WO2009118338A2 - Use of a polyphenolic type compound for preventing or treating a polyglutamine expansion neurodegenerative disease - Google Patents

Use of a polyphenolic type compound for preventing or treating a polyglutamine expansion neurodegenerative disease Download PDF

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WO2009118338A2
WO2009118338A2 PCT/EP2009/053519 EP2009053519W WO2009118338A2 WO 2009118338 A2 WO2009118338 A2 WO 2009118338A2 EP 2009053519 W EP2009053519 W EP 2009053519W WO 2009118338 A2 WO2009118338 A2 WO 2009118338A2
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group
hydroxy
compound
hydrogen atom
alkoxy
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WO2009118338A3 (en
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Christian Neri
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INSERM (Institut National de la Santé et de la Recherche Médicale)
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/352Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline 
    • A61K31/3533,4-Dihydrobenzopyrans, e.g. chroman, catechin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/075Ethers or acetals
    • A61K31/085Ethers or acetals having an ether linkage to aromatic ring nuclear carbon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/075Ethers or acetals
    • A61K31/085Ethers or acetals having an ether linkage to aromatic ring nuclear carbon
    • A61K31/09Ethers or acetals having an ether linkage to aromatic ring nuclear carbon having two or more such linkages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/352Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom condensed with carbocyclic rings, e.g. methantheline 
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7028Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
    • A61K31/7032Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a polyol, i.e. compounds having two or more free or esterified hydroxy groups, including the hydroxy group involved in the glycosidic linkage, e.g. monoglucosyldiacylglycerides, lactobionic acid, gangliosides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7028Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
    • A61K31/7034Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7042Compounds having saccharide radicals and heterocyclic rings
    • A61K31/7048Compounds having saccharide radicals and heterocyclic rings having oxygen as a ring hetero atom, e.g. leucoglucosan, hesperidin, erythromycin, nystatin, digitoxin or digoxin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia

Definitions

  • the present invention relates to the field of human therapeutically useful compounds that are active against neurodegenerative diseases.
  • the present invention relates to the use of a polyphenol ⁇ type compound for the manufacture of a medicament intended for preventing or treating polyglutamine expansion neurodegenerative diseases.
  • Polyglutamine expansion neurodegenerative diseases including Huntington's disease, spinocerebellar ataxia 1 , 2, 3, 6, 7, and 17, spinal and bulbar muscular atrophy (SBMA) and dentatorubral pallidoluysian atrophy (DRPLA), are hereditary neurodegenerative disorders caused by CAG repeat expansions encoding polyglutamine stretches in the corresponding proteins.
  • SBMA spinal and bulbar muscular atrophy
  • DPLA dentatorubral pallidoluysian atrophy
  • CAG repeat expansions result in the synthesis and accumulation of ubiquitously expressed polyglutamine-containing proteins, some of still unknown function (e.g. Huntingtin in Huntington's disease and ataxins in spinocerebellar ataxias).
  • polyglutamine-containing proteins in various brain regions is responsible for neurologic problems. Proteins with expanded polyglutamine domains aggregate and indeed aggregation is a pathologic hallmark of the polyglutamine repeat diseases.
  • CAG repeats All diseases in the CAG repeat family show genetic anticipation, meaning that the disease usually appears at an earlier age and increases in severity with each generation. Genetic anticipation is linked to increasing numbers of CAG repeats, which result from expansion of the unstable CAG sequence when reproductive cells divide to form eggs and sperm. In general, neurodegenerative disorders are progressive (i.e., their symptoms are not apparent until months or more commonly years after the disease has begun), and caused by an initial reduction of neuronal function, followed by a complete dysfunction upon neuronal death.
  • Huntington's Disease is a devastating, degenerative brain disorder for which there is, at present, no effective treatment or cure.
  • Early symptoms of Huntington's Disease may affect cognitive ability or mobility and include depression, mood swings, forgetfulness, clumsiness, involuntary twitching and lack of coordination.
  • concentration and short-term memory diminish and involuntary movements of the head, trunk and limbs increase.
  • Walking, speaking and swallowing abilities deteriorate. Death follows from complications such as choking, infection or heart failure.
  • HD typically begins in midlife, between the ages of 30 and 45, though onset may occur as early as the age of 2 in its juvenile, more severe form. Children who develop the juvenile form of the disease rarely live to adulthood.
  • HD Huntington's Disease
  • CAG repeat within its 5'-end coding sequence.
  • This CAG repeat is expanded in individuals with HD (who may or may not be symptomatic, depending upon their age). However, the presence of a CAG repeat expansion is found in virtually all symptomatic HD individuals. Individuals affected with HD typically have at least one HD allele with 36 or more CAG repeat.
  • the polyglutamine expansion results in the formation of insoluble, high molecular weight protein aggregates similar to those seen in Alzheimer's disease.
  • SBMA Spinobulbar muscular atrophy
  • Kennedy disease is caused by a specific mutation (an expansion of the normally polymorphic CAG trinucleotide repeat) in the first exon of the androgen receptor gene (which encodes polyglutamine tracts) which is located on the X-chromosone. Similar to Huntington's disease, in this disease CAG is also abnormally repeated. The CAG repeat range in the general population is approximately 12 to 32 repeats. In patients with Kennedy disease, the repeats may vary from 40 to 55 repeats. Symptoms appear when the repeats exceed about 40. A larger number of repeats has been suggested to cause symptoms to begin earlier in life and progress more rapidly.
  • Spinocerebellar ataxias are a group of autosomal dominantly inherited ataxias with heterogeneous presentation. Characteristic CAG repeat expansions in the coding sequences at several loci have been detected for certain of these disorders.
  • Spinocerebellar ataxia 7 (SCA7) is a progressive autosomal dominant neurodegenerative disorder characterized by cerebellar ataxia and visual impairment (David et al., 1997) due to moderate to severe neuronal loss in the cerebellum and associated structures and degeneration of cone and rod photoreceptors. The function of the protein encoded by the SCA7 gene was elucidated, in 2004.
  • the SCA7 gene product, ataxin-7 (ATXN7), is a component of the TBP-free TAF-containing complex (TFTC) and the SPT3/TAF9/GCN5 acetyltransferase complex (STAGA), which are implicated in several steps of transcriptional regulation, such as histone acetylation and recruitment of the preinitiation complex to promoters.
  • TFTC TBP-free TAF-containing complex
  • STAGA SPT3/TAF9/GCN5 acetyltransferase complex
  • a new therapeutic strategy to fight against these polyglutamine expansion neurodegenerative diseases consists in the identification of partners to polyglutamine mutant proteins, as well as developmental and longevity pathways, to influence the variability of neurodegenerative diseases through the modulation of cell maintenance mechanisms.
  • HD Huntington's disease
  • resveratrol protects the HD neuron through the activity of key modulators of neuron cell survival like sirtuins (sir-2.1 ) or FoxO proteins, its bioavailability and blood-brain barrier (BBB) properties may be limited.
  • BBB blood-brain barrier
  • the present invention relates to the use a polyphenol ⁇ type compound which is selected from the group of compounds having the following formulae A, B or C: (A)
  • R1 and R2 are selected from the group consisting of a saccharide group, an alkoxy and a hydroxy,
  • R3, R4, R5 and R6, one independently from the other, are selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy
  • - Q is selected from the group consisting of oxygen, sulfur or nitrogen,
  • R1 and R3 are selected from the group consisting of a hydrogen atom, a hydroxy and an alkoxy,
  • R2 is selected from the group consisting of a saccharide group, a hydroxy and an alkoxy,
  • R1 , R2 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a halogen atom, a hydroxy and an alkoxy,
  • - Q is selected from the group consisting of oxygen, sulfur or nitrogen, for manufacturing a medicament for preventing or treating a polyglutamine expansion neurodegenerative disease.
  • the present invention also relates to an active polyphenol ⁇ type compound selected from the group as defined above, advantageously for the use as a medicament.
  • This invention concerns also a pharmaceutical composition comprising a compound as above mentioned, in combination with one or more pharmaceutically acceptable excipients, advantageously to prevent or to treat polyglutamine expansion neurodegenerative disease.
  • Figures 1 to 11 show dose-response curves for means +/- s.e.m percent rescue of neuronal dysfunction by polyphenol ⁇ type compounds in worms expression control 19Q or 128Q, in different genotypes.
  • the resveratrol dose-response curve is repeated for comparison. *P ⁇ 0.05, ** P ⁇ 0.01 , *** P ⁇ 0.001 versus DMSO-treated 128Q animals.
  • Abscissa final concentration of the tested compound, expressed in ⁇ M. Ordinate : percent rescue of neuronal dysfunction.
  • figures 1 to 1 1
  • Figure 12A shows dose-response curves for means +/- s.e.m percent rescue of neuronal dysfunction by the hyperoside compound in worms expression control 19Q or 128Q, in different genotypes.
  • the resveratrol dose-response curve is repeated for comparison.
  • Figure 12B shows that hyperoside reduces the mortality of 109Q/109Q cells ( * p ⁇ 0.001 versus DMSO controls) with no effect in 7Q/7Q cells. Ordinate : fold change in cell mortality versus untreated.
  • Figure 13 illustrate the effect of the plyphenolic type compounds on the reduction of cell death in a cellular model of Huntington'sdisease pathogenesis.
  • Abscissa Control cultures or the identity of the tested compound; Grey bars on the left side of the figure illustrate the results obtained with wild-type cells. Black bars on the right side of the figure illustrate the results obtained with cells expressing the mutated (109Q) huttingtin. Ordinate : fold change in mortality versus untreated.
  • a first object of the invention consists of the use of a substance selected from the group of compounds having the formulae A, B or C, for manufacturing a medicament for preventing or treating a polyglutamine expansion neurodegenerative disease, in which said formulae A, B or C are the following ones :
  • R1 and R2 are selected from the group consisting of a saccharide group, an alkoxy and a hydroxy,
  • R3, R4, R5 and R6, one independently from the other, are selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy
  • - Q is selected from the group consisting of oxygen, sulfur or nitrogen,
  • R1 and R3 are selected from the group consisting of a hydrogen atom, a hydroxy and an alkoxy,
  • R2 is selected from the group consisting of a saccharide group, a hydroxy and an alkoxy,
  • R1 , R2 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a halogen atom, a hydroxy and an alkoxy,
  • - Q is selected from the group consisting of oxygen, sulfur or nitrogen.
  • R1 and R2 do not mean simultaneously a saccharide group.
  • R1 means a saccharide group
  • R3, R4 and R6 each means a hydrogen atom
  • - R2 and R5 each mean a hydroxyl.
  • - R2 means a saccharide group
  • R3 is selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy
  • R4 is selected from the group consisting of a hydrogen atom and, notably when R3 is an alkoxy group, a methoxy,
  • R6 means a hydrogen atom
  • R1 , R3 and R5 mean each a hydroxy group
  • R4 and R6 mean each a hydrogen atom
  • - R2 means a monosaccharide group, particularly in a galactoside form.
  • - R1 , R2, R5 and R6 each mean an alkoxy
  • R3 is selected from the group consisting of a hydrogen atom and an alkoxy
  • R4 is selected from the group consisting of a hydrogen atom and a hydroxyl.
  • specific embodiments of the compound of formula (A) are the following ones: 2-(3,4-dihydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy-4H-1 -benzopyran-4-one or quercetin 3-O-hexapyranoside [compoundjiyperoside of figure 12);
  • - R2 is selected form the group consisting of a hydroxy and an alkoxy
  • - R3 is selected from the group consisting of a hydrogen atom and a hydroxyl.
  • R2 means a saccharide group
  • R1 and R3 each mean a hydroxyl.
  • specific embodiments of the compound of formula (B) are the following ones:
  • R1 means an alkoxy or R2 means a bromine atom, the other between R1 and R2 consisting of a hydrogen atom.
  • R3 means a hydrogen atom
  • R2 means a hydrogen atom
  • specific embodiments of the compound of formula (C) are the following ones: 7-hydroxy-3-(4-methoxyphenyl)-chromen-2-one (compound of figure 4) ;
  • one or more of the alkoxy groups when present, consist advantageously of a methoxy group.
  • the saccharide group when present, consists advantageously of a monosaccharide group.
  • the said monosaccharide group when present, consists of an hexose group, in particular in pyranose form, and especially of galactoside type
  • glycosylated compounds of formulae (A) (B) and (C) may be particularly interesting: the interaction of the glycosyl group with GLUT-1 , a glucose transporter highly expressed in the BBB, may indeed help generate active compound concentrations in the brain (Fernandez et al., 2003).
  • the compounds of formulae (A), (B) and (C) as described in the present specification may be furnished by numerous providers of chemical compounds, including companies like, for example, Cerep (Paris, France), Chemdiv Inc. (San Diego, United States),
  • compositions comprising a polyphenols type compound of the invention
  • a further object of the invention consists of compositions comprising at least a polyphenol ⁇ type compound as defined in the present description in combination with one or more auxiliary agents.
  • polyphenols type compounds of the invention consisting of formula (A), (B) or (C), may be used per se for preventing or treating of polyglutamine expansion neurodegenerative diseases, and in particular Huntington's disease.
  • the polyphenols type compounds of the invention are used under the form of pharmaceutical compositions for human use, said pharmaceutical compositions comprising at least one polyphenols type compounds of the invention in combination with one or more pharmaceutically acceptable excipients.
  • a pharmaceutical composition of the invention comprises more than one polyphenols type compounds of the invention.
  • compositions in accordance with this invention alternatively can be formulated for parenteral administration, including subcutaneous administration, intraperitoneal administration, intramuscular administration, intrathecal administration and intravenous administration.
  • parenteral dosage forms are typically in the form of aqueous solutions or dispersions utilized in a pharmaceutically acceptable carrier such as isotonic saline, 5% glucose or other well known pharmaceutically accepted liquid carrier compositions.
  • a pharmaceutically acceptable carrier such as isotonic saline, 5% glucose or other well known pharmaceutically accepted liquid carrier compositions.
  • the compositions suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders or lyophilizates for the extemporaneous preparation of sterile injectable solutions or dispersions.
  • Parenteral dosage forms of the present pharmaceutical compositions can also be formulated as injectable prolonged release formulations in which the polyphenols type compound(s) is combined with one or more natural or synthetic biodegradable or biodispersible polymers such as carbohydrates, including starches, gums and etherified or esterified cellulosic derivatives, polyethers, polyesters, polyvinyl alcohols, gelatins or alginates.
  • Such dosage formulations can be prepared, for example, in the form of microsphere suspensions, gels (of hydrophilic or hydrophobic constitution), or shaped-polymer matrix implants that are well known in the art for their function as "depot-type" drug delivery systems that provide prolonged release of the biologically reactive components.
  • Such compositions are prepared using art recognized formulation techniques, and can be designed for any of a wide variety of drug release profiles.
  • the administration of polyphenol ⁇ type compounds in accordance with this invention can be intermittent or at a gradual, continuous, constant or controlled rate to a patient in need of treatment.
  • the daily dosage amount can be divided and administered in two or more daily doses depending on patient condition and environment.
  • the optimal dosage amounts and dosage form for implementing the present method in accordance with this invention is dependent not only on the absorption and pharmacokinetic properties of the compound, but also on patient and patient condition and adjustable within reasonable ranges in the judgment of the attending physician.
  • the formulation is typically administered over a suitable period of time.
  • an effective amount of a polyphenols type compound(s) or a pharmaceutically-acceptable salt thereof is administered to said patient.
  • Effective dosage forms, modes of administration and dosage amounts of the polyphenol ⁇ type compounds may be determined empirically, and making such determinations is within the skill in the art. It is understood by those skilled in the art that the dosage amount will vary with the activity of the particular compound employed, the route of administration, the rate of excretion of the compound, the duration of the treatment, the identity of any other drugs being administered to the animal, the age, size and species of the animal, and like factors well known in the medical arts.
  • a suitable daily dose will be that amount which is the lowest dose effective to produce a therapeutic effect.
  • the total daily dosage will be determined by an attending physician within the scope of sound medical judgment.
  • the effective daily dose of a composition of the present invention may be administered as two, three, four, five, six or more sub-doses, administered separately at appropriate intervals throughout the day.
  • composition comprising a polyphenols type compound(s) may be administered to a patient by any suitable route of administration, including orally, nasally, rectally and parenterally, for example under the form of powders, or drops, including buccally and sublingually.
  • suitable routes of administration are oral and parenteral administration.
  • the active ingredient(s) While it is possible for the active ingredient(s) to be administered alone, it is preferable to administer the active ingredient(s) as a pharmaceutical formulation (composition).
  • the pharmaceutical compositions of the invention comprise the active ingredient(s) in admixture with one or more pharmaceutically-acceptable carriers and, optionally, with one or more other compounds, drugs or other materials. Each carrier must be "acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient.
  • the carrier is advantagesouly suitable to optimise the bioavailability and blood-brain barrier properties of the associated active ingredient(s).
  • suitable carriers are any chemical groups that may preferentially or significantly interact with the brain blood barrier (BBB), including, without being limited to, glycosyl groups
  • Formulations of the invention suitable for oral administration may be in the form of capsules, cachets, pills, tablets, lozenges (using a flavored basis, typically sucrose and acacia or tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non- aqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion, or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing a predetermined amount of the active ingredient(s).
  • the active ingredient(s) may also be administered as a bolus, electuary or paste.
  • the active ingredient(s) is/are mixed with one or more pharmaceutically-acceptable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: (1 ) fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid; (2) binders, such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents
  • pharmaceutically-acceptable carriers such as sodium citrate or dicalcium phosphate
  • the pharmaceutical compositions may also comprise buffering agents.
  • Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like.
  • a tablet may be made by compression or molding, optionally with one or more accessory ingredients.
  • Compressed tablets may be prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent.
  • Molded tablets may be made by molding in a suitable machine a mixture of the powdered active ingredient(s) moistened with an inert liquid diluent.
  • the wild-type strain of C. elegans used was Bristol N2. Standard methods of culturing and handling worms were used. All strains were scored at 2O 0 C.
  • mutants were verified by visible phenotypes :
  • a posterior Mec phenotype is defined as touch-insensitive at the tail.
  • An anterior Mec phenotype is defined as touch-insensitive at the head.
  • Transgenic animals expressing normal polyQs were essentially touch sensitive at the tail (Parker et al, 2001 , Proc. Natl. Acad. Sci. USA. 2001 ; 98 : 13318 - 13323; ]; Parker et al. 2005, Nat Genet, Vol. 37 : 349-350).
  • animals expressing mutant polyQs showed significant posterior touch insensitivity. Posterior touch insensitivity was highly penetrant in these animals (Parker et al, 2001 , Supra; Parker et al. 2005, Supra). Additionally, transgenic animals show accumulation of the transgenic proteins in neurons (Parker et al, 2001 , Supra; Parker et al. 2005, Supra). Finally, animals expressing mutant polyQs show a strong level of axonal dystrophy not observed for animals expressing normal polyQs, which may reflect altered neurotransmission (Parker et al, 2001 , Supra; Parker et al. 2005, Supra).
  • Transgenic strain derived from C. elegans lin-15 (n765) hermaphrodites (C. elegans Genetic Center, St. Paul, MN) injected with a wild type lin-15 marker, a mec-7 promoter YFP plasmid, and a mec-3 promoter Huntingtin 1 -57(128
  • Glns ::CFP plasmid — are synchronized at the L1 larvae stage.
  • L1 s are manually seeded in 96- well assay plates (Costar white plates, #3596) 50 micro liters/well for an animal density of around 30 L1 s/well.
  • Compounds are added to reach a final concentration of 100-0.0001 ⁇ M (diluted with assay medium that contains no bacteria and no DMSO, by 100-80Ox if from a 10 mM stock solution in DMSO). Dilutions are made by hand always using the same pipettes. Initial compound plates and dilution plates are stored at 80 0 C immediatly after thawing and use.
  • dilution plates may be stored at room temperature, here 2O 0 C. Refrozing plates is performed on dry ice prior to storing them in -8O 0 C freezers. Animals are incubated with the test compounds at 20 degrees C for -72 hours (3 wells/compound). After incubation, animals (now young adults) are transfered to Petri dishes without bacteria (3 dishes/compound) and allowed to rest for about 15-30'. Animals are then tested for response to gentle touch at the tail using a fine eyebrow hair mounted on a tooth pick, and the percentage of animals backing away from touch at the tail is determined. Additionnaly, the animals can be tested for a reduction of aggregates after incubation.
  • Dose-response tests are usually performed in a duplicate or triplicate, 6- to 8-point dose-response assay. Results are expressed as a percentage of Rescue. Rescue is calculated as (% compound treated response - % baseline response)/(1 - % baseline response). While the calculation of R relies on the total number of animals tested, a quality control is performed on triplicates in order to use the two most robust values if the variation on triplicates happens to be too high (SE > 7). This situation is not frequent. Indeed, around 85% of the compounds tested usually show consistent triplicate values with a standard ecart less or equal to 7, a value above which the two most robust values are possibly retained for calculating R.
  • the assay has now been used for greater than several years and no contamination has been encountered.
  • the baseline in the assay ('negative control') is determined from incubation -on a regular basis- of trangenic animals expressing 128 Gins with no compound in the growth medium, and expressed as the percentage of animals backing away from touch at the tail (percentage of responders).
  • the baseline has been stable around 20% since the assay is in use for drug screening.
  • Three categories of compounds are usually identified: compounds found to be toxic at the concentration tested, compounds that worsened the mechanosensory defective phenotype induced by 128 Gins (negative R value), and compounds that corrected the mechanosensory defective phenotype induced by 128 Gins (positive R value).
  • Example 1 Dose-response curves relative to the percent rescue of neuronal dysfunction by polyphenols compounds The results obtained are shown in figures 1 to 12, which demonstrate that 13 compounds effectively protect against expanded polyQ toxicity with no effect on normal polyQs.
  • Hits were quercetin analogs and true resveratrol analogs, and they were all dependent on sir-2.1 for activity. Among the most active hits were 4 quercetin analogues carrying a glucoside group. Interestingly, glycosyl derivatives have been shown in the art as having brain prodrug delivery potential.
  • Hyperoside indeed shows a better R max and a better EC 50 compared to resveratrol, and the R m a x of hyperoside is very close to the maximum achievable rescue in the assay.
  • Example 2 additional assays with hyperoside:
  • this particular compound hyperoside indeed presents a better R max and a better EC 50 compared to resveratrol, and a Rmax very close to the maximum achievable rescue in the essay.
  • this compound specifically enhanced the survival of 109Q/109Q striatal cells with no effect on htt expression.
  • Example 3 Effect of the polyphenols type compounds according to the invention on reducing cell death in a cellular model of Huntinqton's disease pathogenesis.
  • htt knock-in mouse striatal cells expressing full-length htt with eitherwild-type (7Q/7Q) or mutant glutamines (109Q/109Q) were incubated in vitro with various polyphenol ⁇ type compounds according to the invention, respectively :

Abstract

The present invention relates to the use of polyphenolic type compounds as disclosed in the specification for preventing or treating a polyglutamine expansion neurodegenerative disease.

Description

TITLE OF THE INVENTION
Use of a polyphenol^ type compound for preventing or treating a polyglutamine expansion neurodegenerative disease
FIELD OF THE INVENTION
The present invention relates to the field of human therapeutically useful compounds that are active against neurodegenerative diseases.
More particularly, the present invention relates to the use of a polyphenol^ type compound for the manufacture of a medicament intended for preventing or treating polyglutamine expansion neurodegenerative diseases.
BACKGROUND OF THE INVENTION
Polyglutamine expansion neurodegenerative diseases, including Huntington's disease, spinocerebellar ataxia 1 , 2, 3, 6, 7, and 17, spinal and bulbar muscular atrophy (SBMA) and dentatorubral pallidoluysian atrophy (DRPLA), are hereditary neurodegenerative disorders caused by CAG repeat expansions encoding polyglutamine stretches in the corresponding proteins.
These CAG repeat expansions result in the synthesis and accumulation of ubiquitously expressed polyglutamine-containing proteins, some of still unknown function (e.g. Huntingtin in Huntington's disease and ataxins in spinocerebellar ataxias).
The accumulation of polyglutamine-containing proteins in various brain regions is responsible for neurologic problems. Proteins with expanded polyglutamine domains aggregate and indeed aggregation is a pathologic hallmark of the polyglutamine repeat diseases.
All diseases in the CAG repeat family show genetic anticipation, meaning that the disease usually appears at an earlier age and increases in severity with each generation. Genetic anticipation is linked to increasing numbers of CAG repeats, which result from expansion of the unstable CAG sequence when reproductive cells divide to form eggs and sperm. In general, neurodegenerative disorders are progressive (i.e., their symptoms are not apparent until months or more commonly years after the disease has begun), and caused by an initial reduction of neuronal function, followed by a complete dysfunction upon neuronal death.
Huntington's Disease (HD) is a devastating, degenerative brain disorder for which there is, at present, no effective treatment or cure. Early symptoms of Huntington's Disease may affect cognitive ability or mobility and include depression, mood swings, forgetfulness, clumsiness, involuntary twitching and lack of coordination. As the disease progresses, concentration and short-term memory diminish and involuntary movements of the head, trunk and limbs increase. Walking, speaking and swallowing abilities deteriorate. Death follows from complications such as choking, infection or heart failure. HD typically begins in midlife, between the ages of 30 and 45, though onset may occur as early as the age of 2 in its juvenile, more severe form. Children who develop the juvenile form of the disease rarely live to adulthood. HD affects males and females equally and crosses all ethnic and racial boundaries. Each child of a person with HD has a 50/50 chance of inheriting the fatal gene. HD is an autosomal dominant condition and thus everyone who carries the mutant allele of the gene will develop the disease. The Huntington's Disease (HD) gene was cloned in 1993 (The Huntington's Disease
Collaborative Research Group. Cell. 1993) and found to contain a CAG repeat within its 5'-end coding sequence. This CAG repeat is expanded in individuals with HD (who may or may not be symptomatic, depending upon their age). However, the presence of a CAG repeat expansion is found in virtually all symptomatic HD individuals. Individuals affected with HD typically have at least one HD allele with 36 or more CAG repeat. The polyglutamine expansion results in the formation of insoluble, high molecular weight protein aggregates similar to those seen in Alzheimer's disease.
Spinobulbar muscular atrophy (SBMA, also named Kennedy disease) is caused by a specific mutation (an expansion of the normally polymorphic CAG trinucleotide repeat) in the first exon of the androgen receptor gene (which encodes polyglutamine tracts) which is located on the X-chromosone. Similar to Huntington's disease, in this disease CAG is also abnormally repeated. The CAG repeat range in the general population is approximately 12 to 32 repeats. In patients with Kennedy disease, the repeats may vary from 40 to 55 repeats. Symptoms appear when the repeats exceed about 40. A larger number of repeats has been suggested to cause symptoms to begin earlier in life and progress more rapidly.
Spinocerebellar ataxias are a group of autosomal dominantly inherited ataxias with heterogeneous presentation. Characteristic CAG repeat expansions in the coding sequences at several loci have been detected for certain of these disorders. For example, Spinocerebellar ataxia 7 (SCA7) is a progressive autosomal dominant neurodegenerative disorder characterized by cerebellar ataxia and visual impairment (David et al., 1997) due to moderate to severe neuronal loss in the cerebellum and associated structures and degeneration of cone and rod photoreceptors. The function of the protein encoded by the SCA7 gene was elucidated, in 2004. The SCA7 gene product, ataxin-7 (ATXN7), is a component of the TBP-free TAF-containing complex (TFTC) and the SPT3/TAF9/GCN5 acetyltransferase complex (STAGA), which are implicated in several steps of transcriptional regulation, such as histone acetylation and recruitment of the preinitiation complex to promoters.
Current treatment of the polyglutamine expansion neurodegenerative diseases includes number of medications to help control some symptoms like emotional and movement problems associated with polyglutamine disorders. However, there is currently no efficient treatment to prevent, stop and/or reverse the course of the polyglutamine expansion neurodegenerative diseases. Thus, new methods for the treatment of neurodegenerative polyglutamine diseases, including but not limited to Huntington's disease, spinocerebellar ataxias, and spinobulbar muscular atrophy (Kennedy's Disease) that are effective and convenient are really needed.
A new therapeutic strategy to fight against these polyglutamine expansion neurodegenerative diseases, consists in the identification of partners to polyglutamine mutant proteins, as well as developmental and longevity pathways, to influence the variability of neurodegenerative diseases through the modulation of cell maintenance mechanisms.
Regarding for example Huntington's disease (HD), the notion that partners of polyglutamine mutant proteins could influence the variability of HD was illustrated for the transcriptional regulator and huntingtin (htt) partner protein CA150 (See Holbert et al., Proc.
Natl. Acad. Sci. USA. 2001 ; 98 : 181 1 -1816, Arango et al. Neurotoxicity. Journal of
Neuroscience 2006 ; 26 : 4649-4659)
It was also shown that key longevity modulators like the NAD-dependent deacetylase sir-2.1 and its target, the transcription factor DAF-16/FoxO, protect nematode neurons from the burden of expanded polyQ cytotoxicity (Parker et al., 2005, Nat Genet, Vol. 37 : 349-350).
It was moreover demonstrated that the antioxidant resveratrol rescued the neuronal dysfunction induced by expanded polyQ cytotoxicity through an action on sir-2.1 and on the transcription factor daf-16/FoxO (Parker et al., 2005, supra); these result was confirmed in neuronal cell lines derived from the striatum of HdhQ1 1 1 knock-in mice where resveratrol decreased cell death induced in cells homozygous with respect to an allele encoding mutant htt (109Q) (Parker et al., 2005 supra).
While resveratrol protects the HD neuron through the activity of key modulators of neuron cell survival like sirtuins (sir-2.1 ) or FoxO proteins, its bioavailability and blood-brain barrier (BBB) properties may be limited. There is us a need in the art for other new molecules showing a similar mode of action on cell maintenance/longevity mechanisms and having optimal drug properties, and which could be used for the treatment of polyglutamine expansion neurodegenerative diseases.
SUMMARY OF THE INVENTION The present invention relates to the use a polyphenol^ type compound which is selected from the group of compounds having the following formulae A, B or C: (A)
Figure imgf000004_0001
wherein:
- R1 and R2, one independently from the other, are selected from the group consisting of a saccharide group, an alkoxy and a hydroxy,
- R3, R4, R5 and R6, one independently from the other, are selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy,
- Q is selected from the group consisting of oxygen, sulfur or nitrogen,
(B)
Figure imgf000005_0001
wherein
- R1 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a hydroxy and an alkoxy,
- R2 is selected from the group consisting of a saccharide group, a hydroxy and an alkoxy,
- with the proviso that R1 , R2 and R3 do not mean simultaneously a hydroxyl group, and
(C)
Figure imgf000005_0002
wherein :
- R1 , R2 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a halogen atom, a hydroxy and an alkoxy,
- Q is selected from the group consisting of oxygen, sulfur or nitrogen, for manufacturing a medicament for preventing or treating a polyglutamine expansion neurodegenerative disease.
The present invention also relates to an active polyphenol^ type compound selected from the group as defined above, advantageously for the use as a medicament. This invention concerns also a pharmaceutical composition comprising a compound as above mentioned, in combination with one or more pharmaceutically acceptable excipients, advantageously to prevent or to treat polyglutamine expansion neurodegenerative disease.
BRIEF DESCRIPTION OF THE FIGURES
Figures 1 to 11 show dose-response curves for means +/- s.e.m percent rescue of neuronal dysfunction by polyphenol^ type compounds in worms expression control 19Q or 128Q, in different genotypes.
The resveratrol dose-response curve is repeated for comparison. *P < 0.05, **P < 0.01 , ***P < 0.001 versus DMSO-treated 128Q animals.
Abscissa : final concentration of the tested compound, expressed in μM. Ordinate : percent rescue of neuronal dysfunction. In figures 1 to 1 1 :
- the black curve with the square symbol "-■-" illustrate the results obtained with the tested compound on 128Q worms,
- the grey curve with the triangle symbol "-A-"illustrate the results obtained with the tested compound on 19Q worms,
- the black curve with the inversed triangle symbol "-T-" illustrate the results obtained with the tested compound on sir-2.1(ok434), 128Q worms, and - the black curve with the losange symbol "-♦-" illustrate the results obtained with resveratrol on 128Q worms.
Figure 12A shows dose-response curves for means +/- s.e.m percent rescue of neuronal dysfunction by the hyperoside compound in worms expression control 19Q or 128Q, in different genotypes. The resveratrol dose-response curve is repeated for comparison.
*P < 0.05, **P < 0.01 , ***P < 0.001 versus DMSO-treated 128Q animals. Abscissa : final concentration of the tested compound, expressed in μM. Ordinate : percent rescue of neuronal dysfunction. In figure 12A : - the black curve with the circle symbol "-•-" illustrate the results obtained with resveratrol on
128Q worms,
- the black curve with the triangle symbol "-A-"illustrate the results obtained with hyperoside on 128Q worms,
- the grey curve with the circle symbol "-•-" illustrate the results obtained with hyperoside on 19Q worms,
- the black curve with the inversed triangle symbol "-T-" illustrate the results obtained with hyperoside on sir-2.1(ok434), 128Q worms, - the grey curve with the losange symbol "-♦-" illustrate the results obtained with resveratrol on ucp-4(ok195), 128Q worms, and
- the black curve with the square symbol "-■-" illustrate the results obtained with hyperoside on daf-16(mgDf50), 128Q worms.
Figure 12B shows that hyperoside reduces the mortality of 109Q/109Q cells (*p<0.001 versus DMSO controls) with no effect in 7Q/7Q cells. Ordinate : fold change in cell mortality versus untreated.
Figure 13 illustrate the effect of the plyphenolic type compounds on the reduction of cell death in a cellular model of Huntington'sdisease pathogenesis.
Abscissa : Control cultures or the identity of the tested compound; Grey bars on the left side of the figure illustrate the results obtained with wild-type cells. Black bars on the right side of the figure illustrate the results obtained with cells expressing the mutated (109Q) huttingtin. Ordinate : fold change in mortality versus untreated.
DETAILED DESCRIPTION OF THE INVENTION
It has been found according to the invention a new group of polyphenol^ compound that are active against polyglutamine expansion neurodegenerative diseases, in particular of the Huntington's disease.
A first object of the invention consists of the use of a substance selected from the group of compounds having the formulae A, B or C, for manufacturing a medicament for preventing or treating a polyglutamine expansion neurodegenerative disease, in which said formulae A, B or C are the following ones :
(A)
Figure imgf000007_0001
wherein :
- R1 and R2, one independently from the other, are selected from the group consisting of a saccharide group, an alkoxy and a hydroxy,
- R3, R4, R5 and R6, one independently from the other, are selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy,
- Q is selected from the group consisting of oxygen, sulfur or nitrogen,
(B)
Figure imgf000008_0001
wherein
- R1 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a hydroxy and an alkoxy,
- R2 is selected from the group consisting of a saccharide group, a hydroxy and an alkoxy,
- with the proviso that R1 , R2 and R3 do not mean simultaneously a hydroxyl group, and
(C)
Figure imgf000008_0002
wherein :
- R1 , R2 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a halogen atom, a hydroxy and an alkoxy,
- Q is selected from the group consisting of oxygen, sulfur or nitrogen.
The inventors demonstrated, in C. elegans and in mouse strial cells, that this type of compounds protects against expanded polyQ toxicity, with no effect on normal polyQs.
Specific embodiments of the compound of formula (A) of the invention.
It will be described thereafter various specific embodiments of the compound of formula (A) (which are quercetin analogs), that have been found by the inventors to possess activity against polyglutamine expansion neurodegenerative diseases.
In a preliminary specific aspect, in the compound of formula (A), R1 and R2 do not mean simultaneously a saccharide group.
In a first embodiment, in the compound of formula (A):
- R1 means a saccharide group,
- R3, R4 and R6 each means a hydrogen atom, and
- R2 and R5 each mean a hydroxyl. In a second embodiment, in the compound of formula (A): - R2 means a saccharide group,
- R3 is selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy,
- R1 means a hydroxy,
- R4 is selected from the group consisting of a hydrogen atom and, notably when R3 is an alkoxy group, a methoxy,
- R5 means a hydroxy, and
- R6 means a hydrogen atom.
The inventors demonstrated that a specific compound of this second embodiment shows surprisingly a significativelly better activity against polyglutamine expansion neurodegenerative disease, i.e. the compound known also as quercetin-3-O-galactoside in which:
- R1 , R3 and R5 mean each a hydroxy group,
- R4 and R6 mean each a hydrogen atom, and
- R2 means a monosaccharide group, particularly in a galactoside form. And in a third embodiment, in the compound of formula (A): - R1 , R2, R5 and R6 each mean an alkoxy,
- R3 is selected from the group consisting of a hydrogen atom and an alkoxy, and
- R4 is selected from the group consisting of a hydrogen atom and a hydroxyl. Notably, specific embodiments of the compound of formula (A) are the following ones: 2-(3,4-dihydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy-4H-1 -benzopyran-4-one or quercetin 3-O-hexapyranoside [compoundjiyperoside of figure 12);
2-(phenyl 3-O-hexapyranoside)-3,5,7-trihydroxy-4H-1 -benzopyran-4-one (compound of figure 7);
2-(3-methoxy-4-hydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy-4H-1 -benzopyran-4-one (compound of figure 8); 2-(3-hydroxy-4-methoxyphenyl)-3,6,7-trimethoxyl-5-hydroxy-4H-1 -benzopyran-4-one
(compound of figure 9);
2-(3,5-dimethoxy-4-hydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy-4H-1 -benzopyran-4- one (compound of figure 10);
2-(3,4-dimethoxyphenyl)-3,6,7-trimethoxy-5-hydroxy-4H-1 -benzopyran-4-one (compound of figure 1 1 ).
Specific embodiments of the compound of formula (B) of the invention.
It is described thereafter various specific embodiments of compounds of formula (B) (which are resveratrol analogs), that have also been found by the inventors to possess activity against polyglutamine expansion neurodegenerative diseases. In a first embodiment, in the compound of formula (B):
- R1 means an alkoxy group,
- R2 is selected form the group consisting of a hydroxy and an alkoxy, and - R3 is selected from the group consisting of a hydrogen atom and a hydroxyl. In a second embodiment, in the compound of formula (B):
- R2 means a saccharide group, and
- R1 and R3 each mean a hydroxyl. Notably, specific embodiments of the compound of formula (B) are the following ones:
(E) 3-methoxy-5-hydroxystilbene (compound of figure 1 );
(E) 4', 5 - dihydroxystilbene-3-hexopyranoside or polydatin (compound of figure 2); (E) 3',5'-dimethoxy-4-hydroxystilbene or pterostilbene (compound of figure 3). If any discrepancy exists between the structures of the compounds shown in figures 1 to 12 and their corresponding chemical names above, then the identity of te compounds to be retained is that which is illustrated in figures 1 to 12.
Specific embodiments of the compound of formula (C) of the invention.
The inventors found additionally various specific embodiments of compound of formula (C), which are active against polyglutamine expansion neurodegenerative diseases. In a first embodiment, in the compound of formula (C):
- R3 means a hydroxy, and
- R1 means an alkoxy or R2 means a bromine atom, the other between R1 and R2 consisting of a hydrogen atom. In a second embodiment, in the compound of formula (C):
- R3 means a hydrogen atom,
- R1 means a hydroxy, and
- R2 means a hydrogen atom.
Notably, specific embodiments of the compound of formula (C) are the following ones: 7-hydroxy-3-(4-methoxyphenyl)-chromen-2-one (compound of figure 4) ;
3-(4-hydroxyphenyl)-chromen-2-one (compound of figure 5); or 3-(3-bromophenyl)-chromen-2-one (compound of figure 6).
Additional features of the compounds of formulae (A), (B) or (C) of the invention. In certain embodiments of any one of the polyphenol^ type compounds of formulae (A),
(B) and (C), one or more of the alkoxy groups, when present, consist advantageously of a methoxy group.
In certain other embodiments of any one of the polyphenol^ type compounds of formulae (A), (B) and (C), the saccharide group, when present, consists advantageously of a monosaccharide group. Preferably, the said monosaccharide group, when present, consists of an hexose group, in particular in pyranose form, and especially of galactoside type
Such glycosylated compounds of formulae (A) (B) and (C) may be particularly interesting: the interaction of the glycosyl group with GLUT-1 , a glucose transporter highly expressed in the BBB, may indeed help generate active compound concentrations in the brain (Fernandez et al., 2003).
The general structural features of the compounds of formulae (A), (B) and (C) which are described herein, because they belong to the widely known chemical class of the polyphenol^ compounds, are very well known from the one skilled in the art. Generally, the compounds of formulae (A), (B) and (C) as described in the present specification may thus be easily available or alternatively may be synthesized by the one skilled in the art by known methods.
Upon request, the compounds of formulae (A), (B) and (C) as described in the present specification may be furnished by numerous providers of chemical compounds, including companies like, for example, Cerep (Paris, France), Chemdiv Inc. (San Diego, United States),
Chembridge (San Diego, United States), Maybridge subsidiary of Thermo Fischer Scientific
International Inc. (Trevillet, UK) and Evotec Inc. (North Potomac, United Sates).
Compositions comprising a polyphenols type compound of the invention A further object of the invention consists of compositions comprising at least a polyphenol^ type compound as defined in the present description in combination with one or more auxiliary agents.
The polyphenols type compounds of the invention, consisting of formula (A), (B) or (C), may be used per se for preventing or treating of polyglutamine expansion neurodegenerative diseases, and in particular Huntington's disease.
Generally, for preventing or treating polyglutamine expansion neurodegenerative diseases, the polyphenols type compounds of the invention are used under the form of pharmaceutical compositions for human use, said pharmaceutical compositions comprising at least one polyphenols type compounds of the invention in combination with one or more pharmaceutically acceptable excipients.
In some embodiments, a pharmaceutical composition of the invention comprises more than one polyphenols type compounds of the invention.
The pharmaceutical compositions in accordance with this invention alternatively can be formulated for parenteral administration, including subcutaneous administration, intraperitoneal administration, intramuscular administration, intrathecal administration and intravenous administration. Such parenteral dosage forms are typically in the form of aqueous solutions or dispersions utilized in a pharmaceutically acceptable carrier such as isotonic saline, 5% glucose or other well known pharmaceutically accepted liquid carrier compositions. The compositions suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders or lyophilizates for the extemporaneous preparation of sterile injectable solutions or dispersions.
Parenteral dosage forms of the present pharmaceutical compositions can also be formulated as injectable prolonged release formulations in which the polyphenols type compound(s) is combined with one or more natural or synthetic biodegradable or biodispersible polymers such as carbohydrates, including starches, gums and etherified or esterified cellulosic derivatives, polyethers, polyesters, polyvinyl alcohols, gelatins or alginates. Such dosage formulations can be prepared, for example, in the form of microsphere suspensions, gels (of hydrophilic or hydrophobic constitution), or shaped-polymer matrix implants that are well known in the art for their function as "depot-type" drug delivery systems that provide prolonged release of the biologically reactive components. Such compositions are prepared using art recognized formulation techniques, and can be designed for any of a wide variety of drug release profiles.
The administration of polyphenol^ type compounds in accordance with this invention, can be intermittent or at a gradual, continuous, constant or controlled rate to a patient in need of treatment. In addition, the daily dosage amount can be divided and administered in two or more daily doses depending on patient condition and environment. The optimal dosage amounts and dosage form for implementing the present method in accordance with this invention is dependent not only on the absorption and pharmacokinetic properties of the compound, but also on patient and patient condition and adjustable within reasonable ranges in the judgment of the attending physician.
The formulation is typically administered over a suitable period of time. To treat a patient suffering from polyglutamine neurodegenerescence disease, an effective amount of a polyphenols type compound(s) or a pharmaceutically-acceptable salt thereof, is administered to said patient. Effective dosage forms, modes of administration and dosage amounts of the polyphenol^ type compounds, may be determined empirically, and making such determinations is within the skill in the art. It is understood by those skilled in the art that the dosage amount will vary with the activity of the particular compound employed, the route of administration, the rate of excretion of the compound, the duration of the treatment, the identity of any other drugs being administered to the animal, the age, size and species of the animal, and like factors well known in the medical arts. In general, a suitable daily dose will be that amount which is the lowest dose effective to produce a therapeutic effect. The total daily dosage will be determined by an attending physician within the scope of sound medical judgment. If desired, the effective daily dose of a composition of the present invention, may be administered as two, three, four, five, six or more sub-doses, administered separately at appropriate intervals throughout the day.
The present composition comprising a polyphenols type compound(s) may be administered to a patient by any suitable route of administration, including orally, nasally, rectally and parenterally, for example under the form of powders, or drops, including buccally and sublingually. The preferred routes of administration are oral and parenteral administration. While it is possible for the active ingredient(s) to be administered alone, it is preferable to administer the active ingredient(s) as a pharmaceutical formulation (composition). The pharmaceutical compositions of the invention comprise the active ingredient(s) in admixture with one or more pharmaceutically-acceptable carriers and, optionally, with one or more other compounds, drugs or other materials. Each carrier must be "acceptable" in the sense of being compatible with the other ingredients of the formulation and not injurious to the patient.
In the present case, the carrier is advantagesouly suitable to optimise the bioavailability and blood-brain barrier properties of the associated active ingredient(s). For example, suitable carriers are any chemical groups that may preferentially or significantly interact with the brain blood barrier (BBB), including, without being limited to, glycosyl groups
Formulations of the invention suitable for oral administration may be in the form of capsules, cachets, pills, tablets, lozenges (using a flavored basis, typically sucrose and acacia or tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non- aqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion, or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing a predetermined amount of the active ingredient(s). The active ingredient(s) may also be administered as a bolus, electuary or paste.
In solid dosage forms of the invention for oral administration (capsules, tablets, pills, dragees, powders, granules and the like), the active ingredient(s) is/are mixed with one or more pharmaceutically-acceptable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: (1 ) fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid; (2) binders, such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents, such as, for example, cetyl alcohol and glycerol monostearate; (8) absorbents, such as kaolin and bentonite clay; (9) lubricants, such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof; and (10) coloring agents. In the case of capsules, tablets and pills, the pharmaceutical compositions may also comprise buffering agents. Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like. A tablet may be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets may be prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent. Molded tablets may be made by molding in a suitable machine a mixture of the powdered active ingredient(s) moistened with an inert liquid diluent.
EXAMPLES
A. Materials and Methods A.1. Nematodes
The wild-type strain of C. elegans used was Bristol N2. Standard methods of culturing and handling worms were used. All strains were scored at 2O0C.
Touch tests, scoring of PLM cell processes, drug response assays and quantitative Real-Time PCR were performed as previously described (Parker et al., 2005, Nat Genet, Vol. 37 : 349-350).
All strains were obtained from the C. elegans Genetics Center (University of Minnesota, Minneapolis).
For strain construction with polyQ transgenes, mutants were verified by visible phenotypes :
- A posterior Mec phenotype is defined as touch-insensitive at the tail.
- An anterior Mec phenotype is defined as touch-insensitive at the head.
Transgenic animals expressing normal polyQs were essentially touch sensitive at the tail (Parker et al, 2001 , Proc. Natl. Acad. Sci. USA. 2001 ; 98 : 13318 - 13323; ]; Parker et al. 2005, Nat Genet, Vol. 37 : 349-350).
In contrast, animals expressing mutant polyQs showed significant posterior touch insensitivity. Posterior touch insensitivity was highly penetrant in these animals (Parker et al, 2001 , Supra; Parker et al. 2005, Supra). Additionally, transgenic animals show accumulation of the transgenic proteins in neurons (Parker et al, 2001 , Supra; Parker et al. 2005, Supra). Finally, animals expressing mutant polyQs show a strong level of axonal dystrophy not observed for animals expressing normal polyQs, which may reflect altered neurotransmission (Parker et al, 2001 , Supra; Parker et al. 2005, Supra).
A.2. Striatal cells Culture of htt knock-in mouse striatal cells expressing full-length htt with either wild-type
(7Q/7Q) or mutant glutamines (109Q/109Q) was performed as described previously (Arango et al., 2006, J Neurosci, Vol. 26 : 4649-4659).
A.3. Chemicals Chemicals were either purchased from Sigma (Resveratrol) and Calbiochem (BIO, LiCI) or obtained from the High Q Foundation (all other compounds described herein).
AA. C. elegans transgenics
Transgenic strain (integrated array) derived from C. elegans lin-15 (n765) hermaphrodites (C. elegans Genetic Center, St. Paul, MN) injected with a wild type lin-15 marker, a mec-7 promoter YFP plasmid, and a mec-3 promoter Huntingtin 1 -57(128
Glns)::CFP plasmid — are synchronized at the L1 larvae stage. L1 s are manually seeded in 96- well assay plates (Costar white plates, #3596) 50 micro liters/well for an animal density of around 30 L1 s/well. Compounds are added to reach a final concentration of 100-0.0001 μM (diluted with assay medium that contains no bacteria and no DMSO, by 100-80Ox if from a 10 mM stock solution in DMSO). Dilutions are made by hand always using the same pipettes. Initial compound plates and dilution plates are stored at 800C immediatly after thawing and use. However, in some instances, dilution plates may be stored at room temperature, here 2O0C. Refrozing plates is performed on dry ice prior to storing them in -8O0C freezers. Animals are incubated with the test compounds at 20 degrees C for -72 hours (3 wells/compound). After incubation, animals (now young adults) are transfered to Petri dishes without bacteria (3 dishes/compound) and allowed to rest for about 15-30'. Animals are then tested for response to gentle touch at the tail using a fine eyebrow hair mounted on a tooth pick, and the percentage of animals backing away from touch at the tail is determined. Additionnaly, the animals can be tested for a reduction of aggregates after incubation. Dose-response tests are usually performed in a duplicate or triplicate, 6- to 8-point dose-response assay. Results are expressed as a percentage of Rescue. Rescue is calculated as (% compound treated response - % baseline response)/(1 - % baseline response). While the calculation of R relies on the total number of animals tested, a quality control is performed on triplicates in order to use the two most robust values if the variation on triplicates happens to be too high (SE > 7). This situation is not frequent. Indeed, around 85% of the compounds tested usually show consistent triplicate values with a standard ecart less or equal to 7, a value above which the two most robust values are possibly retained for calculating R. The assay has now been used for greater than several years and no contamination has been encountered. The baseline in the assay ('negative control') is determined from incubation -on a regular basis- of trangenic animals expressing 128 Gins with no compound in the growth medium, and expressed as the percentage of animals backing away from touch at the tail (percentage of responders). The baseline has been stable around 20% since the assay is in use for drug screening. Three categories of compounds are usually identified: compounds found to be toxic at the concentration tested, compounds that worsened the mechanosensory defective phenotype induced by 128 Gins (negative R value), and compounds that corrected the mechanosensory defective phenotype induced by 128 Gins (positive R value). Several cut-off methods can be applied depending on the type of drug screen performed. In large-scale single-pass screening, a cut-off method based on a Poisson distribution is applied, and R values above SEMx2.47 are considered significant. In multiple dose-response assays for the same compound, R values above the SEM are considered significant.
Example 1 : Dose-response curves relative to the percent rescue of neuronal dysfunction by polyphenols compounds The results obtained are shown in figures 1 to 12, which demonstrate that 13 compounds effectively protect against expanded polyQ toxicity with no effect on normal polyQs.
Hits were quercetin analogs and true resveratrol analogs, and they were all dependent on sir-2.1 for activity. Among the most active hits were 4 quercetin analogues carrying a glucoside group. Interestingly, glycosyl derivatives have been shown in the art as having brain prodrug delivery potential.
Particularly high neuronal recue activity has been obtained with hyperoside (quercetin-3- O-galactoside - See figure 12A and 12B). These efects were not due to a reduction in transgenic (polyQ) protein expression. Hyperoside indeed shows a better Rmax and a better EC50 compared to resveratrol, and the Rmax of hyperoside is very close to the maximum achievable rescue in the assay. These data indicate that quercetin-glucosides are promising compounds to elicit FoxO-dependent neuroprotection in the diseased brain.
Example 2: additional assays with hyperoside:
For example in the case of Huntington's disease models, this particular compound hyperoside indeed presents a better Rmax and a better EC50 compared to resveratrol, and a Rmax very close to the maximum achievable rescue in the essay.
Additionally, this compound specifically enhanced the survival of 109Q/109Q striatal cells with no effect on htt expression.
Protocol:
The culture of htt knock-in mouse striatal cells expressing full-length htt with either wild- type (7Q/7Q) or mutant (109Q/109Q) glutamines, the treatment of these cells to induce cell death, and the incubation of these cells with compounds were performed as described previously (Arango et al., 2006).
The results are shown in figure 12B
Example 3 : Effect of the polyphenols type compounds according to the invention on reducing cell death in a cellular model of Huntinqton's disease pathogenesis. htt knock-in mouse striatal cells expressing full-length htt with eitherwild-type (7Q/7Q) or mutant glutamines (109Q/109Q) were incubated in vitro with various polyphenol^ type compounds according to the invention, respectively :
- Compound 1 which is the 3',5'-dimethoxy-4-hydroxystilbene or pterostilbene illustrated in figure 3,
- Compound 2 which is the 4', 5 - dihydroxystilbene-3-hexopyranoside or polydatin illustrated in figure 2, - Compound 3 which is the 2-(3-methoxy-4-hydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy- 4H-1 -benzopyran-4-one illustrated in figure 8,
- Compound 4 which is 2-(3,4-dimethoxyphenyl)-3,6,7-trimethoxy-5-hydroxy-4H-1 - benzopyran-4-one illustrated in figure 1 1 . - Compound 5 which is 2-(3,5-dimethoxy-4-hydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy-
4H-1 -benzopyran-4-one illustrated in figure 10,
- Compound 6 which is 3-(4-hydroxyphenyl)-chromen-2-one illustrated in figure 5,
- Compound 7 which is 2-(phenyl 3-O-hexapyranoside)-3,5,7-trihydroxy-4H-1 -benzopyran-4- one illustrated in figure 7 - Compound 8 which is 2-(3-hydroxy-4-methoxyphenyl)-3,6,7-trimethoxyl-5-hydroxy-4H-1 - benzopyran-4-one illustrated in figure 9,
- Compound 9 which is 3-(3-bromophenyl)-chromen-2-one illustrated in figure 6,
- control cultures incubated only with the culture medium.
The results are shown for Compound Hyperoside in figure 12B and for the other compounds in figure 13.
The results presented in the left portion of figure 13 (grey bars), show that none of the polyphenol^ type compounds tested exert any effect on the mortality of the (7Q/7Q) mouse striatal cells, as compared with control.
However, the results presented in the right portion of figure 13 (black bars) clearly show that almost all the polyphenol^ type compounds tested greatly reduce the mortality of the (109Q/109Q) mouse striatal cells, as compared with control.

Claims

1. The use of a polyphenol^ type compound which is selected from the group of compounds having the following formulae A, B or C: (A)
Figure imgf000018_0001
wherein :
- R1 and R2, one independently from the other, are selected from the group consisting of a saccharide group, an alkoxy and a hydroxy,
- R3, R4, R5 and R6, one independently from the other, are selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy,
- Q is selected from the group consisting of oxygen, sulfur or nitrogen,
(B)
Figure imgf000018_0002
wherein
- R1 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a hydroxy and an alkoxy,
- R2 is selected from the group consisting of a saccharide group, a hydroxy and an alkoxy,
- R1 , R2 and R3 do not mean simultaneously hydroxy group,
(C)
Figure imgf000018_0003
wherein :
- R1 , R2 and R3, one independently from the other, are selected from the group consisting of a hydrogen atom, a halogen atom, a hydroxy and an alkoxy, - Q is selected from the group consisting of oxygen, sulfur or nitrogen, for manufacturing a medicament for preventing or treating a polyglutamine expansion neurodegenerative disease.
2. The use according to claim 1 , wherein, in a compound of formula (A), R1 and R2 do not mean simultaneously a saccharide group.
3. The use according to claims 1 or 2, wherein the said polyphenol^ type compound consists of a compound of formula (A1 ) wherein :
(A1 ) - R1 means a saccharide group,
- R3, R4 and R6 each mean a hydrogen atom, and
- R2 and R5 each mean a hydroxyl.
4. The use according to claims 1 or 2, wherein the said polyphenol^ type compound consists of a compound of formula (A2) wherein:
(A2)
- R2 means a saccharide group,
- R3 is selected from the group consisting of a hydrogen atom, an alkoxy and a hydroxy,
- R1 means a hydroxy, - R4 is selected from the group consisting of a hydrogen atom and a methoxy,
- R5 means a hydroxy, and
- R6 means a hydrogen atom.
5. The use according to claims 1 or 2, wherein the said polyphenols type compound consists of a compound of formula (A3) wherein :
(A3)
- R1 , R2, R5 and R6 each means an alkoxy,
- R3 is selected from the group consisting of a hydrogen atom and an alkoxy, and
- R4 is selected from the group consisting of a hydrogen atom and a hydroxyl.
6. The use according to claim 1 , wherein the said polyphenols type compound consists of a compound of formula (B1 ) wherein :
(B1 ) - R1 means an alkoxy group,
- R2 is selected form the group consisting of a hydroxy and an alkoxy, and
- R3 is selected from the group consisting of a hydrogen atom and a hydroxyl.
7. The use according to claim 1 , wherein the said polyphenol^ type compound consists of a compound of formula (B2) wherein : (B2)
- R2 means a saccharide group, and
- R1 and R3 each mean a hydroxyl.
8. The use according to claim 1 , wherein the said polyphenol^ type compound consists of a compound of formula (C1 ) wherein :
(C1 )
- R3 means a hydroxy, and - R1 means an alkoxy or R2 means a bromine atom, the other between R1 and R2 consisting of a hydrogen atom.
9. The use according to claim 1 , wherein the said polyphenols type compound consists of a compound of formula (C2) wherein : (C2)
- R3 means a hydrogen atom,
- R1 means a hydroxy, and
- R2 means a hydrogen atom
10. The use according to any one of claims 1 to 9, wherein one or more of the alkoxy groups of formulae A, B and C, when present, consist of a methoxy group.
1 1. The use according to any one of claims 1 to 10, wherein the saccharide group of formulae A, B and C, when present, consists of a monosaccharide.
12.- The use according to claim 1 1 , wherein the monosaccharide of formulae A, B and
C, when present, consists of an hexose group, in particular in pyranose form, and in particular of galactoside type .
13.- The use according to claim 1 , wherein the polyphenols type compound is selected from the group consisting of:
- 2-(3,4-dihydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy-4H-1 -benzopyran-4-one or quercetin 3-O-hexapyranoside;
- 2-(phenyl3-O-hexapyranoside)-3, 5, 7-trihydroxy-4H-1 -benzopyran-4-one; - 2-(3-methoxy-4-hydroxyphenyl)-3-hexapyranosyl-5,7-dihydroxy-4H-1 -benzopyran-4- one;
2-(3-hydroxy-4-methoxyphenyl)-3,6,7-trimethoxyl-5-hydroxy-4H-1 -benzopyran-4- one; - 2-(3,5-dimethoxy-4-hydroxyphenyl)-3- hexapyranosyl-5,7-dihydroxy-4H-1 - benzopyran-4-one;
- 2-(3,4-dimethoxyphenyl)-3,6,7-trimethoxy-5-hydroxy-4H-1 -benzopyran-4-one;
- (E) 3-methoxy-5-hydroxystilbene;
- (E) 4', 5 - dihydroxystilbene-3-hexopyranoside or polydatin (compose B); - (E) 3',5'-dimethoxy-4-hydroxystilbene or pterostilbene;
- 7-hydroxy-3-(4-methoxyphenyl)-chromen-2-one ;
- 3-(4-hydroxyphenyl)-chromen-2-one; or
- 3-(3-bromophenyl)-chromen-2-one.
14. The use according to any one of claims 1 to 13, wherein the said polyglutamine expansion neurodegenerative disease is selected from the group consisting of spinocerebellar ataxia 1 , 2, 3, 6, 7 and 17, Huntington's disease, spinar and bulbar muscular atrophy and dentatorubral pallidolusyan atrophy.
15. A polyphenol^ type compound selected from the group of compounds which are defined in any one of claims 1 to 14.
16. A polyphenol^ type compound according to claim 15, for use as a medicament.
17. A pharmaceutical composition comprising a polyphenols type compound according to claim 15 in combination with one or more pharmaceutically acceptable excipients.
18. A pharmaceutical composition according to claim 17, for preventing or treating polyglutamine expansion neurodegenerative disease.
19. A pharmaceutical composition according to claim 18, for preventing or treating Huntington's disease.
PCT/EP2009/053519 2008-03-27 2009-03-25 Use of a polyphenolic type compound for preventing or treating a polyglutamine expansion neurodegenerative disease WO2009118338A2 (en)

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