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A series of acetaminophen derivatives 8-13 as a new class of phosphodiesterase (PDE) inhibitors was synthesized from acetaminophen (7) by Mannich reaction. Depending on the amount of ammines used, the products were found to be either mono- or di-substituted, which is in contrast to the exclusive mono-substitution in oxindoles 3 and 4 reported previously. An energy-minimization study showed that their different behaviors are due primarily to steric environments.

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