A review is made of the literature describing the structural changes t
o glycyrrhetic, oleanolic and ursolic acids and their influence on ant
iulcer activity.For the glycyrrhetic acid derivatives some analogues w
ere prepared in which the ketonic group in position 11 was removed and
the carboxylic function at position 30 was either intact, reduced to
alcohol or transformed into ketone. This first series of compounds sug
gests the possibility of obtaining compounds devoid of the conjugated
ketonic group, maintaining anti-ulcer activity but with reduced or lac
king mineralocorticoid activity. Based on these findings, a series of
carbenoxolone analogues in the beta-amyrin series of glycyrrhetic and
oleanolic acid was prepared. In particular, the Delta(9,11) unsaturate
d compounds 14b and 23b and the 11-methylene derivative 18 present adv
antages in terms of acute toxicity and mineralocorticoid activity as c
ompared to the reference compound. The derivative 14b in the volunteer
showed an increase of gastric PGE(2) levels with minor pseudoaldoster
onic effect. Among the ursolic acid derivatives, the dihemisuccinate s
odium salt 35b demonstrated a good separation between anti-ulcer and m
ineralocorticoid activities. Nevertheless, kidney and liver toxicity w
as observed in the monkey thus jeopardizing its further development. B
etter results were obtained with the uvaol dihemiphthalate sodium salt
and the diene analogue 39b. In particular, 38b and 39b showed a poten
t anti-ulcer activity, 3- to 25-fold higher than carbenoxolone. Furthe
rmore, compound 38b does not show signs of liver toxicity in the monke
y. (C) 1998 Elsevier Science S.A.