as to retain sterility until use and packaged (e.g. by the addition of specific product information leaflets) into suitable containers (boxes, etc.).
[1360] According to further embodiments, the present compounds can also be provided in kit form combined with other components necessary for administration of the material to the patient. For example, disclosed kits, such as for use in the treatment of cancer, can further comprise, for example, administration materials.
[1361] The kits are designed in various forms based on the specific deficiencies they are designed to treat.
[1362] The compounds or compositions provided herein may be prepared and placed in a container for storage at ambient or elevated temperature. When the compound or composition is stored in a polyolefin plastic container as compared to a polyvinyl chloride plastic container, discoloration of the compound or composition may be reduced, whether dissolved or suspended in a liquid composition (e.g., an aqueous or organic liquid solution), or as a solid. Without wishing to be bound by theory, the container may reduce exposure of the container's contents to electromagnetic radiation, whether visible light (e.g., having a wavelength of about 380-780 nm) or ultraviolet (UV) light (e.g., having a wavelength of about 190-320 nm (UV B light) or about 320-380 nm (UV A light)). Some containers also include the capacity to reduce adherence or adsorption of the active agent to the surface of the container. Some containers also include the capacity to reduce exposure of the container's contents to infrared light, or a second component with such a capacity. The containers that may be used include those made from a polyolefin such as polyethylene, polypropylene, polyethylene terephthalate, polycarbonate, polymethylpentene, polybutene, or a combination thereof, especially polyethylene, polypropylene, or a combination thereof. In some embodiments, the container is a glass container. The container may further be disposed within a second container, for example, a paper, cardboard, paperboard, metallic film, or foil, or a combination thereof, container to further reduce exposure of the container's contents to UV, visible, or infrared light. Compounds and compositions benefiting from reduced discoloration, decomposition, or both during storage, include eye drop solutions or implants that include a compound or composition thereof provided herein. The compounds or compositions provided herein may need storage lasting up to, or longer than, three months; in some cases up to, or longer than one year. The containers may be in any form suitable to contain the contents; for example, a bag, a bottle, or a box.
[1363] The following examples further illustrate aspects of the present disclosure. However, they are in no way a limitation of the teachings or disclosure as described herein.
EXAMPLES
Example 1: Effects of Compounds on Cells
[1364] Porcine umbilical stem cells are cultured in Neurobasal Medium supplemented with B27 (Invitrogen) and antibiotics for various periods of with varying concentrations of compounds disclosed herein. Cells are collected, washed, counted, and analyzed for viability by Trypan Blue staining.
[1365] In addition, uptake of compounds by porcine umbilical stem cells, human umbilical cord cells, and neurons are measured after 24 and 48 hours of culture.
Example 2: Brain Permeability
[1366] An animal study using two groups (n=7/group) of male Long-Evans rats (200-225 g, Charles River, Portage, MI) is conducted to determine whether the compounds disclosed herein cross the blood brain barrier. Rats are injected intraperitoneally with either 0.2 mL vehicle control or 0.2 mL of a 10 mg/mL solution of compound in the appropriate solvent. Thirty minutes after treatment, animals are deeply anesthetized with isoflurane and then decapitated. Brains are removed quickly, rinsed in ice cold phosphate buffer saline (pH 7.4) and block dissected and flash frozen in liquid nitrogen and stored at 80 C. until assayed.
[1367] The tissue from animals injected with the compounds is processed as follows: i) brain tissue (1.5 g) is allowed to thaw on ice in a Dounce homogenizer; ii) 10 mL of methylene chloride is added and the tissue extracted with 20 strokes of the loose fitting pestle. The homogenate is clarified by centrifugation and the supernatant is extracted three times with methylene chloride using a separatory funnel. The organic phase is collected, pooled, and dried over magnesium sulfate. The eluate is then concentrated down to a volume of approximately 200 l under nitrogen and analyzed by GC/MS for the presence of the compound. A solution of neat compound serves as control.
Example 3: Inhibition of -Amyloid Peptides
[1368] One of the more significant factors affecting patients with Alzheimer's disease is the elevated level of neurotoxic -amyloid peptide. The most prominent -amyloid peptides are referred to as A40 and A42 peptides. For in vitro studies neuroblastoma cells were used as a biological model for evaluating -amyloid peptide production. Cells are cultured in Eagles MEM containing Glutamax, penicillin and streptomycin, and 0.5% fetal calf serum. To monitor the effects of the compounds, cells are grown for 24 hrs in the presence or absence of compound. The supernatant is collected and concentrated using a 2K centrifugal membrane filter. The concentrated solution is then analyzed by ELISA for A40 and A42 peptides. The results are expressed in g/mL, are shown below.
Example 4: Effect of Compounds on Aggregation of -Amyloid Peptides
[1369] Neurotoxic plaques, i.e., aggregates of -amyloid peptide, bind thioflavin T (ThT) and show significant fluorescence. In contrast, the individual peptide molecules do not bind ThT and therefore do not show any fluorescence.
[1370] A (1-40) peptide was solubilized in hexafluoroisopropanol (HFIP). A solution of 25 M ThT was prepared in 0.025 M phosphate buffer, pH 6.0. Peptide was dissolved in 0.01 M PBS; 0.1M NaCl, pH7.4 to a final concentration of 30 M. Inhibitors were prepared in methanol. The final concentration of HFIP and methanol were 2% and 10% (v/v) respectively. The control sample consisted peptide incubated in PBS/2% HFI/10% methanol without inhibitor. All samples were mixed and incubated at 25 C. for 2 hours. Fluorescence was measured by mixing 470 L of ThT solution with 30 L of the protein solution. Excitation and emission wavelengths were 440 nm with 5 nm slit width and 485 nm with 10 nm slit width, respectively. Biological activity was calculated as percent of inhibitory activity of inhibitor at varying concentration was calculated using the following equation: Vi=100[(FiFb)/F0]100. The higher the Vi, the less aggregation of amyloid peptide.
[1371] Exemplary compounds, tetraethyl hexyl biphosphate (
Example 5: BCHE/ACHE Activity with Di-n-butyl 2-chlorophenyl phosphate (DB2CIPP)
[1372] DB2CIPP Testing Results Inhibition of BChE in brain and serum. Di-n-butyl 2 chlorophenyl phosphate (DB2CIPP) inhibits BChE in brain and serum without inhibiting AChE in serum (see
Example 6: -Amyloid Plaque Inhibition with DB2CIPP
[1373] In
Example 7: BCHE or ACHE Inhibition Study
[1374] The compounds referred to herein have BCHE inhibitory activity. The BCHE IC.sub.50 or K.sub.i for certain of the compounds referred to herein is shown in Table 3. To determine the inhibitory values, enzymes were incubated for 2 hours in the presence of varying concentrations of compound prior to activity measurements. Activity is then measured colorimetrically upon addition of substrate and Ellman's reagent.
TABLE-US-00003 TABLE 3 BCHE ACHE BCHE K.sub.i ACHE K.sub.i IC.sub.50 SEM IC.sub.50 SEM Mode of Compound (M) (M) (M) (M) Inhibition 9 0.00069 47 Irreversible.sup.g 27 1.0 Reversible 0.4 35 1.9 Reversible 0.4 53 8.26 54 8.20 55 35.4 56 228 Reversible 19 57 40.1 58 11.1 59 0.79 60 88.1 61 2.72 62 4 Reversible 1 63 3.95 64 2.39 65 31.2 66 1.20 67 Reversible 69 0.21 0.02 71 0.24 0.01 72 0.25 0.01 73 0.34 0.05 80 0.067 0.001 81 0.1 0.02 82 0.14 0.03 85 0.08 (mM) 89 Irreversible.sup.g 90 Irreversible.sup.g 91 0.066 (mM) 92 Irreversible.sup.g 93 1.7 6.5 0.3 0.8 (mM) (mM) 94 0.055 3.1 0.7 0.008 (mM) (mM) 95 0.08 ND.sup.b 0.02 (mM) 96 0.043 ND.sup.c 0.007 (mM) 97 0.006 ND.sup.d 0.002.sup.a (mM) 98 0.007 ND.sup.e 0.001.sup.a (mM) 99 10 ND.sup.f 0.03 (mM) .sup.aPartial competitive. .sup.b<20% Inhibition at [lc] = 5 mM and [ATC] = 0.1 mM. .sup.cNo inhibition at [1d] = 1 mM and [ATC] = 0.1 mM. .sup.d<8% Inhibition at [le] = 3 mM and [ATC] = 0.1 mM. .sup.eNo inhibition at [1f] = 3 mM and [ATC] = 0.1 mM. .sup.f<8% inhibition at [2] = 3 mM and [ATC] = 0.1 mM. .sup.genzyme covalently modified.
Example 8: Relative Activity of BCHE and ACHE
[1375] In order to establish the inhibitor's differential inhibitory ability against the two enzymes (see Tables 4 and 5), a relative enzyme inhibitory value (Relative Activity) was obtained. The relative activities were measured by treating each enzyme with either an overwhelming amount of the inhibitor (50-1000 M) or none, and establishing the enzyme activity under the two conditions. Table 4 lists the Relative Activity (=Activity of Inhibitor Incubated enzyme/Activity of unincubated enzyme) against BCHE and ACHE.
[1376] For example, if the enzyme activity was unchanged under the two conditions, then the relative activity would be (nearly) one and the inhibitor was deemed to be a very poor inhibitor of the enzyme. This was observed for ACHE when treated with inhibitors 56 and 61. Meanwhile, enzyme activity decreased significantly when BCHE was exposed to excess amounts of inhibitors 56 and 61, with 61 showing a higher inhibition of BCHE than 56.
TABLE-US-00004 TABLE 4 Relative Activity of BCHE and ACHE Compound BCHE Activity Ratio* ACHE Activity Ratio* 56 0.33 0.03 0.93 0.03 61 0.10 0.00 0.97 0.03
[1377] In order to compare the relative inhibitory activity of the five compounds 27, 35, 89, 90 and 92 against BCHE and ACHE, a solution of each enzyme was incubated with 20 M of the inhibitor for 2 minutes, and the enzyme activity determined. Table 5 lists the Relative Activity (=Activity of Inhibitor incubated enzyme/Activity of unincubated enzyme).
##STR00215##
TABLE-US-00005 TABLE 5 Compound Relative Activity of BCHE Relative Activity of ACHE 27 0.45 0.93 35 0.10 0.84 89 0.47 0.96 90 0.45 0.95 92 0.64 0.99
Example 9: Tau
[1378] To determine whether a compound herein inhibits Tau protein formation, transgenic mouse models (Taconic Alzheimer Model 2508 or triple transgenic mouse models with early onset overexpression of tau (Model Trem2.sup.R47H NSS from the UCI MODEL-AD Group)) are treated with test compound, e.g., di-n-butyl 2-naphthylmethylphosphonate (dibutyl (naphthalen-2-ylmethyl)phosphonate), di-n-butyl 3,5-dimethylbenzylphosphonate (dibutyl (3,5-dimethylbenzyl)phosphonate), or di-n-butyl 2-chlorophenyl phosphate, or control vehicle. The treatments are started just prior to the onset of tau formation in the brain and continue for three months. Levels of Tau expression are measured by western blot and immunohistochemistry in the brain. Comparisons are made among animals that received a test compound and control injections as well as tissue collected from animals at the time treatments are initiated. It is found that mice treated with test compound have less Tau expression than control treated groups. Further, test compound treated animals are similar to the tissue harvested from mice at the onset of treatment.
Example 10: Inflammation
[1379] To determine whether a compound herein reduces inflammation, inflammatory indicators are measured in the animals treated for Tau expression in Example 9. Levels of AD-related cytokines are measured using a kit that screens for a panel of inflammatory cytokines and chemokines which include but not limited to interleukin-1 (IL-1), tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), interleukin-10 (IL-10), transforming growth factor-beta (TGF-beta). Infiltration of activated microglia is also measured as a marker of neuroinflammation in the brain regions of interest. It is found that test compound reduces inflammatory indicators and activated microglial infiltration compared to untreated mice and the tissue harvested from mice at the start of treatment.
[1380] While the disclosure has been described in detail and with reference to specific embodiments thereof, it will be apparent to one skilled in the art that various changes and modifications can be made without departing from the spirit and scope of the disclosure.
[1381] Groupings of alternative elements or embodiments disclosed herein may be referred to and claimed individually or in any combination with other members of the group or other elements found herein.
[1382] The contents of all references (including literature references, issued patents, published patent applications, and co-pending patent applications) cited throughout this application are hereby expressly incorporated herein in their entireties. Unless otherwise defined, all technical and scientific terms used herein are accorded the meaning commonly known to one with ordinary skill in the art.
[1383] Those skilled in the art will recognize, or be able to ascertain, using no more than routine experimentation, many equivalents of the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims.