WO2004053067A2 - Methods for inhibiting cancer and scar formation - Google Patents
Methods for inhibiting cancer and scar formation Download PDFInfo
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- WO2004053067A2 WO2004053067A2 PCT/US2003/038564 US0338564W WO2004053067A2 WO 2004053067 A2 WO2004053067 A2 WO 2004053067A2 US 0338564 W US0338564 W US 0338564W WO 2004053067 A2 WO2004053067 A2 WO 2004053067A2
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/4025—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil not condensed and containing further heterocyclic rings, e.g. cromakalim
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/403—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
- A61K31/404—Indoles, e.g. pindolol
- A61K31/405—Indole-alkanecarboxylic acids; Derivatives thereof, e.g. tryptophan, indomethacin
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
- A61K31/4164—1,3-Diazoles
- A61K31/4172—Imidazole-alkanecarboxylic acids, e.g. histidine
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- A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
- A61K31/4164—1,3-Diazoles
- A61K31/4178—1,3-Diazoles not condensed 1,3-diazoles and containing further heterocyclic rings, e.g. pilocarpine, nitrofurantoin
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- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7028—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
- A61K31/7034—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
- A61K31/704—Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin attached to a condensed carbocyclic ring system, e.g. sennosides, thiocolchicosides, escin, daunorubicin
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7048—Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
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Definitions
- the present invention is directed to methods for efficiently inhibiting cancer, scar formation, disrupting the cellular cytoskeleton, and conferring resistance from infection. More particularly, this invention relates to methods of treating diseases associated with cancer, scar formation and infections and to delivering this activity in live animals including humans having such diseases.
- Cancer is the unregulated growth of cells and tumors. Although cell survival, division, mobility and invasiveness are natural and regulated processes in wound healing, fetal and embryonal development and in the formation of the corpus luteum, endometrium and placenta. These processes are vital to health and growth and are very well regulated by oncogenes, tumor suppressor genes and a myriad of growth factors, while they can, however, when unregulated lead to tumor formation.. Genetic alterations, however, caused by both heritable and environmental factors can lead to pathogenic and unregulated growths and tumors. Pathogenic cellular dysregulation leading to cancer and other diseases is unwanted and is the target for therapeutic interventions.
- this invention relates to a method of inhibiting cancer cells, the method comprising contacting a cell, tissue or organ which has cancer cells with a therapeutic and effective amount of a compound of Formula I.
- Compounds of Formula I have the following general formula:
- Rl and R2 are functional groups including, but not limited to, hydroxyl, -NH2, and -SH groups.
- R3 is a functional group including, but not limited to, hydrogen
- R4 is a functional group including, but not limited to, hydrogen
- Cl-C6-alkoxy glucose, B-D-glucopyranose, Cl-C6-alkyl, C2-C6-alkenyl, C2-C6- alkynyl, aryl, hydroxyl, halogen, NO2, NH3, carbohydrate, amino acid, nucleotide and lipid.
- R5 is a functional group including, but not limited to, hydrogen, Cl-C6-alkyl, C2-C6-alkenyl, C2-C6-alkynyl, aryl, hydroxyl, Cl-C6-alkoxy, halogen,
- XI - X3 are functional groups including, but not limited to, oxygen, sulfur, -CH2-, or carboxy, which can be different but preferably are identical functional groups.
- the compound of formula I is oleuropein with formula C25H32O13, as described in the tenth edition of THE
- a plant extract can be derived which can comprise any of the ethanolic, acetone, inorganic and organic acid or base and/or aqueous extraction of plant extract and will contain oleuropein, the compound shown in formula II.
- Plant extract is derived from plants including but not limited to the leaves, buds, fruit, wood, bark and roots of the olive tree Olea europaea L., the privet tree, Ligustrum obtusifohum (Oleaceae), etc.
- this invention relates to a method for potently inhibiting cancer cells in a tissue or organ, the method comprising contacting the cell with a pharmaceutical composition containing oleuropein, the compound shown in formula II or a derivative thereof as shown in formula I or products of its hydrolysis, which can include but are not limited to oleuropein aglycone, elenolic acid, beta-3,4- dihydroxyphenyethyl alcohol and methyl-o-methyl elenolate or a pharmaceutical composition thereof, in an amount sufficient to inhibit cancer.
- the cell is in a live organism.
- composition may comprise an ethanolic, acetone, inorganic and organic acid or base and/or aqueous solution of plant extract or a derivative of the ethanolic, acetone, inorganic and organic acid or base and/or aqueous solution or a component thereof,
- this invention relates to a method of treating cancer diseases mediated by or associated with undesired and uncontrolled growth, survival, replication, motility, invasion, and metastasis of cancer cells, the method comprising administering to a live animal an effective dose of a pharmaceutical composition containing oleuropein, the compound shown in formula II or a derivative thereof as shown in formula I or products of its hydrolysis, which include but are not limited to oleuropein aglycone, elenolic acid, beta-3,4-dihydroxyphenyethyl alcohol and methyl- o-methyl elenolate or a pharmaceutical composition thereof, solution in a dosage sufficient to inhibit cancer cell survival, replication, growth, motility, invasion, and metastasis
- Such composition may comprise an ethanolic, acetone, inorganic and organic acid or base and/or aqueous solution of plant extract X or a derivative of the ethanolic, acetone, inorganic and organic acid or base and/or aqueous or a component thereof.
- this invention relates to a method for the selective targeting of cancer cells by the glucose moiety of oleuropein, the compound shown in formula II or a derivative thereof as shown in formula I or products of its hydrolysis, which include but are not limited to oleuropein aglycone, elenolic acid, beta-3,4- dihydroxyphenyethyl alcohol and methyl-o-methyl elenolate or a pharmaceutical composition thereof, in an amount sufficient to inhibit cancer.
- oleuropein enters the cell by facilitated diffusion through the glucose transporter (GLUT).
- GLUT glucose transporter
- GLUT1 and or GLUT3 mRNA was found to be increased in cancers of the breast, esophagus and colon. Cancer cells overexpress GLUT proteins and are thus more likely to uptake oleuropein, which contains a glucose molecule.
- this invention relates to a method for disrupting and preventing the reorganization of the cytoskeleton whereby an animal cell rounds up and is unable to divide, move, or invade, the method comprising contacting the cell with a pharmaceutical composition containing oleuropein, the compound shown in formula II or a derivative thereof as shown in formula I or products of its hydrolysis, which include but are not limited to oleuropein aglycone, elenolic acid, beta-3,4- dihydroxyphenyethyl alcohol and methyl-o-methyl elenolate or a pharmaceutical composition thereof, in an amount sufficient to inhibit cancer.
- the cell is in a live organism.
- Such composition may comprise an ethanolic, acetone, inorganic and organic acid or base and/or aqueous solution of plant extract or a derivative of the ethanolic, acetone, inorganic and organic acid or base and/or aqueous solution or a component thereof.
- this invention relates to a method for disrupting a cell's cytoskeleton whereby an animal cell is resistant to infection by bacteria, virus or parasitic organisms, the method comprising contacting the cell with a pharmaceutical composition containing oleuropein, the compound shown in formula II or a derivative thereof as shown in formula I or products of its hydrolysis, which include but are not limited to oleuropein aglycone, elenolic acid, beta-3,4-dihydroxyphenyethyl alcohol and methyl-o-methyl elenolate or a pharmaceutical composition thereof, in an amount sufficient to make the cell resistant to infection.
- a pharmaceutical composition containing oleuropein the compound shown in formula II or a derivative thereof as shown in formula I or products of its hydrolysis, which include but are not limited to oleuropein aglycone, elenolic acid, beta-3,4-dihydroxyphenyethyl alcohol and methyl-o-methyl elenolate or a pharmaceutical composition thereof, in an amount
- Such composition may comprise an ethanolic, acetone, inorganic and organic acid or base and/or aqueous solution of plant extract x. or a derivative of the ethanolic, acetone, inorganic and organic acid or base and/or aqueous solution or a component thereof.
- the animal cell cytoskeleton including the cytoskeleton of human cells is targeted during infection by a variety of viral, bacterial and parasitic pathogens.
- the pathogen listeria monocytogenes a bacterium that is internalized by host cells, induces the polymerization of actin (a cytoskeletal protein) at its surface, and uses the energy derived from polymerization to power intracellular motility and cell to cell spread, oleuropein's inhibition of the animal cell's cytoskeletal reorganization can prevent the spread of infectious disease.
- actin a cytoskeletal protein
- the cell is in a live organism.
- FIG. 1 Matrigel Invasion assay. Studying the most invasive cancer (colon) on matrigel we show the effect of oleuropein. Cells treated with 0.1% oleuropein were completely stopped from invading the gel and adhering to the filter on the bottom side. A schematic of the matrigel invasion chamber is shown in (A). The cell layer and the filter plane were photographed during the course of the experiment. The invasion chamber containing untreated cells is shown in (B) and (C) photographed at the cell and filter planes respectively. As evident in the photograph, cell shadows can be seen in the focal plane of the filter indicating their proximity to the filter and their mobility through the matrigel layer.
- FIG. 1 Cell migration assay.
- renal adenocarcinoma cells are cultured to confluency and then wounded with a sterile wooden stick to form what appears as a road. The cells are then allowed to incubate and migrate across this road to repair the wound in the culture. Untreated cells shown in (A), (B), (C), (D) have successivefully closed the wound area. In comparison cells treated with 0.01% oleuropein shown in (E), (F), (G), and (H) did not effectively close the wound. The arrows indicate the orientation of the wound.
- Figure 3 A variation of the above cell migration assay of Figure 2 is depicted.
- the wound in this assay was more extensive and formed a corner or curved edge.
- malignant melanoma cells were grown to confluency and then wounded using a wooden stick in the fashion described above.
- Shown in (A) are untreated cells migrating in all directions over the plate.
- the migration of cells that were treated with a 0.01% solution of oleuropein (B) was completely halted.
- the wound edge in this wound assay can clearly be seen and is used to assess the advance of migrating cells.
- FIG. 4 A variation on the above experiment is depicted using the same cells as in figure 3 except plated as a circle.
- Treated cells 0.01% oleuropein
- Untreated cells however, migrated radially outwards and covered the plate.
- Figure 5 Growth Assay. Five specific lines of cancer cells, representing the most invasive cancers, were seeded in equal numbers on a plate containing varying concentrations of oleuropein. After 5 days cell numbers were assessed using the MTS assay and optical density (490 nm) values are shown on the y-axis of the graph. The x-axis represents the concentration of oleuropein. No manupulation of the data was performed. These represent true and raw counts made on a microplate reader. In all cancers studied, oleuropein effectively inhibited growth.
- FIG. 6A Tube-disruption assay on Matrigel.
- Cells plated on matrigel form tube networks that collapse into clumps within 24-48 hours (figure 6A, top row).
- a close-up view of the tube collapse process demonstrates that it occurs by tube retraction where the nodes (where tubes intersect) are brought closer to one another and merge (figure 6A, bottom row). Individual cells remain elongated throughout.
- Figure 7. Tube-disruption assay on Matrigel. Glucose-inhibited cellular rounding, which occurred by the addition of oleuropein.
- Figure 8. Cell migration assay. Rabbit skin fibroblast cells were grown to a confluent monolayer of cells, which was subsequently wounded with a sterile wooden stick. The cells were then incubated and allowed to repair the wound in the culture. Untreated cells successfully migrated across the wounded area (A). Cells treated with oleuropein (0.01%) shown in (C) were effectively inhibited.
- animal refers to an organism with a closed circulatory system of blood vessels and includes birds, mammals, amphibians, fish and reptiles.
- animal used here also includes human subjects.
- the term "resistance to infection” refers to a property, which oleuropein confers on animal cells, which makes those cells resist infectious agents like bacteria, viruses, and parasites.
- the conference of this property by oleuropein is independent of its direct action on microbes themselves, which has been well documented in the literature.
- cancer refers to the uncontrolled and uregulated growth of cells in the context of tissues, organs or the human body.
- tumor refers to the process by which tumor cells are spread to distant parts of the body.
- the term is also used herein to refer to a tumor that develops through the metastatic process.
- contacting is used herein interchangeably with the following: combined with, added to, mixed with, passed over, incubated with, flowed over, etc.
- the compounds of present invention can be "administered" by any conventional method such as, for example, parenteral, oral, topical and inhalation routes as described herein.
- pharmaceutically acceptable salt refers to those salts of compounds which retain the biological effectiveness and properties of the free bases and which are obtained by reaction with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, methanesulfonic acid, ethanesulfonic acid, ptoluenesulfonic acid, salicylic acid and the like.
- Pharmaceutically acceptable salts include, for example, alkali metal salts, such as sodium and potassium, alkaline earth salts and ammonium salts.
- an amount sufficient refers to an amount of a compound or composition effective to depress, suppress or inhibit angiogenesis or result in amelioration of symptoms associated with an angiogenic disease.
- the desired result can be either a subjective relief of a symptom(s) or an objectively identifiable improvement in the recipient of the dosage, a decrease in the vascularization of endothelial cells or a decrease in the rate of angiogenesis as noted by a clinician or other qualified observer.
- treating cancer refer generally to any improvement in the animal having the cancer wherein the improvement can be ascribed to treatment with the compounds of the present invention.
- the improvement can be either subjective or objective. For example, if the animal is human, the patient may note improved vigor or vitality or decreased pain as subjective symptoms of improvement or response to therapy.
- the clinician may notice decrease in tumor size or tumor burden based on physical exam, laboratory parameters, tumor markers or radiographic findings. Some laboratory signs that the clinician may observe for response to therapy include normalization of tests such as white blood cell count, red blood cell count, platelet count, erythrocyte sedimentation rate, and various enzyme levels. Additionally, the clinician may observe a decrease in a detectable tumor marker.
- Imaging the growth of tumor cells can be evaluated by any accepted method of measuring whether growth of the tumor cells has been slowed or diminished. This includes direct observation and indirect evaluation such as subjective symptoms or objective signs as discussed above.
- alkyl is used herein to refer to a branched or unbranched, saturated or unsaturated, monovalent hydrocarbon radical having from 1-12 carbons and preferably, from 1-6 carbons. When the alkyl group has from 1-6 carbon atoms, it is referred to as a "lower alkyl.”
- Suitable alkyl radicals include, for example, methyl, ethyl, n-propyl, i-propyl, 2-propenyl (or allyl), n-butyl, t-butyl, i-butyl (or 2- methylpropyl), etc.
- the term encompasses "substituted alkyls.”
- Substituted alkyl refers to alkyl as just described including one or more functional groups such as lower alkyl, aryl, acyl, halogen (i.e., alkylhalos, e.g., CF3), hydroxy, amino, alkoxy, alkylamine, acylamino, acyloxy, aryloxy, aryloxyalkyl, mercapto, both saturated and unsaturated cyclic hydrocarbons, heterocycles and the like. These groups may be attached to any carbon of the alkyl moiety.
- S-alkyl is used herein to refer to the group — SR, where R is lower alkyl or substituted lower alkyl as defined herein.
- aryl is used herein to refer to an aromatic substituent which may be a single aromatic ring or multiple aromatic rings which are fused together, linked covalently, or linked to a common group such as a methylene or ethylene moiety.
- the common linking group may also be a carbonyl as in benzophenone.
- the aromatic ring(s) may include phenyl, naphthyl, biphenyl, diphenylmethyl and benzophenone among others.
- aryl encompasses "arylalkyl.”
- Substituted aryl refers to aryl as just described including one or more functional groups such as lower alkyl, acyl, halogen, alkylhalos (e.g. CF3), hydroxy, amino, alkoxy, alkylamine, acylamino, acyloxy, mercapto and both saturated and unsaturated cyclic hydrocarbons which are fused to the aromatic ring(s), linked covalently or linked to a common group such as a methylene or ethylene moiety.
- the linking group may also be a carbonyl such as in cyclohexyl phenyl ketone.
- substituted aryl encompasses "substituted arylalkyl.”
- halogen is used herein to refer to fluorine, bromine, chlorine and iodine atoms.
- hydroxy is used herein to refer to the group —OH.
- amino is used to refer to the group —NRR', where R and R' may independently be hydrogen, alkyl, substituted alkyl, aryl, substituted aryl or acyl.
- nitro is used herein to refer to the group -NO2.
- alkoxy is used herein to refer to the -OR group, where R is a lower alkyl, substituted lower alkyl, aryl, substituted aryl, arylalkyl or substituted arylalkyl wherein the alkyl, aryl, substituted aryl, arylalkyl and substituted arylalkyl groups are as described herein.
- Suitable alkoxy radicals include, for example, methoxy, ethoxy, phenoxy, substituted phenoxy, benzyloxy, phenethyloxy, t-butoxy, etc.
- alkenyl is used herein to refer to an unsaturated branched, straight chain or cyclic monovalent hydrocarbon radical having at least one carbon-carbon double bonds.
- the radical can be in either the cis or trans conformation about the double bond(s).
- Suitable alkenyl radicals include, for example, ethenyl, propenyl, isopropenyl, cyclopropenyl, butenyl, isobutenyl, cyclobutenyl, tert-butenyl, pentenyl, hexenyl, etc.
- alkynyl is used herein to refer to an unsaturated branched, straight chain or cyclic monovalent hydrocarbon radical having at least one carbon-carbon triple bond. Suitable alkynyl radicals include, for example, ethynyl, propynyl, butynyl, isobutynyl, pentynyl, hexynyl, etc.
- enantiomer is used herein to refer to one of a pair of molecular entities which are mirror images of each other and non-superposable.
- the present invention relates to the discovery that compounds of formula I inhibit the growth of cancer cells and are useful for treating cancer diseases.
- Compounds of Formula I have the following general formula: Formula I
- Rl, R2, R3, R4, R5, and XI, X2, and X3 are as defined above.
- the compound of formula I is oleuropein as shown below in Formula II:
- Oleuropein the compound used in the present invention can be readily obtained from plants including but not limited to the olive tree Olea europaea L. and the privet tree, Ligustrum obtusifohum (Oleaceae).
- Compounds suitable for use in the methods of the present invention can readily be identified using in vitro and in vivo screening assays. Such assays may screen for the ability of a particular compound to inhibit the growth, motility and invasiveness of cancer cells or tumor production in vitro and in vivo. Alternatively such assays may screen for the ability of a particular compound to inhibit the cellular cytoskeleton leading to cell rounding.
- the matrigel invasion assay which is described in more detail below, can be used to screen a given compound for its ability to inhibit cellular invasion of the extracellular matrix. This type of cellular invasion is a requisite for cancer establishment and growth.
- cancer cells are seeded on matrigel, which is extracellular matrix.
- the cells are allowed to digest and invade the gel.
- Cells that have successfully invaded the matrigel stick to the underside of a filter, which contains pores.
- Monitoring the cell's invasion of the matrigel can be done using a microscope and focusing on the various planes of the chamber containing the cells.
- the matrigel is completely removed and the filter is fixed and stained to reveal the cells that have successfully penetrated the matrigel layer. Based on the number of number of cells on the filter one can assess the result of a compound's inhibitory effect on cellular invasiveness. This assay can be used to assess the anti-cancer properties of the compounds in this invention.
- the present invention relates to the discovery that the compounds of formula I or its preferred embodiment oleuropein, or its hydrolysis products are useful for inhibiting cancer cell survival, growth, motility and invasiveness and, in turn, for treating diseases associated with uncontrolled and unregulated cancer growths.
- the present invention provides a method of inhibiting uncontrolled and unregulated cancer cells, the method comprising contacting the cells with an effective amount, i.e., an anti-cancer amount, of a compound of formula I or it preferred embodiment oleuropein or its hydrolysis products or its hydrolysis products.
- the present invention provides a method of inhibiting the cancer cells, the method comprising contacting a cell, tissue or organ containing the cancer cells with an effective amount of a compound of formula I or its preferred embodiment oleuropein or its hydrolysis products.
- the cells are in an animal subject.
- This invention relates to a method of treating diseases associated with undesired and uncontrolled cancer, the method comprising administering to an animal an anti-cancer compound of formula I or its prefe ⁇ ed embodiment oleuropein or its hydrolysis products in an amount, i.e., a dosage, sufficient to inhibit cancer.
- a dosage sufficient to inhibit cancer.
- the particular dosage of a compound of formula I or its prefeoed embodiment oleuropein or its hydrolysis products required to inhibit cancer and/or cancer diseases will depend upon the severity of the condition, the route of administration, and related factors that will be decided by the attending physician. Generally, accepted and effective daily doses will be the amount sufficient to effectively inhibit cancer and/or cancer diseases.
- the methods of treatment provided by this invention are practiced by administering to an animal in need thereof a dose of a compound of formula I or its preferred embodiment or its hydrolysis products (or a pharmaceutically acceptable salt or solvate thereof) that is effective to inhibit cancer and/or cancer diseases.
- a dose of a compound of formula I or its preferred embodiment or its hydrolysis products (or a pharmaceutically acceptable salt or solvate thereof) that is effective to inhibit cancer and/or cancer diseases.
- inhibitor is used herein to include its generally accepted meaning which includes prophylactically treating a human subject from acquiring cancer and/or cancer diseases, and holding in check and/or treating existing cancer and/or cancer diseases.
- the present invention includes both medical therapeutic and/or prophylactic treatment, as appropriate.
- the methods of the present invention can be used to treat a wide variety of cancer diseases.
- Diseases known as cancer include, but are not limited to, Acute Lymphoblastic Leukemia, Adult; Acute Lymphoblastic Leukemia, Childhood; Acute Myeloid Leukemia, Adult;
- Adrenocortical Carcinoma Adrenocortical Carcinoma; Adrenocortical Carcinoma, Childhood; AIDS-Related Lymphoma;AIDS-Related Malignancies; Anal Cancer; Astrocytoma, Childhood Cerebellar; Astrocytoma, Childhood Cerebral; Bile Duct Cancer, Extrahepatic; Bladder Cancer; Bladder Cancer, Childhood; Bone Cancer, Osteosarcoma/Malignant Fibrous Histiocytoma; Brain Stem Glioma, Childhood; Brain Tumor, Adult; Brain
- Tumor Brain Stem Glioma, Childhood; Brain Tumor, Cerebellar Astrocytoma, Childhood; Brain Tumor, Cerebral Astrocytoma/Malignant Glioma, Childhood; Brain Tumor, Ependymoma, Childhood; Brain Tumor, Medulloblastoma, Childhood; Brain Tumor, Supratentorial Primitive Neuroectodermal Tumors, Childhood; Brain Tumor, Visual Pathway and Hypothalamic Glioma, Childhood; Brain Tumor, Childhood (Other); Breast Cancer; Breast Cancer and Pregnancy; Breast Cancer, Childhood; Breast Cancer, Male; Bronchial Adenomas/Carcinoids, Childhood; Carcinoid Tumor, Childhood; Carcinoid Tumor,Gastrointestinal; Carcinoma, Adrenocortical;
- Carcinoma Islet Cell
- Carcinoma of Unknown Primary Central Nervous System Lymphoma, Primary; Cerebellar Astrocytoma, Childhood; Cerebral Astrocytoma/Malignant Glioma, Childhood; Cervical Cancer; Childhood Cancers; Chronic Lymphocytic Leukemia; Chronic Myelogenous Leukemia; Chronic Myeloproliferative Disorders; Clear Cell Sarcoma of Tendon Sheaths; Colon Cancer;
- Gastric (Stomach) Cancer Gastric (Stomach) Cancer; Gastric (Stomach) Cancer, Childhood; Gastrointestinal Carcinoid Tumor; Germ Cell Tumor, Extracranial, Childhood; Germ Cell Tumor, Extragonadal; Germ Cell Tumor, Ovarian; Gestational Trophoblastic Tumor; Glioma, Childhood Brain Stem; Glioma, Childhood Visual Pathway and Hypothalamic; Hairy Cell Leukemia; Head and Neck Cancer; Hepatocellular (Liver) Cancer, Adult
- Leukemia Acute Lymphoblastic, Adult; Leukemia, Acute Lymphoblastic, Childhood Leukemia, Acute Myeloid, Adult; Leukemia, Acute Myeloid, Childhood; Leukemia, Chronic Lymphocytic; Leukemia, Chronic Myelogenous; Leukemia, Hairy Cell; Lip and Oral Cavity Cancer; Liver Cancer, Adult (Primary); Liver Cancer, Childhood (Primary); Lung Cancer, Non-Small Cell; Lung Cancer, Small Cell; Lymphoblastic
- Lymphoma Central Nervous System (Primary); Lymphoma, Cutaneous T-Cell; Lymphoma, Hodgkin's, Adult; Lymphoma, Hodgkin's, Childhood; Lymphoma, Hodgkin's During Pregnancy; Lymphoma, Non- Hodgkin's, Adult; Lymphoma, Non-Hodgkin's, Childhood; Non-Hodgkin's During Pregnancy; Lymphoma, Primary Central Nervous System; Macroglobulinemia, Waldenstr ⁇ m's; Male Breast Cancer; Malignant Mesothelioma, Adult; Malignant Mesothelioma, Childhood; Medulloblastoma, Childhood; Melanoma; Melanoma,
- Methods in the present invention can also be used to confer resistance to infection on animal cells.
- oleuropein By disrupting the animal cell's cytoskeleton, oleuropein, renders the cells resistant to infection by viral, bacterial, and parasitic organisms.
- Diseases associated with blisters, ulcerations, scabs and scar formation can also be treated using the methods of the present invention.
- Diseases, which lead to ulcer formation and scar formation include, but are not limited to, chemical, heat, and radioactive burns, scrapes and cuts, trauma, fibroids, cysts, keloid, acne, gastritis, vaginal, cervical, uterine, ovary, gastric, corneal, retinal, diabetic, AIDS-related scarring, iliac, and colon ulcers, interstitial lung disease, human fibrotic lung disease, human kidney disease, glomerular nephritis, nephritis associated with systemic lupus, peritoneal fibrosis, cystic fibrosis, liver fibrosis, myocardial fibrosis, pulmonary fibrosis, Grave's ophthalmopathy, drug induced ergotism, cardiovascular disease, cancer, Alzheimer's disease, scarring, scleroderma, glioblastom
- Kaposi's sarcoma Hansen's disease, or inflammatory bowel disease not including collagenous colitis, renal fibrosis, abdominal adhesions, radiation induced fibrosis, obliterative bronchiolitis, silicosis lesions, or Tenon's capsule fibroprohferation, laser treatment for vascular birthmarks, tattoos, and traumatic scarring.
- the present invention relates to methods of administering compounds of formula I or its preferred embodiment oleuropein in combination with active immunotherapy (e.g., tumor vaccination).
- animal subjects to be treated therewith include, but are not limited to, humans, laboratory animals, domestic pets and farm animals.
- the compounds of formula I or its preferred embodiment oleuropein or its hydrolysis products can be delivered or administered to an animal, e.g., a human patient, alone, in the form of a pharmaceutically acceptable salt, or in the form of a pharmaceutical composition where the compound is mixed with suitable carriers or excipient(s) in a therapeutically effective amount, e.g., at doses effective to depress, suppress or inhibit cancer or result in amelioration of symptoms associated with cancer diseases.
- the compounds of formula I or its prefe ⁇ ed embodiment oleuropein or its hydrolysis products which are used in the methods of the present invention, can be incorporated into a variety of formulations for therapeutic administration. More particularly, compounds of formula I or its preferred embodiment oleuropein or its hydrolysis products can be formulated into pharmaceutical compositions by combination with appropriate, pharmaceutically acceptable carriers or diluents, and may be formulated into preparations in solid, semi-solid, liquid or gaseous forms, such as tablets, capsules, pills, powders, granules, dragees, gels, slurries, ointments, solutions, suppositories, injections, inhalants and aerosols.
- administration of the compounds can be achieved in various ways, including oral, buccal, rectal, parenteral, intraperitoneal, intradermal, transdermal, intracheal, etc., administration.
- the compound can be administered in a local rather than systemic manner, for example via injection of the compound directly into a solid tumor, often in a depot or sustained release formulation.
- the compounds can be administered in a targeted drug delivery system, for example, in a liposome coated with tumor-specific antibody. Such liposomes will be targeted to and taken up selectively by the tumor.
- the compounds of formula I or its preferred embodiment oleuropein or its hydrolysis products can be formulated with common excipients, diluents or carriers, and compressed into tablets, or formulated as elixirs or solutions for convenient oral administration, or administered by the intramuscular or intravenous routes.
- the compounds can be administered transdermally, and may be formulated as sustained release dosage forms and the like.
- Compounds of formula I or its prefe ⁇ ed embodiment oleuropein or its hydrolysis products can be administered alone, in combination with each other, or they can be used in combination with other known compounds (e.g., other anti-cancer drugs or other drugs, such as AZT, anti-inflammatories, antibiotics, corticosteroids, vitamins, etc.).
- other anti-cancer drugs or other drugs such as AZT, anti-inflammatories, antibiotics, corticosteroids, vitamins, etc.
- the compound of formula I or its preferred embodiment oleuropein or its hydrolysis products can be used in conjunctive therapy with other known anti-angiogenic chemotherapeutic or antineoplastic agents (e.g., vinca alkaloids, antibiotics, antimetabohtes, platinum coordination complexes, etc.).
- the compounds of formula I or its preferred embodiment oleuropein or its hydrolysis products can be used in conjunctive therapy with a vinca alkaloid compound, such as vinblastine, vincristine, taxol, etc.; an antibiotic, such as adriamycin (doxorubicin), dactinomycin (actinomycin D), daunorubicin (daunomycin, rubidomycin), bleomycin, plicamycin (mithramycin) and mitomycin (mitomycin C), etc.; an antimetabolite, such as methotrexate, cytarabine (AraC), azauridine, azaribine, fluorodeoxyuridine, deoxycoformycin, mercaptopurine, etc.; or a platinum coordination complex, such as cisplatin (cis-DDP), carboplatin, etc.
- a vinca alkaloid compound such as vinblastine, vincristine, taxol, etc.
- the compounds of the present invention can be used in conjunctive therapy with other known anti-angiogenic chemotherapeutic or antineoplastic compounds.
- the compounds may be administered in the form of their pharmaceutically acceptable salts, or they may also be used alone or in appropriate association, as well as in combination with other pharmaceutically active compounds.
- the pharmaceutical compositions described herein can be manufactured in a manner that is known to those of skill in the art, i.e., by means of conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping or lyophilizing processes. The following methods and excipients are merely exemplary and are in no way limiting.
- the compounds can be formulated into preparations by dissolving, suspending or emulsifying them in an aqueous or nonaqueous solvent, such as vegetable or other similar oils, synthetic aliphatic acid glycerides, esters of higher aliphatic acids or propylene glycol; and if desired, with conventional additives such as solubilizers, isotonic agents, suspending agents, emulsifying agents, stabilizers and preservatives.
- the compounds of the invention may be formulated in aqueous solutions, preferably in physiologically compatible buffers such as Hanks's solution, Ringer's solution, or physiological saline buffer.
- penetrants appropriate to the barrier to be infused are used in the formulation. Such penetrants are generally known in the art.
- the compounds of formula I or its prefeoed embodiment oleuropein or its hydrolysis products can be formulated readily by combining with pharmaceutically acceptable carriers that are well known in the art.
- Such carriers enable the compounds to be formulated as tablets, pills, dragees, capsules, emulsions, lipophilic and hydrophilic suspensions, liquids, gels, syrups, slurries, suspensions and the like, for oral ingestion by a patient to be treated.
- Pharmaceutical preparations for oral use can be obtained by mixing the compounds with a solid excipient, optionally grinding a resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries, if desired, to obtain tablets or dragee cores.
- Suitable excipients are, in particular, fillers such as sugars, including lactose, sucrose, mannitol, or sorbitol; cellulose preparations such as, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, gum tragacanth, methyl cellulose, hydroxypropylmethyl cellulose, sodium carboxymethylcellulose, and/or polyvinylpy ⁇ olidone (PVP).
- disintegrating agents may be added, such as the cross-linked polyvinyl py ⁇ olidone, agar, or alginic acid or a salt thereof such as sodium alginate.
- Dragee cores are provided with suitable coatings.
- suitable coatings For this purpose, concentrated sugar solutions may be used, which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, and/or titanium dioxide, lacquer solutions, and suitable organic solvents or solvent mixtures.
- Dyestuffs or pigments may be added to the tablets or dragee coatings for identification or to characterize different combinations of active compound doses.
- compositions which can be used orally include push-fit capsules made of gelatin, as well as soft, sealed capsules made of gelatin and a plasticizer, such as glycerol or sorbitol.
- the push-fit capsules can contain the active ingredients in admixture with filler such as lactose, binders such as starches, and/or lubricants such as talc or magnesium stearate and, optionally, stabilizers.
- the active compounds may be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols.
- stabilizers may be added. All formulations for oral administration should be in dosages suitable for such administration.
- the compositions may take the form of tablets or lozenges formulated in conventional manner.
- the compounds for use according to the present invention are conveniently delivered in the form of an aerosol spray presentation from pressurized packs or a nebulizer, with the use of a suitable propellant, e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas, or from propellant- free, dry-powder inhalers.
- a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas
- propellant- free, dry-powder inhalers e.g., a suitable propellant
- the dosage unit may be determined by providing a valve to deliver a metered amount.
- Capsules and cartridges of, e.g., gelatin for use in an inhaler or insufflator may be formulated containing a powder mix of the compound and a suitable powder base such as lactose or starch.
- the compounds may be formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion.
- Formulations for injection may be presented in unit dosage form, e.g., in ampules or in multidose containers, with an added preservative.
- the compositions may take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulator agents such as suspending, stabilizing and/or dispersing agents.
- compositions for parenteral administration include aqueous solutions of the active compounds in water-soluble form.
- suspensions of the active compounds may be prepared as appropriate oily injection suspensions.
- Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters, such as ethyl oleate or triglycerides, or liposomes.
- Aqueous injection suspensions may contain substances which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran.
- the suspension may also contain suitable stabilizers or agents which increase the solubility of the compounds to allow for the preparation of highly concentrated solutions.
- the active ingredient may be in powder form for constitution with a suitable vehicle, e.g., sterile pyrogen-free water, before use.
- the compounds may also be formulated in rectal compositions such as suppositories or retention enemas, e.g., containing conventional suppository bases such as cocoa butter, carbowaxes, polyethylene glycols or other glycerides, all of which melt at body temperature, yet are solidified at room temperature.
- rectal compositions such as suppositories or retention enemas, e.g., containing conventional suppository bases such as cocoa butter, carbowaxes, polyethylene glycols or other glycerides, all of which melt at body temperature, yet are solidified at room temperature.
- the compounds may also be formulated as a depot preparation. Such long acting formulations may be administered by implantation (for example subcutaneously or intramuscularly) or by intramuscular injection.
- the compounds may be formulated with suitable polymeric or hydrophobic materials (for example as an emulsion in an acceptable oil) or ion exchange resins, or as sparingly soluble derivatives, for example, as a sparingly soluble salt.
- suitable polymeric or hydrophobic materials for example as an emulsion in an acceptable oil
- ion exchange resins for example as sparingly soluble derivatives, for example, as a sparingly soluble salt.
- other delivery systems for hydrophobic pharmaceutical compounds may be employed. Liposomes and emulsions are well known examples of delivery vehicles or carriers for hydrophobic drugs.
- targeting of a marker on abnormal tumor vasculature can be employed.
- the targeting moiety when coupled to a toxic drug or radioisotope will act to concentrate the drug where it is needed.
- Ligands for tumor-associated vessel markers can also be used.
- a cell adhesion molecule that binds to a tumor vascular element surface marker can be employed.
- Liposomes and other drug delivery systems can also be used, especially if their surface contains a ligand to direct the carrier preferentially to the tumor vasculature. Liposomes offer the added advantage of shielding the drug from most normal tissues, thereby reducing the inherent toxicity of many compounds.
- liposomes When coated with polyethylene glycol (PEG) (i.e., stealth liposomes) to minimize uptake by phagocytes and with a tumor vasculature-specific targeting moiety, liposomes offer longer plasma half-lives, lower non-target tissue toxicity, and increased efficacy over non-targeted drug.
- Other targeting strategies include, but are not limited to, ADEPT (antibody-directed enzyme prodrug therapy), GDEPT (gene-directed EPT) and VDEPT (virus-directed EPT).
- ADEPT antibody-directed enzyme prodrug therapy
- GDEPT gene-directed EPT
- VDEPT virus-directed EPT
- differential gene expression or viral targeting at the tumor site is used to activate a prodrug into its active, toxic form in GDEPT and VDEPT, respectively.
- Other strategies include targeting differentially expressed genes, enzymes or surface markers that appear on tumor-associated vasculature, to effect control of tumor growth.
- the compounds of formula I or its prefe ⁇ ed embodiment oleuropein or its hydrolysis products can be targeted to the tumor vasculature to effect control of tumor progression or to other sites of interest (e.g., endothelial cells).
- compositions also may comprise suitable solid or gel phase carriers or excipients.
- carriers or excipients include but are not limited to calcium carbonate, calcium phosphate, various sugars, starches, cellulose derivatives, gelatin, and polymers such as polyethylene glycols.
- compositions suitable for use in the present invention include compositions wherein the active ingredients are contained in a therapeutically effective amount.
- the amount of composition administered will, of course, be dependent on the subject being treated, on the subject's weight, the severity of the affliction, the manner of administration and the judgment of the prescribing physician. Determination of an effective amount is well within the capability of those skilled in the art, especially in light of the detailed disclosure provided herein.
- therapeutically effective amounts of the compounds utilized in the practice of the present invention can comprise anywhere between approximately 0.030g to 20.000g of such compound per kilogram mass of body weight of the subject.
- This example illustrates the anti-cancer properties of oleuropein in the matrigel invasion assay.
- the endpoint of the matrigel invasion assay is to the determination of the number of cells that invaded and digested the matrigel to reach the filter on the other end of the chamber. Such a quantitation would illustrate the invasiveness of the cancer cells by their ability to digest and invade the extracellular matrix. The decrease in the number of cells found on the filter as a result of the application of oleuropein indicates its anti-cancer properties.
- a Boyden chamber shown in the schematic ( Figure 1A) we deposited a top layer of matrigel at lOmg/ml.
- Using the most invasive cancer (colon) cell line we seeded the cells on the matrigel top layer with or without oleuropein. The cells were allowed to migrate through the gel for 3 days during which the cell layer and the filter plane were photographed. At the endpoint of the experiment the matrigel layer was removed and the attached cells on the underside of the filter where fixed, stained and photographed. Cells treated with 0.1% oleuropein were completely stopped from invading the gel and adhering to the filter on the bottom side.
- This example illustrates the anti-cancer properties of oleuropein in the cell migration assay.
- the endpoint of the cell migration assay is the determination of the number of cells that have migrated to close a wound produced in the culture dish. Such a quantitation would illustrate the mobility of cancer cells by their ability to completely close such a wound. The decrease in the number of cells found in the wound area as a result of the application of oleuropein indicates its anti-cancer properties.
- Unregulated cell growth is the hallmark of cancer.
- This example illustrates the anti-cancer properties of oleuropein in the cell growth assay. Cancer cells, representing the most invasive cancers, were seeded in equal numbers on a plate containing varying concentrations of oleuropein. After 5 days cell numbers were assessed using the MTS assay and optical density (490 nm) values are shown on the y-axis of the graph ( Figure 5). The x-axis represents the concentration of oleuropein. These represent true and raw counts made on a microplate reader. In all cancers studied, oleuropein effectively inhibited growth.
- This example illustrates the effect of oleuropein on wound healing in the in the cell migration assay.
- oleuropein's effect on the cellular cytoskeleton and cell rounding is demonstrated.
- This example also illustrates the reversibility of oleuropein's effect on the cells suggesting minimal side-effects.
- Rabbit skin fibroblast cells were grown to a confluent monolayer of cells, which was subsequently wounded with a sterile wooden stick. The cells were then incubated and allowed to repair the wound in the culture. Untreated cells successfully migrated across the wounded area Figure 8 A. Cells treated with oleuropein (0.01%) shown in Figure 8C were effectively inhibited. A closer look at the oleuropein treated cells show a discontinuity in the cellular monolayer Figure 8D and 8E, due to the cells rounding up as a result of oleuropein's effect on the cell's cytoskeleton. In contrast, untreated cells appear flat Figure 8B. Washing oleuropein from the cells reversed the rounding up process. The cells flattened, filled up the discontinuity in the monolayer (H) and began to migrate from the edge of the wound Figure 8F and 8G.
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Abstract
Description
Claims
Priority Applications (5)
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MXPA05006069A MXPA05006069A (en) | 2002-12-09 | 2003-12-04 | Methods for inhibiting cancer and scar formation. |
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CA002508786A CA2508786A1 (en) | 2002-12-09 | 2003-12-04 | Methods for inhibiting cancer and scar formation |
EP03812800A EP1569516A4 (en) | 2002-12-09 | 2003-12-04 | Methods for inhibiting cancer and scar formation |
AU2003297648A AU2003297648A1 (en) | 2002-12-09 | 2003-12-04 | Methods for inhibiting cancer and scar formation |
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WO2017077134A1 (en) * | 2015-11-05 | 2017-05-11 | Institut D'investigació Biomèdica De Girona | Compounds for the treatment of cancer and/or cancer treatment resistance by inhibition of cancer stem cells |
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WO2010151778A2 (en) * | 2009-06-25 | 2010-12-29 | Darlene Mccord | Topical compositions and methods for wound care |
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US10420665B2 (en) | 2010-06-13 | 2019-09-24 | W. L. Gore & Associates, Inc. | Intragastric device for treating obesity |
US8628554B2 (en) | 2010-06-13 | 2014-01-14 | Virender K. Sharma | Intragastric device for treating obesity |
US10010439B2 (en) | 2010-06-13 | 2018-07-03 | Synerz Medical, Inc. | Intragastric device for treating obesity |
ITFI20110034A1 (en) * | 2011-02-25 | 2012-08-26 | Azienda Ospedaliero Universitaria C Areggi 50 | USE OF OLEUROPEINE AGLICONE FOR THE TREATMENT OF ALZHEIMER'S DISEASE. |
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US20040097428A1 (en) | 2004-05-20 |
WO2004053067A3 (en) | 2004-08-19 |
MXPA05006069A (en) | 2005-11-17 |
EP1569516A2 (en) | 2005-09-07 |
EP1569516A4 (en) | 2006-06-07 |
US7468355B2 (en) | 2008-12-23 |
AU2003297648A1 (en) | 2004-06-30 |
CA2508786A1 (en) | 2004-06-24 |
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