EP2475360A1 - Use of guaifenesin for inhibiting mucin secretion - Google Patents
Use of guaifenesin for inhibiting mucin secretionInfo
- Publication number
- EP2475360A1 EP2475360A1 EP10757117A EP10757117A EP2475360A1 EP 2475360 A1 EP2475360 A1 EP 2475360A1 EP 10757117 A EP10757117 A EP 10757117A EP 10757117 A EP10757117 A EP 10757117A EP 2475360 A1 EP2475360 A1 EP 2475360A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- composition
- guaifenesin
- administering
- effective amount
- approximately
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Ceased
Links
- HSRJKNPTNIJEKV-UHFFFAOYSA-N Guaifenesin Chemical compound COC1=CC=CC=C1OCC(O)CO HSRJKNPTNIJEKV-UHFFFAOYSA-N 0.000 title claims abstract description 63
- 229960002146 guaifenesin Drugs 0.000 title claims abstract description 63
- 230000028327 secretion Effects 0.000 title claims abstract description 31
- 230000002401 inhibitory effect Effects 0.000 title claims abstract description 7
- 108010063954 Mucins Proteins 0.000 title claims description 31
- 102000015728 Mucins Human genes 0.000 title claims description 31
- 238000000034 method Methods 0.000 claims abstract description 43
- 239000000203 mixture Substances 0.000 claims abstract description 37
- 210000003097 mucus Anatomy 0.000 claims abstract description 29
- KWGRBVOPPLSCSI-WPRPVWTQSA-N (-)-ephedrine Chemical compound CN[C@@H](C)[C@H](O)C1=CC=CC=C1 KWGRBVOPPLSCSI-WPRPVWTQSA-N 0.000 claims description 6
- KWGRBVOPPLSCSI-UHFFFAOYSA-N d-ephedrine Natural products CNC(C)C(O)C1=CC=CC=C1 KWGRBVOPPLSCSI-UHFFFAOYSA-N 0.000 claims description 6
- 239000007788 liquid Substances 0.000 claims description 6
- 239000013543 active substance Substances 0.000 claims description 5
- 239000000850 decongestant Substances 0.000 claims description 5
- 201000010099 disease Diseases 0.000 claims description 5
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 5
- 230000005764 inhibitory process Effects 0.000 claims description 5
- GUGOEEXESWIERI-UHFFFAOYSA-N Terfenadine Chemical compound C1=CC(C(C)(C)C)=CC=C1C(O)CCCN1CCC(C(O)(C=2C=CC=CC=2)C=2C=CC=CC=2)CC1 GUGOEEXESWIERI-UHFFFAOYSA-N 0.000 claims description 4
- 230000000954 anitussive effect Effects 0.000 claims description 4
- 230000001387 anti-histamine Effects 0.000 claims description 4
- 239000000739 antihistaminic agent Substances 0.000 claims description 4
- 229940124584 antitussives Drugs 0.000 claims description 4
- ZZVUWRFHKOJYTH-UHFFFAOYSA-N diphenhydramine Chemical compound C=1C=CC=CC=1C(OCCN(C)C)C1=CC=CC=C1 ZZVUWRFHKOJYTH-UHFFFAOYSA-N 0.000 claims description 4
- YQSHYGCCYVPRDI-UHFFFAOYSA-N (4-propan-2-ylphenyl)methanamine Chemical compound CC(C)C1=CC=C(CN)C=C1 YQSHYGCCYVPRDI-UHFFFAOYSA-N 0.000 claims description 3
- WFXURHIXPXVPGM-UHFFFAOYSA-N 2,3-dihydroxybutanedioic acid;2-methyl-9-phenyl-1,3,4,9-tetrahydroindeno[2,1-c]pyridine Chemical compound OC(=O)C(O)C(O)C(O)=O.C1N(C)CCC(C2=CC=CC=C22)=C1C2C1=CC=CC=C1 WFXURHIXPXVPGM-UHFFFAOYSA-N 0.000 claims description 3
- CIVCELMLGDGMKZ-UHFFFAOYSA-N 2,4-dichloro-6-methylpyridine-3-carboxylic acid Chemical compound CC1=CC(Cl)=C(C(O)=O)C(Cl)=N1 CIVCELMLGDGMKZ-UHFFFAOYSA-N 0.000 claims description 3
- PWWVAXIEGOYWEE-UHFFFAOYSA-N Isophenergan Chemical compound C1=CC=C2N(CC(C)N(C)C)C3=CC=CC=C3SC2=C1 PWWVAXIEGOYWEE-UHFFFAOYSA-N 0.000 claims description 3
- 239000002775 capsule Substances 0.000 claims description 3
- YNNUSGIPVFPVBX-NHCUHLMSSA-N clemastine Chemical compound CN1CCC[C@@H]1CCO[C@@](C)(C=1C=CC(Cl)=CC=1)C1=CC=CC=C1 YNNUSGIPVFPVBX-NHCUHLMSSA-N 0.000 claims description 3
- 229960002881 clemastine Drugs 0.000 claims description 3
- 229960003782 dextromethorphan hydrobromide Drugs 0.000 claims description 3
- 229960000525 diphenhydramine hydrochloride Drugs 0.000 claims description 3
- 229960002179 ephedrine Drugs 0.000 claims description 3
- RWTNPBWLLIMQHL-UHFFFAOYSA-N fexofenadine Chemical compound C1=CC(C(C)(C(O)=O)C)=CC=C1C(O)CCCN1CCC(C(O)(C=2C=CC=CC=2)C=2C=CC=CC=2)CC1 RWTNPBWLLIMQHL-UHFFFAOYSA-N 0.000 claims description 3
- 229960003592 fexofenadine Drugs 0.000 claims description 3
- 239000012729 immediate-release (IR) formulation Substances 0.000 claims description 3
- 229960003956 phenindamine tartrate Drugs 0.000 claims description 3
- 229960003733 phenylephrine hydrochloride Drugs 0.000 claims description 3
- OCYSGIYOVXAGKQ-FVGYRXGTSA-N phenylephrine hydrochloride Chemical compound [H+].[Cl-].CNC[C@H](O)C1=CC=CC(O)=C1 OCYSGIYOVXAGKQ-FVGYRXGTSA-N 0.000 claims description 3
- 239000000843 powder Substances 0.000 claims description 3
- 229960003910 promethazine Drugs 0.000 claims description 3
- 229960003447 pseudoephedrine hydrochloride Drugs 0.000 claims description 3
- BALXUFOVQVENIU-KXNXZCPBSA-N pseudoephedrine hydrochloride Chemical compound [H+].[Cl-].CN[C@@H](C)[C@@H](O)C1=CC=CC=C1 BALXUFOVQVENIU-KXNXZCPBSA-N 0.000 claims description 3
- 210000002345 respiratory system Anatomy 0.000 claims description 3
- 238000013268 sustained release Methods 0.000 claims description 3
- 239000012730 sustained-release form Substances 0.000 claims description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 claims description 2
- KBAUFVUYFNWQFM-UHFFFAOYSA-N Doxylamine succinate Chemical compound OC(=O)CCC(O)=O.C=1C=CC=NC=1C(C)(OCCN(C)C)C1=CC=CC=C1 KBAUFVUYFNWQFM-UHFFFAOYSA-N 0.000 claims description 2
- 229940001468 citrate Drugs 0.000 claims description 2
- 229960005008 doxylamine succinate Drugs 0.000 claims description 2
- 208000015181 infectious disease Diseases 0.000 claims description 2
- 230000002458 infectious effect Effects 0.000 claims description 2
- 230000004968 inflammatory condition Effects 0.000 claims description 2
- 230000000241 respiratory effect Effects 0.000 claims description 2
- JXYWFNAQESKDNC-BTJKTKAUSA-N (z)-4-hydroxy-4-oxobut-2-enoate;2-[(4-methoxyphenyl)methyl-pyridin-2-ylamino]ethyl-dimethylazanium Chemical compound OC(=O)\C=C/C(O)=O.C1=CC(OC)=CC=C1CN(CCN(C)C)C1=CC=CC=N1 JXYWFNAQESKDNC-BTJKTKAUSA-N 0.000 claims 2
- DBAKFASWICGISY-BTJKTKAUSA-N Chlorpheniramine maleate Chemical compound OC(=O)\C=C/C(O)=O.C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Cl)C=C1 DBAKFASWICGISY-BTJKTKAUSA-N 0.000 claims 2
- 229960003108 brompheniramine maleate Drugs 0.000 claims 2
- SRGKFVAASLQVBO-BTJKTKAUSA-N brompheniramine maleate Chemical compound OC(=O)\C=C/C(O)=O.C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Br)C=C1 SRGKFVAASLQVBO-BTJKTKAUSA-N 0.000 claims 2
- 229940046978 chlorpheniramine maleate Drugs 0.000 claims 2
- 229940018203 pyrilamine maleate Drugs 0.000 claims 2
- HSRJKNPTNIJEKV-MRVPVSSYSA-N (2r)-3-(2-methoxyphenoxy)propane-1,2-diol Chemical compound COC1=CC=CC=C1OC[C@H](O)CO HSRJKNPTNIJEKV-MRVPVSSYSA-N 0.000 claims 1
- ZZYHCCDMBJTROG-UHFFFAOYSA-N 2-(2-benzylphenoxy)ethyl-dimethylazanium;3-carboxy-3,5-dihydroxy-5-oxopentanoate Chemical compound OC(=O)CC(O)(C(O)=O)CC([O-])=O.C[NH+](C)CCOC1=CC=CC=C1CC1=CC=CC=C1 ZZYHCCDMBJTROG-UHFFFAOYSA-N 0.000 claims 1
- 150000001412 amines Chemical class 0.000 claims 1
- 229940069417 doxy Drugs 0.000 claims 1
- HALQELOKLVRWRI-VDBOFHIQSA-N doxycycline hyclate Chemical group O.[Cl-].[Cl-].CCO.O=C1C2=C(O)C=CC=C2[C@H](C)[C@@H]2C1=C(O)[C@]1(O)C(=O)C(C(N)=O)=C(O)[C@@H]([NH+](C)C)[C@@H]1[C@H]2O.O=C1C2=C(O)C=CC=C2[C@H](C)[C@@H]2C1=C(O)[C@]1(O)C(=O)C(C(N)=O)=C(O)[C@@H]([NH+](C)C)[C@@H]1[C@H]2O HALQELOKLVRWRI-VDBOFHIQSA-N 0.000 claims 1
- 229960002254 phenyltoloxamine citrate Drugs 0.000 claims 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 claims 1
- 210000004027 cell Anatomy 0.000 description 13
- 230000000420 mucociliary effect Effects 0.000 description 11
- 230000000694 effects Effects 0.000 description 10
- 238000002474 experimental method Methods 0.000 description 10
- 239000002953 phosphate buffered saline Substances 0.000 description 10
- 101000972282 Homo sapiens Mucin-5AC Proteins 0.000 description 7
- 239000000463 material Substances 0.000 description 6
- 238000005259 measurement Methods 0.000 description 6
- 239000000523 sample Substances 0.000 description 6
- 229940051875 mucins Drugs 0.000 description 5
- 206010011224 Cough Diseases 0.000 description 4
- 102100022496 Mucin-5AC Human genes 0.000 description 4
- 230000001886 ciliary effect Effects 0.000 description 4
- 231100000673 dose–response relationship Toxicity 0.000 description 4
- 239000012530 fluid Substances 0.000 description 4
- 238000004519 manufacturing process Methods 0.000 description 4
- 230000002503 metabolic effect Effects 0.000 description 4
- 230000004044 response Effects 0.000 description 4
- 238000003860 storage Methods 0.000 description 4
- 230000032258 transport Effects 0.000 description 4
- 230000035899 viability Effects 0.000 description 4
- 230000015556 catabolic process Effects 0.000 description 3
- 230000001413 cellular effect Effects 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 238000006731 degradation reaction Methods 0.000 description 3
- 239000000499 gel Substances 0.000 description 3
- 239000002609 medium Substances 0.000 description 3
- 238000000518 rheometry Methods 0.000 description 3
- 231100000480 WST assay Toxicity 0.000 description 2
- 238000000540 analysis of variance Methods 0.000 description 2
- 238000004458 analytical method Methods 0.000 description 2
- 208000006673 asthma Diseases 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 210000000621 bronchi Anatomy 0.000 description 2
- 239000012895 dilution Substances 0.000 description 2
- 238000010790 dilution Methods 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 239000003172 expectorant agent Substances 0.000 description 2
- 230000003419 expectorant effect Effects 0.000 description 2
- 239000001963 growth medium Substances 0.000 description 2
- 239000004005 microsphere Substances 0.000 description 2
- 230000003534 oscillatory effect Effects 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 238000001228 spectrum Methods 0.000 description 2
- 238000003786 synthesis reaction Methods 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 210000003437 trachea Anatomy 0.000 description 2
- 206010006458 Bronchitis chronic Diseases 0.000 description 1
- 208000017667 Chronic Disease Diseases 0.000 description 1
- 208000006545 Chronic Obstructive Pulmonary Disease Diseases 0.000 description 1
- 208000035473 Communicable disease Diseases 0.000 description 1
- 201000003883 Cystic fibrosis Diseases 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 101000972276 Homo sapiens Mucin-5B Proteins 0.000 description 1
- 238000012404 In vitro experiment Methods 0.000 description 1
- 206010062717 Increased upper airway secretion Diseases 0.000 description 1
- 208000019693 Lung disease Diseases 0.000 description 1
- MXRIRQGCELJRSN-UHFFFAOYSA-N O.O.O.[Al] Chemical compound O.O.O.[Al] MXRIRQGCELJRSN-UHFFFAOYSA-N 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 238000000692 Student's t-test Methods 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 125000003118 aryl group Chemical group 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 229960000725 brompheniramine Drugs 0.000 description 1
- ZDIGNSYAACHWNL-UHFFFAOYSA-N brompheniramine Chemical compound C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Br)C=C1 ZDIGNSYAACHWNL-UHFFFAOYSA-N 0.000 description 1
- 206010006451 bronchitis Diseases 0.000 description 1
- 229960003291 chlorphenamine Drugs 0.000 description 1
- SOYKEARSMXGVTM-UHFFFAOYSA-N chlorphenamine Chemical compound C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Cl)C=C1 SOYKEARSMXGVTM-UHFFFAOYSA-N 0.000 description 1
- 208000007451 chronic bronchitis Diseases 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 230000002596 correlated effect Effects 0.000 description 1
- 230000000875 corresponding effect Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- LOKCTEFSRHRXRJ-UHFFFAOYSA-I dipotassium trisodium dihydrogen phosphate hydrogen phosphate dichloride Chemical compound P(=O)(O)(O)[O-].[K+].P(=O)(O)([O-])[O-].[Na+].[Na+].[Cl-].[K+].[Cl-].[Na+] LOKCTEFSRHRXRJ-UHFFFAOYSA-I 0.000 description 1
- 210000002919 epithelial cell Anatomy 0.000 description 1
- 230000004438 eyesight Effects 0.000 description 1
- VZCYOOQTPOCHFL-OWOJBTEDSA-L fumarate(2-) Chemical compound [O-]C(=O)\C=C\C([O-])=O VZCYOOQTPOCHFL-OWOJBTEDSA-L 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 230000002427 irreversible effect Effects 0.000 description 1
- 238000010150 least significant difference test Methods 0.000 description 1
- 230000001050 lubricating effect Effects 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 239000006166 lysate Substances 0.000 description 1
- 239000012139 lysis buffer Substances 0.000 description 1
- 229960000582 mepyramine Drugs 0.000 description 1
- YECBIJXISLIIDS-UHFFFAOYSA-N mepyramine Chemical compound C1=CC(OC)=CC=C1CN(CCN(C)C)C1=CC=CC=N1 YECBIJXISLIIDS-UHFFFAOYSA-N 0.000 description 1
- 238000000386 microscopy Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000003843 mucus production Effects 0.000 description 1
- 239000006199 nebulizer Substances 0.000 description 1
- 231100000989 no adverse effect Toxicity 0.000 description 1
- 238000012261 overproduction Methods 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 208000026435 phlegm Diseases 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000011514 reflex Effects 0.000 description 1
- 230000003248 secreting effect Effects 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 210000004878 submucosal gland Anatomy 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- GPRLSGONYQIRFK-MNYXATJNSA-N triton Chemical compound [3H+] GPRLSGONYQIRFK-MNYXATJNSA-N 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/075—Ethers or acetals
- A61K31/085—Ethers or acetals having an ether linkage to aromatic ring nuclear carbon
- A61K31/09—Ethers or acetals having an ether linkage to aromatic ring nuclear carbon having two or more such linkages
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
- A61P11/04—Drugs for disorders of the respiratory system for throat disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
- A61P11/10—Expectorants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
- A61P11/12—Mucolytics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Definitions
- the present invention relates to the use of a pharmaceutical compound for the inhibition of mucus secretion in an individual.- in particular, the present invention relates to the use of guaifenesin for the inhibition of mucus secretion.
- Guaifenesin whose chemical name is 3- 2-methoxypheno y)- 1 ⁇ -propanediol, ⁇ is an expectorant.
- An expectorant is a drug that helps bring up mucus and other material from the lungs, bronchi, and trachea.
- Guaifenesin is thought to act by thinning the mucus, loosening phlegm and bronchial secretions, and also by lubricating the irritated respiratory -tract By thinning , the mucus, guaifenesin reduces the viscosity of the- mucal.
- CGPP chronic obstructive pulmonary diseases
- inflammatory lung diseases asthma, cystic fibrosis and acute or chronic respiratory infectious diseases using compounds of a defined formula having at least two aromatic rings.
- the applicant has developed a method of inhibiting the secretion of mucus in an. individual which comprises administering an effect ve amount of a composition- -which comprises guaifenesin..
- a method of inhibiting rmicus secretion in an individual which comprises administering an effective amount. •of a composition which comprises guaifenesin.
- the composition can contain from approximately 600mg- 1200mg o f guai fenesin.
- the guaifenesin can be administered in many suitable forms such as a tablet, powder, capsule, liquid or liquigel.
- the guaifenesin can be administered orally.
- the mucin can be produced in the upper respiratory tract of an individual.
- Tire composition can contain one or more additional active agents selected from the group including, but. not limited to, an antitussive such as dextromethorphan hydrobromide, a decongestant such as phenylephrine hydrochloride, pseudoephedrine hydrochloride or ⁇ ephedrine, • an antihistamine such as chlorpheniramine maieate, brompheniramine maieate, phenindamine tartrate, pyrilamine maieate, doxylamine succinate, phenyitoloxamine citrate, diphenhydramine hydrochloride, promethazine, and clemastine fumerate. fexofenadine or a combination thereo
- an antitussive such as dextromethorphan hydrobromide
- a decongestant such as phenylephrine hydrochloride, pseudoephedrine hydrochloride or ⁇ ephedrine
- an antihistamine such as chlorpheniramine
- the composition can have an immediate release portion and a sustained release poition, such that the inhibition of mucus secretion, is therapeutically achieved for a period of approximately ⁇ 2 hours.
- the daily dose of guaifenesin can be 24O0mg.
- a method of treating an individual having a disease or condition characterized by increased mucin secretion with an effective amount of a composition which comprises guaifenesin as described in the first aspect of the present invention is provided.
- the disease of condition characterized by -increased mucin secretion infectious can be selected from inflammatory conditions of the airways.
- Fig, 1 illustrates the treatment protocol.
- Fig. 2 is a graph showing the effect of guaifenesin on MUC5 AC mucin secretion: 30 mm
- Figs. 3a and 3b are graphs showing the effect of guaifenesin on MUC5AG mucin secretion: 6 hours
- Figs. 4a and 4b are graphs showing the effect of guaifenesin on MUC5AC mucin secretion: 24 hours
- Figs. Sa and 5b are graphs showing the effect of guaifenesin on MUC5AC mucin secretion: 48 hours
- Fig, 6 is a graph showing the effect of guaifenesin on mucociliary clearance.
- Figs. 7a and 7b are graphs showing metabolic activity.
- Figs. 8a, 8 b and 8c are graphs showing mucus theology.
- Figs. 9a and 9b are graphs sho wing the vector sum of viscosity and elasticity against time and dose
- EpiAirway cultures normal human bronchial epithelial cells grown on Millipore Transwells, 1 or 4.2 cm 2 surface area. The cells were purchased from MatTek, and were cultured, at air-liquid interface for two (mucus synthesis and secretion) or three (mucociliary transport and mucus rheoiogy) weeks prior to use.
- a stock guaifenesin solution of 2 mg/mL in culture medium was prepared in the morning of each experiment, and kept cold until dilution into warmed medium to the target concentrations of 0,2, 2, 20 or 200 ⁇ g/mL.
- the medium in the basolateral compartment of each culture was replaced with the GGE-contammg medium, and the cultureswere returned to the 37°C, 5% CO 2 incubator for as the times indicated.
- the experiments were repeated three times on independent cultures.
- concentrations used in the in vitro experiments range from 0.2 ⁇ g/mL to 20 mg/mL and thus bracket the clinical doses used in humans.
- GUAIFENESIN solutions were prepared by dissolving in PBS .(phosphate buffered saline) immediately before treatment of the cells.
- MUC5AC mucins were quantified by BLISA using 45MI antibody (Lab vis ion, Fremont, CA).
- Confluent 1 cm * NHBE cells grown on an air/liquid interface were washed from the apical surface with 200 p.L PBS and incubated with fresh, complete growth medium added to the basal chamber. Cultures were incubated 24 hours to collect the apical fluid (pretreatment sample or PT) by adding 100 PBS to the apical, surface of the cultures.
- PBS was added to dilute the highly viscous, thin mucus layer on the surface. Because of the .small size of the insert, it was not feasible to collect a sufficient amount of mucus for both pharmacology and rheology without the addition of PBS.
- PT mucus samples
- cultures were divided into three groups (6 hr, 24 hr and 48 hr), 16 inserts per group, and treated with varying concentrations of guaifenesin (0, 0,2, 2, 20 ⁇ g/mL) for each time group, 4 inserts per each dose. Thus, a total of 48 inserts were used for this study ⁇ 4 inserts/dose x 4 doses/time point x 3 time points).
- the apical fluid was ' collected at 30 minutes following drug treatment front all the cultures to see whether guaifenesin affects the "secretion" of mucins.
- the apical, mucus sample was collected in two steps ⁇ first by adding 100 ⁇ . ⁇ PBS to the apical surface ( 1 st wash) and then by adding 100 ⁇ L ⁇ PBS containing 5 mM dilhiothreitol (DTT) (2" a wash). Samples from each wash were assayed for MUC5AC content and the sum of the two values (the 1 st and 2TM wash.) was expressed. -as the '"released MUC5AC" of the culture.
- Cultures (4.2 cm.') were exposed to basolaieral guaifenesin for 1 or 6 hr. The cultures were removed from the incubator and placed on. the stage of digital imaging microscopy system . Video data were collected for 10 seconds using a. 25x objective. The rate of movement of endogenous cell, debris -was analyzed on the video images using a transparent template overlay on the video images and a stopwatch to measure at least 5 particles on each culture, for a total of between 30 and 45 .measurements per condition.
- mucus was harvested from the apical surface of the cultures, without dilution.
- the rheologieal properties of apical mucus secretions (20 p.L) were measured using art ARI000 controlled stress rheometer (TA Instruments:, New Castle, DE) using a parallel plate ⁇ geometry.
- Rheologie data can also be presented using vectorial notation .as tangent ⁇ which is the ratio of viscosity to elasticity and G*, the vector sum of viscosity and elasticity (mechanical impedance).
- Fig. 3a the white boxes represent the amount of mucin associated with, the cell, whereas the black boxes represent the amount of mucin released during the given period of treatment. Therefore, the addition of the white box. and the black box represents the total amount of mucin produced during the given period.
- the total amounts ofMUC5 AC- were compared for statistical differences between control (no guaifenesin) and guaifenesin groups.
- guaifenesin appeared to increase the mobility of the cellular debris on the surface of cultures treated for 1 hr, but there was little evidence of a dose-response and in fact, only the effect of 2 ⁇ g/ l was statistically significant. However, at the 6 hr time point, there was a strong trend to a dose response and movement of the -surface material for all three concentrations tested was significantly faster than the control as illustrated -in.
- EpiAirway cultures were treated with the indicated concentrations of guaifenesin ⁇ b.r 1 or 6 his. Mucociliary clearance was assessed, by the rate of mo vement of endogenous debris on. the surfaces. *** indicates significantly different from- the control cultures- at the same time, p ⁇ 0.00.5.
- G* vector sum of viscosity and elasticity, at 1 rad-'s (Fig. 9a) arid 100 rad/sec (Fig. 9b), segregated by time as well as dose.
- Viscosity is the loss of energy from a rheoSogie probe or applied, stress and thus the resistance to flow.
- Elasticity storage modulus.
- the complex modulus, G* is also known as the mechanical impedance..
- G* measurement indicates -resistance lo deformation.
- Viscoelasiieity is a property of non-Newtonian fluids (gels). Dynaraie viseoelasticity measures •the strain response of mucus to an applied stress. Because mucus is subjected- to both low -stress (ciliary beat) and high stress (cough) conditions, we measure the strain developed in response to a dynamic stress.
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Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12/558,517 US20110065744A1 (en) | 2009-09-12 | 2009-09-12 | Method Of Inhibiting Mucin Secretion |
| GBGB1002039.4A GB201002039D0 (en) | 2010-02-09 | 2010-02-09 | Method of inhibiting mucin secretion |
| PCT/GB2010/051525 WO2011030163A1 (en) | 2009-09-12 | 2010-09-13 | Use of guaifenesin for inhibiting mucin secretion |
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| EP2475360A1 true EP2475360A1 (en) | 2012-07-18 |
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| KR102211605B1 (ko) * | 2018-02-26 | 2021-02-04 | 대한민국 | 개구리 배아를 이용한 기도 뮤신 분비 억제제의 스크리닝 방법 |
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| ZA963590B (en) * | 1995-05-10 | 1996-11-19 | Adcock Ingram Ltd | Pharmaceutical composition |
| US6846799B1 (en) * | 1998-08-18 | 2005-01-25 | The Regents Of The University Of California | Preventing airway mucus production by administration of EGF-R antagonists |
| US7985420B2 (en) * | 2000-04-28 | 2011-07-26 | Reckitt Benckiser Inc. | Sustained release of guaifenesin combination drugs |
| EP1471872A2 (en) * | 2002-02-04 | 2004-11-03 | Pharmacia Corporation | Treatment of colds and cough with a combination of a cyclooxygenase-2 selective inhibitor and a colds and cough active ingredient and compositions thereof |
| CN1835942A (zh) * | 2003-06-19 | 2006-09-20 | 金纳莱公司 | 粘蛋白合成抑制剂 |
| US20050095288A1 (en) * | 2003-11-03 | 2005-05-05 | Andrx Labs, Llc | Decongestant and expectorant tablets |
| US20050266032A1 (en) * | 2003-12-17 | 2005-12-01 | Sovereign Pharmaceuticals, Ltd. | Dosage form containing multiple drugs |
| US20080014261A1 (en) * | 2006-07-12 | 2008-01-17 | Giordano John A | Non-narcotic biphasic release compositions and methods for treatment of coughing, sneezing, rhinorrhea, and/or nasal obstruction |
| US20090202633A1 (en) * | 2008-01-03 | 2009-08-13 | Siva Ramakrishna Velaga | Extended release formulations of guaifenesin |
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| ZA201201822B (en) | 2013-05-29 |
| CN102596189A (zh) | 2012-07-18 |
| AU2010294008B2 (en) | 2014-08-14 |
| MY161187A (en) | 2017-04-14 |
| BR112012005517A2 (pt) | 2016-04-19 |
| CA2773611A1 (en) | 2011-03-17 |
| MX2012003042A (es) | 2012-05-29 |
| KR20120068889A (ko) | 2012-06-27 |
| AU2010294008A1 (en) | 2012-04-05 |
| JP2013504554A (ja) | 2013-02-07 |
| RU2012114323A (ru) | 2013-10-20 |
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