Alstiphyllanines E–H, picraline and ajmaline-type alkaloids from Alstonia macrophylla inhibiting sodium glucose cotransporter

Three new picraline-type alkaloids, alstiphyllanines E–G (1–3) and a new ajmaline-type alkaloid, alstiphyllanine H (4) were isolated from the leaves of Alstonia macrophylla together with 16 related alkaloids (5–20). Structures and stereochemistry of 1–4 were fully elucidated and characterized by 2D NMR analysis. Alstiphyllanines E and F (1 and 2) showed moderate Na+-glucose cotransporter (SGLT1 and SGLT2) inhibitory activity. A series of a hydroxy substituted derivatives 21–28 at C-17 of the picraline-type alkaloids have been derived as having potent SGLT inhibitory activity. 10-Methoxy-N(1)-methylburnamine-17-O-veratrate (6) exhibited potent inhibitory activity, suggesting that the presence of an ester side chain at C-17 may be important to show SGLT inhibitory activity. Structure activity relationship of alstiphyllanines on inhibitory activity of SGLT was discussed

肝右葉切除の一症例における術後血清胆汁酸の変動について

Postoperative serum bile acids in a patient with hepatectomy were determined by gas-liquid chromatography. The results showed that two high peaks of serum bile acid levels were found respectively on the 2nd and 7th postoperative day, although serum bile acid levels returned to normal after the 15th postoperative day. The high peaks were considered to be due to the escape of necrotic hepatic intracellular bile acids into systemic blood stream, poor uptake of bile acids by hepatocytes and reabsorption of bile acids leaked from the residual liver into the peritoneal cavity