R. Unno et al., SYNTHESIS AND ALDOSE REDUCTASE INHIBITORY ACTIVITY OF 2-SUBSTITUTED O[4H-1-BENZOPYRAN-4,4'-IMIDAZOLIDINE]-2',5'-DIONES, Chemical and Pharmaceutical Bulletin, 42(7), 1994, pp. 1474-1478
Optically active and racemic 2-substituted 3-dihydrospiro[4H-1-benzopy
ran-4,4'-imidazolidine] -2',5'-diones were synthesized stereoselective
ly from (+)-, (-)-, and luoro-3,4-dihydro-4-oxo-2H-1-benzopyran-2-carb
oxyl acid [(+)-1, (-)-1, and(+/-)-1], respectively, for evaluation as
new aldose reductase inhibitors. Among these compounds, the 2S,4S comp
ounds were found to be more potent inhibitors of aldose reductase in v
itro and in vivo than the corresponding 2R,4R enantiomers. The chlorom
ethyl compound [(+)-5] showed highly potent activities in inhibiting c
ataract formation in the lenses and polyol accumulation in the sciatic
nerve of rats.