Furocoumarins are a group of natural and synthetic compounds, some of
which are used for the photochemotherapeutic treatment of certain skin
diseases. With the aim of decreasing the side-effects of furocoumarin
photochemotherapy and possibly increasing the therapeutic effects of
these drugs, some new furocoumarin isosters were synthesized. The chem
ical synthesis of furocoumarin isosters at the furan ring, such as pyr
rolo-, thieno-, oxazolo- and triazolocoumarins are reported. For all t
hese compounds the key intermediate is a properly functionalized couma
rin, to which the third heterocyclic ring is condensed by successive s
teps. Linear and angular pyrrolo-, tetrahydrobenzo- and benzopyrroloco
umarins show reduced photobiological activity, but have a strong antip
roliferative effect in the dark, probably through an interaction with
topoisomerases. Oxazolocoumarins are too unstable to be studied; triaz
olocoumarins show very poor activity. Tienocoumarins have not yet been
studied. Furocoumarin isosters at the benzene ring are represented by
8-azapsoralens. Chemical synthesis involves the key 8-azacoumarin in
the place of coumarin. These compounds have photochemical and photobio
logical properties which are very similar to those of psoralens. In pa
rticular, 4,4',5'- is effective in the photochemotherapeutic treatment
of psoriasis. Furoquinolinones and 4-azapsoralens are reported among
the isosters at the pyrone ring. While the synthesis of pyrroloquinoli
nones involves properly functionalized 7-aminoquinolinones as key inte
rmediate, that of 4-azapsoralen requires a quite different synthetic p
athway, involving a properly functionalized benzofuran derivative as k
ey intermediate. Furoquinolinones have dramatically high activity both
in the dark and under light activation; 4-azapsoralens have not yet b
een investigated.