Patent Application
20140235571
Methods and compositions of the invention relate compositions and methods for treatment of pulmonary fibrosis.
Pulmonary fibrosis is the formation or development of excess fibrous connective tissue (fibrosis) in the lungs. Approximately 5 million people worldwide are affected by pulmonary fibrosis. Pulmonary fibrosis is a fatal disease in which the uncontrolled deposition of extracellular matrix leads to progressive loss of lung function.
Aspects of the invention relate to novel approaches to treat pulmonary fibrosis.
Aspects of the invention relate to compositions, methods of using and methods of manufacturing compositions capable of treating pulmonary fibrosis.
Other aspects of the invention relate to methods of treating a subject in need thereof. In some embodiments, the method comprises the step of obtaining a composition for parenteral administration, the composition comprising a compound in an acceptable pharmaceutical carrier and administering the composition to a subject in need thereof.
In some embodiments, the compound can be one of galacto-rhamnogalacturonate (GRG), galactoarabino-rhamnogalacturonate (GA-RG), galactomannan (GM), or a combination of any of the foregoing.
In some embodiments, the compound can be a polysaccharide chemically defined as galacto-rhamnogalacturaonate (GRG), a selectively depolymerized branched heteropolymer whose backbone is predominantly comprised of 1,4-linked galacturonic acid (GalA) moieties, with a lesser backbone composition of alternating 1,4-linked GalA and 1,2-linked rhamnose (Rha), which in-turn is linked to any number of side chains, including predominantly 1,4-b-D-galactose (Gal) and 1,5-a-L-arabinose (Ara) residues. Other side chain minor constituents may include xylose (Xyl), glucose (Glu), and fucose (Fuc) or combinations thereof.
In some embodiments, the GRG compound can be produced as described in U.S. Patent Application Publication No. 2008/0107622, now U.S. Pat. No. 8,236,780, which is incorporated expressly by reference for all purposes.
In some embodiments, the GRG compound can be produced as described in U.S. Pat. Nos. 8,128,966, 8,187,624, U.S. Patent Application Publication Nos 2012/0315309 and 2012/0309711 which are incorporated expressly by reference for all purposes.
In some embodiments, the compound can be a polysaccharide chemically defined as galactoarabino-rhamnogalacturonate (GA-RG), a selectively depolymerized, branched heteropolymer whose backbone is predominantly comprised of 1,4-linked galacturonic acid (GalA) moieties, with a lesser backbone composition of alternating 1,4-linked GalA and 1,2-linked rhamnose (Rha), which in-turn is linked to any number of side chains, including predominantly 1,4-b-D-galactose (Gal) and 1,5-a-L-arabinose (Ara) residues. Other side chain minor constituents may include xylose (Xyl), glucose (Glu), and fucose (Fuc) or combinations thereof.
In some embodiments, the GA-RG compound can be produced as described in International Patent Application PCT/US12/55311, and U.S. Patent Application Number US 2013-0261078, which is incorporated expressly by reference for all purposes. In some embodiments, the compound can be a galactomannan (GM) polysaccharide composition produced as described in U.S. Pat. No. 8,236,780 and U.S. Patent Application Publication No. US 2011/0077217 which are incorporated expressly by reference in their entireties for all purposes.
Some aspects of the invention relate to a method comprising obtaining a composition for parenteral or enteral administration comprising a galacto-rhamnogalacturonate in a pharmaceutical acceptable carrier, and administering to a subject in need thereof an effective dose of the composition that results in at least one of the following: at least 5% reduction of lung edema, at least 5% reduction of lung pathology severity scores associated with lung fibrosis, at least 5% reduction of lung tissue hydroxyproline accumulation, at least 5% reduction of expression of pro-inflammatory proteins, at least 5% reduction of expression of fibrogenic proteins. In some embodiments, the administration of the effective dose results in at least 5% improvement of pulmonary function tests including forced vital capacities or oxygen diffusion. In some embodiments, the subject in need has at least one of the following: a primary or secondary lung fibrotic disease.
In some embodiments, the effective dose of galacto-rhamnogalacturonate can be equivalent to an animal dose of about 120 mg/kg. In some embodiments, the effective dose of galacto-rhamnogalacturonate can be equivalent to an animal dose of 10 mg/kg to 180 mg/kg. In some embodiments, the effective dose can be given once, twice or three times weekly.
In some embodiments, the administration of the effective dose results in at least 5% reduction of expression of pro-inflammatory proteins. In some embodiments, the pro-inflammatory proteins can comprise TGF-beta, IL-6, IL-8, IL-13, IP-10, osteopontin, TNF-alpha, CXCL-9/10, VEGF or any combination of the foregoing.
In some embodiments, the administration of the effective dose results in at least 5% reduction of expression of fibrogenic proteins. In some embodiments, the fibrogenic proteins can comprise collagen, elastin or a combination thereof.
In some embodiments, the galacto-rhamnogalacturonate can comprise a 1,4-linked galacturonic acid (GalA) and methyl galacturonate (MeGalA) residues backbone linked to branched heteropolymers of alternating oligomers of α-1,2 linked rhamnose and α-1,4-linked GalA residues, the rhamnose residues carrying a primary branching of oligomers of 1,4-β-D-galactose residues.
In some embodiments, the galacto-rhamnogalacturonate can comprise a 1,4-linked galacturonic acid (GalA) residues backbone linked to branched heteropolymers of alternating oligomers of α-1,2 linked rhamnose and α-1,4-linked GalA residues, the rhamnose residues carrying a primary branching of oligomers of 1,4-β-D-galactose residues.
In some embodiments, the galacto-rhamnogalacturonate can further comprise xylose, glucose, fucose residues or combination thereof.
In some embodiments, the galacto-rhamnogalacturonate can be substantially free of 1,5-α-L-Ara residues.
In some embodiments, the galacto-rhamnogalacturonate is a galactoarabino-rhamnogalacturonate, comprising a 1,4-linked galacturonic acid (GalA) and methyl galacturonate (MeGalA) residues backbone linked to branched heteropolymers of alternating oligomers of α-1,2 linked rhamnose and α-1,4-linked GalA residues, the rhamnose residues carrying a primary branching of oligomers of 1,4-β-D-galactose residues, 1,5-α-L-arabinose residues, or combinations thereof.
In some embodiments, the 1,4-β-D-galactose and 1,5-α-L-arabinose residues are present in a 2:1 or a 3:1 ratio.
In some embodiments, the 1,4-β-D-galactose residues, the 1,5-α-L-arabinose residues or combination thereof can represent at least 10 molar percent of the total molar carbohydrates.
In some embodiments, the galacto-rhamnogalacturonate can have an average molecular weight ranging from 5 kDa to 55 kDa as determined by SEC-RI and/or the SEC-MALLS methods.
In some embodiments, the galacto-rhamnogalacturonate can have an average molecular weight ranging from 2 kDa to 80 kDa as determined by SEC-RI and/or the SEC-MALLS methods.
In some embodiments, the galacto-rhamnogalacturonate can an average molecular weight ranging from 20 kDa to 70 kDa as determined by SEC-RI and/or the SEC-MALLS methods.
In some aspects, the method comprises obtaining a composition for parenteral or enteral administration comprising a galactomannan polysaccharide in a pharmaceutical acceptable carrier, and administering to a subject in need thereof an effective dose of the composition that results in at least one of the following: at least 5% reduction of lung oedema, at least 5% reduction of lung pathology associated with lung fibrosis, at least at least 5% reduction of hydroxyproline accumulation, at least 5% reduction of expression of pro-inflammatory proteins, at least 5% reduction of expression of fibrogenic proteins, wherein the subject in need thereof has at least one of the following: a primary or secondary lung fibrotic disease. In some embodiments, the administration of the effective dose results in at least 5% improvement of pulmonary function tests including forced vital capacities or oxygen diffusion.
In some embodiments, the effective dose of the galactomannan polysaccharide is equivalent to an animal dose of about 60 mg/kg. In some embodiments, the effective dose of the galactomannan polysaccharide is equivalent to an animal dose of 30 mg/kg to 180 mg/kg. In some embodiments, the effective dose can be given once, twice or three times weekly.
In some embodiments, in the step of obtaining, the galactomannan polysaccharide has a mannose to galactose ratio ranging from 1:1 to 1:4.
In some embodiments, in the step of obtaining, the galactomannan polysaccharide has a mannose to galactose ratio of 1.7:1.
In some embodiments, in the step of obtaining, the galactomannan polysaccharide has a molecular weight of about 48,000 D.
In some embodiments, in the step of obtaining, the galactomannan polysaccharide has average molecular weight ranging from 4,000 D to 60,000 D.
In some embodiments, the administration of the effective dose results in at least 5% reduction of expression of pro-inflammatory proteins. In some embodiments, the pro-inflammatory proteins can comprise TGF-beta, IL-6, IL-8, IL-13, IP-10, osteopontin, TNF-alpha, CXCL-9/10, VEGF or any combination of the foregoing.
In some embodiments, the administration of the effective dose results in at least 5% reduction of expression of fibrogenic proteins. In some embodiments, the fibrogenic proteins can comprise collagen, elastin or a combination thereof.
The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawing(s) will be provided by the Office upon request and payment of the necessary fee.
The present invention will be further explained with reference to the attached drawings, wherein like structures are referred to by like numerals throughout the several views. The drawings shown are not necessarily to scale, with emphasis instead generally being placed upon illustrating the principles of the present invention.
Detailed embodiments of the present invention are disclosed herein; however, it is to be understood that the disclosed embodiments are merely illustrative of the invention that may be embodied in various forms. In addition, each of the examples given in connection with the various embodiments of the invention is intended to be illustrative, and not restrictive. Further, the figures are not necessarily to scale, some features may be exaggerated to show details of particular components. In addition, any measurements, specifications and the like shown in the figures are intended to be illustrative, and not restrictive. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a representative basis for teaching one skilled in the art to variously employ the present invention.
Citation of documents herein is not intended as an admission that any of the documents cited herein is pertinent prior art, or an admission that the cited documents are considered material to the patentability of the claims of the present application.
Unless otherwise specified, all percentages expressed herein are weight/weight.
Aspects of the invention relate to novel approaches to treat pulmonary fibrosis using a complex carbohydrate pharmaceutical product or other agents described herein. In some embodiments, the methods disclosed herein relate to the treatment of a subject having a primary or secondary lung fibrotic disease.
Galectins (also known as galaptins or S-lectin) are a family of lectins which bind beta-galactoside. Galectin as general name was proposed in 1994 for a family of animal lectins (Barondes, S. H., et al.: Galectins: a family of animal beta-galactoside-binding lectins. Cell 76, 597-598, 1994), The family is defined by having at least one characteristic carbohydrate recognition domain (CRD) with an affinity for beta-galactosides and sharing certain sequence elements. Within the same peptide chain, some galectins have a CRD with only a few additional amino acids, whereas others have two CRDs joined by a link peptide, and one (galectin-3) has one CRD joined to a different type of domain. The galectin carbohydrate recognition domain (CRD) is a beta-sandwich of about 135 amino acids. The two sheets are slightly bent with 6 strands forming the concave side and 5 strands forming the convex side. The concave side forms a groove in which carbohydrate is bound (Leffler H, Carlsson S, Hedlund M, Qian Y, Poirier F (2004). “Introduction to galectins”. Glycoconj. J. 19 (7-9): 433-40).
A wide variety of biological phenomena have been shown to be related to galectins, e.g., development, differentiation, morphogenesis, tumor metastasis, apoptosis, RNA splicing, etc. However, relatively little is known about the mechanism by which galectins exert these functions, particularly in terms of carbohydrate recognition.
Generally, the carbohydrate domain binds to galactose residues associated with glycoproteins. At least fifteen mammalian galectin proteins have been identified which have one or two carbohydrate domain in tandem.
Galectin proteins are found in the intracellular space where they have been assigned a number of functions and are secreted into the extracellular space. In the extracellular space, galectin proteins can have multiple functions including promoting interactions between glycoproteins that may lead to reduced function, or enhanced functions, or in the case of integral membrane glycoprotein receptors, modification of cellular signaling (Sato et al “Galectins as danger signals in host-pathogen and host-tumor interactions: new members of the growing group of “Alarmins.” In “Galectins,” (Klyosov, et al eds.), John Wiley and Sons, 115-145, 2008, Liu et al “Galectins in acute and chronic inflammation,” Ann. N. Y. Acad. Sci. 1253: 80-91, 2012). Galectin proteins in the extracellular space can additionally promote cell-cell and cell matrix interactions (Wang et al., “Nuclear and cytoplasmic localization of galectin-1 and galectin-3 and their roles in pre-mRNA splicing.” In “Galectins” (Klyosov et al eds.), John Wiley and Sons, 87-95, 2008).
Galectins have been shown to have domains which promote homodimerization. Thus, galectins are capable of acting as a “molecular glue” of sorts between glycoproteins. Galectins are found in multiple cellular compartments, including the nucleus and cytoplasm, and are secreted into the extracellular space where they interact with cell surface and extracellular matrix glycoproteins. The mechanism of molecular interactions can depend on the localization. While galectins can interact with glycoproteins in the extracellular space, the interactions of galectin with other proteins in the intracellular space generally occurs via protein domains. In the extracellular space the association of cell surface receptors may increase or decrease receptor signaling or the ability to interact with ligands. Galectin proteins are markedly increased in a number of animal and human disease states, including but not limited to diseases associated with inflammation, fibrosis, autoimmunity, and neoplasia. Galectins have been directly implicated in the disease pathogenesis, as described below. For example, diseases states that may be dependent on galectins include, but are not limited to, acute and chronic inflammation, allergic disorders, asthma, dermatitis, autoimmune disease, inflammatory and degenerative arthritis, immune-mediated neurological disease, fibrosis of multiple organs (including but not limited to liver, lung, kidney, pancreas, and heart), inflammatory bowel disease, atherosclerosis, heart failure, ocular inflammatory disease, a large variety of cancers.
In addition to disease states, galectins are important regulatory molecules in modulating the response of immune cells to vaccination, exogenous pathogens and cancer cells.
One of skill in the art will appreciate that compounds that can bind to galectins and/or alter galectin's affinity for glycoproteins, reduce hetero- or homo-typic interactions between galectins, or otherwise alter the function, synthesis, or metabolism of galectin proteins may have important therapeutic effects in galectin-dependent diseases.
Galectins show an affinity for galactose residues attached to other organic compounds, such as in lactose [(β-D-Galactosido)-D-glucose], N-acetyl-lactosamine, poly-N-acetyllactosamine, galactomannans, fragments of pectins, as well as other galactose containing compounds. It should be noted that galactose by itself does not bind to galectins, or binds so weakly that the binding can hardly be detected.
Pectin and modified pectin have been shown to bind to galectin proteins presumably on the basis of containing galactose residues that are presented in the context of a macromolecule, in this case a complex carbohydrate rather than a glycoprotein in the case of animal cells.
Galectin proteins have been shown to be markedly increased in inflammation, fibrotic disorders, and neoplasia (Ito et al. “Galectin-1 as a potent target for cancer therapy: role in the tumor microenvironment”, Cancer Metastasis Rev. PMID: 22706847 (2012), Nangia-Makker et al. Galectin-3 binding and metastasis,” Methods Mol Biol. 878: 251-266, 2012, Canesin et al. Galectin-3 expression is associated with bladder cancer progression and clinical outcome,” Tumour Biol. 31: 277-285, 2010, Wanninger et al. “Systemic and hepatic vein galectin-3 are increased in patients with alcoholic liver cirrhosis and negatively correlate with liver function,” Cytokine. 55: 435-40, 2011. Moreover, experiments have shown that galectins, particularly galectin-1 and galectin-3, are directly involved in the pathogenesis of these classes of disease (Toussaint et al., “Galectin-1, a gene preferentially expressed at the tumor margin, promotes glioblastoma cell invasion.”, Mol Cancer. 11:32, 2012, Liu et al 2012, Newlaczyl et al., “Galectin-3—a jack-of-all-trades in cancer,” Cancer Lett. 313: 123-128, 2011, Banh et al., “Tumor galectin-1 mediates tumor growth and metastasis through regulation of T-cell apoptosis,” Cancer Res. 71: 4423-31, 2011, Lefranc et al., “Galectin-1 mediated biochemical controls of melanoma and glioma aggressive behavior,” World J. Biol. Chem. 2: 193-201, 2011, Forsman et al., “Galectin 3 aggravates joint inflammation and destruction in antigen-induced arthritis,” Arthritis Reum. 63: 445-454, 2011, de Boer et al., “Galectin-3 in cardiac remodeling and heart failure,” Curr. Heart Fail. Rep. 7, 1-8, 2010, Ueland et al., “Galectin-3 in heart failure: high levels are associated with all-cause mortality,” Int J Cardiol. 150: 361-364, 2011, Ohshima et al., “Galectin 3 and its binding protein in rheumatoid arthritis,” Arthritis Rheum. 48: 2788-2795, 2003).
The term “effective dose” means the amount of the GRG, GA-RG, GM, compounds described herein when administered as a parental dose to an animal or human result in at least 5% decrease of a chosen molecular marker.
In some embodiments, the effective dose of galacto-rhamnogalacturonate can be equivalent to an animal dose of about 120 mg/kg. In some embodiments, the effective dose of galacto-rhamnogalacturonate can be equivalent to an animal dose of 10 mg/kg to 180 mg/kg. In some embodiments, the effective dose of the galactomannan polysaccharide is equivalent to an animal dose of about 60 mg/kg. In some embodiments, the effective dose of the galactomannan polysaccharide is equivalent to an animal dose of 30 mg/kg to 180 mg/kg. In some embodiments, the effective dose can be given once, twice or three times weekly.
The term “efficacy” means demonstrating an improvement of lung fibrosis of at least 10% using treatment with the GRG, GA-RG, or GM compounds described herein as compared to treatment with vehicle-treated subject.
Other aspects of the invention relate to methods of treating a subject in need thereof. In some embodiments, the method comprises the step of obtaining a composition for intravenous or subcutaneous administration comprising a compound in an acceptable pharmaceutical carrier.
In some embodiments, the compound is a polysaccharide chemically defined as galacto-rhamnogalacturonate (GRG), a selectively depolymerized, branched heteropolymer whose backbone is predominantly comprised of 1,4-linked galacturonic acid (GalA) moieties, with a lesser backbone composition of alternating 1,4-linked GalA and 1,2-linked rhamnose (Rha), which in-turn is linked to any number of side chains, including predominantly 1,4-b-D-galactose (Gal) and 1,5-a-L-arabinose (Ara) residues. Other side chain minor constituents may include xylose (Xyl), glucose (Glu), and fucose (Fuc) or combinations thereof.
In some embodiments, the GRG compound is produced as described in U.S. Pat. No. 8,236,780, which are incorporated expressly by reference for all purposes.
In some embodiments, the GRG compound can be produced as described in U.S. Pat. Nos. 8,128,966, 8,187,624, U.S. Patent Application Publication Nos 2012/0315309 and 2012/0309711 which are incorporated expressly by reference for all purposes.
In some embodiments, the compound is a polysaccharide chemically defined as galactoarabino-rhamnogalacturonate (GA-RG), a selectively depolymerized, branched heteropolymer whose backbone is predominantly comprised of 1,4-linked galacturonic acid (GalA) moieties, with a lesser backbone composition of alternating 1,4-linked GalA and 1,2-linked rhamnose (Rha), which in-turn is linked to any number of side chains, including predominantly 1,4-b-D-galactose (Gal) and 1,5-a-L-arabinose (Ara) residues. Other side chain minor constituents may include xylose (Xyl), glucose (Glu), and fucose (Fuc) or combinations thereof.
In some embodiments, the GA-RG compound is produced as described in International Patent Application PCT/US12/55311, which is incorporated expressly by reference for all purposes.
In some embodiments, the molar percent of the 1,4-b-D-Gal and 1,5-a-L-Ara residues in the GA-RG compound of the present invention is 21.5% with a molar ratio of 3:1 of 1,4-b-D-Gal to 1,5-a-L-Ara.
In some embodiments, the compound is a polysaccharide chemically defined as galactoarabino-rhamnogalacturonate (GA-RG), with a molecular weight range of 20,000 to 70,000 Daltons as determined by SEC-RI method.
In some embodiments, the compound is a galactomannan (GM) polysaccharide composition produced as described in U.S. Patent Application US20110077217, incorporated expressly by reference in its entirety for all purposes.
In some embodiments, the average molecular weight of the GM compound is approximately 4,000 and 60,000 Da, as determined by the SEC-MALLS method.
In some embodiments, the complex carbohydrate compounds described herein can target secreted and membrane-associated galectins, for example galectin-3.
In some embodiments, if an inducer of fibrosis, such bleomycin administered by intra-tracheal instillation, causes formation of the biochemical markers, but a concurrent administration of the inducer and a suitable complex carbohydrate compounds including but not limited to GM, GR, or GA-RG, does not lead to formation of the same marker, or leads to formation of the same marker but in a reduced amount, the polysaccharide prevents or slows down fibrosis.
Some aspects of the invention relate to a method of treating a patient at risk of pulmonary fibrosis. The method comprises administering to a patient a pharmaceutical composition comprising the carbohydrate compounds described herein in an amount sufficient to reduce the risk of developing pulmonary fibrosis. Other aspects of the invention relate to method of treating pulmonary fibrosis. The method comprises administering to a patient a pharmaceutical composition comprising the carbohydrate compounds described herein in an amount sufficient to reduce significantly one or more of the following: lung oedema, lung pathology associated with lung fibrosis, hydroxyproline accumulation, and expression of pro-inflammatory proteins, such as TGF-beta, IL-6, IL-8, IL-13, IP-10, osteopontin, TNF-alpha, CXCL-9/10, VEGF, and fibrogenic proteins, such as collagen and, elastin.
In some embodiments, the administration of the compound results in at least 5% reduction of lung oedema, at least 5% reduction of lung pathology associated with lung fibrosis, at least at least 5% reduction of hydroxyproline accumulation, at least 5% reduction of expression of pro-inflammatory proteins, at least 5% reduction of expression of fibrogenic proteins, wherein the subject in need thereof has at least one of the following: a primary or secondary lung fibrotic disease. In some embodiments, the administration of the effective dose results in at least 5% improvement of pulmonary function tests including forced vital capacities or oxygen diffusion.
Instillation of bleomycin in the trachea induces changes similar to diffuse pulmonary fibrosis and/or fibrosing alveolitis in humans. There is an increase in deposition and net synthesis of collagen in the lung with this model.
This mouse model of pulmonary fibrosis is used extensively in pre-clinical evaluation of drugs, as indicated in a review that reports on 240 individual studies (Int J of Biochem & Cell Biology 40 (2008) 362-382)
This model can be used to evaluate therapy started in the inflammatory phase of the belomycin insult (started <7 day after bleomycin) or after the inflammatory phase and during fibrogenesis (started >7 day after bleomycin). In this example, early therapy was evaluated.
The GM (GM-CT-01) and GA-RG (GR-MD-02) compounds were evaluated as preventative therapy in this mouse model.
GM-CT-01 is a galactomannan (GM) isolated from seeds of Cyamopsis tetragonoloba, or Guar gum, and subjected to a controlled partial chemical degradation. A backbone of the galactomannan is composed of (1→4)-linked β-D-mannopyranosyl units, to which single α-D-galactopyranosyl is attached by (1→6)-linkage. Chemical names of the galactomannan are 1,4-β-D-Galactomannan, or [(1→6)-α-D-galacto-(1→4)-β-D-mannan]. The average repeating unit of GM-CT-01 consists of seventeen β-D-Man residues and ten α-D-Gal residues (Man/Gal ratio is 1.7), and an average polymeric molecule contains approximately 12 of such repeating units (for the average molecular weight ranging from 42,000 Da through 60,000 Da).
GR-MD-02 is a galactoarabino-rhamnogalacturonate (GARG), a selectively depolymerized, branched heteropolymer whose backbone is predominantly comprised of 1,4-linked galacturonic acid (GalA) moieties, with a lesser backbone composition of alternating 1,4-linked GalA and 1,2-linked rhamnose (Rha), which in-turn is linked to any number of side chains, including predominantly 1,4-b-D-galactose (Gal) and 1,5-a-L-arabinose (Ara) residues. Other side chain minor constituents may include xylose (Xyl), glucose (Glu), and fucose (Fuc) or combinations thereof. The GR-MD-02 has an average molecular weight ranging from 20,000 Da to 70,000 Da.
Pulmonary fibrosis was induced in animals using intra-tracheal instillation of bleomycin at 2.25 U/kg. Animals were treated using a GM compound (GM-CT-01) or GA-RG compound (GR-MD-02) delivered by intravenous infusion as described in Table 1.
Animals were evaluated for their weight loss (
Animals were euthanized on Day 21 and the lungs were weighed. Data shown in
After euthanasia, the total lung hydroxyproline content was measured. Data shown in
The Modified Ashcroft Index score was determined for the vehicle-treated control mice and the GR-MD-02 and GM-CT-01 treated mice.
The general fibrosis score was determined.
Inflammation score was determined.
Lung pathology with trichrome stain of saline control, vehicle+bleomycin, GM-CT-01 and GR-MD-02 treated animals was examined. All tissue samples were examined and examples are shown in
Representative images with H & E are shown in
The foregoing results showed that treatment with GM (GM-CT-01) and GA-RG (GR-MD-02) caused a significant reduction in mean lung weight and lung hydroxyproline content compared to the vehicle-treated control group.
Histologic analysis indicated that GM-CT-01 and GR-MD-02 produced a significant reduction in the Modified Ashcroft Index Score compared to the vehicle group.
Although the rest of the histological findings were not statistically significant, there were clear, notable trends suggesting a positive treatment effect for both drugs.
The results with the GM compound (GM-CT-01) and the GA-RG compound (GR-MD-02) are superior to the results using pirfenadone which is a small molecule comprising a modified phenyl pyridine. The results with GR-MD-02 were found to be similar to treatment with anti-TGFbeta, and the results with GM-CT-01 were found to be superior to treatment with anti-TGFbeta in the experience of the laboratory.
In these experiments, treatment was initiated after the time when the inflammatory reaction is known to have subsided and the process is one of primarily fibrogenesis. Pulmonary fibrosis was induced in animals using bleomycin at 2.25 U/kg at day 0 as described above. Animals were treated using a GM compound intravenously (GM-CT-01) or GA-RG compound intravenously (GR-MD-02) as described in Table 2.
Animals were euthanized on Day 21 and the lungs were weighed. Data shown in
The total lung hydroxyproline content was measured. Data shown in
The Modified Ashcroft Index score was determined for the vehicle-treated control mice and the GR-MD-02 and GM-CT-0-treated mice.
Lung pathology with trichrome stain of saline control, vehicle+bleomycin, GM-CT-01 and GR-MD-02 treated animals was examined. All tissue samples were examined and examples are shown in
Representative images with H & E are shown in
Under the conditions of this study, both GM-CT-01 and GR-MD-02 treatment were effective at reducing pulmonary fibrosis in the bleomycin induced pulmonary fibrosis mouse model.
The results showed that GR-MD-02 exhibited the strongest anifibrotic effect under the conditions used. Animals in this group tended to have reduced percent of fibrotic lung, inflammation, semi quantitative general fibrosis score and fibrosis index score. While these changes were not statistically significant, they were noticeable and there were clear trends in the data supportive of a positive treatment effect.
The results showed that GM-CT-01 exhibited a more modest positive treatment effect. The percent of lung affected and semiquantitative fibrosis score were notably reduced but these findings were not statistically significant. There was less improvement in the index and inflammation scores. Regardless, there were clear trends in the data supportive of a positive treatment effect.
In the early treatment model, both GR-MD-02 and GM-CT-01 were shown to markedly reduce lung weight and hydroxyproline content, with reduction of histological evidence of inflammation and fibrosis when compared to vehicle-treated bleomycin mouse model.
Treatment: results showed that GR-MD-02 was more effective than GM-CT-01 in treating pulmonary fibrosis in the mouse model.
A mouse chronic model, such as intravenous bleomycin, can be used in future studies to evaluate the effect of different dosages and/or different schedules of administration.
While this invention has been particularly shown and described with references to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the scope of the invention. All publications, patents and sequence database entries mentioned herein are hereby incorporated by reference in their entirety as if each individual publication or patent was specifically and individually indicated to be incorporated by reference.
This application claims the benefit of and priority to U.S. provisional Application Ser. No. 61/767,057, filed Feb. 20, 2013, the entire disclosure of which is incorporated by reference in its entirety.
| Number | Date | Country | |
|---|---|---|---|
| 61767057 | Feb 2013 | US |
