A NOVEL CLASS OF CARDIOTONIC AGENTS - SYNTHESIS AND BIOLOGICAL EVALUATION OF 5-SUBSTITUTED 3,6-DIHYDROTHIADIAZIN-2-ONES WITH CYCLIC-AMP PHOSPHODIESTERASE INHIBITING AND MYOFIBRILLAR CALCIUM SENSITIZING PROPERTIES

As part of a search for new cardiotonic agents significantly sensitising the myocardial contractile proteins to calcium, together with cardiac cyclic AMP-PDE inhibitory activity, we have discovered that novel 5-substituted 3,6-dihydrothiadiazin-2-ones may fulfill both properties. The sensitising effect of the contractile proteins to calcium, assessed by the shift in the calcium sensitivity of canine cardiac myofibrillar magnesium-dependent ATPase, is determined by steric and electronic requirements. The requirements for phosphodiesterase inhibition, especially that of a near-planar arrangement for the phenyl and thiadiazin-2-one ring are consistent with those already described for analogous pyridazinones. The synthesis and structure-activity relationships are discussed.