WO2010059401A2 - Compounds that expand hematopoietic stem cells - Google Patents

Compounds that expand hematopoietic stem cells Download PDF

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Publication number
WO2010059401A2
WO2010059401A2 PCT/US2009/062646 US2009062646W WO2010059401A2 WO 2010059401 A2 WO2010059401 A2 WO 2010059401A2 US 2009062646 W US2009062646 W US 2009062646W WO 2010059401 A2 WO2010059401 A2 WO 2010059401A2
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Prior art keywords
purin
ethyl
isopropyl
ylamino
pyridin
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PCT/US2009/062646
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English (en)
French (fr)
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WO2010059401A3 (en
Inventor
Anthony Boitano
Michael Cooke
Shifeng Pan
Peter G. Schultz
John Tellew
Yongqin Wan
Xing Wang
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Irm Llc
The Scripps Research Institute
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Priority to CA2740589A priority Critical patent/CA2740589C/en
Priority to CU2011000096A priority patent/CU24495B1/es
Priority to ES09748626T priority patent/ES2736728T3/es
Priority to SI200931987T priority patent/SI2350078T1/sl
Priority to MX2011004593A priority patent/MX347834B/es
Priority to PL09748626T priority patent/PL2350078T3/pl
Priority to EA201100663A priority patent/EA019872B1/ru
Priority to EP09748626.0A priority patent/EP2350078B1/en
Priority to UAA201105290A priority patent/UA103206C2/ru
Application filed by Irm Llc, The Scripps Research Institute filed Critical Irm Llc
Priority to CN200980143651.3A priority patent/CN102203096B/zh
Priority to KR1020117012091A priority patent/KR101434719B1/ko
Priority to DK09748626.0T priority patent/DK2350078T3/da
Priority to JP2011534784A priority patent/JP5390626B2/ja
Priority to BRPI0921799A priority patent/BRPI0921799B8/pt
Priority to NZ592435A priority patent/NZ592435A/xx
Priority to AU2009317898A priority patent/AU2009317898B2/en
Priority to RS20190863A priority patent/RS59027B1/sr
Priority to LTEP09748626.0T priority patent/LT2350078T/lt
Priority to EP19164770.0A priority patent/EP3524604B1/en
Publication of WO2010059401A2 publication Critical patent/WO2010059401A2/en
Publication of WO2010059401A3 publication Critical patent/WO2010059401A3/en
Priority to TN2011000174A priority patent/TN2011000174A1/fr
Priority to IL212368A priority patent/IL212368A/en
Priority to SM201100024T priority patent/SMP201100024B/it
Priority to MA33889A priority patent/MA32828B1/fr
Priority to HRP20191238 priority patent/HRP20191238T1/hr
Priority to CY20191100765T priority patent/CY1121857T1/el

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    • A—HUMAN NECESSITIES
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    • A61K35/28—Bone marrow; Haematopoietic stem cells; Mesenchymal stem cells of any origin, e.g. adipose-derived stem cells
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    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52—Purines, e.g. adenine
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    • C12N2501/00—Active agents used in cell culture processes, e.g. differentation
    • C12N2501/30—Hormones
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    • C12N2501/60—Transcription factors

Definitions

  • the present invention relates to compounds and compositions for expanding the number of CD34+ cells for transplantation.
  • the invention further relates to a cell population comprising expanded hematopoietic stem cells (HSCs) and its use in autologous or allogeneic transplantation for the treatment of patients with inherited immunodeficient and autoimmune diseases and diverse hematopoietic disorders to reconstitute the hematopoietic cell lineages and immune system defense.
  • HSCs expanded hematopoietic stem cells
  • Hematopoietic stem cells are capable of regenerating all blood products throughout the life of an individual, balancing their self -renewal with progeny differentiation. Hematopoietic stem cells have therapeutic potential as a result of their capacity to restore blood and immune cells in transplant recipients. Furthermore, HSCs have the potential to generate cells for other tissues such as brain, muscle and liver. Human autologous and allogeneic bone marrow transplantation methods are currently used as therapies for leukemia, lymphoma, and other life-threatening diseases. For these procedures, a large number of stem cells must be isolated to ensure that there are enough HSCs for engraftment. The number of HSCs available for treatment is a clinical limitation. [0004] The present invention relates to compounds and compositions for expanding hematopoietic stem cell populations and uses thereof.
  • the present invention provides a compound of Formula I:
  • G 1 is selected from N and CR 3 ;
  • G 2 , G 3 and G 4 are independently selected from CH and N; with the proviso that at least 1 of G3 and G4 is N; with the proviso that Gi and G 2 are not both N;
  • L is selected from -NR 5 a(CH 2 )o- 3 - (0-3 herein means 0, 1 , 2 or 3), -
  • R 53 and R 5b are independently selected from hydrogen and C]_ 4 alkyl
  • Ri is selected from hydrogen, phenyl, thiophenyl, furanyl, IH- benzoimidazolyl, isoquinolinyl, lH-imidazopyridinyl, benzothiophenyl, pyrimidinyl, IH- pyrazolyl, pyridinyl, lH-imidazolyl, pyrrolidinyl, pyrazinyl, pyridazinyl, lH-pyrrolyl and thiazolyl; wherein said phenyl, thiophenyl, furanyl, lH-benzoimidazolyl, isoquinolinyl, IH- imidazopyridinyl, benzothiophenyl, pyrimidinyl, lH-pyrazolyl, pyridinyl, lH-imidazolyl, pyrrolidinyl, pyrazinyl, pyridazinyl, pyrid
  • R 2 is selected from -S(O) 2 NR 63 R 5I ,, -NR 9a C(O)R 9b , -NR 6a C(O)NR 6b R 6c , phenyl, lH-pyrrolopyridin-3-yl, lH-indolyl, thiophenyl, pyridinyl, lH-l,2,4-triazolyl, 2- oxoimidazolidinyl, lH-pyrazolyl, 2-oxo-2,3-dihydro-lH-benzoimidazolyl and lH-indazolyl; wherein R 63 , R ⁇ b and R 6 c are independently selected from hydrogen and Ci_ 4 alkyl; wherein said phenyl, lH-pyrrolopyridin-3-yl, lH-indolyl, thiophenyl, pyridinyl, lH-l,2,4-
  • R 4 is selected from Ci-ioalkyl, prop-l-en-2-yl, cyclohexyl, cyclopropyl, 2-(2- oxopyrrolidin-l-yl)ethyl, oxetan-3-yl, benzhydryl, tetrahydro-2H-pyran-3-yl, tetrahydro-2H- pyran-4-yl, phenyl, tetrahydrofuran-3-yl, benzyl, (4-pentylphenyl)(phenyl)methyl and l-(l-(2- oxo-6,9,12-trioxa-3-azatetradecan-14-yl)-lH-l,2,3-triazol-4-yl)ethyl; wherein said alkyl, cyclopropyl, cyclohexyl, 2-(2-oxopyrrolidin-l-yl)ethyl, o
  • Fig 1 discloses the PXRD pattern of solid form modification A of 4-(2-(2-)
  • Figs 2 to 12 disclose the PXRD patterns of solid forms of 4-(2-(2-)
  • Fig 13 discloses the DSC pattern of the amorphous form of A-(I-(I-
  • alkyl as a group and as a structural element of other groups, for example halo-substituted-alkyl and alkoxy, can be either straight-chained or branched.
  • alkyl includes methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl, t-butyl, etc.
  • Ci_ 4 - alkoxy includes methoxy, ethoxy, and the like.
  • Halo-substituted alkyl includes trifluoromethyl, pentafluoroethyl, and the like.
  • Aryl means a monocyclic or fused bicyclic aromatic ring assembly containing six to ten ring carbon atoms.
  • aryl may be phenyl or naphthyl, preferably phenyl.
  • Arylene means a divalent radical derived from an aryl group.
  • heteroaryl includes pyridyl, indolyl, indazolyl, quinoxalinyl, quinolinyl, benzofuranyl, benzopyranyl, benzothiopyranyl, benzo[l,3]dioxole, imidazolyl, benzo-imidazolyl, pyrimidinyl, furanyl, oxazolyl, isoxazolyl, triazolyl, tetrazolyl, pyrazolyl, thienyl, etc.
  • Cycloalkyl means a saturated or partially unsaturated, monocyclic, fused bicyclic or bridged polycyclic ring assembly containing the number of ring atoms indicated.
  • C 3 _iocycloalkyl includes cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, etc.
  • C 3 _ 8 heterocycloalkyl as used in this application to describe compounds of the invention includes morpholino, pyrrolidinyl, piperazinyl, piperidinyl, piperidinylone, 2-Oxo-pyrrolidin-l-yl, l,4-dioxa-8-aza-spiro[4.5]dec-8-yl, etc.
  • Halogen (or halo) preferably represents chloro or fluoro, but may also be bromo or iodo.
  • Hematopoietic stem cells as used herein refer to immature blood cells having the capacity to self-renew and to differentiate into more mature blood cells comprising granulocytes (e.g., promyelocytes, neutrophils, eosinophils, basophils), erythrocytes
  • granulocytes e.g., promyelocytes, neutrophils, eosinophils, basophils
  • erythrocytes e.g., promyelocytes, neutrophils, eosinophils, basophils
  • HSCs are interchangeably described as stem cells throughout the specification. It is known in the art that such cells may or may not include CD34 + cells.
  • CD34 + cells are immature cells that express the CD34 cell surface marker. CD34+ cells are believed to include a subpopulation of cells with the stem cell properties defined above.
  • HSCs include pluripotent stem cells, multipotent stem cells (e.g., a lymphoid stem cell), and/or stem cells committed to specific hematopoietic lineages.
  • the stem cells committed to specific hematopoietic lineages may be of T cell lineage, B cell lineage, dendritic cell lineage, Langerhans cell lineage and/or lymphoid tissue-specific macrophage cell lineage.
  • HSCs also refer to long term HSC (LT-HSC) and short term HSC (ST-HSC). ST-HSCs are more active and more proliferative than LT-HSCs.
  • Hematopoietic stem cells are optionally obtained from blood products.
  • a blood product includes a product obtained from the body or an organ of the body containing cells of hematopoietic origin. Such sources include un-fractionated bone marrow, umbilical cord, peripheral blood, liver, thymus, lymph and spleen.
  • “Expansion” in the context of cells refers to increase in the number of a characteristic cell type, or cell types, from an initial cell population of cells, which may or may not be identical.
  • the initial cells used for expansion may not be the same as the cells generated from expansion.
  • Cell population refers to eukaryotic mammalian, preferably human, cells isolated from biological sources, for example, blood product or tissues and derived from more than one cell.
  • CD34+ cells refers to cells that express at their surface CD34 marker. CD34+ cells can be detected and counted using for example flow cytometry and fluorescently labeled anti-CD34 antibodies.
  • CD34+ cells “Enriched in CD34+ cells” means that a cell population has been selected based on the presence of CD34 marker. Accordingly, the percentage of CD34+ cells in the cell population after selection method is higher than the percentage of CD34+ cells in the initial cell population before selecting step based on CD34 markers.
  • CD34+ cells may represent at least 50%, 60%, 70%, 80% or at least 90% of the cells in a cell population enriched in CD34+ cells.
  • Cord blood unit refers to the blood collected from umbilical cord of a single birth.
  • the present invention relates to methods and compositions for expanding
  • HSC populations using an agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a downstream effector of aryl hydrocarbon receptor pathway is a compound of Formula I.
  • said agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor is a compound of Formula I.
  • compounds of Formula I are compounds selected from Formulae Ia, Ib, Ic, Id and Ie:
  • L is selected from -NR 53 (CH 2 ) ⁇ -, -NR 53 CH(C(O)OCH 3 )CH 2 -, -
  • R] is selected from hydrogen, phenyl, thiophen-2-yl, thiophen-3-yl, furan-3- yl, lH-benzo[d]imidazol-l-yl, isoquinolin-4-yl, lH-imidazo[4,5-b]pyridin-l-yl, benzo[b]thiophen-3-yl, pyrimidin-5-yl, lH-pyrazol-4-yl, pyridin-2-yl, pyridin-4-yl, lH-imidazol- 1-yl, pyrrolidin-1-yl, pyrazin-2-yl, pyridin-3-yl, pyridazin-4-yl, lH-pyrrol-2-yl and thiazol-5-yl; [0036] wherein said phenyl, thiophen-2-yl, thiophen-3-yl, furan-3-yl, IH
  • R 3 is selected from hydrogen, and biphenyl
  • R 4 is selected from isopropyl, methyl, ethyl, prop-l-en-2-yl, isobutyl, cyclohexyl, sec-butyl, (S)-sec -butyl, (R)-sec-butyl, l-hydroxypropan-2-yl, (S)-l-hydroxypropan- 2-yl, (R)- l-hydroxypropan-2-yl, nonan-2-yl, 2-(2-oxopyrrolidin-l-yl)ethyl, oxetan-3-yl, oxetan- 2-yl, benzhydryl, tetrahydro-2H-pyran-2-yl, phenyl, tetrahydrofuran-3-yl and benzyl; wherein said cyclohexyl, 2-(2-oxopyrrolidin-l-yl)ethyl, oxetan-3-yl, o
  • R 53 and R 5b are independently selected from hydrogen and methyl; and R] is selected from hydrogen, phenyl, thiophen-2-yl, thiophen-3- yl, furan-3-yl, lH-benzo[d]imidazol-l-yl, isoquinolin-4-yl, lH-imidazo[4,5-b]pyridin-l-yl, benzo[b]thiophen-3-yl, pyrimidin-5-yl, lH-pyrazol-4-yl, pyridin-2-yl, pyridin-4-yl, l
  • NR 5a (CH 2 )i_ 3 (where 1-3 herein 1, 2 or 3).
  • R 2 is selected from urea, phenyl, lH-indol-2-yl, IH- indol-3-yl, thiophen-3-yl, piperidin-1-yl, pyridin-2-yl, pyridin-3-yl, pyridin-4-yl, 1H-1,2,4- triazol-3-yl, lH-l,2,4-triazol-5-yl, 2-oxoimidazolidin-l-yl, lH-pyrazol-3-yl, lH-pyrazol-4-yl, 2- oxo-2,3-dihydro-lH-benzo[d]imidazol-5-yl, lH-benzo[d]imidazol-5-yl and lH-imidazol-4-yl; wherein said phenyl, lH-indol-2-yl, lH-indol-3-
  • R 3 is selected from hydrogen, methyl and biphenyl; and R 4 is selected from isopropyl, methyl, ethyl, prop-l-en-2-yl, isobutyl, cyclohexyl, sec -butyl, (S)-sec -butyl, (R)-sec-butyl, l-hydroxypropan-2-yl, (S)-l-hydroxypropan-2-yl, (R)-I- hydroxypropan-2-yl, nonan-2-yl, 2-(2-oxopyrrolidin-l-yl)ethyl, oxetan-3-yl, oxetan-2-yl, benzhydryl, tetrahydro-2H-pyran-2-yl, phenyl, tetrahydrofuran-3-yl and benzyl; wherein said cyclohexyl, 2-(2-oxopyrrolidin-l-
  • L is selected from -NR 53 (CH 2 ) ⁇ -, -NR 53 CH(C(O)OCH 3 )CH 2 -, -
  • Ri is selected from hydrogen, phenyl, thiophen-2-yl, thiophen-3-yl, furan-2- yl, furan-3-yl, benzo[b]thiophen-2-yl, benzo[b]thiophen-3-yl, benzofuran-2-yl, benzofuran-3-yl, pyrimidin-4-yl, pyrimidin-5-yl, lH-pyrazol-4-yl, lH-pyrazol-3-yl, pyridin-2-yl, pyridazin-3-yl, pyridin-4-yl, lH-imidazol-1-yl, pyrrolidin-1-yl, pyrazin-2-yl, pyridin-3-yl, lH-pyrazol-1-yl, pyridazin-4-yl, lH-indol-2-yl, thiazol-4-yl, lH-ind
  • R 3 is selected from hydrogen, Ci_ 4 alkyl and biphenyl
  • R 4 is selected from isopropyl, isobutyl, sec -butyl, l-hydroxypropan-2-yl, cyclopropyl, oxetan-3-yl, oxetan-2-yl, benzhydryl, piperidin-4-yl, piperidin-3-yl, piperidin-2-yl, tetrahydro-2H-pyran-2-yl, tetrahydro-2H-pyran-3-yl, tetrahydro-2H-pyran-4-yl, phenyl, tetrahydrofuran-3-yl, tetrahydrofuran-2-yl, benzyl, (4-pentylphenyl)(phenyl)methyl and l-(l-(2- oxo-6,9,12-trioxa-3-azatetradecan-14-yl)-lH-l,2,3-triazol-4-yl)ethyl;
  • L is selected from -NR 5 a(CH 2 )o_ 3 -, -NR 53 CH(C(O)OCH 3 )CH 2 -, -NR 5 a(CH 2 ) 2 NR 5 b-, -NR 5a (CH 2 ) 2 S- , -NR 53 CH 2 CH(CH 3 )CH 2 -, -NR 53 CH(CH 3 )CH 2 -, -(CH 2 ) 3 - -CH 2 OCH 2 -, -CH 2 NR 53 CH 2 -, - NR 53 C(O)CH 2 - and -NR 53 Y-; wherein R 53 and R 5b are independently selected from hydrogen and methyl; Y is selected from isoxazole and 1,3,4-oxadiazole.
  • L is -NR 5a (CH 2 ) 0 - 3 , it
  • NR 5a (CH 2 )i_ 3 (where 1-3 herein means 1, 2 or 3).
  • R] is selected from hydrogen, phenyl, thiophen-3-yl, thiophen-2-yl, furan-3-yl, furan-2-yl, benzo[b]thiophen-3-yl, pyrimidin-5-yl, pyridin-4-yl, pyridin-2-yl, pyrrolidin-1-yl, lH-pyrazol-4-yl, pyrazin-2-yl, pyridazin-3-yl, pyridazin-4-yl, IH- pyrazol-1-yl, lH-pyrazol-3-yl, lH-imidazol-1-yl, thiazol-4-yl, lH-pyrrol-2-yl, thiazol-5-yl, and pyridin-3-yl; wherein said phenyl, thiophen-3-yl, thiophen-2-yl, furan-3-yl, furan-2-yl, be
  • R 2 is selected from amino-sulfonyl, methyl-carbonyl- amino, methyl-sulfonyl-amino, amino-sulfonyl-oxy, urea, phenyl, lH-indol-2-yl, lH-indol-3-yl, benzo[b]thiophen-2-yl, benzo[b]thiophen-3-yl, benzofuran-2-yl, benzofuran-3-yl, thiophen-2-yl, thiophen-3-yl, furan-2-yl, furan-3-yl, piperidin-4-yl, piperidin-3-yl, piperidin-2-yl, piperidin-1- yl, pyridin-2-yl, pyridin-3-yl, pyridin-4-yl, lH-l,2,4-triazol-3-yl, lH-l,2,4-triazol-3-yl,
  • R 3 is selected from hydrogen, methyl, and biphenyl; and R 4 is selected from isopropyl, isobutyl, sec-butyl, l-hydroxypropan-2-yl, cyclopropyl, oxetan-3-yl, oxetan-2-yl, benzhydryl, piperidin-4-yl, piperidin-3-yl, piperidin-2-yl, tetrahydro- 2H-pyran-2-yl, tetrahydro-2H-pyran-3-yl, tetrahydro-2H-pyran-4-yl, phenyl, tetrahydrofuran-3- yl, tetrahydrofuran-2-yl, benzyl, (4-pentylphenyl)(phenyl)methyl and l-(l-(2-oxo-6,9,12-trioxa- 3-azatetradecan-14-yl)-
  • R 2 is selected from lH-indol-3-yl and phenyl optionally substituted with hydroxy
  • R 4 is selected from isopropyl, sec -butyl, benzhydryl, nonan-2-yl, oxetan-3-yl and tetrahydrofuran-3-yl.
  • R 2 is selected from: lH-pyrrolo[2,3-b]pyridin-3-yl; lH-indol-3-yl optionally substituted with 1 to 2 radicals independently selected from halo, methyl and methoxy; and phenyl optionally substituted with 1 to 2 radicals independently selected from methyl, halo and hydroxy;
  • R 4 is selected from isopropyl, sec-butyl, l-hydroxypropan-2-yl, prop- l-en-2-yl, benzhydryl, nonan-2-yl, oxetan-3-yl and tetrahydrofuran-3-yl; and Ra, Rb and Rc are independently selected from hydrogen, cyano, methyl, halo, -SO 2 CH 3 and trifluoromethyl.
  • [0064] in another embodiment is a method of using a compound of Formula I to stimulate the expansion of stem cells by increasing the number of divisions; said method comprising contacting the stem cells with a compound of Formula I.
  • in another embodiment is a method in which the expansion of stem cells is in vivo, in vitro, or ex vivo.
  • stem cells are human hematopoietic stem cells.
  • [0067] in another embodiment is a cell population with expanded hematopoietic stem cells, as obtained or obtainable by the method of the invention.
  • compositions comprising a cell population with expanded HSCs derived from one or two cord blood units, preferably one cord blood unit, wherein said composition contains a total amount of cells of at least 10 5 cells, 10 7 cells, 10 8 cells or 10 9 cells, and wherein between 20-100% of total cells are CD34+ cells, for example between
  • CD34+ 40-80% of total cells are CD34+.
  • the administration is an autologous transplantation and the hematopoietic disorder is selected from Multiple myeloma, Non-Hodgkin lymphoma,
  • Hodgkin disease Acute myeloid leukemia, Neuroblastoma, Germ cell tumors, Autoimmune disorders and Amyloidosis.
  • the autoimmune disorders are selected from
  • SLE Systemic lupus erythematosus
  • the administration is an allogeneic transplantation and the hematopoietic disorder is selected from Acute myeloid leukemia, Acute lymphoblastic leukemia, Chronic myeloid leukemia, Chronic lymphocytic leukemia, Myeloproliferative disorders, Myelodysplastic syndromes, Multiple myeloma, Non-Hodgkin lymphoma,
  • Hodgkin disease Aplastic anemia, Pure red cell aplasia, Paroxysmal nocturnal hemoglobinuria, Fanconi anemi, Thalassemia major, Sickle cell anemia, Severe combined immunodeficiency (SCID), Wiskott-Aldrich syndrome, Hemophagocytic lymphohistiocytosis (HLH) and inborn errors of metabolism.
  • SCID Severe combined immunodeficiency
  • HHLH Hemophagocytic lymphohistiocytosis
  • the inborn errors of metabolism are selected from mucopolysaccharidosis, Gaucher disease, metachromatic leukodystrophies and adrenoleukodys trophies .
  • in another embodiment is a method for treating an inhereited immunodeficient disease, an autoimmune disease and/or a hematopoietic disorder comprising administration to a patient in need of such treatment hematopoietic stem cells expanded by a compound as described in the Summary of the Invention.
  • the administration is an autologous transplantation and the hematopoietic disorder is selected from Multiple myeloma, Non-Hodgkin lymphoma, Hodgkin disease, Acute myeloid leukemia, Neuroblastoma, Germ cell tumors, Autoimmune disorders and Amyloidosis.
  • the autoimmune disorders are selected from
  • SLE Systemic lupus erythematosus
  • the administration is an allogeneic transplantation and the hematopoietic disorder is selected from Acute myeloid leukemia, Acute lymphoblastic leukemia, Chronic myeloid leukemia, Chronic lymphocytic leukemia, Myeloproliferative disorders, Myelodysplastic syndromes, Multiple myeloma, Non-Hodgkin lymphoma,
  • Hodgkin disease Aplastic anemia, Pure red cell aplasia, Paroxysmal nocturnal hemoglobinuria, Fanconi anemi, Thalassemia major, Sickle cell anemia, Severe combined immunodeficiency (SCID), Wiskott-Aldrich syndrome, Hemophagocytic lymphohistiocytosis (HLH) and inborn errors of metabolism.
  • SCID Severe combined immunodeficiency
  • HHLH Hemophagocytic lymphohistiocytosis
  • the inborn errors of metabolism are selected from mucopolysaccharidosis, Gaucher disease, metachromatic leukodystrophies and adrenoleukodys trophies .
  • HSCs are primitive cells capable of regenerating all blood cells. During development, hematopoiesis translocates from the fetal liver to the bone marrow, which then remains the site of hematopoiesis throughout adulthood. Once hematopoiesis has been established in the bone marrow, the HSCs are not distributed randomly throughout the bone cavity. Instead, they are found in close proximity to the endosteal surfaces. The more mature stem cells increase in number as the distance from the bone surface increases. Finally, as the central longitudinal axis of the bone is approached terminal differentiation of mature cells occurs.
  • HSC numbers are increased ex vivo.
  • a method of increasing stem cell numbers is important as currently, approximately 25% of autologous donor transplants are prohibited for lack of sufficient stem cells. In addition, less than 25% of patients in need of allogeneic transplant can find a histocompatible donor.
  • Umbilical cord blood banks currently exist and cover the broad racial make-up of the general population, but these banks are currently restricted to use in children due to inadequate stem cell numbers in the specimens for adult recipients.
  • a method to increase stem cell numbers permits cord blood to be useful for adult patients, thereby expanding the use of allogeneic transplantation.
  • Compounds of the invention can also be used to expand the progenitor cell numbers which are clinically useful, for example, to speed engraftment and decrease the duration of neutopenia.
  • an increase in HSCs means that the subject has at least one more HSC, a 10% increase, a 20% increase, a 30% increase or greater.
  • HSCs may consist of a subset of CD34+ cells, increase of HSCs can be measured indirectly by counting the number of CD34+ cells in a cell population and, optionally, by assessing the differentiation properties of the CD34+ cells by analyzing the colony forming units (CFU) as described in the experimental part below:
  • CFU colony forming units
  • the expanded population of HSCs is harvested, for example, from a bone marrow sample of a subject or from a culture.
  • Harvesting HSCs is defined as the dislodging or separation of cells. This is accomplished using a number of methods, such as enzymatic, non-enzymatic, centrifugal, electrical, or size-based methods, or preferably, by flushing the cells using culture media (e.g., media in which cells are incubated) or buffered solution.
  • culture media e.g., media in which cells are incubated
  • buffered solution e.g., buffered solution.
  • the cells are optionally collected, separated, and further expanded generating even larger populations of HSCs and differentiated progeny.
  • a method for making an expanded population of HSCs comprises contacting an agent capable of down-regulating the activity and/or expression of AHR and/or a downstream effector of AHR, e.g., a compound of the invention, with a starting cell population (i.e., an unexpanded population of cells) comprising a mixture of HSCs and optionally HSC supporting cells.
  • the administration step occurs ex vivo, in vivo and/or in vitro.
  • the expanded population of HSCs is optionally administered to a subject.
  • agent for HSC expansion e.g.
  • a compound of the invention may be formulated in DMSO or some other suitable carrier, "washed" from the cells and the cells may be transferred, for example, into an infusion buffer.
  • a DMSO formulation for example, can contain 0.3mg/ml of a compound of the invention in 60% DMSO/40% water solution.
  • HSC supporting cell refers to cells naturally found in the vicinity of one or more HSCs such that factors released by HSC supporting cells reach the HSC by diffusion, for example.
  • HSC supporting cells include, but are not limited to, lymphoreticular stromal cells.
  • Lymphoreticular stromal cells as used herein include, but are not limited to, all cell types present in a lymphoid tissue which are not lymphocytes or lymphocyte precursors or progenitors.
  • lymphoreticular stromal cells include osteoblasts, epithelial cells, endothelial cells, mesothelial cells, dendritic cells, splenocytes and macrophages.
  • Lymphoreticular stromal cells also include cells that would not ordinarily function as lymphoreticular stromal cells, such as fibroblasts, which have been genetically altered to secrete or express on their cell surface the factors necessary for the maintenance, growth or differentiation of HSCs, including their progeny.
  • Lymphoreticular stromal cells are optionally derived from the disaggregation of a piece of lymphoid tissue. Such cells are capable of supporting in vitro or in vivo the maintenance, growth or differentiation of HSCs, including their progeny.
  • lymphoid tissue it is meant to include bone marrow, peripheral blood (including mobilized peripheral blood), umbilical cord blood, placental blood, fetal liver, embryonic cells (including embryonic stem cells), aortal-gonadal-mesonephros derived cells, and lymphoid soft tissue.
  • Lymphoid soft tissue as used herein includes, but is not limited to, tissues such as thymus, spleen, liver, lymph node, skin, tonsil, adenoids and Peyer's patch, and combinations thereof.
  • Lymphoreticular stromal cells provide the supporting microenvironment in the intact lymphoid tissue for the maintenance, growth or differentiation of HSCs, including their progeny.
  • the microenvironment includes soluble and cell surface factors expressed by the various cell types which comprise the lymphoreticular stroma.
  • the support which the lymphoreticular stromal cells provide is characterized as both contact-dependent and non- contact-dependent.
  • Lymphoreticular stromal cells for example, are autologous (self) or non- autologous (non-self, e.g., heterologous, allogeneic, syngeneic or xenogeneic) with respect to HSCs.
  • Autologous refers to cells from the same subject.
  • Allogeneic refers to cells of the same species that differ genetically.
  • Syngeneic refers to cells of a different subject that are genetically identical to the cell in comparison.
  • Xenogeneic refers to cells of a different species.
  • Lymphoreticular stroma cells are obtained, for example, from the lymphoid tissue of a human or a non-human subject at any time after the organ/tissue has developed to a stage (i.e., the maturation stage) at which it can support the maintenance, growth or differentiation of HSCs.
  • the lymphoid tissue from which lymphoreticular stromal cells are derived usually determines the lineage-commitment HSCs undertake, resulting in the lineage-specificity of the differentiated progeny.
  • HSCs and progeny thereof
  • lymphoreticular stromal cells usually occurs under conditions known in the art (e.g., temperature, CO 2 and O 2 content, nutritive media, duration, etc.).
  • the time sufficient to increase the number of cells is a time that can be easily determined by a person skilled in the art, and varies depending upon the original number of cells seeded.
  • the amounts of HSCs and lymphoreticular stromal cells initially introduced (and subsequently seeded) varies according to the needs of the experiment. The ideal amounts are easily determined by a person skilled in the art in accordance with needs.
  • a subject is meant an individual.
  • subjects include, for example, domesticated animals, such as cats and dogs, livestock (e.g., cattle, horses, pigs, sheep, and goats), laboratory animals (e.g., mice, rabbits, rats, and guinea pigs), mammals, non-human mammals, primates, non-human primates, rodents, birds, reptiles, amphibians, fish, and any other animal.
  • livestock e.g., cattle, horses, pigs, sheep, and goats
  • laboratory animals e.g., mice, rabbits, rats, and guinea pigs
  • mammals non-human mammals, primates, non-human primates, rodents, birds, reptiles, amphibians, fish, and any other animal.
  • the subject is optionally a mammal such as a primate or a human.
  • the invention therefore relates to a method for expanding hematopoietic stem cells, comprising (a) providing a starting cell population comprising hematopoietic stem cells and (b) culturing said starting cell population ex vivo in presence of an agent capable of down- regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway, under suitable conditions for expanding hematopoietic stem cells.
  • aryl hydrocarbon (dioxin) receptor is a cytosolic ligand-activated transcription factor known to mediate a large number of toxic and carcinogenic effects in animals and possible in human (Safe S 2001 Toxicol Lett 120: 1-7).
  • phase I xenobiotic -metabolizing enzymes such as the cytochromes P450 CYPlAl, CYP 1A2, CYPlBl and CYP2S1, and the phase II enzymes UDP-glucuronosyltransf erase UGT1A6, NAD(P)H-dependent quinone oxidoreductase- 1 (NQOl), the aldehyde dehydrogenase ALDH3A1, and several glutathione-S-transferase.
  • phase I xenobiotic -metabolizing enzymes such as the cytochromes P450 CYPlAl, CYP 1A2, CYPlBl and CYP2S1, and the phase II enzymes UDP-glucuronosyltransf erase UGT1A6, NAD(P)H-dependent quinone oxidoreductase- 1 (NQOl), the aldehyde dehydrogenase ALDH3A1, and several glutathione
  • an agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway is selected among the group consisting of: (i) an organic compound; (ii) a small interference RNA (siRNA) molecule capable of down-regulating the expression of AHR; and (iii) antisense oligonucleotide capable of down-regulating the expression of AHR.
  • siRNA small interference RNA
  • said method for expanding hematopoietic stem cells comprises (a) providing a starting cell population comprising hematopoietic stem cells and (b) culturing said starting cell population ex vivo in the presence of an agent capable of down- regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway, under suitable conditions for expanding hematopoietic stem cells, wherein said agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway is not alpha-napthoflavone or 3'-methoxy-4'-nitroflavone.
  • AHR antagonist Organic compound that inhibits AHR activity (also referred herein as AHR antagonist) have been described in the art, for example 2-methyl-2H-pyrazole-3-carboxylic acid (2-methyl-4-o-tolylazophenyl)amide (CH223191), alpha napthoflavone, resveratrol (Nutr. Metab. Cardiovasc. Dis., 2003 Apr; 13(2): 104-13), 3 ' -methoxy-4'-nitroflavone (Biochem. Pharmacol., 2007 May 15; 73(10): 1622-34, Epub 2007 Jan 30), and 6-methyl-l,3,8- trichlorodibenzofuran (Cancer Res., 2004, Apr 15;64(8):2889-97).
  • 2-methyl-2H-pyrazole-3-carboxylic acid (2-methyl-4-o-tolylazophenyl)amide CH223191
  • alpha napthoflavone alpha napthoflavone
  • resveratrol Nu
  • An inhibitor of AHR activity refers to a compound which decreases AHR activity to at least 10%, 20%, 30%, 50%, 60%, 70%, 80% or at least 90% the transcriptional activity of AHR as observed under activated conditions.
  • An assay to measure AHR inhibitory activity is for example the dioxin-induced AHR dependent luciferase reporter gene assay as described in the Examples.
  • an inhibitor of AHR activity is a compound that has an EC50 of less than lO ⁇ M, preferably less than 5 ⁇ M as measured in the dioxin-induced AHR dependent luciferase reporter gene assay.
  • AHR is a transcriptional factor regulating the transcription of various genes in human.
  • a downstream effector of AHR pathway is a gene which is directly regulated at the transcriptional level by AHR.
  • genes are selected from CyplBl, CyplAl, and AHRR.
  • AHR also functions in pathways outside of its well- characterized role in xenobiotic enzyme induction.
  • Xenobiotic ligands of AHR have been shown to regulate beta catenin, STAT5, STATl, HES-I, c-Myc, C/EBP, PU.l, ⁇ -catenin, p21, P27, pRb, deoxynucleotidyl transferase, CXCR4, and its chemokine ligand CXCL12 (SDF-I).
  • an agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor is a compound as defined in the Summary of the Invention.
  • an agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor is an antisense oligonucleotide or a small interfering RNA molecule (siRNA), capable of down-regulating AHR protein expression or the protein expression of one more down-stream effectors of AHR.
  • siRNA small interfering RNA molecule
  • RNAi molecules suitable for use with the present invention can be affected as follows: First, the AHR mRNA sequence (or one or more of its down-stream effectors) is scanned downstream of the AUG start codon for AA-dinucleotide sequences. Occurrence of each AA and the 19 3'-adjacent is recorded as a potential siRNA target site. Then, potential target sites are compared to an appropriate genomic database (e.g, human, mouse, rat, etc.) using any sequence alignment software. Putative target site that exhibit significant homology to other coding sequences are filtered out. Preferred sequences are then those including low G/C content, in particular sequences with G/C content lower than 55%.
  • an appropriate genomic database e.g, human, mouse, rat, etc.
  • target sites are then selected along the length of the target gene. Methods or algorithms to identify putative target site of siRNA are described for example in (Tilesi, et al., Curr. Opin. MoI. Ther. 11: 156, 2009).
  • siRNA molecules which are capable of down-regulating the expression of AHR are: AHR 11 IS, 5' GCG GCA TAG AGA CCG ACT TAA TTT CAA GAG AAT TAA GTC GGT CTC TAT GCC GCT TTT TTG G 3' ; AHR 11 IAS, 5' CGC GCC AAA AAA GCG GCA TAG AGA CCG ACT TAA TTC TCT TGA AAT TAA GTC GGT CTC TAT GCC GC 3' ; AHR 242S, 5' GGC TTC TTT GAT GTT GCA TTA ATT CAA GAG ATT AAT GCA ACA TCA AAG AAG CCT TTT TTG G 3' ; AHR 242AS, 5' CGC GCC AAA AAA GGC TTC TTT GAT GTT GCA TTA ATC TCT TGA ATT AAT GCA ACA TCA AAG AAG CCT TTT TTG G 3' ; AHR 242AS, 5' CGC GCC AAA AAA GGC TTC T
  • the starting cell population comprising hematopoietic stem cells will be selected by the person skilled in the art depending on the envisaged use.
  • Various sources of cells comprising hematopoietic stem cells have been described in the art, including bone marrow, peripheral blood, neonatal umbilical cord blood, placenta or other sources such as liver, particularly fetal liver.
  • the cell population may first be subjected to enrichment or purification steps, including negative and/or positive selection of cells based on specific cellular markers in order to provide the starting cell population.
  • Methods for isolating said starting cell population based on specific cellular markers may use fluorescent activated cell sorting (FACS) technology also called flow cytometry or solid or insoluble substrate to which is bound antibodies or ligands that interact with specific cell surface markers.
  • FACS fluorescent activated cell sorting
  • cells may be contacted with a solid substrate (e.g., column of beads, flasks, magnetic particles) containing the antibodies and any unbound cells are removed.
  • a solid substrate comprising magnetic or paramagnetic beads
  • cells bound to the beads can be readily isolated by a magnetic separator.
  • said starting cell population is enriched in a desirable cell marker phenotype (e.g., CD34+, CD133+, CD90+) or based on efflux of dyes such as rhodamine, Hoechst or aldehyde dehydrogenase activity.
  • a desirable cell marker phenotype e.g., CD34+, CD133+, CD90+
  • said starting cell population is enriched in CD34+ cells.
  • Methods for enriching blood cell population in CD34+ cells include kits commercialized by Miltenyi Biotec (CD34+ direct isolation kit,
  • the amount of cord blood from a single birth is often inadequate to treat an adult or an older child.
  • One advantage of the expansion methods using the compounds of the invention, or an agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway is that it enables the production of a sufficient amount of hematopoietic stem cells from only one cord blood unit.
  • the starting cell population is derived from neonatal umbilical cord blood cells which have been enriched in CD34+ cells.
  • said starting cell population is derived from one or two umbilical cord blood units.
  • the starting cell population is derived from human mobilized peripheral blood cells which have been enriched in CD34+ cells.
  • said starting cell population is derived from human mobilized peripheral blood cells isolated from only one patient.
  • Said starting cell population may preferably contain at least 50% CD34+ cells, in some embodiments, more than 90% of CD34+ cells, and may comprise between 10 5 and 10 9 nucleated cells.
  • the starting cell population may be used directly for expansion or frozen and stored for use at a later date.
  • Conditions for culturing the starting cell population for hematopoietic stem cell expansion will vary depending, inter alia, on the starting cell population, the desired final number of cells, and desired final proportion of HSCs.
  • the culturing conditions comprises the use of other cytokines and growth factors, generally known in the art for hematopoietic stem cell expansion.
  • cytokines and growth factors include without limitation IL-I, IL-3, IL-6, IL-I l,
  • analogs include any structural variants of the cytokines and growth factors having the biological activity as the naturally occurring forms, including without limitation, variants with enhanced or decreased biological activity when compared to the naturally occurring forms or cytokine receptor agonists such as an agonist antibody against the TPO receptor (for example, VB22B sc(Fv)2 as detailed in patent publication WO 2007/145227, and the like). Cytokine and growth factor combinations are chosen to expand HSC and progenitor cells while limiting the production of terminally differentiated cells.
  • one or more cytokines and growth factors are selected from the group consisting of SCF, Flt3-L and TPO.
  • at least TPO is used in a serum-free medium under suitable conditions for HSC expansion.
  • a mixture of IL6, SCF, Flt3-L and TPO is used in the method for expanding HSCs in combination with the compound of the invention or an agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway.
  • Human IL6 or interleukin-6 also known as B-cell stimulatory factor 2 has been described by (Kishimoto, Ann. review of Imm. 23: 1 2005) and is commercially available.
  • Human SCF or stem cell factor also known as c-kit ligand, mast cell growth factor or Steel factor has been described (Smith, MA et al., ACTA Haematologica, 105, 3: 143, 2001) and is commercially available.
  • Flt3-L or FLT-3 Ligand also referred as FL is a factor that binds to flt3- receptor. It has been described (Hannum C, Nature 368 (6472): 643-8) and is commercially available.
  • TPO or thrombopoietin also known as megakarayocyte growth factor (MGDF) or c- MpI ligand has been described (Kaushansky K (2006). N. Engl. J. Med. 354 (19): 2034-45) and is commercially available.
  • MGDF megakarayocyte growth factor
  • c- MpI ligand has been described (Kaushansky K (2006). N. Engl. J. Med. 354 (19): 2034-45) and is commercially available.
  • the expansion of HSC may be carried out in a basal medium, which is supplemented with the mixtures of cytokines and growth factors described above.
  • a basal medium typically comprises amino acids, carbon sources, vitamins, serum proteins (e.g. albumin), inorganic salts, divalent cations, buffers and any other element suitable for use in expansion of HSC.
  • the compound of the invention or the agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a downstream effector of aryl hydrocarbon receptor pathway is administered during the expansion method of said starting cell population under a concentration appropriate for HSC expansion.
  • said compound or AhR modulating agent is administered at a concentration comprised between IpM and lOO ⁇ M, for example between lOpM and lO ⁇ M, or between lOOpM and l ⁇ M.
  • starting cell population essentially consists of CD34+ enriched cells from one or two cord blood units
  • the cells are grown under conditions for HSC expansion from about 3 days to about 90 days, for example between 7 and 2 days and/or until the indicated fold expansion and the characteristic cell populations are obtained.
  • the cells are grown under conditions for HSC expansion not more than 21 days, 14 days or 7 days.
  • the starting cell population is cultured during a time sufficient to reach an absolute number of CD34+ cells of at least 10 5 , 10 6 , 10 7 , 10 8 or 10 9 cells. In another embodiment, said starting cell population is cultured during a time sufficient for a 10 to 50000 fold expansion of CD34+ cells, for example between 100 and 10000 fold expansion.
  • the cell population obtained after the expansion method may be used without further purification or may be subject to further purification or selection steps.
  • the cell population may then be washed to remove the compound of invention or any other agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway and/or any other components of the cell culture and resuspended in an appropriate cell suspension medium for short term use or in a long-term storage medium, for example a medium suitable for cryopreservation.
  • the invention further provides a cell population with expanded HSCs, obtainable or obtained by the expansion method described above.
  • such cell population is resuspended in a pharmaceutically acceptable medium suitable for administration to a mammalian host, thereby providing a therapeutic composition.
  • the compound as defined in the Summary of the Invention or an agent capable of down-regulating the activity and/or expression of aryl hydrocarbon receptor and/or a down-stream effector of aryl hydrocarbon receptor pathway enables the expansion of HSCs, for example from only one or two cord blood units, to provide a cell population quantitatively and qualitatively appropriate for efficient short and long term engraftment in human patient in need thereof.
  • the invention relates to a composition
  • a composition comprising a cell population with expanded HSCs derived from not more than one or two cord blood units, wherein said therapeutic composition contains a total amount of cells of at least 10 5 , 10 6 , 10 7 , 10 8 or 10 9 cells, with between 20-100%, for example between 40-80% of total cells being CD34+ cells.
  • said composition contains between 0.1-40%, for example between 0.1-10% of total cells being CD34+ Thyl+ and 20-80% of cells being CD34+ CD45RA+.
  • said composition contains between 10-95% of cells being CD38+ and between 5-70% of cells being CD133+.
  • the invention further provides the cell population with expanded HSCs or its composition for use in allogeneic or autologous stem cell transplantation in a mammalian subject.
  • the subject referred to herein is, for example, a bone marrow donor or an individual with or at risk for depleted or limited blood cell levels.
  • the subject is a bone marrow donor prior to bone marrow harvesting or a bone marrow donor after bone marrow harvesting.
  • the subject is optionally a recipient of a bone marrow transplant.
  • the methods described herein are particularly useful in subjects that have limited bone marrow reserve such as elderly subjects or subjects previously exposed to an immune depleting treatment or myeloablative treatment such as chemotherapy, e.g., for treating leukemia or lymphomas.
  • the subject optionally, has a decreased blood cell level or is at risk for developing a decreased blood cell level as compared to a control blood cell level.
  • control blood cell level refers to an average level of blood cells in a subject prior to or in the substantial absence of an event that changes blood cell levels in the subject.
  • An event that changes blood cell levels in a subject includes, for example, anemia, trauma, chemotherapy, bone marrow transplant and radiation therapy.
  • the subject has anemia or blood loss due to, for example, trauma.
  • the expanded HSC population or the composition comprising the cell population with expanded HSCs is administered to the subject, for example, before, at the same time, or after chemotherapy, radiation therapy or a bone marrow transplant.
  • the subject optionally has depleted bone marrow related to, for example, congenital, genetic or acquired syndrome characterized by bone marrow loss or depleted bone marrow.
  • the subject is optionally a subject in need of hematopoiesis.
  • the subject is a bone marrow donor or is a subject with or at risk for depleted bone marrow.
  • Hematopoietic stem cell manipulation is useful as a supplemental treatment to chemotherapy or radiation therapy.
  • HSCs are localized into the peripheral blood and then isolated from a subject that will undergo chemotherapy, and after the therapy the cells are returned.
  • the subject is a subject undergoing or expected to undergo an immune cell depleting treatment such as chemotherapy, radiation therapy or serving as a donor for a bone marrow transplant.
  • Bone marrow is one of the most prolific tissues in the body and is therefore often the organ that is initially damaged by chemotherapy drugs and radiation. The result is that blood cell production is rapidly destroyed during chemotherapy or radiation treatment, and chemotherapy or radiation must be terminated to allow the hematopoietic system to replenish the blood cell supplies before a patient is re -treated with chemotherapy. Therefore, as described herein, HSCs or blood cells made by the methods described herein are optionally administered to such subjects in need of additional blood cells.
  • a therapeutic capable of enhancing the proliferation of HSCs in vivo, in vitro, or ex vivo for example, a small molecule, an antibody, or the like
  • a therapeutic capable of enhancing HSC proliferation is meant: an agonist antibody against the TPO receptor (for example, VB22B sc(Fv)2 as detailed in patent publication WO 2007/145227, and the like); a cytokine such as SCF, IL-6, Flt-3 ligand, TPO or a TPO mimetic (for example, such as described in WO/2007/022269; WO/2007/009120; WO/2004/054515; WO/2003/103686; WO/2002/085343; WO/2002/049413; WO/2001/089457; WO/2001/039773; WO/2001/034585; WO/2001/021180; WO/2001/021180; WO/2001/017349; WO/2000/066112; WO/2000/035446; WO/2000/028987; WO/2008/028645; and the like); granulocyte colony stimulating factor (G-CSF
  • pharmaceutically acceptable is meant a material that is not biologically or otherwise undesirable, i.e., the material may be administered to a subject or cell, without causing undesirable biological effects or interacting in a deleterious manner with the other components of the pharmaceutical composition in which it is contained.
  • the carrier or excipient is selected to minimize degradation of the active ingredient and to minimize adverse side effects in the subject or cell.
  • compositions are formulated in any conventional manner for use in the methods described herein. Administration is via any route known to be effective by one of ordinary skill.
  • the compositions is administered orally, parenterally (e.g., intravenously), by intramuscular injection, by intraperitoneal injection, transdermally, extracorporeally, intranasally or topically.
  • the preferred method of administration is intravenous infusion.
  • the number of cells transfused will take into consideration factors such as sex, age, weight, the types of disease or disorder, stage of the disorder, the percentage of the desired cells in the cell population and the amount of cells needed to produce a therapeutic benefit.
  • the composition is administered by intravenous infusion and comprises at least 10 4 cells/kg, from 10 5 to 5.10 7 cells/kg or more if necessary.
  • the infused cells are all deriving from expanded cord blood cells from a single birth.
  • a pharmaceutically acceptable carrier for infusion of a composition comprising cells into a patient typically comprise buffered saline with 5%HSA or unsupplemented basal medium or medium as known in the art.
  • compositions take the form of, for example, tablets or capsules prepared by conventional means with pharmaceutically acceptable excipients such as binding agents (e.g., pregelatinised maize starch, polyvinylpyrrolidone or hydroxypropyl methylcellulose); fillers (e.g., lactose, microcrystalline cellulose or calcium hydrogen phosphate); lubricants (e.g., magnesium stearate, talc or silica); disintegrants (e.g., potato starch or sodium starch glycolate); or wetting agents (e.g., sodium lauryl sulphate).
  • binding agents e.g., pregelatinised maize starch, polyvinylpyrrolidone or hydroxypropyl methylcellulose
  • fillers e.g., lactose, microcrystalline cellulose or calcium hydrogen phosphate
  • lubricants e.g., magnesium stearate, talc or silica
  • disintegrants e.g., potato starch or sodium star
  • Liquid preparations for oral administration take the form of, for example, solutions, syrups or suspensions, or they may be presented as a dry product for constitution with water or other suitable vehicle before use.
  • Such liquid preparations are prepared by conventional means with pharmaceutically acceptable additives such as suspending agents (e.g., sorbitol syrup, cellulose derivatives or hydrogenated edible fats); emulsifying agents (e.g., lecithin or acacia); non-aqueous vehicles (e.g., almond oil, oily esters, ethyl alcohol or fractionated vegetable oils); and preservatives (e.g., methyl or propyl -p-hydroxybenzoates or sorbic acid).
  • the preparations optionally contain buffer salts, flavoring, coloring and sweetening agents as appropriate.
  • compositions are formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion.
  • Formulations for injection are presented in unit dosage form, e.g., in ampules or in multi-dose containers, with or without an added preservative.
  • the compositions take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents.
  • the active ingredient is in powder form for constitution with a suitable vehicle, e.g., sterile pyrogen-free water, before use.
  • water suitable oil, saline, aqueous dextrose (glucose), and related sugar solutions and glycols such as propylene glycol or polyethylene glycols are suitable carriers for parenteral solutions.
  • Solutions for parenteral administration contain, for example, a water soluble salt of the active ingredient, suitable stabilizing agents and, if necessary, buffer substances.
  • Antioxidizing agents such as sodium bisulfate, sodium sulfite or ascorbic acid, either alone or combined, are suitable stabilizing agents.
  • citric acid and its salts and sodium ethylenediaminetetraacetic acid (EDTA) are optionally used.
  • parenteral solutions optionally contain preservatives such as benzalkonium chloride, methyl- or propyl-paraben and chlorobutanol.
  • preservatives such as benzalkonium chloride, methyl- or propyl-paraben and chlorobutanol.
  • Suitable pharmaceutical carriers are described in Remington: The Science and Practice of Pharmacy, 21st Edition, David B. Troy, ed., Lippicott Williams & Wilkins (2005), which is incorporated by reference in its entirety at least for the material related to pharmaceutical carriers and compositions.
  • the compositions are optionally formulated as a depot preparation. Such long acting formulations are optionally administered by implantation.
  • compositions are 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 an ion exchange resin
  • sparingly soluble derivatives for example, as a sparingly soluble salt.
  • the compositions are applied to or embedded with implants concurrent with or after surgical implant.
  • control release preparations for example, polymers, polyesters, polyamino acids, polyvinyl, pyrolidone, ethylenevinylacetate, methyl cellulose, carboxymethyl cellulose or protamine sulfate.
  • concentration of macromolecules as well as the methods of incorporation are adjusted in order to control release.
  • the agent is incorporated into particles of polymeric materials such as polyesters, polyamino acids, hydrogels, poly (lactic acid) or ethylenevinylacetate copolymers. In addition to being incorporated, these agents are optionally used to trap the compound in microcapsules.
  • a composition for use in the methods described herein is optionally formulated as a sustained and/or timed release formulation.
  • sustained and/or timed release formulations are made by sustained release means or delivery devices that are well known to those of ordinary skill in the art.
  • the compositions are used to provide slow or sustained release of one or more of the active ingredients using, for example, hydropropylmethyl cellulose, other polymer matrices, gels, permeable membranes, osmotic systems, multilayer coatings, microparticles, liposomes, microspheres or a combination thereof to provide the desired release profile in varying proportions.
  • Suitable sustained release formulations are selected for use with the compositions described herein.
  • single unit dosage forms suitable for oral administration such as, but not limited to, tablets, capsules, gelcaps, caplets, powders that are adapted for sustained release are used.
  • compositions are optionally delivered by a controlled-release system.
  • the composition is administered using intravenous infusion, an implantable osmotic pump, liposomes, or other modes of administration.
  • a controlled release system is placed in proximity to the target.
  • the composition is administered by injection into the bone marrow of a long bone, for example.
  • Local administration is achieved, for example, by local infusion during surgery, topical application (e.g., in conjunction with a wound dressing after surgery), injection, catheter, suppository, or implant.
  • An implant is of a porous, non-porous, or gelatinous material, including membranes, such as sialastic membranes, or fibers.
  • compositions described herein are provided in a pharmaceutically acceptable form including pharmaceutically acceptable salts and derivatives thereof.
  • pharmaceutically acceptable form refers to compositions including the compounds described herein that are generally safe, relatively non-toxic and neither biologically nor otherwise undesirable. These compositions optionally include pharmaceutically acceptable carriers or stabilizers that are nontoxic to the cell or subject being exposed thereto at the dosages and concentrations employed.
  • physiologically acceptable carriers include buffers such as phosphate, citrate, and other organic acids; antioxidants including ascorbic acid; low molecular weight (less than about 10 residues) polypeptide; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, arginine or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dextrins; chelating agents such as EDTA; sugar alcohols such as mannitol or sorbitol; salt-forming counterions such as sodium; and/or nonionic surfactants such as TWEENTM (Uniqema, United Kingdom), polyethylene glycol (PEG), and PLURONICSTM (BASF, Germany).
  • buffers such as phosphate, citrate, and other organic acids
  • antioxidants including ascorbic acid
  • pharmaceutically acceptable acid salts and derivatives refers to salts and derivatives of the compounds of Formula I described herein that retain the biological effectiveness and properties as described, and that are not biologically or otherwise undesirable.
  • Pharmaceutically acceptable salts are formed, for example, with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid and the like, and organic acids such as acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, and the like.
  • compositions comprising a compound of Formula I or a pharmaceutically acceptable salt or ester thereof are enhanced by methods known to those of skill in the art. For example, an alkanoic acid ester of a polyethoxylated sorbitol (a polysorbate) is added to a composition containing a compound of Formula I in an amount effective to enhance the chemical stability of the compound.
  • a polyethoxylated sorbitol a polysorbate
  • the data obtained from the cell culture assays and animal studies are optionally used in formulating a range of dosage for use in humans.
  • the dosage of such compounds lies preferably within a range of circulating concentrations that include little or no toxicity.
  • the dosage varies within this range depending upon the dosage form employed and the route of administration utilized.
  • the therapeutically effective dose is estimated initially from cell culture assays.
  • a pack or kit comprising one or more containers filled with one or more of the ingredients described herein.
  • Such kits optionally comprise solutions and buffers as needed or desired.
  • the kit optionally includes an expanded population of stem cells made by the methods described above or can contain containers or compositions for making an expanded population of HSCs.
  • the invention provides a kit for expanding ex vivo hematopoietic stem cells, comprising a compound as defined in the Summary of Invention and instructions for use of such compound in a method for HSC expansion and, optionally, one ore more cytokines or growth factors, or media for cell growth, in particular media for hematopoietic stem cell growth as described above.
  • the kit may further comprise antibodies for monitoring production of the cells, such as anti-CD34, anti-CD133, anti-CD38, anti-CD45RA and/or anti- Thyl antibodies.
  • such kit further include one or more cytokines or growth factors selected from the group consisting of IL6, FLT3-L, SCF and TPO.
  • Optionally associated with such pack(s) or kit(s) are instructions for use.
  • kits for providing an effective amount of a compound of the invention to increase HSCs in a subject comprising one or more doses of the compound for use over a period of time, wherein the total number of doses of the compound of the invention in the kit equals the effective amount sufficient to increase HSCs in a subject.
  • the period of time is from about one to several days or weeks or months. Thus, the period of time is from at least about 5, 6, 7, 8, 10, 12, 14, 20, 21, 30 or 60 days or more or any number of days between one and 90.
  • the present invention also includes processes for the preparation of compounds of the invention.
  • reactive functional groups for example hydroxy, amino, imino, thio or carboxy groups, where these are desired in the final product, to avoid their unwanted participation in the reactions.
  • Conventional protecting groups can be used in accordance with standard practice, for example, see T.W. Greene and P. G. M. Wuts in "Protective Groups in Organic Chemistry", John Wiley and Sons, 1991.
  • a suitable catalyst e.g., Pd 2 (dba) 3 , or the like
  • an appropriate ligand e.g., l,3-bis(2,4,6-trimethylphenyl) imidazolium chloride
  • a suitable base e.g., CS 2 CO 3 , or the like
  • an appropriate solvent e.g., 1,4-dioxane
  • Compounds of Formula 2 in turn can be prepared by reacting a compound of Formula 4 with a slight excess of an amine compound of Formula 5 in an appropriate solvent (e.g.
  • Compounds of Formula 4 can be prepared by alkylation of a compound of Formula 6 with a suitable alkylating agent 7, in which X] is chlorine, bromine, iodine, or a sulfonate ester, in the presence of a suitable base (e.g. sodium hydride or potassium carbonate), in a suitable solvent (e.g. DMF), at a temperature of about 0 0 C to about 80 0 C.
  • a suitable base e.g. sodium hydride or potassium carbonate
  • a suitable solvent e.g. DMF
  • the reaction can be performed under Mitsunobu conditions using a suitable alcohol R 4 -OH in the presence of a suitable phosphine (e.g.
  • triphenylphosphine e.g. diethylazodicarboxylate
  • azodicarboxylate e.g. diethylazodicarboxylate
  • inert solvent such as THF or toluene
  • R 1 , R 2 , R 3 and R 4 are as defined for Formula I in the Summary of the Invention and L of Formula I is defined in the reaction scheme as -NH-Lj- which is equivalent to, for example, -NRs 3 (CH 2 ) O ⁇ - where R 5a is hydrogen and -(CH 2 ) 0-3 - is L 1 .
  • Compounds of Formula I can be prepared by reacting a compound of Formula
  • Compounds of Formula 8 can in turn be prepared by reacting a compound of Formula 9 with a compound of Formula 3 in the presence of a suitable catalyst (e.g., Pd(Ph 3 P) 4 , Pd 2 (dba) 3 , or the like), optionally in the presence of an appropriate ligand (e.g., l,3-bis(2,4,6-trimethylphenyl) imidazolium chloride), a suitable base (e.g., Cs 2 CO 3 , or the like) and an appropriate solvent (e.g., 1,4-dioxane) at a temperature of about 80 to 100 0 C for 2 to about 48 hours.
  • a suitable catalyst e.g., Pd(Ph 3 P) 4 , Pd 2 (dba) 3 , or the like
  • an appropriate ligand e.g., l,3-bis(2,4,6-trimethylphenyl) imidazolium chloride
  • a suitable base e.g.
  • Compounds of Formula 9 in turn can be prepared by reacting a compound of Formula 10 with a mixture of di-iodomethane, copper(I) iodide, and an alkyl nitrite (e.g. isoamylnitrite), optionally in the presence of an inert solvent, at a temperature of about 50 to 100 0 C.
  • Compounds of Formula 10 can be prepared by alkylation of a compound of Formula 11 with a suitable alkylating agent 7, in which X] is chlorine, bromine, iodine, or a sulfonate ester, in the presence of a suitable base (e.g. sodium hydride or potassium carbonate), in a suitable solvent (e.g.
  • reaction can be performed under Mitsunobu conditions using a suitable alcohol R 4 -OH in the presence of a suitable phosphine (e.g. triphenylphosphine) and azodicarboxylate (e.g. diethylazodicarboxylate), in an inert solvent such as THF or toluene, at a temperature from about 0 0 C to about room temperature.
  • a suitable phosphine e.g. triphenylphosphine
  • azodicarboxylate e.g. diethylazodicarboxylate
  • G 1 , G 2 , G 3 , G 4 , R 1 , R 2 and R 4 are as defined for Formula I in the Summary of the Invention and L of Formula I is defined in the reaction scheme as -NH-Lj - which is equivalent to, for example, where Rs 3 is hydrogen and -(CH 2 V 3 - is L 1 .
  • Compounds of Formula II can be prepared by reacting a compound of Formula 2 with a compound of Formula 20 in the presence of an excess of cyclic amine or NH-bearing heterocycle (for example, substituted pyrazole, substituted imidazole, and the like), at a temperature of about 50 0 C to about 250 0 C, for about 1 to about 24 hours, optionally in the presence of a base such as sodium hydride or DBU.
  • an excess of cyclic amine or NH-bearing heterocycle for example, substituted pyrazole, substituted imidazole, and the like
  • Compounds of Formula 10 can be prepared according to procedures described in J. Med. Chem, 1972, 456, and J. Med. Chem., 1992, 4180.
  • An orthoester compound of Formula 21 is reacted with a compound of Formula 22, optionally in the presence of an acid such as acetic acid, at a temperature of about room temperature to about 150 0 C, for about 1 to about 24 hr..
  • a compound of Formula 22 can in turn be prepared by reacting a compound of Formula 23 with a primary amine compound of Formula 24, optionally in the presence of an acid such as pTSA, or a base such as triethylamine or DBU, at a temperature of about 50 to about 200 0 C.
  • Compounds of Formula IV can be prepared as detailed in the following
  • a compound of Formula IV in which R 2 i is hydrogen, can be prepared from a compound of Formula III by treatment with a suitable reducing agent such as lithium aluminum hydride or di-isobutyl aluminum hydride, in a suitable solvent such as THF or toluene, at a temperature of about -78°C to about 50 0 C.
  • a suitable reducing agent such as lithium aluminum hydride or di-isobutyl aluminum hydride
  • a compound of Formula IV in which R 2I is lower alkyl, can be prepared by treatment of a compound of Formula III with an alkyl lithium or Grignard reagent, in a suitable solvent such as ether or tetrahydrofuran, at a temperature of about -78°C to about 50 0 C.
  • the reaction takes about 0.5 to about 16 hr to complete.
  • a compound of the invention can be prepared as a pharmaceutically acceptable acid addition salt by reacting the free base form of the compound with a pharmaceutically acceptable inorganic or organic acid.
  • a pharmaceutically acceptable base addition salt of a compound of the invention can be prepared by reacting the free acid form of the compound with a pharmaceutically acceptable inorganic or organic base.
  • the salt forms of the compounds of the invention can be prepared using salts of the starting materials or intermediates.
  • salt forms of 4-(2-(2-(benzo [blthiophen-3 -yl)-9-isopropyl-9H- purin-6-ylamino)ethyl)phenol were synthesized as follows: [00160]
  • the white suspension is allowed to cool over about 30 minutes with cooling to room temperature.
  • the slurry is stirred for 18 hours at room temperature and filtered.
  • the solid is washed with acetone (6 ml) in three portions and dried first for about 3 hours at 50 0 C / ca. 10 mbar and then for about 16 hours at 80 0 C /ca.lO mbar.
  • the material has a melting point at about 233°C with a melting enthalpy of 98g/J.
  • the material produced exhibited a loss on drying of 0.2%.
  • the water uptake was estimated by thermogravimetry after exposure to relative humidity (80%rh) during 24 hours. A water uptake of 0.4% was observed.
  • the invention provides a mesylate salt of the compound of Example 1.
  • the invention provides the mesylate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2- Theta °): 6.4, 6.7, 18.3, 18.6, 26.9; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.4, 6.7, 10.3, 12.9, 16.4, 18.3, 25.8, 26.5, 26.9.
  • the invention provides the mesylate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 3 herein.
  • Tosylate salt 4-(2-(2-(benzorblthiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) are dissolved in 12 ml at 50 0 C. A solution of para-toluenesulfonic acid mono-hydrate (0.27 Ig; 1.40 mmoles) in acetone (1.2 ml) is added drop wise. The solution is seeded at 50 0 C and crystallization takes place quickly.
  • the invention provides a tosylate salt of the compound of Example 1.
  • the invention provides the tosylate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2-Theta °):6.2, 13.3, 16.7, 19.5, 25.4; and which in an additional embodiment comprises the following powder X-ray diffraction peaks: 6.2, 7.6, 12.4, 13.3, 15.1, 16.7, 17.7, 19.5, 20.2, 24.6, 24.9, 25.4, 25.6.
  • the invention provides the tosylate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 4 herein.
  • Sulfate salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) are dissolved in 10 ml acetone and 1 ml water at about 55°C. A solution of sulfuric acid (0.28Og; 2.79 mmoles) in 1 ml water is added drop wise. The crystallization takes place rapidly. The suspension is allowed to cool over about 30 minutes with cooling to room temperature, stirred for about 18 hours and filtered. The filter cake is washed with 6 ml acetone in three portions and dried first for about 3 hours at 50 0 C / ca.
  • the invention provides a sulfate salt of the compound of Example 1.
  • the invention provides the sulfate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.5, 6.8, 10.7, 13.5, 26.4, 27.6; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.5, 6.8, 10.7, 13.1, 13.5, 18.6, 18.8, 20.8, 26.4, 27.1, 27.6.
  • the invention provides the sulfate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 6 herein.
  • Esylate salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) are dissolved in 12 ml acetone at 50 0 C. Ethanesulfonic acid (0.155g; 1.40 mmoles) is added drop wise. The crystallization takes place quickly. The resulting white suspension is allowed to cool over about 30 minutes to room temperature.
  • the invention provides a esylate salt of the compound of Example 1.
  • the invention provides the esylate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.3, 9.9, 18.4, 25.3, 26.1; and which in an additional embodiment comprises the following powder X- ray diffraction peaks (Angle 2-Theta °): 6.3, 9.9, 17.1, 17.9, 18.4, 19.0, 22.0, 25.3, 26.1, 27.1. [00171] In a yet further embodiment, the invention provides the esylate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 8 herein.
  • Hydrobromide salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) are dissolved in 6 ml DMF at 65°C. Hydrobromic acid 48% (0.235g; 1.40 mmoles) is added drop wise. The solution is allowed to cool over about 30 minutes to room temperature. Seeds are added at 55°C and crystallization takes place slowly. The suspension is stirred for about 18 hours at room temperature and filtered. The solid is washed with 4 ml DMF/water 1 : 1 and 6 ml water.
  • the salt is dried first for about 3 hours at 50 0 C / ca. 10 mbar and then for about 16 hours at 80 0 C /ca.lO mbar.
  • the material has a melting point at about 285 0 C with a melting enthalpy of 119g/J.
  • the material produced exhibited a loss on drying of 1.0%.
  • the water uptake was estimated by Thermogravimetry after exposure to relative humidity (80%rh) during 24 hours. No water uptake was observed.
  • the invention provides a hydrobromide salt of the compound of Example 1.
  • the invention provides the hydrobromide salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2-Theta °): 7.0, 25.9, 26.8, 27.9; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 7.0, 11.4, 13.3, 21.4, 23.4, 25.9, 26.4, 26.8, 27.9.
  • the invention provides the hydrobromide salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 9 herein.
  • Orotate salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) and orotic acid (0.222g; 1.40 mmoles) are dissolved in 7.8 ml NMP (l-Methyl-2-pyrrolidone) at 85°C. The solution is cooled to 60 0 C and 6 ml water is added drop wise over about 5 minutes. The resulting white suspension is allowed to cool over about 30 minutes to room temperature and stirred for 18 hours.
  • NMP l-Methyl-2-pyrrolidone
  • the filter cake is washed with 4 ml NMP/water 1 : 1 in two portions and 6 ml water in three portions.
  • the solid is dried first for about 3 hours at 50 0 C / ca. 10 mbar and then for about 16 hours at 80 0 C /ca.lO mbar.
  • the material has a melting point at about 240 0 C with a melting enthalpy of 130g/J.
  • the material produced exhibited a loss on drying below 0.05%.
  • the water uptake was estimated by Thermogravimetry after exposure to relative humidity (80%rh) during 24 hours. A water uptake of 1.7% was observed.
  • the invention provides an orotate salt of the compound of Example 1.
  • the invention provides the orotate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2- Theta °): 7.1, 16.3, 19.2, 23.5, 25.6, 26.9; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 7.1, 14.4, 16.3, 18.6, 19.2, 21.7, 23.0, 23.5, 25.6, 26.9, 28.7.
  • the invention provides the orotate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 10 herein.
  • Hemi-fumarate salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) are dissolved in 18 ml methanol at 65°C. Fumaric acid (0.164g; 1.40 mmoles) and 6 ml methanol are added. The solution is allowed to cool over about 30 minutes to room temperature.
  • Some seed crystals are added at 60 0 C and crystallization takes place slowly.
  • the suspension is stirred for 18 hours at room temperature and filtered.
  • the solid is washed with 6 ml methanol in three portions and dried first for about 3 hours at 50 0 C / ca. 10 mbar and then for about 16 hours at 80 0 C /ca.lO mbar.
  • the material has a melting point at about 232°C with a melting enthalpy of 83g/J.
  • the material produced exhibited a loss on drying below 0.05%.
  • the water uptake was estimated by Thermogravimetry after exposure to relative humidity (80%rh) during 24 hours. A water uptake of 0.3% was observed.
  • the invention provides a hemi-fumarate salt of the compound of Example 1.
  • the invention provides the hemi-fumarate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2-Theta °): 7.2, 8.7, 14.4, 15.8, 17.4, 19.0, 23.7; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 7.2, 8.7, 10.8, 14.4,
  • the invention provides the hemi-fumarate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 11 herein.
  • Besylate salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) are dissolved in 12 ml acetone at 50 0 C. A solution of benzenesulfonic acid (0.225g; 2.79 mmoles) in 1.2 ml acetone is added drop wise. Seed crystals are added at 48°C and the crystallization takes place slowly. The suspension is allowed to cool over about 30 minutes to room temperature. The slurry is stirred for about 18 hours at room temperature and filtered.
  • the salt is washed with 6 ml acetone in three portions and dried first for about 3 hours at 50 0 C / ca. 10 mbar and then for about 16 hours at 80 0 C /ca.lO mbar.
  • the material has a melting point at about 219°C with a melting enthalpy of 92g/J.
  • the material produced exhibited a loss on drying of 0.3%.
  • the water uptake was estimated by Thermogravimetry after exposure to relative humidity (80%rh) during 24 hours. A water uptake of about 0.05% was observed.
  • the invention provides a besylate salt of the compound of Example 1.
  • the invention provides the besylate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2- Theta °): 6.2, 7.7, 17.7, 25.5; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.2, 7.7, 15.2, 16.7, 17.1, 17.7, 19.8, 20.2,
  • the invention provides the besylate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 7 herein.
  • Napadisylate salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) and 0.259 g 1,5-naphthalenedisulfonic acid (0.70 mmoles) are dissolved in 9 ml DMF at 87°C. The clear solution is allowed to cool over about 30 minutes to room temperature. Seeds are added at 65°C and crystallization takes place slowly.
  • the suspension is stirred for about 18 hours at room temperature and filtered.
  • the solid is washed with 4 ml DMF/water 1 : 1 in two portions and 6 ml water in three portions.
  • the salt is dried first for about 3 hours at 50 0 C / ca. 10 mbar and then for about 16 hours at 80 0 C /ca.lO mbar.
  • the material has a melting point at about 304 0 C with a melting enthalpy of 83g/J.
  • a broad endothermic phenomenon is observed at 107 0 C that might be attributed to the loss of water.
  • the material produced exhibited a loss on drying of 6.1%.
  • the water uptake was estimated by Thermogravimetry after exposure to relative humidity (80%rh) during 24 hours. A water uptake less than 0.05% was observed.
  • the invention provides a napadysilate salt of the compound of Example 1.
  • the invention provides the napadysilate salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.4, 9.6, 13.1, 15.7, 16.1, 26.0; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 9.6, 13.1, 15.7, 16.1, 16.4, 20.4, 20.9, 23.7, 26.0, 26.9.
  • the invention provides the napadysilate salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 12 herein.
  • Hydrochloride salt 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6- ylamino)ethyl)phenol free base (0.60g; 1.40 mmoles) are dissolved in 12 ml acetone at 55°C. Hydrochloric acid 37% (0.138g; 1.40 mmoles) is added drop wise. The crystallization takes place quickly. The white suspension is allowed to cool over about 30 minutes to room temperature and stirred for 18 hours. After filtration the solid is washed with 6 ml acetone in three portions and dried first for about 3 hours at 50 0 C / ca.
  • the material is exhibiting an exothermic event at about 162°C with an enthalpy of -13.8J/g. This phenomenon might be attributed to a solid transformation into a more stable modification. An endothermic event is then seen at about 259°C with an enthalpy of 99.7J/g. The material produced exhibited a loss on drying of 0.6%.
  • the water uptake was estimated by Thermogravimetry after exposure to relative humidity (80%rh) during 24 hours. A water uptake of 0.3% was observed.
  • the invention provides a hydrochloride salt of the compound of Example 1.
  • the invention provides the hydrochloride salt of the compound of Example 1 comprising the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.1, 7.0, 19.8, 26.1; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (Angle 2-Theta °): 6.1, 7.0, 18.1, 19.8, 24.7, 26.1, 27.0, 27.7.
  • the invention provides the hydrochloride salt of the compound of Example 1 having the powder X-ray diffraction pattern shown in Figure 5 herein.
  • the free acid or free base forms of the compounds of the invention can be prepared from the corresponding base addition salt or acid addition salt form, respectively.
  • a compound of the invention in an acid addition salt form can be converted to the corresponding free base by treating with a suitable base (e.g., ammonium hydroxide solution, sodium hydroxide, and the like).
  • a compound of the invention in a base addition salt form can be converted to the corresponding free acid by treating with a suitable acid (e.g., hydrochloric acid, etc.).
  • a suitable acid e.g., hydrochloric acid, etc.
  • the nitrate salt of the compound of example 1 can be made using methods known to the skilled person.
  • the powder X-ray diffraction pattern is disclosed in Fig 2 herein.
  • Compounds of the invention in unoxidized form can be prepared from N- oxides of compounds of the invention by treating with a reducing agent (e.g., sulfur, sulfur dioxide, triphenyl phosphine, lithium borohydride, sodium borohydride, phosphorus trichloride, tribromide, or the like) in a suitable inert organic solvent (e.g. acetonitrile, ethanol, aqueous dioxane, or the like) at 0 to 80 0 C.
  • a reducing agent e.g., sulfur, sulfur dioxide, triphenyl phosphine, lithium borohydride, sodium borohydride, phosphorus trichloride, tribromide, or the like
  • a suitable inert organic solvent e.g. acetonitrile, ethanol, aqueous dioxane, or the like
  • Prodrug derivatives of the compounds of the invention can be prepared by methods known to those of ordinary skill in the art (e.g., for further details see Saulnier et al., (1994), Bioorganic and Medicinal Chemistry Letters, Vol. 4, p. 1985).
  • appropriate prodrugs can be prepared by reacting a non-derivatized compound of the invention with a suitable carbamylating agent (e.g., 1,1-acyloxyalkylcarbanochloridate, para-nitrophenyl carbonate, or the like).
  • Protected derivatives of the compounds of the invention can be made by means known to those of ordinary skill in the art. A detailed description of techniques applicable to the creation of protecting groups and their removal can be found in T. W. Greene, "Protecting Groups in Organic Chemistry", 3 rd edition, John Wiley and Sons, Inc., 1999.
  • Compounds of the present invention can be conveniently prepared, or formed during the process of the invention, as solvates (e.g., hydrates). Hydrates of compounds of the present invention can be conveniently prepared by recrystallization from an aqueous/organic solvent mixture, using organic solvents such as dioxin, tetrahydrofuran or methanol.
  • Compounds of the invention can be prepared as their individual stereoisomers by reacting a racemic mixture of the compound with an optically active resolving agent to form a pair of diastereoisomeric compounds, separating the diastereomers and recovering the optically pure enantiomers. While resolution of enantiomers can be carried out using covalent diastereomeric derivatives of the compounds of the invention, dissociable complexes are preferred (e.g., crystalline diastereomeric salts). Diastereomers have distinct physical properties (e.g., melting points, boiling points, solubilities, reactivity, etc.) and can be readily separated by taking advantage of these dissimilarities.
  • the diastereomers can be separated by chromatography, or preferably, by separation/resolution techniques based upon differences in solubility.
  • the optically pure enantiomer is then recovered, along with the resolving agent, by any practical means that would not result in racemization.
  • a more detailed description of the techniques applicable to the resolution of stereoisomers of compounds from their racemic mixture can be found in Jean Jacques, Andre Collet, Samuel H. Wilen, "Enantiomers, Racemates and Resolutions", John Wiley And Sons, Inc., 1981.
  • Compounds of the invention can also be prepared as their individual stereoisomers by using chiral chromatography techniques, in particular, by use of HPLC or SFC chromatography using a chiral stationary phase.
  • Powder X-ray diffraction spectra as enclosed herein were obtained using the instrument Bruker D8 Vario in transmission geometry, irradiation CuKa (30 kV, 40 mA), scan range 2°-40° (2 theta value), step time 90.3s.
  • Differential scanning calorimetry (DSC) of Example 1 amorphous material was carried out using the instrument Perkin Elmer DSC7 at a heating rate of 40°C/min.
  • the compounds of Formula I can be made by a process, which involves:
  • the flask was evacuated and backfilled with N 2 and anhydrous 1,4-dioxane (2 mL) was added. The flask was sealed and the reaction mixture was stirred at 80 0 C for 24 hours. The reaction mixture was concentrated and purified directly by column chromatography on silica gel, eluting with hexane/EtOAc (20: 1 to 1:4) to afford the title compound as a yellowish solid.
  • Example 1 [00204] Alternatively, the synthesis of Example 1 can be carried out as follows:
  • Example 1 [00207] Alternatively, the synthesis of Example 1 can be carried out as follows:
  • Example 1 The compound of Example 1 can be recrystallised using a toluene/ethanol mixture and washed at room temperature with NaHC ⁇ 3 aqueous solution.
  • the invention provides a compound of Example 1 in crystal form modification A, wherein modification A comprises the following powder X-ray diffraction peaks (angle 2-Theta °): 12.1, 16.9, 18.9, 21.3; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (angle 2-Theta °): 12.1, 15.9, 16.9, 17.3, 18.9, 21.3, 22.1, 23.6, 24.4, 27.3.
  • the invention provides the compound of Example 1 in crystal form modification A, wherein modification A comprises the following powder X-ray diffraction peaks (angle 2-Theta °): 12.1, 16.9, 18.9, 21.3; and which in an additional embodiment comprises the following powder X-ray diffraction peaks (angle 2-Theta °): 12.1, 15.9, 16.9, 17.3, 18.9, 21.3, 22.1, 23.6, 24.4, 27.3.
  • the invention provides the compound of Example 1 in crystal form modification A, wherein modification A comprises the following powder X-ray
  • the powder X-ray diffraction pattern of the compound of Example 1, modification A, is shown in Fig 1 herein.
  • Amorphous material of the compound of Example l was produced in situ in a DSC (differential scanning calorimetry) crucible by heating the compound until melting and annealing/cooling. Upon the cooling cycle the glass transition could be observed but upon the reheating cycle is much more characterized at about 70-75 0 C.
  • the DSC pattern is shown in Fig 13 herein.
  • 6-Chloro-2-iodo-9-isopropyl-9H-purine (c): 6-chloro-9- isopropyl-9 ⁇ -purin-2-amine (2.68 g, 12.7 mmol) was dissolved in THF (64 mL) at rt. Iodine (1.61 g, 6.25 mmol), CH 2 I 2 (10.6 mL) and CuI (1.27 g, 6.66 mmol) were added. The mixture was stirred for 5min at room temperature. Isopentyl nitrite (5.33 mL) was added. The reaction mixture was refluxed for 45 min, and was then cooled to room temperature.
  • a microwave reaction tube was charged with 4-(2-(2-chloro-9-isopropyl-9H- purin-6-ylamino)ethyl)phenol (30 mg, 0.091 mmol), 2-methyl-lH-imidazole (59 mg, 0.73 mmol) and 0.5 ml of NMP.
  • the sealed tube was heated under microwave irradiation at 240 0 C for 2 hr.
  • the reaction mixture was purified by reverse-phase HPLC (C is column, eluting with ACN-H 2 O 0.05% TFA) to afford the title compound as an off-white solid.
  • Peaks 1 and 2 were eluted at 20 min and 22.5 min, respectively.
  • Analytical chromatography was performed on a 4.6 x 100 mm Lux_Cellulose-2 (Phenomenex) chiral column, eluting with 90/5/5 hexane/ethanol/methanol at 1 mL/min for 20 min. Peaks 1 and 2 were eluted at 17.45 and 18.14 min, respectively.
  • Example 153b (benzyloxy)propan-2-yl)-2-(5-fluoropyridin-3-yl)-9H-purin-6-amine
  • Example 153c (using tryptamine as reactant)
  • Example 153d using 5-fluoropyridin-3-ylboronic acid as reactant
  • Affinity probe compounds related to the compounds of the invention can also be prepared, as described in the following examples.
  • Example 210 showed an EC 50 value in the %CD34+ assay of 2.1 ⁇ M.
  • HSC hematopoietic stem cell
  • HSCs Primary adult CD34 + human hematopoietic stem cells
  • CD34 expression the desired phenotype
  • cytokines thrombopoietin, interleukin-6, Flt-3 ligand, and stem cell factor (all from R&D Systems, Minneapolis, MN), each at a final concentration of 50 ng/mL, with vehicle (DMSO) or a compound of the invention.
  • CD34 + cells Fresh human leukophoresed G-CSF mobilized peripheral blood from normal donors, CD34 + cells from adult bone marrow and cryopreserved human cord blood CD34 + cells are purchased from AllCells (Berkeley, CA). Human CD34 + cells are enriched from leukophoresed G-CSF mobilized peripheral blood using magnetic cell sorting (MACS, Direct CD34 Progenitor Cell Isolation Kit, Miltenyi Biotec, Bergisch Gladbach, Germany) and cryopreserved. CD34 + cell purity, checked by flow Cytometry, is higher than 90%. After thawing, the cell viability tested by trypan blue exclusion is higher than 70%.
  • MCS Magnetic cell sorting
  • the thawed cells are centrifuged and resuspended with StemSpan medium before being aliquoted for immediate culture.
  • Cells are plated at 10 4 cells/mL in a 384 well plate (Greiner Bio-One, Monroe, North Carolina) with 50 ⁇ L of medium per well for 7 days. Every 7 days the cells are transferred to larger well plates and fresh medium is added to keep the cell density between 10 4 and 5 x 10 5 cells/mL.
  • Cells were cultured at 37°C in 5% CO 2 . For transplantation, cells were cultured in 75 cm flasks before the cells were transplanted into mice.
  • Compounds of the invention were assayed in a dose response format (InM to lO ⁇ M) to determine the effective concentration that produced the desired effect in 50% of the cells (EC 50 ).
  • Compounds of the invention increased the total number and/or percent of CD34+ cells with an EC50 of less than 10 ⁇ M. The results are shown in Table 1 and examples, supra.
  • CFU-C Colony-Forming Units in Culture
  • the MethoCult is supplemented with the following human recombinant cytokines: thrombopoietin, and Flt-3 ligand (R&D Systems), each at a final concentration of 50 ng/mL. After stirring, the mixture is divided into three 35-mm dishes. The dishes are incubated for 14 days at 37°C in a humidified atmosphere of 5% CO 2 in air. At the end of the incubation period, myeloid and erythroid colonies are counted under an inverted microscope at 4OX magnification. CFU-C content of the expansion culture is calculated as follows: number of scored colonies per three dishes x total mononuclear cell number/input cell number.
  • Cells treated with a 4-(2-(2- (benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6-ylamino)ethyl)phenol generated more mixed colonies associated with a >10-fold increase in erythrocyte colonies, a >10-fold increase in granulocyte/macrophage colonies, and a >10-fold increase in macrophage colonies.
  • CAFC Cobblestone area-forming cell
  • the cultures are maintained in Iscove's medium supplemented with 10% fetal calf serum (FCS), 2.5% horse serum (HS), 1% L-glutamine, 1% penicillin- streptomycin, and 1 x 10 " M hydrocortisone at 37°C in a humidified atmosphere of 5% CO 2 in air.
  • FCS fetal calf serum
  • HS horse serum
  • 1% L-glutamine 1% penicillin- streptomycin
  • 1 x 10 " M hydrocortisone 1 x 10 " M hydrocortisone at 37°C in a humidified atmosphere of 5% CO 2 in air.
  • MNCs are added at 8 serial 1:3 dilutions (starting at 25,000 cells/well), with 10 wells for each cell dose.
  • the dilutions with wells with at least one phase-dark hematopoietic clone (cobblestone area) of at least five cells beneath the stromal layer are determined at week 4.
  • 4- (2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H-purin-6-ylamino)ethyl)phenol (compound 1, table 1; example 1), stimulates a greater than 2-fold increase in the number of cobblestone area forming cells derived from mPB CD34 + HSCs after 5 days of culture, compared with control cultures that are treated with DMSO alone.
  • the cells are washed with staining media (Hanks balanced salt solution containing FBS (2%) and EDTA (2mM)) and stained (at 4°C for 30 minutes) with indicated primary conjugated antibodies.
  • the cells are washed in the previously described buffer and analyzed using a BD LSR II flow cytometer (Becton Dickinson, San Jose, CA).
  • the cells are passed at a rate of up to 1000 cells/second using 488-nm argon and 633-nm HeNe laser beams as the light source for excitation. Emission of 10 4 cells is measured using logarithmic amplification and analyzed using Flow Jo software (TreeStar Inc. Ashland, OR). Cells stained with primary conjugated isotype control antibodies are used to determine background fluorescence.
  • CD34 + cell subsets The percentages of CD34 + cell subsets are determined from aliquots of the cell culture. Cells were stained with APC anti-Thyl.l, PerCP anti-CD34, PECy7 anti CD45RA, FITC anti CD38, and PE anti-CD133 for determination of CD34 + Thyl.l + , CD34 + CD45RA " , CD34 + CD38 " , CD133 + CD38 " and CD34 + CD133 + cells. Antibodies to CD34, CD38, Thy 1.1 and CD45RA were purchased from Becton Dickinson and antibodies to CD133 were purchased Miltenyi Biotec. FACS analysis results of these subsets are given as percentage of the total population.
  • the absolute number of each population of cells in the culture is calculated from the total number of cells multiplied by the percentage of each population. Starting with CB CD34+ cell, after five weeks the total cell number in the cultures increased on average greater than 2-fold in the 4-(2-(2-(benzo[b]thiophen-3-yl)-9-isopropyl-9H- purin-6-ylamino)ethyl)phenol (compound 1, table 1; example 1) 1 micromolar treated cells compared to control cultures.
  • NOD/SCID To assess the in vivo repopulating capacity of CD34 + cells and their cultured progeny, uncultured CD34 + or the progenies of cultured CD34 + cells after 4 days (mPB) or 21 days (CB) with vehicle or a test compound were injected intravenously via the retro-orbital route into sub-lethally irradiated (3.0 Gy) 8- to 10-week-old NOD/SCID (for mPB HSC experiments) or NOD/SCIDgc-/- (for CB HSC experiments) mice.
  • erythrocyte lysis solution Qiagen, Valencia, CA
  • Engraftment was measured by detection of anti-human CD45 + cells in the blood.
  • the mice are sacrificed at 10 weeks post-transplantation; BM is collected from both femurs and tibiae. BM cells are washed in staining media and stained with anti-human antibodies.
  • the suspension is treated with erythrocyte lysis solution (Qiagen, Valencia, CA) to remove red blood cells, washed with staining media, and analyzed by flow Cytometry, as described earlier.
  • HSCs in an undifferentiated state a genome-wide transcriptional profiling of mPB-derived CD34 + cells treated for 24 hours with example 1 and a less active analog ( ⁇ 20-fold) of example 1 (2-(benzo[b]thiophen-3-yl)-N-(3-(3,5-dimethyl-lH-pyrazol-4-yl)propyl)-9-isopropyl-9H-purin- 6-amine).
  • Example 1 cytochrome P450 IBl [CYPlBl] and the aryl hydrocarbon receptor repressor [AHRR]) are transcriptionally regulated by the aryl hydrocarbon receptor (AHR). Therefore, compounds of the invention could be acting as an antagonist of AHR signaling.
  • TCDD 2,3,7, 8-tetrachlorodibenzo-p- dioxin
  • Example 1 Treatment with TCDD (3nM) caused a 4.5-fold increase in the level of CYPlBl mRNA compared with the vehicle control (0.01% toluene). This increase was inhibited by Example 1 in a dose-dependent manner indicating that compounds of the invention can antagonize AHR signaling.
  • Example 1 To determine the effects of Example 1 in AHR transcription the ability of Example 1 to inhibit a dioxin-induced AHR dependent luciferase reporter gene assay was tested. Inclusion of Example 1 (l ⁇ M) completely abolished dioxin- induced AHR dependent transcription when used on cells expressing human AHR. Titration of Example 1 revealed an EC 50 of 127nM, demonstrating that Example 1 is a potent AHR antagonist.
  • Example 1 only weakly inhibited dioxin induced transcription in murine cells and had no activity on rat cells, suggesting that Example 1 preferentially inhibits human AHR. This correlates with a lack of activity of Example 1 on murine HSC, and can explain the species selectivity of Example 1. Finally, Example 1 had only weak agonist activity on murine or rat cells, and failed to induce AHR dependent transcription in human cells.
  • Example 1 induced HSC expansion human CB-derived CD34 + HSCs were treated with lentiviral particles containing a shRNA-targeting AHR that co-expressed GFP or control virus. Forty-eight hours following transduction, CD34 + GFP + cells were purified by cell sorting and the levels of AHR were determined by qPCR. Both AHR targeting shRNAs led to decreases in AHR expression following transduction (81% with shl l l and 51% with sh242). These decreases were not seen in cells lacking GFP or in cells transduced with control virus. CB-derived CD34 + cells with decreased AHR expression displayed a phenotype similar to Example 1 treated cells with sustained expression of CD34 + . These data show that inhibition of AHR activity by a compound of the invention is sufficient to promote ex- vivo expansion of HSC.
  • the culture medium used is StemSpan SFEM (StemCell Technologies, Cat.
  • Compound dilution into media a 10,000x concentrate of a compound of the invention is used for the dilutions.
  • the addition of compound into the culture media occurs in two steps.
  • the first step is a 1:100 dilution (lO ⁇ L of 10,000x concentrate into 990 ⁇ L of complete culture media (containing cytokines) in a 1.5 mL effendorf tube [USA Scientific, Cat #1615-5500]) to generate a 10Ox solution of compound in the culture media.
  • the second step is a 1: 100 dilution into the culture media that will be used to initiate the cell culture.
  • the volume of the culture is variable depending on the input number of cord blood (CB) CD34 + cells.
  • IxIO 6 CB CD34 + cells are seeded into 20 mL of media (5xlO 4 cells/mL).
  • 200 ⁇ L of the 10Ox Example 1 solution is added to the 20 mL of media in a 50 mL conical tube (Becton Dickinson, Cat #352098) to reach the final concentration (see Table 3).
  • Cell culture initiation purified human CB CD34 + cells are used for the ex vivo expansion experiments. After thawing, the cell viability, tested by trypan blue exclusion, is higher than 50%.
  • the thawed cells are diluted 5-fold with culture media (no cytokines or compounds of the invention such as Example 1) and centrifuged at 300g at 25°C for 8 minutes. After aspirating the supernatant, the pellet is resuspended with the appropriate volume of culture medium (5 x 10 4 cells/mL, Table 3) before being injected (22 gauge needle, Air-Tite products; 20 mL syringe, BD cat # 309661) into AFC bags (Table 5) for immediate culture. Cells are cultured at 37 0 C in 5% CO 2 .
  • a composition comprising a population of cells with expanded HSCs appropriate for intravenous administration as an infusion can also be prepared.
  • cultured cells are pelletted by centrifugation for 10 minutes at 300g and resuspended in infusion buffer consisting of 5% HSA (Baxter) at a concentration of between 10 6 to 10 8 cells /ml.

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DK09748626.0T DK2350078T3 (da) 2008-10-30 2009-10-29 Forbindelser, der opformerer hæmatopoietiske stamceller
JP2011534784A JP5390626B2 (ja) 2008-10-30 2009-10-29 造血幹細胞を増加させる化合物
ES09748626T ES2736728T3 (es) 2008-10-30 2009-10-29 Compuestos que expanden células madre hematopoyéticas
SI200931987T SI2350078T1 (sl) 2008-10-30 2009-10-29 Spojine, ki razširjajo krvotvorne matične celice
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EP09748626.0A EP2350078B1 (en) 2008-10-30 2009-10-29 Compounds that expand hematopoietic stem cells
UAA201105290A UA103206C2 (ru) 2008-10-30 2009-10-29 Соединения, которые способствуют росту гемотопоэтических стволовых клеток
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LTEP09748626.0T LT2350078T (lt) 2008-10-30 2009-10-29 Junginiai, kurie pagausina hemopoetinių kamieninių ląstelių kiekį
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