Received: 14 July 1997 / Uploaded: 21 July 1997/updated: 10 September 1997
Introduction
Digitalis cardiac glycosides are well known drugs clinically used for treatment of congestive heart failure.1 Their action is mainly due to inhibition of Na+,K+-ATPase, an enzyme located in the cell membrane and promoting the outward transport of Na+ and the inward transport of K+.2
The most potent inhibitors of Na+,K+-ATPase are cardenolides such as digoxin, digitoxin, digitoxigenin and gomphoside (Figure 1). The first three compounds have some common features, typical of digitalis: 17b-unsaturated lactone; 14b-hydroxy; A/B and C/D cis ring junctions; 3b-hydroxy or 3b-glycosyl linkage with digitoxose. A quite different molecule is gomphoside, an A/B trans cardiac glycoside from Asclepias fruticosa RBr,3 in which the aglycone (gomphogenin) is linked to a 4,6-dideoxyhexosulose trhough its 2a- and 3b-hydroxy groups.

Templeton4 and, more recently, Repke5 explored the possibility to obtain novel and highly potent digitalis derivatives by functionalization of the 2a-hydroxy group of gomphogenin.
With the aim of having analogues of gomphoside in the A/B cis digitalis skeleton, and evaluating the importance of different configuration at positions 2 and 3, we planned the synthesis of the 2-hydroxy derivatives of digitoxigenin and 3-epidigitoxigenin (Figure 2).

Three of the four isomers of 2,3-dihydroxy derivatives of the A/B cis series: 2b,3a 4; 2b,3b 5d and 2a,3a 8 were synthesized.
Chemistry
Treatment of the known 4b-bromo-3-oxo-14b-hydroxy-5b-card-20(22)-enolide 14 (Scheme 1) with anhydrous potassium acetate in refluxing acetic acid,6 gave the key compound 2b-acetoxy-3-oxo derivative 2 (60% yield). The reduction of 2 with lithium tri-tertbutoxyaluminum hydride in THF gave the 2b-acetoxy-3a-hydroxy compound 3 (52% yield). Hydrolysis of the acetoxy group with 10% aq. HCl in methanol gave the desired 2b,3a,14b-trihydroxy-5b-card-20(22)-enolide 4 (70% yield).
The 2b,3b-dihydroxy derivative 5d was obtained by exploiting the high selectivity of L-Selectride7 in reducing the 3-keto group of compound 2 to axial 3b-hydroxy group. The reaction gave, together with the 2b,3b,14b-trihydroxy-5b-card-20(22)-enolide 5d a mixture of acetates: 2b,3b-diacetoxy 5a, 2b-acetoxy-3b-hydroxy 5b, and 3b-acetoxy-2b-hydroxy 5c in roughly equal amount.
The mixture was hydrolized with 10% aq. HCl in methanol to give compound 5d in an overall yield of 70% from 2.

The 2a,3a-dihydroxy compound 8, was prepared as described in Scheme 2. Digitoxigenin 6 was reacted with trifluoromethansulfonic anhydride in pyridine to give a mixture of D2 and D3 derivatives 7 in a 6/4 ratio that become 8/2 after crystallization from acetone. This mixture was reacted as such with a catalytic amount of OsO4 in the presence of 4-methylmorpholine-4-oxide, to give a mixture of three 2,3- and 3,4-dihydroxy compounds. Purification by silica gel chromatography gave the desired 2a,3a-dihydroxy compound 8 (20% yield), together with 5d (25% yield) and the 3b,4b-dihydroxy derivative 9 (25% yield).

Biological Data
The preliminary biological data of some of the synthesized compounds, in comparison with digitoxigenin and 3-epidigitoxigenin, in the displacement of the specific [3H]-ouabain binding8 on Na+,K+-ATPase are reported in Table 1.
| Digitoxigenin | |||
| 3-Epidigitoxigenin |
References
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