CA2344690A1 - Fructosamine oxidase: antagonists and inhibitors - Google Patents

Fructosamine oxidase: antagonists and inhibitors Download PDF

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Publication number
CA2344690A1
CA2344690A1 CA002344690A CA2344690A CA2344690A1 CA 2344690 A1 CA2344690 A1 CA 2344690A1 CA 002344690 A CA002344690 A CA 002344690A CA 2344690 A CA2344690 A CA 2344690A CA 2344690 A1 CA2344690 A1 CA 2344690A1
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CA
Canada
Prior art keywords
patient
diabetic
fructosamine oxidase
antagonist
pharmaceutical composition
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002344690A
Other languages
French (fr)
Other versions
CA2344690C (en
Inventor
John Richard Baker
Garth James Smith Cooper
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Protemix Corp Ltd
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority claimed from PCT/NZ1999/000161 external-priority patent/WO2000018392A1/en
Publication of CA2344690A1 publication Critical patent/CA2344690A1/en
Application granted granted Critical
Publication of CA2344690C publication Critical patent/CA2344690C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/132Amines having two or more amino groups, e.g. spermidine, putrescine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/15Oximes (>C=N—O—); Hydrazines (>N—N<); Hydrazones (>N—N=) ; Imines (C—N=C)

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

Methods of reducing the consequences of macrovascular and microvascular dama ge in a diabetic patient reliant upon the inhibition and/or antagonism of Fructosamine oxidase in the patient. Inhibition and/or antagonism can involv e the use of copper chelating agents, substrate analogues or hydrazine compoun ds.

Claims (35)

1. A method of treating a mammalian patient (human or otherwise) predisposed to and/or suffering from diabetes mellitus with a view to minimizing the consequences of macrovascular and microvascular damage to the patient (eg. accelerated atherosclerosis, blindness, renal failure, neuropathy, etc.) which comprises, in addition to any treatment in order to control blood glucose levels, at least periodically inhibiting or antagonizing fructosamine oxidase enzyme activity in the patient.
2. A method of clam 1 wherein said inhibition or antagonism occurs as a result of administration or self administration of at least one fructosamine oxidize reaction product inhibitor or antagonist.
3. A method of claim 2 wherein any such inhibitor or antagonist is selected from the groups (i) copper chelating agents (ii) substrate analogue (iii) hydrazine compound.
4. A method of claim 2 wherein said inhibitor or antagonist is taken orally.
5. A method of claim 2 wherein said inhibitor or antagonist is taken orally as part of a regime, whether totally oral or not, which also involves the control of blood glucose levels.
6. A pharmaceutical composition suitable for use in a method of treating a mammalian patient predisposed to and/or suffering from diabetes mellitus with a view to minimizing macrovascular and microvascular damage, said composition comprising a fructosamine oxidase inhibitor or antagonist in conjunction with a suitable carrier therefor.
7. A pharmaceutical composition for reducing macrovascular and microvascular damage in a mammalian patient (including a human) suffering from diabetes mellitus, said composition comprising a fructosamine oxidase inhibitor or antagonist and suitable carrier therefor.
8. The use of a fructosamine oxidase inhibitor or antagonist in the manufacture of a pharmaceutical composition comprising the fructosamine oxidase inhibitor or antagonist and a suitable pharmaceutical carrier therefor and which composition is useful in treating a mammalian patient (human or otherwise) which or who is suffering from diabetes mellitus to reduce macrovascular and microvascular damage.
9. In combination, a pharmaceutical composition of claims 6 or 7 and a pharmaceutical composition effective at lowering blood glucose levels.
10. A method of treating a mammalian patient (human or otherwise) predisposed to and/or suffering from diabetes mellitus, which includes inhibiting or antagonising fructosamine oxidase enzyme activity in the patient with an agent or agents not contraindicated far the patient.
11. A method of claim 10 wherein said agent(s) is or are copper chelating compounds) administered or self administered to the patient.
12. A method of claim 11 wherein said copper-chelating compound is triethylenetetramine dihydrochloride (triene), ethylenediamine tetraacetic acid, o-phenanthroline, or histidine.
13. A method of claim 10 wherein said agents) is or are substrate analogue compounds) administered or self administered to the patient having an amino acid or peptide moiety with a blocked N-terminal amine group.
14. A method of claim 13 wherein said substrate analogue composition is N
acetylcysteine, captopril, or enalapril.
15. A method of claim 10 wherein said agent(s) is or are hydrazine compounds) administered or self administered to the patient ie: a compound having a -moiety.
16. A method of claim 15 wherein said hydrazine compound is diaminoguanidine, hydralazine, or carbidopa.
17. A dosage unit or pharmaceutical composition for a patient useful in a method of claim 10 comprising (preferably in effective fructosamine oxidase reaction product inhibiting or antagonising amounts - separately or collectively) of a compound (or compounds) being a substrate analogue or a hydrazine compound having an -NHNH2 moiety, or both.
18. A dosage unit or composition of claim 17 which is in an oral dosage form optionally with earners, excipients or, indeed, even other active agents (e.g.
means to lower blood glucose levels).
19. A regime or dosage unit or pharmaceutical composition for a diabetic or suspected diabetic patient of captopril [whether effective or intended to be effective in controlling blood pressure of the diabetic patient (at least in part) or not] providing for the patient a sufficient fructosamine oxidase inhibiting and/or antagonizing effect to reduce macrovascular and microvascular damage.
20. A regime or dosage unit or pharmaceutical composition for a diabetic patient or suspected diabetic patient of (i) a hydrazine compound and (ii) at lease one other fructosamine oxidase inhibitor and/or antagonist, the mix of (i) and (ii) providing for the patient a sufficient fructosamine oxidase inhibiting and/or antagonizing effect to reduce macrovascular and microvascular damage.
21. A regime ar dosage unit or pharmaceutical composition for a diabetic patient or suspected diabetic patient of (i) acetylcysteine and (ii) at lease one other fructosamine oxidase inhibitor and/or antagonist, the mix of (i) and (ii) providing for the patient a suff dent fructosamine oxidase inhibiting and/or antagonizing effect to reduce macrovascular and microvascular damage.
22. A regime or dosage unit or pharmaceutical composition for a diabetic patient or suspected diabetic patient of (i) hydralazine and (ii) at lease one other fructosamine oxidase inhibitor and/or antagonist, the mix of (i) and (ii) providing for the patient a sufficient fructosamine oxidase inhibiting and/or antagonizing effect to reduce macrovascular and microvascular damage.
23. A method of treating a mammalian patient (human or otherwise) predisposed to and/or suffering from diabetes mellitus which includes inhibiting and/or antagonizing fructosamine oxidase enzyme activity in the patient with either:
(a) acetycysteine and hydralazine, or (b) acetylcysteine and carbidopa.
24. A regime or dosage unit or pharmaceutical composition for a diabetic or suspected diabetic patient which includes either:
(i) acetylcysteine and hydralazine, or (ii) acetylcysteine and carbidopa.
25. The use of co-administration or serial administration of acetylcysteine and hydralazine for the purpose of reducing micro-vascular damage in a mammal.
26. The use of claim 25 wherein said mammal is diabetic.
27. The use of co-administration or serial administration of acetylcysteine and carbidopa for the purpose of reducing microvascular damage in a mammal.
28. The use of claim 27 wherein said mammal is diabetic:
29. A regime or dosage unit or pharmaceutical composition for a diabetic or suspected diabetic patient of the copper chelator, triene, providing for the patient a sufficient fructosamine oxidase inhibiting and/or antagonizing effect to reduce macrovascular and microvascular damage.
30. A method of treating and/or reducing the likelihood of diabetic cataract in a mammal which comprises at least periodically inhibiting and/or antagonising fructosamine oxidase enzyme activity in the mammal.
31. A method of claim 30 which involves the administration or self administration of effective amounts of triethylenetetramine dihydrochloride (triene).
32. A method of treating and/or reducing the likelihood of diabetic cardiomyopathy in a mammal which comprises at least periodically inhibiting and/or antagonising fructosamine oxidase enzyme activity in the mammal.
33. A method of claim 32 which involves the taking or administration of effective amounts of triethylenetetramine dihydrochloride (triene).
34. A method of claim 1, claim 10, claim 30 or claim 32 herein triethylenetetramine dihydrochloride {triene) is administered and/or self administered in concert with another fructosamine inhibitor and/or antagonist or other fructosamine oxidase enzyme inhibitors and/or antagonists.
35. A method of claim 34 wherein said another inhibitor and/or antagonist or other inhibitors and/or antagonists are administered or self administered to elicit a pharmacological effect for another indication yet together with the effect of the triene is or axe effective for treating or ameliorating macrovascular and microvascular damage of such a patient or mammal.
CA2344690A 1998-09-25 1999-09-24 Fructosamine oxidase: antagonists and inhibitors Expired - Fee Related CA2344690C (en)

Applications Claiming Priority (9)

Application Number Priority Date Filing Date Title
NZ33208498 1998-09-25
NZ332084 1998-09-25
NZ332079 1998-09-28
NZ33207998 1998-09-28
NZ33447199 1999-03-03
NZ334471 1999-03-03
NZ337042 1999-08-03
NZ33704299 1999-08-03
PCT/NZ1999/000161 WO2000018392A1 (en) 1998-09-25 1999-09-24 Fructosamine oxidase: antagonists and inhibitors

Publications (2)

Publication Number Publication Date
CA2344690A1 true CA2344690A1 (en) 2000-04-06
CA2344690C CA2344690C (en) 2011-03-22

Family

ID=27484372

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2344690A Expired - Fee Related CA2344690C (en) 1998-09-25 1999-09-24 Fructosamine oxidase: antagonists and inhibitors

Country Status (6)

Country Link
JP (1) JP2003521453A (en)
AU (1) AU772026B2 (en)
CA (1) CA2344690C (en)
DK (1) DK1115389T3 (en)
ES (1) ES2461195T3 (en)
PT (1) PT1115389E (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017049529A1 (en) * 2015-09-24 2017-03-30 Innolife Co., Ltd. A pharmaceutical composition comprising a copper chelating tetramine and the use thereof
WO2023276786A1 (en) * 2021-06-30 2023-01-05 株式会社村田製作所 Copper chelator, anticancer agent and prophylactic or therapeutic agent for wilson's disease

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0321863A (en) * 1989-06-19 1991-01-30 Shimadzu Corp Method and apparatus for analyzing triethylene tetramine or the like

Also Published As

Publication number Publication date
JP2003521453A (en) 2003-07-15
ES2461195T3 (en) 2014-05-19
AU5887199A (en) 2000-04-17
CA2344690C (en) 2011-03-22
DK1115389T3 (en) 2014-05-12
AU772026B2 (en) 2004-04-08
PT1115389E (en) 2014-05-09

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