CA2611490A1 - Methods for treatment of beta-amyloid protein-induced ocular disease - Google Patents

Abstract

The invention provides methods for treating beta-amyloid protein-involved ocular disease including age-related macular degeneration and glaucoma, pharmaceutical compositions and compounds useful for the same, and the use of these compounds for the manufacture of a medicament for treating the same.
More particularly, the invention relates to the use of natural product compounds isolated from Curcuma sp., Zingiber sp., Ginkgo biloba, Salvia sp., and Rosmarinus sp. and synthetic chemical analogues thereof, for the treatment of a beta-amyloid protein-involved ocular disease.

Description

METHODS FOR TREATMENT OF BETA-AMYLOID PROTEIN-INDUCED
OCULAR DISEASE

RELATED APPLICATIONS

[00011 This application claims priority from U.S. Patent Application Serial No.
11/287,080 filed November 23, 2005. This application also claims the benefit of U.S.
Provisional Patent Application Serial No. 60/739,797 filed November 23, 2005 and U.S.
Provisional Patent Application Serial No. 60/690,812 filed June 15, 2005, the disclosures of which are hereby incorporated by reference in their entireties.

BACKGROUND OF THE INVENTION
Field of the Invention [0002] The invention relates to the use of natural product compounds isolated from plants, and synthetic chemical analogues thereof, for the prevention and treatment of beta-Amyloid protein-induced disease. Specifically, the invention relates to pharmaceutical compositions that protect neuronal cells from beta-Amyloid insult for use in preventing and treating beta-Amyloid protein-induced disease. More particularly the invention is directed to protection of retinal cells and other visual function related cells of the eyes from beta-amyloid involved pathology, in particular, glaucoma and age-related macular degeneration (AMD).
Description of Related Technology [0003] Alzheimer's disease (AD) is the most common cause of progressive cognitive dysfunction. AD affects approximately four million Americans and causes more than 100,000 deaths each year, with a total annual cost approaching $100 billion. It is estimated that by the, year 2020, 14 million Americans will be afflicted by the disease. See Carr et al., Am JMed 103, 3S (1997) and Shastry, Ain JMed Sci 315, 266 (1998). Furthermore, AD has a profound effect on the millions of family members and other loved ones who provide most of the care for people having this disease. Unfortunately, the cure for AD has not yet been discovered.

[0004] The principal pathological characteristics of AD are senile plaques and neurofibrillary tangles (NTFs). Senile plaques are extracellular deposits principally composed of insoluble aggregates of beta-amyloid ((3A), that are infiltrated by reactive microglia and astrocytes. See Seidl et al., Neurosci. Lett 232, 49 (1997), Yan et al., Nature 382, 685 (1997), Goedert, Trends Neurosci 16, 460 (1993), Haass et al., Cell 7, 1039 (1994), Trojanowski et al., Am JPathol 144, 449 (1994), Davis et al., Bioclzem Biophys Res Commun 189, 1096 (1992), Pike et al., Neuroscience 13, 1676 (1993), Hensley et al., Proc Natl Acad Sci USA

91, 3270 (1994), Behl et al., Cell 77, 817 (1994), Meda et al., Nature 374, 647 (1995), and Klegeris et al., Biochern Biopliys Res Conimun 199, 984 (1994). Plaques are diffusely distributed throughout the cerebral cortex of AD patients, and are the neuropathologic hallmark of the disease. See Seidl et al., Neurosci Lett 232, 49 (1997), Yan et al., Natur=e 382, 685 (1997), Goedert, Trends Neurosci 16, 460 (1993), Haass et al., Cell 7, 1039 (1994) and Trojanowski et al., Ana JPathol 144, 449 (1994). These plaques or (3A fibril deposits are believed to be responsible for the pathology of a number of neurodegenerative diseases including, but not limited to, Alzheimer's disease. NTFs are intraneuronal accumulation of paired helical filaments composed mainly of an abnormal form of tau protein, that is a microtubule associated phosphoprotein which can promote microtubule formation.
See Goedert, Trends Neurosci 16, 460 (1993), Haass et al., Cell 7, 1039 (1994) and Trojanowski et al., Am JPathol 144, 449 (1994). In the AD brain, the tau protein in NFTs is hyperphosphorylated (See Ihara et al., JBiochem 99, 1807 (1986)), a condition which has been suggested -to contribute to the destabilization of microtubule network, thereby impairing axonal network, and eventually causing neuronal death. See Trojariowski et al., FASEB J9, 1570 (1995). NTFs occur primarily in medial temporal lobe structures (hippocampus, entorhinal cortex, and amygdala), and NTFs density appears to correlate with dementia severity.

[0005] Senile plaques and NTFs appear to be involved in cerebral amyloid angiopathy, consequent neuronal loss, and cerebral atrophy leading to dementia. Although research findings suggest that both plaques and NTFs are involved in disrupting nerve cell functions, the mechanisms that lead to the pathology are not clearly understood.

[0006] (3A has been suggested as one of the major causes of AD. [iA was shown to exert direct toxic effects on neurons and to inhibit neurite growth in vitro in a dose dependent manner. Thus, therapeutic approaches that can modulate (3A toxicity have been hypothesized to represent important methods for controlling the onset of AD. It is envisioned that if neuronal cells can be protected from (3A/senile plaque-induced toxicity, the onset of AD may be delayed or prevented. Current pharmacological approaches related to AD
preventive and neuroprotective interventions include antioxidant therapy (See Lucca et al., Brain Res 764, 293 (1997), Pike et al., JNeunochern 69, 1601 (1997), Manelli et al., Brain Res Bull 38, 569 (1995), Parnetti et al., Drugs 53, 752 (1997), Zhou et al., JNeuYochein 67, 1419 (1996), Kumar et al., Int JNeurosci 79, 185 (1994), Preston et al., Neurosci Lett 242, 105 (1998), and Tatton et al., Neurology 47, S171 (1996)), acetylcholinesterase inhibitors (See Hoshi et al., J
Biol Chenz 272, 2038 (1997), Maurice et al., Brain Res 706, 181 (1996), Harkany et al., Brain Res 695, 71 (1995), and Lahiri et al., JNeurosci Res 37, 777 (1994)), nicotinic and muscarinic agonists (See Maurice et al., Brain Res 706, 181 (1996), and Kihara et al., Brain Res 792, 331 (1998)), estrogen (See Ihara et al., JBiochem 99, 1807 (1986), Henderson, Neurology 48 (5 Suppl. 7), S27 (1997), and Green et al., Neuroscience 84, 7 (1998)), nerve growth factor (NGF) (See Hefti, Neurobiol Aging 15 (Suppl 2), S193 (1994), and Seiger et al., Behav Brain Res 57, 255 (1993)), calcium channel blockers (See Zhou et al., J
Neurochem 67, 1419 (1996) and Friedlich et al., Neurobiol Aging 15, 443 (1994)), Zinc (See Cuajungco et al., Neurobiol Dis 4, 137 (1997)), sulfonated compounds (See Pollack et al., Neurosci Lett 197 211 (1995) and Lorenzo, et al., Ann N YAcad Sci 777, 89 (1996)), triaminopyridine nonopiate analgesic drug (See Muller et al., JNeurochem 68, 2371 (1997)), low molecular lipophilic compounds that can activate neurotrophic factor signaling pathway (See Mattson, Neurosci Biobehav Rev 21, 193 (1997)), and non-steroidal anti-inflammatory drugs such as ibuprofen and aspirin (See Parnetti et al:, Drugs 53, 752 (1997), Beard et al., Mayo Clin Proc 73, 951 (1998), and Pasinetti et al., Neuroscience 87, 319 (1998)). Of particular interest to the present invention is the observation that an anti-(3A protein antibody was shown to clear senile plaques and protect mutant PDAPP mice fiom the onset of AD. See St George-Hyslop et al., Nature 400, 116 (1999).

[0007] The generation of reactive oxygen intermediates (ROS) through oxidative stress caused by (3A has been suggested to be the major pathway of the (3A-induced cytotoxicity. See Klegeris et al., Biochem Biophys Res Comun 199, 984 (1994) and Lucca et al., Brain Res 764, 293 (1997). Senile plaques have been shown to exert a cytotoxic effect on neurons by stimulating microglia to produce reactive oxygen species (ROS). See Seidl et al., Neurosci Lett 232, 49 (1997), Yan et al., Nature 382, 685 (1997), Goedert, Trends Neurosci 16, 460 (1993), Haass et al., Cell 7, 1039 (1994), Trojanowski et al., Am JPathol 114, 449 (1994), Davis et al., Biochem Biophys Res Comrnun 189, 1096 (1992), Pike et al., Neuroscience 13, 1676 (1993), Hensley et al., Proc Natl Acad Sci USA 91, 3270 (1994), Behl et al., Cell,77, 817 (1994), Meda et al., Nature 374, 647 (1995) and Klegeris et al., Biochem Biophys Res Commun 199, 984 (1994). The damaging effect of ROS can be prevented by the free radical scavenging enzyme superoxide dismutase (SOD). See Thomas et al., Nature 380, 168 (1996) and Manelli et al., Brain Res Bull 38, 569 (1995).

[0008] Aging of synthetic (3A for 7 to 14 days at 37 C in modified Eagle's media was also demonstrated to cause neurotoxic free radical formation. See Friedlich et al., Neurobiol Aging 15, 443 (1994) and Puttfarcken et al., Exp Neurol 138, 73 (1996).
However, aging (3A
in the presence of the media supplement B27, which contains antioxidants as well as other agents that provide protection against oxidative damage, has been shown to inhibited (3A-induced neurotoxicity. See Thomas et al., Nature 380, 168 (1996) and Manelli et al., Braln Res Bull 38, 569 (1995).
[0009] In addition to (3A peptide-induced ROS mediated neurotoxicity, (3A
peptide has been shown to cause neuronal cell death by stimulating microglial expression of tumor necrosis factor (3 (TNF(3). See Tarkowski et al., Neurology 54, 2077 (2000) and Barger et al., Proc Natl Acad Sci U S A 92, 9328 (1995). The accumulation of (3A
peptide as neuritic plaques is known to be both trophic and toxic to hippocampal neurons, causing apoptosis or necrosis of the neurons in a dose dependent manner. (3A peptide was demonstrated to induce these cellular effects by binding with a receptor for advanced glycation end products (RAGE) that was previously known as a central cellular receptor for advanced glycation endproducts.
See Arancio et al., EMBOJ23, 4096 (2004), Huttunen et al., JBiol Claefn 274, 19919 (1999);
and Yan etal., Nature 382, 685 (1996). RAGE was suggested to mediate the interaction of PA
peptide with neurons and with microglia, resulting in oxidative stress mediated cytotoxicity.
Blocking RAGE with anti-RAGE F(a(3')2 prevented the appearance of TNF(3 messenger RNA and diminished TNFP antigen to levels seen in untreated cells. Thus, it is postulated that RAGE mediates microglial activation by PA peptide by producing cytotoxic cytokines that cause neuronal damage in AD patients. In addition, RAGE was also demonstrated to specifically bind with (3A peptide and mediate (3A peptide-induced oxidative stress.

[0010] Cell receptors that bind to (3A peptide have been identified. The low-affinity neurotrophin receptor p75 (p75NTR) which belongs to the family of apoptotic receptors that generate cell-death signals on activation was found throughout the brains of AD patients. (3A
peptide was found to be a ligand for p75NTR, and to cause preferential apoptosis of neurons and normal neural crest-derived melanocytes that express p75NTR upon specifically binding to p75NTR. See Zhang et al:, JNeurosci 23, 7385 (2003) and Perini et al., JExp Med 195, 907 (2002).

[0011] Basal forebrain cholinergic neurons express the highest levels of p75NTR in the adult human brain and have been shown to be involved in AD. The expression of p75NTR neuronal cells was shown to potentiate (3A peptide-induced cell death.
This interaction of (3A peptide with p75NTR to mediate neuronal death in AD
suggested a new target for therapeutic intervention. See Zhang et al., JNeurosci 23, 7385 (2003) and Perini et al., JExp Med 195, 907 (2002).

[0012] Recently, ERAB which is over-expressed in neurons of the AD'brain, was shown to bind with I3A peptide to induce neuronal death in AD. Blocking ERAB
with au antibody, anti-ERAB F(ab')2, was found to reduce the (3A peptide-induced cell death while ERAB overexpression increases (3A peptide-induced cell death. See Frackowiak et al., Brain Res 907, 44 (2001) and Yan et al., JBiol Chem 274, 2145 (1999).

[0013] In designing inhibitors of (3A peptide toxicity, it was found that neither the alteration of the apparent secondary structure of (3A peptide nor the prevention of (3A peptide aggregation is required to abrogate the cytotoxicity of (3A peptide.
Nonetheless, inducing changes in aggregation kinetics and in higher order structural characteristics of (3A peptide aggregates also proved to be effective in reducing (3A peptide toxicity. See Soto et al., Neuroreport 7, 721 (1996). Synthetic inhibitors that interact with (3A peptide were shown to completely block (3A peptide toxicity against PC12 cells, demonstrating that complete disruption of amyloid fibril formation is not necessary for abrogation of toxicity. It was, also demonstrated that dipolar compounds such as phloretin and exifone that decrease the effective negative charge of membranes can prevent the association of (3A
peptide with negatively charged lipid vesicles and thereby prevent (3A peptide-iriduced cytotoxicity. See Hertel et al., Proc. Natl. Acad. Sci. USA 94, 9412 (1997). These results suggest that (3A
peptide toxicity can be mediated through a physicochemical interaction with cell membranes.

[0014] Glaucoma and age-related macular degeneration (AMD) are the most common leading cause of irreversible progressive visual dysfunction that leads to blindness. Glaucoma causes irreversible vision loss worldwide an estimated 66.8 million people.
See Khaw et al., BMJ 320, 1619 (2000). AMD is the leading cause of blindness and vision loss in developing countries due to increased life expectancy and subsequent increase in aged population. See VanNewkirk et al., Ophtlaalmol 108, 960 (2001). Between 20 and 25 million people are affected by AMD worldwide, a figure that will triple with the increase in the aging population in the next 30 - 40 years. See Smith et al., Ophthalniol 108, 697 (2001) and McCarty et al., Arch Ophthalmol 119, 1455 (2001). There are over 200,000 cases of neovascular degeneration that present to ophthalmologist in the United States each year.
See Bressler et al., BMJ 321, 1425 (2000) and Chopdar et al., BMJ 326, 485 (2003). Glaucoma and AMD
have profound effect on the family members and other loved ones who provide most of the care for people having this disease. Unfortunately, the cure for glaucoma and AMD has not yet been discovered.

[0015] AMD is characterized by abnormal extracellular deposits, known as drusen, the hallmark sign of AMD, that accumulate along the basal surface of the retinal pigmented epithelium. Although drusen is common in older individuals, large numbers of drusen and/or extensive areas of confluent drusen represent a significant risk factor for AMD. Widespread drusen deposition is associated with retinal pigmented epithelial cell dysfunction and degeneration of the photoreceptor cells. See Johnson et al., Proc Natl Acad Sci USA 99, 11830 (2002). There are two types of AMD, dry and wet. The dry type of AMD is characterized by a geographic atrophy that progresses slowly over many years.
In the wet type of AMD choroidal neovascularization occurs that result in a dense fibrovascular scar that may involve the entire macular area. The wet type of AMD is more sight threatening than the dry type and is responsible for 90% of cases of severe visual loss in elderly population. See Chopdar et al., BMJ 326, 485 (2003).

[0016] Glaucoma is a chronic neurodegeneration of the optic nerve, retinal ganglion cells, that result in irreversible vision loss. See Khaw et al., BMJ 320, 1619 (2000).

[0017] The pathogenesis of glaucoma and AMD has recently been linlced to deposition of beta-amyloid ((3A) in retinal cells of the eyes. It was recently demonstrated that retinal ganglion cell death in glaucoma involves (3A neurotoxicity at the molecular level. See McKinnon et al., IOVS 43, 1077 (2002). (3A was also shown to associate with a substructural vesicular component within drusen and was found to correlate with the location of degenerating photoreceptors and retinal pigmented epithelium cells. See Dentchev et al.; Mol Vis 14, 184 (2003). (3A deposition was found an important component of the local inflammatory events that contribute to atrophy of the retinal pigmented epithelium, drusen biogenesis and the pathogenesis of AMD. See Johnson et al., Proc Natl Acad Sci USA 99, 11830 (2002).

[0018] Thus, therapeutic approaches that can modulate (3A toxicity have been hypothesized to represent important methods for controlling the onset of glaucoma and macular degeneration. It is envisioned that if retinal cells can be protected from (3A-induced toxicity, the onset of glaucoma and AMD may be delayed or prevented.

[0019] Current glaucoma treatment focuses on lowering intraocular pressure, the major risk factor for the disease. Glaucoma has been treated medically, surgically, or with laser to lower intraocular pressure that can slow.the disease progression.
Pharmacological treatment approaches are: cholinergic agents (pilocarpine - increases outflow of the aqueous humour; beta blockers - reduce aqueous secretion), oral carbonic anhydrase inhibitors (acetazolamide and dorzolamide - reduces aqueous secretion), alpha-2 adrenergic agonists (apraclonidine and brimonidine), and prostaglandin agonists (latanoprost -opens up an alternative pathway for aqueous outflow by altering the resistance of the extracellular matrix). See Khaw et al., BMJ 320, 1619 (2000) and Khaw et al., BMJ 328, 156 (2004).

[0020] One current treatment approach for AMD is a technique called photodynamic therapy that uses verteporfin as the photosensitizer. Long term supplementation with high dose zinc and antioxidant vitamins (A, C, and E) showed a significant reduction in the relative risk of developing neovascular AMD. As a preventive measure against the disease progression and the onset of AMD, carotenoids lutein and zeaxanthin, which are potent antioxidants found in high concentrations in the macular retina are found to be effective. See Chopdar et al., BMJ 326, 485. (2003).

[0021] One important pharmacological approach related to (3A-induced neurodegenerative disease preventive and neuroprotective interventions may be antioxidant therapy. See Kumar et al., Int JNeus=osci 79,185 (1994), Lucca, et al., Brain Res 764, 293 (1997), Manelli et al., Brain Res Bull 38, 569 (1995), Pametti et al., Drugs 53, 752 (1997), Preston et al., Neuyosci Lett 242, 105 (1998), and Zhou, et al., JNeuf ochenz 67, 1419 (1996).
In designing inhibitors of (3A toxicity, it was found that inducing changes in aggregation kinetics and in higher order structural characteristics of (3A aggregate may prove to be effective in reducing (3A toxicity. See Ghanta et al., JBiol Claern 271, 29525 (1996).
Synthetic inhibitors that interact with (3A was shown to completely block (3A
toxicity against PC12 cells, demonstrating that complete disruption of amyloid fibril formation is not necessary for abrogation of toxicity. See Yaar et al., J Clin Invest 100, 2333 (1997) and Hertel et al., Proc Natl Acad Sci USA 94, 9412 (1997). These results suggest that (3A toxicity can be mediated through a physicochemical interaction with cell membranes.

[0022] There is strong interest in discovering potentially valuable natural sources for drug development. One reasonable source of such natural products involves medicinal plants that have been in use throughout history for treating various ailments. Thus, the discovery of potentially valuable plants that can protect neurons from (3A insult is of interest.

[0023] CuYcurna longa (Zingiberaceae). has been used as curry spice and a well known constituent of Indonesian traditional medicine. See Nurfina et al., Eur JMed Chem 32, 321 (1997). One of the important constituents of turmeric is curcumin that has been known as a natural antioxidant with antitumor activity. See Ruby et al., Cancer Lett 94, 79 (1995). From turmeric, curcuminoids with antioxidant property have been demonstrated to protect neuronal cells from (3A insult. See Kim DSHL et al., Neurosci Lett 303, 57 and Park SY et al., JNat Prod 65, 1227 (2002). A representative list of Curcuina sp.
include C. longa, C. aroinatica, C. domestica, C. xanthorrhiza, and C. zedoaria.

[0024] Zingiber officinale (Zingiberaceae) is one of the world's favorite spices, probably discovered in the tropics of Southeast Asia. Ginger has benefited humankind as a wonder drug since the beginning of recorded history. See Jitoe et al., JAgric Food Chem 40, 1337 (1992), Kikuzaki et al., JFood Sci 58, 1407 (1993) and Schulick, Herbal Free Press, Ltd. (1994). From ginger, shogaols with antioxidant property have also been demonstrated to protect neuronal cells from (3A insult. See Kim et al., Planta Medica 68, 375 (2002). A
representative list of Zingiber sp. include Z offzcinale, Z zerumbet, and Z.
mioga.

[0025] Ginkgo (Ginkgo biloba (Ginkgoaceae)) is an herbal that has been used to treat neurologic ailment for thousand years as an Asian traditional medicine. Ginkgo leaf extract has shown to exhibit potent antioxidant activity and are widely used in the dietary supplement industry. The ailtioxidant activity of ginkgo has shown to be primarily contributed by diterpenes such as ginkgolides, bilobilide, flavonoids, and ginkgolic acids.
See Hopia et al., J
Agric Food Chem 44, 2030 (1996) and Nakatani et al., Agric Biol Chem 47, 353 (1-983).

[0026] Sage (Salvia officinalis L. (Lamiaceae)) and Rosemary (Rosmarinus officinalis L. (Labiatae)) are spices widely used for flavoring and seasoning foods. These spices have shown to contain potent diterpenoid antioxidants such as carnosic acid, camosol, rosmarinic acid, rosmanol, epirosmanol, rosmadial, isorosmanol etc. See Haraguchi et al., Planta Med 61, 333 (1995). Inatani et al, Agric Biol Chem 47: 521 (1983). Nakatani et al., Agric Biol Cheyn 48: 2081 (1984). Inatani et al., Agric Biol Chem 46: 1661 (1982). Wang et al., JAgric Food Chem 46: 2509 (1998). Wang et a., JAgric Food Chein 46: 4869 (1998).

SUMMARY OF THE INVENTION

[0027] The present invention relates to the identification and isolation of natural compounds present in turmeric, ginger, gingko biloba, sage, and rosemary that exhibit potent anti-(3A peptide activity. The invention further provides novel synthetic compounds exhibiting potent anti-(3A peptide activity which includes but is not limited to, the ability to neutralize amyloid protein mediated cytotoxicity towards retinal cells that relate to the pathogenesis of glaucoma and AMD. Specifically, the invention provides compounds and pharmaceutical compositions capable of protecting neurons from (3A peptide insult, and methods for treating (3A protein- induced disease with the same. In addition, it has been found that compounds derived from sage and rosemary and their analogs and homologs as described in co-owned and copending U.S. Provisional.Patent Application Serial No.
60/ _ filed November 23, 2005 [Attorney Docket No. 30443/41465] entitled "Synergistic Phai7naceutical Compositions Useful in Prevention and Treatment of Beta-Amyloid Protein-Induced Disease Including Sage and Rosemary Derived Compounds"
the disclosure of which is hereby incorporated by reference. These compounds have potent anti-Beta-amyloid activity alone and may be combined with the other turmeric, ginger, and ginkgo-biloba derived compounds and their analogs and homologues have anti Beta-amyloid activity to treat beta-Amyloid protein-induced ocular disease including age-related macular degeneration (AMD) and glaucoma.

[0028] As used herein, synthetic turmeric, ginger, ginkgo biloba, sage, or rosemary compounds include chemically synthesized versions of naturally occurring turmeric sp., ginger sp., ginko biloba, sage sp., or rosemary. sp. compounds respectively as well as analogues and homologues of such naturally occurring compounds which have anti-BA peptide activity. As used herein anti-13A peptide activity includes, but is not limited to, the ability to neutralize amyloid protein mediated cytotoxicity including neurotoxicity.

[0029] Thus, the present invention is directed to treating (which when used herein also includes preventing) (3A-involved ocular disease glaucoma and AMD.
According to one aspect of the invention, an extract containing natural compounds found in turmeric (as well as synthetic analogues and homologues thereof) as the major ingredients or components and the natural compounds found in turmeric (as well as synthetic analogues and homologues thereof), may be administered to protect retinal cells from (3A-involved cytotoxicity. Natural compounds that are suitable for use with the invention include, but are not limited to 4' '-(3' "-methoxy-4' "-hydroxyphenyl)-2' '-oxo-3' '-enebutanyl 3-(3'-methoxy-4'-hydroxyphenyl)propenoate (calebin-A) and 1,7-bis(4-hydroxy-3-methoxyphenyl)-1,4,6-heptatrien-3-one, and seven known compounds, 1,7-bis(4-hydroxy-3-methoxyphenyl)-1,6-heptadiene-3,5-dione (curcumin), 1-(4-hydroxy-3-methoxyphenyl)-7-(4-hydroxyphenyl)-1,6-heptadiene-3,5-dione (demethoxycurcumin), 1,7-bis(4-hydroxyphenyl)-1,6-heptadiene-3,5-dione (bisdemethoxycurcumin), 1-hydroxy-1,7-bis(4-hydroxy-3-methoxyphenyl)-6-heptene-3,5-dione, 1,7-bis(4-hydroxyphenyl)-l-heptene-3,5-dione, 1,7-bis(4-hydroxyphenyl)-1,4,6-heptatrien-3-one, and 1õ5-bis(4-hydroxy-3-methoxyphenyl)-1,4-pentadien-3-one, 2-shogaol, 4-shogaol, 6-shogaol, 8-shogaol, 10-shogaol, 12-shogaol, 2-gingerol, 4-gingerol, 6-gingerol, 8-gingerol, 10-gingerol, 12-gingerol, ginkgolic acids, rosmanol, isorosmanol, rosmadial, carnosol, carnosic acid, epirosmanol, rosmarinic acid etc.

[0030] In one aspect, the invention relates to a method for the treatment of a beta-Amyloid protein-induced disease including but not limited to Alzheimer's Disease (AD), age-related macular degeneration (AMD) and glaucoma comprising administering to a subject suffering from the beta-Amyloid protein-induced disease a therapeutically effective amount of a compound having the formula (I):

R, ~ \ \ R2 HO! / ~I} OH

In this formula, the dotted configuration is optionally a single bond or a double bond.
Generally, R, is selected from the group consisting of OH, OMe, OR50, and X
wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. Preferably, Rl is selected from the group consisting of OH, OMe, OR50 and X wherein R50 is (CH2)õCH3 and n is 1-7 and X
is F, Cl, Br, or I. More preferably, Ri is selected from the group consisting of H, OH, and OMe.
Even more preferably, R, is OH. Even more preferably, Rl is selected from the group consisting of H and OMe when the dotted configuration of compound (I) is a double bond, and Rl is selected from the group consisting of H and OH when the dotted configuration is a single bond. Generally, R2 is selected from the group consisting of OH, OMe, OR50, and X
wherein. R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I.
Preferably, R2 is selected from the group consisting of OH, OMe, OR50 and X wherein R50 is (CHZ)õCH3 and n is 1-7 and X is F, Cl, Br, or I. More preferably, R2 is selected from the group consisting of H, OH, and OMe. Even more preferably, R2 is OH. Even more preferably, R2 is selected from the group consisting of H and OMe when the dotted configuration of compound (I) is a double bond, and R2 is H when the dotted configuration is a single bond.

[0031] Other compounds useful for practice of the invention include those of the formula (II):

\ ( \ I

01) In this formula, the dotted configuration is optionally a single bond or a double bond or a triple bond. Generally, R3 is selected from the group consisting of OH, OMe, OR50, and X
wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I.
Preferably, R3 is selected from the group consisting of OH, OMe, OR50 and X wherein R50 is (CH2)õCH3 and n is 1-7 and X is F, Cl, Br, or I. More preferably, R3 is selected from the group consisting of H, OH, and OMe. Even more preferably, R3 is H. Generally, R4 is selected from the group consisting of OH, OMe, OR50, and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. Preferably, R4 is selected from the group consisting of OH, OMe, OR50 and X
wherein R50 is'(CH2),,CH3 and n is 1-7 and X is F, Cl, Br, or I. More preferably, R4 is selected from the group consisting of H, OH, and OMe. Even more preferably, R4 is H.
Even more preferably, R4 is H when the first dotted configuration of compound (II) is a double bond and the second dotted configuration of coinpound (II) is a single bond, R4 is H
when both dotted configurations are single bonds, and R4 is selected from the group corisisting of H and OMe when both dotted configurations are double bonds.
Generally, R5 is selected from the group consisting of H, OH, OMe, OR50, and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl,'Br, or I. Preferably, R5 is selected from the group consisting of H, OH, OMe, OR50, and X wherein R50 is (CH2)õCH3 and n is 1-7, ans X is F, Cl, Br, or I. More preferably, R5 is selected from the group consisting of H, OH, and OMe.
Even more preferably, R5 is OH.

[0032] While compounds of formula (II) have been presented herein as diketones, and compounds of formula (I) have been presented as enols, those of skill in the art recognize that diketones and enols can coexist in solution as tautomers as shown below.

ox o 0 0 ~ ~--_ ( E q . 1) Accordingly, the invention contemplates the use and production of compounds in either tautomeric form, and as a mixture of the two forms.

[0033] A natural product compound having the following general formula was isolated from turmeric, and was found to protect cells from (3A peptide-induced toxicity.

[0034] Still other turmeric-related compounds useful in practice of the invention include those of formula (III):

O

I ~ O

R7 (III) In this formula, the dotted configuration is optionally a single bond or a double bond or a triple bond., Z is a representation of isosteric variation in which Z is selected from 0, S, NH, NR60, where R60 is alkyl, alkenyl, or alkynyl. Generally, R6 is selected from the group consisting of OH, OMe, OR50, and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. Preferably, R6 is selected from the group consisting of OH, OMe, OR50 and X
wherein R50 is (CH2)õCH3 and n is 1-7 and X is F, Cl, Br, or I. More preferably, R6 is selected from the group consisting of OH and OMe. Even more preferably, R6 is OH.
Generally, R7 is selected from the group consisting of OH, OMe, OR50, and X
wherein RSo is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. Preferably, R7 is selected from the group consisting of OH, OMe, OR50 and X wherein R50 is (CH2)õCH3 and n is 1-7 and X
is F, Cl, Br, or I. More preferably, R7 is selected from the group consisting of H, OH, and OMe.
Even more preferably, R7 is H. Generally, R8 is selected from the group consisting of OH, OMe, OR50, and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I.
Preferably, R8 is selected from the group consisting of OH, OMe, OR50 and X
whereinR50 is (CH2)r,CH3 and n is 1-7 and X is F, Cl, Br, or I. More preferably, R8 is selected from the group consisting of H, OH, and OMe. Even more preferably, R8 is OH. Generally, R9 is selected from the group consisting of OH, OMe, OR50, and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. Preferably, R9 is selected from the group consisting of OH, OMe, OR50 and X wherein R50 is (CH2)õCH3 and n is 1-7 and X is F, Cl, Br, or I. More preferably, R9 is selected from the group consisting of H, OH, and OMe. Even more preferably, Rg is H. .

[0035] The second set of compounds useful for practice of the invention include natural compounds which can be extracted on otherwise derived from Ginkgo biloba as well as synthetic Ginkgo biloba compounds including biologically active homologues and analogues of natural Ginkgo biloba compounds which share anti-(3A activity.
Such compounds have the formula (IV):

OH

R
(IV) or a pharmaceutically acceptable salt or ester thereof, wherein R is selected from the group consisting of higher alkyl, higher alkenyl, and higher alkynyl.

More preferably, R is and n is 1-7. Even more preferably, R is selected from the group consisting of and And R is also selected from the group consisting of alkyl, alkenyl, and alkynyl; for example;

y ,and and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of ; for example;

Y and wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;

Y
Z~Z4 /'Z'~

wherein z= 0, S, NRõ,where R = alkyl, alkenyl, alynyl groups; and n= 1 or 2.

[0036] The third set of compounds useful for practice of the invention include natural compounds which can be extracted on otherwise derived from Zingiber sp.
(ginger) as well as synthetic ginger compounds including biologically active homologues and analogues of =
natural ginger compounds which share anti-(3A activity. Such compounds have the formula (V).

O

Ri2 Rio (v) Rii In this formula, the dotted configuration is optionally a single bond or a double bond or a triple bond. Preferably, Rio is selected from the group consisting of OH, OMe, OR', and X
wherein R' is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. More preferably, Rlo is selected from the group consisting of OH, OMe, OR", and X wherein R" is (CH2)õCH3 and n is 1-7, and X is F, Cl, Br, or I. Even more preferably, Rlo is OH. Preferably, R, i is selected from the group consisting of H, OH, OMe, and OR' wher R' is alkyl, alkenyl, or alkynyl.
More preferably, Rl 1 is selected from the group consisting of H, OH, OMe, and OR" wherein R" is (CH2)nCH3 and n is 1-7. Even more preferably, R> > is selected from the group consisting of H and OMe. Preferably, R12 is selected from the group consisting of alkyl, alkenyl, and alkynyl. More preferably, R12 is selected from the group consisting of y , Y ,a11d and y is 1-9. Even more preferably, R12 is selected from the group consisting of Jy ~ (,and y and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of; for example;

Y and wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;

Y Y Y
Z--~Z'~~Z-~, wherein z O, S, NRn,where R= alkyl, alkenyl, alynyl groups; and n= 1 or 2.

[0037], And compounds having a formula (VI):
O OH

R14 (VI) In this formula, the dotted configuration is optionally a single bond or a double bond or a triple bond. Preferably, R13 is selected from the group consisting of OH, OMe, OR', and X
wherein R' is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. More preferably, R13 is selected from the group consisting of OH, OMe, OR", and X wherein R" is (CHZ)õCH3 and n is 1-7, and X is F, Cl, Br, or I. Even more preferably, R13 is OH. Preferably, R14 is selected from the group consisting of H, OH, OMe, and OR' wher R' is alkyl, alkenyl, or alkynyl.

More preferably, R14 is selected from the group consisting of H, OH, OMe, and OR" wherein R" is (CH2)r,CH3 and n is 1-7. Even more preferably, R14 is selected from the group consisting of H and OMe. Preferably, R15 is selected from the group consisting of alkyl, alkenyl, and alkynyl. More preferably, R15 is selected from the group consisting of y , y ,and . y and y is 1-9. Even more preferably, R15 is selected from the group consisting of ~
y y and y and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of ; for example;

Y Y and ----- ------ ------~
wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;

Y
Z''~Z'~~Z"

wherein z = 0, S, NRõ,where R= alkyl, alkenyl, alynyl groups; and n= 1 or 2.

[0038] It is apparent from the biological results for the ginger-derived natural product compounds that the length of the side chain is important for the expression of biological activity. For example, with respect to the ginger-derived natural product compounds, compounds (11), (12), (13) and (14), the biological activity appears to improve as the compounds' side chain length increases. Thus, it is of interest to prepare analogues having different and lengthier side-chains. Preferably, shogaol compounds have side chains wherein R12 has five or more carbons. More preferably, R12 has nine or more carbons, and even more preferably, R12 has eleven or more carbons. Furthermore, two of the synthesized shogaol analogue compoLmds, compounds (45) and (50), also effectively protected cells from (3A
peptide insult despite the fact that these compottnds have different substituents than the ginger-derived natural product compounds. For example, compound (45) differs from the ginger-derived natural product compounds because it has a saturated hydrocarbon side chain, and compound (50) differs from the ginger-derived natural product compounds because it does not have a methoxy substituent. These data suggest that changing the nature of the substituents on the phenyl rings of the active compounds is of interest for the methods, pharmaceutical compositions, compounds and uses according to the invention.

[0039] As used herein, the term "alkyl" refers to a carbon chain having at least two carbons. Preferably, alkyl refers to a carbon chain having between two and twenty carbons.
More preferably, alkyl refers to a carbon chain having between two and eight carbons. The term "alkenyl," as used herein, refers to a carbon chain having at least two carbons, and at least one carbon-carbon double bond. Preferably, alkenyl refers to a carbon chain having between two and twenty carbons, and at least one carbon-carbon double bond.
More preferably, the term alkenyl refers to a carbon chain having between two and eight carbons, and at least one carbon-carbon double bond. The term "alkynyl," as used herein, refers to a carbon chain having at least two carbon atoms, and at least one- carbon-carbon triple bond.
Preferably, alkynyl refers to a carbon chain having between two and twenty carbon atoms, and at least one carbon-carbon triple bond. More preferably, alkynyl refers to a carbon-.chain having between two and eight carbon atoms, and at least one carbon-carbon triple bond.

[0040] As used herein, the term "higher alkyl" refers to a carbon chain having at least five carbon atoms. Preferably, higher alkyl refers to a carbon chain having between five and twenty carbons. More preferably, higher alkyl refers to a carbon chain having between five and twelve carbon atoms. As used herein, the term "higher alkenyl" refers to a carbon chain having at least five carbon atoms, and at least one cabon-carbon double bond.
Preferably, higher alkenyl refers to a carbon chain having'between five and twenty carbon atoms, and at least one carbon-carbon double bond. More preferably, higher alkenyl refers to a carbon chain having between five and twelve carbon atoms, and at least one carbon-carbon double bond. The term "higher alkynyl," as used herein, refers to a carbon chain having at least five carbons, and at least one carbon-carbon triple bond. Preferably, higher alkynyl refers to a carbon chain having between five and twenty carbon atoms, and at least one carbon-carbon triple bond. More preferably, the term higher alkynyl refers to a carbon chain having between five and twelve carbon atoms, and at least one carbon-carbon triple bond.
[00411 The fourth set of coinpounds useful for practice of the invention include natural compounds which can be extracted or otherwise derived from Salvia sp.
(sage) and Rosnaarinus sp. (rosemary) which share anti-(3A activity. Such compounds have the formulas (VII), (VIII), and (IX):

OH OH OH
HO O HO

~~
- O _ O _ O ~~~~
H ~ ''~OH
OH O H
(VII) (VIII) (IX) According to one aspect of the invention, combinations of each of the anti-Beta amyloid compounds may be administered as well as combinations of compounds of natural or synthetic compounds selected from the different classes of tumeric, ginkgo biloba, ginger, sage and rosemary compounds may be administered in combination for additive or synergistic effect. The invention also provides methods whereby the plant-derived compounds and homologues and analogues thereof may be combined with other agents including those selected from the group consisting of cholinergic agents (such as pilocarpine, beta blockers), oral carbonic anhydrase inhibitors (such as acetazolaminde and dorzolamide), alpha-2 adrenergic agonists (such as apraclonidine and brimonidine), prostaglandin agonists (latanoprost), carotenoids, lutein and zeaxanthin.

BRIEF DESCRIPTION OF THE DRAWINGS

[0042] These and other features, aspects, and advantages of the present invention will become better understood with regard to the following description, appended claims, and accompanying drawings where:

[0043] FIG. 1 shows the structures of turmeric-derived natural product compounds that protected PC 12, IMR32, and HUVEC cells from (3A peptide-induced toxicity.

[0044] FIG. 2 shows a scheme for the synthesis of dihydro- and tetrahydro-curcuminoids.

[0045] FIG. 3 shows a scheme for the synthesis of symmetric and unsymmetric curcumin analogues and related compounds.

[0046] FIG. 4 shows a scheme for the synthesis of turmeric-derived natural product compound (6).

[0047] FIG. 5 shows the stn.ictures of curcuminoid compounds that have been synthetically prepared and assayed for biological activity against (3A peptide-induced toxicity.

[0048] FIG. 6 shows the structures of ginger-derived natural product compounds that protected PC 12, IMR32, and HUVEC cells from (3A peptide-induced toxicity.

[0049] FIG. 7 shows a scheme for the synthesis of ginger-derived natural product compound (13).

[0050] FIG. 8 shows a scheme for the synthesis of [9]-dihydroshogaol, compound (45).

[0051] FIG. 9 shows a scheme for the synthesis of [9]-demothoxyshogaol, compound (50).

[0052] FIG. 10 shows the structures of ginkgo biloba-derived natural product compounds that protected PC12 and HUVEC cells from (3A peptide-induced toxicity.
[0053] FIG. 11 shows a proposed synthesis for ginkolic acids and their analogues.

DETAILED DESCRIPTION OF THE INVENTION

[0054] One aspect of the present invention is directed to the use of methanol and other extract of Curcunia sp. (Zingiberaceae), Zingiber sp. (Zingiberaceae), Ginkgo biloba, Salvia sp. (Lamiaceae) and Rosinarinus sp. (Labiatae) to effectively protect cells from (3A
insult. The extract is obtained by pharmacologically acceptable solvent that is comprised of but not limited to methanol, ethanol, isopropyl alcohol, butanol etc. of such nature, and other nonalcoholic solvents such as dimethylsulfoxide, dimethyl formate, chloroform, dichloromethane, hexanes, petroleum ether and diethyl ether types, and in combination with water. The extracts of these plants were found to protect PC12, IMR32, and HUVEC cells from (3A insult. Via bio-assay guided fractionation, twelve natural product compounds (eleven known and one novel) exhibiting potent anti-(3A peptide activity were isolated and identified. These natural product compounds were found to protect PC 12, IMR32, HUVEC, and primary cortical rat neuronal cells from (3A peptide (both 25-35 and 1-42) insult.

[0055] In some cases, the natural product compounds were synthetically prepared. It is necessary and cost efficient to chemically synthesize the compounds in order to perform a thorough bioassay because only a small amount of these compounds are available from the natural sources. The biological activities of the synthesized natural product compounds were identical to those of the natural product compounds isolated from the plants.
A series of natural product analogues that protect cells from PA peptide insult as effectively as the isolated natural product compounds were also synthesized.

[0056] Methods of treating a beta-Amyloid protein-induced ocular disease including AD, AMD and glaucoma with the compounds of the invention are described herein.
Further, pharinaceutical compositions comprising one or more compounds of the invention and a pharmaceutically acceptable diluent, adjuvant, or carrier are provided. The use of the compounds of the invention for the manufacture of a medicament for treatment of a beta-amyloid protein-induced ocular disease is also disclosed herein.

[0057] Natural product compounds having the following general formula were isolated from turmeric and were found to protect cells from (3A peptide insult. In addition, several of the natural product compounds described by this general formula were synthetically prepared.

Ri R2 HO ~ (I) ~ OH

In this formula, the dotted configuration is optionally a single bond or a double bond.
Generally, Rl is selected from the group consisting of H, OH, OMe, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl. Preferably, Rl is selected from the group consisting of H, OH, OMe, and OR60 wherein R60 is (CH2)r,CH3 and n is 1-7. More preferably, RI is selected from the group consisting of H, OH, and OMe. Even more preferably, R, is selected from the group consisting of H and OMe when the dotted configuration of compound (I) is a double bond, and R1 is selected from the group consisting of H and OH when the dotted configuration is a single bond. Generally, R2 is selected from the group consisting of H, OMe, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl. Preferably, R2 is selected from the group consisting of H, OMe, and OR60 wherein R60 is (CH2)õCH3 and n is 1-7.
More preferably, R2 is selected from the group consisting of H and OMe. Even more preferably, R2 is selected from the group consisting of H and OMe when the dotted configuration of compound (I) is a double bond, and R2 is H when the dotted configuration is a single bond.
[0058] Other compounds useful for practice of the invention include those of the formula (II):

Rq H \ R5 R3 (II) In this formula, the dotted configuration is optionally a single bond or a double bond or a triple bond. Generally, R3 is selected from the group consisting of H, OMe, and ORso wherein R50 is alkyl, alkenyl, or alkynyl. Preferably, R3 is selected from the group consisting of H, OMe, and OR60 wherein R60 is (CHa)r,CH3 and n is 1-7. More preferably, R3 is selected from the group consisting of H and OMe. Even more preferably, R3 is H.
Generally, R4 is selected from the group consisting of H, OH, OMe, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl. Preferably, R4 is selected from the group consisting of H, OH, OMe, and OR60 wherein R60 is (CH2)õCH3 and n is 1-7. More preferably, R4 is selected from the group consisting of H, OH, and OMe. Even more preferably, R4 is H when the first dotted configuration of compound (II) is a double bond and the second dotted configuration of compound (II) is a single bond, R4 is H when both dotted configurations are single bonds, and R4 is selected from the group consisting of H and OMe when both dotted configurations are double bonds. Generally, R5 is selected from the group consisting of H, OH, OMe, OR50, and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I.
Preferably, R5 is selected from the group consisting of H, OH, OMe, OR60, and X wherein R60 is (CH2)õCh3 and n is 1-7, ans X is F, Cl, Br, or I. More preferably, R5 is selected from the group consisting of H, OH, and OMe. Even more preferably, R5 is OH.
[0059] While compounds of formula (II) have been presented herein as diketones, and compounds of formula (I) have been presented as enols, those of skill in the art recognize that diketones and enols can coexist in solution as tautomers as shown below.

(Eq. 1) ')L~ Accordingly, the invention contemplates the use and production of compounds in either tautomeric form, and as a mixture of the two forms.
[0060] A natural product compound having the following general formula was isolated from turmeric, and was found to protect cells from (3A peptide-induced toxicity.
[0061] Still other turmeric-related compounds useful in practice of the invention include those of formula (III):
R$
O I

z R9 R7 (III) In this formula, the dotted configuration is optionally a single bond or a double bond or ,a triple bond. Z is a representation of isosteric variation in which Z is selected from 0, S, NH, NR60, where R60 is alkyl, alkenyl, or alkynyl. Generally, R6 is selected from the group consisting of OH, OMe, OR50, and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. Preferably, R6 is selected from the group consisting of OH, OMe, OR60 and X
wherein R60 is (CH2)r,CH3 and n is 1-7 and X is F, Cl, Br, or I. More preferably, R6 is selected from the group consisting of OH and OMe. Even more preferably, R6 is OH.
Generally, R7 is selected from the group consisting of H, OMe, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl. Preferably, R7 is selected from the group consisting of H, OMe and OR60 wherein R60 is (CH2)õCH3 and n is 1-7. More preferably, R7 is selected from the group consisting of H and OMe. Even more preferably, R7 is OMe. Generally, R$
is selected from the group consisting of OH, OMe, OR50 and X wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. Preferably, R8 is selected from the group consisting of OH, OMe, OR60 and X wherein R60 is (CHa)õCH3 and n is 1-7, and X is F, Cl, Br, or I.
More Preferably, R8 is selected from the group consisting of OH and OMe. Even more preferably, R8 is OH.
Generally, R9 is selected from the group consisting of H, OMe and OR50 wherein R50 is alkyl, alkenyl, or alkynyl. Preferably, R9 is selected from the group consisting of H, OMe and OR60 wherein R60 is (CH2)õCH3 and n is 1-7. More preferably, R9 is selected from the group consisting of H and OMe. Even more preferably, Rg is OMe.

[0062] The second set of compounds useful for practice of the invention include natural compounds which can be extracted on otherwise derived from Ginkgo biloba as well as synthetic Ginkgo biloba compounds including biologically active homologues and analogues of natural Ginkgo biloba compounds which share anti-(3A activity.
Such compounds have the formula (IV):

H O

OH

R
(IV) or a pharmaceutically acceptable salt or ester thereof, wherein R is selected from the group consisting of higher alkyl, higher alkenyl, and higher alkynyl.

More preferably, R is and n is 1-7. Even more preferably, R is selected from the group consisting of and And R is also selected from the group consisting of alkyl, alkenyl, and alkynyl; for example;

= ly , (,and y and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of ; for example;

Y and ----- ------ ------\~ Y

wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;
y Z~Z"( / Zq wherein z= 0, S, NRõ,where R = alkyl, alkenyl, alynyl groups; and n = 1 or 2.

[00631 The third set of compounds useful for practice of the invention include natural compounds which can be extracted on otherwise derived from Zingiber sp.
(ginger) as well as synthetic ginger compounds including biologically active homologues and analogues of natural ginger compounds which share anti-(3A activity. Such compounds have the formula (V):
O

Rio (V) Rti In this formula, the dotted configuration is optionally a single bond or a double bond ora triple bond. Preferably, Rlo is selected from the group consisting of OH, OMe, OR', and X
wherein R' is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. More preferably, Rlo is selected from the group consisting of OH, OMe, OR", and X wherein R" is (CH2)õCH3 and n is 1-7, and X is F, Cl, Br, or I. Even more preferably, Rlo is OH. Preferably, R11 is selected from the group consisting of H, OH, OMe, and OR' wher R' is alkyl, alkenyl, or alkynyl.
More preferably, RI 1 is selected from the group consisting of H, OH, OMe, and OR" wherein R" is (CH2)õCH3 and n is 1-7. Even more preferably, RI I is selected from the group consisting of H and OMe. Preferably, R12 is selected from the group consisting of alkyl, alkenyl, and alkynyl. More preferably, R12 is selected from the group consisting of andyis 1-9.

)y y ,and Even more preferably, R12 is selected from the group consisting of ~ \ -y , y ,and y and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of; for example;

Y and wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioetheis or amines; for example;

Y Y
ZZ,"Z

wherein z= O; S, NRõ,where R= alkyl, alkenyl, alynyl groups; and n 1 or 2.
and y is 1-9.
[0064] And compounds having a formula (VI):
O OH
~ R15 ~ /

R14 (VI) In this formula, the dotted configuration is optionally a single bond or a double bond or a triple bond. Preferably, R13 is selected from the group consisting of OH, OMe, OR', and X wherein R' is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I. More preferably, R13 is selected from the group consisting of OH, OMe, OR", and X wherein R" is (CHZ)õCH3 and n is 1-7, and X is F, Cl, Br, or I. Even more preferably, R13 is OH. Preferably, R14 is selected from the group consisting of H, OH, OMe, and OR' wher R' is alkyl, alkenyl, or alkynyl.
More preferably, R14 is selected from the group consisting of H, OH, OMe, and OR" wherein R" is (CH2)õCH3 and n is 1-7. Even more preferably, R14 is selected from the group consisting of H and OMe. Preferably, R15 is selected from the group consisting of alkyl, alkenyl, and alkynyl. More preferably, R15 is selected from the group consisting of y ,and y and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of ; for example;

Y and = ~/------ ------ ---_-~/~~ ~~

wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;

Y
~
wherein z= 0, S, NRõ,where R= alkyl, alkenyl, alynyl groups; and n=1 or 2.

[0065] It is apparent from the biological results for the ginger-derived natural product compounds that the length of the side chain is important for the expression of biological activity. For example, with respect to the ginger-derived natural product compounds, compounds (11), (12), (13) and (14), the biological activity appears to improve as the compounds' side chain length increases. Thus, it is of interest to prepare analogues having different and lengthier side-chains. Preferably, shogaol compounds have side chains wherein R12 has five or more carbons. More preferably, R12 has nine or more carbons, and even more preferably, R12 has eleven or more carbons. Furthermore, two of the synthesized shogaol analogue compounds, compounds (45) and (50), also effectively protected cells from (3A
peptide insult despite the fact that these compounds have different substituents than the ginger-derived natural product compounds. For example, compound (45) differs from the ginger-derived natural product compounds because it has a saturated hydrocarbon side chain, and compound (50) differs from the ginger-derived natural product compounds because it does not have a methoxy substituent. These data suggest that changing the nature of the substituents on the phenyl rings of the active compounds is of interest for the methods, pharmaceutical compositions, compounds and uses according to the invention.
[0066] As used herein, the term "alkyl" refers to a carbon chain having at least two carbons. Preferably, alkyl refers to a carbon chain having between two and twenty carbons.
More preferably, alkyl refers to a carbon chain having between two and eight carbons. The terrri "alkenyl," as used herein, refers to a carbon chain having at least two carbons, and at least one carbon-carbon double bond. Preferably, alkenyl refers to a carbon chain having between two and twenty carbons, and at least one carbon-carbon double bond.
More preferably, the term alkenyl refers to a carbon chain having between two and eight carbons, and at least one carbon-carbon double bond. The term "alkynyl," as used herein, refers to a carbon chain having at least two carbon atoms, and at least one carbon-carbon triple bond.
Preferably, alkynyl refers to a carbon chain having between two and twenty carbon atoms, and at least one carbon-carbon triple bond. More preferably, alkynyl refers to a carbon chain having between two and eight carbon atoms, and at least one carbon-carbon triple bond.
[0067] As used herein, the term "higher alkyl" refers to a carbon chain having at least five carbon atoms. Preferably, higher alkyl refers to a carbon chain having between five and twenty carbons. More preferably, higher alkyl refers to a carbon chain having between five and twelve carbon atoms. As used herein, the term "higher alkenyl" refers to a carbon chain having at least five carbon atoms, and at least one cabon-carbon double bond.
Preferably, higher alkenyl refers to a carbon chain having between five and twenty carbon atoms, and at least one carbon-carbon double bond. More preferably, higher alkenyl refers to a carbon chain having between five and twelve carbon atoms, and at least one carbon-carbon double bond. The term "higher alkynyl," as used herein, refers to a carbon chain having at least five carbons, and at least one carbon-carbon triple bond. Preferably, higher alkynyl refers to a carbon chain having between five and twenty carbon atoms, and at least one carbon-carbon triple bond. More preferably, the term higher alkynyl refers to a carbon chain having between five and twelve carbon atoms, and at least one carbon-carbon triple bond.

[0068] The fourth set of compounds usefiil for practice of the invention include natural compounds which can be extracted or otherwise derived from Salvia sp.
(sage) and Rosrnarinus sp. (rosemary) which share anti-(3A activity. Such compounds have the formulas (VII), (VIII) and (IX):

OH OH HO O / HO

~
O O I 'jr' O 1 ~O Oss''OH
"..
H H H
OH O

(VII) (VIII) (IX) [0069] The administration of the natural product and natural product analogue compounds of the invention is preferably accomplished with a pharmaceutical composition comprising a therapeutically effective amount of an active compound of the present invention and a phannaceutically acceptable diluent, adjuvant, or carrier. A compound according to the invention may be administered without or in conjunction with known antibiotics, surfactants, or other therapeutic agents. It is contemplated that the pharmaceutical compositions of this invention can be administered to humans and other animals orally, rectally, parentally, intracistemally, intraperitoneally, intraocularly by injection or depot, topically (as by powders, ointments, or drops), intraocularly, bucally, intranasally, or by any other effective route of administration.

[0070] According to the methods for treatment of the present invention, (3A
'protein-induced disease is treated in a subject, such as a human or lower mammal, by administering to the subject a therapeutically effective amount of an active compound of the invention in such amounts and for such time as is necessary to achieve the desired results.
The term "beta-Amyloid protein-induced disease", as used herein, refers to disease states that are characterized by the formation and aggregation of beta-Amyloid protein or beta-Amyloid peptide fibril deposits or plaques, such as, for example, Alzheimer's disease, Down's syndrome, age-related macular degeneration (AMD) and glaucoma.

[0071] It is contemplated that the methods for treatment in accordance with the invention encompass the treatment of subjects wherein the (3A protein-induced disease process is ongoing but wherein the subjects do not exhibit manifest outward symptoms, and/or wherein the pathology of the disease can not be detected using presently available technologies. Furthermore, the methods for treatment of the present invention contemplate not only treating the common symptoms associated with (3A protein-induced diseases but also treating the pathology of the disease. Thus, the methods for treatment provided herein include treating syinptoms associated with (3A protein-induced diseases, such as, for example, the memory loss and dementia associated with Alzheimer's disease, but also include preventing senile plaque formations, and/or clearing such formations.
Similarly, the methods of the invention are contemplated to be useful in treating the symptoms associated with (3A-induced ocular diseases such as glaucoma and AMD and further treat the pathology of those diseases. It is hypothesized that the formation of senile plaques is a regularly occurring and ongoing process in humans and other mammals. However, it is further hypothesized that the equilibrium of this process is substantially disturbed in patients affected by (3A
protein-induced diseases, resulting in the accumulation;aiid formation of senile and ocular plaques.

[0072] As used herein, the term "therapeutically effective ainount" means that amounts of a compound of the present invention sufficient to alleviate, ameliorate, prevent, and/or clear the symptoms and/or the pathology of (3A protein-indticed disease are contemplated for administration. Accordingly, the methods for treatment of AD
in accordance with the invention contemplate administration of an active compound of the invention whether (3A protein-induced disease- like symptoms are manifest, or not.

[0073] The total daily dose of natural product compound (6) of this invention to be administered to a human or other mainmal is preferably between 1 to 200 mg/kg body weight. More preferably, the total daily dosage is between 20 to 160 mg/kg body weight.
Even more preferably, the total daily dosage is between 40 to 100 mg/kg body weight. One skilled in the art could obtain preferred dosage ranges for the other compounds of the invention by extrapolating from the compounds' ED50 values, such as, for example the ED50 values presented in Tables 1, 2, 3, and 4. It will be understood that the total daily usage of the compounds and compositions of the present invention will be decided by the attending physician within the scope of sound medical judgment. The specific therapeutically effective dose level for any particular patient will depend upon a variety of factors including the severity and progression of the disease, the time of administration, the route of administration, the size of the subject, the rate of excretion of the specific compound employed, the duration of the treatment, the additional therapeutic agents used in combination with the specific compound of the invention, and like factors well known in the medical arts.

[0074] The mecllanism of action of the natural product compounds and the nattiral product analogue compounds of the invention appears to involve both antioxidant and non-antioxidant pathways. Without intending to be bound by a theory of the mechanism of the invention, it is believed that the compounds and compositions of the invention provide therapeutic and preventive agents that protect neurons from (3A peptide insult by (1) an antioxidant pathway, (2) preventing the aggregation of (3A peptide by directly binding to (3A
peptide, thereby altering its structural conformation and rendering it non-toxic, and/or (3) binding to a receptor site on the cell, thereby altering the cell function in such a way that it is protected from (3A peptide toxicity.

[0075] The invention can be better understood in light of the following examples which are intended as an illustration of the practice of the invention and are not meant to limit the scope of the invention in any way.

Example I

Isolation and Identification of Natural Product Compounds Derived from Turmeric that Protect Cells from Beta Amyloid-Induced Toxicity [0076] According to this example, potent anti-AD natural product compounds that protect cells from (3A peptide-induced toxicity were isolated from turmeric by following bioassay-guided fractionation schemes. Briefly, ground turmeric was extracted with 90%
methanol overnight (2x), and the solvent was removed under vacuum at 35 C. The residue was partitioned between petroleum ether/water, dichloromethane/water, and ethyl acetate/water, successively. After removing the solvents under vacuum at 35 C, the residues from each partition were screened for inhibitory activity against (3A peptide-induced cytotoxicity using the MTT assay described in this example. The active principles were isolated from the residues of the active fractions by a series of column chromatography using various resins (Amberchrom non-ionic resin and silica gel) and semi-preparative HPLC
reverse-phased separation (isopropyl alcohol/water or acetonitrile/water solvent system). Six curcuminoids, natural product compounds (1), (2), (3), (4), (5), and (6) were isolated from turmeric, and their structures were elucidated using NMR (1-D and 2-D 1H, 13C, APT, HMBC) and mass spectrum analysis. These compounds are shown in FIG. 1.

[0077] The inhibitory activity of the residues and of the identified compounds was determined by observing the differences in the cell viability of PA peptide (both 25-35 and 1-42) treated cells, (3A peptide (both 25-35 and 1-42) treated cells further including a compound according to the invention, and a DMSO control.

[0078] The degree of (3A insult was measured by 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) reduction assay. See Kim et al., Neurosci Lett 303, 57 (2001), Park et al., JNat Prod 65, 1227 (2002) and Kim et al., Plarat Medica 68, 375 (2002).
The detection of cell growth or cell death can be determined by observing the conversion of MTT to the colored product, MTT formazan, the concentration of which can be measured colorimetrically at 550 nm. See Kim et al., Neurosci Lett 303, 57 (2001).
[0079] The (3A peptide-induced toxicity inhibitory effects of the compounds were tested on PC12 cells. The cells were incubated with (3A peptide (25-35) (1.0 g/ml, made from 1.0 mg/m,l stock solution in DMSO) or (3A peptide (1-42) (2.0 g/ml, made from 1.0 mg/mi stock solution in DMSO) and the test compounds at various concentrations (25, 5.0, 1.0, and 0.2 g/ml) in collagen-coated 96-well tissue culture plates for 24 hours. The (3A
peptide-induced toxicity inhibitory effect of the compouizds was determined by colorimetrically and microscopically evaluating the PC12 cells' potential to reduce MTT
against a positive control (1% DMSO only) and a negative control (1.0 g/ml (3A peptide in 1% DMSO alone). Cells were incubated in MTT solution (5 mg/ml) at 37 C for 2 hours.
During this time, cells were observed under a microscope every 15 min. Cells were incubated in Lysing buffer (100 1) overnight at 37 C. Colorimetric determination of MTT
reduction was made at 550 nm. The (3A peptide-induced cytotoxicity inhibitory activity of the compounds was also evaluated against IMR32, HUVEC, and primary cortical rat neuronal cells.

[0080] PC 12 rat pheochromocytoma and IMR32 human neuroblastoma cells were obtained from the American Type Culture Collection (ATCC). HUVEC normal uinbilical human vein endothelial cells were obtained from Clonetics (San Diego, CA).
Cells were routinely cultured on a tissue culture plate (Corning, New York, NY). PC12 cells were grown in high glucose Dulbecco's Modified Eagle Medium (DMEM), 10% horse serum, 5%
fetal calf serum, and 1% penicillin/streptomycin. IMR32 cells were grown in 90% DMEM
and 10% fetal calf serum with 1% penicillin/ streptomycin. HUVEC cells were grown in EGM-2 Bullet Kit (Clonetics, San Diego, CA). For the bioassay using (3A
peptide(25-35) and (3A peptide(1-42), 100 l of exponentially growing PC12 cells (2,000 cells per ml) were plated in collagen-coated 96-well tissue culture plates.

[0081] PC12 cells were cultured routinely on polystyrene-coated Coming tissue culture plates. PC12 cells gave consistent results only when the collagen-coated 96-well plates were used. The 96-well plates were coated with rat tail collagen (Boehringer Mannheim) in order to promote uniform PC12 cell attachment and growth. Under the experimental conditions, (lA peptide(25-35) and (3A peptide(1-42) was toxic to PC12 cells at ED50 = 1.0 and 5.0 g/ml, respectively.

[0082] IMR32 and HUVEC cells were chosen to confirm and supplement the anti-(3A
peptide activity of the compounds identified by the assay using PC12 cells.
j3A peptide has been reported to be cytotoxic to IMR32 and endothelial cells. Experimental results demonstrated that IMR32 and HUVEC cells are sensitive to PA peptide (25-35) at ED 50 = 3.0 and 6.0 g/m1, respectively, and (3A peptide (1-42) at EDso = 6.0 and 10.0 g/ml, respectively.

[0083] Primary cortical rat neuronal cells were obtained in the following manner.
Dissociated primary neuronal cell cultures were established from I 8-day-old Sprague-Dawley rat fetuses. The pups were delivered by caesarean section while the dam was anesthetized with ether. Hippocampal tissue from embryonic day 18 Sprague-Dawley rat pups was dissected and then rinsed in cold Ca2+/Mg2+-free Hank's balanced salt solution supplemented with 20 m1VI HEPES; 4:2 mM sodium bicarbonate, 1mM pyruvate, and mg/ml bovine serum albumin (BSA): Following gentle trituration of the tissue with a constricted pipette in cold buffer, two volumes. of 10% fetal bovine serum (FBS) in DMEM
were added to the suspension. After the suspension settled for 2 minutes, the supematant was collected and centrifuged.for 2 min. at 200 x g. The cell pellets were resuspended in serum-free DMEM (pH 7.3), supplemented with 2.4 mg/ml BSA and a modification of Brewer's B 16 defined components (with 250 nM vitamin B 12 and without catalase, glutathione, and superoxide dismutase). Cells were plated at a density of 15,000 cells/cm2 and grown at 37 C. After 24 hours of incubation to allow cell attachment, the serum-containing medium was replaced by defined medium with DMEM/F12 containing bovine transferrin (100 g/ml), bovine insulin (5 g/ml), putrescine (0.1 mM), progesterone (10 nM), sodium selenite (30 nM), sodium pyruvate (1 mM), and potassium bicarbonate (15 mM). Cells maintained for extended periods of time were fed twice a week by replacing 1/3 of the medium with fresh medium.

Example 2 Inhibitory Activity and Antioxidant Potency of Turmeric-Derived Natural Product Compounds Against Beta Amyloid Toxicity [0084] According to this example, the inhibitory activity of the turmeric-derived natural product compounds (1), (2), (3), (4), (5), and (6) (shown in FIG. 1) against (3A
peptide-induced toxicity was measured by the MTT reduction assay described in example 1.
These six turmeric-derived curcuminoids protected PC12, IMR32, and HUVEC cells from (3A peptide-induced toxicity (Table 1). These compounds also protected primary cortical neuronal cells at 5 g/ml against P A peptide(1-42) insult (10 g/ml).

[0085] ED50 values reflect the results from the MTT assay, and represent the sample concentration that is required to achieve 50% cell viability, a mid-point between the positive control values and the negative control values. The samples that gave values as determined by the MTT assay less than or equal to that of (3A peptide treated wells were considered cytotoxic or without desired activity, and are labeled "toxic".

[0086] The measurement of lactate dehydrogenase activity released to the extracellular bathing media was also used to assess cell viability in cell culture. LDH activity in the medium was measured. See Kimura et al., Brain Res 1047, 72 (2005) and Loudina et al., Exp Neurol 184, 923 (2003). This assay was used to confirm the ED50 results obtained in the MTT assay. Samples of media from 96-well cell culture plates were transferred to an empty well of a 96-well plate (100 l) and 2.0 mol of sodium pyruvate and 0.1 mg of the reduced form of nicotinamide adenine dinucleotide (NADH in 0.1 M K2P04 buffer (pH 7.5 at 25 C) were added (total volume of 400 l). The absorbance of the reaction mixture at 340 nm provides an index of NADH concentration, and was recorded using a spectrophotometer 5 minutes after mixing the reagents. The experiment was performed in triplicate and the LDH
concentration was calculated from the slope of the absorbance curve, fit by linear regression to the linear (initial) portion of the curve. The concentration of LDH was expressed in conventional units (u) per ml. Accuracy of the assay was verified by periodic checks of a standard LDH enzyme solution (Sigma).

[0087] IC50 values reflect the results of the antioxidant assay described in this example, and represent the sample concentration which is required to scavenge 50% of the DPPH free radicals. Kim et al., Neurosci Lett 303, 57 (2001) and Barik et al., Free Radic Biol Med 39, 811 (2005).

[0088] Using an antioxidant assay, the antioxidant potency of the compounds of the invention was evaluated. 1, 1 -Diphenyl-2-picrylhydrazyl (DPPH) is known to generate stable free radicals in aqueous and ethanolic solutions. The ability of the compounds of the invention to scavenge these free radicals was measured by observing the optical density change of DPPH radicals at 515 nm. Kim et al., Neurosci Lett 303, 57 (2001) and Barik et al., Free Radic Biol Med 39, 811 (2005).

[0089] The samples were prepared in various concentrations (200, 20, 2.0, and 0.2 g/ml) by serial dilution of a stock solution (5 mg/ml) and were tested by the following procedure. Reaction mixtures containing test compounds (dissolved in DMSO) and 300 (3M
DPPH ethanolic solution in 96-well microtiter plates were incubated at 37 C
for 30 min. and absorbance was measured at 515 nm. Percent inhibition by sample treatment was determined by comparison with a DMSO-treated positive control group. IC50 values were determined from percent inhibition by sample. IC50 values denote the concentration of the tested compound that was required to scavenge 50% of the DPPH free radicals.

[0090] The antioxidant potency of the natural product compounds was evaluated by measuring the compounds' ability to scavenge free radicals in order to elucidate the possible involvement of antioxidant pathways in the compounds ability to protect the cells (Tables 1 and 2). The results showed that only compounds (1) and (2) have'strong antioxidant activity, suggesting that the compounds of the invention may be protecting cells from (3A peptide insults through a mechanism that does not involve an antioxidant pathway.

Table 1. Inhibitory Activity of Turmeric-Derived Natural Product Compounds against [lA Peptide-Induced Toxicity against PC12, IMR32, and HUVEC cells and Antioxidant Activity of the Compounds.

Compound Anti-(3 A Anti-(3A Anti-(3A Anti-[3A Anti-(iA Antioxidant .peptide(25-35) peptide(I-42) ED 50 peptide(25-35) peptide(25-35) peptide(1-42) ED50 IC50 ( g/ml) ED;o ( g/ml) ( g/ml) ED50 ( g/ml) EDSO ( g/ml) ( g/ml) 1 7.0 10 6.0 12 13 28.2 2 4.0 5.0 4.0 4.5 5.0 36.2 3 2.0 3.5 2.5 2.4 2.0 >200 4 0.5 1.0 1.2 0.8 1.0 >200 2.5 3.0 1.5 2.0 1.5 >200 6 1.0 2.0 1.0 1.5 1.0 >200 Exainple 3 Curcuminoid Analogue Synthesis [0091] According to this example, curcuminoids and curcuminoid analogues were synthesized.

[0092] Dihydro- and tetrahydro-curcuminoids were synthesized by the procedure illustrated in FIG. 2. 3-(4-hydroxyphenyl) propanoic acid, compotmd (18), was treated with TMSCI (1.3 equivalents) in the presence of 1.1 equivalents of triethylamine in (50/50) solution to precipitate triethylammonium chloride as a white solid.
The reaction was over within a few minutes, and only the phenolic position was protected. The white ammonium salt was filtered, and the filtrate was diluted with ethyl acetate.
The resulting solution was washed with water three times, dried (MgSO4), filtered, and the solvent was removed under vacuum to afford the TMS protected carboxylic acid, compound (19), in quantitative yield. The TMS protected carboxylic acid, compound (19), was converted to the corresponding acyl chloride, compound (20), by refluxing in oxalyl chloride for 30 min, and the remaining oxalyl chloride was removed under a stream of N2 gas.
4-(4-hydroxyphenyl)-2-butanone, compound (21), was treated with TMSCI (1.3 equivalents) in the presence of triethylamine (1.1 equiv) in CH2C12, yielding the TMS
protected product, compound (22). The ammonium chloride precipitate was filtered, and the filtrate was diluted with ethyl acetate. The resulting solution was washed with water (3x), dried (MgSO4), filtered, and the solvent was removed under vacuum to afford compound (22), in quantitative yield. Compound (22) was treated with lithium diisopropylamide (LDA, 1.5 M in THF, 1.
equiv) in tetrahydrofuran (THF) at -78 C under N2 for 20 min and 1.1 equivalents of the TMS protected acyl chloride, compound (20), dissolved in THF was added. The reaction mixture was stirred at -78 C for 15 minutes and slowly warmed to room temperature. The reaction mixture was quenched with water and poured into ethyl acetate. The organic layer was washed three times with water and the water layer was back washed (2x) with ethyl acetate. The organic layers were combined, dried (MgSO4)1 filtered, and the solvent was removed under vacuum. The residue was stirred in methanol in the presence of K2C03 for 30 min to remove TMS protection. The solution was acidified with 2N HCl and poured into ethyl acetate. The aqueous layer was partitioned three times with ethyl acetate and the organic layers were combined, dried (MgSO4), filtered, and the solvent was removed under vacuum. The residue was column chromatographed over silica gel using a gradient elution of ethyl acetate/petroleum ether to afford compound (9). Compound (9) was further purified using semi-preparative HPLC using an acetonitrile/water (90/10) solvent system to give pure synthesized curcuminoid compound (9) in 45% overall yield. Sirriilarly, the unsymmetric synthesized curcuminoid compound (4) was prepared in 40% overall yield.

[0093] Both symmetric and unsymmetric curcumin analogues and related compounds were prepared according to the procedure described in FIG. 3. Benzaldehyde, compound (24), 4-hydroxybenzaldehyde, compound (25), 2, 4-pentadione, cotnpound (26), and boric acid were dissolved in dry N, N-dimethylformamide (DMF), and treated with a small amount of 1, 2, 3, 4-tetrahydroquinoline and glacial acetic acid. This reaction yielded three products:
a diphenyl group substituted product, compound (27), in 31% yield, a dihydroxyphenyl group substituted product, compound (3), in 6% yield, and a hydroxyphenyl phenyl substituted product, compound (28), in 11 % yield. After working up the reaction, (ethyl acetate/water partitioning and back washing of the aqueous layer with ethyl acetate, followed by drying (MgSO4) of the organic layer and removal of solvent in vacuo), the products were separated using semi-preparative HPLC (75% isopropyl alcohol/H20 eluent system). The physical data (1H NMR) of the dihydroxyphenyl product (3) was identical to that of the turmeric-derived natural product (3).

[0094] Natural product compound (6) was synthetically prepared according to the procedure shown in FIG. 4. The alcohol functionalities of acetol, compound (29), and vanillin, compound (31), were protected in quantitative yield as tetrahydropyran (THP) ethers using dihydropyran (DHP) in the presence of pyridinium para-toluene sulfonate (PPTS) in THF. The THP ether of acetol, compound (30), was reacted with LDA in THF at -78 C and then reacted with the THP ether of vanillin, compound (32), to afford the (3-hydroxy ketone, compound (33), in 73% yield. The THP ether was removed in the presence of PPTS, causing the dehydration of the (3- hydroxyl group, and affording compound (34) in 72%
yield. The phenolic group of compound (34) was selectively protected with a TMS group in quantitative yield to yield an alcohol, compound (35). The phenolic group of 4-hydroxy-3-methoxyphenyl propenoic acid, compound (36), was selectivelv protected with a TMS group in quantitative yield. The TMS protected carboxylic acid, compound (37), and the alcohol, compound (35), were coupled in the presence of dicyclohexylcarbodiimide, (DCC) and dimethylamino-pyridine (DMAP) in THF at room temperature to afford 68% of the coupled product, compound (38). The TMS protecting groups of compound (38) were removed by stirring in a mixture of acetic acid/H20 in THF (1/1/5) to afford the desired product in 53% yield. Attempts to remove the TMS groups of compound (38) using tetra-rz-butylammonium :fluoride in THF resulted in the decomposition of the desired reaction product. The 1H NMR,of the product was identical to that of turmeric-derived natural product compound (6).

Example 4 Inhibitory Activity and Antioxidant Potency of Curcuminoid Synthetic Analogues Against Beta Amyloid-Induced Toxicity [0095] According to this example, the inhibitory activity of the synthetic curcuminoid analogues against (3A peptide-induced toxicity was measured by the MTT
reduction assay described in example 1. Synthesized compounds (1), (3), (4), and (9) (shown in FIG. 5) protected the cells from PA peptide insult (Table 2). Microscopic analyses of (3A peptide treated cells further including synthesized curcuminoid compounds (3) and (4) also demonstrated, that these compounds effectively protect cells from (3A peptide insults. The positive control and cells treated with compounds (3) and (4) maintained MTT
formazan granules in the cytosole, a sign of viable cells, while the negative control showed extensive MTT formazan spike processes, a sign of nonviable cells. As was the case with the structurally analogous natural product compound, natural product compound (4), synthesized curcuminoid compound (4) provided the best protection. Interestingly, synthesized curcuminoid compounds (7), (8), and (10) were cytotoxic. Apparently, the presence of a hydroxyl group at the 4-position of phenyl ring or the size of substituent at that position is important for the expression of the desired biological activity. The results of the MTT assay were confirmed by the LDH methodology set forth in example 2. The synthesized curcuminoid compounds are shown in FIG. 5.

[0096] The ability of the synthesized curcuminoid compounds to scavenge DPPH
free radicals was measured by observing the optical density change of the radicals at 515 nm in accordance with the antioxidant assay set forth in Example 2. The results show that only compounds 1 and 3 have significant antioxidant activity (Table 2).

Table 2. Inhibitory Activity of Synthesized Curcuminoids against (3A
Peptide-Induced Toxicity against PC12 and IMR32 Cells and Antioxidant Activity of the Compounds., Compound Anti-(3A peptide(25-35) Anti-(3A peptide(1-42) Anti-(3A peptide(25-35) Anti-(3A peptide(1-42) Antioxidant EDjo ( g/ml) EDSO ( g/m1) ED,p ( g/m1) EDSO ( g/ml) ICaa ( g/ml) 1 5.5 6.0 6.0 6.0 28.5 3 3.0 4.5 3.0 3.5 32.6 4 0.5 1.0 _ 1.5 2.0 >200 7 toxic toxic toxic toxic >200 8 toxic toxic toxic toxic >200 9 10.0 9.0 12.0 11.0 >200 toxic toxic toxic toxic >200 Example 5 Isolation and Identification of Natural Product Compounds Derived from Ginger that Protect Cells from Beta Amyloid-Induced Toxicity [0097] According to this example, natural product compounds that protect cells from (3A peptide-induced toxicity were isolated from ginger by following bioassay-guided fractionation schemes. Briefly, ground ginger was extracted with 90% methanol overnight (2x), and the solvent was removed under vacuum at 35 C. The residue was partitioned between petroleum ether/water, dichloromethane/water, and ethyl acetate/water, successively.
After removing the solvent under vacuum at 35 C, the residues from each partition were screened for inhibitory activity against (3A peptide-induced cytotoxicity using PC 12, IMR32, and HUVEC cells at 25, 5.0, and 1.0 Pg/ml. The active principles were isolated from the residues of active fractions by a series of column chromatography using various resins (Amberchrom non-ionic resin and silica gel) and semi-preparative HPLC reverse-phased separation (isopropyl alcohol/water or acetonitrile/water solvent system).
Four shogaols, natural product compounds (11), (12), (13), and (14) (shown in FIG. 6) were isolated from ginger, and their structures were elucidated using NMR (1-D and 2-D 1 H, 13C, APT, HMBC) and mass spectrum analysis.

, Example 6 Inhibitory Activity of Ginger-Derived Natural Product Compounds Against Beta Amyloid Toxicity [0098] According to this example, the inhibitory activity of natural product compounds (11), (12), (13), and (14) (shown in FIG. 6) against (3A peptide-induced toxicity was measured by the MTT reduction assay set forth in example 1. These natural product compounds effectively protected PC 12, IMR32, and HUVEC cells from (3A peptide-induced toxicity (Table 2). The results of the MTT assay were confirmed by the LDH
methodology set forth in example 2.

[0099] The ability of natural product compounds (11), (12), (13), and (14) to scavenge DPPH free radicals was measured by observing the optical density change of the radicals at 515 nm in accordance with the antioxidant assay set forth in Example 2. None of these compounds exhibited significant antioxidant activity.

Table 3. Inhibitory Activity of Giiiger-Derived Natural Product Compounds against (3A Peptide-Induced Toxicity against PC12, IMR32, and HUVEC cells and Antioxidant Activity of the Compounds.

Compound Anti-(3A Anti-(3A Anti-(3A Anti-DA Anti-(3A Antioxidant peptide(25-35) EDSO peptide(1-42) ED.o peptide(25-35) ED_o eptide(25-35) ED.
peptide(1-42) ED_p ICSa ((3g/ml) ( g/ml) ( g/m1) ( S/ml) W/ml) ( S/mi) 11 15 12 15 20 20 >200 12 9.0 10 8.0 20 18 >200 13 3.0 4.0 2.0 8.0 8.0 >200 14 2.0 2.0 1.5 4.0 5.0 >200 Example 7 Shogaol Analogue Synthesis [0100] According to this example, shogaols and their analogues were successfiilly synthesized in 100 mg scale. Gingerols were synthesized from zingerone by conversion into the corresponding O-trimethylsilyl ether, deprotonation with lithium bis(trimethylsilyl)amide or lithium diisopropylamide (LDA), and regioselective aldol condensation.
Shogaols are gingerol analogues with a 4, 5-double bond, resulting from the elimination of the 5-hydroxy group.

[0101] The phenol group of vaniline, compound (31), was protected as the THP
ether (DHP/PPTS/CHzC12)to yield compound (32), and the aldehyde group of compound (32) was reduced to the alcohol to yield compound (39) using NaBH4 in THF as shown in FIG. 7. The resulting alcohol, compound (39), was mesylated (methanesulfonyl chloride/triethylamine/THF) and then reacted with in situ generated lithium acetonide (acetone/LDA/THF/-78 C) at -78 C under N, to yield compound (41). Compound (41) was reacted with LDA at -78 C in THF under N2 to generate lithium enolate which was then reacted with octyl aldehyde to afford the (3- hydroxy ketone, compound (42).
During treatment witli-PPTS in ethanol at 50 C to remove the THP ether protecting group, dehydration occurred to afford [9]-shogaol, compound (13), which was identical to the ginger-derived natural product compound (13) (overall yield 37%).

[0102] The phenol group of vaniline, compound (31), was protected as the THP
ether (DHP/PPTS/CH,C12) to yield compound (32), and the aldehyde group of compound (32) was reduced to the alcohol to yield compound (39) using NaBH4 in THF as shown in FIG. 8. The resulting alcohol, compound (39), was mesylated (methanesulfonyl chloride/triethylamine/THF) and reacted with in situ generated lithium 2-undecanonide, compound (44), (2-undecanone/LDA/THF/-78 C) at -78 C under N2. The THP ether protecting group was removed by further treating the reaction mixture with PPTS in ethanol at 50 C to afford [9]-dihydroshogaol, compound (45).

[0103] The phenol group on 4-(4-hydroxy-phenyl)-2-butanone, compound (46), was protected as the TMS ether (TMSCI/triethylamine/THF) at room temperature as shown in FIG. 9. The resulting ketone, compound (47), was reacted with LDA at -78 C in THF under N2 to generate lithium enolate which was reacted with octyl aldehyde compound (48), to afford the (3- hydroxy ketone, compound (49). The TMS group was removed by stirring with NaHCO3 in methanol at room temperature. Dehydration of the (3- hydroxy group was achieved by further treatment of the reaction mixture with methanolic HCI (1 N) at room temperature to afford [9]-demethoxyshogaol, compound (50).

Example 8 Isolation and Identification of Natural Product Compounds Derived from Gingko Biloba that Protect Cells from Beta Amyloid-Induced Toxicity [0104] According to this example, freshly ground fresh ginkgo nuts (1 kg) were extracted with methanol (2 x 2000 ml) and sequentially partitioned with petroleum ether, ethyl acetate, dichloromethane, and butanol. The petroleum ether and ethyl acetate fractions protected PC12 and HUVEC cells from (3A peptide(25-35)-induced cytotoxicity at ED 50 = 10 g/ml. The active principles were isolated from the residues of active fractions by a series of coh.unn chromatography using various resins (Amberchrom non-ionic resin and silica gel) and semi-preparative HPLC reverse-phased separation (isopropyl alcohol/water or acetonitrile/water solvent system). The structures of the compounds were elucidated using 1-D and 2-D NMR techniques that include 1 H, 13C, HMBC, and APT. Cis conformation of the double bond was unambiguously assigned in the 1H NMR spectrum. The position of the double bond was elucidated by oxidatively cleaving it to acid functionality (KMnO4 oxidation) and observing the mass spectral fragmentation pattern (El 70 eV).
The two compounds (15) and (16) have ginkgolic acid structures, and are shown in FIG.
10. These compounds have been previously isolated from ginkgo leaves, See Jaggy et al., Pharmazie 52, 735 (1997):

Example 9 Inhibitory Activity of Ginkgo Biloba-Derived Natural Product Compounds Against Beta Amyloid Toxicity [0105] According to this example, the inhibitory activity of natural product compounds derived from ginkgo biloba against PA peptide-induced toxicity was measured by MTT reduction assay. The two ginkgo biloba- derived natural product compounds that do not possess antioxidant properties, compounds (15) and (16), were found to protect PC12, IMR32, and HUVEC cells from (3A peptide-induced toxicity. The results of the MTT assay were confirmed by following the LDH methodology set forth in example 2. This example also provides data indicating that the ginkgolides A, B, and C, (-)bilobalide, and quercetin do not possess biological activity against (3A peptide as had been postulated in the prior art.
Table 4. Inhibitory Activity of Ginkgolic Acids 1 and 2, Ginkgolide A, Ginkgolide B, Ginkgolide C, (-)- Bilobalide, and Quercetin Toward P- Insult Against PC12, IMR32, and HUVEC Cells.

Compound Anti-RA peptide Anti-(3A peptide Anti-(3A peptide Anti-(3A peptide Anti-(3A peptide Anti-pA peptide (25-35) (1-42) (25-35) (1-42) (25-35) (1-42) ED ( g/mL) ED ( g/mL) ED ( g/mL) ED ( g/mL) ED ( g/mL) ED ( g/mL) so so so so so so 15 3.0 2.0 3.5 2.5 5.0 1.5 16 2.0 1.0 2.0 1.0 2.5 1.0 Ginkgolide A toxic toxic toxic toxic toxic toxic Ginkgolide B toxic toxic toxic toxic toxic toxic Ginkgolide C toxic toxic toxic toxic toxic toxic (-)-Bilobalide toxic toxic toxic toxic toxic toxic Quercetin >20 >20 >20 >20 >20 >20 Example 10 A Proposed Gingkolic Acid Synthesis [0106] According to this example, a gingkolic acid synthesis is proposed as shown in FIG. 11. The benzoic acid, compound (60) and an alkyne having a terminal carbon-carbon triple bond, R, are treated with tetrakis(triphenylphosphine)palladium, in the presence of diisopropyl amine and copper(I) iodide to yield an alkyne substituted berizoic acid, compound (61). Compol.md (61) is treated with LDA in THF, the temperature is lowered to -78 C and the reaction mixture is treated with oxodiperoxymolybdenum (pyridine)-(hexamethylphosphoric triamide) (MoOPh) to yield a hydroxy functionalized product, compound (62). Compound (62) is then reacted with hydrogen gas over a palladium/carbon catalyst, and treated with acetic acid to yield the desired ginkgolic acid product, compound (63).

Example 11 Control Study [0107] As a control study, vitamin A, P- carotene, vitamin C, and vitamin E
were tested for both anti-(3A peptide(25-35) and anti-(3A peptide(1-42) activity.
Since these vitamins are suggested for the delaying the onset of AD, the biological activity of the compounds of the invention were compared with these vitamins. Under the experimental conditions, these vitamins did not protect PC 12 cells from (3A peptide insults even at 200 g/ml. Congo red was also tested because it has been reported to inhibit (3A
peptide fibril-induced toxicity against PC12 cells. At high concentrations of Congo red (> 25 g/ml), the data from the cell viability evaluation using MTT reduction assay was not reliable because of the dye's intense red color. Nevertheless, the natural product compounds (1), (2), (3), and (4) and natural product compounds (11), (12), (13), and (14) (ED50 =
20.0 - 0.5 g/ml) are more than 20 - 40 times as effective in protecting PC 12 cells against PA peptide insults when compared with these vitamins and other agents.

Example 12 Reduced Glutathione Assisted (3A Peptide Toxicity Inhibition Assay [0108] According to this example, the compounds of the invention were evaluated to ascertain if their antioxidant potency was increased when administered in conjunction with reduced glutathione. The synergistic interaction between estrogens and the intracellular antioxidant, reduced glutathione (GSH), was reported to protect neurons from (3A
peptide-induced toxicity. See Barkats et al., JNeurachern 75, 1438 (2000) and Muller et al., JNeuYochem,68, 2371 (1997). The possible involvemerkt of this mechanism was evaluated using PC12 cells with the compounds of the invention. The dose of GSH used in this study was comparable to the low micromolar GSH (3.25 M) concentrations found in the cerebrospinal fluid and used by Green et al. It was hypothesized that if the compounds' of the invention ability to protect cells from J3A peptide-induced toxicity resulted from the compounds' antioxidant potency, administration of a compound of the invention concurrently with, GSH should improve the ED50 and IC50 values for the compounds. Under the experimental conditions, GSH did not influence the compounds' ability to protect cells from (3A peptide insults, and did not enhance the antioxidant potency of the compounds.

Example 13 Determination of Ability of Compounds of the Invention to Pass Through the Blood Brain Barrier [0109] According to this example, the ability of the compounds of the invention to pass through the blood brain barrier was measured. The ability of compounds to cross the blood brain barrier is represented by the log of the partition coefficient (P) of a molecule of the invention between water and octane alcohol. Natural product compounds (1) and (3) were found to have log P values of 3.4 and 3.1, respectively. Accordingly, the octane alcohol fraction contained more than 1000 times as much of the compounds as the water fraction.

These results suggest that the compounds are able to cross the blood brain barrier. See Hau et al., Regul Toxicol PlzaYnzacol 35, 273 (2002) and Salminen et al., JPlzarin Biomed Anal 15, 469 (1997).

[0110] Although the present invention has been described in considerable detail with reference to certain preferred embodiments thereof, other versions are possible. Therefore, the spirit and scope of the appended claims should not be limited to the preferred embodiments contained herein.

Claims (11)

1. A method for the treatment of a beta-Amyloid protein-induced ocular disease comprising administering to a subject suffering from a beta-Amyloid protein induced ocular disease a therapeutically effective amount of a composition comprising a member selected from a) a natural or synthetic turmeric compound having anti-.beta.A peptide activity; b) a natural or synthetic ginkgo biloba compound having anti-.beta.A peptide activity; and c) a natural or synthetic ginger compound having anti-.beta.A peptide activity; d) a natural or synthetic sage compound having anti-.beta.A peptide activity; and e) a natural or synthetic rosemary compound having anti-.beta.A peptide activity.

2. The method of claim 1 for the treatment of a beta-Amyloid protein-induced ocular disease comprising administering to a subject suffering from the beta-Amyloid protein-induced ocular disease a therapeutically effective amount of a compound selected from the group consisting of:

a) a compound having the formula (I):

b) a compound having the formula (II):

c) a compound having the formula (III):

or pharmaceutically acceptable salts or esters thereof, wherein:
the dotted configuration is optionally a single bond or a double bond (cis or trans) or a triple bond;
Z is a representation of isosteric variation in which Z is selected from O, S, NH, NR60, where R60 is alkyl, alkenyl, or alkynyl;
R1 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R2 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R3 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R4 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R5 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R6 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R7 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R8 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R9 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3.

3. The method according to claim 1 wherein the disease is characterized by beta-Amyloid protein induced cytotoxicity against retinal cells.

4. The method according to claim 1 wherein the beta-Amyloid protein induced disease is selected from the group consisting of age-related macular degeneration (AMD) and glaucoma.

5. The method of claim 1 for the treatment of a beta-Amyloid protein-induced ocular disease comprising administering to a subject suffering from the beta-Amyloid protein-induced, ocular disease a therapeutically effective amount of a compound having the formula (IV):

or a pharmaceutically acceptable salt or ester thereof, wherein:
R is selected from the group consisting of higher alkyl, higher alkenyl, and higher alkynyl.

6. The method according to claim, 6 wherein:

R is and n is 1-7, and dotted line is optionally a single bond, a double bond (cis or trans), or a triple bond, or having more than one double or triple bond consisting of; for example;

And R is also selected from the group consisting of alkyl, alkenyl, and alkynyl; for example;

and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of ; for example;

wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;

wherein z = O, S, NR n, where R = alkyl, alkenyl, alynyl groups; and n = 1 or 2.

7. The method of claim 1 for the treatment of a beta-Amyloid protein-induced ocular disease comprising administering to a subject suffering from the beta-Amyloid protein-induced ocular disease a therapeutically effective amount of a compound having the formula (V):

or a pharmaceutically acceptable salt or ester thereof, wherein:
the dotted configuration is optionally a single bond, a double bond (cis or trans), or a triple bond;
R10 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;
R11 is selected from the group consisting of H, OH, OMe, CX m, F, Cl, Br, I, and OR50 wherein R50 is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, I, and m = 1~3;

and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of ; for example;

wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;

wherein z = O, S, NR n, where R= alkyl, alkenyl, alynyl groups; and n = 1 or 2.

8. The method of claim 1 for the treatment of a beta-Amyloid protein-induced ocular disease comprising administering to a subject suffering from the beta-Amyloid -protein-induced ocular disease a therapeutically effective amount of a compound having a formula (VI):

or a pharmaceutically acceptable salt or ester thereof, wherein:
the dotted configuration is optionally a single bond or a double bond or a triple bond;

R13 is selected from the group consisting of OH, OMe, OR', and X wherein R' is alkyl, alkenyl, or alkynyl, and X is F, Cl, Br, or I;
R14 is selected from the group consisting of H, OH, OMe, and OR' wherein R' is alkyl, alkenyl, or alkynyl; and R15 is selected from the group consisting of alkyl, alkenyl, and alkynyl; for example;

and y is 1-9, or having more than one double bond (cis or trans), or triple bond consisting of; for example;

wherein the dotted line configuration is optionally a single bond (cis or trans), or a triple bond, wherein the alkyl, alkenyl, and alkynyl group is selected from ethers and/or thioethers or amines; for example;

wherein z = O, S, NR n, where R = alkyl, alkenyl, alynyl groups; and n= 1 or 2.

9. The method of claim 1 for the treatment of a beta-amyloid protein-induced ocular disease comprising administering to a subject suffering from the beta-amyloid protein-induced ocular disease a therapeutically effective amount of a compound selected from the group consisting of:

a) a compound having the formula (VII):

b) a compound having the formula (VIII):

c) a compound having the formula (IX):

10. The method of claim 1 wherein the composition comprises compounds having anti-BA peptide activity from more than one of groups a) through e).

11. The method of claim 1 wherein the composition further comprises one or more ingredients selected from the group consisting of cholinergic agents, oral carbonic anhydrase inhibitors, alpha-2 adrenergic agonists, prostaglandin agonists, carotenoids, lutein and zeaxanthin.