WO2017083971A1 - Compositions and methods for treatment of influenza - Google Patents

Compositions and methods for treatment of influenza Download PDF

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Publication number
WO2017083971A1
WO2017083971A1 PCT/CA2016/051339 CA2016051339W WO2017083971A1 WO 2017083971 A1 WO2017083971 A1 WO 2017083971A1 CA 2016051339 W CA2016051339 W CA 2016051339W WO 2017083971 A1 WO2017083971 A1 WO 2017083971A1
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bioactive compound
cells
medicament
wnt
catenin
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French (fr)
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Kevin M. Coombs
Nigel Jason MCLEISH
Philippe Simon
Darwyn Kobasa
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University of Manitoba
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University of Manitoba
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/18Sulfonamides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses

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  • the present invention relates to the field of treating viral infections.
  • the present invention relates to bioactive compounds that inhibit replication of seasonal and pathogenic avian strains of the Influenza A virus by inhibiting one or more parts of the Wnt ⁇ -Catenin signalling pathway.
  • Influenza A virus is one of the most daunting human pathogens. Worldwide, the annual death toll from IAV infections is close to 0.5 million. The United States of America annually sees roughly 140,000 hospitalisations with around 20,000 deaths from IAV infection. A broad host range and remarkable genetic plasticity mean that the typical means of effective treatment is vaccination. However, the current strategy for vaccinations is largely based on predicting what subtypes will be circulating in the coming flu season. Unfortunately, the success rate of the vaccine can be very low. At least 18 hemagglutinin and 11 neuraminidase genes have been identified allowing a large number of combinations of these genes to produce new subtypes.
  • IAV Intraviral drugs used to treat IAV are the neuraminidase inhibitors, oseltamivir and zanamivir, and the adamantine class of drugs, amantadine and rimantidine. These conventional drugs can be effective. However, due to the emergence of resistance mutants, particularly among pathogenic avian strains, a rational design of new classes of antiviral compounds remains an ongoing effort. Furthermore, with the ease with which viral reassortment can lead to pathogenic human strains and there being a broad host range means that another IAV pandemic remains a likely threat. If antiviral compounds continue to target viral proteins, then new strategies will always need to be developed to keep up with the evolution of the virus and the emergence of new subtypes.
  • Antiviral drugs that target host genes and pathways that are vital for virus replication may be more effective in combating IAV infections in the long term.
  • Gene silencing and interaction proteomics provide platforms for discovery of cellular pathways that can be targeted.
  • VSV vesicular stomatitis virus
  • NDV Newcastle disease virus
  • Embodiments of the present disclosure relate to bioactive compounds that may provide anti-viral properties by selective targeting and / or regulation of the Wnt/ ⁇ - Catenin signalling pathway.
  • Wnt ⁇ -Catenin signally pathways regulates cytosolic levels of the ⁇ -Catenin protein.
  • ⁇ -Catenin is a coactivator of a number of genes when it forms a complex with T-cell factor/lymphoid enhancer factor (TCF/LEF) transcriptional activators in the nucleus.
  • TCF/LEF T-cell factor/lymphoid enhancer factor
  • ⁇ -Catenin acts as a downstream mediator of Wnt signaling.
  • An important feature of the Wnt signalling pathway is the controlled degradation of cytosolic ⁇ -Catenin by a destruction complex.
  • the destruction complex comprises axin, adenomatosis polyposis coli (APC), glycogen synthase kinase 3-beta (GSK ⁇ ) and casein kinase la (CKl )
  • APC adenomatosis polyposis coli
  • GSK ⁇ glycogen synthase kinase 3-beta
  • CKl casein kinase la
  • FIG. 1 provides a schematic representation of aspects of the Wnt ⁇ -Catenin signaling pathway by depicting the assembled destruction complex which targets cytosolic ⁇ -Catenin for degradation via the proteasome.
  • a Wnt signal triggers the dissociation of the destruction complex which allows cytosolic ⁇ -Catenin to accumulate and translocate to the nucleus.
  • nuclear ⁇ - Catenin complexes with TCF/LEF and together co-transcriptionally activate Wnt responsive genes.
  • Inappropriate activation of the Wnt pathway has been identified in multiple types of cancers including, but not limited to: colo-rectal carcinoma, breast carcinoma and hepatocellular carcinoma. As aberrations in this pathway are common to a variety of cancers, key stages in the pathway have been investigated as candidate targets for small molecule inhibition.
  • FIG. 1 also shows the cellular targets of each of various bioactive compounds.
  • PORCN adds a palmitoyl group to Wnt.
  • Compounds IWP2 and IWP12 block this modification.
  • the rate-limiting factor in the stability of the destruction complex is axin which is stabilised by Tankyrase.
  • the bioactive compound XAV939 targets Tankyrase.
  • Nuclear ⁇ -Catenin complexes with TCF and the bioactive compound FH535 targets TCF. Table 1 below provides some example small molecule inhibitor compounds that are bioactive and their cellular targets.
  • Embodiments of the present disclosure relate to the use of a bioactive compound that inhibits or downregulates one or more aspects of the Wnt ⁇ -Catenin signalling pathway for inhibiting replication of IAV.
  • Embodiments of the present disclosure relate to a medicament for inhibiting replication of IAV, the medicament comprising a bioactive compound that inhibits or downregulates one or more aspects of the the Wnt ⁇ -Catenin signalling pathway and one or more pharmaceutically acceptable excipients.
  • Embodiments of the present disclosure relate to a method of treating an IAV infection.
  • the method comprises a step of administering a bioactive compound that inhibits or downregulates one or more aspects of the Wnt ⁇ -Catenin signalling pathway with one or more pharmaceutically acceptable excipients to a patient that has been diagnosed with IAV infection.
  • Embodiments of the present disclosure relate to a bioactive compound that inhibits or downregulates one or more aspects of the Wnt ⁇ -Catenin signalling pathway for use as an inhibitor, either prophylactic or responsive, of seasonal and pathogenic avian IAV strains.
  • the present disclosure may provide a connection between inhibition of the Wnt ⁇ -Catenin signalling pathway and IAV replication. It was observed that in addition to seasonal IAV inhibition, the bioactive compound FH535 inhibited avian strain H5N1 by 90 % in A549 cells and both H5N1 and H7N9 strains by 99 % and 90 % respectively in human bronchial epithelial cells (HBEC). It was also observed that the bioactive compound FH535 acts early on and with a biological effect that is prolonged throughout the Wnt ⁇ -Catenin signalling pathway.
  • HBEC human bronchial epithelial cells
  • FIG. 1 is a schematic representation of an example of the Wnt ⁇ -Catenin signaling pathway;
  • FIG. 2 shows examples of experimental data that relate to embodiments of present disclosure;
  • FIG. 2A shows an example of cyptopathic effect of the IAV strain PR8 on examples of human bronchial epithelial cells (HBEC);
  • FIG. 2B shows an example of immunblot- assay time course results of influenza NS-1 protein production in example A549 cells and example HBEC cells that were infected with IAV strain PR8 at a multiplicity of infection (MOI) of 5;
  • FIG. 2C shows a growth curve of the IAV strain PR9 in HBEC cells infected at a MOI of 0.01, the plaque assay results were performed in dog kidney epithelial cells (MDCK);
  • FIG. 3 shows an example of A549 cell and HBEC cell viability results as determined by the WST-1 viability assay, in the presence of various bioactive compounds: FIG. 3A shows cell viability during IWPI2 treatment; FIG. 3B shows cell viability during IWP2 treatment; FIG. 3C shows cell viability during XAV939 treatment; and FIG. 3D shows cell viability during FH535 treatment;
  • FIG. 4 shows examples of titer of influenza strain PR8 data from infected A549 cells and HBEC cells that were treated with bioactive compounds: FIG. 4A shows data from cells treated with IWP12; FIG. 4B shows data from cells treated with IWP2; FIG. 4C shows data from cells treated with XAV939; and FIG. 4D shows data from cells treated with FH535;
  • FIG. 5 shows examples of viral inhibition data from cells infected with seasonal IAV strains and treated with the bioactive compound FH535:
  • FIG. 5A shows inhibition of Influenza A viral strains in cells treated with FH535
  • FIG. 5B shows inhibition of avian viral strains in cells treated with FH535;
  • FIG. 6 shows examples of expression and localization data of proteins from cells that were infected with virus:
  • FIG. 6A shows examples of expression and localization results of the Influenza NP protein in cells;
  • FIG. 6B shows examples of co-localization results of the influenza NP protein and the CRM1 protein; and
  • FIG. 7 shows examples of quantification results of the Influenza NP protein in A549 cells infected with IAV strain PR8 compared with PR8 infected A549 cells that were treated with the bioactive compound FH535:
  • FIG. 7A shows an example of NP and GAPDH protein levels measured in control (C) and FH 535 treated (T) cells via Western blotting techniques; and
  • FIG. 7B is a bar graph that shows the values of the NP expression in control and FH535 treated cells at 16 hours, 20 hours and 42 hours.
  • Embodiments of present disclosure relate to a use of a bioactive compound that regulates an aspect of the Wnt ⁇ -Catenin signaling pathway to inhibit viral replication.
  • the bioactive compounds may be small molecule inhibitors or downregulator of the Wnt ⁇ -Catenin signaling pathway.
  • the following compounds may be bioactive compounds that act as small molecule inhibitors of one or more aspects of the Wnt ⁇ -Catenin signaling pathway: FH535 with a cellular target of TCF/LEF; XAV939 with a cellular target of Tankyrase 1 ; I WP2 with a cellular target of Porcupine (PORCN); IWR1 with a cellular target of Tankyrase; IWP12 with a cellular target of PORCN; IWP-2 with a cellular target of Porcupine; JW74 with cellular targets of Tankyrases 1, 2; JW55 with cellular targets of Tankyrases 1, 2; Okadaic acid with a cellular target of PP2A phosphate; Tautomycin with a cellular target of PP1 phosphatase; SB2390963 with a cellular target of p38 MAPK; SB203580 with a cellular target of p38 MAPK; 2-[4-4-fluoro
  • Some embodiments of the present disclosure relate to bioactive compounds that inhibit or downregulate the recruitment of ⁇ -Catenin to target genes of the TCF/LEF family of transcription factors. Some embodiments of the present disclosure relate to bioactive compounds that inhibit or downregulate the TCF/LEF family or transcription factors or receptors therefor.
  • FH535 is a bioactive compound that inhibits or downregulates the receptors for the TCF/LEF family of transcription factors.
  • Embodiments of the present disclosure relate to a medicament for inhibiting replication of IAV, the medicament comprising a bioactive compound that inhibits or downregulates one or more aspects of the the Wnt ⁇ -Catenin signalling pathway and one or more pharmaceutically acceptable excipients.
  • Embodiments of the present disclosure relate to a method of treating an IAV infection.
  • the method comprises a step of administering a bioactive compound that inhibits or downregulates one or more aspects of the Wnt ⁇ -Catenin signalling pathway with one or more pharmaceutically acceptable excipients to a subject that has been diagnosed with IAV infection or a predisposition for IAV infection.
  • the method of treating the IAV infection may be a prophylactic administration in the absence of any IAV infection indications, to prevent the occurrence of and/or the spreading of an infection within a subject or between subjects, when at least one subject has a predisposition to developing an IAV infection.
  • a subject may develop a predisposition to developing an IAV infection by exposure to a known source of IAV, for example a known source may be another subject that has been diagnosed with an IAV infection.
  • the method of treating the IAV infection may be reactive in a subject that demonstrates IAV infection indications. The reactive method of treatment is for preventing the severity of the IAV infection, reduce the time the infected subject is afflicted by the IAV infection and to reduce spreading of the IAV infection to other subjects.
  • the method of treating an IAV infection comprises administration of the bioactive compound by at least one of: oral administration; injection, including intravenous, intramuscular, sub-cutaneous or intrathecal injection routes; sublingual placement; buccal placement; rectal insertion; vaginal insertion; ocular placement; otic placement; topical application, including cutaneous application, nasal spray, oral spray, oral inhalation, oral or nasal inhalation of a nebulized form of the bioactive compound; transdermal application or combinations thereof.
  • the term "about” refers to an approximately +/-10% variation from a given value. It is to be understood that such a variation is always included in any given value provided herein, whether or not it is specifically referred to.
  • bioactive compound refers generally to compounds and pharmaceutically acceptable salts and derivatives thereof that can inhibit or downregulate the biological activity of one or more aspects of the Wnt ⁇ -Catenin signaling pathway.
  • the term "excipient” herein means any substance, not itself a therapeutic agent, which may be used in a composition for delivery of at least one of the bioactive compounds described herein and the like to a subject to improve its handling or storage properties or to permit or facilitate formation of a dose unit of the composition (e.g., formation of a topical hydrogel which may then be optionally incorporated into a transdermal patch).
  • Excipients include, by way of illustration and not limitation, binders, disintegrants, taste enhancers, solvents, thickening or gelling agents (and any neutralizing agents, if necessary), penetration enhancers, solubilizing agents, wetting agents, antioxidants, lubricants, emollients, substances added to mask or counteract a disagreeable odor, fragrances or taste, substances added to improve appearance or texture of the composition and substances used to form a pharmaceutical composition. Any such excipients can be used in any dosage forms according to the present disclosure.
  • the term "effective amount” refers to an amount effective, at dosages and for periods of time necessary to achieve the desired results (e.g. prophylaxis of microbial infections). Effective amounts of a molecule may vary according to factors such as the disease state, age, sex, weight of the subject. Dosage regimes may be adjusted to provide the optimum therapeutic response. For example, several divided doses may be administered daily or the dose may be proportionally reduced as indicated by the exigencies of the therapeutic situation. As used herein, the term “IAV" refers to the Influenza A virus.
  • inhibitor refers to a decrease in an activity, response, condition, disease, or other biological parameter. This can include but is not limited to the complete ablation of the activity, response, condition, or disease. This may also include, for example, a 10% reduction in the activity, response, condition, or disease as compared to the native or control level. Thus, the reduction can be a 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%; 100%, or any amount of reduction in between the specifically recited percentages, as compared to native or control levels.
  • the terms “multiplicity of infection” and “MOI” refer to a ratio of a viral load to target cells.
  • the term “nebulized form” refers to a misted form or alternatively, in an aerosol form.
  • one or more aspects of the Wnt ⁇ -Catenin signaling pathway refers to any sequence of nucleic acids or amino acids or any other biomolecule that participates in the Wnt ⁇ -Catenin signaling pathway.
  • the one or more aspects of the Wnt ⁇ -Catenin signaling pathway can be cellular targets of one or more bioactive compounds of the present disclosure.
  • compositions includes any composition for administration of at least one of the bioactive compounds disclosed herein to a subject in need of treatment for exposure to one or more strains of the Influenza A virus.
  • Pharmaceutical compositions may include various excipients, carriers, thickeners, diluents, buffers, preservatives, surface active agents and the like in addition to at least one of the bioactive compounds disclosed herein.
  • Pharmaceutical compositions may also additionally include one or more further active ingredients such as antimicrobial agents, anti-inflammatory agents, anaesthetics, analgesics, and the like.
  • prophylactic administration refers to the administration of any composition to a subject, in the absence of any infection indications, to prevent the occurrence of and/or the spreading of an infection within the subject's body.
  • the term "subject” means any target of administration.
  • the subject can be a vertebrate, for example, a mammal.
  • the subject can be a human.
  • the term does not denote a particular age or sex.
  • adult, juvenile, and newborn subj ects, whether male or female, are intended to be covered.
  • a patient refers to a subj ect afflicted with a disease or disorder.
  • patient includes human and veterinary subjects.
  • the term "therapeutically effective” refers to an amount of a treatment or composition that is used of sufficient quantity to ameliorate one or more causes or symptoms of a disease or disorder. Such amelioration only requires a reduction or alteration, not necessarily elimination.
  • the “therapeutically effective amount” will vary depending on the compound, the disease and its severity and the age, weight, etc., of the subject to be treated.
  • treatment refers to obtaining a desired pharmacologic and/or physiologic effect.
  • the effect may be prophylactic in terms of completely or partially preventing a disease or symptom thereof and/or may be therapeutic in terms of a partial or complete cure for a disease and/or adverse effect attributable to the disease.
  • Treatment covers any treatment of a disease in a mammal, particularly in a human, and includes: (a) preventing the disease from occurring in a subject which may be predisposed to the disease but has not yet been diagnosed as having it; (b) inhibiting the disease, i.e., arresting its development; and (c) relieving the disease, i.e., causing regression of the disease.
  • FIG. 1 through FIG. 7 show representations of embodiments according to the present disclosure.
  • the present disclosure relates to use of a bioactive compounds that regulate the Wnt ⁇ -Catenin signaling pathway and inhibit viral replication.
  • bioactive compound FH535 for inhibiting IAV replication.
  • the bioactive compounds FH535 can also be referred to as 2,5- dichloro-N-(2-methyl-4-nitrophenyl)benzenesulfonamide with a formula of C13H10CI2N2O4S.
  • FH5353 may inhibits the Wnt signalling pathway by blocking activation of the TCF transcription factor, which reduces replication of seasonal IAV strains and pathogenic avian IAV strains.
  • Another embodiment of the present disclosure relates to a medicament for inhibiting replication of IAV, the medicament comprises a bioactive compound that inhibits the Wnt ⁇ -Catenin signalling pathway and one or more pharmaceutically acceptable excipients.
  • Another exemplary embodiment of the present disclosure relates to a method of treating an IAV infection.
  • the method comprises a step of administering a bioactive compound that inhibits the Wnt ⁇ -Catenin signalling pathway with one or more pharmaceutically acceptable excipients to a patient that has been diagnosed with Influenza A viral infection.
  • A549 cells and Madin-Darby canine kidney (MDCK) epithelial cells were maintained at 37° C (5 % CO2) in 1 X Dulbecco's modified Eagle medium (DMEM) supplemented with L-Glutamine, sodium pyruvate, non-essential amino acids, 10 % fetal bovine serum (FBS) (A549) and 5 % FBS (MDCK).
  • DMEM Dulbecco's modified Eagle medium
  • HBEC-3KT Human bronchial epithelial cells HBEC-3KT (ATCC ® catalogue # CRL-4051, "HBEC"; ATCC is a registered trademark of the Americal Type Culture Collection, Manassas, VI) were maintained at 37° C (5 % C0 2 ) in Airway Epithelial Cell Basal Medium (ATCC ® PCS- 300-030) supplemented with Bronchial Epithelial Growth kit (ATCC ® PCS-300-040).
  • HRP horse radish peroxidase conjugated donkey anti-rabbit
  • G21040 goat anti-mouse antibodies
  • Cy5 conjugated goat anti -rabbit (A10524) and Alexa fluor-488 goat anti-mouse (A28175) secondary antibodies for immunofluorescence microscopy were obtained from Thermo Fisher Scientific, Canada.
  • the bioactive compounds used in this study were purchased from SIGMA- ALDRICH ® Co. (SIGMA- ALDRICH is a registered trademark of SIGMA- ALDRICH BIOTECHNOLOGY L P. of 3050 Spruce Street, St. Louis, MISSOURI 63103, USA) and purified to a high-performance liquid chromatography (HPLC) standard of > 98 %.
  • the bioactive compounds were distributed in a powder form and dissolved in dimethyl sulfoxide (DMSO) to the following concentrations: XAV939 (16 mM), IWP12 (11.9 mM), IWP2 (10.71), IWR1 (12.2 mM) and FH535 (13.8 mM). Cell viability in the presence of all compounds was measured by the WST-1 protocol according to the instructions provided by the kit manufacturer Roche of Laval, Quebec, Canada.
  • the compounds were returned to the infection media (1 X DMEM supplemented with L-Glutamine, sodium pyruvate and non-essential amino acids) post-adsorption and infected cells were incubated at 35 °C for 42 hours. Infectious supernatants were collected and stored at -80 °C in 5 % glycerol (v/v) for plaque titration. Infection of pre- and post-treated A549 and HBEC cells with pathogenic avian influenza viruses was performed under strict bio-containment conditions (BSL 3) such as those found at the Zoonotics division, National Microbiology labs, Public Health Agency of Canada.
  • BSL 3 bio-containment conditions
  • Total protein concentration was determined by a bicinchoninic acid (BCA) assay (BIO-RAD of Hercules, California, USA) as per the manufacturer's protocol. Equal concentrations of proteins were mixed with 4 X Laemli buffer containing dithiothreitol (DTT) and boiled for 5 minutes at 95 °C. Protein lysates were added to 15 % sulfate polyacrylamide (SDS) gels and resolved at 160 V for 55 minutes. Protein was then transferred to polyvinylidene fluoride (PVDF) membranes at a constant voltage of 90 V for 60 minutes in IX Towbin's transfer buffer.
  • BCA bicinchoninic acid
  • PVDF membranes were blocked overnight in 5 % (w/v) milk/PBS with Tween-20 or in 4 % bovine serum albumin (BSA)/PBS and stained with primary and secondary antibodies for Influenza nucleoprotein (NP) and GAPDH. Densitometry assays of resolved bands were normalised to GAPDH.
  • A549 cells were cultured onto 22 mm X 22 mm glass cover slips in 6-well plates prior to overnight pre-treatment with 3 ⁇ of compound FH535.
  • Cells were infected with influenza strain PR8 at an MOI of 10, infection media including 3 ⁇ of FH535 was added back to the cells and they were incubated at 35 °C (5% C0 2 ) until times of processing.
  • Cover slips were washed with PBS then fixed with 2 % formaldehyde (v/v) for 10 minutes at room temperature. Fixing solution was removed with PBS washes and the cells were permeabilised (0.5 % Triton X-100, 2 % BSA, PBS) at room temperature for 15 minutes.
  • IAV replication Most known in vitro studies of IAV replication are performed in either continuously cultured human lung A549 cells or in MDCK cells. It is known, however, that primary cells behave differently from continuously cultured transformed cells. The inventors observed that IAV induces a differential proteomic response in primary human bronchial airway epithelial (HBAE) cells compared to A549 cells. Most primary cells, including HBAE, are slow growing and limited in their passage capacity. Thus, alternative primary-like cell models were sought to test the general applicability of the Wnt ⁇ -Catenin signaling pathway inhibitors to inhibit IAV.
  • HBAE primary human bronchial airway epithelial
  • ATCC ® offers numerous cell types, including continuously cultured, primary cells, and human telomerase-immortalized (hTERT) cells.
  • hTERT human telomerase-immortalized
  • FIG. 2A shows the cytopathic effect in HBEC cells in either mock (top row) or infected with PR8 (bottom row) over time.
  • FIG. 3A-3D show A549 cell 10 and HBEC cell 12 viability in the presence of the bioactive compounds, as determined by the WST-1 assay.
  • the assay was performed in 96 well plates and viability at each concentration was calculated as a percentage of the control (untreated cells). Error bars represent the standard error from the average of 5 technical replicates.
  • Cells were cultured in the presence of the bioactive compounds for 48 hours prior to addition of WST-1 reagent. All of the bioactive compounds were well tolerated in both A549 cells 10 and in HBEC cells 12.
  • the TD50 value for FH535 was calculated as 100 ⁇ in A549 cells 10 and 50 ⁇ in HBEC cells 12 (FIG. 3).
  • FIG. 4A through FIG. 4D show the titres of influenza strain PR8 from infected A549 cells 10 and HBEC cells 12 treated with bioactive compounds at the various micro-molar concentrations shown. Cells were treated with each bioactive compound for 16 hours and infected with virus for 39 - 42 hours. Supernatants were harvested and titrated onto MDCK cells to determine the virus titre. Error bars represent the standard error determined from the averages of three independent experiments.
  • FIG. 5 shows FH535 tested on seasonal influenza strains at 3 ⁇ concentration. Inhibition of PR8 was used as a positive control. Similar reduction in titres can be observed with the other influenza strains in both cell types as is seen with PR8. Inhibition was also tested in MDCK indicator cells 14 (FIG. 5A). Error bars are determined as the standard error from 3 independent experiments.
  • FIG. 5B shows FH535 inhibits pathogenic avian strains of influenza and potency of inhibition is cell type dependent.
  • HBEC cells 12 and A549 cells 10 were infected with H5N1 and H7N9 viruses alongside PR8 and New Caledonia strains (positive controls) at an MOI of 0.001.
  • Supernatants were harvested 42 hours post-infection and titrated on MDCK cells 14 to determine the tissue culture infectious dose (TCID50) titres.
  • Inhibition determined by plaque assays after treatment, ranged from ⁇ 95 - 99.9% for each of the tested H1N1 and H3N2 IAV strains in all cell types.
  • Inhibition of pathogenic avian viruses by FH535 was assayed in both A549 cells 10 and HBEC cells by TCID50 assay in MDCK cells 14 (FIG. 5B).
  • the degree of inhibition of the pathogenic avian strains of influenza was cell specific. There was a significant reduction in the titre of H5N1 in A549 cells 10 but not to the same extent as both H5N1 and H7N9 in HBEC cells 12 (FIG. 5B).
  • Example 12 A549 cells were treated with the bioactive compound FH535 at 3 ⁇ and infected with PR8 at an MOI of 10 to observe protein localization.
  • FIG. 6 A and FIG. 6B show the expression and localisation of the IAV protein NP.
  • A549 cells were seeded onto 22 mm glass cover slips and pre-treated for 16 hours with 3 ⁇ of FH535 and post-treated with the same concentration post-infection with PR8 at an M.O.I of 10. At the time points shown, the cells were stained with anti-NP (FIG. 6A and FIG. 6B) and anti-CRM 1 (FIG. 6B) primary and the appropriate secondary antibodies.
  • FIG. 6A (20X magnification) shows that infection of FH535 -treated cells was not as efficient as in the control cells.
  • FIG. 6B (40X magnification) shows that FH535 did not disrupt normal interaction with the nuclear export protein CRMl . Colocalization with CRMl can be seen at the early stages of infection. Cells were stained with antibodies targeting the virus NP as well as the nuclear export protein CRMl. At each time point measured, there was a clear difference in the number of infected cells in the FH535- treated cells compared to controls (FIG. 6A). Compound FH535 did not disrupt normal interactions between virus nucleoprotein (NP) and CRMl (FIG. 6B) demonstrating that nuclear export was not affected.
  • NP virus nucleoprotein
  • the Examples may demonstrate that the Wnt ⁇ -Catenin pathway regulates IAV replication in these in vitro assays.
  • the Examples also demonstrate a decrease in virus titres in IAV infected cells that were treated with the bioactive compound FH535, a known inhibitor of the Wnt ⁇ -Catenin signaling pathway.

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Abstract

The present disclosure relates to the use of a bioactive compound as an inhibitor of the Wnt/β-Catenin signalling pathway for inhibiting replication of Influenza A virus. The present disclosure also relates to a medicament for inhibiting replication of the Influenza A virus, the medicament comprising: bioactive compound that inhibits the Wnt/β- Catenin signalling pathway and one or more pharmaceutically acceptable excipients. The present disclosure also relates to a method of treating an Influenza A viral infection comprising, administering a bioactive compound that inhibits the Wnt/β-Catenin signalling pathway with one or more pharmaceutically acceptable excipients to a patient that has been diagnosed with an Influenza A viral infection.

Description

COMPOSITIONS AND METHODS FOR TREATMENT OF INFLUENZA
TECHNICAL FIELD
The present invention relates to the field of treating viral infections. In particular, the present invention relates to bioactive compounds that inhibit replication of seasonal and pathogenic avian strains of the Influenza A virus by inhibiting one or more parts of the Wnt^-Catenin signalling pathway.
BACKGROUND
Influenza A virus (IAV) is one of the most formidable human pathogens. Worldwide, the annual death toll from IAV infections is close to 0.5 million. The United States of America annually sees roughly 140,000 hospitalisations with around 20,000 deaths from IAV infection. A broad host range and remarkable genetic plasticity mean that the typical means of effective treatment is vaccination. However, the current strategy for vaccinations is largely based on predicting what subtypes will be circulating in the coming flu season. Unfortunately, the success rate of the vaccine can be very low. At least 18 hemagglutinin and 11 neuraminidase genes have been identified allowing a large number of combinations of these genes to produce new subtypes. Current antiviral drugs used to treat IAV are the neuraminidase inhibitors, oseltamivir and zanamivir, and the adamantine class of drugs, amantadine and rimantidine. These conventional drugs can be effective. However, due to the emergence of resistance mutants, particularly among pathogenic avian strains, a rational design of new classes of antiviral compounds remains an ongoing effort. Furthermore, with the ease with which viral reassortment can lead to pathogenic human strains and there being a broad host range means that another IAV pandemic remains a likely threat. If antiviral compounds continue to target viral proteins, then new strategies will always need to be developed to keep up with the evolution of the virus and the emergence of new subtypes.
Antiviral drugs that target host genes and pathways that are vital for virus replication may be more effective in combating IAV infections in the long term. Gene silencing and interaction proteomics provide platforms for discovery of cellular pathways that can be targeted.
Identifying potential host factors for targeted inhibition has relied heavily on large data sets that are generated by gene silencing studies and quantitative proteomics. Several publications have already presented attractive targets for inhibition and some of these targets have been characterized. However, there is still the need for continued efforts to find better therapeutics, be they vaccines or small molecule inhibitors..
Complementary to targeting individual host genes, is the specific targeting of host pathways. A number of intracellular pathways vital for IAV replication have been identified and are increasingly becoming targets for antiviral therapy. Some of these pathways include the Raf/MEK/ERK signal cascades. An example of one inhibitor with potential is the multi-kinase inhibitor ON108110, which demonstrated not only reduced IAV replication but inhibited replication of vesicular stomatitis virus (VSV) and Newcastle disease virus (NDV) with the reduction of IAV replication being greater than 90 %.
SUMMARY
Embodiments of the present disclosure relate to bioactive compounds that may provide anti-viral properties by selective targeting and / or regulation of the Wnt/β- Catenin signalling pathway. One of the known aspects of the Wnt^-Catenin signally pathways regulates cytosolic levels of the β-Catenin protein. β-Catenin is a coactivator of a number of genes when it forms a complex with T-cell factor/lymphoid enhancer factor (TCF/LEF) transcriptional activators in the nucleus. β-Catenin acts as a downstream mediator of Wnt signaling. An important feature of the Wnt signalling pathway is the controlled degradation of cytosolic β-Catenin by a destruction complex. The destruction complex comprises axin, adenomatosis polyposis coli (APC), glycogen synthase kinase 3-beta (GSK^) and casein kinase la (CKl ) In the absence of a Wnt signal, the destruction complex assembles, the cytosolic β-Catenin is then constitutively phosphorylated and targeted to the proteasome. When the Wnt signal is switched on, the destruction complex dissociates and cytosolic β-Catenin will accumulate. Accumulated cytosolic β-Catenin may translocate to the nucleus, bind to TCF/LEF transcription factors and activate the expression of a number of Wnt responsive genes including ones that act as negative regulators of the pathway.
FIG. 1 provides a schematic representation of aspects of the Wnt^-Catenin signaling pathway by depicting the assembled destruction complex which targets cytosolic β-Catenin for degradation via the proteasome. A Wnt signal triggers the dissociation of the destruction complex which allows cytosolic β-Catenin to accumulate and translocate to the nucleus. As the downstream effector molecule of Wnt, nuclear β- Catenin complexes with TCF/LEF and together co-transcriptionally activate Wnt responsive genes.
Inappropriate activation of the Wnt pathway has been identified in multiple types of cancers including, but not limited to: colo-rectal carcinoma, breast carcinoma and hepatocellular carcinoma. As aberrations in this pathway are common to a variety of cancers, key stages in the pathway have been investigated as candidate targets for small molecule inhibition.
Several commercially available compounds have been developed as small molecule inhibitors and their cellular targets have been identified. FIG. 1 also shows the cellular targets of each of various bioactive compounds. To initiate a signal, PORCN adds a palmitoyl group to Wnt. Compounds IWP2 and IWP12 block this modification. The rate-limiting factor in the stability of the destruction complex is axin which is stabilised by Tankyrase. The bioactive compound XAV939 targets Tankyrase. Nuclear β-Catenin complexes with TCF and the bioactive compound FH535 targets TCF. Table 1 below provides some example small molecule inhibitor compounds that are bioactive and their cellular targets.
Table 1. Small molecule inhibitor compounds and their cellular targets. Compound name Cellular target
FH535 TCF/LEF
XAV939 Tankyrase 1
IWP2 Porcupine (PORCN)
IWR1 Tankyrase
IWP12 Porcupine (PORCN)
Embodiments of the present disclosure relate to the use of a bioactive compound that inhibits or downregulates one or more aspects of the Wnt^-Catenin signalling pathway for inhibiting replication of IAV. Embodiments of the present disclosure relate to a medicament for inhibiting replication of IAV, the medicament comprising a bioactive compound that inhibits or downregulates one or more aspects of the the Wnt^-Catenin signalling pathway and one or more pharmaceutically acceptable excipients.
Embodiments of the present disclosure relate to a method of treating an IAV infection. The method comprises a step of administering a bioactive compound that inhibits or downregulates one or more aspects of the Wnt^-Catenin signalling pathway with one or more pharmaceutically acceptable excipients to a patient that has been diagnosed with IAV infection.
Embodiments of the present disclosure relate to a bioactive compound that inhibits or downregulates one or more aspects of the Wnt^-Catenin signalling pathway for use as an inhibitor, either prophylactic or responsive, of seasonal and pathogenic avian IAV strains.
The present disclosure may provide a connection between inhibition of the Wnt^-Catenin signalling pathway and IAV replication. It was observed that in addition to seasonal IAV inhibition, the bioactive compound FH535 inhibited avian strain H5N1 by 90 % in A549 cells and both H5N1 and H7N9 strains by 99 % and 90 % respectively in human bronchial epithelial cells (HBEC). It was also observed that the bioactive compound FH535 acts early on and with a biological effect that is prolonged throughout the Wnt^-Catenin signalling pathway.
BRIEF DESCRIPTION OF THE DRAWINGS
These and other features of the invention will become more apparent in the following detailed description in which reference is made to the appended drawings:
FIG. 1 is a schematic representation of an example of the Wnt^-Catenin signaling pathway; FIG. 2 shows examples of experimental data that relate to embodiments of present disclosure;
FIG. 2A shows an example of cyptopathic effect of the IAV strain PR8 on examples of human bronchial epithelial cells (HBEC); FIG. 2B shows an example of immunblot- assay time course results of influenza NS-1 protein production in example A549 cells and example HBEC cells that were infected with IAV strain PR8 at a multiplicity of infection (MOI) of 5; and FIG. 2C shows a growth curve of the IAV strain PR9 in HBEC cells infected at a MOI of 0.01, the plaque assay results were performed in dog kidney epithelial cells (MDCK);
FIG. 3 shows an example of A549 cell and HBEC cell viability results as determined by the WST-1 viability assay, in the presence of various bioactive compounds: FIG. 3A shows cell viability during IWPI2 treatment; FIG. 3B shows cell viability during IWP2 treatment; FIG. 3C shows cell viability during XAV939 treatment; and FIG. 3D shows cell viability during FH535 treatment;
FIG. 4 shows examples of titer of influenza strain PR8 data from infected A549 cells and HBEC cells that were treated with bioactive compounds: FIG. 4A shows data from cells treated with IWP12; FIG. 4B shows data from cells treated with IWP2; FIG. 4C shows data from cells treated with XAV939; and FIG. 4D shows data from cells treated with FH535;
FIG. 5 shows examples of viral inhibition data from cells infected with seasonal IAV strains and treated with the bioactive compound FH535: FIG. 5A shows inhibition of Influenza A viral strains in cells treated with FH535 FIG. 5B shows inhibition of avian viral strains in cells treated with FH535;
FIG. 6 shows examples of expression and localization data of proteins from cells that were infected with virus: FIG. 6A shows examples of expression and localization results of the Influenza NP protein in cells; FIG. 6B shows examples of co-localization results of the influenza NP protein and the CRM1 protein; and
FIG. 7 shows examples of quantification results of the Influenza NP protein in A549 cells infected with IAV strain PR8 compared with PR8 infected A549 cells that were treated with the bioactive compound FH535: FIG. 7A shows an example of NP and GAPDH protein levels measured in control (C) and FH 535 treated (T) cells via Western blotting techniques; and FIG. 7B is a bar graph that shows the values of the NP expression in control and FH535 treated cells at 16 hours, 20 hours and 42 hours.
DETAILED DESCRIPTION
Embodiments of present disclosure relate to a use of a bioactive compound that regulates an aspect of the Wnt^-Catenin signaling pathway to inhibit viral replication. The bioactive compounds may be small molecule inhibitors or downregulator of the Wnt^-Catenin signaling pathway.
In some embodiments of the present disclosure, the following compounds may be bioactive compounds that act as small molecule inhibitors of one or more aspects of the Wnt^-Catenin signaling pathway: FH535 with a cellular target of TCF/LEF; XAV939 with a cellular target of Tankyrase 1 ; I WP2 with a cellular target of Porcupine (PORCN); IWR1 with a cellular target of Tankyrase; IWP12 with a cellular target of PORCN; IWP-2 with a cellular target of Porcupine; JW74 with cellular targets of Tankyrases 1, 2; JW55 with cellular targets of Tankyrases 1, 2; Okadaic acid with a cellular target of PP2A phosphate; Tautomycin with a cellular target of PP1 phosphatase; SB2390963 with a cellular target of p38 MAPK; SB203580 with a cellular target of p38 MAPK; 2-[4-4-fluoro-phynylpiperazin-l-yl]-6-methylpyrimidin-4(3H)-one with a cellular target of Tankyrases 1,2; PJ34 with cellular targets of Tankyrases 1, 2; Nicosamide with a cellular target of Dvl-2; Cambinol with a cellular target of SIRT1; Sulindac with a cellular target of the PDZ domain of Dishevelled; 3289-8625 with a cellular target of dishevelled; Scaffold A for a series of analogues with a cellular target of Dishevelled; Scaffold B for a series of analogues with a cellular target of Dishevelled; J01-017a with a cellular target of Dishevelled; NSC668036 with a cellular target of Dishevelled; Filipin with a cellular target of caveolin-mediated endocytosis; IC261 with cellular targets of CK1 ε and δ; PF670462 with cellular targets of CK1 ε and δ; Bosutinib with a cellular target of Src kinase; PHA665752 with a cellular target of c- Met; Imatinib with various tyrosine kinase cellular targets; ICG-001 with a cellular target of CREB binding protein (CBP); Ethacrynic acid derivatives with a cellular target of Lef- 1; PKF115-584 with a cellular target of β-Catenin; PNUI-74654 with a cellular target of β-Catenin; PKF 118-744 with a cellular target of β-Catenin; CGP049090 with a cellular target of β-Catenin; PKF 118-310 with a cellular target of β-Catenin; ZTM000990 with a cellular target of β-Catenin; BC21 with a cellular target of β-Catenin; GDC-04 with a cellular target of PI3K; and Rp-8-Br-cAMP with a cellular target of PKA. The structures of these compounds can be found in Voronkov and Krauss (2013) Wnt/beta-catenin Signalling and Small Molecule Inhibitors Current Pharmaceutical Design 19:634-664, the entire disclosure of which is incorporated herein by reference.
Some embodiments of the present disclosure relate to bioactive compounds that inhibit or downregulate the recruitment of β-Catenin to target genes of the TCF/LEF family of transcription factors. Some embodiments of the present disclosure relate to bioactive compounds that inhibit or downregulate the TCF/LEF family or transcription factors or receptors therefor. By way of example, FH535 is a bioactive compound that inhibits or downregulates the receptors for the TCF/LEF family of transcription factors.
Embodiments of the present disclosure relate to a medicament for inhibiting replication of IAV, the medicament comprising a bioactive compound that inhibits or downregulates one or more aspects of the the Wnt^-Catenin signalling pathway and one or more pharmaceutically acceptable excipients.
Embodiments of the present disclosure relate to a method of treating an IAV infection. The method comprises a step of administering a bioactive compound that inhibits or downregulates one or more aspects of the Wnt^-Catenin signalling pathway with one or more pharmaceutically acceptable excipients to a subject that has been diagnosed with IAV infection or a predisposition for IAV infection. In some embodiments of the present disclosure, the method of treating the IAV infection may be a prophylactic administration in the absence of any IAV infection indications, to prevent the occurrence of and/or the spreading of an infection within a subject or between subjects, when at least one subject has a predisposition to developing an IAV infection. A subject may develop a predisposition to developing an IAV infection by exposure to a known source of IAV, for example a known source may be another subject that has been diagnosed with an IAV infection. In other embodiments of the present disclosure, the method of treating the IAV infection may be reactive in a subject that demonstrates IAV infection indications. The reactive method of treatment is for preventing the severity of the IAV infection, reduce the time the infected subject is afflicted by the IAV infection and to reduce spreading of the IAV infection to other subjects. The method of treating an IAV infection comprises administration of the bioactive compound by at least one of: oral administration; injection, including intravenous, intramuscular, sub-cutaneous or intrathecal injection routes; sublingual placement; buccal placement; rectal insertion; vaginal insertion; ocular placement; otic placement; topical application, including cutaneous application, nasal spray, oral spray, oral inhalation, oral or nasal inhalation of a nebulized form of the bioactive compound; transdermal application or combinations thereof.
Definitions Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs.
As used herein, the term "about" refers to an approximately +/-10% variation from a given value. It is to be understood that such a variation is always included in any given value provided herein, whether or not it is specifically referred to.
As used herein, the term "bioactive compound" refers generally to compounds and pharmaceutically acceptable salts and derivatives thereof that can inhibit or downregulate the biological activity of one or more aspects of the Wnt^-Catenin signaling pathway.
As used herein, the term "excipient" herein means any substance, not itself a therapeutic agent, which may be used in a composition for delivery of at least one of the bioactive compounds described herein and the like to a subject to improve its handling or storage properties or to permit or facilitate formation of a dose unit of the composition (e.g., formation of a topical hydrogel which may then be optionally incorporated into a transdermal patch). Excipients include, by way of illustration and not limitation, binders, disintegrants, taste enhancers, solvents, thickening or gelling agents (and any neutralizing agents, if necessary), penetration enhancers, solubilizing agents, wetting agents, antioxidants, lubricants, emollients, substances added to mask or counteract a disagreeable odor, fragrances or taste, substances added to improve appearance or texture of the composition and substances used to form a pharmaceutical composition. Any such excipients can be used in any dosage forms according to the present disclosure. The foregoing classes of excipients are not meant to be exhaustive but merely illustrative as a person of ordinary skill in the art would recognize that additional types and combinations of excipients could be used to achieve the desired goals for delivery of at least one of the bioactive compounds described herein and the like.
As used herein, the term "effective amount" refers to an amount effective, at dosages and for periods of time necessary to achieve the desired results (e.g. prophylaxis of microbial infections). Effective amounts of a molecule may vary according to factors such as the disease state, age, sex, weight of the subject. Dosage regimes may be adjusted to provide the optimum therapeutic response. For example, several divided doses may be administered daily or the dose may be proportionally reduced as indicated by the exigencies of the therapeutic situation. As used herein, the term "IAV" refers to the Influenza A virus.
As used herein, "inhibit", "inhibiting", and "inhibition" refers to a decrease in an activity, response, condition, disease, or other biological parameter. This can include but is not limited to the complete ablation of the activity, response, condition, or disease. This may also include, for example, a 10% reduction in the activity, response, condition, or disease as compared to the native or control level. Thus, the reduction can be a 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%; 100%, or any amount of reduction in between the specifically recited percentages, as compared to native or control levels.
As used herein, the terms "multiplicity of infection" and "MOI" refer to a ratio of a viral load to target cells. As used herein, the term "nebulized form" refers to a misted form or alternatively, in an aerosol form.
As used herein the phrase "one or more aspects of the Wnt^-Catenin signaling pathway" refers to any sequence of nucleic acids or amino acids or any other biomolecule that participates in the Wnt^-Catenin signaling pathway. The one or more aspects of the Wnt^-Catenin signaling pathway can be cellular targets of one or more bioactive compounds of the present disclosure.
As used herein, "pharmaceutical composition" includes any composition for administration of at least one of the bioactive compounds disclosed herein to a subject in need of treatment for exposure to one or more strains of the Influenza A virus. Pharmaceutical compositions may include various excipients, carriers, thickeners, diluents, buffers, preservatives, surface active agents and the like in addition to at least one of the bioactive compounds disclosed herein. Pharmaceutical compositions may also additionally include one or more further active ingredients such as antimicrobial agents, anti-inflammatory agents, anaesthetics, analgesics, and the like.
As used herein, the term "prophylactic administration" refers to the administration of any composition to a subject, in the absence of any infection indications, to prevent the occurrence of and/or the spreading of an infection within the subject's body.
As used herein, the term "subject" means any target of administration. The subject can be a vertebrate, for example, a mammal. Thus, the subject can be a human. The term does not denote a particular age or sex. Thus, adult, juvenile, and newborn subj ects, whether male or female, are intended to be covered. A patient refers to a subj ect afflicted with a disease or disorder. The term "patient" includes human and veterinary subjects.
As used herein, the term "therapeutically effective" refers to an amount of a treatment or composition that is used of sufficient quantity to ameliorate one or more causes or symptoms of a disease or disorder. Such amelioration only requires a reduction or alteration, not necessarily elimination. The "therapeutically effective amount" will vary depending on the compound, the disease and its severity and the age, weight, etc., of the subject to be treated.
As used herein, the terms "treatment", "treating", and the like, refer to obtaining a desired pharmacologic and/or physiologic effect. The effect may be prophylactic in terms of completely or partially preventing a disease or symptom thereof and/or may be therapeutic in terms of a partial or complete cure for a disease and/or adverse effect attributable to the disease. "Treatment", as used herein, covers any treatment of a disease in a mammal, particularly in a human, and includes: (a) preventing the disease from occurring in a subject which may be predisposed to the disease but has not yet been diagnosed as having it; (b) inhibiting the disease, i.e., arresting its development; and (c) relieving the disease, i.e., causing regression of the disease. Embodiments of the present disclosure will now be described with reference to FIG. 1 through FIG. 7, which show representations of embodiments according to the present disclosure.
The present disclosure relates to use of a bioactive compounds that regulate the Wnt^-Catenin signaling pathway and inhibit viral replication.
One embodiment relates to the use of a bioactive compound FH535 for inhibiting IAV replication. The bioactive compounds FH535 can also be referred to as 2,5- dichloro-N-(2-methyl-4-nitrophenyl)benzenesulfonamide with a formula of C13H10CI2N2O4S. FH5353 may inhibits the Wnt signalling pathway by blocking activation of the TCF transcription factor, which reduces replication of seasonal IAV strains and pathogenic avian IAV strains.
Another embodiment of the present disclosure relates to a medicament for inhibiting replication of IAV, the medicament comprises a bioactive compound that inhibits the Wnt^-Catenin signalling pathway and one or more pharmaceutically acceptable excipients.
Another exemplary embodiment of the present disclosure relates to a method of treating an IAV infection. The method comprises a step of administering a bioactive compound that inhibits the Wnt^-Catenin signalling pathway with one or more pharmaceutically acceptable excipients to a patient that has been diagnosed with Influenza A viral infection.
EXAMPLES
Example 1
For in vitro analysis, A549 cells and Madin-Darby canine kidney (MDCK) epithelial cells were maintained at 37° C (5 % CO2) in 1 X Dulbecco's modified Eagle medium (DMEM) supplemented with L-Glutamine, sodium pyruvate, non-essential amino acids, 10 % fetal bovine serum (FBS) (A549) and 5 % FBS (MDCK). Human bronchial epithelial cells HBEC-3KT (ATCC® catalogue # CRL-4051, "HBEC"; ATCC is a registered trademark of the Americal Type Culture Collection, Manassas, VI) were maintained at 37° C (5 % C02) in Airway Epithelial Cell Basal Medium (ATCC® PCS- 300-030) supplemented with Bronchial Epithelial Growth kit (ATCC® PCS-300-040). The following stocks of influenza strains were assessed: A/Puerto Rico/8/34 (HlNl ; PR8), A/New York/55/2004 (H3N2; NY55), A/New Caledonia/20/1999/ (HlNl ; NC) A/Indonesian/5/2005 (H5N1), A/Anhui/1/2013 (H7N9) and A/Brisbane/59/2007 (HlNl; B59). These stocks were grown in MDCK cells infected at a multiplicity of infection (MOI) of 0.01 for about 42 hours. Supematants from all but H5N1 and H7N9 were collected, clarified at 1000 rpm for 10 minutes then concentrated at 60,000 X g for 120 minutes. Concentrated stocks were stored in 5 % glycerol at -80° C. Example 2
Mouse monoclonal antibodies to the IAV proteins NP and NS1 were made based upon the protocol disclosed in Rahim, M. N. et al., (2013, Generation and characterization of a new panel of broadly reactive anti-NSl mAbs for detection of influenza A virus. J Gen Virol, v. 94, n. Pt 3, p. 593-605, ISSN 0022-1317) the entire disclosure of which is incorporated herein by reference. Rabbit polyclonal anti-CRMl (H-300: sc-5595) was obtained from SANTA CRUZ BIOTECHNOLOGY® (SANTA CRUZ BIOTECHNOLOGY is a registered trademark of Santa Cruz Biotechnology Inc. of 2145 Delaware Avenue, Santa Cruz, CA, USA). Secondary horse radish peroxidase (HRP) conjugated donkey anti-rabbit (SA1-200) and goat anti-mouse (G21040) antibodies were obtained from Thermo Fisher Scientific, Canada for Western Blots. Cy5 conjugated goat anti -rabbit (A10524) and Alexa fluor-488 goat anti-mouse (A28175) secondary antibodies for immunofluorescence microscopy were obtained from Thermo Fisher Scientific, Canada.
Example 3
The bioactive compounds used in this study were purchased from SIGMA- ALDRICH® Co. (SIGMA- ALDRICH is a registered trademark of SIGMA- ALDRICH BIOTECHNOLOGY L P. of 3050 Spruce Street, St. Louis, MISSOURI 63103, USA) and purified to a high-performance liquid chromatography (HPLC) standard of > 98 %. The bioactive compounds were distributed in a powder form and dissolved in dimethyl sulfoxide (DMSO) to the following concentrations: XAV939 (16 mM), IWP12 (11.9 mM), IWP2 (10.71), IWR1 (12.2 mM) and FH535 (13.8 mM). Cell viability in the presence of all compounds was measured by the WST-1 protocol according to the instructions provided by the kit manufacturer Roche of Laval, Quebec, Canada.
Example 4
Seasonal strains NY55, NC, B59 and PR8 were grown in MDCK cells and concentrated to > 108 PFU/ml for experiments. Plaque titration assays were done on MDCK cells using avicel as the overlay according to the protocols disclosed in Matrosovich, M. et al. (2006, New low -viscosity overlay medium for viral plaque assays. Virol J, v. 3, p. 63, 2006. ISSN 1743-422x.).
Example 5
For virus inhibition studies with the bioactive compounds, cells were passaged to be > 90% confluent the following day; the compounds were added directly to the media of cultured cells. A549 and HBEC cells were pre-treated for 16 hr with various concentrations of each bioactive compound (IWP12, IWP2, IWR1, FH535). Following pre-treatment, media was removed and cells were washed with un-supplemented IX DMEM and infected with one strain of the virus at various MOIs (0.001, 0.01, 0.1, 1 and 10) for different experiments. The compounds were returned to the infection media (1 X DMEM supplemented with L-Glutamine, sodium pyruvate and non-essential amino acids) post-adsorption and infected cells were incubated at 35 °C for 42 hours. Infectious supernatants were collected and stored at -80 °C in 5 % glycerol (v/v) for plaque titration. Infection of pre- and post-treated A549 and HBEC cells with pathogenic avian influenza viruses was performed under strict bio-containment conditions (BSL 3) such as those found at the Zoonotics division, National Microbiology labs, Public Health Agency of Canada.
Example 6
For analysis by Western blot, supernatant from the virus inhibition assays was removed and infected cell monolayers were washed twice with IX phosphate-buffered saline (PBS). Cells were harvested in PBS into 1.5 ml tubes and pelleted at 14,000 x g for 10 seconds. The PBS was removed and the pellets were incubated on ice in lysis buffer (0.5 % NP-40/complete protease inhibitor cocktail) for 15 minutes. Cell pellets were centrifuged at 14,000 x g for 7 minutes and the clarified supernatants were removed to a new 1.5 ml tube and stored at -200 °C. Total protein concentration was determined by a bicinchoninic acid (BCA) assay (BIO-RAD of Hercules, California, USA) as per the manufacturer's protocol. Equal concentrations of proteins were mixed with 4 X Laemli buffer containing dithiothreitol (DTT) and boiled for 5 minutes at 95 °C. Protein lysates were added to 15 % sulfate polyacrylamide (SDS) gels and resolved at 160 V for 55 minutes. Protein was then transferred to polyvinylidene fluoride (PVDF) membranes at a constant voltage of 90 V for 60 minutes in IX Towbin's transfer buffer. PVDF membranes were blocked overnight in 5 % (w/v) milk/PBS with Tween-20 or in 4 % bovine serum albumin (BSA)/PBS and stained with primary and secondary antibodies for Influenza nucleoprotein (NP) and GAPDH. Densitometry assays of resolved bands were normalised to GAPDH.
Example 7
For immunofluorescence microscopy studies, A549 cells were cultured onto 22 mm X 22 mm glass cover slips in 6-well plates prior to overnight pre-treatment with 3 μΜ of compound FH535. Cells were infected with influenza strain PR8 at an MOI of 10, infection media including 3 μΜ of FH535 was added back to the cells and they were incubated at 35 °C (5% C02) until times of processing. Cover slips were washed with PBS then fixed with 2 % formaldehyde (v/v) for 10 minutes at room temperature. Fixing solution was removed with PBS washes and the cells were permeabilised (0.5 % Triton X-100, 2 % BSA, PBS) at room temperature for 15 minutes. After further washes with PBS, cells were blocked with 4 % BSA (w/v) for 30 minutes at room temperature. Immediately following blocking, cells were incubated with primary antibody in 4 % BSA for 45 minutes (mouse monoclonal anti NP; rabbit polyclonal anti CRMl) at room temperature. After further washes in PBS, cells were incubated with Alexa flour-488 conjugated secondary antibody (nucleoprotein - NP) and CY3 conjugated secondary antibody (CRMl) for 45 minutes at room temperature. During the final PBS wash, nuclei were stained with DAPI for 5 minutes and cover slips were mounted onto microscope slides using Immu-Mount™ (Fisher Scientific of Pittsburgh, Pennsylvania, USA) and stored at 4 °C. Time points examined were 12, 20, 30 and 42 hours post infection. Example 8
Most known in vitro studies of IAV replication are performed in either continuously cultured human lung A549 cells or in MDCK cells. It is known, however, that primary cells behave differently from continuously cultured transformed cells. The inventors observed that IAV induces a differential proteomic response in primary human bronchial airway epithelial (HBAE) cells compared to A549 cells. Most primary cells, including HBAE, are slow growing and limited in their passage capacity. Thus, alternative primary-like cell models were sought to test the general applicability of the Wnt^-Catenin signaling pathway inhibitors to inhibit IAV.
ATCC® offers numerous cell types, including continuously cultured, primary cells, and human telomerase-immortalized (hTERT) cells.
The inventors tested human bronchial epithelial cells (HBEC) and found they doubled approximately daily and could be maintained with no observable phenotypic differences up to passage number 20. The HBEC cells were tested and it was found that they supported IAV growth (as shown in FIG. 2). FIG. 2A shows the cytopathic effect in HBEC cells in either mock (top row) or infected with PR8 (bottom row) over time. FIG. 2B shows the immunoblot evaluation of IAV NS-1 protein production in A549 and HBEC cells infected at MOI = 5 and assayed at indicated times. FIG. 2C depicts a growth curve of PR8 production in HBEC cells after MOI=0.01 infection; plaque assay performed in MDCK cells. IAV -induced cytopathic effect manifested by 48 hours post-infection (hpi) (FIG. 2A), expression of the viral non-structural protein NS-1 was apparent by 6 hpi (FIG. 2B), which validates successful progeny viral protein production, and infectious progeny virions were produced (FIG. 2C). The inventors concluded that HBEC cells can support IAV replication. Thus, the inventors used both the hTERT and transformed A549 cells in further work.
Example 9
The viability of A549 cells 10 and HBEC cells 12 in the presence of the four bioactive compounds (IWP12, IWP2, XAV939, FH535) was determined by WST-1 assay. FIG. 3A-3D show A549 cell 10 and HBEC cell 12 viability in the presence of the bioactive compounds, as determined by the WST-1 assay. The assay was performed in 96 well plates and viability at each concentration was calculated as a percentage of the control (untreated cells). Error bars represent the standard error from the average of 5 technical replicates. Cells were cultured in the presence of the bioactive compounds for 48 hours prior to addition of WST-1 reagent. All of the bioactive compounds were well tolerated in both A549 cells 10 and in HBEC cells 12. The TD50 value for FH535 was calculated as 100 μΜ in A549 cells 10 and 50 μΜ in HBEC cells 12 (FIG. 3).
Example 10
For the IAV inhibition studies, A549 cells 10 and HBEC cells 12 were treated with increasing concentrations of the bioactive compounds that target different stages in the Wnt signalling pathway. Virus inhibition by the bioactive compounds was determined by plaque titration on MDCK cells. FIG. 4A through FIG. 4D show the titres of influenza strain PR8 from infected A549 cells 10 and HBEC cells 12 treated with bioactive compounds at the various micro-molar concentrations shown. Cells were treated with each bioactive compound for 16 hours and infected with virus for 39 - 42 hours. Supernatants were harvested and titrated onto MDCK cells to determine the virus titre. Error bars represent the standard error determined from the averages of three independent experiments. Initial inhibition studies were carried out using PR8 to determine which compound and what dose demonstrated inhibition of viral replication. Compounds XAV939, IWP2 and IWP12 demonstrated no observed effect on viral replication even at the highest concentrations tested (FIG. 4). Compound FH535 reduced virus titre by 3 logio in both cell lines between 3 μΜ and 5 μΜ and below the limit of detection above 5 μΜ. The FH535 viral inhibitory ED50 was calculated as 0.01 μΜ in A549 cells and as 0.2 μΜ in HBEC, giving therapeutic indices of about 10,000 in A549 cells 10 and 250 in HBEC cells 12. Thus, a concentration of 3 μΜ FH535, which inhibited all tested strains > 90% in, was selected for further use in the following examples.
Example 11 FH535 effects upon additional seasonal IAV strains were tested in A549 cells 10,
HBEC cells 12 and MDCK cells 14. FIG. 5 shows FH535 tested on seasonal influenza strains at 3 μΜ concentration. Inhibition of PR8 was used as a positive control. Similar reduction in titres can be observed with the other influenza strains in both cell types as is seen with PR8. Inhibition was also tested in MDCK indicator cells 14 (FIG. 5A). Error bars are determined as the standard error from 3 independent experiments. FIG. 5B shows FH535 inhibits pathogenic avian strains of influenza and potency of inhibition is cell type dependent.
HBEC cells 12 and A549 cells 10 were infected with H5N1 and H7N9 viruses alongside PR8 and New Caledonia strains (positive controls) at an MOI of 0.001. Supernatants were harvested 42 hours post-infection and titrated on MDCK cells 14 to determine the tissue culture infectious dose (TCID50) titres. Inhibition, determined by plaque assays after treatment, ranged from ~ 95 - 99.9% for each of the tested H1N1 and H3N2 IAV strains in all cell types. Inhibition of pathogenic avian viruses by FH535 was assayed in both A549 cells 10 and HBEC cells by TCID50 assay in MDCK cells 14 (FIG. 5B). The degree of inhibition of the pathogenic avian strains of influenza was cell specific. There was a significant reduction in the titre of H5N1 in A549 cells 10 but not to the same extent as both H5N1 and H7N9 in HBEC cells 12 (FIG. 5B).
Example 12 A549 cells were treated with the bioactive compound FH535 at 3 μΜ and infected with PR8 at an MOI of 10 to observe protein localization. FIG. 6 A and FIG. 6B show the expression and localisation of the IAV protein NP. A549 cells were seeded onto 22 mm glass cover slips and pre-treated for 16 hours with 3 μΜ of FH535 and post-treated with the same concentration post-infection with PR8 at an M.O.I of 10. At the time points shown, the cells were stained with anti-NP (FIG. 6A and FIG. 6B) and anti-CRM 1 (FIG. 6B) primary and the appropriate secondary antibodies.
FIG. 6A (20X magnification) shows that infection of FH535 -treated cells was not as efficient as in the control cells. FIG. 6B (40X magnification) shows that FH535 did not disrupt normal interaction with the nuclear export protein CRMl . Colocalization with CRMl can be seen at the early stages of infection. Cells were stained with antibodies targeting the virus NP as well as the nuclear export protein CRMl. At each time point measured, there was a clear difference in the number of infected cells in the FH535- treated cells compared to controls (FIG. 6A). Compound FH535 did not disrupt normal interactions between virus nucleoprotein (NP) and CRMl (FIG. 6B) demonstrating that nuclear export was not affected.
Example 13
Infected cells harvested at 16, 20 and 42 hours were used for Western blot analysis to confirm apparent down regulation of the IAV related protein NP. FIG. 7 shows A549 cells that were infected at an MOI of 10 with influenza A strain PR8 and cells were harvested at several time points. Protein extracts were analysed by Western blot for virus NP to verify microscopy results which showed a significant decrease in virus nucleoprotein (NP) in cells treated with 3 μΜ of FH535. C = control, T = treated. Samples were normalised to GAPDH. When compared to the control infections, FH535- treated cells had reduced NP protein up to the late stages of infection (FIG. 7) suggesting that inhibition may have occurred at an early stage and remains constant during the course of the infection.
Taken together, the Examples may demonstrate that the Wnt^-Catenin pathway regulates IAV replication in these in vitro assays. The Examples also demonstrate a decrease in virus titres in IAV infected cells that were treated with the bioactive compound FH535, a known inhibitor of the Wnt^-Catenin signaling pathway.
It is known that in vitro data is often used as a basis for further in vivo studies and applications and clinical applications in human subjects. In particular, in the field of Wnt^-Catenin signaling pathway, in vitro studies commonly form the basis of further in vivo and clinical applications. For example, Lui et al. (2016) FH535, A β-Catenin pathway inhibitor, represses pancreatic cancer xenograft growth and angiogenesis Oncotarget, Vo. 7, No. 30 showed that FH535 acts as a Wnt b-catenin pathway inhibitor to inhibit pancreatic cancer cell growth in vitro. Those authors also confirm that this bioactive compound may also work in a mouse xenograft model.

Claims

1. Use of a bioactive compound as an inhibitor or a downregulator of a Wnt/β- Catenin signalling pathway for inhibiting replication of Influenza A virus in a cell.
2. The use of claim 1, wherein the bioactive compound is selected from a group consisting of FH535; XAV939; IWP2; IWR1; IWP12; IWP-2; JW74; JW55; Okadaic acid; Tautomycin; SB2390963; SB203580; 2-[4-4-fluoro- phynylpiperazin-l-yl]-6-methylpyrimidin-4(3H)-one; PJ34; Nicosamide; Cambinol; Sulindac; 3289-8625; Scaffold A for a series of analogues; Scaffold B for a series of analogues; J01-017a; NSC668036; Filipin; IC261; PF670462; Bosutinib; PHA665752; Imatinib; ICG-001; Ethacrynic acid derivatives; PKF115-584; PNUI-74654; PKF118-744; CGP049090; PKF118-310; ZTM000990; BC21; GDC-04; and Rp-8-Br-cAMP.
3. The use of claim 2 wherein the bioactive compound is FH535.
4. The use of claim 1 wherein the bioactive compound inhibits or downregulates aspects of the Wnt^-Catenin signalling pathway selected from a group consisting of: TCF/LEF transcription factors; receptors for TCF/LEF transcription factors; Tankyrase 1; Porcupine (PORCN); Tankyrase 2; PP2A phosphate; PP1 phosphatase; p38 MAPK; Dvl-2; SIRT1; aPDZ domain of Dishevelled; caveolin- mediated endocytosis; CK1 £; CK1 δ; Src kinase; c-Met; CREB binding protein; Lef-1; β-Catenin; and PKA.
5. The use of claim 4 wherein the bioactive compound inhibits or downregulators the TCF/LEF transcription factors or alternatively, receptors for the TCF/LEF transcription factors.
6. A medicament for inhibiting replication of Influenza A virus, the medicament comprising:
(a) a bioactive compound that inhibits the Wnt^-Catenin signalling pathway; and
(b) one or more pharmaceutically acceptable excipients.
7. The medicament of claim 6 wherein the bioactive compound is selected from a group consisting of FH535; XAV939; IWP2; IWR1; IWP12; IWP-2; JW74; JW55; Okadaic acid; Tautomycin; SB2390963; SB203580; 2-[4-4-fluoro- phynylpiperazin-l-yl]-6-methylpyrimidin-4(3H)-one; PJ34; Nicosamide; Cambinol; Sulindac; 3289-8625; Scaffold A for a series of analogues; Scaffold B for a series of analogues; J01-017a; NSC668036; Filipin; IC261; PF670462; Bosutinib; PHA665752; Imatinib; ICG-001; Ethacrynic acid derivatives; PKF115-584; PNUI-74654; PKF118-744; CGP049090; PKF118-310; ZTM000990; BC21; GDC-04; and Rp-8-Br-cAMP.
8. The medicament of claim 7 wherein the bioactive compound is FH535.
9. The medicament of claim 6 wherein the bioactive compound inhibits or downregulates an aspect of the Wnt^-Catenin signalling pathway that is selected from a group consisting of: TCF/LEF transcription factors; receptors for TCF/LEF transcription factors; Tankyrase 1; Porcupine (PORCN); Tankyrase 2; PP2A phosphate; PPl phosphatase; p38 MAPK; Dvl-2; SIRTl; a PDZ domain of Dishevelled; caveolin-mediated endocytosis; CK1 £; CK1 δ; Src kinase; c-Met; CREB binding protein; Lef-1; β-Catenin; and PKA.
10. The medicament of claim 6 wherein the bioactive compound inhibits or downregulators the TCF/LEF transcription factors or receptors for the TCF/LEF transcription factors.
11. The medicament of any one of claims 6 to 10, wherein the one or more pharmaceutically acceptable excipients are useful for administering the medicament by a route selected from a group consisting of: oral administration; intravenous injection; intramuscular injection; sub-cutaneous injection; intrathecal injection; sublingual placement; buccal placement; rectal insertion; vaginal insertion; ocular placement; otic placement; topical cutaneous application; topical nasal application; topical oral application; oral inhalation; nasal inhalation; transdermal application or combinations thereof.
12. The medicament of any one of claims 6 to 10, wherein the medicament is nebulized.
13. A method of treating an Influenza A viral infection comprising;
administering to a subject in need thereof, a composition comprising a bioactive compound and one or more pharmaceutically acceptable excipients, wherein the bioactive compound inhibits the Wnt^-Catenin signalling pathway.
14. The method of claim 13 wherein the subj ect has a predisposition to IAV infection, and the step of administering is a prophylactic administration.
15. The method of claim 13 wherein the subject demonstrates IAV infection indications, and the step of administering is a reactive administration.
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