METHODS OF TREATING CARTILAGE DISORDERS THROUGH INHIBITION OF CLK AND DYRK

Abstract
Provided herein are methods of treating cartilage disorders in a subject using a dual CLK/DYRK inhibitor, or a pharmaceutically acceptable salt of solvate thereof, or a combination of a CLK inhibitor, or a pharmaceutically acceptable salt of solvate thereof, and DYRK inhibitor or, pharmaceutically acceptable salt or solvate thereof.
Description
BACKGROUND
Technical Field

This present disclosure relates to the fields of molecular biology, and more specifically, to methods of treating cartilage disorders using a dual CDC-like kinase (CLK)/Dual specificity tyrosine-phosphorylation-regulated kinase (DYRK) inhibitor or a combination of a CLK inhibitor and a DYRK inhibitor.


Background

Chondrogenesis is the process that results in the formation of the cartilage intermediate, or anlagen, and leads to endochondral ossification during skeletal development. Chondrogenesis is the earliest phase of skeletal development, involving mesenchymal cell recruitment and migration, condensation of progenitors, and chondrocyte differentiation, and maturation and resulting in the formation of cartilage and bone during endochondral ossification. This process is controlled exquisitely by cellular interactions with the surrounding matrix, growth and differentiation factors, and other environmental factors that initiate or suppress cellular signaling pathways and transcription of specific genes in a temporal-spatial manner [Annual Review of Cell and Developmental Biology (2000), 16, 191-220].


Cartilage is a tough, flexible and elastic connective tissue, which has numerous functions. It is mainly composed of an abundant collagen and proteoglycan-rich extracellular matrix (ECM) in which the primary cell type of cartilage, the chondrocyte, resides. This composition gives rise to a highly hydrated tissue, which allows effective completion of its primary functions; to disperse forces on the joints during movement and to act as a template for bone formation and longitudinal bone growth [Cell Biochemistry and Function (2012), 30(8), 633-642]. More specifically, articular cartilage functions to reduce friction and to withstand the mechanical stress placed upon the ends of the long bones during joint movement. For this reason, articular cartilage is structurally adapted to fit this need. Like in the growth plate, articular cartilage is organized in a strict hierarchy, the organization, and thus, the mechanical efficiency of which increases with maturity. Articular cartilage is hypocellular, avascular, aneural and alymphatic. Chondrocytes constitute less than 5% of articular cartilage with their vast ECM comprising the rest and as such, their viability is critical. The homeostatic equilibrium of ECM synthesis and degradation is also crucial in maintaining healthy and fully functioning articular cartilage.


Wnt signaling is an evolutionary conserved pathway which plays an important role in embryonic development, cell viability, and regeneration (Cell (2012), 149(6), 1192-1205; Cell (2006), 127(3), 469-80). Signaling is activated upon Wnt ligand binding to a Frizzled family cell receptor and is transmitted via canonical (β-catenin dependent) or non-canonical (β-catenin-independent) pathways (Cell (2006), 127(3), 469-80). Activation of canonical Wnt signaling releases β-catenin from the protein complex of GSK3-β, AXIN, and adenomatous polyposis coli (APC), and promotes the proteosomal degradation of the freed β-catenin (The EMBO Journal (2012), 31(12), 2670-84). Upon subsequent translocation into the nucleus, β-catenin interacts with TCF/LEF transcription factors to activate expression of target genes important not only in cell fate, but in cell proliferation and survival (Nature Reviews Genetics (2004), 5, 691-701). The Wnt signaling pathway plays a crucial role in the development and homeostasis of a variety of adult tissues and, as such, is emerging as an important therapeutic target for numerous diseases. Factors involved in the Wnt pathway are expressed throughout limb development and chondrogenesis and have been shown to be critical in joint homeostasis and endochondral ossification.


Several Wnt genes, including Wnt4, Wnt14, and Wnt16, were expressed in overlapping and complementary patterns in the developing synovial joints, where β-catenin protein levels and transcription activity were up-regulated. Removal of β-catenin early in mesenchymal progenitor cells promoted chondrocyte differentiation and blocked the activity of Wnt14 in joint formation. Ectopic expression of an activated form of β-catenin or Wnt14 in early differentiating chondrocytes induced ectopic joint formation both morphologically and molecularly. In contrast, genetic removal of β-catenin in chondrocytes led to joint fusion. These results demonstrate that the Wnt/β-catenin signaling pathway is necessary and sufficient to induce early steps of synovial joint formation. Wnt4, Wnt14, and Wnt16 may play redundant roles in synovial joint induction by signaling through the β-catenin-mediated canonical Wnt pathway [Genes & Development (2004), 18(19), 2404-2417. Wnt signaling appears critical for not only the formation of the joint but also its maintenance as indicated by the numerous transgenic mouse models which invariably display postnatal phenotypes. Any dysregulation in the integrity of the articular cartilage can lead to its degradation, as is commonly seen in osteoarthritis [Bone (2009), 44(4), 522-527].


The repair of joint surface defects remains a clinical challenge, as articular cartilage has a limited healing response. Despite this, articular cartilage does have the capacity to grow and remodel extensively during pre- and post-natal development. As such, the elucidation of developmental mechanisms, particularly those in post-natal animals, may shed valuable light on processes that could be harnessed to develop novel approaches for articular cartilage tissue engineering and/or regeneration to treat injuries or degeneration in adult joints. In addition, osteoarthritis affected chondrocytes are frequently reported to upregulate genes normally detected during embryonic limb formation [The Journal of rheumatology (2005), 32(5), 876-886].


SUMMARY

The present disclosure is based on the discovery that dual CLK/DYRK inhibitors can decrease the level of Wnt/β-catenin signaling activity in a mammalian cell and can modulate the process of chondrogenesis in a mammalian cell. In view of these discoveries, provided herein are methods of treating cartilage disorders in a subject, methods of selecting a treatment for a subject, methods of selecting a subject for treatment, and methods of selecting a subject for participation in a clinical trial, that can each include identifying a subject having a cartilage disorder (e.g., any of the types of cartilage disorders described herein) that has an elevated level of Wnt pathway activity as compared to a reference level.


The present disclosure provides methods of treating a disease in a subject in need thereof, the method comprising administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, the disease is selected from axial spondyloarthritis, costochondritis, degenerative disc disease, degenerative spondylolisthesis, elbow dysplasia, gout, juvenile idiopathic arthritis, osteoarthritis, osteochondritis dissecans, Panner disease, reactive arthritis, relapsing polychondritis, rheumatoid arthritis, sacroiliac joint dysfunction, septic arthritis, Still's disease, Tietze syndrome, psoriasis, reactive arthritis, Ehlers-Danlos syndrome, haemochromatosis, hepatitis, Lyme disease, Sjogren's disease, Hashimoto's thyroiditis, Celiac disease, non-celiac gluten sensitivity, inflammatory bowel disease, Henoch-Schonlein purpura, hyperimmunoglobulinemia D with recurrent fever, sarcoidosis, Whipple's disease, TNF receptor associated periodic syndrome, granulomatosis with polyangiitis, familial Mediterranean fever, and systemic lupus erythematosus.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof that include administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor or a pharmaceutically acceptable salt or solvate thereof and a second compound, wherein the second compound is a DYRKA1 inhibitor or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of inducing chondrogenesis in a subject in need thereof, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of inducing chondrocyte differentiation in a subject in need thereof, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of increasing chondrocyte function in a subject in need thereof, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of preventing cartilage breakdown in a subject in need thereof, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. For example, methods of decreasing and/or inhibiting cartilage breakdown in a subject in need thereof, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of preventing chondrocytic catabolic effects in a subject in need thereof, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. For example, methods of decreasing and/or inhibiting chondrocytic catabolic effects in a subject in need thereof, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject is identified by localized joint pain associated with at least one of inflammation and effusion; and (b) administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject is identified by at least one of NRS pain scale, WOMAC, and Kellgren-Lawrence; and (b) administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof, to a subject identified as having an elevated level of a biomarker associated with inflammation.


Also provided herein are methods of selecting a subject for treatment, the method comprising selecting a subject identified as having an elevated level of a biomarker associated with inflammation for treatment with a therapeutically effective amount of a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject, the method comprising administering a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof, to a subject identified as having an elevated level of a biomarker associated with inflammation.


Also provided herein are methods of selecting a subject for treatment, the method comprising: (a) performing a diagnostic test on the subject to confirm osteoarthritis; and (b) selecting the subject for treatment, wherein the treatment includes administration of a single compound, wherein the single compound is a dual DYRK1A CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of selecting a subject for treatment, the method comprising selecting a subject identified as having an elevated level of a biomarker associated with inflammation for treatment with a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A at an IC50 value of less than 100 nM and CLK2 and/or CLK3 at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of modifying the progression of osteoarthritis in a subject in need thereof, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject having an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a therapeutically effective amount of a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject, the method comprising administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof, to the subject, wherein the subject is identified as having an elevated level of Wnt pathway activity in a sample from the subject as compared to a reference level.


Also provided herein are methods of selecting a subject for treatment, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) selecting the subject for treatment, wherein the treatment includes administration of a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of selecting a subject for treatment, the method comprising selecting a subject identified as having an elevated level of Wnt pathway activity in a sample from a subject as compared to a reference level, for treatment with a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) detecting an elevated level of a biomarker associated with inflammation in a sample of the subject; and (b) administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject is identified when a sample of the subject has an elevated level of a biomarker associated with inflammation; and (b) administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of selecting a subject for treatment, the method comprising: (a) detecting an elevated level of a biomarker associated with inflammation in a sample of the subject; and (b) selecting the subject for treatment, wherein the treatment includes administration of a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A at an IC50 value of less than 100 nM and CLK2 and/or CLK3 at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A at an IC50 value of less than 100 nM and CLK2 and/or CLK3 at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject has an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of modifying the progression of osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject has an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject, the method comprising administering a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof, to a subject identified as having an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level.


Also provided herein are methods of selecting a subject for treatment, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) selecting the subject for treatment, wherein the treatment includes administration of a single compound, wherein the single compound inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of selecting a subject for treatment, the method comprising selecting a subject identified as having an elevated level of Wnt pathway activity in a sample from the subject as compared to a reference level, and treating the subject with a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of inducing chondrogenesis in a subject in need thereof, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and (b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof, wherein the subject exhibits chondrogenesis.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) detecting an elevated level of a biomarker associated with inflammation in a sample of the subject; and (b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of treating osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject is identified when a sample of the subject has an elevated level of a biomarker associated with inflammation; and (b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


Also provided herein are methods of selecting a subject for treatment, the method comprising: (a) detecting an elevated level of a biomarker associated with inflammation in a sample of the subject; and (b) selecting the subject for treatment, wherein the treatment includes administration of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of any one of Formulas (I)-(VIII) or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (I)




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or a pharmaceutically acceptable salt or solvate thereof, wherein:


R1 is selected from the group consisting of H, halide, and unsubstituted —(C1-3 alkyl);


R2 is selected from the group consisting of unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C1-9 haloalkyl), —(C1-2 alkylene)p(C3-6 carbocyclyl) optionally substituted with 1-12 R4, -monocyclic heterocyclyl optionally substituted with 1-10 R5, -phenyl optionally substituted with 1-5 R6, -heteroaryl optionally substituted with 1-4 R7, —CO2R8, —OR9, and —(C═O)R10; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


R3 is selected from the group consisting of -heterocyclyl optionally substituted with 1-10 R11, —(C1-4 alkylene)pphenyl optionally substituted with 1-5 R12, -heteroaryl optionally substituted with 1-4 R13, and —(C1-4 alkylene)OR14; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R4 is halide;


each R5 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl);


each R6 is independently selected from the group consisting of unsubstituted —(C1-9 alkyl), unsubstituted —(C1-9 haloalkyl), —OR15, and —(C1-4 alkylene)pN(R16)2; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R7 is independently selected from the group consisting of halide, unsubstituted —(C1-9 alkyl), unsubstituted —(C1-9 haloalkyl), —OR15, —CO2R17, —NR18(C═O)R19, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20, and —(C1-4 alkylene)pN(R16)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


R8 is unsubstituted —(C1-9 alkyl);


R9 is unsubstituted —(C1-9 alkyl);


R10 is -aryl optionally substituted with 1-5 R21;


each R11 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl);


each R12 is independently selected from the group consisting of —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20, -aryl optionally substituted with 1-5 R22, —(C1-4 alkylene)N(R16)2, and —OR23; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R13 is independently selected from the group consisting of halide, unsubstituted —(C1-9 alkyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pN(R16)2, —OR23, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20, -aryl optionally substituted with 1-5 R22, and -heteroaryl optionally substituted with 1-4 R24; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


R14 is selected from the group consisting of unsubstituted —(C1-4 alkyl) and -aryl optionally substituted with 1-5 R22;


each R15 is independently selected from the group consisting of unsubstituted —(C1-9 alkyl) and -heterocyclyl optionally substituted with 1-10 R20;


each R16 is independently selected from the group consisting of H and unsubstituted —(C1-9 alkyl);


each R17 is unsubstituted —(C1-9 alkyl);


each R18 is independently selected from the group consisting of H and unsubstituted —(C1-9 alkyl);


each R18 is unsubstituted —(C1-9 alkyl);


each R20 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl);


each R21 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl);


each R22 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl);


each R23 is independently selected from the group consisting of unsubstituted —(C1-9 alkyl), —(C1-4 alkylene)OR25, and —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R24 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl);


each R25 is independently selected from the group consisting of H and unsubstituted —(C1-9 alkyl);


L1 is selected from the group consisting of a bond, —CH═CH—, —CH≡CH—, —(CH2)pNR18(C═O)—, —(C═O)NR18(CH2)p—, —NR18(C═O)NR18—, —NH(CH2)p—, and —(CH2)pNH—;


L2 is selected from the group consisting of a bond, —(C═O)NR18-, —NR18(C═O)—, —NHCH2—, and —CH2NH—; and


each p is independently an integer of 0 or 1.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (II):




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or a pharmaceutically acceptable salt or solvate thereof, wherein:


R1 is selected from the group consisting of H and halide;


R2 is a 6-membered -heteroaryl optionally substituted with 1-4 R3;


each R3 is selected from the group consisting of —OR4, —NHR5, and —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R6; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R4 is independently selected from the group consisting of -heterocyclyl optionally substituted with 1-10 R7 and —CH2CH(R8)NH2;


each R5 is independently selected from the group consisting of —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R9 and -carbocyclyl optionally substituted with 1-12 R10; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R6 is independently selected from the group consisting of halide, —NH2, —OH, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R7 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R8 is independently selected from the group consisting of —(C1-4 alkylene)aryl optionally substituted with 1-5 R11 and —(C1-4 alkylene)heteroaryl optionally substituted with 1-4 R12; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R9 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R10 is independently selected from the group consisting of halide, —OH, —NH2, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R11 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R12 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl); and


each p is independently 0 or 1.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (III):




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or a pharmaceutically acceptable salt or solvate thereof, wherein:


R1 is selected from the group consisting of H, halide, and methyl;


R2 is a -heteroaryl optionally substituted with 1-4 R4;


R3 is selected from the group consisting of H, -aryl optionally substituted with 1-5 R5, -heteroaryl optionally substituted with 1-4 R6, —C1-6 alkyl optionally substituted with (i) phenyl optionally substituted with 1-5 R11 or (ii) —OR15, and -carbocyclyl optionally substituted with phenyl;


each R4 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pN(R7)(R8), —NHC(═O)R9, —(C1-4 alkylene)pOR10, unsubstituted -carbocyclyl, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R14, —(C1-4 alkylene)paryl optionally substituted with 1-5 R11, and —(C1-4 alkylene)pheteroaryl optionally substituted with 1-4 R12; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R5 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with 1-5 R13, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R14, —C(═O)N(R15)2, —NHC(═O)R16, —(C1-4 alkylene)pN(R17)(R18), —SO2R19, and —OR20; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R6 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with 1-5 R13, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R14, —C(═O)N(R15)2, —NHC(═O)R16, —(C1-4 alkylene)pN(R17)(R18), —SO2R19, and —OR20; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R7 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R8 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -heterocyclyl optionally substituted with 1-10 R21;


alternatively, R7 and R8 are taken together to form a -heterocyclyl ring optionally substituted with 1-10 R21;


each R9 is independently selected from the group consisting of —N(R22)2, -carbocyclyl optionally substituted with 1-12 R23, -heterocyclyl optionally substituted with 1-10 R21, and -aryl optionally substituted with 1-5 R24;


each R10 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), and -heterocyclyl optionally substituted with 1-10 R21;


each R11 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R12 is independently selected from the group consisting of halide, —(C1-4 alkylene)pOH, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl); wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R13 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R14 is independently selected from the group consisting of halide, —(C1-4 alkylene)pOH, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl); wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R15 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -carbocyclyl optionally substituted with 1-12 R23;


alternatively, two adjacent R15 are taken together to form a -heterocyclyl ring optionally substituted with 1-10 R21;


each R16 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -carbocyclyl optionally substituted with 1-12 R23;


each R17 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R18 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), —(C1-4 alkylene)NMe2, and -heterocyclyl ring optionally substituted with 1-10 R21; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R19 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


each R20 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —CH(CH2OH)2, —(C1-4 alkylene)pheterocyclyl ring optionally substituted with 1-10 R21, and -aryl optionally substituted with 1-5 R24; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R21 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R22 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R23 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R24 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


Y is selected from the group consisting of —C(R1)═ and —N═;


each p is independently 0 or 1.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (IV):




embedded image


or a pharmaceutically acceptable salt or solvate thereof, wherein:


R1 is a -heteroaryl optionally substituted with 1-2 R3;


R2 is selected from the group consisting of H, halide, -aryl optionally substituted with 1-5 R4-heteroaryl optionally substituted with 1-4 R5, and -heterocyclyl ring optionally substituted with 1-10 R6;


each R3 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R7, —C(═O)N(R8)2, —NHC(═O)R9, —(C1-4 alkylene)pN(R10)(R11), —(C1-4 alkylene)pOR12, and -carbocyclyl optionally substituted with 1-12 R13; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R4 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pNHSO2R14, —NR15(C1-4 alkylene)NR15R16, —(C1-4 alkylene)pNR15R16, —OR17, and -heterocyclyl optionally substituted with 1-10 R19; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R5 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), and —C(═O)R18;


each R6 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R7 is independently selected from the group consisting of halide, —NH2, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R8 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), -heterocyclyl optionally substituted with 1-10 R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R20; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein;


each R9 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R20; —(C1-4 alkylene)paryl optionally substituted with 1-5 R21, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R10 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R11 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R20; and —(C1-4 alkylene)paryl optionally substituted with 1-5 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R12 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R20; —(C1-4 alkylene)paryl optionally substituted with 1-5 R21, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R13 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R14 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R15 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R16 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R17 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R19, and, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R18 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R19 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R20 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R21 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R22 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R23 is independently selected from the group consisting of H and halide;


R24 is selected from the group consisting of H, halide, and —OR17;


Y1 is selected from the group consisting of —CH═ and —N═;


Y2 is selected from the group consisting of —C(R2)═ and —N═;


with the proviso that when Y1 is —N═ then Y2 is —C(R2)═;


Y3 is selected from the group consisting of —C(R24)═ and —N═;


Y4 and Y5 are independently selected from the group consisting of —C(R23)═ and —N═;


Z1, Z2, and Z3 are independently selected from the group consisting of —C(R23)═ and —N═;


if Y2 is nitrogen then Y3, Y4, and Y5 are carbon, and R2 is absent;


if Y3 is nitrogen then Y4 and Y5 are carbon;


if Y4 is nitrogen then Y3 and Y5 are carbon;


if Y5 is nitrogen then Y3 and Y4 are carbon;


if Z1 is nitrogen then Z2 and Z3 are carbon;


if Z2 is nitrogen then Z1 and Z3 are carbon;


if Z3 is nitrogen then Z1 and Z2 are carbon; and


each p is independently 0 or 1.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (V):




embedded image


or a pharmaceutically acceptable salt or solvate thereof, wherein:


R1, R2, R4, and R5 are independently absent or selected from the group consisting of H, halide, unsubstituted —(C1-3 haloalkyl), and unsubstituted —(C1-3 alkyl);


R3 is selected from the group consisting of -aryl optionally substituted with 1-5 R7 and -heteroaryl optionally substituted with 1-4 R8;


R6 is selected from the group consisting of —(C1-4 alkylene)paryl optionally substituted with 1-5 R9, —(C2-4 alkenylene)paryl optionally substituted with 1-5 R9, —(C1-4 alkylene)pheteroaryl optionally substituted with 1-6 R10; —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R11, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R12, —(C1-4 alkylene)N(R13)(R14), —N(R15)(R16), —CF(C1-9 alkyl)2, —(C1-4 alkylene)pO(C3-9 alkyl), and —(C2-9 alkynyl) optionally substituted with one or more halides; wherein each alkyl of —CF(C1-9 alkyl)2 is, independently, optionally substituted with one or more halides; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein; wherein —(C1-4 alkenylene) is, optionally substituted with one or more substituents as defined anywhere herein;


R7 is selected from the group consisting of halide and —N(R17)2;


each R8 is independently selected from the group consisting of H, halide, unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —CN, —N(R15)(R18), —(C1-4 alkylene)pXR19, —C(═O)N(R15)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20, and -carbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


alternatively, two adjacent R8 are taken together to form a ring which is selected from the group consisting of -heterocyclyl optionally substituted with 1-10 R22 and -carbocyclyl optionally substituted with 1-12 R21;


each R9 is independently selected from the group consisting of halide, unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —XR23, —C(═O)N(R15)2, —(C1-4 alkylene)pN(R24)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R10 is independently selected from the group consisting of halide, unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —CN, —XR23, —C(═O)N(R15)2, —(C1-4 alkylene)pN(R24)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R11 is independently selected from the group consisting of halide, unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pOR19, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R22, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21, —N(R15)(R25), —C(═O)(R26), —(C1-4 alkylene)C(═O)OR27, —(C1-4 alkylene)aryl optionally substituted with one or more halides, —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides, and —SO2(R28); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


alternatively, two R11 attached to the same carbon atom can together represent ═O to form a carbonyl group;


each R12 is independently selected from the group consisting of halide, unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pOR19, —N(R15)(R29), —C(═O)(R26), —C(═O)OR27, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


R13 is selected from the group consisting of H, unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20, and -carbocyclyl optionally substituted with 1-12 R21; wherein —(C1-4 alkylene) is, optionally substituted with one or more substituents as defined anywhere herein;


R14 is selected from the group consisting of unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20, and -carbocyclyl optionally substituted with 1-12 R21; wherein —(C1-4 alkylene) is, optionally substituted with one or more substituents as defined anywhere herein;


each R15 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), and unsubstituted —(C1-5 haloalkyl);


R16 is selected from the group consisting of —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R20, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


R17 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), and unsubstituted —(C1-5 haloalkyl);


alternatively, two adjacent R17 are taken together to form a -heterocyclyl ring optionally substituted with 1-10 R22;


R18 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C═O)R15, and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R19 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R20 independently is selected from the group consisting of halide, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —CN, —OH, —N(R15)2, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R21 is independently selected from the group consisting of halide, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), and —CN;


each R22 is independently selected from the group consisting of halide, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —CN, —OH, —N(R15)2, —C(═O)R34, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R23 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)N(R15)2, —(C1-4 alkylene)paryl optionally substituted with 1-10 R30, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-12 R31, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R24 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)N(R15)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R25 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R32, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21, —(C1-4 alkylene)OR33; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


R26 is selected from the group consisting of H, unsubstituted —(C3-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with one or more halides or unsubstituted —(C1-5 alkyl), —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


R27 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides or unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


R28 is selected from the group consisting of unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein —(C1-4 alkylene) is, optionally substituted with one or more substituents as defined anywhere herein;


each R29 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R32, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21, —(C1-4 alkylene)OR33, and —C(═O)O(C1-5 alkyl); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R30 is independently selected from the group consisting of halide, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), and —CN;


each R31 is independently selected from the group consisting of halide, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —CN, —OH, —C(═O)R34, —N(R24)2, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R32 is independently selected from the group consisting of halide and unsubstituted —(C1-5 alkyl);


each R33 is independently selected from the group consisting of H and unsubstituted —(C1-5 alkyl);


each R34 is independently selected from the group consisting of —O(C1-5 alkyl) and a heteroaryl optionally substituted with 1-6 R35;


each R35 is a -heterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl);


each X is selected from the group consisting of O and S;


Y3 is CH or nitrogen;


Y1, Y2, Y4, and Y5 are independently selected from the group consisting of CH and nitrogen; wherein


if Y1 is nitrogen then Y2, Y4, and Y5 are carbon, Y3 is CH, and R4 is absent;


if Y2 is nitrogen then Y1, Y4, and Y5 are carbon, Y3 is CH, and R5 is absent;


if Y3 is nitrogen then Y1, Y2, Y4, and Y5 are carbon;


if Y4 is nitrogen then Y1, Y2, and Y5 are carbon, Y3 is CH, and R1 is absent;


if Y5 is nitrogen then Y1, Y2, and Y4 are carbon, Y3 is CH, and R2 is absent; and


each p is independently 0 or 1.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (VI):




embedded image


or a pharmaceutically acceptable salt or solvate thereof, wherein:


Ring A is a 5-6-membered heteroaryl optionally substituted with 1-4 R1;


L is -L1-L2-L3-L4-;


L1 is selected from the group consisting of unsubstituted —(C1-3 alkylene)-, —NR2—, —NR3(C═O)—, —(C═O)NR3—, and —O—;


L2 is selected from the group consisting of unsubstituted —(C1-6 alkylene)- and —NR2—;


L3 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, and -carbocyclylene- optionally substituted with one or more halides;


L4 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, —NR2—, —NR3(C═O)—, —(C═O)NR3—, -arylene- substituted with 1-5 R4, and -heteroarylene- optionally substituted with 1-4 R5;


with the proviso that —NR2— and —O— are not adjacent to each other;


with the proviso that two —NR2— and/or two —O— are not adjacent to each other;


with the proviso that two —NR3(C═O)— and/or —(C═O)NR3—, are not adjacent to each other;


each R1 is selected from the group consisting of halide, unsubstituted —(C1-3 alkyl), unsubstituted —(C1-3 haloalkyl), and —CN;


each R2 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl);


each R3 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl);


each R4 is selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN;


each R5 is selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN;


Y1, Y2, Y3, Y4, Y5, and Y6 are independently selected from the group consisting of CH and nitrogen; wherein


if Y1 is nitrogen then Y2 and Y3 are CH;


if Y2 is nitrogen then Y1 and Y3 are CH;


if Y3 is nitrogen then Y1 and Y2 are CH;


if Y4 is nitrogen then Y5 and Y6 are CH;


if Y5 is nitrogen then Y4 and Y6 are CH; and


if Y6 is nitrogen then Y4 and Y5 are CH.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (VII):




embedded image


or a pharmaceutically acceptable salt or solvate thereof, wherein:


Ring A is a 5-6-membered heteroaryl optionally substituted with 1-3 R1;


L is -L1-L2-L3-L4-


L1 is selected from the group consisting of unsubstituted —(C1-3 alkylene)-, —NR2— —NR3(C═O)—, —(C═O)NR3—, and —O—;


L2 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —NR2—, —NR3(C═O)—, and —(C═O)NR3—;


L3 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, and carbocyclylene optionally substituted with one or more halides;


L4 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, —NR2—, —NR3(C═O)—, —(C═O)NR3—, -arylene substituted with 1-5 R4, and -heteroarylene optionally substituted with 1-4 R5;


with the proviso that —NR2— and —O— are not adjacent to each other;


with the proviso that two —NR2— and/or two —O— are not adjacent to each other;


with the proviso that two —NR3(C═O)— and/or —(C═O)NR3—, are not adjacent to each other;


each R1 is selected from the group consisting of halide, unsubstituted —(C1-3 alkyl), unsubstituted —(C1-3 haloalkyl), and —CN;


each R2 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl);


each R3 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl);


each R4 is selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN;


each R5 is selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN;


Y1, Y2, and Y3 are independently selected from the group consisting of CH and nitrogen; wherein


if Y1 is nitrogen then Y2 and Y3 are CH;


if Y2 is nitrogen then Y1 and Y3 are CH; and


if Y3 is nitrogen then Y1 and Y2 are CH.


In some embodiments of any of the methods described herein, the dual CLK/DYRK inhibitor, CLK inhibitor, or DYRK inhibitor is a compound of Formula (VIII):




embedded image


or a pharmaceutically acceptable salt or solvate thereof, wherein:


R1 is selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -heteroaryl optionally substituted with 1-4 R4, -aryl optionally substituted with 1-5 R5;


R2 is selected from the group consisting of H, —(C1-4 alkylene)pheteroaryl optionally substituted with 1-4 R6, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R7, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R8; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


R3 is selected from the group consisting of -heteroaryl optionally substituted with 1-4 R9 and -aryl optionally substituted with 1-5 R10;


each R4 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R13, —SO2R14, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R15; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R5 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R13, —SO2R4, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R5; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein;


each R6 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, and —SO2R14;


each R7 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R8 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R9 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, and —SO2R14;


each R10 is independently selected from the group consisting of halide, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, and —SO2R14;


each R11 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R12 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R13 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R14 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R15 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


L is selected from the group consisting of a bond, —O—, and —NH—; and


each p is independently 0 or 1.


Other features and advantages of the invention will be apparent from the following detailed description and figures, and from the claims.





DESCRIPTION OF DRAWINGS


FIG. 1A depicts a dose-response curve or in vitro biochemical inhibition of CLK2, CLK3, and DYRK1A by compound 123 (n=4).



FIG. 1B depicts a Western Blot of phospho-SRSF in human mesenchymal stem cells (hMSCs) following treatment with compound 123 or DMSO for 1 hr.



FIG. 1C depicts a Western blot of phospho-SRSF in human chondrocytes following treatment with compound 123 or DMSO for 1 hr. Thus, compound 123 dose-dependently inhibited the CLK mediated phosphorylation of SRSF4, 5, 6 in hMSCs and human chondrocytes (FIGS. 1B and 1C).



FIG. 1D depicts representative immunofluorescence images of hMSCs treated with compound 123 or DMSO for 6 hrs. Cells were stained with phospho-SC35 antibody (green) or DAPI nuclear stain (blue). Spliceosome modulation by compound 123 (30 nM, 100 nM) was shown by enlargement of nuclear speckles in hMSCs and chondrocytes compared to DMSO.



FIG. 1E depicts a Western blot of phospho- and total FOXO1 in human chondrocytes following treatment with IL1-β and compound 123 or DMSO for 72 hrs.



FIG. 1F depicts representative immunofluorescence images of human chondrocytes treated with IL1-β and compound 123 or DMSO for 72 hrs. Cells were stained with anti-FOXO1 antibody (red) and DAPI nuclear stain (blue). Thus, compound 123 dose-dependently inhibited the phosphorylation of FOXO1 in hMSCs and chondrocytes in the presence of OA-related inflammatory cytokine IL-1β, with corresponding increases in total FOXO1 protein levels and nuclear localization, compared to DMSO.



FIG. 1G depicts a Western blot of phospho-SIRT1 (Ser27 and Ser47) and total SIRT1 in hMSCs following treatment with IL1-β and compound 123 or DMSO for 24 hrs. Compound 123 dose-dependently and more potently inhibited phosphorylation of SIRT1 (pSer27, pSer47) in hMSCs and chondrocytes in the presence of IL-1β, compared to DMSO.


All scale bars in FIG. 1 are 10 μm, and β-actin serves as a loading control for Western blots.



FIG. 2A depicts gene expression of Wnt pathway markers AXIN2, TCF7, TCF4 and CTNNB1 in hMSCs at 72 hrs following treatment with either non-targeted control siRNA or siRNA specific to CLK2. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.01, t-test).



FIG. 2B depicts gene expression of Wnt pathway markers AXIN2, TCF7, TCF4 and CTNNB1 in hMSCs at 72 hrs following treatment with either non-targeted control siRNA or siRNA specific to DYRK1A. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.01, t-test). In hMSCs, CLK2 or DYRK1A knockdowns inhibited Wnt pathway gene expression (AXIN2, TCF7 and TCF4) while small increases were observed in β-catenin (CTNNB1) expression, compared to non-targeted siRNA control.



FIG. 2C depicts the effects of treatment of hMSCs with siRNA specific to CLK2, DYRK1A, CLK2+DYRK1A, non-targeted control siRNA, DMSO, compound 123 on Wnt pathway gene expression at 72 hrs following treatment, measured using the Nanostring nCounter® gene array.



FIGS. 2D and 2E depict gene expression changes of selected genes from FIG. 2C by qRT-PCR (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA). Knockdowns of CLK2, DYRK1A and CLK2+DYRK1A decreased the expression of 20, 22, and 18 genes and upregulated 9, 10, and 11 genes, respectively (Nanostring's nCounter® Vantage 3D™ Wnt Pathways panel; >2-fold change, p<0.05, FDR corrected) compared to siCtrl, while compound 123 downregulated 19 genes and upregulated 9 genes. Downregulation of AXIN2, TCF7, LRP5, BAMBI, NKD1, PAI-1, LRP6, FZD6, FZD7, PITX2, ERBB2, and CTGF gene expression and increased levels of Wnt pathway inhibitors SFRP2 and DACT1 were determined by qPCR.



FIGS. 3A, 3B, and 3C depict gene expression of chondrocyte markers COMP, SOX9 and RUNX1 and osteogenic marker RUNX2 in hMSCs following treatment with either non-targeted control siRNA or siRNA specific to (3A) β-catenin, (3B) LEF1 or TCF4, (3C) TCF7 for 72 hrs measured by qRT-PCR. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, **p<0.01, t-test).



FIG. 3D depicts a Western blot of COMP, SOX9 and RUNX1 in hMSCs following treatment with either non-targeted control siRNA, siRNA specific to TCF7, compound 123, or DMSO for 72 hrs, with β-actin shown as a loading control. CLK1 and CLK4 knockdowns induced small, but significantly increased (4-6-fold, p<0.05) COMP expression. CLK1 knockdown induced 1.5-fold increased SOX9 expression while CLK3 or DYRK1A knockdowns had no significant effects on COMP, SOX9 and RUNX1 expression compared to siCtrl (see FIG. 4F).



FIG. 3E depicts representative immunofluorescence images of chondrocytes treated with either non-targeted control siRNA or siRNA specific to β-catenin, LEF1, TCF4, TCF7 or DMSO, compound 123 (10 nM) and stained with Rhodamine B at 7 days. TGFβ3 acts as a positive control for chondrocyte differentiation. The scale bars are 10 μm.



FIG. 3F depicts the quantification of the chondrocytes from FIG. 3E (n=3, Mean±95% CI, ***p<0.001, one-way ANOVA).



FIGS. 4A-4F depict gene expression of chondrocyte markers (A and D) COMP, (B and E) SOX9, and (C and F) RUNX1 in hMSCs at 72 hrs following treatment with either siRNA specific to CLK2 or non-targeted control siRNA measured by qRT-PCR and Western blot. compound 123 and TGFβ3 serve as positive controls for chondrocyte differentiation. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA), β-actin serves as loading control. CLK2 knockdown in hMSCs increased early chondrocyte differentiation, with 50-fold increased COMP, and 3-4-fold increased SOX9 and RUNX1 expression compared with siCtrl, and these changes were similar to TGFβ3 or treatment with compound 123.



FIG. 4G depicts the effects of compound 123 on chondrocyte gene expression in hMSCs at 21 days following treatment with either siRNA specific to CLK2, DYRK1A, CLK2+DYRK1A or non-targeted control siRNA, measured using the Nanostring nCounter® gene array. compound 123 serves as a positive control for chondrocyte differentiation.



FIG. 4H depicts the gene expression changes of selected genes from FIG. 4G by qRT-PCR (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA). CLK2 knockdown induced expression of 10 chondrogenic genes including ACAN, CD44, COL2A1, DOTL1, and COMP, while DYRK1A knockdown alone induced upregulation of only GDF5 (>2-fold, p<0.05; Nanostring's nCounter® Vantage 3D™ chondrocyte panel) on day 21. CLK2+DYRK1A knockdown upregulated 15 genes including FGFR2, FOXO1, MAPK8, PRG4, and TGFβ3, in addition to ACAN, CD44, COL2A1, DOTL1 and COMP. Expression of CCNG2, CD44, COL2A1, COMP, DOTL1, TGFβ1 and TGFβ3 was significantly increased with CLK2+DYRK1A knockdown, compared to CLK2 knockdown alone, indicating a role for DYRK1A inhibition in enhancing the effects of CLK2 inhibition, or for maintenance of chondrocyte function.



FIG. 4I depicts gene expression of matrix metalloproteinases (MMP-1, MMP-3, MMP-13) in chondrocytes stimulated with IL-1β and treated with DMSO, compound 123, Harmine, or CC-671 measured by qRT-PCR. Fold change relative to unstimulated control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA).



FIG. 5A depicts expression of phospho- and total NF-κB and STAT3 in synovial fibroblasts stimulated with LPS and treated with DMSO or compound 123 for 20 hrs measured by Western blot, with β-actin as a loading control.



FIG. 5B depicts expression of phospho- and total NF-κB and STAT3 in PBMCs stimulated with LPS and treated with DMSO or compound 123 for 20 hrs measured by Western blot, with β-actin as a loading control.



FIG. 5C depicts inhibition of IL-6 and TNF-α production in synovial fibroblasts stimulated with IL1-β and treated with DMSO or compound 123 for 24 hrs measured by HTRF and ELISA (n=3, Mean±SEM).



FIG. 5D depicts inhibition of IL-6 and TNF-α production in synovial fibroblasts stimulated with LPS and treated with DMSO or compound 123 for 24 hrs measured by HTRF and ELISA (n=3, Mean±SEM).



FIG. 5E depicts the production of pro-inflammatory cytokines in synovial fibroblasts stimulated with LPS and treated with DMSO or compound 123 for 72 hrs measured by MSD-based ELISA (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, t-test).



FIG. 5F depicts the production of pro-inflammatory cytokines in PBMCs stimulated with LPS and treated with DMSO or compound 123 for 72 hrs measured by MSD-based ELISA (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, t-test).



FIG. 5G depicts a Western blot of phospho- and total SRSF in synovial fibroblasts following treatment with compound 123 or DMSO for 1 hr, with β-actin as a loading control.



FIG. 5H depicts a Western blot of phospho- and total SRSF in (PBMCs following treatment with compound 123 or DMSO for 1 hr, with β-actin as a loading control.



FIG. 6A depicts gene expression of IL-6, TNF-α, IL-8 and IL1-β in BEAS-2B cells treated with siRNA specific to CLK2, DYRK1A, CLK2+DYRK1A, or compound 123 or non-targeted control siRNA and stimulated with LPS for 6 hrs measured by qRT-PCR. Fold change relative to unstimulated siRNA control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA).



FIG. 6B depicts IL-6 and IL-8 protein production in BEAS-2B cells treated with siRNA specific to CLK2, DYRK1A, CLK2+DYRK1A, or compound 123 or non-targeted control siRNA and stimulated with LPS for 6 hrs measured by HTRF-based assay (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA). Combined CLK2 and DYRK1A knockdown significantly decreased IL-6, IL-8, TNF-α and IL-1β gene expression and IL-6 and IL-8 protein compared to siCtrl or CLK2 knockdown


In FIG. 7A-7E, ACLT+pMMx rats were treated with an intra-articular injection of either vehicle or compound 123 (0.1 μg, 0.3 μg, 1.0 μg) 1 week after surgery and the cartilage was isolated at day 35. In the ACLT+pMMx and MIA models of OA, compound 123 (single IA injection—0.1 μg, 0.3 μg, 1 μg) one-week post ACLT+pMMx decreased phospho-SRSF, SRSF1, AXIN2, TCF7, phospho-SIRT1, phospho-FOXO1, and phospho-STAT3 compared with vehicle at day 35, and decreased CLK2, DYRK1A, SRSF1, SRSF5, and SRSF6 expression compared with vehicle. Compound 123 decreased expression of 19 genes and increased expression of at least 8 genes (including AXIN2, TCF7, DVL1, TCF4, CTGF and BTRC).



FIG. 7A depicts Western blots for phospho-SRSF, SRSF1, AXIN2, TCF7, phospho-SIRT1, total SIRT1, phospho-FOXO1, total FOXO1, phospho-STAT3 and total STAT3 in the cartilage, with β-actin as a loading control.



FIG. 7B depicts eene expression of CLK2, DYRK1A, SRSF1, 5 and 6 in cartilage measured by qRT-PCR (n=8, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA).



FIG. 7C depicts Wnt pathway gene expression in cartilage, measured using the Nanostring nCounter® gene array.



FIG. 7D depicts gene expression changes of selected genes from FIG. 7C by qRT-PCR (n=8, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA).



FIG. 7E depicts monoiodoacetate (MIA) injected rats treated with intra-articular injection of either vehicle or compound 123 (0.1 μg, 0.3 μg, 1.0 μg) and cartilage isolated at day 11. Western blots for phospho-SRSF, SRSF1, AXIN2, phospho-NF-κB, total NFκB, phospho-STAT3, total STAT3, phospho-FOXO1 and total FOXO1 in the cartilage, with β-actin as a loading control. In the MIA model, 4 days after single IA injection, compound 123 decreased phosphorylation of SRSF, NF-κB, STAT3, and FOXO1 compared to vehicle. While no changes in the total protein levels of SRSF1 and STAT3 were observed, compound 123 decreased protein levels of total NF-κB and increased protein levels of total FOXO1.



FIGS. 8A-8E depict the effects of treatment of hMSCs with siRNA specific to (FIG. 8A) CLK2 (72 hrs), (FIG. 8B) DYRK1A (72 hrs), eCLK2+DYRK1A (72 hrs), (FIG. 8D) compound 123 (24 hrs) or DMSO (24 hrs) or (FIG. 8E) β-catenin (72 hrs) or non-targeted control siRNA (72 hrs) on Wnt pathway gene expression, measured using the Nanostring nCounter® gene array (n=3, genes with >2-fold expression change, *p<0.05, FDR-adjusted are highlighted in green). Compared to DMSO, compound 123 (4 hrs) dose-dependently decreased phospho-STAT3 (S727, Y705), phospho- and total NF-κB (p105/p50), and phospho-FOXO1/3a, while AKT, JNK1, cJUN, p38/MAPK and TLR4 were not inhibited. Compound 123 (20 hrs) robustly inhibited NF-κB, STAT3, JNK1 and FOXO1/3a phosphorylation, while AKT, cJUN, p38/MAPK, and TLR4 remained unchanged (see also, FIG. 11).



FIGS. 8F and 8G depict the expression of HIPK2 in hMSCs at 72 hrs following treatment with either siRNA specific to HIPK2 or non-targeted control siRNA measured by qRT-PCR and Western blot. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, ***p<0.001, t-test).



FIG. 8H depicts the gene expression of Wnt pathway genes AXIN2, LEF1, TCF7 and TCF4 in hMSCs at 72 hrs following treatment with either siRNA specific to HIPK2 or non-targeted control siRNA. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, **p<0.01, ***p<0.001, t-test).



FIG. 9A depicts gene expression of SRSF4, 5, 6 in hMSCs at 72 hrs following treatment with either siRNA specific to SRSF4, SRSF5, SRSF6, combinations of siRNA, or non-targeted control siRNA measured by qRT-PCR. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA).



FIG. 9B-9D depict gene expression of selected chondrocyte markers: COMP, SOX9, and RUNX1 (FIG. 9B), osteoblast marker RUNX2 (FIG. 9C), and CTNNB1 in hMSCs (FIG. 9D) at 72 hrs in cells from FIG. 9A. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA).



FIG. 10A depicts expression of phospho- and total proteins in THP1 cells stimulated with LPS and treated with DMSO or compound 123 for 4 hrs or 20 hrs measured by Western blot, with β-actin as a loading control.



FIG. 10B depicts gene expression of RELA and RELB in THP1 cells stimulated with LPS and treated with DMSO or compound 123 for 4 hrs or 20 hrs measured by qRT-PCR. Fold change relative to unstimulated control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA).



FIG. 11 depicts expression of phospho- and total proteins in THP1 cells stimulated with LPS and treated with DMSO or compound 123 for 10 mins, 30 mins, 1 hr, 2 hrs, 4 hrs, or 20 hrs measured by Western blot, with β-actin as a loading control. Compound 123 treatment showed no effects on phospho- or total NF-κB (p105/p50) at 10 mins, 30 mins, 1 hr or 2 hrs, but decreased both phospho- and total NF-κB at 4 hrs and 20 hrs, while phospho-STAT3 (Y705) was inhibited at 1 hr, 2 hrs, 4 hrs and 20 hrs, with no effects on total STAT3 at any timepoint.



FIG. 12 depicts gene expression of NF-κB pathway components in THP1 cells stimulated with LPS and treated with DMSO or compound 123 for 1 hr, 2 hrs, 4 hrs, or 20 hrs measured by qRT-PCR. Fold change relative to unstimulated control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA). Compound 123 inhibited LPS-stimulated gene expression of NF-κB components (RELA, RELB), and inhibited the expression of NF-κB pathway genes (NFKB1, NFKB2, RELA, RELB and BCL3) without effects on NF-κB inhibitors (NFKBIA, NFKBIB, IKKβ, IKKγ).



FIG. 13 depicts expression of MMP-1, MMP-3, MMP-9 and MMP-13 in chondrocytes at 72 hrs following treatment with either siRNA specific to CLK2, CLK3 or DYRK1A and combinations of siRNA, or non-targeted control siRNA measured by qRT-PCR. Fold change relative to siRNA control is shown (n=3, Mean±95% CI, *p<0.05, **p<0.01, ***p<0.001, one-way ANOVA). Knockdowns of CLK2, CLK3 and DYRK1A either alone or in combination inhibited IL1-f induced expression of MMP-1, MMP-3, MMP-9 and MMP-13.





Like reference symbols in the various drawings indicate like elements.


DETAILED DESCRIPTION
Definitions

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as is commonly understood by one of ordinary skill in the art to which this disclosure belongs. All patents, applications, published applications, and other publications are incorporated by reference in their entirety. In the event that there is a plurality of definitions for a term herein, those in this section prevail unless stated otherwise.


As used herein, “Wnt pathway activity” is an art-known term and generally refers to one or more direct Wnt/β-catenin activities in a mammalian cell and/or one or more indirect activities of Wnt/β-catenin (downstream activities resulting from Wnt/β-catenin activity) in a mammalian cell. Non-limiting examples of Wnt pathway activities include the level of expression of one or more Wnt-upregulated genes (e.g., one or more of any of the exemplary Wnt-upregulated genes described herein) in a mammalian cell, the level of β-catenin present in a nucleus of a mammalian cell, the level of expression of one or more of CLK1, CLK2, CLK3, CLK4, and β-catenin in a mammalian cell, detection of a gain-of-function mutation in a β-catenin gene, and detection of one or more of a loss-of-function mutation in one or more of a AXIN gene, a AXIN2 gene, a APC gene, a CTNNβ1 gene, a Tsc1 gene, a Tsc2 gene, a GSK3β gene, a SFRP3 gene, a Wnt7b gene, a WISP1 gene, a DKK1 gene, a DOTL1 gene, a FZDB gene, a LRP5 gene, and a LRP6 gene. Methods for detecting a level of each of these exemplary types of Wnt pathway activity are described herein. Additional examples of Wnt pathway activities are known in the art, as well as methods for detecting a level of the same.


As used herein, “gain-of-function mutation” means one or more nucleotide substitutions, deletions, and/or insertions in a gene that results in: an increase in the level of expression of the encoded protein as compared to the level of the expression by the corresponding wildtype gene, and/or the expression of a protein encoded by the gene that has one or more increased activities in a mammalian cell as compared to the version of the protein encoded by the corresponding wildtype gene.


As used herein, “loss-of-function mutation” means one or more nucleotide substitutions, deletions, and/or insertions in a gene that results in: a decrease in the level of expression of the encoded protein as compared to the level of the expression by the corresponding wildtype gene, and/or the expression of a protein encoded by the gene that has one or more decreased activities in a mammalian cell as compared to the version of the protein encoded by the corresponding wildtype gene.


As used herein, “Wnt-upregulated gene” means a gene that exhibits an increased level of transcription when the Wnt/β-catenin signaling pathway is active in a mammalian cell. Non-limiting examples of Wnt-upregulated genes are described herein. Additional examples of Wnt-upregulated genes are known in the art. Exemplary methods of detecting the level of expression of Wnt-upregulated genes are described herein. Additional methods of detecting the level of expression of Wnt-upregulated genes are known in the art. In some embodiments, Wnt-upregulated genes can be selected from one or more of the following: AES, AHR, APC, AXIN1, AXIN2, BAMBI, BCL9, BIRC5, BMP4, BTRC, CAMK2B, CCND1, CCND2, CCND3, CD44, CDH1, CDH11, CDKN2A, CEBPD, COL1A2, CREBBP, CSNK1A1, CSNK2A1, CTBP1, CTGF, CTNNB1, CUL1, CXCL12, CXCR4, CXXC4, DAB2, DIXDC1, DKK1, DKK2, DKK3, DKK4, DPP10, DVL1, DVL2, EFNB1, EGFR, EGR1, EP300, ERBB2, ETS2, FBXW11, FBXW4, FGF4, FGF7, FN1, FOSL1, FOXN1, FRAT1, FRZB, FZD1, FZD10, FZD2, FZD3, FZD4, FZD5, FZD6, FZD7, FZD8, FZD9, GDNF, GPC4, GSK3A, GSK3B, ID2, IGF1, IGF2, IL6, IRS1, JAG1, JUN, KLF5, KREMEN1, LEF1, LRP5, LRP6, MAPK10, MAPK8, MAPK9, MMP2, MMP3, MMP7, MMP9, MYC, MYLK, NANOG, NFATC1, NKD1, NLK, NRCAM, NRP1, PDGFRA, PITX2, PKN1, PLAUR, PLCB1, PLCB4, PORCN, POU5F1, PPAP2B, PPARD, PPP3CA, PPP3CB, PPP3CC, PPP3R1, PPP3R2, PRKACA, PRKACB, PRKACG, PRKCA, PRKCB, PRKCG, PRKX, PROM1, PTGS2, PYGO1, RAC1, RAC2, RAC3, RBX, RHOA, RUNX2, RUVBL, SERPINE1, SFRP1, SFRP2, SFRP4, SIX1, SKP1, SMAD2, SMAD3, SMAD4, SMO, SNAI1, SNAI2, SOST, SOX17, SOX2, SOX9, STAT3, TBL1XR1, TCF4, TCF7, TCF7L1, TGFB1, TGFB3, TIMP1, TLE1, TP53, TWIST1, TWIST2, VANGL1, VEGFA, WIF1, WISP1, WNT1, WNT10A, WNT10B, WNT11, WNT16, WNT2, WNT2B, WNT3, WNT4, WNT5A, WNT5B, WNT6, WNT7A, WNT7B, WNT8A, WNT8B, WNT9A, WNT9B, ZEB1, and ZEB2. In some embodiments, Wnt-upregulated genes can be selected from one or more of the following: CCND1, CXCL12, LRP5, AMP7, AMP9, LEF1, AXIN2, MYC, TCF7L2, TCF7, LRP6, DVL2, BIRC, ERRB2, MAPK8, PKN1, ABCB1, ADAM10, ALEX, ASCL2, BAMBI, BCL2L2, BIRC5, BMI, BMP4, CCND, CD44, CDKN2A, CDX, CEBPD, CLDN1, COX2, DNMT1, EDN1, EFNB1, ENC1, EPHB2, EPHB3, FGF18, FGFBP, FRA1, FSCN1, FZD7, FZD8, GAST, HEF1, HES1, ID2, ITF2, JAG1, JUN, L1CAM, LAMC2, LGR5, MENA, MET, MMP14, MYB, MYCBP, NOS2, NOTCH2, NRCAM, PLAU, PLAUR, PPARD, S100A4, S100A6, SGK1, SMC3, SOX9, SP5, SRSF3, SUZ12, TCF1, TIAM1, TIMP-1, TN-C, VEGF, WNT-5a, WNT-5b, WNT11, and YAP.


As used herein, “CLK inhibitor” refers to an agent (e.g., compound) that decreases the catalytic activity of one or more of CLK1, CLK2, CLK3, and CLK4 with an IC50 of about 100 pM to about 10 μM (or any of the subranges of this range described herein) (e.g., determined using the exemplary in vitro assays for determining CLK1, CLK2, CLK3, and CLK4 activities described in the Examples).


As used herein, “a multi-isoform CLK inhibitor” refers to an agent (e.g., a compound that decreases the catalytic activity of two or more of CLK1, CLK2, CLK3, and CLK4 with an IC50 of about 100 pM to about 10 μM (or any of the subranges of this range described herein) (e.g., determined using the exemplary in vitro assays for determining CLK1, CLK2, CLK3, and CLK4 activities described in the Examples).


As used herein, “DYRK inhibitor” refers to an agent (e.g., compound) that decreases the catalytic activity of one or more of DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4 with an IC50 of about 100 pM to about 10 μM (or any of the subranges of this range described herein) (e.g., determined using the exemplary in vitro assays for determining DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4 activities described in the Examples).


As used herein, “a multi-isoform DYRK inhibitor” refers to an agent (e.g., a compound that decreases the catalytic activity of two or more of DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4 with an IC50 of about 100 pM to about 10 μM (or any of the subranges of this range described herein) (e.g., determined using the exemplary in vitro assays for determining DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4 activities described in the Examples). As used herein, “altering mRNA splicing” means (i) changing the relative expression levels of two or more different isoforms of a protein in a mammalian cell that are encoded by the same gene, wherein the different isoforms of the protein result from mRNA splicing in the mammalian cell; and/or (ii) changing the level of activity, phosphorylation, and/or expression of one or more splicing factors in a mammalian cell. For example, altering mRNA splicing includes intron retention, exon skipping, premature stop codons, alternate 5′ splice site, alternate 3′ splice site, mutually exclusive exons, cassette exons, alternate promoters, and alternate polyadelynation sites.


As used herein, “alkyl” means a branched, or straight chain chemical group containing only carbon and hydrogen, such as methyl, ethyl, n-propyl, iso-propyl, n-butyl, iso-butyl, sec-butyl, tert-butyl, n-pentyl, iso-pentyl, sec-pentyl and neo-pentyl. Alkyl groups can either be unsubstituted or substituted with one or more substituents. In some embodiments, alkyl groups include 1 to 9 carbon atoms (for example, 1 to 6 carbon atoms, 1 to 4 carbon atoms, or 1 to 2 carbon atoms).


As used herein, “alkenyl” means a straight or branched chain chemical group containing only carbon and hydrogen and containing at least one carbon-carbon double bond, such as ethenyl, 1-propenyl, 2-propenyl, 2-methyl-1-propenyl, 1-butenyl, 2-butenyl, and the like. In various embodiments, alkenyl groups can either be unsubstituted or substituted with one or more substituents. Typically, alkenyl groups will comprise 2 to 9 carbon atoms (for example, 2 to 6 carbon atoms, 2 to 4 carbon atoms, or 2 carbon atoms).


As used herein, “alkynyl” means a straight or branched chain chemical group containing only carbon and hydrogen and containing at least one carbon-carbon triple bond, such as ethynyl, 1-propynyl, 1-butynyl, 2-butynyl, and the like. In various embodiments, alkynyl groups can either be unsubstituted or substituted with one or more substituents. Typically, alkynyl groups will comprise 2 to 9 carbon atoms (for example, 2 to 6 carbon atoms, 2 to 4 carbon atoms, or 2 carbon atoms).


As used herein, “alkylene” means a bivalent branched, or straight chain chemical group containing only carbon and hydrogen, such as methylene, ethylene, n-propylene, iso-propylene, n-butylene, iso-butylene, sec-butylene, tert-butylene, n-pentylene, iso-pentylene, sec-pentylene and neo-pentylene. Alkylene groups can either be unsubstituted or substituted with one or more substituents. In some embodiments, alkylene groups include 1 to 9 carbon atoms (for example, 1 to 6 carbon atoms, 1 to 4 carbon atoms, or 1 to 2 carbon atoms).


As used herein, “alkenylene” means a bivalent branched, or straight chain chemical group containing only carbon and hydrogen and containing at least one carbon-carbon double bond, such as ethenylene, 1-propenylene, 2-propenylene, 2-methyl-1-propenylene, 1-butenylene, 2-butenylene, and the like. In various embodiments, alkenylene groups can either be unsubstituted or substituted with one or more substituents. Typically, alkenylene groups will comprise 2 to 9 carbon atoms (for example, 2 to 6 carbon atoms, 2 to 4 carbon atoms, or 2 carbon atoms).


As used herein, “alkynylene” means a bivalent branched, or straight chain chemical group containing only carbon and hydrogen and containing at least one carbon-carbon triple bond, such as ethynylene, 1-propynylene, 1-butynylene, 2-butynylene, and the like. In various embodiments, alkynylene groups can either be unsubstituted or substituted with one or more substituents. Typically, alkynylene groups will comprise 2 to 9 carbon atoms (for example, 2 to 6 carbon atoms, 2 to 4 carbon atoms, or 2 carbon atoms).


As used herein, “carbocyclyl” means a cyclic ring system containing only carbon atoms in the ring system backbone, such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and cyclohexenyl. Carbocyclyls may include multiple fused rings. Carbocyclyls may have any degree of saturation provided that none of the rings in the ring system are aromatic. Carbocyclyl groups can either be unsubstituted or substituted with one or more substituents. In some embodiments, carbocyclyl groups include 3 to 10 carbon atoms, for example, 3 to 6 carbon atoms.


As used herein, “aryl” means a mono-, bi-, tri- or polycyclic group with only carbon atoms present in the ring backbone having 5 to 14 ring atoms, alternatively 5, 6, 9, or 10 ring atoms; and having 6, 10, or 14 pi electrons shared in a cyclic array; wherein at least one ring in the system is aromatic. Aryl groups can either be unsubstituted or substituted with one or more substituents. Examples of aryl include phenyl, naphthyl, tetrahydronaphthyl, 2,3-dihydro-1H-indenyl, and others. In some embodiments, the aryl is phenyl.


As used herein, “arylene” means a bivalent moiety obtained by removing two hydrogen atoms of an aryl ring, as defined above.


As used herein, the term “heteroaryl” means a mono-, bi-, tri- or polycyclic group having 5 to 14 ring atoms, alternatively 5, 6, 9, or 10 ring atoms; and having 6, 10, or 14 pi electrons shared in a cyclic array; wherein at least one ring in the system is aromatic, and at least one ring in the system contains one or more heteroatoms independently selected from the group consisting of N, O, and S. Heteroaryl groups can either be unsubstituted or substituted with one or more substituents as defined anywhere herein. Examples of heteroaryl include thienyl, pyridinyl, furyl, oxazolyl, oxadiazolyl, pyrrolyl, imidazolyl, triazolyl, thiodiazolyl, pyrazolyl, isoxazolyl, thiadiazolyl, pyranyl, pyrazinyl, pyrimidinyl, pyridazinyl, triazinyl, thiazolyl benzothienyl, benzoxadiazolyl, benzofuranyl, benzimidazolyl, benzotriazolyl, cinnolinyl, indazolyl, indolyl, isoquinolinyl, isothiazolyl, naphthyridinyl, purinyl, thienopyridinyl, pyrido[2,3-d]pyrimidinyl, pyrrolo[2,3-b]pyridinyl, quinazolinyl, quinolinyl, thieno[2,3-c]pyridinyl, pyrazolo[3,4-b]pyridinyl, pyrazolo[3,4-c]pyridinyl, pyrazolo[4,3-c]pyridine, pyrazolo[4,3-b]pyridinyl, tetrazolyl, chromane, 2,3-dihydrobenzo[b][1,4]dioxine, benzo[d][1,3]dioxole, 2,3-dihydrobenzofuran, tetrahydroquinoline, 2,3-dihydrobenzo[b][1,4]oxathiine, isoindoline, and others. In some embodiments, the heteroaryl is selected from thienyl, pyridinyl, furyl, pyrazolyl, imidazolyl, isoindolinyl, pyranyl, pyrazinyl, and pyrimidinyl.


As used herein, “heteroarylene” means a bivalent moiety obtained by removing two hydrogen atoms of a heteroaryl ring, as defined above.


As used herein, “halo”, “halide” or “halogen” is a chloro, bromo, fluoro, or iodo atom radical. In some embodiments, a halo is a chloro, bromo or fluoro. For example, a halide can be fluoro.


As used herein, “haloalkyl” means a hydrocarbon substituent, which is a linear or branched, alkyl, alkenyl or alkynyl substituted with one or more chloro, bromo, fluoro, and/or iodo atom(s). In some embodiments, a haloalkyl is a fluoroalkyls, wherein one or more of the hydrogen atoms have been substituted by fluoro. In some embodiments, haloalkyls are of 1 to about 3 carbons in length (e.g., 1 to about 2 carbons in length or 1 carbon in length). The term “haloalkylene” means a diradical variant of haloalkyl, and such diradicals may act as spacers between radicals, other atoms, or between a ring and another functional group.


As used herein, “heterocyclyl” means a nonaromatic cyclic ring system comprising at least one heteroatom in the ring system backbone. Heterocyclyls may include multiple fused and/or bridged rings. Heterocyclyls may be substituted or unsubstituted with one or more substituents as defined anywhere herein. In some embodiments, heterocycles have 3-11 members. In six membered monocyclic heterocycles, the heteroatom(s) are selected from one to three of O, N or S, and wherein when the heterocycle is five membered, it can have one or two heteroatoms selected from O, N, or S. Examples of heterocyclyl include azirinyl, aziridinyl, azetidinyl, oxetanyl, thietanyl, 1,4,2-dithiazolyl, dihydropyridinyl, 1,3-dioxanyl, 1,4-dioxanyl, 1,3-dioxolanyl, morpholinyl, thiomorpholinyl, piperazinyl, pyranyl, pyrrolidinyl, tetrahydrofuryl, tetrahydropyridinyl, oxazinyl, thiazinyl, thiinyl, thiazolidinyl, isothiazolidinyl, oxazolidinyl, isoxazolidinyl, piperidinyl, pyrazolidinyl imidazolidinyl, thiomorpholinyl, and others. In some embodiments, the heterocyclyl is selected from azetidinyl, morpholinyl, piperazinyl, pyrrolidinyl, and tetrahydropyridinyl.


As used herein, “monocyclic heterocyclyl” means a single nonaromatic cyclic ring comprising at least one heteroatom in the ring system backbone. Heterocyclyls may be substituted or unsubstituted with one or more substituents as defined anywhere herein. In some embodiments, heterocycles have 3-7 members. In six membered monocyclic heterocycles, the heteroatom(s) are selected from one to three of O, N or S, and wherein when the heterocycle is five membered, it can have one or two heteroatoms selected from O, N, or S. Examples of heterocyclyls include azirinyl, aziridinyl, azetidinyl, oxetanyl, thietanyl, 1,4,2-dithiazolyl, dihydropyridinyl, 1,3-dioxanyl, 1,4-dioxanyl, 1,3-dioxolanyl, morpholinyl, thiomorpholinyl, piperazinyl, pyranyl, pyrrolidinyl, tetrahydrofuryl, tetrahydropyridinyl, oxazinyl, thiazinyl, thiinyl, thiazolidinyl, isothiazolidinyl, oxazolidinyl, isoxazolidinyl, piperidinyl, pyrazolidinyl imidazolidinyl, thiomorpholinyl, and others.


As used herein, “bicyclic heterocyclyl” means a nonaromatic bicyclic ring system comprising at least one heteroatom in the ring system backbone. Bicyclic heterocyclyls may be substituted or unsubstituted with one or more substituents as defined anywhere herein, and may include multiple fused and/or bridged rings. In some embodiments, bicyclic heterocycles have 4-11 members with the heteroatom(s) being selected from one to five of O, N or S. Examples of bicyclic heterocyclyls include 2-azabicyclo[1.1.0]butane, 2-azabicyclo[2.1.0]pentane, 2-azabicyclo[1.1.1]pentane, 3-azabicyclo[3.1.0]hexane, 5-azabicyclo[2.1.1]hexane, 3-azabicyclo[3.2.0]heptane, octahydrocyclopenta[c]pyrrole, 3-azabicyclo[4.1.0]heptane, 7-azabicyclo[2.2.1]heptane, 6-azabicyclo[3.1.1]heptane, 7-azabicyclo[4.2.0]octane, 2-azabicyclo[2.2.2]octane, and the like.


As used herein, “spirocyclic heterocyclyl” means a nonaromatic bicyclic ring system comprising at least one heteroatom in the ring system backbone and with the rings connected through just one atom (the “spiroatom”). Spirocyclic heterocyclyls may be substituted or unsubstituted with one or more substituents as defined anywhere herein. In some embodiments, spirocyclic heterocycles have 5-11 members with the heteroatom(s) being selected from one to five of O, N or S. Examples of spirocyclic heterocyclyls include 2-azaspiro[2.2]pentane, 4-azaspiro[2.5]octane, 1-azaspiro[3.5]nonane, 2-azaspiro[3.5]nonane, 7-azaspiro[3.5]nonane, 2-azaspiro[4.4]nonane, 6-azaspiro[2.6]nonane, 1,7-diazaspiro[4.5]decane, 2,5-diazaspiro[3.6]decane, and the like.


The term “substituted” refers to moieties having substituents replacing a hydrogen on one or more non-hydrogen atoms of the molecule. It will be understood that “substitution” or “substituted with” includes the implicit proviso that such substitution is in accordance with permitted valence of the substituted atom and the substituent, and that the substitution results in a stable compound, e.g., which does not spontaneously undergo transformation such as by rearrangement, cyclization, elimination, etc. Substituents can include, for example, —(C1-9 alkyl) optionally substituted with one or more of hydroxyl, —NH2, —NH(C1-3 alkyl), and —N(C1-3 alkyl)2; —(C1-9 haloalkyl); a halide; a hydroxyl; a carbonyl [such as —C(O)OR, and —C(O)R]; a thiocarbonyl [such as —C(S)OR, —C(O)SR, and —C(S)R]; —(C1-9 alkoxy) optionally substituted with one or more of halide, hydroxyl, —NH2, —NH(C1-3 alkyl), and —N(C1-3 alkyl)2; —OPO(OH)2; a phosphonate [such as —PO(OH)2 and —PO(OR′)2]; —OPO(OR′)R″; —NRR′; —C(O)NRR′; —C(NR)NR′ R″; —C(NR′)R″; a cyano; a nitro; an azido; —SH; —S—R; —OSO2(OR); a sulfonate [such as —SO2(OH) and —SO2(OR)]; —SO2NR′ R″; and —SO2R; in which each occurrence of R, R′ and R″ are independently selected from H; —(C1-9 alkyl); C6-10 aryl optionally substituted with from 1-3R′″; 5-10 membered heteroaryl having from 1-4 heteroatoms independently selected from N, O, and S and optionally substituted with from 1-3 R′″; C3-7 carbocyclyl optionally substituted with from 1-3 R′″; and 3-8 membered heterocyclyl having from 1-4 heteroatoms independently selected from N, O, and S and optionally substituted with from 1-3 R′″; wherein each R′″ is independently selected from —(C1-6 alkyl), —(C1-6 haloalkyl), a halide (e.g., F), a hydroxyl, —C(O)OR, —C(O)R, —(C1-6 alkoxyl), —NRR′, —C(O)NRR′, and a cyano, in which each occurrence of R and R′ is independently selected from H and —(C1-6 alkyl). In some embodiments, the substituent is selected from —(C1-6 alkyl), —(C1-6 haloalkyl), a halide (e.g., F), a hydroxyl, —C(O)OR, —C(O)R, —(C1-6 alkoxyl), —NRR′, —C(O)NRR′, and a cyano, in which each occurrence of R and R′ is independently selected from H and —(C1-6 alkyl).


As used herein, when two groups are indicated to be “linked” or “bonded” to form a “ring”, it is to be understood that a bond is formed between the two groups and may involve replacement of a hydrogen atom on one or both groups with the bond, thereby forming a carbocyclyl, heterocyclyl, aryl, or heteroaryl ring. The skilled artisan will recognize that such rings can and are readily formed by routine chemical reactions. In some embodiments, such rings have from 3-7 members, for example, 5 or 6 members.


The skilled artisan will recognize that some chemical structures described herein may be represented on paper by one or more other resonance forms; or may exist in one or more other tautomeric forms, even when kinetically favored, the artisan recognizes that such tautomeric forms represent only a very small portion of a sample of such compound(s). Such compounds are clearly contemplated within the scope of this disclosure, though such resonance forms or tautomers are not explicitly represented herein.


The compounds provided herein may encompass various stereochemical forms. The compounds also encompass diastereomers as well as optical isomers, e.g., mixtures of enantiomers including racemic mixtures, as well as individual enantiomers and diastereomers, which arise as a consequence of structural asymmetry in certain compounds. Separation of the individual isomers or selective synthesis of the individual isomers is accomplished by application of various methods which are well known to practitioners in the art. Unless otherwise indicated, when a disclosed compound is named or depicted by a structure without specifying the stereochemistry and has one or more chiral centers, it is understood to represent all possible stereoisomers of the compound.


The present disclosure includes all pharmaceutically acceptable isotopically labeled compounds of Formulas (I)-(VIII) wherein one or more atoms are replaced by atoms having the same atomic number, but an atomic mass or mass number different from the atomic mass or mass number which predominates in nature. Examples of isotopes suitable for inclusion in the compounds of the disclosure include, but are not limited to, isotopes of hydrogen, such as 2H (deuterium) and 3H (tritium), carbon, such as 11C, 13C and 14C, chlorine, such as 36Cl, fluorine, such as 18F, iodine, such as 123I and 125I, nitrogen, such as 13N and 15N, oxygen, such as 15O, 17O and 18O, phosphorus, such as 32P, and sulfur, such as 35S.


The term “polymorph,” as used herein, refers to crystals of the same molecule having different physical properties as a result of the order of the molecules in the crystal lattice. Polymorphs of a single compound have one or more different chemical, physical, mechanical, electrical, thermodynamic, and/or biological properties from each other. Differences in physical properties exhibited by polymorphs can affect pharmaceutical parameters such as storage stability, compressibility, density (important in composition and product manufacturing), dissolution rates (an important factor in determining bio-availability), solubility, melting point, chemical stability, physical stability, powder flowability, water sorption, compaction, and particle morphology. Differences in stability can result from changes in chemical reactivity (e.g. differential oxidation, such that a dosage form discolors more rapidly when comprised of one polymorph than when comprised of another polymorph) or mechanical changes (e.g., crystal changes on storage as a kinetically favored polymorph converts to a thermodynamically more stable polymorph) or both (e.g., one polymorph is more hygroscopic than the other). As a result of solubility/dissolution differences, some transitions affect potency and/or toxicity. In addition, the physical properties of the crystal may be important in processing; for example, one polymorph might be more likely to form solvates or might be difficult to filter and wash free of impurities (i.e., particle shape and size distribution might be different between one polymorph relative to the other). “Polymorph” does not include amorphous forms of the compound. As used herein, “amorphous” refers to a noncrystalline form of a compound which may be a solid state form of the compound or a solubilized form of the compound. For example, “amorphous” refers to a compound without a regularly repeating arrangement of molecules or external face planes.


The term “anhydrous,” as used herein, refers to a crystal form of the compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, that has 1% or less by weight water. For example, 0.5% or less, 0.25% or less, or 0.1% or less by weight water.


The term “solvate” as used herein refers to a crystalline form of a compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, such as a polymorph form of the compound, where the crystal lattice comprises one or more solvents of crystallization.


The term “non-stoichiometric hydrate” refers to a crystalline form of a compound of Formulas (I)-(VIII) or a pharmaceutically acceptable salt thereof, that comprises water, but wherein variations in the water content do not cause significant changes to the crystal structure. In some embodiments, a non-stoichiometric hydrate can refer to a crystalline form of a compound of Formulas (I)-(VIII) that has channels or networks throughout the crystal structure into which water molecules can diffuse. During drying of non-stoichiometric hydrates, a considerable proportion of water can be removed without significantly disturbing the crystal network, and the crystals can subsequently rehydrate to give the initial non-stoichiometric hydrated crystalline form. Unlike stoichiometric hydrates, the dehydration and rehydration of non-stoichiometric hydrates is not accompanied by a phase transition, and thus all hydration states of a non-stoichiometric hydrate represent the same crystal form. In some embodiments, a non-stoichiometric hydrate can have up to about 20% by weight water, such as, about 20%, about 19%, about 18%, about 17%, about 16%, about 15%, about 14%, about 13%, about 12%, about 11%, about 10%, about 9%, about 8%, about 7%, about 6%, about 5%, about 4%, about 3%, about 2%, or greater than 1% water by weight. In some embodiments, a non-stoichiometric hydrate can have between 1% and about 20% by weight water, such as between 1% and about 5%, 1% and about 10%, 1% and about 15%, about 2% and about 5%, about 2% and about 10%, about 2% and about 15%, about 2% and about 20%, about 5% and about 10%, about 5% and about 15%, about 5% and about 20%, about 10% and about 15%, about 10% and about 20%, or about 15% and about 20% by weight water.


In some embodiments the % water by weight in a crystal form, such as a non-stoichiometric hydrate, is determined by the Karl Fischer titration method. In some embodiments, the crystal form is dried prior to Karl Fischer titration. In some embodiments, one or more of the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor can each independently be substantially present as a non-stoichiometric hydrate.


“Purity,” when used in reference to a composition including a polymorph of a compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, refers to the percentage of one specific polymorph form relative to another polymorph form or an amorphous form of a compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, in the referenced composition. For example, a composition comprising a polymorph of Formulas (I)-(VIII) having a purity of 90% would comprise 90 weight parts Form 1 and 10 weight parts of other polymorph and/or amorphous forms of the corresponding compound of Formulas (I)-(VIII).


As used herein, a compound or composition is “substantially free of” one or more other components if the compound or composition contains no significant amount of such other components. Such components can include starting materials, residual solvents, or any other impurities that can result from the preparation of and/or isolation of the compounds and compositions provided herein. In some embodiments, a polymorph form provided herein is substantially free of other polymorph forms. In some embodiments, a particular polymorph of the compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, is “substantially free” of other polymorphs if the particular polymorph constitutes at least about 95% by weight of the compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, present. In some embodiments, a particular polymorph of the compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, is “substantially free” of other polymorphs if the particular polymorph constitutes at least about 97%, about 98%, about 99%, or about 99.5% by weight of the compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, present. In certain embodiments, a particular polymorph of the compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt thereof, is “substantially free” of water if the amount of water constitutes no more than about 2%, about 1%, or about 0.5% by weight of the polymorph.


As used herein, a compound is “substantially present” as a given polymorph if at least about 50% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 60% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 70% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 80% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 90% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 95% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 96% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 97% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 98% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 99% by weight of the compound is in the form of that polymorph. In some embodiments, at least about 99.5% by weight of the compound is in the form of that polymorph.


“Room temperature” or “RT” refers to the ambient temperature of a typical laboratory, which is typically around 25° C.


A “diagnostic” as used herein is a compound, method, system, or device that assists in the identification or characterization of a health or disease state. The diagnostic can be used in standard assays as is known in the art.


The term “mammal” is used in its usual biological sense. Thus, it specifically includes humans, cattle, horses, monkeys, dogs, cats, mice, rats, cows, sheep, pigs, goats, and non-human primates, but also includes many other species.


The term “pharmaceutically acceptable carrier”, “pharmaceutically acceptable diluent” or “pharmaceutically acceptable excipient” includes any and all solvents, co-solvents, complexing agents, dispersion media, coatings, isotonic and absorption delaying agents and the like which are not biologically or otherwise undesirable. The use of such media and agents for pharmaceutically active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, its use in the therapeutic compositions is contemplated. Supplementary active ingredients can also be incorporated into the compositions. In addition, various adjuvants such as are commonly used in the art may be included. These and other such compounds are described in the literature, e.g., in the Merck Index, Merck & Company, Rahway, N.J. Considerations for the inclusion of various components in pharmaceutical compositions are described, e.g., in Brunton et al. (Eds.) (2017); Goodman and Gilman's: The Pharmacological Basis of Therapeutics, 13th Ed., The McGraw-Hill Companies.


The term “pharmaceutically acceptable salt” refers to salts that retain the biological effectiveness and properties of the compounds provided herein and, which are not biologically or otherwise undesirable. In many cases, the compounds provided herein are capable of forming acid and/or base salts by virtue of the presence of amino and/or carboxyl groups or groups similar thereto. Many such salts are known in the art, for example, as described in WO 87/05297. Pharmaceutically acceptable acid addition salts can be formed with inorganic acids and organic acids. Inorganic acids from which salts can be derived include, for example, hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like. Organic acids from which salts can be derived include, for example, acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, and the like. Pharmaceutically acceptable base addition salts can be formed with inorganic and organic bases. Inorganic bases from which salts can be derived include, for example, sodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum, and the like; particularly preferred are the ammonium, potassium, sodium, calcium, and magnesium salts. Organic bases from which salts can be derived include, for example, primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines, basic ion exchange resins, and the like, specifically such as isopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, and ethanolamine.


A “therapeutically effective amount” of a compound as provided herein is one which is sufficient to achieve the desired physiological effect and may vary according to the nature and severity of the disease condition, and the potency of the compound. “Therapeutically effective amount” is also intended to include one or more of the compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof, in combination with one or more other agents that are effective to treat the diseases and/or conditions described herein. When referring to combinations of compounds, the combination may be “therapeutically effective” even when one or more of the compounds in the combination is administered at a dose that would be sub-therapeutic when the compound is administered alone. Indeed, the combination of compounds, or pharmaceutically acceptable salts or solvates of the foregoing, can be an additive combination, or can be a synergistic combination. Synergy, as described, for example, by Chou and Talalay, Advances in Enzyme Regulation (1984), 22, 27-55, occurs when the effect of the compounds when administered in combination is greater than the additive effect of the compounds when administered alone as a single agent. In general, a synergistic effect is most clearly demonstrated at sub-optimal concentrations of the compounds. It will be appreciated that different concentrations may be employed for prophylaxis than for treatment of an active disease. This amount can further depend upon other art-recognized factors, for example, the patient's height, weight, sex, age and medical history.


The term “combination therapy” as used herein refers to a dosing regimen of two different therapeutically active agents (i.e., the components or combination partners of the combination) (e.g., a first compound and a second compound) during a period of time, wherein the therapeutically active agents are administered together or separately in a manner prescribed by a medical care provider or according to a regulatory agency (e.g., the U.S. Food and Drug Administration, the European Medicines Agency, etc.). In some embodiments, a combination therapy consists essentially of a combination of a first compound (e.g., a compound of Formulas (I)-(VIII)), or a pharmaceutically acceptable salt or solvate thereof, and a second compound (e.g., a compound of Formulas (I)-(VIII)), or a pharmaceutically acceptable salt or solvate thereof.


As can be appreciated in the art, a combination therapy can be administered to a patient for a period of time. In some embodiments, the period of time occurs following the administration of a different therapeutic treatment/agent or a different combination of therapeutic treatments/agents to the subject, as described herein (e.g., non-steroidal anti-inflammatory therapy, physical therapy, etc.). In some embodiments, the period of time occurs before the administration of a different therapeutic treatment/agent or a different combination of therapeutic treatments/agents to the subject, as described herein. In some embodiments, administration of the first compound, or a pharmaceutically acceptable salt or solvate thereof, and administration of the second compound, or a pharmaceutically acceptable salt or solvate thereof, occurs at substantially the same time. In other embodiments, administration of the first compound, or a pharmaceutically acceptable salt or solvate thereof, and administration of the second compound, or a pharmaceutically acceptable salt or solvate thereof, occurs sequentially, in either order (e.g., the first compound, or a pharmaceutically acceptable salt or solvate thereof, may be administered prior to, or subsequent to, the second compound, or a pharmaceutically acceptable salt or solvate thereof). A therapeutic effect refers to the treatment of a disease or condition, as described herein.


Treat,” “treatment,” or “treating,” as used herein refers to administering a compound or pharmaceutical composition as provided herein for therapeutic purposes. The term “therapeutic treatment” refers to administering treatment to a patient already suffering from a disease thus causing a therapeutically beneficial effect, such as ameliorating one or more existing symptoms, ameliorating the underlying metabolic causes of symptoms, postponing or preventing the further development of a disorder, and/or reducing the severity of one or more symptoms that will or are expected to develop. “Treat,” “treatment,” and “treating,” do not necessarily result in completely curing an underlying disease or condition.


The phrase “an elevated” or “an increased level” as used herein can be an increase of at least 1% (e.g., at least 2%, at least 4%, at least 6%, at least 8%, at least 10%, at least 12%, at least 14%, at least 16%, at least 18%, at least 20%, at least 25%, at least 30%, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 99%, at least 100%, at least 110%, at least 120%, at least 130%, at least 140%, at least 150%, at least 160%, at least 170%, at least 180%, at least 190%, at least 200%, at least 250%, at least 300%, at least 350%, at least 400%, at least 450%, at least 500%, between 1% and 500%, between 1% and 450%, between 1% and 400%, between 1% and 350%, between 1% and 300%, between 1% and 250%, between 1% and 200%, between 1% and 180%, between 1% and 160%, between 1% and 140%, between 1% and 120%, between 1% and 100%, between 1% and 95%, between 1% and 90%, between 1% and 85%, between 1% and 80%, between 1% and 75%, between 1% and 70%, between 1% and 65%, between 1% and 60%, between 1% and 55%, between 1% and 50%, between 1% and 45%, between 1% and 40%, between 1% and 35%, between 1% and 30%, between 1% and 25%, between 1% and 20%, between 1% and 15%, between 1% and 10%, between 1% and 5%, between 5% and 500%, between 5% and 450%, between 5% and 400%, between 5% and 350%, between 5% and 300%, between 5% and 250%, between 5% and 200%, between 5% and 180%, between 5% and 160%, between 5% and 140%, between 5% and 120%, between 5% and 100%, between 5% and 95%, between 5% and 90%, between 5% and 85%, between 5% and 80%, between 5% and 75%, between 5% and 70%, between 5% and 65%, between 5% and 60%, between 5% and 55%, between 5% and 50%, between 5% and 45%, between 5% and 40%, between 5% and 35%, between 5% and 30%, between 5% and 25%, between 5% and 20%, between 5% and 15%, between 5% and 10%, between 10% and 500%, between 10% and 450%, between 10% and 400%, between 10% and 350%, between 10% and 300%, between 10% and 250%, between 10% and 200%, between 10% and 180%, between 10% and 160%, between 10% and 140%, between 10% and 120%, between 10% and 100%, between 10% and 95%, between 10% and 90%, between 10% and 85%, between 10% and 80%, between 10% and 75%, between 10% and 70%, between 10% and 65%, between 10% and 60%, between 10% and 55%, between 10% and 50%, between 10% and 45%, between 10% and 40%, between 10% and 35%, between 10% and 30%, between 10% and 25%, between 10% and 20%, between 10% and 15%, between 20% and 500%, between 20% and 450%, between 20% and 400%, between 20% and 350%, between 20% and 300%, between 20% and 250%, between 20% and 200%, between 20% and 180%, between 20% and 160%, between 20% and 140%, between 20% and 120%, between 20% and 100%, between 20% and 95%, between 20% and 90%, between 20% and 85%, between 20% and 80%, between 20% and 75%, between 20% and 70%, between 20% and 65%, between 20% and 60%, between 20% and 55%, between 20% and 50%, between 20% and 45%, between 20% and 40%, between 20% and 35%, between 20% and 30%, between 20% and 25%, between 30% and 500%, between 30% and 450%, between 30% and 400%, between 30% and 350%, between 30% and 300%, between 30% and 250%, between 30% and 200%, between 30% and 180%, between 30% and 160%, between 30% and 140%, between 30% and 120%, between 30% and 100%, between 30% and 95%, between 30% and 90%, between 30% and 85%, between 30% and 80%, between 30% and 75%, between 30% and 70%, between 30% and 65%, between 30% and 60%, between 30% and 55%, between 30% and 50%, between 30% and 45%, between 30% and 40%, between 30% and 35%, between 40% and 500%, between 40% and 450%, between 40% and 400%, between 40% and 350%, between 40% and 300%, between 40% and 250%, between 40% and 200%, between 40% and 180%, between 40% and 160%, between 40% and 140%, between 40% and 120%, between 40% and 100%, between 40% and 95%, between 40% and 90%, between 40% and 85%, between 40% and 80%, between 40% and 75%, between 40% and 70%, between 40% and 65%, between 40% and 60%, between 40% and 55%, between 40% and 50%, between 40% and 45%, between 50% and 500%, between 50% and 450%, between 50% and 400%, between 50% and 350%, between 50% and 300%, between 50% and 250%, between 50% and 200%, between 50% and 180%, between 50% and 160%, between 50% and 140%, between 50% and 120%, between 50% and 100%, between 50% and 95%, between 50% and 90%, between 50% and 85%, between 50% and 80%, between 50% and 75%, between 50% and 70%, between 50% and 65%, between 50% and 60%, between 50% and 55%, between 60% and 500%, between 60% and 450%, between 60% and 400%, between 60% and 350%, between 60% and 300%, between 60% and 250%, between 60% and 200%, between 60% and 180%, between 60% and 160%, between 60% and 140%, between 60% and 120%, between 60% and 100%, between 60% and 95%, between 60% and 90%, between 60% and 85%, between 60% and 80%, between 60% and 75%, between 60% and 70%, between 60% and 65%, between 70% and 500%, between 70% and 450%, between 70% and 400%, between 70% and 350%, between 70% and 300%, between 70% and 250%, between 70% and 200%, between 70% and 180%, between 70% and 160%, between 70% and 140%, between 70% and 120%, between 70% and 100%, between 70% and 95%, between 70% and 90%, between 70% and 85%, between 70% and 80%, between 70% and 75%, between 80% and 500%, between 80% and 450%, between 80% and 400%, between 80% and 350%, between 80% and 300%, between 80% and 250%, between 80% and 200%, between 80% and 180%, between 80% and 160%, between 80% and 140%, between 80% and 120%, between 80% and 100%, between 80% and 95%, between 80% and 90%, between 80% and 85%, between 90% and 500%, between 90% and 450%, between 90% and 400%, between 90% and 350%, between 90% and 300%, between 90% and 250%, between 90% and 200%, between 90% and 180%, between 90% and 160%, between 90% and 140%, between 90% and 120%, between 90% and 100%, between 90% and 95%, between 100% and 500%, between 100% and 450%, between 100% and 400%, between 100% and 350%, between 100% and 300%, between 100% and 250%, between 100% and 200%, between 100% and 180%, between 100% and 160%, between 100% and 140%, between 100% and 120%, between 120% and 500%, between 120% and 450%, between 120% and 400%, between 120% and 350%, between 120% and 300%, between 120% and 250%, between 120% and 200%, between 120% and 180%, between 120% and 160%, between 120% and 140%, between 140% and 500%, between 140% and 450%, between 140% and 400%, between 140% and 350%, between 140% and 300%, between 140% and 250%, between 140% and 200%, between 140% and 180%, between 140% and 160%, between 160% and 500%, between 160% and 450%, between 160% and 400%, between 160% and 350%, between 160% and 300%, between 160% and 250%, between 160% and 200%, between 160% and 180%, between 180% and 500%, between 180% and 450%, between 180% and 400%, between 180% and 350%, between 180% and 300%, between 180% and 250%, between 180% and 200%, between 200% and 500%, between 200% and 450%, between 200% and 400%, between 200% and 350%, between 200% and 300%, between 200% and 250%, between 250% and 500%, between 250% and 450%, between 250% and 400%, between 250% and 350%, between 250% and 300%, between 300% and 500%, between 300% and 450%, between 300% and 400%, between 300% and 350%, between 350% and 500%, between 350% and 450%, between 350% and 400%, between 400% and 500%, between 400% and 450%, or about 450% to about 500%), e.g., as compared to a reference level (e.g., any of the exemplary reference levels described herein).


As used herein, a “first time point” can, e.g., refer to a designated time point, which can, e.g., be used to refer to chronologically later time points (e.g., a second time point). In some examples, a subject may not have yet received a treatment at a first time point (e.g., may not have yet received a dose of a dual CLK/DYRK inhibitor, or a combination of a CLK inhibitor and a DYRK inhibitor (e.g., any of the CLK or DYRK inhibitors described herein) at a first time point). In some examples, a subject may have already received a treatment that does not include a dual CLK/DYRK inhibitor, or a combination of a CLK inhibitor and a DYRK inhibitor at the first time point. In some examples, the previous treatment that does not include a dual CLK/DYRK inhibitor, or a combination of a CLK inhibitor and a DYRK inhibitor was identified as being ineffective prior to the first time point. In some examples, a subject has previously been identified or diagnosed as having a cartilage disorders (e.g., any of the types of cancer described herein or known in the art) at the first time point. In some examples, a subject has previously been suspected of having a cartilage disorders (e.g., any of the types of cartilage disorders described herein or known in the art) at the first time point. In other examples, a first time point can be a time point when a subject has developed at least one (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10) symptom(s) associated with a cartilage disorders and has not yet received any treatment for cartilage disorders.


As used herein, a “second time point” refers to a time point that occurs chronologically after a first designated time point. In some examples, a subject (e.g., any of the subjects described herein) can receive or has received at least one (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100) doses of a treatment (e.g., a dual CLK/DYRK inhibitor or a combination of a CLK inhibitor and a DYRK inhibitor (e.g., any of the CLK or DYRK inhibitors described herein)) between the first and the second time points. In some examples, the time difference between a first and a second time point can be, e.g., 1 day to about 12 months, 1 day to about 11 months, 1 day to about 10 months, 1 day to about 9 months, 1 day to about 8 months, 1 day to about 7 months, 1 day to about 6 months, 1 day to about 22 weeks, 1 day to about 20 weeks, 1 day to about 18 weeks, 1 day to about 16 weeks, 1 day to about 14 weeks, 1 day to about 12 weeks, 1 day to about 10 weeks, 1 day to about 8 weeks, 1 day to about 6 weeks, 1 day to about 4 weeks, 1 day to about 3 weeks, 1 day to about 2 weeks, 1 day to about 1 week, about 2 days to about 12 months, about 2 days to about 11 months, about 2 days to about 10 months, about 2 days to about 9 months, about 2 days to about 8 months, about 2 days to about 7 months, about 2 days to about 6 months, about 2 days to about 22 weeks, about 2 days to about 20 weeks, about 2 days to about 18 weeks, about 2 days to about 16 weeks, about 2 days to about 14 weeks, about 2 days to about 12 weeks, about 2 days to about 10 weeks, about 2 days to about 8 weeks, about 2 days to about 6 weeks, about 2 days to about 4 weeks, about 2 days to about 3 weeks, about 2 days to about 2 weeks, about 2 days to about 1 week, about 4 days to about 12 months, about 4 days to about 11 months, about 4 days to about 10 months, about 4 days to about 9 months, about 4 days to about 8 months, about 4 days to about 7 months, about 4 days to about 6 months, about 4 days to about 22 weeks, about 4 days to about 20 weeks, about 4 days to about 18 weeks, about 4 days to about 16 weeks, about 4 days to about 14 weeks, about 4 days to about 12 weeks, about 4 days to about 10 weeks, about 4 days to about 8 weeks, about 4 days to about 6 weeks, about 4 days to about 4 weeks, about 4 days to about 3 weeks, about 4 days to about 2 weeks, about 4 days to about 1 week, about 1 week to about 12 months, about 1 week to about 11 months, about 1 week to about 10 months, about 1 week to about 9 months, about 1 week to about 8 months, about 1 week to about 7 months, about 1 week to about 6 months, about 1 week to about 22 weeks, about 1 week to about 20 weeks, about 1 week to about 18 weeks, about 1 week to about 16 weeks, about 1 week to about 14 weeks, about 1 week to about 12 weeks, about 1 week to about 10 weeks, about 1 week to about 8 weeks, about 1 week to about 6 weeks, about 1 week to about 4 weeks, about 1 week to about 3 weeks, about 1 week to about 2 weeks, about 2 weeks to about 12 months, about 2 weeks to about 11 months, about 2 weeks to about 10 months, about 2 weeks to about 9 months, about 2 weeks to about 8 months, about 2 weeks to about 7 months, about 2 weeks to about 6 months, about 2 weeks to about 22 weeks, about 2 weeks to about 20 weeks, about 2 weeks to about 18 weeks, about 2 weeks to about 16 weeks, about 2 weeks to about 14 weeks, about 2 weeks to about 12 weeks, about 2 weeks to about 10 weeks, about 2 weeks to about 8 weeks, about 2 weeks to about 6 weeks, about 2 weeks to about 4 weeks, about 2 weeks to about 3 weeks, about 3 weeks to about 12 months, about 3 weeks to about 11 months, about 3 weeks to about 10 months, about 3 weeks to about 9 months, about 3 weeks to about 8 months, about 3 weeks to about 7 months, about 3 weeks to about 6 months, about 3 weeks to about 22 weeks, about 3 weeks to about 20 weeks, about 3 weeks to about 18 weeks, about 3 weeks to about 16 weeks, about 3 weeks to about 14 weeks, about 3 weeks to about 12 weeks, about 3 weeks to about 10 weeks, about 3 weeks to about 8 weeks, about 3 weeks to about 6 weeks, about 3 weeks to about 4 weeks, about 4 weeks to about 12 months, about 4 weeks to about 11 months, about 4 weeks to about 10 months, about 4 weeks to about 9 months, about 4 weeks to about 8 months, about 4 weeks to about 7 months, about 4 weeks to about 6 months, about 4 weeks to about 22 weeks, about 4 weeks to about 20 weeks, about 4 weeks to about 18 weeks, about 4 weeks to about 16 weeks, about 4 weeks to about 14 weeks, about 4 weeks to about 12 weeks, about 4 weeks to about 10 weeks, about 4 weeks to about 8 weeks, about 4 weeks to about 6 weeks, about 6 weeks to about 12 months, about 6 weeks to about 11 months, about 6 weeks to about 10 months, about 6 weeks to about 9 months, about 6 weeks to about 8 months, about 6 weeks to about 7 months, about 6 weeks to about 6 months, about 6 weeks to about 22 weeks, about 6 weeks to about 20 weeks, about 6 weeks to about 18 weeks, about 6 weeks to about 16 weeks, about 6 weeks to about 14 weeks, about 6 weeks to about 12 weeks, about 6 weeks to about 10 weeks, about 6 weeks to about 8 weeks, about 8 weeks to about 12 months, about 8 weeks to about 11 months, about 8 weeks to about 10 months, about 8 weeks to about 9 months, about 8 weeks to about 8 months, about 8 weeks to about 7 months, about 8 weeks to about 6 months, about 8 weeks to about 22 weeks, about 8 weeks to about 20 weeks, about 8 weeks to about 18 weeks, about 8 weeks to about 16 weeks, about 8 weeks to about 14 weeks, about 8 weeks to about 12 weeks, about 8 weeks to about 10 weeks, about 10 weeks to about 12 months, about 10 weeks to about 11 months, about 10 weeks to about 10 months, about 10 weeks to about 9 months, about 10 weeks to about 8 months, about 10 weeks to about 7 months, about 10 weeks to about 6 months, about 10 weeks to about 22 weeks, about 10 weeks to about 20 weeks, about 10 weeks to about 18 weeks, about 10 weeks to about 16 weeks, about 10 weeks to about 14 weeks, about 10 weeks to about 12 weeks, about 12 weeks to about 12 months, about 12 weeks to about 11 months, about 12 weeks to about 10 months, about 12 weeks to about 9 months, about 12 weeks to about 8 months, about 12 weeks to about 7 months, about 12 weeks to about 6 months, about 12 weeks to about 22 weeks, about 12 weeks to about 20 weeks, about 12 weeks to about 18 weeks, about 12 weeks to about 16 weeks, about 12 weeks to about 14 weeks, about 14 weeks to about 12 months, about 14 weeks to about 11 months, about 14 weeks to about 10 months, about 14 weeks to about 9 months, about 14 weeks to about 8 months, about 14 weeks to about 7 months, about 14 weeks to about 6 months, about 14 weeks to about 22 weeks, about 14 weeks to about 20 weeks, about 14 weeks to about 18 weeks, about 14 weeks to about 16 weeks, about 16 weeks to about 12 months, about 16 weeks to about 11 months, about 16 weeks to about 10 months, about 16 weeks to about 9 months, about 16 weeks to about 8 months, about 16 weeks to about 7 months, about 16 weeks to about 6 months, about 16 weeks to about 22 weeks, about 16 weeks to about 20 weeks, about 16 weeks to about 18 weeks, about 18 weeks to about 12 months, about 18 weeks to about 11 months, about 18 weeks to about 10 months, about 18 weeks to about 9 months, about 18 weeks to about 8 months, about 18 weeks to about 7 months, about 18 weeks to about 6 months, about 18 weeks to about 22 weeks, about 18 weeks to about 20 weeks, about 20 weeks to about 12 months, about 20 weeks to about 11 months, about 20 weeks to about 10 months, about 20 weeks to about 9 months, about 20 weeks to about 8 months, about 20 weeks to about 7 months, about 20 weeks to about 6 months, about 20 weeks to about 22 weeks, about 22 weeks to about 12 months, about 22 weeks to about 11 months, about 22 weeks to about 10 months, about 22 weeks to about 9 months, about 22 weeks to about 8 months, about 22 weeks to about 7 months, about 22 weeks to about 6 months, about 24 weeks to about 12 months, about 24 weeks to about 11 months, about 24 weeks to about 10 months, about 24 weeks to about 9 months, about 24 weeks to about 8 months, about 24 weeks to about 7 months, about 7 months to about 12 months, about 7 months to about 11 months, about 7 months to about 10 months, about 7 months to about 9 months, about 7 months to about 8 months, about 8 months to about 12 months, about 8 months to about 11 months, about 8 months to about 10 months, about 8 months to about 9 months, about 9 months to about 12 months, about 9 months to about 11 months, about 9 months to about 10 months, about 10 months to about 12 months, about 10 months to about 11 months, or about 11 months to about 12 months.


Methods of Treatment

The present disclosure is based on the surprising discovery that DYRK and CLK signaling is important in chondrogenesis. Specifically, the present application describes how inhibition of DYRK (e.g., DYKR1A) and CLK (e.g., CLK2 and/or CLK3) signaling results in unexpectedly superior treatment of a variety of disorders, for example, osteoarthritis and degenerative disc disease (DDD), amongst many others. These surprising and unexpected effects can be accomplished through administration of a CLK inhibitor and a DYRK inhibitor or a single agent capable of inhibiting both targets. While such treatment may be generally beneficial to patients suffering from, or at risk of suffering from, a variety of disorders, some patients may also be specifically selected for such treatment. For example, patients having an elevated level of Wnt pathway activity as compared to a reference level and/or possessing certain biomarkers for one or more cartilage-related disorders.


Some embodiments provide methods of treating osteoarthritis in a subject, methods of selecting a treatment for a subject, methods of selecting a subject for treatment, that each include identifying a subject having an elevated level of Wnt pathway activity as compared to a reference level. Also provided herein are methods of determining the efficacy of a DYRK inhibitor and a CLK inhibitor in a subject that include detecting a level of Wnt/β-catenin signaling activity in a sample obtained from the subject. Also provided are methods of decreasing the activity of DYRK and CLK that include the use of any of the inhibitors or pharmaceutically acceptable salts or solvates thereof described herein. Also provided herein are methods of treating osteoarthritis using a DYRK inhibitor and a CLK inhibitor, methods of selecting a subject for treatment with a DYRK inhibitor and a CLK inhibitor, methods of increasing chondrogenesis using a DYRK inhibitor and a CLK inhibitor, methods of modifying the progression of osteoarthritis using a DYRK inhibitor and a CLK inhibitor, that each include the use of a DYRK inhibitor and a CLK inhibitor, that include a step of identifying a subject having elevated Wnt pathway activity. In some embodiments, the DYRK inhibitor and the CLK inhibitor are separate compounds (e.g., a first compound and a second compound). In some embodiments, the DRYK inhibitor and the CLK inhibitor are the same compound (i.e., a dual CLK/DYRK inhibitor).


Exemplary Conditions

Non-limiting examples of diseases which can be treated with a dual CLK/DYRK inhibitor or a combination of a CLK inhibitor and DYRK inhibitor, or a pharmaceutically acceptable salt or solvate of any of the foregoing, are axial spondyloarthritis (including ankylosing spondylitis), costochondritis, degenerative disc disease, degenerative spondylolisthesis (also called degenerative anterolisthesis), elbow dysplasia, gout, juvenile idiopathic arthritis, osteoarthritis, osteochondritis dissecans, Panner disease, reactive arthritis, relapsing polychondritis, rheumatoid arthritis (RA), sacroiliac joint dysfunction, septic arthritis, Still's disease, Tietze syndrome (also called chondropathia tuberosa or costochondral junction syndrome).


Non-limiting examples of diseases where joint pain, join inflammation, and cartilage damage can also be a symptom and can be treated with a dual CLK/DYRK inhibitor or a combination of a CLK inhibitor and DYRK inhibitor, or a pharmaceutically acceptable salt or solvate of any of the foregoing, are psoriasis (psoriatic arthritis), reactive arthritis, Ehlers-Danlos syndrome, haemochromatosis, hepatitis, Lyme disease, Sjogren's disease, Hashimoto's thyroiditis, Celiac disease, non-celiac gluten sensitivity, inflammatory bowel disease (including Crohn's disease and ulcerative colitis), Henoch-Schonlein purpura, hyperimmunoglobulinemia D with recurrent fever, sarcoidosis, Whipple's disease, TNF receptor associated periodic syndrome, granulomatosis with polyangiitis (and many other vasculitis syndromes), familial Mediterranean fever, and systemic lupus erythematosus.


Cartilage that can be treated with a dual CLK/DYRK inhibitor or a combination of a CLK inhibitor and DYRK inhibitor, or a pharmaceutically acceptable salt or solvate of any of the foregoing, can be located anywhere in the body, i.e. joints between bones (e.g. the elbows, knees and ankles), pubic symphysis (which is the position at which the hip bones join at the front of the body), ends of the ribs, menisci (cartilage pads of the knee joint), intervertebral discs, auditory (eustachian) tubes, auricle (external ears), bronchi, bronchial tubes, costal cartilages, larynx (voice-box), nose, trachea, epiglottis (the lid on the top of the larynx). The cartilage can be of any type, i.e. hyaline cartilage, elastic cartilage, fibrocartilage, or articular cartilage.


As used herein, “chondrogenesis” refers to the process by which cartilage is formed from condensed mesenchyme tissue, which differentiates into chondrocytes and begins secreting the molecules that form the extracellular matrix. Additionally, chondrogenesis is sometimes referred to as chondrification. Specifically, chondrogenesis occurs as a result of condensation of mesenchymal cells, which express collagens I, III, and V and chondroprogenitor cell differentiation with expression of cartilage-specific collagens II, IX, and XI. Additional molecular players involved in chondrogenesis include, but are not limited to aggrecan (Agc1), Sonic Hedgehog (Shh), Patched-1 and 2 (Ptch1,2), Smoothened (Smo), Gli, Sox5, Sox6, Sox9, Nkx3-2, CREB, NFAT4, FGFs, HIF-1α, TGF-β, BMP, PKA, PKC, PP2A, PP2B, ERK1/2, p38, JNK, N-cam, N-cadherin, Integrin α5β1, and Wnt. It is the interplay between stimulatory and inhibitory factors that controls the rate and progression of chondrogenesis. In adults, chondrocytes are the single cellular component of articular cartilage. Articular cartilage has a limited capacity for healing and repair, due to the low turnover equilibrium of chondrocytes.


In some embodiments, the methods described herein induce chondrogenesis by administering a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, the methods described herein induce chondrogenesis by administering a therapeutically effective amount of a single compound, or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRA1A/CLK2 and/or CLK3 inhibitor, which inhibits both DYRK1A and CLK2 and/or CLK3. In some embodiments, the methods activate chondrogenic mesenchymal cells to become differentiated chondrocytes. In some embodiments, administration of one or more compounds discussed herein generates differentiated chondrocytes. In some embodiments, administration of one or more compounds discussed herein produces chondrogenic nodules or differentiated chondrocytes. In some embodiments, administration of one or more compounds discussed herein promotes increased cartilage growth.


In some embodiments, the CLK inhibitor, the DYRK inhibitor, and the dual DYRK/CLK inhibitor, are each independently selected from compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof.


Spondylosis

Spondylosis is the degeneration of the spinal column from any cause. In the more narrow sense it refers to spinal osteoarthritis, the age-related wear and tear of the spinal column, which is the most common cause of spondylosis. The degenerative process in osteoarthritis chiefly affects the vertebral bodies, the neural foramina and the facet joints (facet syndrome). If severe, it may cause pressure on the spinal cord or nerve roots with subsequent sensory or motor disturbances, such as pain, paresthesia, imbalance, and muscle weakness in the limbs.


In some embodiments, the methods disclosed herein can be used to treat spondylosis. In some embodiments, the methods disclosed herein can be used to prevent further cartilage breakdown after a spondylosis diagnosis. In some embodiments, the methods disclosed herein can be used to induce chondrocyte differentiation a spondylosis diagnosis. Additional methods disclosed herein can be used to facilitate recovery after a spondylosis diagnosis. In some embodiments, provided herein are methods of modifying the progression of spondylosis.


Provided herein are methods for treating spondylosis in a subject comprising administering to the subject a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additionally, methods for treating degenerative disc disease are provided comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK/CLK inhibitor, which inhibits CLK and DYRK. In some embodiments, the methods for treating spondylosis in a subject comprise administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additionally, methods for treating spondylosis are provided comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A and CLK2 and/or CLK3.


Degenerative Disc Disease

Degenerative Disc Disease is a spinal condition caused by the breakdown of the intervertebral discs. As one ages, the spine begins to show signs of wear and tear because the discs dry out and shrink. These age-related changes can lead to arthritis, disc herniation, or spinal stenosis.


When the space between two adjacent vertebrae narrows, compression of a nerve root emerging from the spinal cord may result in radiculopathy (sensory and motor disturbances, such as severe pain in the neck, shoulder, arm, back, or leg, accompanied by muscle weakness). Less commonly, direct pressure on the spinal cord (typically in the cervical spine) may result in myelopathy, characterized by global weakness, gait dysfunction, loss of balance, and loss of bowel or bladder control. The patient may experience shocks (paresthesia) in hands and legs because of nerve compression and lack of blood flow. If vertebrae of the neck are involved it is labelled cervical spondylosis. Lower back spondylosis is labeled lumbar spondylosis.


In some embodiments, the methods disclosed herein can be used to treat degenerative disc disease. In some embodiments, the methods disclosed herein can be used to prevent further cartilage breakdown after a degenerative disc disease diagnosis. In some embodiments, the methods disclosed herein can be used to induce chondrocyte differentiation a degenerative disc disease diagnosis. Additional methods disclosed herein can be used to facilitate recovery after a degenerative disc disease diagnosis. In some embodiments, provided herein are methods of modifying the progression of degenerative disc disease.


Provided herein are methods for treating degenerative disc disease in a subject comprising administering to the subject a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additionally, methods for treating degenerative disc disease are provided comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK/CLK inhibitor, which inhibits CLK and DYRK. In some embodiments, the methods for treating degenerative disk disease in a subject comprise administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additional methods for treating degenerative disc disease include comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A and CLK2 and/or CLK3.


In some embodiments, the first compound, the second compound, and the dual DYRK/CLK inhibitor, are each independently selected from compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof.


Meniscus Injury

The meniscus is a piece of cartilage in the knee that cushions and stabilizes the joint. Meniscus injury can occur as a result of participation in sports that require jumping, twisting, or changing direction suddenly while running. Meniscus injury may be more likely to occur in older people, because the meniscus weakens with age. In some embodiments, the methods disclosed herein can be used to treat meniscus injury. In some embodiments, the methods disclosed herein can be used to prevent further cartilage breakdown after a meniscus injury. In some embodiments, the methods disclosed herein can be used to induce chondrocyte differentiation after meniscus injury. Additional methods disclosed herein can be used to facilitate recovery after a meniscus injury.


Provided herein are methods for treating meniscus injury in a subject comprising administering to the subject a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additionally, methods for treating meniscus injury are provided comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK/CLK inhibitor, which inhibits CLK and DYRK. In some embodiments, the methods for treating meniscus injury in a subject comprise administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additional methods for treating meniscus injury include comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A and CLK2 and/or CLK3.


In some embodiments, the first compound, the second compound, and the dual DYRK/CLK inhibitor, are each independently selected from compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof.


Relapsing Polychondritis

Relapsing polychondritis is a multi-systemic condition characterized by repeated episodes of inflammation and deterioration of cartilage. The often painful disease can cause joint deformity and be life-threatening if the respiratory tract, heart valves, or blood vessels are affected. In some embodiments, the methods disclosed herein can be used to treat relapsing polychondritis. In some embodiments, the methods disclosed herein can be used to prevent further cartilage breakdown after a relapsing polychondritis diagnosis. In some embodiments, the methods disclosed herein can be used to induce chondrocyte differentiation after a relapsing polychondritis diagnosis. Additional methods disclosed herein can be used to facilitate recovery after a relapsing polychondritis diagnosis. In some embodiments, provided herein are methods of modifying the progression of relapsing polychondritis.


Provided herein are methods for treating relapsing polychondritis in a subject comprising administering to the subject a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additionally, methods for treating relapsing polychondritis are provided comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK/CLK inhibitor, which inhibits CLK and DYRK. In some embodiments, the methods for treating relapsing polychondritis in a subject comprise administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additional methods for treating relapsing polychondritis include comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A and CLK2 and/or CLK3.


In some embodiments, the first compound, the second compound, and the dual DYRK/CLK inhibitor, are each independently selected from compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof.


Rheumatoid Arthritis (RA)

Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and hands are involved, with the same joints typically involved on both sides of the body.


Arthritis of joints involves inflammation of the synovial membrane. Joints become swollen, tender and warm, and stiffness limits their movement. With time, multiple joints are affected (polyarthritis). Most commonly involved are the small joints of the hands, feet and cervical spine, but larger joints like the shoulder and knee can also be involved. Synovitis can lead to tethering of tissue with loss of movement and erosion of the joint surface causing deformity and loss of function [The American Journal of Medicine (2007), 120(11), 936-939]


RA typically manifests with signs of inflammation, with the affected joints being swollen, warm, painful and stiff, particularly early in the morning on waking or following prolonged inactivity. Increased stiffness early in the morning is often a prominent feature of the disease and typically lasts for more than an hour. Gentle movements may relieve symptoms in early stages of the disease. These signs help distinguish rheumatoid from non-inflammatory problems of the joints, such as osteoarthritis. In arthritis of non-inflammatory causes, signs of inflammation and early morning stiffness are less prominent. The pain associated with RA is induced at the site of inflammation and classified as nociceptive as opposed to neuropathic. The joints are often affected in a fairly symmetrical fashion, although this is not specific, and the initial presentation may be asymmetrical.


As the pathology progresses the inflammatory activity leads to tendon tethering and erosion and destruction of the joint surface, which impairs range of movement and leads to deformity. The fingers may suffer from almost any deformity depending on which joints are most involved. Specific deformities, which also occur in osteoarthritis, include ulnar deviation, boutonniere deformity (also “buttonhole deformity”, flexion of proximal interphalangeal joint and extension of distal interphalangeal joint of the hand), swan neck deformity (hyperextension at proximal interphalangeal joint and flexion at distal interphalangeal joint) and “Z-thumb.” “Z-thumb” or “Z-deformity” consists of hyperextension of the interphalangeal joint, fixed flexion and subluxation of the metacarpophalangeal joint and gives a “Z” appearance to the thumb. The hammer toe deformity may be seen. In the worst case, joints are known as arthritis mutilans due to the mutilating nature of the deformities


In some embodiments, the methods disclosed herein can be used to treat rheumatoid arthritis. In some embodiments, the methods disclosed herein can be used to prevent further cartilage breakdown after rheumatoid arthritis diagnosis. In some embodiments, the methods disclosed herein can be used to induce chondrocyte differentiation after a rheumatoid arthritis diagnosis. Additional methods disclosed herein can be used to facilitate recovery after a rheumatoid arthritis diagnosis. In some embodiments, provided herein are methods of modifying the progression of rheumatoid arthritis.


Provided herein are methods for treating rheumatoid arthritis in a subject comprising administering to the subject a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additionally, methods for treating rheumatoid arthritis are provided comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound inhibits is a dual DYRK/CLK inhibitor, which CLK and DYRK. In some embodiments, the methods for treating rheumatoid arthritis in a subject comprises administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additional methods for treating rheumatoid arthritis include administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A and CLK2 and/or CLK3.


In some embodiments, the first compound, the second compound, and the dual DYRK/CLK inhibitor, are each independently selected from compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof.


Osteoarthritis

Osteoarthritis is a chronic degenerative joint disease in which cartilage and bone are primarily affected and for which acceptable long-term therapy does not yet exist. Osteoarthritis is especially common among people over 65 years of age, and usually affects a joint on one side of the body. In osteoarthritis, the cartilage breaks down and wears away, causing pain, swelling, and loss of motion of the joint. Osteoarthritis can affect any joint in the body, including one or more of the hands, feet, spine, shoulders, elbows, ankles, wrists, and the large weight bearing joints, such as the hips and knees. To date, clinical efforts aimed at treating osteoarthritis have been primarily directed toward symptomatic relief of pain and inflammation.


Provided herein are methods for treating osteoarthritis in a subject comprising administering to the subject a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additionally, methods for treating osteoarthritis are provided comprising administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound inhibits is a dual DYRK/CLK inhibitor, which CLK and DYRK. In some embodiments, the methods for treating osteoarthritis in a subject comprises administering to the subject a first compound, wherein the first compound is a CLK2 and/or CLK3 inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK1A inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Additional methods for treating osteoarthritis include administering to the subject a single compound or a pharmaceutically acceptable salt or solvate thereof, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A and CLK2 and/or CLK3. In some embodiments, the methods disclosed herein can be used to treat osteoarthritis. In some embodiments, the methods disclosed herein can be used to prevent further cartilage breakdown after rheumatoid osteoarthritis. In some embodiments, the methods disclosed herein can be used to induce chondrocyte differentiation after an osteoarthritis diagnosis. Additional methods disclosed herein can be used to facilitate recovery after an osteoarthritis diagnosis.


In some embodiments, the method comprises selecting a subject by detecting an elevated level of Wnt pathway activity in a sample from a subject, as compared to a reference level. In some embodiments, the method comprises modifying the progression of osteoarthritis by administering a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, the method comprises modifying the progression of osteoarthritis by administering a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK/CLK inhibitor, which inhibits CLK and DYRK. Accordingly, provided herein are methods of modifying the progression of osteoarthritis.


In some embodiments, the first compound, the second compound, and the dual DYRK/CLK inhibitor, are each independently selected from compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof.


Disease Modifying Methods

In some embodiments, the methods provided herein can result in disease modification. Disease modification can refer to treatments or interventions that affect the underlying pathophysiology of the disease and have a beneficial outcome on the course or progression of the disease, for example, RA or osteoarthritis. Disease modification can also refer to interventions that modify or change the course of the disease, such as RA or osteoarthritis. Disease modification can also refer to interventions that slow down or reduce disease progression, for example, reducing or slowing down RA or osteoarthritis progression. Disease modification can also refer to interventions that stabilize disease progression, such as RA or osteoarthritis progression. In some embodiments, disease modification is stabilization in a particular stage of the disease, for example, stabilization of a subject at a particular RA or osteoarthritic stage. In some embodiments, disease modification is increased time in progression to a more severe stage of the disease, such as a more severe RA or osteoarthritic stage. In some embodiments, disease modification is stabilization in one or more subject reported symptoms. In some embodiments, disease modification is improvement in one or more subject reported symptoms. In some embodiments, disease modification is stabilization in one or more objective physical findings (e.g. physician monitored range of motion, or width, thickness, or volume of the cartilage, measurements of the space between bones, and levels of synovial fluid, etc.). In some embodiments, disease modification is improvement in one or more objective physical findings. In some embodiments, disease modification is stabilization in one or more inflammatory biomarkers discussed herein. In some embodiments, disease modification is a decrease in one or more inflammatory biomarkers discussed herein. In some embodiments, disease modification is decreasing Wnt pathway activation, such that the level of Wnt pathway activation is not elevated compared to a reference level.


Additionally, provided herein are methods of treating a subject that include first assessing the severity of the disease in the subject and then administering to the subject a first compound, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, or a pharmaceutically acceptable salt or solvate thereof, based on the assessment. For example, administering a first compound and a second compound each independently selected from compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof. Also provided herein are methods of treating a subject that include first assessing the severity of the disease in the subject and then administering to the subject a single compound, or a pharmaceutically acceptable salt or solvate thereof, based on the assessment. For example, administering a compound of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, the severity of the disorder is determined at one or more locations within a subject's body. For example, the severity of the disorder is determined at or near the target site of administration. In some embodiments, the osteoarthritis is present and assessed in one or more of the hands, feet, spine, shoulders, elbows, ankles, wrists, and the large weight bearing joints, such as the hips and knees.


The severity of a subject's osteoarthritis can be determined using a variety of methods. For example, radiological criteria (e.g., X-rays, CT scans, MRI, ultrasonography, and bone scanning), clinical criteria, pain assessments (e.g., visual analog scale (VAS) and Western Ontario and McMaster Universities Arthritis Index (WOMAC), Numeric Rating Scale (NRS), or Numeric Pain Rating Scale (NPRS) scores), mobility assessments (e.g., physician global assessments), thickness of cartilage (e.g., at the target site of administration), total volume of cartilage (e.g., at the target site of administration), levels of anabolic or catabolic biomarkers indicative of cartilage synthesis or degradation (e.g., cartilage oligomeric matrix protein [COMP], N-terminal propeptides of procollagen type I [PINP], and β-C-terminal telopeptide [β-CTX]), ARG8, COMP, PIANP, 5-ARGS, plasma levels of cytokines related to inflammation (interleukin [IL] 1b, IL6, IL8, tumor necrosis factor (TNF), and interferon-alpha [IFNα]), levels of bone marrow edema (e.g., by MRI scans of the target site of administration), levels of synovial fluid, clarity of synovial fluid (e.g., levels of crystals present in the fluid when viewed under a polarized microscope), levels of metalloproteinases (e.g., collagenase, stromelysin, MMPs, ADAMTS, etc.), levels of free radicals (e.g., nitric oxide), and measurements of the space between bones. In some embodiments, one or more methods of assessing the severity of a subject's osteoarthritis or disease state can be used.


Assessments of a joint can be made at one or more locations at, around, or near the joint. For example, multiple measurements of the width, thickness, or volume of the cartilage can be made. In some embodiments, the results of multiple measurements can be combined into a composite score which can be used to assess the severity of the disorder. Various methods of assessing the joint can also be considered together to determine the severity of the disorder. For example, subjective measurements such as pain and mobility determinations can be combined with objective measurements in one or more locations of the joint such as width, thickness, or volume of the cartilage, measurements of the space between bones, and levels of synovial fluid.


In some embodiments, the severity of the disease is determined based on the stage of the disorder. For example, osteoarthritis (OA) of the knee can be divided into five stages: 0 is assigned to a normal, healthy knee. The highest stage, 4, is assigned to severe OA. Exemplary diagnosis criteria and typical symptoms of the various stages are provided below in Table 1.










TABLE 1





Stage
Symptoms







0
Stage 0 OA is classified as “normal” knee health. The knee joint shows no signs of



OA, and the joint functions without any impairment or pain.


1
A person with stage 1 OA is showing very minor bone spur growth (bone spurs are



boney growths that often develop where bones meet each other in the joint). Likely,



a person with stage 1 OA is not experiencing any pain or discomfort as a result of



the very minor wear on the components of the joint.


2
Stage 2 OA of the knee is considered a “mild” stage of the condition. X-rays of knee



joints in this stage will likely reveal greater bone spur growth, but the cartilage likely



remains at a healthy size - the space between the bones is normal, and the bones



are not rubbing or scraping one another. Synovial fluid is also typically still present



at sufficient levels for normal joint motion. However, this is the stage where people



may first begin experiencing symptoms - pain after a long day of walking or



running, greater stiffness in the joint when it's not used for several hours, tenderness



when kneeling or bending.


3
Stage 3 OA is classified as “moderate” OA. The cartilage between bones is showing



obvious damage, and the space between the bones is narrowing. People with stage



3 OA of the knee are likely experiencing frequent pain when walking, running,



bending, or kneeling. They also may experience joint stiffness after sitting for long



periods of time or when waking up in the morning. Joint swelling may be present



after extended periods of motion, too.


4
Stage 4 OA is considered “severe.” People in stage 4 OA of the knee experience



great pain and discomfort when walking or moving the joint. The joint space



between bones is dramatically reduced - the cartilage is almost completely gone,



leaving the joint stiff and possibly immobile. The synovial fluid is decreased



dramatically, and it no longer helps reduce the friction among the moving parts of a



joint.









Similarly, the stages of hip osteoarthritis can divided into five stages according to the severity observed in various images. Exemplary diagnosis criteria and typical symptoms of the various stages are provided below in Table 2.











TABLE 2





Stage
Plain film grading
MRI grading







0
Normal
Normal


1
Possible joint space narrowing and
Inhomogeneous high signal intensity in



subtle osteophytes
cartilage (T2WI)


2
Definite joint space narrowing,
Inhomogeneity with areas of high signal



defined osteophytes and some
intensity in articular cartilage (T2WI);



sclerosis, especially in acetabular
indistinct trabeculae or signal intensity



region
loss in femoral head & neck (T1WI)


3
Marked joint space narrowing, small
Criteria of Stage 1 & 2 plus indistinct



osteophytes, some sclerosis and cyst
zone between femoral head &



formation and deformity of femoral
acetabulum; subchondral signal loss due



head and acetabulum
to bone sclerosis


4
Gross loss of joint space with above
Above criteria plus femoral head



features plus large osteophytes and
deformity



increased deformity of the femoral



head and acetabulum









In some embodiments, a first compound, wherein the first compound is a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a second compound, wherein the second compound is a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, can be used to treat osteoarthritis in combination with any of the following compounds and/or methods: (a) Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, aspirin and acetaminophen; (b) physical therapy; (c) injections of corticosteroid medications; (d) injections of hyaluronic acid derivatives (e.g. Hyalgan, Synvisc); (e) narcotics, like codeine; (f) braces and/or shoe inserts or any device that can immobilize or support your joint to help you keep pressure off it (e.g., splints, braces, shoe inserts or other medical devices); (g) realigning bones (osteotomy); (h) joint replacement (arthroplasty); and (i) a course for dealing with chronic pain.


In some embodiments, a single compound, wherein the single compound, or a pharmaceutically acceptable salt or solvate thereof, inhibits DYRK and CLK can be used to treat osteoarthritis in combination with any of the following compounds and/or methods: (a) Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, aspirin and acetaminophen; (b) physical therapy; (c) injections of corticosteroid medications; (d) injections of hyaluronic acid derivatives (e.g. Hyalgan, Synvisc); (e) narcotics, like codeine; (f) braces and/or shoe inserts or any device that can immobilize or support your joint to help you keep pressure off it (e.g., splints, braces, shoe inserts or other medical devices); (g) realigning bones (osteotomy); (h) joint replacement (arthroplasty); and (i) a course for dealing with chronic pain. In other embodiments, a single compound can be used to treat osteoarthritis in combination with any of the following methods: (a) Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, aspirin and acetaminophen; (b) physical therapy; (c) injections of corticosteroid medications; (d) injections of hyaluronic acid derivatives (e.g. Hyalgan, Synvisc); (e) narcotics, like codeine; (f) braces and/or shoe inserts or any device that can immobilize or support your joint to help you keep pressure off it (e.g., splints, braces, shoe inserts or other medical devices); (g) realigning bones (osteotomy); (h) joint replacement (arthroplasty); and (i) in combination with a chronic pain class.


Cartilage Growth

In some embodiments, administration of one or more compounds and methods provided herein promote increased cartilage growth. Assessments of a joint can be made at one or more locations at, around, or near the joint. In some embodiments, cartilage growth is measured by cartilage thickness. In some embodiments, cartilage growth is measured by cartilage width. In some embodiments, cartilage growth is measured by volume of the cartilage. In some embodiments, the results of multiple measurements can be combined into a composite score which can be used to assess the severity of the disorder. Various methods of assessing the joint can also be considered together to determine the severity of the disorder. For example, subjective measurements such as pain and mobility determinations can be combined with objective measurements in one or more locations of the joint such as width, thickness, or volume of the cartilage, measurements of the space between bones, and levels of synovial fluid.


Selecting a Subject, Assessing Joint Damage, and Assessing Method Efficacy

As used herein, methods described herein comprise selecting a subject. In some embodiments, a subject is selected using a variety of techniques. For example, radiological criteria (e.g., X-rays, CT scans, MRI, ultrasonography, and bone scanning), clinical criteria, pain assessments (e.g., visual analog scale (VAS) and Western Ontario and McMaster Universities Arthritis Index (WOMAC), Numeric Rating Scale (NRS), or Numeric Pain Rating Scale (NPRS) scores), mobility assessments (e.g., physician global assessments), thickness of cartilage (e.g., at the target site of administration), total volume of cartilage (e.g., at the target site of administration), levels of anabolic or catabolic biomarkers indicative of cartilage synthesis or degradation (e.g., cartilage oligomeric matrix protein [COMP], N-terminal propeptides of procollagen type I [PINP], and beta-C-terminal telopeptide [β-CTX]), ARG8, COMP, PIANP, 5-ARGS, plasma levels of cytokines related to inflammation (interleukin [IL] 1β, IL6, IL8, tumor necrosis factor (TNF), and interferon-alpha [IFN-α]), levels of bone marrow edema (e.g., by MRI scans of the target site of administration), levels of synovial fluid, clarity of synovial fluid (e.g., levels of crystals present in the fluid when viewed under a polarized microscope), levels of metalloproteinases (e.g., collagenase, stromelysin, MMPs, ADAMTS, etc.), ARGS, ADAMTS5, levels of free radicals (e.g., nitric oxide), and measurements of the space between bones. In some embodiments, a subject is selected based on joint inflammation. In some embodiments, a subject is selected based on the extent of joint effusion. In some embodiments, the subject is selected based on radiological criteria in combination with pain scores. In some embodiments, the subject is selected based on biomarker levels and pain scores. In some embodiments, the subject is selected based on clinical criteria and biomarker levels. In some embodiments, one or more techniques of assessing the severity of a subject's disease or condition can be used. In some embodiments, the methods require 2 to 4 mm of baseline cartilage.


Additionally, provided herein are methods of treating a subject that include first assessing the severity of the disease in the subject and then administering to the subject a first compound and a second compound based on the assessment. Also provided herein are methods of treating a subject that include first assessing the severity of the disease in the subject and then administering to the subject a single compound based on the assessment. In some embodiments, the severity of the disorder is determined at one or more locations within a subject's body. For example, the severity of the disorder is determined at or near the target site of administration. Assessments of a joint can be made at one or more locations at, around, or near the joint. For example, multiple measurements of the width, thickness, or volume of the cartilage can be made. In some embodiments, the results of multiple measurements can be combined into a composite score which can be used to assess the severity of the disorder. Various methods of assessing the joint can also be considered together to determine the severity of the disorder. For example, subjective measurements such as pain and mobility determinations can be combined with objective measurements in one or more locations of the joint such as width, thickness, or volume of the cartilage, measurements of the space between bones, and levels of synovial fluid.


In some embodiments, one or more techniques of assessing the methods' efficacy can be used. The one or more techniques of assessing the method's efficacy can be the same as the techniques used to select a subject for treatment. The one or more methods of assessing the method's efficacy can be different from the techniques used to select a subject for treatment. The one or more techniques of assessing the method's efficacy can be the same as the techniques used to assess the severity of a subject's disease or condition. The one or more methods of assessing the method's efficacy can be different from the techniques used to assess the severity of a subject's disease or condition.


CLK Family

The CLK family kinases are an evolutionarily conserved group of dual specificity kinases, capable of phosphorylating protein substrates on serine, threonine, and tyrosine residues. The CLK family contains four members (CLK1, CLK2, CLK3 and CLK4). CLKs are proposed to exert their function by directly phosphorylating serine and arginine rich splicing factor (SRSF) proteins. SRSFs are reported to play an important role in spliceosome assembly and regulation of alternative splicing and gene expression.


Exemplary human CLK1, CLK2, CLK3, and CLK4 protein sequences are SEQ ID NO: 1, 3, 5, 7, 9, 11, 13, 15, and 17. Exemplary cDNA sequences that encode CLK1, CLK2, CLK3, and CLK4 are SEQ ID NO: 2, 4, 6, 8, 10, 12, 14, 16, and 18.











Human CLK1 protein isoform 1



(SEQ ID NO: 1)



MRHSKRTYCPDWDDKDWDYGKWRSSSSHKRRKRSHSSAQENKRCKY






NHSKMCDSHYLESRSINEKDYHSRRYIDEYRNDYTQGCEPGHRQRD






HESRYQNHSSKSSGRSGRSSYKSKHRIHHSTSHRRSHGKSHRRK






RTRSVEDDEEGHLICQSGDVLSARYEIVDTLGEGAFGKVVECID






HKAGGRHVAVKIVKNVDRYCEAARSEIQVLEHLNTTDPNSTFRC






VQMLEWFEHHGHICIVFELLGLSTYDFIKENGFLPFRLDHIRKM






AYQICKSVNFLHSNKLTHTDLKPENILFVQSDYTEAYNPKIKRD






ERTLINPDIKVVDFGSATYDDEHHSTLVSTRHYRAPEVILALGW






SQPCDVWSIGCILIEYYLGFTVFPTHDSKEHLAMMERILGPLPK






HMIQKTRKRKYFHHDRLDWDEHSSAGRYVSRRCKPLKEFMLSQD






VEHERLFDLIQKMLEYDPAKRITLREALKHPFFDLLKKSI






Human CLK1 cDNA isoform 1



(SEQ ID NO: 2)



atgagacac tcaaagagaa cttactgtcc tgattgggat






gacaaggatt gggattatgg aaaatggagg






agcagcagca gtcataaaag aaggaagaga tcacatagca






gtgcccagga gaacaagcgc tgcaaataca atcactctaa






aatgtgtgat agccattatt tggaaagcag gtctataaat






gagaaagatt atcatagtcg acgctacatt gatgagtaca






gaaatgacta cactcaagga tgtgaacctg gacatcgcca






aagagaccat gaaagccggt atcagaacca tagtagcaag






tcttctggta gaagtggaag aagtagttat aaaagcaaac






acaggattca ccacagtact tcacatcgtc gttcacatgg






gaagagtcac cgaaggaaaa gaaccaggag tgtagaggat






gatgaggagg gtcacctgat ctgtcagagt ggagacgtac






taagtgcaag atatgaaatt gttgatactt taggtgaagg






agcttttgga aaagttgtgg agtgcatcga tcataaagcg






ggaggtagac atgtagcagt aaaaatagtt aaaaatgtgg






atagatactg tgaagctgct cgctcagaaa tacaagttct






ggaacatctg aatacaacag accccaacag tactttccgc






tgtgtccaga tgttggaatg gtttgagcat catggtcaca






tttgcattgt ttttgaacta ttgggactta gtacttacga






cttcattaaa gaaaatggtt ttctaccatt tcgactggat






catatcagaa agatggcata tcagatatgc aagtctgtga






attttttgca cagtaataag ttgactcaca cagacttaaa






gcctgaaaac atcttatttg tgcagtctga ctacacagag






gcgtataatc ccaaaataaa acgtgatgaa cgcaccttaa






taaatccaga tattaaagtt gtagactttg gtagtgcaac






atatgatgac gaacatcaca gtacattggt atctacaaga






cattatagag cacctgaagt tattttagcc ctagggtggt






cccaaccatg tgatgtctgg agcataggat gcattcttat






tgaatactat cttgggttta ccgtatttcc aacacacgat






agtaaggagc atttagcaat gatggaaagg attcttggac






ctctaccaaa acatatgata cagaaaacca ggaaacgtaa






atattttcac cacgatcgat tagactggga tgaacacagt






tctgccggca gatatgtttc aagacgctgt aaacctctga






aggaatttat gctttctcaa gatgttgaac atgagcgtct






ctttgacctc attcagaaaa tgttggagta tgatccagcc






aaaagaatta ctctcagaga agccttaaag catcctttct






ttgaccttct gaagaaaagt atatag






Human CLK1 protein isoform 2



(SEQ ID NO: 3)



MAAGRRPASALWPERRGSPLRGDLLGFQNVREPSSCGETLSGMR






HSKRTYCPDWDDKDWDYGKWRSSSSHKRRKRSHSSAQENKRCKYN






HSKMCDSHYLESRSINEKDYHSRRYIDEYRNDYTQGCEPGHRQRD






HESRYQNHSSKSSGRSGRSSYKSKHRIHHSTSHRRSHGKSHRRKR






TRSVEDDEEGHLICQSGDVLSARYEIVDTLGEGAFGKVVECIDHK






AGGRHVAVKIVKNVDRYCEAARSEIQVLEHLNTTDPNSTFRCVQ






MLEWFEHHGHICIVFELLGLSTYDFIKENGFLPFRLDHIRKMAY






QICKSVNFLHSNKLTHTDLKPENILFVQSDYTEAYNPKIKRDER






TLINPDIKVVDFGSATYDDEHHSTLVSTRHYRAPEVILALGWSQ






PCDVWSIGCILIEYYLGFTVFPTHDSKEHLAMMERILGPLPKHM






IQKTRKRKYFHHDRLDWDEHSSAGRYVSRRCKPLKEFMLSQDVE






HERLFDLIQKMLEYDPAKRITLREALKHPFFDLLKKSI






Human CLK1 cDNA isoform 2



(SEQ ID NO: 4)



atggc ggctgggcgg aggccggctt cggccctgtg






gccggaaagg cgaggctccc cgttgagggg






ggatttgctg gggttccaga atgtgcgtga gccaagcagc






tgtggggaaa cgttgtctgg aatgagacac tcaaagagaa






cttactgtcc tgattgggat gacaaggatt gggattatgg






aaaatggagg agcagcagca gtcataaaag aaggaagaga






tcacatagca gtgcccagga gaacaagcgc tgcaaataca






atcactctaa aatgtgtgat agccattatt tggaaagcag






gtctataaat gagaaagatt atcatagtcg acgctacatt






gatgagtaca gaaatgacta cactcaagga tgtgaacctg






gacatcgcca aagagaccat gaaagccggt atcagaacca






tagtagcaag tcttctggta gaagtggaag aagtagttat






aaaagcaaac acaggattca ccacagtact tcacatcgtc






gttcacatgg gaagagtcac cgaaggaaaa gaaccaggag






tgtagaggat gatgaggagg gtcacctgat ctgtcagagt






ggagacgtac taagtgcaag atatgaaatt gttgatactt






taggtgaagg agcttttgga aaagttgtgg agtgcatcga






tcataaagcg ggaggtagac atgtagcagt aaaaatagtt






aaaaatgtgg atagatactg tgaagctgct cgctcagaaa






tacaagttct ggaacatctg aatacaacag accccaacag






tactttccgc tgtgtccaga tgttggaatg gtttgagcat






catggtcaca tttgcattgt ttttgaacta ttgggactta






gtacttacga cttcattaaa gaaaatggtt ttctaccatt






tcgactggat catatcagaa agatggcata tcagatatgc






aagtctgtga attttttgca cagtaataag ttgactcaca






cagacttaaa gcctgaaaac atcttatttg tgcagtctga






ctacacagag gcgtataatc ccaaaataaa acgtgatgaa






cgcaccttaa taaatccaga tattaaagtt gtagactttg






gtagtgcaac atatgatgac gaacatcaca gtacattggt






atctacaaga cattatagag cacctgaagt tattttagcc






ctagggtggt cccaaccatg tgatgtctgg agcataggat






gcattcttat tgaatactat cttgggttta ccgtatttcc






aacacacgat agtaaggagc atttagcaat gatggaaagg






attcttggac ctctaccaaa acatatgata cagaaaacca






ggaaacgtaa atattttcac cacgatcgat tagactggga






tgaacacagt tctgccggca gatatgtttc aagacgctgt






aaacctctga aggaatttat gctttctcaa gatgttgaac






atgagcgtct ctttgacctc attcagaaaa tgttggagta






tgatccagcc aaaagaatta ctctcagaga agccttaaag






catcctttct ttgaccttct gaagaaaagt atatag






Human CLK2 protein isoform 1



(SEQ ID NO: 5)



MPHPRRYHSSERGSRGSYREHYRSRKHKRRRSRSWSSSSDRTRR






RRREDSYHVRSRSSYDDRSSDRRVYDRRYCGSYRRNDYSRDRGD






AYYDTDYRHSYEYQRENSSYRSQRSSRRKHRRRRRRSRTFSRSS






SQHSSRRAKSVEDDAEGHLIYHVGDWLQERYEIVSTLGEGTFGR






VVQCVDHRRGGARVALKIIKNVEKYKEAARLEINVLEKINEKDP






DNKNLCVQMFDWFDYHGHMCISFELLGLSTFDFLKDNNYLPYPI






HQVRHMAFQLCQAVKFLHDNKLTHTDLKPENILFVNSDYELTYN






LEKKRDERSVKSTAVRVVDFGSATFDHEHHSTIVSTRHYRAPEV






ILELGWSQPCDVWSIGCIIFEYYVGFTLFQTHDNREHLAMMERI






LGPIPSRMIRKTRKQKYFYRGRLDWDENTSAGRYVRENCKPLRR






YLTSEAEEHHQLFDLIESMLEYEPAKRLTLGEALQHPFFARLRA






EPPNKLWDSSRDISR






Human CLK2 cDNA isoform 1



(SEQ ID NO: 6)



a tgccgcatcc tcgaaggtac cactcctcag






agcgaggcag ccgggggagt taccgtgaac actatcggag






ccgaaagcat aagcgacgaa gaagtcgctc ctggtcaagt






agtagtgacc ggacacgacg gcgtcggcga gaggacagct






accatgtccg ttctcgaagc agttatgatg atcgttcgtc






cgaccggagg gtgtatgacc ggcgatactg tggcagctac






agacgcaacg attatagccg ggatcgggga gatgcctact






atgacacaga ctatcggcat tcctatgaat atcagcggga






gaacagcagt taccgcagcc agcgcagcag ccggaggaag






cacagacggc ggaggaggcg cagccggaca tttagccgct






catcttcgca gcacagcagc cggagagcca agagtgtaga






ggacgacgct gagggccacc tcatctacca cgtcggggac






tggctacaag agcgatatga aatcgttagc accttaggag






aggggacctt cggccgagtt gtacaatgtg ttgaccatcg






caggggtggg gctcgagttg ccctgaagat cattaagaat






gtggagaagt acaaggaagc agctcgactt gagatcaacg






tgctagagaa aatcaatgag aaagaccctg acaacaagaa






cctctgtgtc cagatgtttg actggtttga ctaccatggc






cacatgtgta tctcctttga gcttctgggc cttagcacct






tcgatttcct caaagacaac aactacctgc cctaccccat






ccaccaagtg cgccacatgg ccttccagct gtgccaggct






gtcaagttcc tccatgataa caagctgaca catacagacc






tcaagcctga aaatattctg tttgtgaatt cagactatga






gctcacctac aacctagaga agaagcgaga tgagcgcagt






gtgaagagca cagctgtgcg ggtggtagac tttggcagtg






ccacctttga ccatgagcac catagcacca ttgtctccac






tcgccattac cgagcaccag aagtcatcct tgagttgggc






tggtcacagc cttgtgatgt gtggagtata ggctgcatca






tctttgaata ctatgtggga ttcaccctct tccagaccca






tgacaacaga gagcatctag ccatgatgga aaggatcttg






ggtcctatcc cttcccggat gatccgaaag acaagaaagc






agaaatatttt taccggggt cgcctggatt gggatgagaa






cacatcagct gggcgctatg ttcgtgagaa ctgcaaaccg






ctgcggcggt atctgacctc agaggcagag gaacaccacc






agctcttcga tctgattgaa agcatgctag agtatgaacc






agctaagcgg ctgaccttgg gtgaagccct tcagcatcct






ttcttcgccc gccttcgggc tgagccgccc aacaagttgt






gggactccag tcgggatatc agtcggtga






Human CLK2 protein isoform 2



(SEQ ID NO: 7)



MPHPRRYHSSERGSRGSYREHYRSRKHKRRRSRSWSSSSDRTRR






RRREDSYHVRSRSSYDDRSSDRRVYDRRYCGSYRRNDYSRDRGD






AYYDTDYRHSYEYQRENSSYRSQRSSRRKHRRRRRRSRTFSRSS






SHSSRRAKSVEDDAEGHLIYHVGDWLQERYEIVSTLGEGTFGRV






VQCVDHRRGGARVALKIIKNVEKYKEAARLEINVLEKINEKDPD






NKNLCVQMFDWFDYHGHMCISFELLGLSTFDFLKDNNYLPYPIH






QVRHMAFQLCQAVKFLHDNKLTHTDLKPENILFVNSDYELTYNL






EKKRDERSVKSTAVRVVDFGSATFDHEHHSTIVSTRHYRAPEVI






LELGWSQPCDVWSIGCIIFEYYVGFTLFQTHDNREHLAMMERIL






GPIPSRMIRKTRKQKYFYRGRLDWDENTSAGRYVRENCKPLRRY






LTSEAEEHHQLFDLIESMLEYEPAKRLTLGEALQHPFFARLRAE






PPNKLWDSSRDISR






Human CLK2 cDNA isoform 2



(SEQ ID NO: 8)



a tgccgcatcc tcgaaggtac cactcctcag






agcgaggcag ccgggggagt taccgtgaac actatcggag






ccgaaagcat aagcgacgaa gaagtcgctc ctggtcaagt






agtagtgacc ggacacgacg gcgtcggcga gaggacagct






accatgtccg ttctcgaagc agttatgatg atcgttcgtc






cgaccggagg gtgtatgacc ggcgatactg tggcagctac






agacgcaacg attatagccg ggatcgggga gatgcctact






atgacacaga ctatcggcat tcctatgaat atcagcggga






gaacagcagt taccgcagcc agcgcagcag ccggaggaag






cacagacggc ggaggaggcg cagccggaca tttagccgct






catcttcgca cagcagccgg agagccaaga gtgtagagga






cgacgctgag ggccacctca tctaccacgt cggggactgg






ctacaagagc gatatgaaat cgttagcacc ttaggagagg






ggaccttcgg ccgagttgta caatgtgttg accatcgcag






gggtggggct cgagttgccc tgaagatcat taagaatgtg






gagaagtaca aggaagcagc tcgacttgag atcaacgtgc






tagagaaaat caatgagaaa gaccctgaca acaagaacct






ctgtgtccag atgtttgact ggtttgacta ccatggccac






atgtgtatct cctttgagct tctgggcctt agcaccttcg






atttcctcaa agacaacaac tacctgccct accccatcca






ccaagtgcgc cacatggcct tccagctgtg ccaggctgtc






aagttcctcc atgataacaa gctgacacat acagacctca






agcctgaaaa tattctgttt gtgaattcag actatgagct






cacctacaac ctagagaaga agcgagatga gcgcagtgtg






aagagcacag ctgtgcgggt ggtagacttt ggcagtgcca






cctttgacca tgagcaccat agcaccattg tctccactcg






ccattaccga gcaccagaag tcatccttga gttgggctgg






tcacagcctt gtgatgtgtg gagtataggc tgcatcatct






ttgaatacta tgtgggattc accctcttcc agacccatga






caacagagag catctagcca tgatggaaag gatcttgggt






cctatccctt cccggatgat ccgaaagaca agaaagcaga






aatattttta ccggggtcgc ctggattggg atgagaacac






atcagctggg cgctatgttc gtgagaactg caaaccgctg






cggcggtatc tgacctcaga ggcagaggaa caccaccagc






tcttcgatct gattgaaagc atgctagagt atgaaccagc






taagcggctg accttgggtg aagcccttca gcatcctttc






ttcgcccgcc ttcgggctga gccgcccaac aagttgtggg






actccagtcg ggatatcagt cggtga






Human CLK2 protein isoform 3



(SEQ ID NO: 9)



MFDWFDYHGHMCISFELLGLSTFDFLKDNNYLPYPIHQVRHMAF






QLCQAVKFLHDNKLTHTDLKPENILFVNSDYELTYNLEKKRDER






SVKSTAVRVVDFGSATFDHEHHSTIVSTRHYRAPEVILELGWSQ






PCDVWSIGCIIFEYYVGFTLFQTHDNREHLAMMERILGPIPSRM






IRKTRKQKYFYRGRLDWDENTSAGRYVRENCKPLRRYLTSEAEE






HHQLFDLIESMLEYEPAKRLTLGEALQHPFFARLRAEPPNKLWD






SSRDISR






Human CLK2 cDNA isoform 3



(SEQ ID NO: 10)



atgtt tgactggttt gactaccatg gccacatgtg






tatctccttt gagcttctgg gccttagcac cttcgatttc






ctcaaagaca acaactacct gccctacccc atccaccaag






tgcgccacat ggccttccag ctgtgccagg ctgtcaagtt






cctccatgat aacaagctga cacatacaga cctcaagcct






gaaaatattc tgtttgtgaa ttcagactat gagctcacct






acaacctaga gaagaagcga gatgagcgca gtgtgaagag






cacagctgtg cgggtggtag actttggcag tgccaccttt






gaccatgagc accatagcac cattgtctcc actcgccatt






accgagcacc agaagtcatc cttgagttgg gctggtcaca






gccttgtgat gtgtggagta taggctgcat catctttgaa






tactatgtgg gattcaccct cttccagacc catgacaaca






gagagcatct agccatgatg gaaaggatct tgggtcctat






cccttcccgg atgatccgaa agacaagaaa gcagaaatat






ttttaccggg gtcgcctgga ttgggatgag aacacatcag






ctgggcgcta tgttcgtgag aactgcaaac cgctgcggcg






gtatctgacc tcagaggcag aggaacacca ccagctcttc






gatctgattg aaagcatgct agagtatgaa ccagctaagc






ggctgacctt gggtgaagcc cttcagcatc ctttcttcgc






ccgccttcgg gctgagccgc ccaacaagtt gtgggactcc






agtcgggata tcagtcggtg a






Human CLK2 protein isoform 4



(SEQ ID NO: 11)



MPHPRRYHSSERGSRGSYREHYRSRKHKRRRSRSWSSSSDRTRR






RRREDSYHVRSRSYDDRSSDRRVYDRRYCGSYRRNDYSRDRGDA






YYDTDYRHSYEYQRENSSYRSQRSSRRKHRRRRRRSRTFSRSSS






HSSRRAKSVEDDAEGHLIYHVGDWLQERYEIVSTLGEGTFGRVV






QCVDHRRGGARVALKIIKNVEKYKEAARLEINVLEKINEKDPDN






KNLCVQMFDWFDYHGHMCISFELLGLSTFDFLKDNNYLPYPIHQ






VRHMAFQLCQAVKFLHDNKLTHTDLKPENILFVNSDYELTYNLE






KKRDERSVKSTAVRVVDFGSATFDHEHHSTIVSTRHYRAPEVIL






ELGWSQPCDVWSIGCIIFEYYVGFTLFQTHDNREHLAMMERILG






PIPSRMIRKTRKQKYFYRGRLDWDENTSAGRYVRENCKPLRRYL






TSEAEEHHQLFDLIESMLEYEPAKRLTLGEALQHPFFARLRAEP






PNKLWDSSRDISR






Human CLK2 cDNA isoform 4



(SEQ ID NO: 12)



a tgccgcatcc tcgaaggtac cactcctcag






agcgaggcag ccgggggagt taccgtgaac actatcggag






ccgaaagcat aagcgacgaa gaagtcgctc ctggtcaagt






agtagtgacc ggacacgacg gcgtcggcga gaggacagct






accatgtccg ttctcgaagt tatgatgatc gttcgtccga






ccggagggtg tatgaccggc gatactgtgg cagctacaga






cgcaacgatt atagccggga tcggggagat gcctactatg






acacagacta tcggcattcc tatgaatatc agcgggagaa






cagcagttac cgcagccagc gcagcagccg gaggaagcac






agacggcgga ggaggcgcag ccggacattt agccgctcat






cttcgcacag cagccggaga gccaagagtg tagaggacga






cgctgagggc cacctcatct accacgtcgg ggactggcta






caagagcgat atgaaatcgt tagcacctta ggagagggga






ccttcggccg agttgtacaa tgtgttgacc atcgcagggg






tggggctcga gttgccctga agatcattaa gaatgtggag






aagtacaagg aagcagctcg acttgagatc aacgtgctag






agaaaatcaa tgagaaagac cctgacaaca agaacctctg






tgtccagatg tttgactggt ttgactacca tggccacatg






tgtatctcct ttgagcttct gggccttagc accttcgatt






tcctcaaaga caacaactac ctgccctacc ccatccacca






agtgcgccac atggccttcc agctgtgcca ggctgtcaag






ttcctccatg ataacaagct gacacataca gacctcaagc






ctgaaaatat tctgtttgtg aattcagact atgagctcac






ctacaaccta gagaagaagc gagatgagcg cagtgtgaag






agcacagctg tgcgggtggt agactttggc agtgccacct






ttgaccatga gcaccatagc accattgtct ccactcgcca






ttaccgagca ccagaagtca tccttgagtt gggctggtca






cagccttgtg atgtgtggag tataggctgc atcatctttg






aatactatgt gggattcacc ctcttccaga cccatgacaa






cagagagcat ctagccatga tggaaaggat cttgggtcct






atcccttccc ggatgatccg aaagacaaga aagcagaaat






atttttaccg gggtcgcctg gattgggatg agaacacatc






agctgggcgc tatgttcgtg agaactgcaa accgctgcgg






cggtatctga cctcagaggc agaggaacac caccagctct






tcgatctgat tgaaagcatg ctagagtatg aaccagctaa






gcggctgacc ttgggtgaag cccttcagca tcctttcttc






gcccgccttc gggctgagcc gcccaacaag ttgtgggact






ccagtcggga tatcagtcgg tga






Human CLK3 protein isoform 1



(SEQ ID NO: 13)



MPVLSARRRELADHAGSGRRSGPSPTARSGPHLSALRAQPARAA






HLSGRGTYVRRDTAGGGPGQARPLGPPGTSLLGRGARRSGEGWC






PGAFESGARAARPPSRVEPRLATAASREGAGLPRAEVAAGSGRG






ARSGEWGLAAAGAWETMHHCKRYRSPEPDPYLSYRWKRRRSYSR






EHEGRLRYPSRREPPPRRSRSRSHDRLPYQRRYRERRDSDTYRC






EERSPSFGEDYYGPSRSRHRRRSRERGPYRTRKHAHHCHKRRTR






SCSSASSRSQQSSKRSSRSVEDDKEGHLVCRIGDWLQERYEIVG






NLGEGTFGKVVECLDHARGKSQVALKIIRNVGKYREAARLEINV






LKKIKEKDKENKFLCVLMSDWFNFHGHMCIAFELLGKNTFEFLK






ENNFQPYPLPHVRHMAYQLCHALRFLHENQLTHTDLKPENILFV






NSEFETLYNEHKSCEEKSVKNTSIRVADFGSATFDHEHHTTIVA






TRHYRPPEVILELGWAQPCDVWSIGCILFEYYRGFTLFQTHENR






EHLVMMEKILGPIPSHMIHRTRKQKYFYKGGLVWDENSSDGRYV






KENCKPLKSYMLQDSLEHVQLFDLMRRMLEFDPAQRITLAEALL






HPFFAGLT PEERSFHTSRNPSR






Human CLK3 cDNA isoform 1



(SEQ ID NO: 14)



a atgcccgtc ctctccgcgc gcaggaggga gttggcggac






cacgcggggt cggggcgacg gagcgggccc agccccacgg






ccaggtcggg gccccacctc tcggctctga gagcccagcc






ggcccgggcc gcgcacctgt caggtcgggg gacctacgtg






cgccgcgaca cggcgggagg cgggccgggc caggctcgtc






ccctcggccc tcccggaact agtctcctag gccgcggcgc






ccgccggagc ggagagggct ggtgccccgg agccttcgag






tcgggggcta gagcggccag gcctccgagc cgggtcgagc






cgaggctggc gacggctgcg tcacgcgagg gggcggggct






gccacgggcg gaggtcgcag ccggaagcgg aagaggcgct






cggagcgggg agtggggcct agctgcagcc ggagcctggg






agacgatgca tcactgtaag cgataccgct cccctgaacc






agacccgtac ctgagctacc gatggaagag gaggaggtcc






tacagtcggg aacatgaagg gagactgcga tacccgtccc






gaagggagcc tcccccacga agatctcggt ccagaagcca






tgaccgcctg ccctaccaga ggaggtaccg ggagcgccgt






gacagcgata cataccggtg tgaagagcgg agcccatcct






ttggagagga ctactatgga ccttcacgtt ctcgtcatcg






tcggcgatcg cgggagaggg ggccataccg gacccgcaag






catgcccacc actgccacaa acgccgcacc aggtcttgta






gcagcgcctc ctcgagaagc caacagagca gtaagcgcag






cagccggagt gtggaagatg acaaggaggg tcacctggtg






tgccggatcg gcgattggct ccaagagcga tatgagattg






tggggaacct gggtgaaggc acctttggca aggtggtgga






gtgcttggac catgccagag ggaagtctca ggttgccctg






aagatcatcc gcaacgtggg caagtaccgg gaggctgccc






ggctagaaat caacgtgctc aaaaaaatca aggagaagga






caaagaaaac aagttcctgt gtgtcttgat gtctgactgg






ttcaacttcc acggtcacat gtgcatcgcc tttgagctcc






tgggcaagaa cacctttgag ttcctgaagg agaataactt






ccagccttac cccctaccac atgtccggca catggcctac






cagctctgcc acgcccttag atttctgcat gagaatcagc






tgacccatac agacttgaaa ccagagaaca tcctgtttgt






gaattctgag tttgaaaccc tctacaatga gcacaagagc






tgtgaggaga agtcagtgaa gaacaccagc atccgagtgg






ctgactttgg cagtgccaca tttgaccatg agcaccacac






caccattgtg gccacccgtc actatcgccc gcctgaggtg






atccttgagc tgggctgggc acagccctgt gacgtctgga






gcattggctg cattctcttt gagtactacc ggggcttcac






actcttccag acccacgaaa accgagagca cctggtgatg






atggagaaga tcctagggcc catcccatca cacatgatcc






accgtaccag gaagcagaaa tatttctaca aagggggcct






agtttgggat gagaacagct ctgacggccg gtatgtgaag






gagaactgca aacctctgaa gagttacatg ctccaagact






ccctggagca cgtgcagctg tttgacctga tgaggaggat






gttagaattt gaccctgccc agcgcatcac actggccgag






gccctgctgc accccttctt tgctggcctg acccctgagg






agcggtcctt ccacaccagc cgcaacccaa gcagatga






Human CLK3 protein isoform 2



(SEQ ID NO: 15)



MHHCKRYRSPEPDPYLSYRWKRRRSYSREHEGRLRYPSRREPPP






RRSRSRSHDRLPYQRRYRERRDSDTYRCEERSPSFGEDYYGPSR






SRHRRRSRERGPYRTRKHAHHCHKRRTRSCSSASSRSQQSSKRS






SRSVEDDKEGHLVCRIGDWLQERYEIVGNLGEGTFGKVVECLDH






ARGKSQVALKIIRNVGKYREAARLEINVLKKIKEKDKENKFLCV






LMSDWFNFHGHMCIAFELLGKNTFEFLKENNFQPYPLPHVRHMA






YQLCHALRFLHENQLTHTDLKPENILFVNSEFETLYNEHKSCEE






KSVKNTSIRVADFGSATFDHEHHTTIVATRHYRPPEVILELGWA






QPCDVWSIGCILFEYYRGFTLFQTHENREHLVMMEKILGPIPSH






MIHRTRKQKYFYKGGLVWDENSSDGRYVKENCKPLKSYMLQDSL






EHVQLFDLMRRMLEFDPAQRITLAEALLHPFFAGLTPEERSFHT






SRNPSR






Human CLK3 cDNA isoform 2



(SEQ ID NO: 16)



atgca tcactgtaag cgataccgct cccctgaacc






agacccgtac ctgagctacc gatggaagag gaggaggtcc






tacagtcggg aacatgaagg gagactgcga tacccgtccc






gaagggagcc tcccccacga agatctcggt ccagaagcca






tgaccgcctg ccctaccaga ggaggtaccg ggagcgccgt






gacagcgata cataccggtg tgaagagcgg agcccatcct






ttggagagga ctactatgga ccttcacgtt ctcgtcatcg






tcggcgatcg cgggagaggg ggccataccg gacccgcaag






catgcccacc actgccacaa acgccgcacc aggtcttgta






gcagcgcctc ctcgagaagc caacagagca gtaagcgcag






cagccggagt gtggaagatg acaaggaggg tcacctggtg






tgccggatcg gcgattggct ccaagagcga tatgagattg






tggggaacct gggtgaaggc acctttggca aggtggtgga






gtgcttggac catgccagag ggaagtctca ggttgccctg






aagatcatcc gcaacgtggg caagtaccgg gaggctgccc






ggctagaaat caacgtgctc aaaaaaatca aggagaagga






caaagaaaac aagttcctgt gtgtcttgat gtctgactgg






ttcaacttcc acggtcacat gtgcatcgcc tttgagctcc






tgggcaagaa cacctttgag ttcctgaagg agaataactt






ccagccttac cccctaccac atgtccggca catggcctac






cagctctgcc acgcccttag atttctgcat gagaatcagc






tgacccatac agacttgaaa ccagagaaca tcctgtttgt






gaattctgag tttgaaaccc tctacaatga gcacaagagc






tgtgaggaga agtcagtgaa gaacaccagc atccgagtgg






ctgactttgg cagtgccaca tttgaccatg agcaccacac






caccattgtg gccacccgtc actatcgccc gcctgaggtg






atccttgagc tgggctgggc acagccctgt gacgtctgga






gcattggctg cattctcttt gagtactacc ggggcttcac






actcttccag acccacgaaa accgagagca cctggtgatg






atggagaaga tcctagggcc catcccatca cacatgatcc






accgtaccag gaagcagaaa tatttctaca aagggggcct






agtttgggat gagaacagct ctgacggccg gtatgtgaag






gagaactgca aacctctgaa gagttacatg ctccaagact






ccctggagca cgtgcagctg tttgacctga tgaggaggat






gttagaattt gaccctgccc agcgcatcac actggccgag






gccctgctgc accccttctt tgctggcctg acccctgagg






agcggtcctt ccacaccagc cgcaacccaa gcagatga






Human CLK4 protein



(SEQ ID NO: 17)



MRHSKRTHCPDWDSRESWGHESYRGSHKRKRRSHSSTQENRHCK






PHHQFKESDCHYLEARSLNERDYRDRRYVDEYRNDYCEGYVPRH






YHRDIESGYRIHCSKSSVRSRRS SPKRKRNRHCS SHQSRSKS






HRRKRSRSIEDDEEGHLICQ SGDVLRARYEIVDTLGEGAFGKV






VECIDHGMDGMHVAVKIVKNVGRYREAARSEIQVLEHLNSTDPN






SVFRCVQMLEWFDHHGHVCIVFELLGLSTYDFIKENSFLPFQID






HIRQMAYQICQSINFLHHNKLTHTDLKPENILFVKSDYVVKYNS






KMKRDERTLKNTDIKVVDFGSATYDDEHHSTLVSTRHYRAPEVI






LALGWSQPCDVWSIGCILIEYYLGFTVFQTHDSKEHLAMMERIL






GPIPQHMIQKTRKRKYFHHNQLDWDEHSSAGRYVRRRCKPLKEF






MLCHDEEHEKLFDLVRRMLEYDPTQRITLDEALQHPFFDLLKKK









Human CLK4 cDNA



(SEQ ID NO: 18)



at gcggcattcc aaaagaactc actgtcctga






ttgggatagc agagaaagct ggggacatga aagctatcgt






ggaagtcaca agcggaagag gagatctcat agtagcacac






aagagaacag gcattgtaaa ccacatcacc agtttaaaga






atctgattgt cattatttag aagcaaggtc cttgaatgag






cgagattatc gggaccggag atacgttgac gaatacagga






atgactactg tgaaggatat gttcctagac attatcacag






agacattgaa agcgggtatc gaatccactg cagtaaatct






tcagtccgca gcaggagaag cagtcctaaa aggaagcgca






atagacactg ttcaagtcat cagtcacgtt cgaagagcca






ccgaaggaaa agatccagga gtatagagga tgatgaggag






ggtcacctga tctgtcaaag tggagacgtt ctaagagcaa






gatatgaaat cgtggacact ttgggtgaag gagcctttgg






caaagttgta gagtgcattg atcatggcat ggatggcatg






catgtagcag tgaaaatcgt aaaaaatgta ggccgttacc






gtgaagcagc tcgttcagaa atccaagtat tagagcactt






aaatagtact gatcccaata gtgtcttccg atgtgtccag






atgctagaat ggtttgatca tcatggtcat gtttgtattg






tgtttgaact actgggactt agtacttacg atttcattaa






agaaaacagc tttctgccat ttcaaattga ccacatcagg






cagatggcgt atcagatctg ccagtcaata aattttttac






atcataataa attaacccat acagatctga agcctgaaaa






tattttgttt gtgaagtctg actatgtagt caaatataat






tctaaaatga aacgtgatga acgcacactg aaaaacacag






atatcaaagt tgttgacttt ggaagtgcaa cgtatgatga






tgaacatcac agtactttgg tgtctacccg gcactacaga






gctcccgagg tcattttggc tttaggttgg tctcagcctt






gtgatgtttg gagcataggt tgcattctta ttgaatatta






ccttggtttc acagtctttc agactcatga tagtaaagag






cacctggcaa tgatggaacg aatattagga cccataccac






aacacatgat tcagaaaaca agaaaacgca agtattttca






ccataaccag ctagattggg atgaacacag ttctgctggt






agatatgtta ggagacgctg caaaccgttg aaggaattta






tgctttgtca tgatgaagaa catgagaaac tgtttgacct






ggttcgaaga atgttagaat atgatccaac tcaaagaatt






accttggatg aagcattgca gcatcctttc tttgacttat






taaaaaagaa atga






Exemplary CLK Inhibitors

In some embodiments, the CLK inhibitor inhibits one or more of the CLK family members CLK1, CLK2, CLK3, and CLK4. In some embodiments, the CLK inhibitor is a broad spectrum CLK inhibitor, inhibiting two or more CLK family members CLK1, CLK2, CLK3, and CLK4. In some embodiments, the CLK inhibitor inhibits CLK2, CLK3, or both CLK2 and CLK3. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (e.g., between about 100 pM and about 9 μM, between about 100 pM and about 8 μM, between about 100 pM and about 7 μM, between about 100 pM and about 6 μM, between about 100 pM and about 5 μM, between about 100 pM and about 4 μM, between about 100 pM and about 3 μM, between about 100 pM and about 2 μM, between about 100 pM and about 1 μM, between about 100 pM and about 950 nM, between about 100 pM and about 900 nM, between about 100 pM and about 850 nM, between about 100 pM and about 800 nM, between about 100 pM and about 750 nM, between about 100 pM and about 700 nM, between about 100 pM and about 650 nM, between about 100 pM and about 600 nM, between about 100 pM and about 550 nM, between about 100 pM and about 500 nM, between about 100 pM and about 450 nM, between about 100 pM and about 400 nM, between about 100 pM and about 350 nM, between about 100 pM and about 300 nM, between about 100 pM and about 250 nM, between about 100 pM and about 200 nM, between about 100 pM and about 150 nM, between about 100 pM and about 100 nM, between about 100 pM and about 95 nM, between about 100 pM and about 90 nM, between about 100 pM and about 85 nM, between about 100 pM and about 80 nM, between about 100 pM and about 75 nM, between about 100 pM and about 70 nM, between about 100 pM and about 65 nM, between about 100 pM and about 60 nM, between about 100 pM and about 55 nM, between about 100 pM and about 50 nM, between about 100 pM and about 45 nM, between about 100 pM and about 40 nM, between about 100 pM and about 35 nM, between about 100 pM and about 30 nM, between about 100 pM and about 25 nM, between about 100 pM and about 20 nM, between about 100 pM and about 15 nM, between about 100 pM and about 10 nM, between about 100 pM and about 5 nM, between about 100 pM and about 4 nM, between about 100 pM and about 3 nM, between about 100 pM and about 2 nM, e.g., between about 1 nM and about 9 μM, between about 1 nM and about 8 μM, between about 1 nM and about 7 μM, between about 1 nM and about 6 μM, between about 1 nM and about 5 μM, between about 1 nM and about 4 μM, between about 1 nM and about 3 μM, between about 1 nM and about 2 μM, between about 1 nM and about 1 μM, between about 1 nM and about 950 nM, between about 1 nM and about 900 nM, between about 1 nM and about 850 nM, between about 1 nM and about 800 nM, between about 1 nM and about 750 nM, between about 1 nM and about 700 nM, between about 1 nM and about 650 nM, between about 1 nM and about 600 nM, between about 1 nM and about 550 nM, between about 1 nM and about 500 nM, between about 1 nM and about 450 nM, between about 1 nM and about 400 nM, between about 1 nM and about 350 nM, between about 1 nM and about 300 nM, between about 1 nM and about 250 nM, between about 1 nM and about 200 nM, between about 1 nM and about 150 nM, between about 1 nM and about 100 nM, between about 1 nM and about 95 nM, between about 1 nM and about 90 nM, between about 1 nM and about 85 nM, between about 1 nM and about 80 nM, between about 1 nM and about 75 nM, between about 1 nM and about 70 nM, between about 1 nM and about 65 nM, between about 1 nM and about 60 nM, between about 1 nM and about 55 nM, between about 1 nM and about 50 nM, between about 1 nM and about 45 nM, between about 1 nM and about 40 nM, between about 1 nM and about 35 nM, between about 1 nM and about 30 nM, between about 1 nM and about 25 nM, between about 1 nM and about 20 nM, between about 1 nM and about 15 nM, between about 1 nM and about 10 nM, between about 1 nM and about 5 nM, between about 1 nM and about 4 nM, between about 1 nM and about 3 nM, between about 1 nM and about 2 nM, between about 2 nM and about 10 μM, between about 2 nM and about 9 μM, between about 2 nM and about 8 μM, between about 2 nM and about 7 μM, between about 2 nM and about 6 μM, between about 2 nM and about 5 μM, between about 2 nM and about 4 μM, between about 2 nM and about 3 μM, between about 2 nM and about 2 μM, between about 2 nM and about 1 μM, between about 2 nM and about 950 nM, between about 2 nM and about 900 nM, between about 2 nM and about 850 nM, between about 2 nM and about 800 nM, between about 2 nM and about 750 nM, between about 2 nM and about 700 nM, between about 2 nM and about 650 nM, between about 2 nM and about 600 nM, between about 2 nM and about 550 nM, between about 2 nM and about 500 nM, between about 2 nM and about 450 nM, between about 2 nM and about 400 nM, between about 2 nM and about 350 nM, between about 2 nM and about 300 nM, between about 2 nM and about 250 nM, between about 2 nM and about 200 nM, between about 2 nM and about 150 nM, between about 2 nM and about 100 nM, between about 2 nM and about 95 nM, between about 2 nM and about 90 nM, between about 2 nM and about 85 nM, between about 2 nM and about 80 nM, between about 2 nM and about 75 nM, between about 2 nM and about 70 nM, between about 2 nM and about 65 nM, between about 2 nM and about 60 nM, between about 2 nM and about 55 nM, between about 2 nM and about 50 nM, between about 2 nM and about 45 nM, between about 2 nM and about 40 nM, between about 2 nM and about 35 nM, between about 2 nM and about 30 nM, between about 2 nM and about 25 nM, between about 2 nM and about 20 nM, between about 2 nM and about 15 nM, between about 2 nM and about 10 nM, between about 2 nM and about 5 nM, between about 2 nM and about 4 nM, between about 2 nM and about 3 nM, between about 5 nM and about 10 μM, between about 5 nM and about 9 μM, between about 5 nM and about 8 μM, between about 5 nM and about 7 μM, between about 5 nM and about 6 μM, between about 5 nM and about 5 μM, between about 5 nM and about 4 μM, between about 5 nM and about 3 μM, between about 5 nM and about 2 μM, between about 5 nM and about 1 μM, between about 5 nM and about 950 nM, between about 5 nM and about 900 nM, between about 5 nM and about 850 nM, between about 5 nM and about 800 nM, between about 5 nM and about 750 nM, between about 5 nM and about 700 nM, between about 5 nM and about 650 nM, between about 5 nM and about 600 nM, between about 5 nM and about 550 nM, between about 5 nM and about 500 nM, between about 5 nM and about 450 nM, between about 5 nM and about 400 nM, between about 5 nM and about 350 nM, between about 5 nM and about 300 nM, between about 5 nM and about 250 nM, between about 5 nM and about 200 nM, between about 5 nM and about 150 nM, between about 5 nM and about 100 nM, between about 5 nM and about 95 nM, between about 5 nM and about 90 nM, between about 5 nM and about 85 nM, between about 5 nM and about 80 nM, between about 5 nM and about 75 nM, between about 5 nM and about 70 nM, between about 5 nM and about 65 nM, between about 5 nM and about 60 nM, between about 5 nM and about 55 nM, between about 5 nM and about 50 nM, between about 5 nM and about 45 nM, between about 5 nM and about 40 nM, between about 5 nM and about 35 nM, between about 5 nM and about 30 nM, between about 5 nM and about 25 nM, between about 5 nM and about 20 nM, between about 5 nM and about 15 nM, between about 5 nM and about 10 nM, between about 10 nM and about 10 μM, between about 10 nM and about 9 μM, between about 10 nM and about 8 μM, between about 10 nM and about 7 μM, between about 10 nM and about 6 μM, between about 10 nM and about 5 μM, between about 10 nM and about 4 μM, between about 10 nM and about 3 μM, between about 10 nM and about 2 μM, between about 10 nM and about 1 μM, between about 10 nM and about 950 nM, between about 10 nM and about 900 nM, between about 10 nM and about 850 nM, between about 10 nM and about 800 nM, between about 10 nM and about 750 nM, between about 10 nM and about 700 nM, between about 10 nM and about 650 nM, between about 10 nM and about 600 nM, between about 10 nM and about 550 nM, between about 10 nM and about 500 nM, between about 10 nM and about 450 nM, between about 10 nM and about 400 nM, between about 10 nM and about 350 nM, between about 10 nM and about 300 nM, between about 10 nM and about 250 nM, between about 10 nM and about 200 nM, between about 10 nM and about 150 nM, between about 10 nM and about 100 nM, between about 10 nM and about 95 nM, between about 10 nM and about 90 nM, between about 10 nM and about 85 nM, between about 10 nM and about 80 nM, between about 10 nM and about 75 nM, between about 10 nM and about 70 nM, between about 10 nM and about 65 nM, between about 10 nM and about 60 nM, between about 10 nM and about 55 nM, between about 10 nM and about 50 nM, between about 10 nM and about 45 nM, between about 10 nM and about 40 nM, between about 10 nM and about 35 nM, between about 10 nM and about 30 nM, between about 10 nM and about 25 nM, between about 10 nM and about 20 nM, between about 10 nM and about 15 nM, between about 50 nM and about 10 μM, between about 50 nM and about 9 μM, between about 50 nM and about 8 μM, between about 50 nM and about 7 μM, between about 50 nM and about 6 μM, between about 50 nM and about 5 μM, between about 50 nM and about 4 μM, between about 50 nM and about 3 μM, between about 50 nM and about 2 μM, between about 50 nM and about 1 μM, between about 50 nM and about 950 nM, between about 50 nM and about 900 nM, between about 50 nM and about 850 nM, between about 50 nM and about 800 nM, between about 50 nM and about 750 nM, between about 50 nM and about 700 nM, between about 50 nM and about 650 nM, between about 50 nM and about 600 nM, between about 50 nM and about 550 nM, between about 50 nM and about 500 nM, between about 50 nM and about 450 nM, between about 50 nM and about 400 nM, between about 50 nM and about 350 nM, between about 50 nM and about 300 nM, between about 50 nM and about 250 nM, between about 50 nM and about 200 nM, between about 50 nM and about 150 nM, between about 50 nM and about 100 nM, between about 50 nM and about 95 nM, between about 50 nM and about 90 nM, between about 50 nM and about 85 nM, between about 50 nM and about 80 nM, between about 50 nM and about 75 nM, between about 50 nM and about 70 nM, between about 50 nM and about 65 nM, between about 50 nM and about 60 nM, between about 50 nM and about 55 nM, between about 100 nM and about 10 μM, between about 100 nM and about 9 μM, between about 100 nM and about 8 μM, between about 100 nM and about 7 μM, between about 100 nM and about 6 μM, between about 100 nM and about 5 μM, between about 100 nM and about 4 μM, between about 100 nM and about 3 μM, between about 100 nM and about 2 μM, between about 100 nM and about 1 μM, between about 100 nM and about 950 nM, between about 100 nM and about 900 nM, between about 100 nM and about 850 nM, between about 100 nM and about 800 nM, between about 100 nM and about 750 nM, between about 100 nM and about 700 nM, between about 100 nM and about 650 nM, between about 100 nM and about 600 nM, between about 100 nM and about 550 nM, between about 100 nM and about 500 nM, between about 100 nM and about 450 nM, between about 100 nM and about 400 nM, between about 100 nM and about 350 nM, between about 100 nM and about 300 nM, between about 100 nM and about 250 nM, between about 100 nM and about 200 nM, between about 100 nM and about 150 nM, between about 200 nM and about 10 μM, between about 200 nM and about 9 μM, between about 200 nM and about 8 μM, between about 200 nM and about 7 μM, between about 200 nM and about 6 μM, between about 200 nM and about 5 μM, between about 200 nM and about 4 μM, between about 200 nM and about 3 μM, between about 200 nM and about 2 μM, between about 200 nM and about 1 μM, between about 200 nM and about 950 nM, between about 200 nM and about 900 nM, between about 200 nM and about 850 nM, between about 200 nM and about 800 nM, between about 200 nM and about 750 nM, between about 200 nM and about 700 nM, between about 200 nM and about 650 nM, between about 200 nM and about 600 nM, between about 200 nM and about 550 nM, between about 200 nM and about 500 nM, between about 200 nM and about 450 nM, between about 200 nM and about 400 nM, between about 200 nM and about 350 nM, between about 200 nM and about 300 nM, between about 200 nM and about 250 nM, between about 250 nM and about 10 μM, between about 250 nM and about 9 μM, between about 250 nM and about 8 μM, between about 250 nM and about 7 μM, between about 250 nM and about 6 μM, between about 250 nM and about 5 μM, between about 250 nM and about 4 μM, between about 250 nM and about 3 μM, between about 250 nM and about 2 μM, between about 250 nM and about 1 μM, between about 250 nM and about 950 nM, between about 250 nM and about 900 nM, between about 250 nM and about 850 nM, between about 250 nM and about 800 nM, between about 250 nM and about 750 nM, between about 250 nM and about 700 nM, between about 250 nM and about 650 nM, between about 250 nM and about 600 nM, between about 250 nM and about 550 nM, between about 250 nM and about 500 nM, between about 250 nM and about 450 nM, between about 250 nM and about 400 nM, between about 250 nM and about 350 nM, between about 250 nM and about 300 nM, between about 500 nM and about 10 μM, between about 500 nM and about 9 μM, between about 500 nM and about 8 μM, between about 500 nM and about 7 μM, between about 500 nM and about 6 μM, between about 500 nM and about 5 μM, between about 500 nM and about 4 μM, between about 500 nM and about 3 μM, between about 500 nM and about 2 μM, between about 500 nM and about 1 μM, between about 500 nM and about 950 nM, between about 500 nM and about 900 nM, between about 500 nM and about 850 nM, between about 500 nM and about 800 nM, between about 500 nM and about 750 nM, between about 500 nM and about 700 nM, between about 500 nM and about 650 nM, between about 500 nM and about 600 nM, between about 500 nM and about 550 nM, between about 750 nM and about 10 μM, between about 750 nM and about 9 μM, between about 750 nM and about 8 μM, between about 750 nM and about 7 μM, between about 750 nM and about 6 μM, between about 750 nM and about 5 μM, between about 750 nM and about 4 μM, between about 750 nM and about 3 μM, between about 750 nM and about 2 μM, between about 750 nM and about 1 μM, between about 750 nM and about 950 nM, between about 750 nM and about 900 nM, between about 750 nM and about 850 nM, between about 750 nM and about 800 nM, between about 950 nM and about 10 μM, between about 950 nM and about 9 μM, between about 950 nM and about 8 μM, between about 950 nM and about 7 μM, between about 950 nM and about 6 μM, between about 950 nM and about 5 μM, between about 950 nM and about 4 μM, between about 950 nM and about 3 μM, between about 950 nM and about 2 μM, between about 950 nM and about 1 μM, between about 1 μM and about 10 μM, between about 1 μM and about 9 μM, between about 1 μM and about 8 μM, between about 1 μM and about 7 μM, between about 1 μM and about 6 μM, between about 1 μM and about 5 μM, between about 1 μM and about 4 μM, between about 1 μM and about 3 μM, between about 1 μM and about 2 μM, between about 2 μM and about 10 μM, between about 2 μM and about 9 μM, between bout 2 μM and about 8 μM, between about 2 μM and about 7 μM, between about 2 μM and about 6 μM, between about 2 μM and about 5 μM, between about 2 μM and about 4 μM, between about 2 μM and about 3 μM, between about 4 μM and about 10 μM, between about 4 μM and about 9 μM, between about 4 μM and about 8 μM, between about 4 μM and about 7 μM, between about 4 μM and about 6 μM, between about 4 μM and about 5 μM, between about 5 μM and about 10 μM, between about 5 μM and about 9 μM, between about 5 μM and about 8 μM, between about 5 μM and about 7 μM, between about 5 μM and about 6 μM, between about 6 μM and about 10 μM, between about 6 μM and about 9 μM, between about 6 μM and about 8 μM, between about 6 μM and about 7 μM; between about 7 μM and about 10 μM, between about 7 μM and about 9 μM, between about 7 μM and about 8 μM, between about 8 μM and about 10 μM, between about 8 μM and about 9 μM, or between about 9 μM and about 10 μM) for one or more of CLK1, CLK2, CLK3, and CLK4.


In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK3 and CLK4. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range) for each of CLK1 and CLK3. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK1 and CLK2. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK1 and CLK4. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK2 and CLK4. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK1, CLK2, and/or CLK3. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK1, CLK2 and CLK4. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK2, CLK3 and CLK4. In some embodiments, the CLK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of CLK1, CLK2, CLK3 and CLK4.


In some embodiments, the CLK inhibitor is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the CLK inhibitor is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the CLK inhibitor is a compound of Formula (III), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the CLK inhibitor is a compound of Formula (IV), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the CLK inhibitor is a compound of Formula (V), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the CLK inhibitor is a compound of Formula (VI), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the CLK inhibitor is a compound of Formula (VII), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the CLK inhibitor is a compound of Formula (VIII), or a pharmaceutically acceptable salt or solvate thereof.


DYRK Family

The DYRK (dual-specificity tyrosine phosphorylation-regulated kinases) family of kinases contains five members (DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4). DYRKs are proposed to function by directly phosphorylating serine and threonine residues on target proteins, such as, but not limited to: STAT3, Gli1, JNK1, Sirt1, Foxo1/3, dynamin, glycogen synthase, CREB, tau, and Hip-1. They have been proposed to be implicated in, but not limited to: cell survival, proliferation and differentiation, and in the pathology of Down Syndrome, Alzheimer's Disease, Parkinson's Disease, and Huntington's Disease.


Exemplary human DYRK1A protein sequences are SEQ ID NO: 19, 21, 23, 25, and 27. Exemplary human cDNA sequences that encode DYRK1A are SEQ ID NO: 20, 22, 24, 26, and 28. Exemplary human DYRK1B protein sequences are SEQ ID NO: 29, 31, and 33. Exemplary human cDNA sequences that encode DYRK1B are SEQ ID NO: 30, 32, and 34. Exemplary human DYRK2 protein sequences are SEQ ID NO: 35 and 37. Exemplary human cDNA sequences that encode DYRK2 are SEQ ID NO: 36 and 38. Exemplary human DYRK3 protein sequences are SEQ ID NO: 39 and 41. Exemplary human cDNA sequences that encode DYRK3 are SEQ ID NO: 40 and 42. Exemplary human DYRK4 protein sequences are SEQ ID NO: 43, 45, 47, 48, and 49. Exemplary human cDNA sequences that encode DYRK4 are SEQ ID NO: 44 and 46.











Human DYRKIA protein long isoform



(SEQ ID NO: 19)



MHTGGETSACKPSSVRLAPSFSFHAAGLQMAGQMPHSHQYSDRRQ






PNISDQQVSALSYSDQIQQPLTNQVMPDIVMLQRRMPQTFRDPA






TAPLRKLSVDLIKTYKHINEVYYAKKKRRHQQGQGDDSSHKKERK






VYNDGYDDDNYDYIVKNGEKWMDRYEIDSLIGKGSFGQVVKAYDR






VEQEWVAIKIIKNKKAFLNQAQIEVRLLELMNKHDTEMKYYIVHL






KRHFMFRNHLCLVFEMLSYNLYDLLRNTNFRGVSLNLTRKFAQQM






CTALLFLATPELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQL






GQRIYQYIQSRFYRSPEVLLGMPYDLAIDMWSLGCILVEMHTGEP






LFSGANEVDQMNKIVEVLGIPPAHILDQAPKARKFFEKLPDGTWN






LKKTKDGKREYKPPGTRKLHNILGVETGGPGGRRAGESGHTVADY






LKFKDLILRMLDYDPKTRIQPYYALQHSFFKKTADEGTNTSNSVS






TSPAMEQSQSSGTTSSTSSSSGGSSGTSNSGRARSDPTHQHRHSG






GHFTAAVQAMDCETHSPQVRQQFPAPLGWSGTEAPTQVTVETHPV






QETTFHVAPQQNALHHHHGNSSHHHHHHHHHHHHHGQQALGNRTR






PRVYNSPTNSSSTQDSMEVGHSHHSMTSLSSSTTSSSTSSSSTGN






QGNQAYQNRPVAANTLDFGQNGAMDVNLTVYSNPRQETGIAGHPT






YQFSANTGPAHYMTEGHLTMRQGADREESPMTGVCVQQSPVASS






DYRKIA cDNA long isoform



(SEQ ID NO: 20)



atgcatacaggaggagagacttcagcatgcaaaccttcatctgtt






cggcttgcaccgtcattttcattccatgctgctggccttcagat






ggctggacagatgccccattcacatcagtacagtgaccgtcgcca






gccaaacataagtgaccaacaggtttctgccttatcatattctga






ccagattcagcaacctctaactaaccaggtgatgcctgatattgt






catgttacagaggcggatgccccaaaccttccgtgacccagcaac






tgctcccctgagaaaactttctgttgacttgatcaaaacatacaa






gcatattaatgaggtttactatgcaaaaaagaagcgaagacacca






acagggccagggagacgattctagtcataagaaggaacggaaggt






ttacaatgatggttatgatgatgataactatgattatattgtaaa






aaacggagaaaagtggatggatcgttacgaaattgactccttgat






aggcaaaggttcctttggacaggttgtaaaggcatatgatcgtgt






ggagcaagaatgggttgccattaaaataataaagaacaagaaggc






ttttctgaatcaagcacagatagaagtgcgacttcttgagctcat






gaacaaacatgacactgaaatgaaatactacatagtgcatttgaa






acgccactttatgtttcgaaaccatctctgtttagtttttgaaat






gctgtcctacaacctctatgacttgctgagaaacaccaatttccg






aggggtctctttgaacctaacacgaaagtttgcgcaacagatgtg






cactgcactgcttttccttgcgactccagaacttagtatcattca






ctgtgatctaaaacctgaaaatatccttctttgtaaccccaaacg






cagtgcaatcaagatagttgactttggcagttcttgtcagttggg






gcagaggatataccagtatattcagagtcgcttttatcggtctcc






agaggtgctactgggaatgccttatgaccttgccattgatatgtg






gtccctcgggtgtattttggttgaaatgcacactggagaacctct






gttcagtggtgccaatgaggtagatcagatgaataaaatagtgga






agttctgggtattccacctgctcatattcttgaccaagcaccaaa






agcaagaaagttctttgagaagttgccagatggcacttggaactt






aaagaagaccaaagatggaaaacgggagtacaaaccaccaggaac






ccgtaaacttcataacattcttggagtggaaacaggaggacctgg






tgggcgacgtgctggggagtcaggtcatacggtcgctgactactt






gaagttcaaagacctcattttaaggatgcttgattatgaccccaa






aactcgaattcaaccttattatgctctgcagcacagtttcttcaa






gaaaacagctgatgaaggtacaaatacaagtaatagtgtatctac






aagccccgccatggagcagtctcagtcttcgggcaccacctccag






tacatcgtcaagctcaggtggctcatcggggacaagcaacagtgg






gagagcccggtcggatccgacgcaccagcatcggcacagtggtgg






gcacttcacagctgccgtgcaggccatggactgcgagacacacag






tccccaggtgcgtcagcaatttcctgctcctcttggttggtcagg






cactgaagctcctacacaggtcactgttgaaactcatcctgttca






agaaacaacctttcatgtagcccctcaacagaatgcattgcatca






tcaccatggtaacagttcccatcaccatcaccaccaccaccacca






tcaccaccaccatggacaacaagccttgggtaaccggaccaggcc






aagggtctacaattctccaacgaatagctcctctacccaagattc






tatggaggttggccacagtcaccactccatgacatccctgtcttc






ctcaacgacttcttcctcgacatcttcctcctctactggtaacca






aggcaatcaggcctaccagaatcgcccagtggctgctaatacctt






ggactttggacagaatggagctatggacgttaatttgaccgtcta






ctccaatccccgccaagagactggcatagctggacatccaacata






ccaattttctgctaatacaggtcctgcacattacatgactgaagg






acatctgacaatgaggcaaggggctgatagagaagagtcccccat






gacaggagtttgtgtgcaacagagtcctgtagctagctcgtga






DYRKIA protein isoform 1



(SEQ ID NO: 21)



MHTGGETSACKPSSVRLAPSFSFHAAGLQMAGQMPHSHQYSDRRQ






PNISDQQVSALSYSDQIQQPLTNQRRMPQTFRDPATAPLRKLSV






DLIKTYKHINEVYYAKKKRRHQQGQGDDSSHKKERKVYNDGYDDD






NYDYIVKNGEKWMDRYEIDSLIGKGSFGQVVKAYDRVEQEWVAIK






IIKNKKAFLNQAQIEVRLLELMNKHDTEMKYYIVHLKRHFMFRNH






LCLVFEMLSYNLYDLLRNTNFRGVSLNLTRKFAQQMCTALLFLAT






PELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQLGQRIYQYIQ






SRFYRSPEVLLGMPYDLAIDMWSLGCILVEMHTGEPLFSGANEVD






QMNKIVEVLGIPPAHILDQAPKARKFFEKLPDGTWNLKKTKDGKR






EYKPPGTRKLHNILGVETGGPGGRRAGESGHTVADYLKFKDLILR






MLDYDPKTRIQPYYALQHSFFKKTADEGTNTSNSVSTSPAMEQSQ






SSGTTSSTSSSSGGSSGTSNSGRARSDPTHQHRHSGGHFTAAVQA






MDCETHSPQVRQQFPAPLGWSGTEAPTQVTVETHPVQETTFHVAP






QQNALHHHHGNSSHHHHHHHHHHHHHGQQALGNRTRPRVYNSPTN






SSSTQDSMEVGHSHHSMTSLSSSTTSSSTSSSSTGNQGNQAYQNR






PVAANTLDFGQNGAMDVNLTVYSNPRQETGIAGHPTYQFSANTGP






AHYMTEGHLTMRQGADREESPMTGVCVQQSPVASS






DYRKIA cDNA isoform 1



(SEQ ID NO: 22)



atgcatacaggaggagagacttcagcatgcaaaccttcatctgtt






cggcttgcaccgtcattttcattccatgctgctggccttcagat






ggctggacagatgccccattcacatcagtacagtgaccgtcgcca






gccaaacataagtgaccaacaggtttctgccttatcatattctga






ccagattcagcaacctctaactaaccagaggcggatgccccaaac






cttccgtgacccagcaactgctcccctgagaaaactttctgttga






cttgatcaaaacatacaagcatattaatgaggtttactatgcaaa






aaagaagcgaagacaccaacagggccagggagacgattctagtca






taagaaggaacggaaggtttacaatgatggttatgatgatgataa






ctatgattatattgtaaaaaacggagaaaagtggatggatcgtta






cgaaattgactccttgataggcaaaggttcctttggacaggttgt






aaaggcatatgatcgtgtggagcaagaatgggttgccattaaaat






aataaagaacaagaaggcttttctgaatcaagcacagatagaagt






gcgacttcttgagctcatgaacaaacatgacactgaaatgaaata






ctacatagtgcatttgaaacgccactttatgtttcgaaaccatct






ctgtttagtttttgaaatgctgtcctacaacctctatgacttgct






gagaaacaccaatttccgaggggtctctttgaacctaacacgaaa






gtttgcgcaacagatgtgcactgcactgcttttccttgcgactcc






agaacttagtatcattcactgtgatctaaaacctgaaaatatcct






tctttgtaaccccaaacgcagtgcaatcaagatagttgactttgg






cagttcttgtcagttggggcagaggatataccagtatattcagag






tcgcttttatcggtctccagaggtgctactgggaatgccttatga






ccttgccattgatatgtggtccctcgggtgtattttggttgaaat






gcacactggagaacctctgttcagtggtgccaatgaggtagatca






gatgaataaaatagtggaagttctgggtattccacctgctcatat






tcttgaccaagcaccaaaagcaagaaagttctttgagaagttgcc






agatggcacttggaacttaaagaagaccaaagatggaaaacggga






gtacaaaccaccaggaacccgtaaacttcataacattcttggagt






ggaaacaggaggacctggtgggcgacgtgctggggagtcaggtca






tacggtcgctgactacttgaagttcaaagacctcattttaaggat






gcttgattatgaccccaaaactcgaattcaaccttattatgctct






gcagcacagtttcttcaagaaaacagctgatgaaggtacaaatac






aagtaatagtgtatctacaagccccgccatggagcagtctcagtc






ttcgggcaccacctccagtacatcgtcaagctcaggtggctcatc






ggggacaagcaacagtgggagagcccggtcggatccgacgcacca






gcatcggcacagtggtgggcacttcacagctgccgtgcaggccat






ggactgcgagacacacagtccccaggtgcgtcagcaatttcctgc






tcctcttggttggtcaggcactgaagctcctacacaggtcactgt






tgaaactcatcctgttcaagaaacaacctttcatgtagcccctca






acagaatgcattgcatcatcaccatggtaacagttcccatcacca






tcaccaccaccaccaccatcaccaccaccatggacaacaagcctt






gggtaaccggaccaggccaagggtctacaattctccaacgaatag






ctcctctacccaagattctatggaggttggccacagtcaccactc






catgacatccctgtcttcctcaacgacttcttcctcgacatcttc






ctcctctactggtaaccaaggcaatcaggcctaccagaatcgccc






agtggctgctaataccttggactttggacagaatggagctatgga






cgttaatttgaccgtctactccaatccccgccaagagactggcat






agctggacatccaacataccaattttctgctaatacaggtcctgc






acattacatgactgaaggacatctgacaatgaggcaaggggctga






tagagaagagtcccccatgacaggagtttgtgtgcaacagagtcc






tgtagctagctcgtga






DYRKIA protein isoform 2



(SEQ ID NO: 23)



MHTGGETSACKPSSVRLAPSFSFHAAGLQMAGQMPHSHQYSDRRQ






PNISDQQVSALSYSDQIQQPLTNQVMPDIVMLQRRMPQTFRDPA






TAPLRKLSVDLIKTYKHINEVYYAKKKRRHQQGQGDDSSHKKERK






VYNDGYDDDNYDYIVKNGEKWMDRYEIDSLIGKGSFGQVVKAYDR






VEQEWVAIKIIKNKKAFLNQAQIEVRLLELMNKHDTEMKYYIVHL






KRHFMFRNHLCLVFEMLSYNLYDLLRNTNFRGVSLNLTRKFAQQM






CTALLFLATPELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQL






GQRIYQYIQSRFYRSPEVLLGMPYDLAIDMWSLGCILVEMHTGEP






LFSGANEVDQMNKIVEVLGIPPAHILDQAPKARKFFEKLPDGTWN






LKKTKDGKREYKPPGTRKLHNILGVETGGPGGRRAGESGHTVADY






LKFKDLILRMLDYDPKTRIQPYYALQHSFFKKTADEGTNTSNSVS






TSPAMEQSQSSGTTSSTSSSSGASAISCSSWLVRH






DYRKIA cDNA isoform 2



(SEQ ID NO: 24)



atgcatacaggaggagagacttcagcatgcaaaccttcatctgtt






cggcttgcaccgtcattttcattccatgctgctggccttcagat






ggctggacagatgccccattcacatcagtacagtgaccgtcgcca






gccaaacataagtgaccaacaggtttctgccttatcatattctga






ccagattcagcaacctctaactaaccaggtgatgcctgatattgt






catgttacagaggcggatgccccaaaccttccgtgacccagcaac






tgctcccctgagaaaactttctgttgacttgatcaaaacatacaa






gcatattaatgaggtttactatgcaaaaaagaagcgaagacacca






acagggccagggagacgattctagtcataagaaggaacggaaggt






ttacaatgatggttatgatgatgataactatgattatattgtaaa






aaacggagaaaagtggatggatcgttacgaaattgactccttgat






aggcaaaggttcctttggacaggttgtaaaggcatatgatcgtgt






ggagcaagaatgggttgccattaaaataataaagaacaagaaggc






ttttctgaatcaagcacagatagaagtgcgacttcttgagctcat






gaacaaacatgacactgaaatgaaatactacatagtgcatttgaa






acgccactttatgtttcgaaaccatctctgtttagtttttgaaat






gctgtcctacaacctctatgacttgctgagaaacaccaatttccg






aggggtctctttgaacctaacacgaaagtttgcgcaacagatgtg






cactgcactgcttttccttgcgactccagaacttagtatcattca






ctgtgatctaaaacctgaaaatatccttctttgtaaccccaaacg






cagtgcaatcaagatagttgactttggcagttcttgtcagttggg






gcagaggatataccagtatattcagagtcgcttttatcggtctcc






agaggtgctactgggaatgccttatgaccttgccattgatatgtg






gtccctcgggtgtattttggttgaaatgcacactggagaacctct






gttcagtggtgccaatgaggtagatcagatgaataaaatagtgga






agttctgggtattccacctgctcatattcttgaccaagcaccaaa






agcaagaaagttctttgagaagttgccagatggcacttggaactt






aaagaagaccaaagatggaaaacgggagtacaaaccaccaggaac






ccgtaaacttcataacattcttggagtggaaacaggaggacctgg






tgggcgacgtgctggggagtcaggtcatacggtcgctgactactt






gaagttcaaagacctcattttaaggatgcttgattatgaccccaa






aactcgaattcaaccttattatgctctgcagcacagtttcttcaa






gaaaacagctgatgaaggtacaaatacaagtaatagtgtatctac






aagccccgccatggagcagtctcagtcttcgggcaccacctccag






tacatcgtcaagctcaggtgcgtcagcaatttcctgctcctcttg






gttggtcaggcactga






DYRKIA protein isoform 3



(SEQ ID NO: 25)



MHTGGETSACKPSSVRLAPSFSFHAAGLQMAGQMPHSHQYSDRRQ






PNISDQQVSALSYSDQIQQPLTNQVMPDIVMLQRRMPQTFRDPA






TAPLRKLSVDLIKTYKHINEVYYAKKKRRHQQGQGDDSSHKKERK






VYNDGYDDDNYDYIVKNGEKWMDRYEIDSLIGKGSFGQVVKAYDR






VEQEWVAIKIIKNKKAFLNQAQIEVRLLELMNKHDTEMKYYIVHL






KRHFMFRNHLCLVFEMLSYNLYDLLRNTNFRGVSLNLTRKFAQQM






CTALLFLATPELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQL






GQRIYQYIQSRFYRSPEVLLGMPYDLAIDMWSLGCILVEMHTGEP






LFSGANEVDQMNKIVEVLGIPPAHILDQAPKARKFFEKLPDGTWN






LKKTKDGKREYKPPGTRKLHNILGVETGGPGGRRAGESGHTVADY






LKFKDLILRMLDYDPKTRIQPYYALQHSFFKKTADEGTNTSNSVS






TSPAMEQSQSSGTTSSTSSSSGGAALDARCL






DYRKIA cDNA isoform 3



(SEQ ID NO: 26)



atgcatacaggaggagagacttcagcatgcaaaccttcatctgtt






cggcttgcaccgtcattttcattccatgctgctggccttcagat






ggctggacagatgccccattcacatcagtacagtgaccgtcgcca






gccaaacataagtgaccaacaggtttctgccttatcatattctga






ccagattcagcaacctctaactaaccaggtgatgcctgatattgt






catgttacagaggcggatgccccaaaccttccgtgacccagcaac






tgctcccctgagaaaactttctgttgacttgatcaaaacatacaa






gcatattaatgaggtttactatgcaaaaaagaagcgaagacacca






acagggccagggagacgattctagtcataagaaggaacggaaggt






ttacaatgatggttatgatgatgataactatgattatattgtaaa






aaacggagaaaagtggatggatcgttacgaaattgactccttgat






aggcaaaggttcctttggacaggttgtaaaggcatatgatcgtgt






ggagcaagaatgggttgccattaaaataataaagaacaagaaggc






ttttctgaatcaagcacagatagaagtgcgacttcttgagctcat






gaacaaacatgacactgaaatgaaatactacatagtgcatttgaa






acgccactttatgtttcgaaaccatctctgtttagtttttgaaat






gctgtcctacaacctctatgacttgctgagaaacaccaatttccg






aggggtctctttgaacctaacacgaaagtttgcgcaacagatgtg






cactgcactgcttttccttgcgactccagaacttagtatcattca






ctgtgatctaaaacctgaaaatatccttctttgtaaccccaaacg






cagtgcaatcaagatagttgactttggcagttcttgtcagttggg






gcagaggatataccagtatattcagagtcgcttttatcggtctcc






agaggtgctactgggaatgccttatgaccttgccattgatatgtg






gtccctcgggtgtattttggttgaaatgcacactggagaacctct






gttcagtggtgccaatgaggtagatcagatgaataaaatagtgga






agttctgggtattccacctgctcatattcttgaccaagcaccaaa






agcaagaaagttctttgagaagttgccagatggcacttggaactt






aaagaagaccaaagatggaaaacgggagtacaaaccaccaggaac






ccgtaaacttcataacattcttggagtggaaacaggaggacctgg






tgggcgacgtgctggggagtcaggtcatacggtcgctgactactt






gaagttcaaagacctcattttaaggatgcttgattatgaccccaa






aactcgaattcaaccttattatgctctgcagcacagtttcttcaa






gaaaacagctgatgaaggtacaaatacaagtaatagtgtatctac






aagccccgccatggagcagtctcagtcttcgggcaccacctccag






tacatcgtcaagctcaggtggagcagcactggatgccaggtgcct






ttag






DYRKIA protein isoform 4



(SEQ ID NO: 27)



MHTGGETSACKPSSVRLAPSFSFHAAGLQMAGQMPHSHQYSDRRQ






PNISDQQVSALSYSDQIQQPLTNQVMPDIVMLQRRMPQTFRDPA






TAPLRKLSVDLIKTYKHINEVYYAKKKRRHQQGQGDDSSHKKERK






VYNDGYDDDNYDYIVKNGEKWMDRYEIDSLIGKGSFGQVVKAYDR






VEQEWVAIKIIKNKKAFLNQAQIEVRLLELMNKHDTEMKYYIVHL






KRHFMFRNHLCLVFEMLSYNLYDLLRNTNFRGVSLNLTRKFAQQM






CTALLFLATPELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQL






GQRIYQYIQSRFYRSPEVLLGMPYDLAIDMWSLGCILVEMHTGEP






LFSGANEVDQMNKIVEVLGIPPAHILDQAPKARKFFEKLPDGTWN






LKKTKDGKREYKPPGTRKLHNILGVETGGPGGRRAGESGHTVADY






LKFKDLILRMLDYDPKTRIQPYYALQHSFFKKTADEGTNTSNSVS






TSPAMEQSQSSGTTSSTSSSSGGSSGTSNSGRARSDPTHQHRHSG






GHFTAAVQAMDCETHSPQVSSHVVHLLVSPAILRWSSTGCQVPLE









DYRKIA cDNA isoform 4



(SEQ ID NO: 28)



atgcatacaggaggagagacttcagcatgcaaaccttcatctgtt






cggcttgcaccgtcattttcattccatgctgctggccttcagat






ggctggacagatgccccattcacatcagtacagtgaccgtcgcca






gccaaacataagtgaccaacaggtttctgccttatcatattctga






ccagattcagcaacctctaactaaccaggtgatgcctgatattgt






catgttacagaggcggatgccccaaaccttccgtgacccagcaac






tgctcccctgagaaaactttctgttgacttgatcaaaacatacaa






gcatattaatgaggtttactatgcaaaaaagaagcgaagacacca






acagggccagggagacgattctagtcataagaaggaacggaaggt






ttacaatgatggttatgatgatgataactatgattatattgtaaa






aaacggagaaaagtggatggatcgttacgaaattgactccttgat






aggcaaaggttcctttggacaggttgtaaaggcatatgatcgtgt






ggagcaagaatgggttgccattaaaataataaagaacaagaaggc






ttttctgaatcaagcacagatagaagtgcgacttcttgagctcat






gaacaaacatgacactgaaatgaaatactacatagtgcatttgaa






acgccactttatgtttcgaaaccatctctgtttagtttttgaaat






gctgtcctacaacctctatgacttgctgagaaacaccaatttccg






aggggtctctttgaacctaacacgaaagtttgcgcaacagatgtg






cactgcactgcttttccttgcgactccagaacttagtatcattca






ctgtgatctaaaacctgaaaatatccttctttgtaaccccaaacg






cagtgcaatcaagatagttgactttggcagttcttgtcagttggg






gcagaggatataccagtatattcagagtcgcttttatcggtctcc






agaggtgctactgggaatgccttatgaccttgccattgatatgtg






gtccctcgggtgtattttggttgaaatgcacactggagaacctct






gttcagtggtgccaatgaggtagatcagatgaataaaatagtgga






agttctgggtattccacctgctcatattcttgaccaagcaccaaa






agcaagaaagttctttgagaagttgccagatggcacttggaactt






aaagaagaccaaagatggaaaacgggagtacaaaccaccaggaac






ccgtaaacttcataacattcttggagtggaaacaggaggacctgg






tgggcgacgtgctggggagtcaggtcatacggtcgctgactactt






gaagttcaaagacctcattttaaggatgcttgattatgaccccaa






aactcgaattcaaccttattatgctctgcagcacagtttcttcaa






gaaaacagctgatgaaggtacaaatacaagtaatagtgtatctac






aagccccgccatggagcagtctcagtcttcgggcaccacctccag






tacatcgtcaagctcaggtggctcatcggggacaagcaacagtgg






gagagcccggtcggatccgacgcaccagcatcggcacagtggtgg






gcacttcacagctgccgtgcaggccatggactgcgagacacacag






tccccaggtgagctcgcacgtggttcatttgcttgtgtcacctgc






cattctcaggtggagcagcactggatgccaggtgcctttagaatg






a






DYRK1B protein isoform 1



(SEQ ID NO: 29)



MAVPPGHGPFSGFPGPQEHTQVLPDVRLLPRRLPLAFRDATSAPL






RKLSVDLIKTYKHINEVYYAKKKRRAQQAPPQDSSNKKEKKVLN






HGYDDDNHDYIVRSGERWLERYEIDSLIGKGSFGQVVKAYDHQTQ






ELVAIKIIKNKKAFLNQAQIELRLLELMNQHDTEMKYYIVHLKRH






FMFRNHLCLVFELLSYNLYDLLRNTHFRGVSLNLTRKLAQQLCTA






LLFLATPELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQLGQR






IYQYIQSRFYRSPEVLLGTPYDLAIDMWSLGCILVEMHTGEPLFS






GSNEVDQMNRIVEVLGIPPAAMLDQAPKARKYFERLPGGGWTLRR






TKELRKDYQGPGTRRLQEVLGVQTGGPGGRRAGEPGHSPADYLRF






QDLVLRMLEYEPAARISPLGALQHGFFRRTADEATNTGPAGSSAS






TSPAPLDTCPSSSTASSISSSGGSSGSSSDNRTYRYSNRYCGGPG






PPITDCEMNSPQVPPSQPLRPWAGGDVPHKTHQAPASASSLPGTG






AQLPPQPRYLGRPPSPTSPPPPELMDVSLVGGPADCSPPHPAPAP






QHPAASALRTRMTGGRPPLPPPDDPATLGPHLGLRGVPQSTAASS









DYRK1B cDNA isoform 1



(SEQ ID NO: 30)



atggccgtcccaccgggccatggtcccttctctggcttcccaggg






ccccaggagcacacgcaggtattgcctgatgtgcggctactgcc






tcggaggctgcccctggccttccgggatgcaacctcagccccgct






gcgtaagctctctgtggacctcatcaagacctacaagcacatcaa






tgaggtatactatgcgaagaagaagcggcgggcccagcaggcgcc






accccaggattcgagcaacaagaaggagaagaaggtcctgaacca






tggttatgatgacgacaaccatgactacatcgtgcgcagtggcga






gcgctggctggagcgctacgaaattgactcgctcattggcaaagg






ctcctttggccaggtggtgaaagcctatgatcatcagacccagga






gcttgtggccatcaagatcatcaagaacaaaaaggctttcctgaa






ccaggcccagattgagctgcggctgctggagctgatgaaccagca






tgacacggagatgaagtactatatagtacacctgaagcggcactt






catgttccggaaccacctgtgcctggtatttgagctgctgtccta






caacctgtacgacctcctgcgcaacacccacttccgcggcgtctc






gctgaacctgacccggaagctggcgcagcagctctgcacggcact






gctctttctggccacgcctgagctcagcatcattcactgcgacct






caagcccgaaaacatcttgctgtgcaaccccaagcgcagcgccat






caagattgtggacttcggcagctcctgccagcttggccagaggat






ctaccagtatatccagagccgcttctaccgctcacctgaggtgct






cctgggcacaccctacgacctggccattgacatgtggtccctggg






ctgcatccttgtggagatgcacaccggagagcccctcttcagtgg






ctccaatgaggtcgaccagatgaaccgcattgtggaggtgctggg






catcccaccggccgccatgctggaccaggcgcccaaggctcgcaa






gtactttgaacggctgcctgggggtggctggaccctacgaaggac






gaaagaactcaggaaggattaccagggccccgggacacggcggct






gcaggaggtgctgggcgtgcagacgggcgggcccgggggccggcg






ggcgggggagccgggccacagccccgccgactacctccgcttcca






ggacctggtgctgcgcatgctggagtatgagcccgccgcccgcat






cagccccctgggggctctgcagcacggcttcttccgccgcacggc






cgacgaggccaccaacacgggcccggcaggcagcagtgcctccac






ctcgcccgcgcccctcgacacctgcccctcttccagcaccgccag






ctccatctccagttctggaggctccagtggctcctccagtgacaa






ccggacctaccgctacagcaaccgatattgtgggggccctgggcc






ccctatcacagactgtgagatgaacagcccccaggtcccaccctc






ccagccgctgcggccctgggcagggggtgatgtgccccacaagac






acatcaagcccctgcctctgcctcgtcactgcctgggaccggggc






ccagttacccccccagccccgataccttggtcgtcccccatcacc






aacctcaccaccacccccggagctgatggatgtgagcctggtggg






cggccctgctgactgctccccacctcacccagcgcctgcccccca






gcacccggctgcctcagccctccggactcggatgactggaggtcg






tccacccctcccgcctcctgatgaccctgccactctggggcctca






cctgggcctccgtggtgtaccccagagcacagcagccagctcgtg






a






DYRK1B protein isoform 2



(SEQ ID NO: 31)



MAVPPGHGPFSGFPGPQEHTQVLPDVRLLPRRLPLAFRDATSAPL






RKLSVDLIKTYKHINEVYYAKKKRRAQQAPPQDSSNKKEKKVLN






HGYDDDNHDYIVRSGERWLERYEIDSLIGKGSFGQVVKAYDHQTQ






ELVAIKIIKNKKAFLNQAQIELRLLELMNQHDTEMKYYIVHLKRH






FMFRNHLCLVFELLSYNLYDLLRNTHFRGVSLNLTRKLAQQLCTA






LLFLATPELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQLGQR






IYQYIQSRFYRSPEVLLGTPYDLAIDMWSLGCILVEMHTGEPLFS






GSNEVDQMNRIVEVLGIPPAAMLDQAPKARKYFERLPGGGWTLRR






TKELRKDLVLRMLEYEPAARISPLGALQHGFFRRTADEATNTGPA






GSSASTSPAPLDTCPSSSTASSISSSGGSSGSSSDNRTYRYSNRY






CGGPGPPITDCEMNSPQVPPSQPLRPWAGGDVPHKTHQAPASASS






LPGTGAQLPPQPRYLGRPPSPTSPPPPELMDVSLVGGPADCSPPH






PAPAPQHPAASALRTRMTGGRPPLPPPDDPATLGPHLGLRGVPQS






TAASS






DYRK1B cDNA isoform 2



(SEQ ID NO: 32)



atggccgtcccaccgggccatggtcccttctctggcttcccaggg






ccccaggagcacacgcaggtattgcctgatgtgcggctactgcc






tcggaggctgcccctggccttccgggatgcaacctcagccccgct






gcgtaagctctctgtggacctcatcaagacctacaagcacatcaa






tgaggtatactatgcgaagaagaagcggcgggcccagcaggcgcc






accccaggattcgagcaacaagaaggagaagaaggtcctgaacca






tggttatgatgacgacaaccatgactacatcgtgcgcagtggcga






gcgctggctggagcgctacgaaattgactcgctcattggcaaagg






ctcctttggccaggtggtgaaagcctatgatcatcagacccagga






gcttgtggccatcaagatcatcaagaacaaaaaggctttcctgaa






ccaggcccagattgagctgcggctgctggagctgatgaaccagca






tgacacggagatgaagtactatatagtacacctgaagcggcactt






catgttccggaaccacctgtgcctggtatttgagctgctgtccta






caacctgtacgacctcctgcgcaacacccacttccgcggcgtctc






gctgaacctgacccggaagctggcgcagcagctctgcacggcact






gctctttctggccacgcctgagctcagcatcattcactgcgacct






caagcccgaaaacatcttgctgtgcaaccccaagcgcagcgccat






caagattgtggacttcggcagctcctgccagcttggccagaggat






ctaccagtatatccagagccgcttctaccgctcacctgaggtgct






cctgggcacaccctacgacctggccattgacatgtggtccctggg






ctgcatccttgtggagatgcacaccggagagcccctcttcagtgg






ctccaatgaggtcgaccagatgaaccgcattgtggaggtgctggg






catcccaccggccgccatgctggaccaggcgcccaaggctcgcaa






gtactttgaacggctgcctgggggtggctggaccctacgaaggac






gaaagaactcaggaaggacctggtgctgcgcatgctggagtatga






gcccgccgcccgcatcagccccctgggggctctgcagcacggctt






cttccgccgcacggccgacgaggccaccaacacgggcccggcagg






cagcagtgcctccacctcgcccgcgcccctcgacacctgcccctc






ttccagcaccgccagctccatctccagttctggaggctccagtgg






ctcctccagtgacaaccggacctaccgctacagcaaccgatattg






tgggggccctgggccccctatcacagactgtgagatgaacagccc






ccaggtcccaccctcccagccgctgcggccctgggcagggggtga






tgtgccccacaagacacatcaagcccctgcctctgcctcgtcact






gcctgggaccggggcccagttacccccccagccccgataccttgg






tcgtcccccatcaccaacctcaccaccacccccggagctgatgga






tgtgagcctggtgggcggccctgctgactgctccccacctcaccc






agcgcctgccccccagcacccggctgcctcagccctccggactcg






gatgactggaggtcgtccacccctcccgcctcctgatgaccctgc






cactctggggcctcacctgggcctccgtggtgtaccccagagcac






agcagccagctcgtga






DYRK1B protein isoform 3



(SEQ ID NO: 33)



MAVPPGHGPFSGFPGPQEHTQVLPDVRLLPRRLPLAFRDATSAPL






RKLSVDLIKTYKHINEVYYAKKKRRAQQAPPQDSSNKKEKKVLN






HGYDDDNHDYIVRSGERWLERYEIDSLIGKGSFGQVVKAYDHQTQ






ELVAIKIIKNKKAFLNQAQIELRLLELMNQHDTEMKYYIVHLKRH






FMFRNHLCLVFELLSYNLYDLLRNTHFRGVSLNLTRKLAQQLCTA






LLFLATPELSIIHCDLKPENILLCNPKRSAIKIVDFGSSCQLGQR






IYQYIQSRFYRSPEVLLGTPYDLAIDMWSLGCILVEMHTGEPLFS






GSNEVDQMNRIVEVLGIPPAAMLDQAPKARKYFERLPGGGWTLRR






TKELRKDYQGPGTRRLQEDLVLRMLEYEPAARISPLGALQHGFFR






RTADEATNTGPAGSSASTSPAPLDTCPSSSTASSISSSGGSSGSS






SDNRTYRYSNRYCGGPGPPITDCEMNSPQVPPSQPLRPWAGGDVP






HKTHQAPASASSLPGTGAQLPPQPRYLGRPPSPTSPPPPELMDVS






LVGGPADCSPPHPAPAPQHPAASALRTRMTGGRPPLPPPDDPATL






GPHLGLRGVPQSTAASS






DYRK1B cDNA isoform 3



(SEQ ID NO: 34)



atggccgtcccaccgggccatggtcccttctctggcttcccaggg






ccccaggagcacacgcaggtattgcctgatgtgcggctactgcc






tcggaggctgcccctggccttccgggatgcaacctcagccccgct






gcgtaagctctctgtggacctcatcaagacctacaagcacatcaa






tgaggtatactatgcgaagaagaagcggcgggcccagcaggcgcc






accccaggattcgagcaacaagaaggagaagaaggtcctgaacca






tggttatgatgacgacaaccatgactacatcgtgcgcagtggcga






gcgctggctggagcgctacgaaattgactcgctcattggcaaagg






ctcctttggccaggtggtgaaagcctatgatcatcagacccagga






gcttgtggccatcaagatcatcaagaacaaaaaggctttcctgaa






ccaggcccagattgagctgcggctgctggagctgatgaaccagca






tgacacggagatgaagtactatatagtacacctgaagcggcactt






catgttccggaaccacctgtgcctggtatttgagctgctgtccta






caacctgtacgacctcctgcgcaacacccacttccgcggcgtctc






gctgaacctgacccggaagctggcgcagcagctctgcacggcact






gctctttctggccacgcctgagctcagcatcattcactgcgacct






caagcccgaaaacatcttgctgtgcaaccccaagcgcagcgccat






caagattgtggacttcggcagctcctgccagcttggccagaggat






ctaccagtatatccagagccgcttctaccgctcacctgaggtgct






cctgggcacaccctacgacctggccattgacatgtggtccctggg






ctgcatccttgtggagatgcacaccggagagcccctcttcagtgg






ctccaatgaggtcgaccagatgaaccgcattgtggaggtgctggg






catcccaccggccgccatgctggaccaggcgcccaaggctcgcaa






gtactttgaacggctgcctgggggtggctggaccctacgaaggac






gaaagaactcaggaaggattaccagggccccgggacacggcggct






gcaggaggacctggtgctgcgcatgctggagtatgagcccgccgc






ccgcatcagccccctgggggctctgcagcacggcttcttccgccg






cacggccgacgaggccaccaacacgggcccggcaggcagcagtgc






ctccacctcgcccgcgcccctcgacacctgcccctcttccagcac






cgccagctccatctccagttctggaggctccagtggctcctccag






tgacaaccggacctaccgctacagcaaccgatattgtgggggccc






tgggccccctatcacagactgtgagatgaacagcccccaggtccc






accctcccagccgctgcggccctgggcagggggtgatgtgcccca






caagacacatcaagcccctgcctctgcctcgtcactgcctgggac






cggggcccagttacccccccagccccgataccttggtcgtccccc






atcaccaacctcaccaccacccccggagctgatggatgtgagcct






ggtgggcggccctgctgactgctccccacctcacccagcgcctgc






cccccagcacccggctgcctcagccctccggactcggatgactgg






aggtcgtccacccctcccgcctcctgatgaccctgccactctggg






gcctcacctgggcctccgtggtgtaccccagagcacagcagccag






ctcgtga






DYRK2 protein isoform 1



(SEQ ID NO: 35)



MLTRKPSAAAPAAYPTGRGGDSAVRQLQASPGLGAGATRSGVGTG






PPSPIALPPLRASNAAAAAHTIGGSKHTMNDHLHVGSHAHGQIQ






VQQLFEDNSNKRTVLTTQPNGLTTVGKTGLPVVPERQLDSIHRRQ






GSSTSLKSMEGMGKVKATPMTPEQAMKQYMQKLTAFEHHEIFSYP






EIYFLGLNAKKRQGMTGGPNNGGYDDDQGSYVQVPHDHVAYRYEV






LKVIGKGSFGQVVKAYDHKVHQHVALKMVRNEKRFHRQAAEEIRI






LEHLRKQDKDNTMNVIHMLENFTFRNHICMTFELLSMNLYELIKK






NKFQGFSLPLVRKFAHSILQCLDALHKNRIIHCDLKPENILLKQQ






GRSGIKVIDFGSSCYEHQRVYTYIQSRFYRAPEVILGARYGMPID






MWSLGCILAELLTGYPLLPGEDEGDQLACMIELLGMPSQKLLDAS






KRAKNFVSSKGYPryctvttlsdgsvvlnggrsrrgklrgppesr






ewgnalkgcddplfldflkqclewdpAVRMTPGQALRHPWLRRRL






PKPPTGEKTSVKRITESTGAITSISKLPPPSSSASKLRTNLAQMT






DANGNIQQRTVLPKLVS






DYRK2 cDNA isoform 1



(SEQ ID NO: 36)



atgttaaccaggaaaccttcggccgccgctcccgccgcctacccg






accggccgaggtggggacagcgccgttcgtcagcttcaggcttc






cccggggctcggtgcaggggccacccggagcggagtggggactgg






cccgccctcccccatcgccctgccgcctctccgggccagcaacgc






tgccgccgcagcccacacgattggcggcagtaagcacacaatgaa






tgatcacctgcatgtcggcagccacgctcacggacagatccaggt






tcaacagttgtttgaggataacagtaacaagcggacagtgctcac






gacacaaccaaatgggcttacaacagtgggcaaaacgggcttgcc






agtggtgccagagcggcagctggacagcattcatagacggcaggg






gagctccacctctctaaagtccatggaaggcatggggaaggtgaa






agccacccccatgacacctgaacaagcaatgaagcaatacatgca






aaaactcacagccttcgaacaccatgagattttcagctaccctga






aatatatttcttgggtctaaatgctaagaagcgccagggcatgac






aggtgggcccaacaatggtggctatgatgatgaccagggatcata






tgtgcaggtgccccacgatcacgtggcttacaggtatgaggtcct






caaggtcattgggaaggggagctttgggcaggtggtcaaggccta






cgatcacaaagtccaccagcacgtggccctaaagatggtgcggaa






tgagaagcgcttccaccggcaagcagcggaggagatccgaatcct






ggaacacctgcggaagcaggacaaggataacacaatgaatgtcat






ccatatgctggagaatttcaccttccgcaaccacatctgcatgac






gtttgagctgctgagcatgaacctctatgagctcatcaagaagaa






taaattccagggcttcagtctgcctttggttcgcaagtttgccca






ctcgattctgcagtgcttggatgctttgcacaaaaacagaataat






tcactgtgaccttaagcccgagaacattttgttaaagcagcaggg






tagaagcggtattaaagtaattgattttggctccagttgttacga






gcatcagcgtgtctacacgtacatccagtcgcgtttttaccgggc






tccagaagtgatccttggggccaggtatggcatgcccattgatat






gtggagcctgggctgcattttagcagagctcctgacgggttaccc






cctcttgcctggggaagatgaaggggaccagctggcctgtatgat






tgaactgttgggcatgccctcacagaaactgctggatgcatccaa






acgagccaaaaattttgtgagctccaagggttatccccgttactg






cactgtcacgactctctcagatggctctgtggtcctaaacggagg






ccgttcccggagggggaaactgaggggcccaccggagagcagaga






gtgggggaacgcgctgaaggggtgtgatgatccccttttccttga






cttcttaaaacagtgtttagagtgggatcctgcagtgcgcatgac






cccaggccaggctttgcggcacccctggctgaggaggcggttgcc






aaagcctcccaccggggagaaaacgtcagtgaaaaggataactga






gagcaccggtgctatcacatctatatccaagttacctccaccttc






tagctcagcttccaaactgaggactaatttggcgcagatgacaga






tgccaatgggaatattcagcagaggacagtgttgccaaaacttgt






tagctga






DYRK2 protein isoform 2



(SEQ ID NO: 37)



MNDHLHVGSHAHGQIQVQQLFEDNSNKRTVLTTQPNGLTTVGKTG






LPVVPERQLDSIHRRQGSSTSLKSMEGMGKVKATPMTPEQAMKQ






YMQKLTAFEHHEIFSYPEIYFLGLNAKKRQGMTGGPNNGGYDDDQ






GSYVQVPHDHVAYRYEVLKVIGKGSFGQVVKAYDHKVHQHVALKM






VRNEKRFHRQAAEEIRILEHLRKQDKDNTMNVIHMLENFTFRNHI






CMTFELLSMNLYELIKKNKFQGFSLPLVRKFAHSILQCLDALHKN






RIIHCDLKPENILLKQQGRSGIKVIDFGSSCYEHQRVYTYIQSRF






YRAPEVILGARYGMPIDMWSLGCILAELLTGYPLLPGEDEGDQLA






CMIELLGMPSQKLLDASKRAKNFVSSKGYPRYCTVTTLSDGSVVL






NGGRSRRGKLRGPPESREWGNALKGCDDPLFLDFLKQCLEWDPAV






RMTPGQALRHPWLRRRLPKPPTGEKTSVKRITESTGAITSISKLP






PPSSSASKLRTNLAQMTDANGNIQQRTVLPKLVS






DYRK2 cDNA isoform 2



(SEQ ID NO: 38)



atgaatgatcacctgcatgtcggcagccacgctcacggacagatc






caggttcaacagttgtttgaggataacagtaacaagcggacagt






gctcacgacacaaccaaatgggcttacaacagtgggcaaaacggg






cttgccagtggtgccagagcggcagctggacagcattcatagacg






gcaggggagctccacctctctaaagtccatggaaggcatggggaa






ggtgaaagccacccccatgacacctgaacaagcaatgaagcaata






catgcaaaaactcacagccttcgaacaccatgagattttcagcta






ccctgaaatatatttcttgggtctaaatgctaagaagcgccaggg






catgacaggtgggcccaacaatggtggctatgatgatgaccaggg






atcatatgtgcaggtgccccacgatcacgtggcttacaggtatga






ggtcctcaaggtcattgggaaggggagctttgggcaggtggtcaa






ggcctacgatcacaaagtccaccagcacgtggccctaaagatggt






gcggaatgagaagcgcttccaccggcaagcagcggaggagatccg






aatcctggaacacctgcggaagcaggacaaggataacacaatgaa






tgtcatccatatgctggagatttcaccttccgcaaccacatctgc






atgacgtttgagctgctgagcatgaacctctatgagctcatcaag






aagaataaattccagggcttcagtctgcctttggttcgcaagttt






gcccactcgattctgcagtgcttggatgctttgcacaaaaacaga






ataattcactgtgaccttaagcccgagaacattttgttaaagcag






cagggtagaagcggtattaaagtaattgattttggctccagttgt






tacgagcatcagcgtgtctacacgtacatccagtcgcgtttttac






cgggctccagaagtgatccttggggccaggtatggcatgcccatt






gatatgtggagcctgggctgcattttagcagagctcctgacgggt






taccccctcttgcctggggaagatgaaggggaccagctggcctgt






atgattgaactgttgggcatgccctcacagaaactgctggatgca






tccaaacgagccaaaaattttgtgagctccaagggttatccccgt






tactgcactgtcacgactctctcagatggctctgtggtcctaaac






ggaggccgttcccggagggggaaactgaggggcccaccggagagc






agagagtgggggaacgcgctgaaggggtgtgatgatccccttttc






cttgacttcttaaaacagtgtttagagtgggatcctgcagtgcgc






atgaccccaggccaggctttgcggcacccctggctgaggaggcgg






ttgccaaagcctcccaccggggagaaaacgtcagtgaaaaggata






actgagagcaccggtgctatcacatctatatccaagttacctcca






ccttctagctcagcttccaaactgaggactaatttggcgcagatg






acagatgccaatgggaatattcagcagaggacagtgttgccaaaa






cttgttagctga






DYRK3 protein isoform 1



(SEQ ID NO: 39)



MGGTARGPGRKDAGPPGAGLPPQQRRLGDGVYDTFMMIDETKCPP






CSNVLCNPSEPPPPRRLNMTTEQFTGDHTQHFLDGGEMKVEQLF






QEFGNRKSNTIQSDGISDSEKCSPTVSQGKSSDCLNTVKSNSSSK






APKVVPLTPEQALKQYKHHLTAYEKLEIINYPEIYFVGPNAKKRH






GVIGGPNNGGYDDADGAYIHVPRDHLAYRYEVLKIIGKGSFGQVA






RVYDHKLRQYVALKMVRNEKRFHRQAAEEIRILEHLKKQDKTGSM






NVIHMLESFTFRNHVCMAFELLSIDLYELIKKNKFQGFSVQLVRK






FAQSILQSLDALHKNKIIHCDLKPENILLKHHGRSSTKVIDFGSS






CFEYQKLYTYIQSRFYRAPEIILGSRYSTPIDIWSFGCILAELLT






GQPLFPGEDEGDQLACMMELLGMPPPKLLEQSKRAKYFINSKGIP






RYCSVTTQADGRVVLVGGRSRRGKKRGPPGSKDWGTALKGCDDYL






FIEFLKRCLHWDPSARLTPAQALRHPWISKSVPRPLTTIDKVSGK






RVVNPASAFQGLGSKLPPVVGIANKLKANLMSETNGSIPLCSVLP






KLIS






DYRK3 cDNA isoform 1



(SEQ ID NO: 40)



atgggaggcacagctcgtgggcctgggcggaaggatgcggggccg






cctggggccgggctcccgccccagcagcggaggttgggggatgg






tgtctatgacaccttcatgatgatagatgaaaccaaatgtccccc






ctgttcaaatgtactctgcaatccttctgaaccacctccacccag






aagactaaatatgaccactgagcagtttacaggagatcatactca






gcactttttggatggaggtgagatgaaggtagaacagctgtttca






agaatttggcaacagaaaatccaatactattcagtcagatggcat






cagtgactctgaaaaatgctctcctactgtttctcagggtaaaag






ttcagattgcttgaatacagtaaaatccaacagttcatccaaggc






acccaaagtggtgcctctgactccagaacaagccctgaagcaata






taaacaccacctcactgcctatgagaaactggaaataattaatta






tccagaaatttactttgtaggtccaaatgccaagaaaagacatgg






agttattggtggtcccaataatggagggtatgatgatgcagatgg






ggcctatattcatgtacctcgagaccatctagcttatcgatatga






ggtgctgaaaattattggcaaggggagttttgggcaggtggccag






ggtctatgatcacaaacttcgacagtacgtggccctaaaaatggt






gcgcaatgagaagcgctttcatcgtcaagcagctgaggagatccg






gattttggagcatcttaagaaacaggataaaactggtagtatgaa






cgttatccacatgctggaaagtttcacattccggaaccatgtttg






catggcctttgaattgctgagcatagacctttatgagctgattaa






aaaaaataagtttcagggttttagcgtccagttggtacgcaagtt






tgcccagtccatcttgcaatctttggatgccctccacaaaaataa






gattattcactgcgatctgaagccagaaaacattctcctgaaaca






ccacgggcgcagttcaaccaaggtcattgactttgggtccagctg






tttcgagtaccagaagctctacacatatatccagtctcggttcta






cagagctccagaaatcatcttaggaagccgctacagcacaccaat






tgacatatggagttttggctgcatccttgcagaacttttaacagg






acagcctctcttccctggagaggatgaaggagaccagttggcctg






catgatggagcttctagggatgccaccaccaaaacttctggagca






atccaaacgtgccaagtactttattaattccaagggcataccccg






ctactgctctgtgactacccaggcagatgggagggttgtgcttgt






ggggggtcgctcacgtaggggtaaaaagcggggtcccccaggcag






caaagactgggggacagcactgaaagggtgtgatgactacttgtt






tatagagttcttgaaaaggtgtcttcactgggacccctctgcccg






cttgaccccagctcaagcattaagacacccttggattagcaagtc






tgtccccagacctctcaccaccatagacaaggtgtcagggaaacg






ggtagttaatcctgcaagtgctttccagggattgggttctaagct






gcctccagttgttggaatagccaataagcttaaagctaacttaat






gtcagaaaccaatggtagtatacccctatgcagtgtattgccaaa






actgattagctag






DYRK3 protein isoform 2



(SEQ ID NO: 41)



MKWKEKLGDGVYDTFMMIDETKCPPCSNVLCNPSEPPPPRRLNMT






TEQFTGDHTQHFLDGGEMKVEQLFQEFGNRKSNTIQSDGISDSE






KCSPTVSQGKSSDCLNTVKSNSSSKAPKVVPLTPEQALKQYKHHL






TAYEKLEIINYPEIYFVGPNAKKRHGVIGGPNNGGYDDADGAYIH






VPRDHLAYRYEVLKIIGKGSFGQVARVYDHKLRQYVALKMVRNEK






RFHRQAAEEIRILEHLKKQDKTGSMNVIHMLESFTFRNHVCMAFE






LLSIDLYELIKKNKFQGFSVQLVRKFAQSILQSLDALHKNKIIHC






DLKPENILLKHHGRSSTKVIDFGSSCFEYQKLYTYIQSRFYRAPE






IILGSRYSTPIDIWSFGCILAELLTGQPLFPGEDEGDQLACMMEL






LGMPPPKLLEQSKRAKYFINSKGIPRYCSVTTQADGRVVLVGGRS






RRGKKRGPPGSKDWGTALKGCDDYLFIEFLKRCLHWDPSARLTPA






QALRHPWISKSVPRPLTTIDKVSGKRVVNPASAFQGLGSKLPPVV






GIANKLKANLMSETNGSIPLCSVLPKLIS






DYRK3 cDNA isoform 2



(SEQ ID NO: 42)



atgaagtggaaagagaagttgggggatggtgtctatgacaccttc






atgatgatagatgaaaccaaatgtcccccctgttcaaatgtact






ctgcaatccttctgaaccacctccacccagaagactaaatatgac






cactgagcagtttacaggagatcatactcagcactttttggatgg






aggtgagatgaaggtagaacagctgtttcaagaatttggcaacag






aaaatccaatactattcagtcagatggcatcagtgactctgaaaa






atgctctcctactgtttctcagggtaaaagttcagattgcttgaa






tacagtaaaatccaacagttcatccaaggcacccaaagtggtgcc






tctgactccagaacaagccctgaagcaatataaacaccacctcac






tgcctatgagaaactggaaataattaattatccagaaatttactt






tgtaggtccaaatgccaagaaaagacatggagttattggtggtcc






caataatggagggtatgatgatgcagatggggcctatattcatgt






acctcgagaccatctagcttatcgatatgaggtgctgaaaattat






tggcaaggggagttttgggcaggtggccagggtctatgatcacaa






acttcgacagtacgtggccctaaaaatggtgcgcaatgagaagcg






ctttcatcgtcaagcagctgaggagatccggattttggagcatct






taagaaacaggataaaactggtagtatgaacgttatccacatgct






ggaaagtttcacattccggaaccatgtttgcatggcctttgaatt






gctgagcatagacctttatgagctgattaaaaaaaataagtttca






gggttttagcgtccagttggtacgcaagtttgcccagtccatctt






gcaatctttggatgccctccacaaaaataagattattcactgcga






tctgaagccagaaaacattctcctgaaacaccacgggcgcagttc






aaccaaggtcattgactttgggtccagctgtttcgagtaccagaa






gctctacacatatatccagtctcggttctacagagctccagaaat






catcttaggaagccgctacagcacaccaattgacatatggagttt






tggctgcatccttgcagaacttttaacaggacagcctctcttccc






tggagaggatgaaggagaccagttggcctgcatgatggagcttct






agggatgccaccaccaaaacttctggagcaatccaaacgtgccaa






gtactttattaattccaagggcataccccgctactgctctgtgac






tacccaggcagatgggagggttgtgcttgtggggggtcgctcacg






taggggtaaaaagcggggtcccccaggcagcaaagactgggggac






agcactgaaagggtgtgatgactacttgtttatagagttcttgaa






aaggtgtcttcactgggacccctctgcccgcttgaccccagctca






agcattaagacacccttggattagcaagtctgtccccagacctct






caccaccatagacaaggtgtcagggaaacgggtagttaatcctgc






aagtgctttccagggattgggttctaagctgcctccagttgttgg






aatagccaataagcttaaagctaacttaatgtcagaaaccaatgg






tagtatacccctatgcagtgtattgccaaaactgattagctag






DYRK4 protein isoform 1



(SEQ ID NO: 43)



MPASELKASEIPFHPSIKTQDPKAEEKSPKKQKVTLTAAEALKLF






KNQLSPYEQSEILGYAELWFLGLEAKKLDTAPEKFSKTSFDDEH






GFYLKVLHDHIAYRYEVLETIGKGSFGQVAKCLDHKNNELVALKI






IRNKKRFHQQALMELKILEALRKKDKDNTYNVVHMKDFFYFRNHF






CITFELLGINLYELMKNNNFQGFSLSIVRRFTLSVLKCLQMLSVE






KIIHCDLKPENIVLYQKGQASVKVIDFGSSCYEHQKVYTYIQSRF






YRSPEVILGHPYDVAIDMWSLGCITAELYTGYPLFPGENEVEQLA






CIMEVLGLPPAGFIQTASRRQTFFDSKGFPKNITNNRGKKRYPDS






KDLTMVLKTYDTSFLDFLRRCLVWEPSLRMTPDQALKHAWIHQSR






NLKPQPRPQTLRKSNSFFPSETRKDKVQGCHHSSRKADEITKETT






EKTKDSPTKHVQHSGDQQDCLQHGADTVQLPQLVDAPKKSEAAVG






AEVSMTSPGQSKNFSLKNTNVLPPIV






DYRK4 cDNA isoform 1



(SEQ ID NO: 44)



atgccggcctcagagctcaaggcttcagaaatacctttccaccct






agcattaaaacccaggatcccaaggcagaggagaagtcaccaaa






gaagcaaaaggtgactctgacagcggcagaggccctaaagctttt






taagaaccagctgtctccatatgaacaaagtgaaatcctgggcta






cgcggagctgtggttcctgggtcttgaagccaagaagctcgacac






ggctcctgagaaatttagcaagacgagttttgatgatgagcatgg






cttctatctgaaggtcctgcatgatcacattgcctaccgctatga






agttctggagacaatcgggaaggggtcctttggacaggtggccaa






gtgcttggatcacaaaaacaatgagctggtggccctgaaaatcat






caggaacaagaagaggtttcaccagcaggccctgatggagctgaa






gatcctggaagctctcagaaagaaggacaaagacaacacctacaa






tgtggtgcatatgaaggactttttctactttcgcaatcacttctg






catcacctttgagctcctgggaatcaacttgtatgagttgatgaa






gaataacaactttcaaggcttcagtctgtccatagttcggcgctt






cactctctctgttttgaagtgcttgcagatgctttcggtagagaa






aatcattcactgtgatctcaagcccgaaaatatagtgctatacca






aaagggccaagcctctgttaaagtcattgactttggatcaagctg






ttatgaacaccagaaagtatacacgtacatccaaagccggttcta






ccgatccccagaagtgatcctgggccacccctacgacgtggccat






tgacatgtggagcctgggctgcatcacggcggagttgtacacggg






ctaccccctgttccccggggagaatgaggtggagcagctggcctg






catcatggaggtgctgggtctgccgccagccggcttcattcagac






agcctccaggagacagacattctttgattccaaaggttttcctaa






aaatataaccaacaacagggggaaaaaaagatacccagattccaa






ggacctcacgatggtgctgaaaacctatgacaccagcttcctgga






ctttctcagaaggtgtttggtatgggaaccttctcttcgcatgac






cccggaccaggccctcaagcatgcttggattcatcagtctcggaa






cctcaagccacagcccaggccccagaccctgaggaaatccaattc






ctttttcccctctgagacaaggaaggacaaggttcaaggctgtca






tcactcgagcagaaaagcagatgagatcaccaaagagactacaga






gaaaacaaaagatagccccacgaagcatgttcagcattcaggtga






tcagcaggactgtctccagcacggagctgacactgttcagctgcc






tcaactggtagacgctcccaagaagtcagaggcagctgtcggggc






ggaggtgtccatgacctccccaggacagagcaaaaacttctccct






caagaacacaaacgttttaccccctattgtatga






DYRK4 protein isoform 2



(SEQ ID NO: 45)



MPASELKASEIPFHPSIKTQDPKAEEKSPKKQKVTLTAAEALKLF






KNQLSPYEQSEILGYAELWFLGLEAKKLDTAPEKFSKTSFDDEH






GFYLKVLHDHIAYRYEVLETIGKGSFGQVAKCLDHKNNELVALKI






IRNKKRFHQQALMELKILEALRKKDKDNTYNVVHMKDFFYFRNHF






CITFELLGINLYELMKNNNFQGFSLSIVRRFTLSVLKCLQMLSVE






KIIHCDLKPENIVLYQKGQASVKVIDFGSSCYEHQKVYTYIQSRF






YRSPEVILGHPYDVAIDMWSLGCITAELYTGYPLFPGENEVEQLA






CIMEVLGLPPAGFIQTASRRQTFFDSKGFPKNITNNRGKKRYPDS






KDLTMVLKTYDTSFLDFLRRCLVWEPSLRMTPDQALKHAWIHQSR






NLKPQPRPQTLRKSNSFFPSETRKDKVQGCHHSSRKDEITKETTE






KTKDSPTKHVQHSGDQQDCLQHGADTVQLPQLVDAPKKSEAAVGA






EVSMTSPGQSKNFSLKNTNVLPPIV






DYRK4 cDNA isoform 2



(SEQ ID NO: 46)



atgccggcctcagagctcaaggcttcagaaatacctttccaccct






agcattaaaacccaggatcccaaggcagaggagaagtcaccaaa






gaagcaaaaggtgactctgacagcggcagaggccctaaagctttt






taagaaccagctgtctccatatgaacaaagtgaaatcctgggcta






cgcggagctgtggttcctgggtcttgaagccaagaagctcgacac






ggctcctgagaaatttagcaagacgagttttgatgatgagcatgg






cttctatctgaaggtcctgcatgatcacattgcctaccgctatga






agttctggagacaatcgggaaggggtcctttggacaggtggccaa






gtgcttggatcacaaaaacaatgagctggtggccctgaaaatcat






caggaacaagaagaggtttcaccagcaggccctgatggagctgaa






gatcctggaagctctcagaaagaaggacaaagacaacacctacaa






tgtggtgcatatgaaggactttttctactttcgcaatcacttctg






catcacctttgagctcctgggaatcaacttgtatgagttgatgaa






gaataacaactttcaaggcttcagtctgtccatagttcggcgctt






cactctctctgttttgaagtgcttgcagatgctttcggtagagaa






aatcattcactgtgatctcaagcccgaaaatatagtgctatacca






aaagggccaagcctctgttaaagtcattgactttggatcaagctg






ttatgaacaccagaaagtatacacgtacatccaaagccggttcta






ccgatccccagaagtgatcctgggccacccctacgacgtggccat






tgacatgtggagcctgggctgcatcacggcggagttgtacacggg






ctaccccctgttccccggggagaatgaggtggagcagctggcctg






catcatggaggtgctgggtctgccgccagccggcttcattcagac






agcctccaggagacagacattctttgattccaaaggttttcctaa






aaatataaccaacaacagggggaaaaaaagatacccagattccaa






ggacctcacgatggtgctgaaaacctatgacaccagcttcctgga






ctttctcagaaggtgtttggtatgggaaccttctcttcgcatgac






cccggaccaggccctcaagcatgcttggattcatcagtctcggaa






cctcaagccacagcccaggccccagaccctgaggaaatccaattc






ctttttcccctctgagacaaggaaggacaaggttcaaggctgtca






tcactcgagcagaaaagatgagatcaccaaagagactacagagaa






aacaaaagatagccccacgaagcatgttcagcattcaggtgatca






gcaggactgtctccagcacggagctgacactgttcagctgcctca






actggtagacgctcccaagaagtcagaggcagctgtcggggcgga






ggtgtccatgacctccccaggacagagcaaaaacttctccctcaa






gaacacaaacgttttaccccctattgtatga






DYRK4 protein isoform 3



(SEQ ID NO: 47)



MQLLPPPIRTGTKTQMDAKKPRKCDLTPFLVLKARKKQKFTSAKV






GSKLSVQIQKPPSNIKNSRMTQVFHKNTSVTSLPFVDTKGKKNT






VSFPHISKKVLLKSSLLYQENQAHNQMPASELKASEIPFHPSIKT






QDPKAEEKSPKKQKVTLTAAEALKLFKNQLSPYEQSEILGYAELW






FLGLEAKKLDTAPEKFSKTSFDDEHGFYLKVLHDHIAYRYEVLET






IGKGSFGQVAKCLDHKNNELVALKIIRNKKRFHQQALMELKILEA






LRKKDKDNTYNVVHMKDFFYFRNHFCITFELLGINLYELMKNNNF






QGFSLSIVRRFTLSVLKCLQMLSVEKIIHCDLKPENIVLYQKGQA






SVKVIDFGSSCYEHQKVYTYIQSRFYRSPEVILGHPYDVAIDMWS






LGCITAELYTGYPLFPGENEVEQLACIMEVLGLPPAGFIQTASRR






QTFFDSKGFPKNITNNRGKKRYPDSKDLTMVLKTYDTSFLDFLRR






CLVWEPSLRMTPDQALKHAWIHQSRNLKPQPRPQTLRKSNSFFPS






ETRKDKVQGCHHSSRKADEITKETTEKTKDSPTKHVQHSGDQQDC






LQHGADTVQLPQLVDAPKKSEAAVGAEVSMTSPGQSKNFSLKNTN






VLPPIV






DYRK4 protein isoform 4



(SEQ ID NO: 48)



MQLLPPPIRTGTKTQMDAKKPRKCDLTPFLVLKARKKQKFTSAKG






PTLSEIYMVGSKLSVQIQKPPSNIKNSRMTQVFHKNTSVTSLPF






VDTKGKKNTVSFPHISKKVLLKSSLLYQENQAHNQMPASELKASE






IPFHPSIKTQDPKAEEKSPKKQKVTLTAAEALKLFKNQLSPYEQS






EILGYAELWFLGLEAKKLDTAPEKFSKTSFDDEHGFYLKVLHDHI






AYRYEVLETIGKGSFGQVAKCLDHKNNELVALKIIRNKKRFHQQA






LMELKILEALRKKDKDNTYNVVHMKDFFYFRNHFCITFELLGINL






YELMKNNNFQGFSLSIVRRFTLSVLKCLQMLSVEKIIHCDLKPEN






IVLYQKGQASVKVIDFGSSCYEHQKVYTYIQSRFYRSPEVILGHP






YDVAIDMWSLGCITAELYTGYPLFPGENEVEQLACIMEVLGLPPA






GFIQTASRRQTFFDSKGFPKNITNNRGKKRYPDSKDLTMVLKTYD






TSFLDFLRRCLVWEPSLRMTPDQALKHAWIHQSRNLKPQPRPQTL






RKSNSFFPSETRKDKVQGCHHSSRKADEITKETTEKTKDSPTKHV






QHSGDQQDCLQHGADTVQLPQLVDAPKKSEAAVGAEVSMTSPGQS






KNFSLKNTNVLPPIV






DYRK4 protein isoform 5



(SEQ ID NO: 49)



MPASELKASEIPFHPSIKTQDPKAEEKSPKKQKVTLTAAEALKLF






KNQLSPYEQSEILGYAELWFLGLEAKKLDTAPEKFSKTSFDDEHG






FYLKVLHDHIAYRYEVLETIGKGSFGQVAKCLDHKNNELVALKII






RNKKRFHQQALMELKILEALRKKDKDNTYNVVHMKDFFYFRNHFC






ITFELLGINLYELMKNNNFQGFSLSIVRRFTLSVLKCLQMLSVEK






IIHCDLKPENIVLYQKGQASVKVIDFGSSCYEHQKVYTYIQSRFY






RSPEVILGHPYDVAIDMWSLGCITAELYTGYPLFPGENEVEQLAC






IMEVLGLPPAGFIQTASRRQTFFDSKGFPKNITNNRGKKRYPDSK






DLTMVLKTYDTSFLDFLRRWEPSLRMTPDQALKHAWIHQSRNLKP






QPRPQTLRKSNSFFPSETRKDKVQGCHHSSRKADEITKETTEKTK






DSPTKHVQHSGDQQDCLQHGADTVQLPQLVDAPKKSEAAVGAEVS






MTSPGQSKNFSLKNTNVLPPIV






Exemplary DYRK Inhibitors

In some embodiments, the DYRK inhibitor inhibits one or more of the DYRK family members DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor is a broad spectrum inhibitor, inhibiting two or more of the DYRK family members DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (e.g., between about 100 pM and about 9 μM, between about 100 pM and about 8 μM, between about 100 pM and about 7 μM, between about 100 pM and about 6 μM, between about 100 pM and about 5 μM, between about 100 pM and about 4 μM, between about 100 pM and about 3 μM, between about 100 pM and about 2 μM, between about 100 pM and about 1 μM, between about 100 pM and about 950 nM, between about 100 pM and about 900 nM, between about 100 pM and about 850 nM, between about 100 pM and about 800 nM, between about 100 pM and about 750 nM, between about 100 pM and about 700 nM, between about 100 pM and about 650 nM, between about 100 pM and about 600 nM, between about 100 pM and about 550 nM, between about 100 pM and about 500 nM, between about 100 pM and about 450 nM, between about 100 pM and about 400 nM, between about 100 pM and about 350 nM, between about 100 pM and about 300 nM, between about 100 pM and about 250 nM, between about 100 pM and about 200 nM, between about 100 pM and about 150 nM, between about 100 pM and about 100 nM, between about 100 pM and about 95 nM, between about 100 pM and about 90 nM, between about 100 pM and about 85 nM, between about 100 pM and about 80 nM, between about 100 pM and about 75 nM, between about 100 pM and about 70 nM, between about 100 pM and about 65 nM, between about 100 pM and about 60 nM, between about 100 pM and about 55 nM, between about 100 pM and about 50 nM, between about 100 pM and about 45 nM, between about 100 pM and about 40 nM, between about 100 pM and about 35 nM, between about 100 pM and about 30 nM, between about 100 pM and about 25 nM, between about 100 pM and about 20 nM, between about 100 pM and about 15 nM, between about 100 pM and about 10 nM, between about 100 pM and about 5 nM, between about 100 pM and about 4 nM, between about 100 pM and about 3 nM, between about 100 pM and about 2 nM, e.g., between about 1 nM and about 9 μM, between about 1 nM and about 8 μM, between about 1 nM and about 7 μM, between about 1 nM and about 6 μM, between about 1 nM and about 5 μM, between about 1 nM and about 4 μM, between about 1 nM and about 3 μM, between about 1 nM and about 2 μM, between about 1 nM and about 1 μM, between about 1 nM and about 950 nM, between about 1 nM and about 900 nM, between about 1 nM and about 850 nM, between about 1 nM and about 800 nM, between about 1 nM and about 750 nM, between about 1 nM and about 700 nM, between about 1 nM and about 650 nM, between about 1 nM and about 600 nM, between about 1 nM and about 550 nM, between about 1 nM and about 500 nM, between about 1 nM and about 450 nM, between about 1 nM and about 400 nM, between about 1 nM and about 350 nM, between about 1 nM and about 300 nM, between about 1 nM and about 250 nM, between about 1 nM and about 200 nM, between about 1 nM and about 150 nM, between about 1 nM and about 100 nM, between about 1 nM and about 95 nM, between about 1 nM and about 90 nM, between about 1 nM and about 85 nM, between about 1 nM and about 80 nM, between about 1 nM and about 75 nM, between about 1 nM and about 70 nM, between about 1 nM and about 65 nM, between about 1 nM and about 60 nM, between about 1 nM and about 55 nM, between about 1 nM and about 50 nM, between about 1 nM and about 45 nM, between about 1 nM and about 40 nM, between about 1 nM and about 35 nM, between about 1 nM and about 30 nM, between about 1 nM and about 25 nM, between about 1 nM and about 20 nM, between about 1 nM and about 15 nM, between about 1 nM and about 10 nM, between about 1 nM and about 5 nM, between about 1 nM and about 4 nM, between about 1 nM and about 3 nM, between about 1 nM and about 2 nM, between about 2 nM and about 10 μM, between about 2 nM and about 9 μM, between about 2 nM and about 8 μM, between about 2 nM and about 7 μM, between about 2 nM and about 6 μM, between about 2 nM and about 5 μM, between about 2 nM and about 4 μM, between about 2 nM and about 3 μM, between about 2 nM and about 2 μM, between about 2 nM and about 1 μM, between about 2 nM and about 950 nM, between about 2 nM and about 900 nM, between about 2 nM and about 850 nM, between about 2 nM and about 800 nM, between about 2 nM and about 750 nM, between about 2 nM and about 700 nM, between about 2 nM and about 650 nM, between about 2 nM and about 600 nM, between about 2 nM and about 550 nM, between about 2 nM and about 500 nM, between about 2 nM and about 450 nM, between about 2 nM and about 400 nM, between about 2 nM and about 350 nM, between about 2 nM and about 300 nM, between about 2 nM and about 250 nM, between about 2 nM and about 200 nM, between about 2 nM and about 150 nM, between about 2 nM and about 100 nM, between about 2 nM and about 95 nM, between about 2 nM and about 90 nM, between about 2 nM and about 85 nM, between about 2 nM and about 80 nM, between about 2 nM and about 75 nM, between about 2 nM and about 70 nM, between about 2 nM and about 65 nM, between about 2 nM and about 60 nM, between about 2 nM and about 55 nM, between about 2 nM and about 50 nM, between about 2 nM and about 45 nM, between about 2 nM and about 40 nM, between about 2 nM and about 35 nM, between about 2 nM and about 30 nM, between about 2 nM and about 25 nM, between about 2 nM and about 20 nM, between about 2 nM and about 15 nM, between about 2 nM and about 10 nM, between about 2 nM and about 5 nM, between about 2 nM and about 4 nM, between about 2 nM and about 3 nM, between about 5 nM and about 10 μM, between about 5 nM and about 9 μM, between about 5 nM and about 8 μM, between about 5 nM and about 7 μM, between about 5 nM and about 6 μM, between about 5 nM and about 5 μM, between about 5 nM and about 4 μM, between about 5 nM and about 3 μM, between about 5 nM and about 2 μM, between about 5 nM and about 1 μM, between about 5 nM and about 950 nM, between about 5 nM and about 900 nM, between about 5 nM and about 850 nM, between about 5 nM and about 800 nM, between about 5 nM and about 750 nM, between about 5 nM and about 700 nM, between about 5 nM and about 650 nM, between about 5 nM and about 600 nM, between about 5 nM and about 550 nM, between about 5 nM and about 500 nM, between about 5 nM and about 450 nM, between about 5 nM and about 400 nM, between about 5 nM and about 350 nM, between about 5 nM and about 300 nM, between about 5 nM and about 250 nM, between about 5 nM and about 200 nM, between about 5 nM and about 150 nM, between about 5 nM and about 100 nM, between about 5 nM and about 95 nM, between about 5 nM and about 90 nM, between about 5 nM and about 85 nM, between about 5 nM and about 80 nM, between about 5 nM and about 75 nM, between about 5 nM and about 70 nM, between about 5 nM and about 65 nM, between about 5 nM and about 60 nM, between about 5 nM and about 55 nM, between about 5 nM and about 50 nM, between about 5 nM and about 45 nM, between about 5 nM and about 40 nM, between about 5 nM and about 35 nM, between about 5 nM and about 30 nM, between about 5 nM and about 25 nM, between about 5 nM and about 20 nM, between about 5 nM and about 15 nM, between about 5 nM and about 10 nM, between about 10 nM and about 10 μM, between about 10 nM and about 9 μM, between about 10 nM and about 8 μM, between about 10 nM and about 7 μM, between about 10 nM and about 6 μM, between about 10 nM and about 5 μM, between about 10 nM and about 4 μM, between about 10 nM and about 3 μM, between about 10 nM and about 2 μM, between about 10 nM and about 1 μM, between about 10 nM and about 950 nM, between about 10 nM and about 900 nM, between about 10 nM and about 850 nM, between about 10 nM and about 800 nM, between about 10 nM and about 750 nM, between about 10 nM and about 700 nM, between about 10 nM and about 650 nM, between about 10 nM and about 600 nM, between about 10 nM and about 550 nM, between about 10 nM and about 500 nM, between about 10 nM and about 450 nM, between about 10 nM and about 400 nM, between about 10 nM and about 350 nM, between about 10 nM and about 300 nM, between about 10 nM and about 250 nM, between about 10 nM and about 200 nM, between about 10 nM and about 150 nM, between about 10 nM and about 100 nM, between about 10 nM and about 95 nM, between about 10 nM and about 90 nM, between about 10 nM and about 85 nM, between about 10 nM and about 80 nM, between about 10 nM and about 75 nM, between about 10 nM and about 70 nM, between about 10 nM and about 65 nM, between about 10 nM and about 60 nM, between about 10 nM and about 55 nM, between about 10 nM and about 50 nM, between about 10 nM and about 45 nM, between about 10 nM and about 40 nM, between about 10 nM and about 35 nM, between about 10 nM and about 30 nM, between about 10 nM and about 25 nM, between about 10 nM and about 20 nM, between about 10 nM and about 15 nM, between about 50 nM and about 10 μM, between about 50 nM and about 9 μM, between about 50 nM and about 8 μM, between about 50 nM and about 7 μM, between about 50 nM and about 6 μM, between about 50 nM and about 5 μM, between about 50 nM and about 4 μM, between about 50 nM and about 3 μM, between about 50 nM and about 2 μM, between about 50 nM and about 1 μM, between about 50 nM and about 950 nM, between about 50 nM and about 900 nM, between about 50 nM and about 850 nM, between about 50 nM and about 800 nM, between about 50 nM and about 750 nM, between about 50 nM and about 700 nM, between about 50 nM and about 650 nM, between about 50 nM and about 600 nM, between about 50 nM and about 550 nM, between about 50 nM and about 500 nM, between about 50 nM and about 450 nM, between about 50 nM and about 400 nM, between about 50 nM and about 350 nM, between about 50 nM and about 300 nM, between about 50 nM and about 250 nM, between about 50 nM and about 200 nM, between about 50 nM and about 150 nM, between about 50 nM and about 100 nM, between about 50 nM and about 95 nM, between about 50 nM and about 90 nM, between about 50 nM and about 85 nM, between about 50 nM and about 80 nM, between about 50 nM and about 75 nM, between about 50 nM and about 70 nM, between about 50 nM and about 65 nM, between about 50 nM and about 60 nM, between about 50 nM and about 55 nM, between about 100 nM and about 10 μM, between about 100 nM and about 9 μM, between about 100 nM and about 8 μM, between about 100 nM and about 7 μM, between about 100 nM and about 6 μM, between about 100 nM and about 5 μM, between about 100 nM and about 4 μM, between about 100 nM and about 3 μM, between about 100 nM and about 2 μM, between about 100 nM and about 1 μM, between about 100 nM and about 950 nM, between about 100 nM and about 900 nM, between about 100 nM and about 850 nM, between about 100 nM and about 800 nM, between about 100 nM and about 750 nM, between about 100 nM and about 700 nM, between about 100 nM and about 650 nM, between about 100 nM and about 600 nM, between about 100 nM and about 550 nM, between about 100 nM and about 500 nM, between about 100 nM and about 450 nM, between about 100 nM and about 400 nM, between about 100 nM and about 350 nM, between about 100 nM and about 300 nM, between about 100 nM and about 250 nM, between about 100 nM and about 200 nM, between about 100 nM and about 150 nM, between about 200 nM and about 10 μM, between about 200 nM and about 9 μM, between about 200 nM and about 8 μM, between about 200 nM and about 7 μM, between about 200 nM and about 6 μM, between about 200 nM and about 5 μM, between about 200 nM and about 4 μM, between about 200 nM and about 3 μM, between about 200 nM and about 2 μM, between about 200 nM and about 1 μM, between about 200 nM and about 950 nM, between about 200 nM and about 900 nM, between about 200 nM and about 850 nM, between about 200 nM and about 800 nM, between about 200 nM and about 750 nM, between about 200 nM and about 700 nM, between about 200 nM and about 650 nM, between about 200 nM and about 600 nM, between about 200 nM and about 550 nM, between about 200 nM and about 500 nM, between about 200 nM and about 450 nM, between about 200 nM and about 400 nM, between about 200 nM and about 350 nM, between about 200 nM and about 300 nM, between about 200 nM and about 250 nM, between about 250 nM and about 10 μM, between about 250 nM and about 9 μM, between about 250 nM and about 8 μM, between about 250 nM and about 7 μM, between about 250 nM and about 6 μM, between about 250 nM and about 5 μM, between about 250 nM and about 4 μM, between about 250 nM and about 3 μM, between about 250 nM and about 2 μM, between about 250 nM and about 1 μM, between about 250 nM and about 950 nM, between about 250 nM and about 900 nM, between about 250 nM and about 850 nM, between about 250 nM and about 800 nM, between about 250 nM and about 750 nM, between about 250 nM and about 700 nM, between about 250 nM and about 650 nM, between about 250 nM and about 600 nM, between about 250 nM and about 550 nM, between about 250 nM and about 500 nM, between about 250 nM and about 450 nM, between about 250 nM and about 400 nM, between about 250 nM and about 350 nM, between about 250 nM and about 300 nM, between about 500 nM and about 10 μM, between about 500 nM and about 9 μM, between about 500 nM and about 8 μM, between about 500 nM and about 7 μM, between about 500 nM and about 6 μM, between about 500 nM and about 5 μM, between about 500 nM and about 4 μM, between about 500 nM and about 3 μM, between about 500 nM and about 2 μM, between about 500 nM and about 1 μM, between about 500 nM and about 950 nM, between about 500 nM and about 900 nM, between about 500 nM and about 850 nM, between about 500 nM and about 800 nM, between about 500 nM and about 750 nM, between about 500 nM and about 700 nM, between about 500 nM and about 650 nM, between about 500 nM and about 600 nM, between about 500 nM and about 550 nM, between about 750 nM and about 10 μM, between about 750 nM and about 9 μM, between about 750 nM and about 8 μM, between about 750 nM and about 7 μM, between about 750 nM and about 6 μM, between about 750 nM and about 5 μM, between about 750 nM and about 4 μM, between about 750 nM and about 3 μM, between about 750 nM and about 2 μM, between about 750 nM and about 1 μM, between about 750 nM and about 950 nM, between about 750 nM and about 900 nM, between about 750 nM and about 850 nM, between about 750 nM and about 800 nM, between about 950 nM and about 10 μM, between about 950 nM and about 9 μM, between about 950 nM and about 8 μM, between about 950 nM and about 7 μM, between about 950 nM and about 6 μM, between about 950 nM and about 5 μM, between about 950 nM and about 4 μM, between about 950 nM and about 3 μM, between about 950 nM and about 2 μM, between about 950 nM and about 1 μM, between about 1 μM and about 10 μM, between about 1 μM and about 9 μM, between about 1 μM and about 8 μM, between about 1 μM and about 7 μM, between about 1 μM and about 6 μM, between about 1 μM and about 5 μM, between about 1 μM and about 4 μM, between about 1 μM and about 3 μM, between about 1 μM and about 2 μM, between about 2 μM and about 10 μM, between about 2 μM and about 9 μM, between bout 2 μM and about 8 μM, between about 2 μM and about 7 μM, between about 2 μM and about 6 μM, between about 2 μM and about 5 μM, between about 2 μM and about 4 μM, between about 2 μM and about 3 μM, between about 4 μM and about 10 μM, between about 4 μM and about 9 μM, between about 4 μM and about 8 μM, between about 4 μM and about 7 μM, between about 4 μM and about 6 μM, between about 4 μM and about 5 μM, between about 5 μM and about 10 μM, between about 5 μM and about 9 μM, between about 5 μM and about 8 μM, between about 5 μM and about 7 μM, between about 5 μM and about 6 μM, between about 6 μM and about 10 μM, between about 6 μM and about 9 μM, between about 6 μM and about 8 μM, between about 6 μM and about 7 μM; between about 7 μM and about 10 μM, between about 7 μM and about 9 μM, between about 7 μM and about 8 μM, between about 8 μM and about 10 μM, between about 8 μM and about 9 μM, or between about 9 μM and about 10 μM) for one or more of DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK 4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK1B, DYRK2, DYRK3 and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range) for each of DYRK1A and DYRK1B. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A and DYRK2. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B and DYRK2. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK2 and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK2 and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK3 and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK2, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK1B, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK1B, DYRK2, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK1B, DYRK2, and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B, DYRK2, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK2, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK1B, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B, DYRK2, and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B, DYRK2, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK2, DYRK3, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A and DYRK1B. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A and DYRK2. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1A and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B and DYRK2. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK1B, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK2, and DYRK3. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK2, and DYRK4. In some embodiments, the DYRK inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for each of DYRK3, and DYRK4.


In some embodiments, the DYRK inhibitor is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the DYRK inhibitor is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the DYRK inhibitor is a compound of Formula (III), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the DYRK inhibitor is a compound of Formula (IV), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the DYRK inhibitor is a compound of Formula (V), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the DYRK inhibitor is a compound of Formula (VI), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the DYRK inhibitor is a compound of Formula (VII), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the DYRK inhibitor is a compound of Formula (VIII), or a pharmaceutically acceptable salt or solvate thereof.


Exemplary Dual CLK/DYRK Inhibitors,

In some embodiments, the methods provided herein include a single inhibitor, wherein the single inhibitor is a dual CLK/DYRK inhibitor. In some embodiments, the methods provided herein include a single inhibitor, wherein the single inhibitor is a dual DYRK1A/CLK2 and/or CLK3 inhibitor. In some embodiments, the CLK inhibitor also acts as a DYRK inhibitor. In some embodiments, the DYRK inhibitor also acts as a CLK inhibitor.


In some embodiments, the dual CLK/DYRK inhibitor inhibits one or more of the DYRK family members (DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4) and one or more of the CLK family members (CLK1, CLK2, CLK3, and CLK4). In some embodiments, the dual CLK/DYRK inhibitor is a broad spectrum inhibitor, inhibiting two or more of the DYRK family members DYRK1A, DYRK1B, DYRK2, DYRK3, and DYRK4; and one or more of the CLK family members. In other embodiments, the dual CLK/DYRK inhibitor is a broad spectrum inhibitor, inhibiting two or more of the CLK family members CLK1, CLK2, CLK3, and CLK4; and one or more of the DYRK family members. In still other embodiments, the dual CLK/DYRK inhibitor is a broad spectrum inhibitor, inhibiting two or more of the CLK family members; and two or more of the DYRK family members.


In some embodiments, the dual CLK/DYRK inhibitor is a dual DYRK1A/CLK2 and/or CLK3 inhibitor. In some embodiments, the dual CLK/DYRK inhibitor inhibits DYKR1A and CLK2. In other embodiments, the dual CLK/DYRK inhibitor inhibits DYKR1A and CLK3. In still other embodiments, the dual CLK/DYRK inhibitor inhibits DYKR1A and both CLK2 and CLK3.


In some embodiments, a single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for any combination of CLK and DYRK family members. In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for CLK1 with one or more CLK or DYRK family members (e.g. CLK2, CLK3, CLK4, DYRK1A, DYRK1B, DYRK2, DYRK3, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for CLK2 with one or more CLK or DYRK family members (e.g. CLK1, CLK3, CLK4, DYRK1A, DYRK1B, DYRK2, DYRK3, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for CLK3 with one or more CLK or DYRK family members (e.g. CLK1, CLK2, CLK4, DYRK1A, DYR1B, DYRK2, DYRK3, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for CLK4 with one or more CLK or DYRK family members (e.g. CLK1, CLK2, CLK3, DYRK1A, DYR1B, DYRK2, DYRK3, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for DYRK1A with one or more CLK or DYRK family members (e.g. CLK1, CLK2, CLK3, CLK4, DYR1B, DYRK2, DYRK3, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for DYRK1B with one or more CLK or DYRK family members (e.g. CLK1, CLK2, CLK3, CLK4, DYR1A, DYRK2, DYRK3, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for DYRK2 with one or more CLK or DYRK family members (e.g. CLK1, CLK2, CLK3, CLK4, DYR1A, DYRK1B, DYRK3, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for DYRK3 with one or more CLK or DYRK family members (e.g. CLK1, CLK2, CLK3, CLK4, DYR1A, DYRK1B, DYRK2, DYRK4). In non-limiting examples, the single inhibitor has an IC50 of between about 100 pM and about 10 μM (or any of the subranges of this range described herein) for DYRK4 with one or more CLK or DYRK family members (e.g. CLK1, CLK2, CLK3, CLK4, DYR1A, DYRK1B, DYRK2, DYRK3).


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (I), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (II), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (III), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (IV), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (V), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (VI), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (VII), or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the dual CLK/DYRK inhibitor is a compound of Formula (VIII), or a pharmaceutically acceptable salt or solvate thereof.


Exemplary Compounds of Formulas (I)-(VIII)

U.S. Provisional Application No. 62/793,428 describes compounds having Formula (I) and is hereby incorporated by reference in its entirety.


Some embodiments of the present disclosure include compounds of Formula (I):




embedded image


or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (I), R1 is selected from the group consisting of H, halide (e.g., F, Cl, Br, I), and unsubstituted —(C1-3 alkyl).


In some embodiments of Formula (I), R2 is selected from the group consisting of unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C1-9 haloalkyl), —(C1-2 alkylene)p(C3-6 carbocyclyl) optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R4, -monocyclic heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R5, -phenyl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R6, -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R7, —CO2R8, —OR9, and —(C═O)R10; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments Formula (I), when R2 is -heteroaryl optionally substituted with 1-4 R7, the heteroaryl is selected from the group consisting of pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl, oxazolyl, oxadiazolyl, thiadiazolyl, indolyl, indazolyl, benzimidazolyl, imidazo[4,5-b]pyridinyl, imidazo[4,5-c]pyridinyl, 5,6,7,8-tetrahydroimidazo[1,2-a]pyrazinyl, 4,5,6,7-tetrahydro-1H-imidazo[4,5-c]pyridinyl, 1,2,3,4-tetrahydroisoquinolinyl, isoquinolinyl, and quinolinyl; wherein




embedded image


is only substituted at positions 4 and 7.


In some embodiments of Formula (I), R3 is selected from the group consisting of -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R1, —(C1-4 alkylene)pphenyl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R12, -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R13, and —(C1-4 alkylene)OR14; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments Formula (I), when L2 is a bond; R3 is selected from -heteroaryl optionally substituted with 1-4 R13; wherein heteroaryl selected from the group consisting of pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl, oxazolyl, oxadiazolyl, thiadiazolyl, indolyl, indazolyl, benzimidazolyl, imidazo[4,5-b]pyridinyl, imidazo[4,5-c]pyridinyl, 5,6,7,8-tetrahydroimidazo[1,2-a]pyrazinyl, 4,5,6,7-tetrahydro-1H-imidazo[4,5-c]pyridinyl, 1,2,3,4-tetrahydroisoquinolinyl, isoquinolinyl, and quinolinyl; wherein




embedded image


is only substituted at positions 4 and 7.


In some embodiments of Formula (I), each R4 is halide.


In some embodiments of Formula (I), each R5 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R6 is independently selected from the group consisting of unsubstituted —(C1-9 alkyl), unsubstituted —(C1-9 haloalkyl), —OR5, and —(C1-4 alkylene)pN(R16)2; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (I), each R7 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-9 alkyl), unsubstituted —(C1-9 haloalkyl), —OR5, —CO2R7, —NR18(C═O)R19, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20, and —(C1-4 alkylene)pN(R16)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (I), R8 is unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), R9 is unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), R10 is -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R21.


In some embodiments of Formula (I), each R11 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R12 is independently selected from the group consisting of —(C1-4alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20, -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R22, —(C1-4 alkylene)N(R16)2, and —OR23; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (I), each R13 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-9 alkyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pN(R16)2, —OR23, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20, -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R22, and -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R24; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (I), R14 is selected from the group consisting of unsubstituted —(C1-4 alkyl) and -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R22.


In some embodiments of Formula (I), each R15 is independently selected from the group consisting of unsubstituted —(C1-9 alkyl) and -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20.


In some embodiments of Formula (I), each R16 is independently selected from the group consisting of H and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R17 is unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R18 is independently selected from the group consisting of H and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R19 is unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R20 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R21 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R22 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R23 is independently selected from the group consisting of unsubstituted —(C1-9 alkyl), —(C1-4 alkylene)OR25, and —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (I), each R24 is independently selected from the group consisting of halide and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), each R25 is independently selected from the group consisting of H and unsubstituted —(C1-9 alkyl).


In some embodiments of Formula (I), L1 is selected from the group consisting of a bond, —CH═CH—, —C≡C—, —(CH2)pNR18(C═O)—, —(C═O)NR18(CH2)p—, —NR18(C═O)NR18—, —NH(CH2)p—, and —(CH2)pNH—.


In some embodiments of Formula (I), L2 is selected from the group consisting of a bond, —(C═O)NR18—, —NR18(C═O)—, —NHCH2—, and —CH2NH—.


In some embodiments of Formula (I), each p is independently an integer of 0 or 1.


In some embodiments of Formula (I), or pharmaceutically acceptable salts or solvates thereof:


R1 is H or methyl;


R2 is -monocyclic heterocyclyl optionally substituted with 1-2 R5; or pyridinyl, pyrimidinyl, pyrazinyl, benzimidazolyl, each optionally substituted with 1-2 R7;


R3 is phenyl optionally substituted with 1-2 R12; or


R3 is pyridinyl, pyrimidinyl, pyrazinyl, pyridazinyl, imidazo[4,5-b]pyridinyl, 5,6,7,8-tetrahydroimidazo[1,2-a]pyrazinyl, 4,5,6,7-tetrahydro-1H-imidazo[4,5-c]pyridinyl, 1,2,3,4-tetrahydroisoquinolinyl, or imidazo[4,5-c]pyridinyl, each optionally substituted with 1-2 R13;


each R5 is independently selected from the group consisting of F, methyl, and ethyl;


each R7 is independently selected from the group consisting of F, methyl, —CH2F, —CHF2, —CF3, and —OR15;


each R12 is independently —(C1 alkylene)pheterocyclyl optionally substituted with 1-2 R20, phenyl optionally substituted with 1-2 R22, and —OR23; wherein each heterocyclyl selected from the group consisting of azetidinyl, pyrrolidinyl, piperidinyl, and piperazinyl;


each R13 is independently F, methyl, —CH2F, —CHF2, —CF3, —OR23, -heterocyclyl optionally substituted with 1-2 R20, and -phenyl optionally substituted with 1-2 R22;


each R15 is independently selected from the group consisting of methyl and -unsubstituted monocyclic heterocyclyl;


each R20 is F or methyl;


each R22 is F or methyl;


each R23 is independently —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 F;


L1 is CH═CH—, —C≡C—, or —NH(C═O)—; and


L2 is —(C═O)NH—.



Bioorganic & Medicinal Chemistry Letters (2006), 16(14), 3740-3744 and U.S. application Ser. Nos. 10/295,833 and 10/317,914 describe compounds having Formula (II) and are each hereby incorporated by reference in their entirety.


Some embodiments of the present disclosure include compounds of Formula (II):




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or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (II), R1 is selected from the group consisting of H and halide.


In some embodiments of Formula (II), R2 is a 6-membered -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R3.


In some embodiments of Formula (II), each R3 is selected from the group consisting of —OR4, —NHR5, and —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R6; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (II), each R4 is independently selected from the group consisting of -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R7 and —CH2CH(R8)NH2.


In some embodiments of Formula (II), each R5 is independently selected from the group consisting of —(C1-4alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R9 and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R10; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (II), each R6 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —NH2, —OH, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (II), each R7 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (II), each R8 is independently selected from the group consisting of —(C1-4 alkylene)aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R11 and —(C1-4 alkylene)heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R12; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (II), each R9 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (II), each R10 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —OH, —NH2, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (II), each R11 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (II), each R12 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (II), each p is independently 0 or 1.


In some embodiments of compounds of Formula (II):


R1 is H or F;


R2 is selected from the group consisting of pyridinyl, pyrimidinyl, pyrazinyl, and pyridazinyl, each optionally substituted with R3;


R3 is selected from the group consisting of —OR4, —NHR5, and —(C1 alkylene)heterocyclyl optionally substituted with 1-2 R6, and —(C1 alkylene)heterocyclyl optionally substituted with 1-2 R6;


each R4 is independently selected from the group consisting of -heterocyclyl optionally substituted with 1-2 R7 and —CH2CH(R8)NH2;


each R5 is independently selected from the group consisting of -heterocyclyl optionally substituted with 1-2 R9;


each R6 is independently selected from the group consisting of F, —NH2, —OH, and methyl;


each R7 is independently selected from the group consisting of F, methyl and ethyl;


each R8 is benzyl optionally substituted with 1-2 R11;


each R9 is independently selected from the group consisting of F, methyl, and ethyl; and


each R11 is independently selected from the group consisting of F, methyl, and —CF3.


U.S. Provisional Application No. 62/634,656 and U.S. Pat. Nos. 9,221,793 and 9,745,271 describe compounds having Formula (III) and are each hereby incorporated by reference in their entirety.


Some embodiments of the present disclosure include compounds of Formula (III):




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or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (III), R1 is selected from the group consisting of H, halide (e.g., F, Cl, Br, I), and methyl.


In some embodiments of Formula (III), R2 is a -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R4.


In some embodiments of Formula (III), R3 is selected from the group consisting of H, -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R5; -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R6, —C1-6 alkyl optionally substituted with (i) phenyl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R11 or (ii) —OR15, and carbocyclyl optionally substituted with phenyl.


In some embodiments of Formula (III), each R4 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pN(R7)(R8), —NHC(═O)R9, —(C1-4 alkylene)pOR10, unsubstituted -carbocyclyl, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R14, —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R11, and —(C1-4 alkylene)pheteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R12; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (III), each R5 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R13, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R14, —C(═O)N(R15)2, —NHC(═O)R16, —(C1-4 alkylene)pN(R17)(R18), —SO2R19, and —OR20; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (III), each R6 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R13, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R14, —C(═O)N(R15)2, —NHC(═O)R16, —(C1-4 alkylene)pN(R17)(R18), —SO2R19, and —OR20; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (III), each R7 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (III), each R8 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21.


In some embodiments of Formula (III), R7 and R8 are taken together to form a -heterocyclyl ring optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21.


In some embodiments of Formula (III), each R9 is independently selected from the group consisting of —N(R22)2, -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R23, -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21, and -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R24.


In some embodiments of Formula (III), each R10 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), and -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21.


In some embodiments of Formula (III), each R11 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (III), each R12 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —(C1-4 alkylene)pOH, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl); wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (III), each R13 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (III), each R14 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —(C1-4 alkylene)pOH, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl); wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (III), each R15 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R23.


In some embodiments of Formula (III), two adjacent R15 are taken together to form a -heterocyclyl ring optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21.


In some embodiments of Formula (III), each R16 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R23.


In some embodiments of Formula (III), each R17 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (III), each R18 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), —(C1-4 alkylene)NMe2, and -heterocyclyl ring optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (III), each R19 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (III), each R20 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —CH(CH2OH)2, —(C1-4 alkylene)pheterocyclyl ring optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21, and -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R24; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (III), each R21 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (III), each R22 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (III), each R23 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (III), each R24 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (III), Y is selected from the group consisting of —C(R1)═ and —N═.


In some embodiments of Formula (III), each p is independently 0 or 1.


In some embodiments of the compounds of Formula (III), or pharmaceutically acceptable salts or solvates thereof:


Y is —C(R1)═, and R1 is H;


R2 is pyridinyl, pyrimidinyl, pyrazinyl, or pyrazolinyl, each optionally substituted with 1-2 R4;


R3 is selected from the group consisting of -phenyl optionally substituted with 1-2 R5 and -monocyclic heteroaryl optionally substituted with 1-2 R6;


each R4 is independently selected from the group consisting of F, methyl, —NH2, —(C1-4 alkylene)pOH, —NHC(═O)R9, -aryl optionally substituted with 1-2 R11, -heteroaryl optionally substituted with 1-2 R12, and unsubstituted -carbocyclyl;


each R5 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with 1-2 R13, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R14, —C(═O)N(R15)2, —NHC(═O)R16, —(C1-4 alkylene)pN(R17)(R18), —SO2R19, and —OR20; wherein each —(C1-4 alkylene) unsubstituted;


each R6 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with 1-2 R13, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R14, —C(═O)N(R15)2, —NHC(═O)R16, —(C1-4 alkylene)pN(R17)(R18), —SO2R19, and —OR20; wherein each —(C1-4 alkylene) is unsubstituted;


each R9 is independently selected from the group consisting of —N(R22)2, -carbocyclyl optionally substituted with 1-2 R23, -heterocyclyl optionally substituted with 1-2 R21, and -aryl optionally substituted with 1-2 R24;


each R11 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl);


each R12 is independently selected from the group consisting of F, —(C1-4 alkylene)pOH, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl); wherein —(C1-4 alkylene) is unsubstituted;


each R13 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl);


each R14 is independently selected from the group consisting of F, —(C1-4 alkylene)pOH, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl); wherein —(C1-4 alkylene) is unsubstituted;


each R15 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), and -carbocyclyl optionally substituted with 1-2 R23;


each R16 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl) and -carbocyclyl optionally substituted with 1-2 R23;


each R17 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), and unsubstituted —(C2-6 alkynyl);


each R18 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), —(C1-4 alkylene)N(CH3)2, and -heterocyclyl ring optionally substituted with 1-2 R21; wherein —(C1-4 alkylene) is unsubstituted;


each R19 is independently unsubstituted —(C1-6 alkyl);


each R20 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6haloalkyl), —CH(CH2OH)2, —(C1-4 alkylene)pheterocyclyl ring optionally substituted with 1-2 R21, and -phenyl optionally substituted with 1-2 R24; wherein —(C1-4 alkylene) is unsubstituted;


each R21 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl);


each R22 is independently unsubstituted —(C1-6 alkyl);


each R23 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl);


each R24 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl); and


each p is independently 0 or 1.


U.S. application Ser. Nos. 15/749,910, 15/749,922, 15/749,923, 15/749,929, and 15/773,951 and U.S. Pat. Nos. 8,252,812, 8,450,340, 8,673,936, 8,883,822, 9,908,867, 9,475,807, 9,475,825, 9,493,487, 9,540,398, 9,546,185, 9,657,016, 9,738,638, and 9,758,531 describe compounds having Formula (IV) and are each hereby incorporated by reference in their entirety.


Some embodiments of the present disclosure include compounds of Formula (IV):




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or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (IV), R1 is a -heteroaryl optionally substituted with 1-2 R3.


In some embodiments of Formula (IV), R2 is selected from the group consisting of H, halide (e.g., F, Cl, Br, I), -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R4-heteroaryl optionally substituted with 1-4 R5, and -heterocyclyl ring optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R6.


In some embodiments of Formula (IV), each R3 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R7, —C(═O)N(R8)2, —NHC(═O)R9, —(C1-4 alkylene)pN(R10)(R11), —(C1-4 alkylene)pOR12, and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R13; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (IV), each R4 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pNHSO2R14, —NR15(C1-4 alkylene)NR15R16, —(C1-4 alkylene)pNR15R16, —OR17, and -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R19; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (IV), each R5 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), and —C(═O)R18.


In some embodiments of Formula (IV), each R6 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (IV), each R7 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —NH2, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (IV), each R8 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20; wherein —(C1-4 alkylene) is optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (IV), each R9 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20; —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R21, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (IV), each R10 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (IV), each R11 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20; and —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (IV), each R12 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20; —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R21, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (IV), each R13 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (IV), each R14 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (IV), each R15 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (IV), each R16 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (IV), each R17 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R19, and, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (IV), each R18 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (IV), each R19 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (IV), each R20 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (IV), each R21 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (IV), each R22 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (IV), each R23 is independently selected from the group consisting of H and halide.


In some embodiments of Formula (IV), R24 is selected from the group consisting of H, halide (e.g., F, Cl, Br, I), and —OR17.


In some embodiments of Formula (IV), Y1 is selected from the group consisting of —CH═ and —N═.


In some embodiments of Formula (IV), Y2 is selected from the group consisting of —C(R2)═ and —N═.


In some embodiments of Formula (IV), there is the proviso that when Y1 is —N=then Y2 is —C(R2)═.


In some embodiments of Formula (IV), Y3 is selected from the group consisting of —C(R24)═ and —N═.


In some embodiments of Formula (IV), Y4 and Y5 are independently selected from the group consisting of —C(R23)═ and —N═.


In some embodiments of Formula (IV), Z1, Z2, and Z3 are independently selected from the group consisting of —C(R23)═ and —N═.


In some embodiments of Formula (IV), if Y2 is nitrogen then Y3, Y4, and Y5 are carbon, and R2 is absent.


In some embodiments of Formula (IV), if Y3 is nitrogen then Y4 and Y5 are carbon.


In some embodiments of Formula (IV), if Y4 is nitrogen then Y3 and Y5 are carbon.


In some embodiments of Formula (IV), if Y5 is nitrogen then Y3 and Y4 are carbon.


In some embodiments of Formula (IV), if Z1 is nitrogen then Z2 and Z3 are carbon.


In some embodiments of Formula (IV), if Z2 is nitrogen then Z1 and Z3 are carbon.


In some embodiments of Formula (IV), if Z3 is nitrogen then Z1 and Z2 are carbon.


In some embodiments of Formula (IV), each p is independently 0 or 1.


In some embodiments of the compounds of Formula (IV), or pharmaceutically acceptable salts or solvates thereof:


Y1 is —N═;


Y2 is —C(R2)═;


Y3, Y4, and Y5 are each —C(H)═;


Z1, Z2, and Z3 are independently selected from the group consisting of —C(H)═ and —N═;


R1 is selected from the group consisting of pyridinyl, pyrimidinyl, pyridazinyl, pyrazinyl, pyrazolyl, and imidazolyl, each optionally substituted with 1 R3;


R2 is selected from the group consisting of H, F, -phenyl optionally substituted with 1 R4-heteroaryl optionally substituted with 1 R5, and -heterocyclyl ring optionally substituted with 1 R6;


each R3 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R7, —C(═O)N(R8)2, —NHC(═O)R9, —(C1-4 alkylene)pN(R10)(R11), —(C1-4 alkylene)pOR12, and -carbocyclyl optionally substituted with 1-2 R13; wherein each —(C1-4 alkylene) is unsubstituted;


each R4 is independently selected from the group consisting of F, methyl, —CF3, and —OR17;


each R5 is independently selected from the group consisting of F, methyl, and —CF3;


each R6 is independently selected from the group consisting of F, methyl, and —CF3;


each R7 is independently selected from the group consisting of F, —NH2, and unsubstituted —(C1-6 alkyl);


each R8 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), -heterocyclyl optionally substituted with 1-2 R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-2 R20; wherein —(C1-4 alkylene) is unsubstituted;


each R9 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-2 R20; —(C1-4 alkylene)pphenyl optionally substituted with 1-2 R21, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is unsubstituted;


each R10 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl);


each R11 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R20; and —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is unsubstituted;


each R12 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 R19, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 R20; —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R21, —(C1-4 alkylene)pN(R22)2; wherein each —(C1-4 alkylene) is unsubstituted;


each R13 is independently selected from the group consisting of halide, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl);


each R17 is independently selected from the group consisting of H, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-4 alkylene)pheterocyclyl; wherein each —(C1-4 alkylene) is unsubstituted;


each R19 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl);


each R20 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl);


each R21 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl);


each R22 is independently selected from the group consisting of H and unsubstituted —(C1-6 alkyl); and


and each p is independently 0 or 1.


U.S. Provisional Application Nos. 62/577,818, 62/578,370, 62/578,691, and 62/579,883, U.S. application Ser. Nos. 15/498,990 and 15/499,013, and U.S. Pat. No. 9,951,048 describe compounds having Formula (V) and are each hereby incorporated by reference in their entirety.


Some embodiments of the present disclosure include compounds of Formula (V):




embedded image


or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (V), R1, R2, R4, and R5 are independently absent or selected from the group consisting of H, halide (e.g., F, Cl, Br, I), unsubstituted —(C1-3 haloalkyl), and unsubstituted —(C1-3 alkyl).


In some embodiments of Formula (V), R3 is selected from the group consisting of -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R7 and -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R8.


In some embodiments of Formula (V), R6 is selected from the group consisting of —(C1-4 alkylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R9, —(C2-4 alkenylene)paryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R9, —(C1-4 alkylene)pheteroaryl optionally substituted with 1-6 R10; —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R12, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R12, —(C1-4 alkylene)N(R13)(R14), —N(R15)(R16), —CF(C1-9 alkyl)2, —(C1-4 alkylene)pO(C3-9 alkyl), and —(C2-9 alkynyl) optionally substituted with one or more halides; wherein each alkyl of —CF(C1-9 alkyl)2 is, independently, optionally substituted with one or more halides; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein; wherein —(C1-4 alkenylene) is, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), R7 is selected from the group consisting of halide and —N(R17)2.


In some embodiments of Formula (V), each R8 is independently selected from the group consisting of H, halide (e.g., F, Cl, Br, I), unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —CN, —N(R15)(R18), —(C1-4 alkylene)pXR19, —C(═O)N(R15)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20, and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), two adjacent R8 are taken together to form a ring which is selected from the group consisting of -heterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R22 and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21.


In some embodiments of Formula (V), each R9 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —XR23, —C(═O)N(R15)2, —(C1-4 alkylene)pN(R24)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R10 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —CN, —XR23, —C(═O)N(R15)2, —(C1-4 alkylene)pN(R24)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R11 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pOR19, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R22, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21, —N(R15)(R25), —C(═O)(R26), —(C1-4 alkylene)C(═O)OR27, —(C1-4 alkylene)aryl optionally substituted with one or more halides, —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides, and —SO2(R28); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), two R11 attached to the same carbon atom can together represent ═O to form a carbonyl group.


In some embodiments of Formula (V), each R12 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pOR19, —N(R15)(R29), —C(═O)(R26), —C(═O)OR27, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), R13 is selected from the group consisting of H, unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20, and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein —(C1-4 alkylene) is, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), R14 is selected from the group consisting of unsubstituted —(C1-9 alkyl), unsubstituted —(C2-9 alkenyl), unsubstituted —(C2-9 alkynyl), unsubstituted —(C1-9 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20, and -carbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein —(C1-4 alkylene) is, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R15 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), and unsubstituted —(C1-5 haloalkyl).


In some embodiments of Formula (V), R16 is selected from the group consisting of —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R20, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), R17 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), and unsubstituted —(C1-5 haloalkyl).


In some embodiments of Formula (V), two adjacent R17 are taken together to form a -heterocyclyl ring optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R22.


In some embodiments of Formula (V), R18 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C═O)R15, and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R19 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R20 independently is selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —CN, —OH, —N(R15)2, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R21 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), and —CN.


In some embodiments of Formula (V), each R22 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —CN, —OH, —N(R15)2, —C(═O)R34, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R23 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)N(R15)2, —(C1-4 alkylene)paryl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R30, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R31, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R24 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)N(R15)2; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R25 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R32, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21, —(C1-4 alkylene)OR33; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), R26 is selected from the group consisting of H, unsubstituted —(C3-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with one or more halides or unsubstituted —(C1-5 alkyl), —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), R27 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides or unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), R28 is selected from the group consisting of unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)paryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), —(C1-4 alkylene)pheteroaryl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl); wherein —(C1-4 alkylene) is, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R29 is selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R32, —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21, —(C1-4 alkylene)OR33, and —C(═O)O(C1-5 alkyl); wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R30 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), and —CN.


In some embodiments of Formula (V), each R31 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-5 alkyl), unsubstituted —(C2-5 alkenyl), unsubstituted —(C2-5 alkynyl), unsubstituted —(C1-5 haloalkyl), —CN, —OH, —C(═O)R34, —N(R24)2, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R21; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (V), each R32 is independently selected from the group consisting of halide and unsubstituted —(C1-5 alkyl).


In some embodiments of Formula (V), each R33 is independently selected from the group consisting of H and unsubstituted —(C1-5 alkyl).


In some embodiments of Formula (V), each R34 is independently selected from the group consisting of —O(C1-5 alkyl) and a heteroaryl optionally substituted with 1-6 R35.


In some embodiments of Formula (V), each R35 is a -heterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl).


In some embodiments of Formula (V), each X is selected from the group consisting of O and S.


In some embodiments of Formula (V), Y3 is CH or nitrogen.


In some embodiments of Formula (V), Y1, Y2, Y4, and Y5 are independently selected from the group consisting of CH and nitrogen.


In some embodiments of Formula (V), if Y1 is nitrogen then Y2, Y4, and Y5 are carbon, Y3 is CH, and R4 is absent.


In some embodiments of Formula (V), if Y2 is nitrogen then Y1, Y4, and Y5 are carbon, Y3 is CH, and R5 is absent.


In some embodiments of Formula (V), if Y3 is nitrogen then Y1, Y2, Y4, and Y5 are carbon.


In some embodiments of Formula (V), if Y4 is nitrogen then Y1, Y2, and Y5 are carbon, Y3 is CH, and R1 is absent.


In some embodiments of Formula (V), if Y5 is nitrogen then Y1, Y2, and Y4 are carbon, Y3 is CH, and R2 is absent.


In some embodiments of Formula (V), each p is independently 0 or 1.


In some embodiments of the compounds of Formula (V), or pharmaceutically acceptable salts or solvates thereof:


Y1, Y2, Y4, and Y5 are each CH;


R3 is monocyclic -heteroaryl optionally substituted with 1-2 R8;


R6 is selected from the group consisting of -phenyl optionally substituted with 1-2 R9 and -heteroaryl optionally substituted with 1-2 R10;


each R8 is independently selected from the group consisting of H, F, methyl, —CF3, —NH2, —(C1-4 alkylene)pXR19, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R20, and unsubstituted -carbocyclyl; wherein each —(C1-4 alkylene) is unsubstituted;


each R9 is independently selected from the group consisting of F, unsubstituted —(C1-9 alkyl), —XR23, —C(═O)N(R15)2, —(C1-4 alkylene)pN(R24)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-2 R21; wherein each —(C1-4 alkylene) is unsubstituted;


each R10 is independently selected from the group consisting of F, unsubstituted —(C1-9 alkyl), —XR23, —C(═O)N(R15)2, —(C1-4 alkylene)pN(R24)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R22, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-2 R21; wherein each —(C1-4 alkylene) is unsubstituted;


each R15 is selected from the group consisting of H and unsubstituted —(C1-5 alkyl);


each R19 is independently selected from the group consisting of H and unsubstituted —(C1-5 alkyl);


each R20 independently is selected from the group consisting of F, unsubstituted —(C1-5 alkyl), unsubstituted —(C1-5 haloalkyl), —OH, —N(R15)2;


each R21 is independently selected from the group consisting of F, unsubstituted —(C1-5 alkyl), and unsubstituted —(C1-5 haloalkyl);


each R22 is independently selected from the group consisting of F, unsubstituted —(C1-5 alkyl), unsubstituted —(C1-5 haloalkyl), —OH, —N(R15)2;


each R23 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)N(R15)2;


each R24 is independently selected from the group consisting of H, unsubstituted —(C1-5 alkyl), unsubstituted —(C1-5 haloalkyl), —(C1-4 alkylene)pheterocyclyl optionally substituted with one or more halides or one or more unsubstituted —(C1-5 alkyl), and —(C1-4 alkylene)N(R15)2; wherein each —(C1-4 alkylene) is unsubstituted;


each X is selected from the group consisting of O and S; and


each p is independently 0 or 1.


U.S. Provisional Application No. 62/685,764 describes compounds having Formula (VI) and is hereby incorporated by reference in its entirety.


Some embodiments of the present disclosure include compounds of Formula (VI):




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or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (VI), Ring A is a 5-6-membered heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R1.


In some embodiments of Formula (VI), L is -L1-L2-L3-L4-.


In some embodiments of Formula (VI), L1 is selected from the group consisting of unsubstituted —(C1-3 alkylene)-, —NR2—, —NR3(C═O)—, —(C═O)NR3—, and —O—.


In some embodiments of Formula (VI), L2 is selected from the group consisting of unsubstituted —(C1-6 alkylene)- and —NR2—.


In some embodiments of Formula (VI), L3 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, and -carbocyclylene- optionally substituted with one or more halides.


In some embodiments of Formula (VI), L4 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, —NR2—, —NR3(C═O)—, —(C═O)NR3—, -arylene- substituted with 1-5 R4, and -heteroarylene- optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R5.


In some embodiments of Formula (VI), there is the proviso that —NR2— and —O— are not adjacent to each other.


In some embodiments of Formula (VI), there is the proviso that two —NR2— and/or two —O— are not adjacent to each other.


In some embodiments of Formula (VI), there is the proviso that two —NR3(C═O)— and/or —(C═O)NR3—, are not adjacent to each other.


In some embodiments of Formula (VI), each R1 is selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-3 alkyl), unsubstituted —(C1-3 haloalkyl), and —CN.


In some embodiments of Formula (VI), each R2 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl).


In some embodiments of Formula (VI), each R3 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl).


In some embodiments of Formula (VI), each R4 is selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN.


In some embodiments of Formula (VI), each R5 is selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN.


In some embodiments of Formula (VI), Y1, Y2, Y3, Y4, Y5, and Y6 are independently selected from the group consisting of CH and nitrogen.


In some embodiments of Formula (VI), if Y1 is nitrogen then Y2 and Y3 are CH.


In some embodiments of Formula (VI), if Y2 is nitrogen then Y1 and Y3 are CH.


In some embodiments of Formula (VI), if Y3 is nitrogen then Y1 and Y2 are CH.


In some embodiments of Formula (VI), if Y4 is nitrogen then Y5 and Y6 are CH.


In some embodiments of Formula (VI), if Y5 is nitrogen then Y4 and Y6 are CH.


In some embodiments of Formula (VI), if Y6 is nitrogen then Y4 and Y5 are CH.


In some embodiments of the compounds of Formula (VI), or pharmaceutically acceptable salts or solvates thereof:


Y1, Y2, and Y3 are CH;


Y4, Y5, and Y6 are independently selected from the group consisting of CH and nitrogen;


Ring A is selected from the group consisting of pyridinyl, pyrimidinyl, pyrazinyl, and pyridazinyl, each optionally substituted with 1-2 R1;


L is -L1-L2-L3-L4-;


L1 is selected from the group consisting of unsubstituted —(C1-3 alkylene)-, —NR2—, —NR3(C═O)—, —(C═O)NR3—, and —O—;


L2 is selected from the group consisting of unsubstituted —(C1-6 alkylene)- and —NR2—;


L3 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, and unsubstituted -carbocyclylene-;


L4 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, —NR2—, —NR3(C═O)—, —(C═O)NR3—, unsubstituted -arylene-, and unsubstituted -heteroarylene;


with the proviso that —NR2— and —O— are not adjacent to each other;


with the proviso that two —NR2— and/or two —O— are not adjacent to each other;


with the proviso that two —NR3(C═O)— and/or —(C═O)NR3—, are not adjacent to each other;


each R1 is selected from the group consisting of F, unsubstituted —(C1-3 alkyl), unsubstituted —(C1-3haloalkyl), and —CN;


each R2 is selected from the group consisting of H and methyl; and


each R3 is selected from the group consisting of H and methyl.


U.S. Provisional Application No. 62/685,764 describes compounds having Formula (VII) and is hereby incorporated by reference in its entirety.


Some embodiments of the present disclosure include compounds of Formula (VII):




embedded image


or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (VII), Ring A is a 5-6-membered heteroaryl optionally substituted with 1-3 R1.


In some embodiments of Formula (VII), L is -L1-L2-L3-L4-.


In some embodiments of Formula (VII), L1 is selected from the group consisting of unsubstituted —(C1-3 alkylene)-, —NR2—, —NR3(C═O)—, —(C═O)NR3—, and —O—.


In some embodiments of Formula (VII), L2 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —NR2—, —NR3(C═O)—, and —(C═O)NR3—.


In some embodiments of Formula (VII), L3 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, and carbocyclylene optionally substituted with one or more halides.


In some embodiments of Formula (VII), L4 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —O—, —NR2—, —NR3(C═O)—, —(C═O)NR3—, -arylene substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R4, and -heteroarylene optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R5.


In some embodiments of Formula (VII), there is the proviso that —NR2— and —O— are not adjacent to each other.


In some embodiments of Formula (VII), there is the proviso that two —NR2— and/or two —O— are not adjacent to each other.


In some embodiments of Formula (VII), there is the proviso that two —NR3(C═O)— and/or —(C═O)NR3—, are not adjacent to each other.


In some embodiments of Formula (VII), each R1 is selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-3 alkyl), unsubstituted —(C1-3 haloalkyl), and —CN.


In some embodiments of Formula (VII), each R2 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl).


In some embodiments of Formula (VII), each R3 is selected from the group consisting of H and unsubstituted —(C1-6 alkyl).


In some embodiments of Formula (VII), each R4 is selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN.


In some embodiments of Formula (VII), each R5 is selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —CN.


In some embodiments of Formula (VII), Y1, Y2, and Y3 are independently selected from the group consisting of CH and nitrogen.


In some embodiments of Formula (VII), if Y1 is nitrogen then Y2 and Y3 are CH.


In some embodiments of Formula (VII), if Y2 is nitrogen then Y1 and Y3 are CH.


In some embodiments of Formula (VII), if Y3 is nitrogen then Y1 and Y2 are CH.


In some embodiments of the compounds of Formula (VII), or pharmaceutically acceptable salts or solvates thereof:


Ring A is pyridine optionally substituted with 1-2 R1;


L is -L1-L2-L3-L4-;


L1 is selected from the group consisting of unsubstituted —(C1-3 alkylene)-, —NR2— —NR3(C═O)—, —(C═O)NR3—, and —O—;


L2 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, —NR2—, —NR3(C═O)—, and —(C═O)NR3—;


L3 is selected from the group consisting of unsubstituted —(C1-6 alkylene)-, and —O—;


L4 is selected from the group consisting of unsubstituted -arylene substituted and unsubstituted -heteroarylene;


with the proviso that —NR2— and —O— are not adjacent to each other;


with the proviso that two —NR2— and/or two —O— are not adjacent to each other;


with the proviso that two —NR3(C═O)— and/or —(C═O)NR3—, are not adjacent to each other;


each R1 is selected from the group consisting of F, unsubstituted —(C1-3 alkyl), unsubstituted —(C1-3haloalkyl), and —CN;


each R2 is selected from the group consisting of H and methyl;


each R3 is selected from the group consisting of H and methyl; and


Y1, Y2, and Y3 are independently selected from the group consisting of CH and nitrogen; wherein if Y1 is nitrogen then Y2 and Y3 are CH.



EMBO Molecular Medicine (2018), 10(6), e8289, Journal of Medicinal Chemistry (2017), 60(21), 8989-9002, and U.S. Pat. Nos. 9,346,812 and 9,428,509 describe compounds having Formula (VIII) and are each hereby incorporated by reference in their entirety.


Some embodiments of the present disclosure include compounds of Formula (VIII):




embedded image


or pharmaceutically acceptable salts or solvates thereof.


In some embodiments of Formula (VIII), R1 is selected from the group consisting of H, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R4, -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R5.


In some embodiments of Formula (VIII), R2 is selected from the group consisting of H, —(C1-4 alkylene)pheteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R6, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R7, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R8; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (VIII), R3 is selected from the group consisting of -heteroaryl optionally substituted with 1-4 (e.g., 1-3, 1-2, 1) R9 and -aryl optionally substituted with 1-5 (e.g., 1-4, 1-3, 1-2, 1) R1.


In some embodiments of Formula (VIII), each R4 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R13, —SO2R14, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R15; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (VIII), each R5 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6haloalkyl), —OR11, —C(═O)N(R12)2, —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-10 (e.g., 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R13, —SO2R14, and —(C1-4 alkylene)pcarbocyclyl optionally substituted with 1-12 (e.g., 1-11, 1-10, 1-9, 1-8, 1-7, 1-6, 1-5, 1-4, 1-3, 1-2, 1) R15; wherein each —(C1-4 alkylene) is, independently, optionally substituted with one or more substituents as defined anywhere herein.


In some embodiments of Formula (VIII), each R6 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, and —SO2R14.


In some embodiments of Formula (VIII), each R7 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (VIII), each R8 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (VIII), each R9 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6 haloalkyl), —OR11, —C(═O)N(R12)2, and —SO2R14.


In some embodiments of Formula (VIII), each R10 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), unsubstituted —(C1-6haloalkyl), —OR11, —C(═O)N(R12)2, and —SO2R14.


In some embodiments of Formula (VIII), each R11 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (VIII), each R12 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (VIII), each R13 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (VIII), each R14 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), and unsubstituted —(C2-6 alkynyl).


In some embodiments of Formula (VIII), each R15 is independently selected from the group consisting of halide (e.g., F, Cl, Br, I), unsubstituted —(C1-6 alkyl), unsubstituted —(C2-6 alkenyl), unsubstituted —(C2-6 alkynyl), and unsubstituted —(C1-6 haloalkyl).


In some embodiments of Formula (VIII), L is selected from the group consisting of a bond, —O—, and —NH—.


In some embodiments of Formula (VIII), each p is independently 0 or 1.


In some embodiments of the compounds of Formula (VIII), or pharmaceutically acceptable salts or solvates thereof:


R1 is selected from the group consisting of H, methyl, monocyclic -heteroaryl optionally substituted with 1 R4, and -phenyl optionally substituted with 1 R5;


L is a bond or —NH—;


R2 is H or —(C1-2 alkylene)heteroaryl optionally substituted with 1-4 R5;


R3 is bicyclic -heteroaryl optionally substituted with 1-2 R9;


each R4 is independently F or —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R13; wherein each —(C1-4 alkylene) is unsubstituted;


each R5 is independently F or —(C1-4 alkylene)pheterocyclyl optionally substituted with 1-2 R13; wherein each —(C1-4 alkylene) is unsubstituted;


R6 is independently selected from the group consisting of F, —CN, methyl, —CF3, and —OR11.


each R9 is independently selected from the group consisting of F, —CN, unsubstituted —(C1-6 alkyl), unsubstituted —(C1-6 haloalkyl), and —OR11;


each R11 is independently selected from the group consisting of unsubstituted —(C1-6 alkyl) and unsubstituted —(C1-6haloalkyl);


each R13 is independently selected from the group consisting of F, unsubstituted —(C1-6 alkyl), and unsubstituted —(C1-6 haloalkyl); and


each p is independently 0 or 1.


In some embodiments of Formulas (I)-(VIII), each p is 0 or 1; in some embodiments of Formulas (I)-(VIII), p is 0; in some embodiments of Formulas (I)-(VIII), p is 1.


In some embodiments of Formulas (I)-(VIII), each —(C1-4 alkylene) is —(C1-3 alkylene).


In some embodiments of Formulas (I)-(VIII), each —(C1-4 alkylene) is —(C1-2 alkylene).


In some embodiments of Formulas (I)-(VIII), each —(C1-4 alkylene) is —(C1 alkylene).


In some embodiments of Formulas (I)-(VIII), each —(C1-4 alkylene) is —CH2—.


In some embodiments of Formulas (I)-(VIII), each —(C1-4 alkylene) is optionally substituted with halide (e.g., F, Cl, Br, I).


In some embodiments of Formulas (I)-(VIII), each —(C1-4 alkylene) is optionally substituted with F.


Illustrative compounds of Formulas (I)-(VIII) are shown in Table 3.










TABLE 3









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Administration and Pharmaceutical Compositions

Also provided herein are compositions (e.g., pharmaceutical compositions) that include at least one dual CLK/DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, or a combination of a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, (e.g., any of the exemplary CLK or DYRK inhibitors described herein or known in the art) and instructions for performing any of the methods described herein. In some embodiments, the compositions (e.g., pharmaceutical compositions) can be disposed in a sterile vial or a pre-loaded syringe.


The term “administration” or “administering” refers to a method of providing a dosage of a compound or pharmaceutical composition to a vertebrate or invertebrate, including a mammal, a bird, a fish, or an amphibian, where the method is, e.g., orally, subcutaneously, intravenously, intralymphatically, intranasally, topically, transdermally, intraperitoneally, intramuscularly, intrapulmonarilly, vaginally, rectally, ontologically, neuro-otologically, intraocularly, subconjuctivally, via anterior eye chamber injection, intravitreally, intraperitoneally, intrathecally, intracystically, intrapleurally, via wound irrigation, intrabuccally, intra-abdominally, intra-articularly, intra-aurally, intrabronchially, intracapsularly, intrameningeally, via inhalation, via endotracheal or endobronchial instillation, via direct instillation into pulmonary cavities, intraspinally, intrasynovially, intrathoracically, via thoracostomy irrigation, epidurally, intratympanically, intracisternally, intravascularly, intraventricularly, intraosseously, via irrigation of infected bone, or via application as part of any admixture with a prosthetic device. The method of administration can vary depending on various factors, e.g., the components of the pharmaceutical composition, the site of the disease, the disease involved, and the severity of the disease. In some embodiments, the administration method includes oral or parenteral administration.


The term “subject” is defined herein to include animals such as mammals, including but not limited to, mice, rats, rabbits, dogs, cats, horses, goats, sheep, pigs, goats, cows, primates (e.g., humans), and the like. In some embodiments, the subject is a human. In some embodiments of any of the methods described herein, a subject may be referred to as a “patient.” In some embodiments of any of the methods described herein, the subject is 1 year old or older, 5 years old or older, 10 years old or older, 15 years old or older, 18 years old or older, 20 years old or older, 25 years old or older, 30 years old or older, 35 years old or older, 40 years old or older, 45 years old or older, 50 years old or older, 55 years old or older, 60 years old or older, 65 years old or older, 70 years old or older, 75 years old or older, 80 years old or older, 85 years old or older, 90 years old or older, 95 years old or older, 100 years old or older, or 105 years old or older.


In some embodiments, the compound(s) provided herein, for example, a first compound and a second compound, may be administered simultaneously or sequentially (in either order). The CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, can be the first compound or the second compound. Likewise, the DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, can be the first compound or the second compound. For example, in some embodiments described herein, the CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, may be administered first, followed by the DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. In other embodiments, the DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, may be administered first, followed by the CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. Simultaneous administration refers to administration at substantially the same time. In some embodiments, the compound(s) provided herein, for example, a first compound and a second compound, are combined into a single formulation. Alternatively, the compound(s) provided herein, for example, a first compound and a second compound, may be formulated separately. In some embodiments, the compound(s) provided herein are administered parenterally, including intramuscularly, intraarticularly, periarticularly, intraspinally, intrasynovially, and epidurally. For example, the compound(s) can be injected locally at the site of the osteoarthritis (e.g., knee, hip, shoulder, etc.). Injections can occur at one or more locations surrounding the joint. In some embodiments, the injection is guided using an imaging method such as ultrasound. In some embodiments, administration (e.g., injection) of a first compound and second compound is preceded or combined with a local anesthetic. In some embodiments, administration (e.g., injection) of a single compound is preceded or combined with a local anesthetic.


Compounds provided herein intended for pharmaceutical use may be administered as crystalline or amorphous products. Pharmaceutically acceptable compositions may include solid, semi solid, liquid, solutions, colloidal, liposomes, emulsions, suspensions, complexes, coacervates and aerosols. Dosage forms, such as, e.g., tablets, capsules, powders, liquids, suspensions, suppositories, aerosols, implants, controlled release or the like. They may be obtained, for example, as solid plugs, powders, or films by methods such as precipitation, crystallization, milling, grinding, supercritical fluid processing, coacervation, complex coacervation, encapsulation, emulsification, complexation, freeze drying, spray drying, or evaporative drying. Microwave or radio frequency drying may be used for this purpose. The compounds can also be administered in sustained or controlled release dosage forms, including depot injections, osmotic pumps, pills (tablets and or capsules), transdermal (including electrotransport) patches, implants and the like, for prolonged and/or timed, pulsed administration at a predetermined rate.


In some embodiments, the compositions (e.g., pharmaceutical compositions) are formulated for different routes of administration (e.g., intravenous, intramuscular, subcutaneous, or intracranial). In some embodiments, the compositions (e.g., pharmaceutical compositions) can include a pharmaceutically acceptable salt (e.g., phosphate buffered saline). In some embodiments, the compositions (e.g., pharmaceutical compositions) can include an enantiomer, a diastereoisomer, or a tautomer. Single or multiple administrations of any of the pharmaceutical compositions described herein can be given to a subject depending on, for example: the dosage and frequency as required and tolerated by the subject. A dosage of the pharmaceutical composition comprising a first compound, wherein the first compound is a CLK inhibitor and a second compound, wherein the second compound is a DYRK inhibitor or a single compound, wherein the single compound is a dual CLK/DYRK inhibitor, or pharmaceutically acceptable salt or solvate of the first, second, or single compounds, to effectively treat or ameliorate conditions, diseases, or symptoms of osteoarthritis.


The compounds can be administered either alone or in combination with a conventional pharmaceutical carrier, excipient or the like. Pharmaceutically acceptable excipients include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, self-emulsifying drug delivery systems (SEDDS) such as d-α-tocopherol polyethylene glycol 1000 succinate, surfactants used in pharmaceutical dosage forms such as Tweens, poloxamers or other similar polymeric delivery matrices, serum proteins, such as human serum albumin, buffer substances such as phosphates, tris, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium-chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethyl cellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, and wool fat. Cyclodextrins such as α-, β, and γ-cyclodextrin, or chemically modified derivatives such as hydroxyalkylcyclodextrins, including 2- and 3-hydroxypropyl-β-cyclodextrins, or other solubilized derivatives can also be used to enhance delivery of compounds described herein. Dosage forms or compositions containing a compound as described herein in the range of 0.005% to 100% with the balance made up from non-toxic carrier may be prepared. The contemplated compositions may contain 0.001%-100% of a compound provided herein, in one embodiment 0.1-95%, in another embodiment 75-85%, in a further embodiment 20-80%. Actual methods of preparing such dosage forms are known, or will be apparent, to those skilled in this art; for example, see Remington: The Science and Practice of Pharmacy, 22nd Edition (Pharmaceutical Press, London, UK. 2012).


In one embodiment, the compositions will take the form of a unit dosage form such as a pill or tablet and thus the composition may contain, along with a compound provided herein, a diluent such as lactose, sucrose, dicalcium phosphate, or the like; a lubricant such as magnesium stearate or the like; and a binder such as starch, gum acacia, polyvinylpyrrolidine, gelatin, cellulose, cellulose derivatives or the like. In another solid dosage form, a powder, marume, solution or suspension (e.g., in propylene carbonate, vegetable oils, PEG's, poloxamer 124 or triglycerides) is encapsulated in a capsule (gelatin or cellulose base capsule). Unit dosage forms in which one or more compounds provided herein or additional active agents are physically separated are also contemplated; e.g., capsules with granules (or tablets in a capsule) of each drug; two-layer tablets; two-compartment gel caps, etc. Enteric coated or delayed release oral dosage forms are also contemplated.


Liquid pharmaceutically administrable compositions can, for example, be prepared by dissolving, dispersing, etc. a compound provided herein and optional pharmaceutical adjuvants in a carrier (e.g., water, saline, aqueous dextrose, glycerol, glycols, ethanol or the like) to form a solution, colloid, liposome, emulsion, complexes, coacervate or suspension. If desired, the pharmaceutical composition can also contain minor amounts of nontoxic auxiliary substances such as wetting agents, emulsifying agents, co-solvents, solubilizing agents, pH buffering agents and the like (e.g., sodium acetate, sodium citrate, cyclodextrin derivatives, sorbitan monolaurate, triethanolamine acetate, triethanolamine oleate, and the like).


Injectables can be prepared in conventional forms, either as liquid solutions, colloid, liposomes, complexes, coacervate or suspensions, as emulsions, or in solid forms suitable for reconstitution in liquid prior to injection. In some embodiments, the compositions are provided in unit dosage forms suitable for a single administration. In some embodiments, the compositions are provided in unit dosage forms suitable for twice a day administration. In some embodiments, the compositions are provided in unit dosage forms suitable for three times a day administration.


In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-96 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-72 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-48 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-24 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-12 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-6 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-4 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-3 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1-2 hours. In some embodiments, the compositions are provided in dosage forms suitable for continuous dosage by intravenous infusion over a period of about 1 hour or less.


The percentage of a compound provided herein contained in such parenteral compositions is highly dependent on the specific nature thereof, as well as the activity of the compound and the needs of the subject. However, percentages of active ingredient of 0.01% to 10% in solution are employable and could be higher if the composition is a solid or suspension, which could be subsequently diluted to the above percentages. In some embodiments, the composition comprises about 0.1 to about 10% of the active agent in solution. In some embodiments, the composition comprises about 0.1 to about 5% of the active agent in solution. In some embodiments, the composition comprises about 0.1 to about 4% of the active agent in solution. In some embodiments, the composition comprises about 0.15 to about 3% of the active agent in solution. In some embodiments, the composition comprises about 0.2 to about 2% of the active agent in solution.


In some embodiments, these compositions are administered by intravenous infusion to humans at doses of about 5 mg/m2 to about 300 mg/m2. In some embodiments, these compositions are administered by intravenous infusion to humans at doses of about 5 mg/m2 to about 200 mg/m2. In some embodiments, these compositions are administered by intravenous infusion to humans at doses of about 5 mg/m2 to about 100 mg/m2. In some embodiments, these compositions are administered by intravenous infusion to humans at doses of about 10 mg/m2 to about 50 mg/m2. In some embodiments, these compositions are administered by intravenous infusion to humans at doses of about 50 mg/m2 to about 200 mg/m2. In some embodiments, these compositions are administered by intravenous infusion to humans at doses of about 75 mg/m2 to about 175 mg/m2. In some embodiments, these compositions are administered by intravenous infusion to humans at doses of about 100 mg/m2 to about 150 mg/m2.


In one embodiment, the compositions can be administered to the respiratory tract (including nasal and pulmonary) e.g., through a nebulizer, metered-dose inhalers, atomizer, mister, aerosol, dry powder inhaler, insufflator, liquid instillation or other suitable device or technique.


In some embodiments, aerosols intended for delivery to the nasal mucosa are provided for inhalation through the nose. For optimal delivery to the nasal cavities, inhaled particle sizes of about 5 to about 100 microns are useful, with particle sizes of about 10 to about 60 microns being preferred. For nasal delivery, a larger inhaled particle size may be desired to maximize impaction on the nasal mucosa and to minimize or prevent pulmonary deposition of the administered formulation. In some embodiments, aerosols intended for delivery to the lung are provided for inhalation through the nose or the mouth. For delivery to the lung, inhaled aerodynamic particle sizes of about less than 10 μm are useful (e.g., about 1 to about 10 microns). Inhaled particles may be defined as liquid droplets containing dissolved drug, liquid droplets containing suspended drug particles (in cases where the drug is insoluble in the suspending medium), dry particles of pure drug substance, drug substance incorporated with excipients, liposomes, emulsions, colloidal systems, coacervates, aggregates of drug nanoparticles, or dry particles of a diluent which contain embedded drug nanoparticles.


In some embodiments, the CLK inhibitor, DYRK inhibitor, dual CLK/DYRKA inhibitor, or a pharmaceutically acceptable salt or solvate of any of the foregoing disclosed herein can be formulated for respiratory delivery (either systemic or local), and can be administered as aqueous formulations, as non-aqueous solutions or suspensions, as suspensions or solutions in halogenated hydrocarbon propellants with or without alcohol, as a colloidal system, as emulsions, coacervates, or as dry powders. Aqueous formulations may be aerosolized by liquid nebulizers employing either hydraulic or ultrasonic atomization or by modified micropump systems (like the soft mist inhalers, the Aerodose® or the AERx® systems). Propellant-based systems may use suitable pressurized metered-dose inhalers (pMDIs). Dry powders may use dry powder inhaler devices (DPIs), which are capable of dispersing the drug substance effectively. A desired particle size and distribution may be obtained by choosing an appropriate device.


In some embodiments, the CLK inhibitor, DYRK inhibitor, or dual CLK/DYRKA inhibitor that can be formulated for local or systemic respiratory delivery are compounds of Formulas (I)-(VIII), or a pharmaceutically acceptable salt or solvate thereof.


Solid compositions can be provided in various different types of dosage forms, depending on the physicochemical properties of the compound provided herein, the desired dissolution rate, cost considerations, and other criteria. In one of the embodiments, the solid composition is a single unit. This implies that one unit dose of the compound is comprised in a single, physically shaped solid form or article. In some embodiments, the solid composition comprises multiple dosage units.


Examples of single units which may be used as dosage forms for the solid composition include tablets, such as compressed tablets, film-like units, foil-like units, wafers, lyophilized matrix units, and the like. In one embodiment, the solid composition is a highly porous lyophilized form. Such lyophilizates, sometimes also called wafers or lyophilized tablets, are particularly useful for their rapid disintegration, which also enables the rapid dissolution of the compound. On the other hand, for some applications the solid composition may also be formed as a multiple unit dosage form as defined above. Examples of multiple units are powders, granules, microparticles, pellets, mini-tablets, beads, lyophilized powders, and the like. In one embodiment, the solid composition is a lyophilized powder. Such a dispersed lyophilized system comprises a multitude of powder particles, and due to the lyophilization process used in the formation of the powder, each particle has an irregular, porous microstructure through which the powder is capable of absorbing water very rapidly, resulting in quick dissolution. Effervescent compositions are also contemplated to aid the quick dispersion and absorption of the compound.


Another type of multiparticulate system which is also capable of achieving rapid drug dissolution is that of powders, granules, or pellets from water-soluble excipients which are coated with a compound provided herein so that the compound is located at the outer surface of the individual particles. In this type of system, the water-soluble low molecular weight excipient may be useful for preparing the cores of such coated particles, which can be subsequently coated with a coating composition comprising the compound and, for example, one or more additional excipients, such as a binder, a pore former, a saccharide, a sugar alcohol, a film-forming polymer, a plasticizer, or other excipients used in pharmaceutical coating compositions.


It is to be noted that concentrations and dosage values may also vary depending on the specific compound and the severity of the condition to be alleviated. It is to be further understood that for any particular patient, specific dosage regimens should be adjusted over time according to the individual need and the professional judgment of the person administering or supervising the administration of the compositions, and that the concentration ranges set forth herein are exemplary only and are not intended to limit the scope or practice of the claimed compositions.


Also provided herein are kits that include one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 14, 15, 16, 18, or 20) of any of the pharmaceutical compositions described herein that includes a therapeutically effective amount of any of the dual CLK/DYRKA inhibitors, or a pharmaceutically acceptable salt or solvate thereof, as described herein. Also provided herein are kits that include one or more (e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 14, 15, 16, 18, or 20) of any of the pharmaceutical compositions described herein that includes a therapeutically effective amount of a combination of a CLK inhibitor, or a pharmaceutically acceptable salt or solvate thereof, and a DYRK inhibitor, or a pharmaceutically acceptable salt or solvate thereof. In some embodiments, the CLK inhibitor, DYRK inhibitor, or dual CLK/DYRKA inhibitor are independently selected from compounds of Formulas (I)-(VIII), described herein, or a pharmaceutically acceptable salt or solvate thereof.


In some embodiments, the kits can include instructions for performing any of the methods described herein. In some embodiments, the kits can include at least one dose of any of the compositions (e.g., pharmaceutical compositions) described herein. In some embodiments, the kits can provide a syringe for administering any of the pharmaceutical compositions described herein.


In certain embodiments, a kit can include one or more delivery systems, e.g., for delivering or administering a compound as provided herein, and directions for use of the kit (e.g., instructions for treating a patient). In another embodiment, the kit can include a compound or composition as described herein and a label that indicates that the contents are to be administered to a patient with a cartilage disorder. In another embodiment, the kit can include a compound or composition as described herein and a label that indicates that the contents are to be administered to a patient with one or more of a particular cartilage disorders.


The kits described herein are not so limited; other variations will be apparent to one of ordinary skill in the art.


EXAMPLES

The disclosure is further described in the following examples, which do not limit the scope of the disclosure described in the claims.


General Procedures

Nuclear Speckles Assay


200,000 cells per well were plated on glass cover slips in 12-well plates and treated with the indicated concentrations of compound 123 (Table 3). After approximately 6 hrs, cells were fixed and stained with a phospho-SC35 antibody (Santa Cruz Biotechnology), followed by an Alexa-Fluor 488 secondary antibody (Thermo Fisher) and DAPI (Thermo Fisher). Cells were imaged at 100× magnification using the EVOS FL (Life Technologies, Carlsbad, Calif.).


Western Blots


Cells were plated at 300,000 cells per well in a 6-well plate and following an overnight incubation, treated with DMSO (vehicle control) or indicated compounds and incubated at 37° C. and 5% CO2 for the indicated times. Following treatment, cells were trypsinized and pelleted by centrifugation and washed with PBS. Total protein from the cell pellet was extracted or for fractionation, protein was fractionated into cytoplasmic and nuclear fractions using a Nuclear and Cytoplasmic Extraction Reagents (NE-PER™) kit containing Halt™ protease and phosphatase inhibitors (Thermo Fisher). Protein concentrations were quantified using the Pierce Micro BCA protein assay kit (Thermo Fisher). 10-40 pg of reduced protein samples were resolved on NuPAGE 4-12% Bis-Tris gels and transferred onto nitrocellulose membranes (Thermo Fisher). Blots were blocked with non-fat dry milk. Primary antibodies were incubated overnight at 4° C. β-actin and Lamin B1 were used as loading controls (Supplementary Table S2 for primary antibodies). Mouse and rabbit horseradish peroxidase (HRP)-conjugated secondary antibodies were diluted in 5% blocking buffer in TBS-T. Protein-antibody complexes were detected by chemiluminescence using the SuperSignal West Femto Chemiluminescent Substrate (Thermo Fisher) and images were captured with a UVP ChemiDocIt2 camera system (Fisher Scientific, Hampton, N.H.).


qRT-PCR


Total RNA was isolated using a RNAeasy kit (Qiagen) as per the manufacturer's protocol. cDNA was synthesized using the iScript cDNA Synthesis Kit (Bio-Rad). Quantitative real-time PCR was performed using the CFX384 (Bio-Rad) using gene specific SYBR-green or TaqMan™ primers. Relative gene expression was determined by normalizing to housekeeping genes using the ΔΔCt method. Data was collected from at least 3 replicates per assay.


Nanostring Gene Expression Panel


Fifty nanograms of RNA was hybridized with Tagsets and probe pools from the nCounter® Vantage 3D™ Wnt Pathways Panel (NanoString Technologies) for 16 hrs at 67° C. Hybridized samples were ran on a nCounter® SPRINT Profiler (NanoString Technologies). Nanostring gene counts were normalized by the geometric mean of all housekeeping genes by nSolver (v3.0). P-values from normalized counts were calculated by an independent t-test and adjusted by the false discovery rate (FDR) method (Benjamini & Hochberg) to correct for multiple comparisons using R (v3.4.2). Data was plotted using R (v3.4.2).


siRNA Knockdowns


Reverse transfections were performed with siRNA (GE Dharmacon) control or a pool of hairpins targeting human CLK1, CLK2, CLK3, CLK4, SRSF5, SRSF6, DYRK1A mRNA using Lipofectamine RNAiMAX transfection reagent (ThermoFisher) (Supplementary Table 3 for list of siRNA) in serum- and antibiotic-free medium. 300,000 cells per well were plated in 6-well plates. Media was changed 24 hrs after transfection and cells were incubated for an additional 72 hrs at 37° C. and 5% CO2. Cells were collected by trypsinization and qRT-PCR, Nanostring gene expression, and Western blot analyses were performed as previously described.


In Vivo Animal Models


All animal housing and research procedures were performed at Samumed, LLC, 9381 Judicial Drive, Suite 160, San Diego, Calif. 92121, USA. The standards for animal husbandry and care followed were based on the U.S. Department of Agriculture's (USDA) Animal Welfare Act (9 CFR Parts 1, 2, and 3), the Guide for the Care and Use of Laboratory Animals, and approved Samumed, LLC Animal Committee protocols. The attending veterinarian was on-call during the live animal phase of this study.


Male Sprague Dawley (SD) rats (250 g±30 g) (Charles River, Wilmington, Mass.) were used for all animal studies. All animals were treatment naïve at the start of the studies. Procedures were performed during the hours of 8 am-5 pm on weekdays in a sterile hood in the vivarium. Rats were housed in individual ventilated cages (≤3 per cage) under the following conditions:















Identification
Tail markings (lab marker) and cage cards


Acclimation
At least 48 hours


Caging
All animals were housed using Alternative Designs, MACS



ventilated caging system. Quantity per cage: <3


Environmental
Temperature was monitored and controlled between 68° F. and


Conditions
73° F. Relative Humidity was controlled between 45% and 55%.


Photoperiod
12-hour light/12-hour dark


Diet
Animals had ad libitum access to Certified Rodent Diet, Envigo



T.2920X (irradiated).


Water
Animals had ad libitum access to RO water offered via 16 oz



water bottles.


Bedding
All cages used Envigo Aspen Sani-chips bedding, T.7090A



(¼″-½″ deep)


Sanitation
All cages were changed weekly, to include fresh bedding, feed,



and water. Rooms and other equipment were sanitized weekly



and/or more frequently if needed.


Welfare
Health Monitoring (HM) Plus with Helicobacter (Charles River)


assessments
tests were performed on sentinel rats for routine health



surveillance.



All study rats were monitored weekly by visual observation. No



adverse events were observed and therefore no interventions



were performed.









Commonly used anesthetics such as isoflurane/O2, disinfectants such as betadine or chlorhexidine solution, analgesics such as Buprenorphine (0.5 mg/kg) were used as necessary. All analysis where possible were performed blinded. Each treatment group was an experimental unit and no animals were excluded from any analysis.


Surgery-Induced OA Model (ACLT+pMMx)


For Nanostring analysis and qPCR: At 10 weeks postnatal age, 32 rats were subjected to severing of the anterior cruciate, medial collateral and medial meniscotibial ligaments (ACLT+pMMx). 8 rats (male, 10 weeks old) were untreated controls (Sham). Each rat was anesthetized with an isoflurane/O2 mixture until the flexor withdrawal reflex was abolished. The surgeon wore a face mask, hair net, lab coat and shoe covers, and gloves that were disinfected with betadine or chlorhexidine. Surgery tools were sterilized with an autoclave or bead sterilizer and disinfected between animals using a bead sterilizer. After being shaved and disinfected with betadine or chlorhexidine solution, the right knee joint was exposed through a medial para-patellar approach. The medical collateral ligament (MCL) was transected with surgical scalpels. The patella was dislocated laterally, and the knee was placed in full flexion followed by anterior cruciate ligament (ACL) transection with surgical scalpels. The medial meniscus (MM) was also partially transected. After surgery, the joint surface was washed with sterile saline solution, and the capsule was sutured using Vicryl 4-0 (Ethicon, Edinburgh, UK) absorbable suture. The skin was closed with 9 mm auto clips (Mikron precision INC, Gardena Calif.). Buprenorphine (0.5 mg/kg) was administered immediately after the surgery and daily for one-week post-surgery. All the surgery, rats were allowed to move freely in plastic cages until their necropsies. One-week post-surgery, rats were randomized into each group by picking numbers from the envelop and given IA compound 123 (0.1 μg, 0.3 μg, 1 μg in 50 μL) or vehicle (n=8 rats per group). At the indicated timepoints, animals were sacrificed using Carbon dioxide (CO2). Cartilage was isolated, flash frozen in liquid Nitrogen and stored at −80° C. until processing for RNA extraction.


For Western blot: At 10 weeks postnatal age, 16 rats were subjected to severing of the anterior cruciate, medial collateral and medial meniscotibial ligaments (ACLT+pMMx), randomized and treated with compound 123 or vehicle (n=4 rats per group), as described above. At the indicated timepoints, animals were sacrificed using Carbon dioxide (CO2). Cartilage was isolated, flash frozen in liquid Nitrogen and stored at −80° C. until processing for protein extraction.


Monosodium Iodoacetate (MIA) Injection Induced OA Model


For cytokine, MMP, histology (H&E and Safranin O-Fast Green staining), OARSI scores and weight bearing measurements: At 10 weeks postnatal age, 20 rats were subjected to MIA injection (3 mg in 50 μL). Each rat was anesthetized with an isoflurane/O2 mixture until the flexor withdrawal reflex was abolished. The surgeon wore a face mask, hair net, lab coat and shoe covers, and gloves that were disinfected with betadine or chlorhexidine between animals. All tools were sterilized with an autoclave. MIA was dissolved in 0.9% (w/v) saline (3 mg in 50 μL). The solution was filtrated with 0.22 μm membrane before administration. After being shaved and disinfected with betadine or chlorhexidine solution, the right knees were injected intra-articularly with 50 μL of MIA using 0.5-in 26-gauge needle, while the contralateral knees received an IA injection of 0.9% saline. After injection, the injected surface was washed with sterile saline solution. All the rats were allowed to move freely in plastic cages until their necropsies at different time points post-MIA injection.


10 rats (male, 10 weeks old) were untreated controls. MIA injected rats were randomized into each group by picking numbers from the envelop and were given IA compound 123 (0.3 μg in 50 μL) or vehicle (n=10 rats per group). At time points of day 1, 11, 28, knee joints were isolated for biochemical analysis or histology. For biochemical analysis, knee joints were frozen in liquid nitrogen.


For Western blot: At 10 weeks postnatal age, 20 rats were subjected to MIA injection (3 mg in 50 μL), randomized and treated with compound 123 (0.1 μg, 0.3 μg, 1.0 μg) or vehicle (n=5 rats per group), as described above. On day 11, animals were sacrificed using Carbon dioxide (CO2). Cartilage was isolated, flash frozen in liquid Nitrogen and stored at −80° C. until processing for protein extraction.


Primary and Secondary Antibodies Used














Antibody Against
Source
Catalog







CLK1
Abcam
ab74044


CLK2
Abcam
ab65082


CLK3
Cell Signaling Technology
3256


CLK4
Abcam
ab67936


DYRK1A
Cell Signaling Technology
8765


HIPK2
Cell Signaling Technology
5091


Anti-Phosphoepitope SR proteins
EMD Millipore
MABE50


SRSF1
Abcam
ab38017


SRSF5
Sigma Aldrich
HPA043484


SRSF6
LifeSpan BioSciences, Inc.
LS-C290327


Phospho-NF-κB p65 (Ser468)
Cell Signaling Technology
3039


total NFkB p65
Cell Signaling Technology
8242S


Phospho-NF-κB p105 (Ser933) (18E6)
Cell Signaling Technology
4806


NF-κB1 p105/p50 (D4P4D)
Cell Signaling Technology
13586


phospho-cJun
Cell Signaling Technology
2361S


Phospho-FoxO1 (Thr24)/FoxO3a (Thr32)
Cell Signaling Technology
9464


FOXO1 (C29H4)
Cell Signaling Technology
2880


Phospho-SAPK/JNK (Thr183/Tyr185)
Cell Signaling Technology
9251


SAPK/JNK Antibody
Cell Signaling Technology
9252


Phospho-SirT1 (Ser27)
Cell Signaling Technology
2327


Phospho-SirT1 (Ser47)
Cell Signaling Technology
2314


SirT1 Antibody
Cell Signaling Technology
2310


Phospho-Stat3 (Ser727)
Cell Signaling Technology
9134


Phospho-Stat3 (Tyr705) (D3A7)
Cell Signaling Technology
9145


Stat3
Cell Signaling Technology
9139


Pp38/MAPK
Cell Signaling Technology
9211S


Total p38/MAPk
Cell Signaling Technology
9212S


GAPDH
Cell Signaling Technology
8884


Lamin B1 (D9V6H)
Cell Signaling Technology
15068


TATA binding protein (TBP)
Abcam
ab63766


β-Actin (13E5)
Cell Signaling Technology
5125


β-Catenin (D10A8)
Cell Signaling Technology
8480


TCF7
Cell Signaling Technology
2203


TCF4
Cell Signaling Technology
2569


LEF1
Cell Signaling Technology
2230


AXIN2
Abcam
ab32197


AXIN2
Cell Signaling Technology
2151


AML1 (D33G6) (RUNX1)
Cell Signaling Technology
4336


COMP
R&D Systems
AF3134


SOX9
Abcam
ab85230


TLR4
Abcam
abl3867


phospho-AKT
Cell Signaling Technology
9271S









siRNAs Used















Gene
siRNA
Source
Catalog Number







Control
ON-TARGETplus Non-targeting Control Pool
Dharmacon
D-001810-10


CLK1
Individual: ON-TARGETplus CLK1 siRNA Targeted
Dharmacon
J-004800-07



Region: Non-Coding,ORF




CLK2
MISSION ® siRNA Human Kinase CLK2 (siRNA6)
Sigma
SIHK0460




Aldrich



CLK2
Individual: ON-TARGETplus CLK2 siRNA Targeted
Dharmacon
J-004801-10



Region: 5′UTR,Non-Coding,ORF




CLK3
Individual: ON-TARGETplus CLK3 siRNA Targeted
Dharmacon
J-004802-09



Region: Non-Coding,ORF




CLK4
SMARTpool: ON-TARGETplus CLK4 siRNA
Dharmacon
L-004803-00


DYRK1A
SMARTpool: ON-TARGETplus DYRK1A siRNA
Dharmacon
L-004805-00


CTNNB1
SMARTpool: siGENOME CTNNB1 siRNA
Dharmacon
M-003482-00


TCF7
SMARTpool: ON-TARGETplus Tcf7 siRNA
Dharmacon
L-019735-00


SRSF1
SMARTpool: ON-TARGETplus SRSF1 siRNA
Dharmacon
L-018672-01


SRSF4
SMARTpool: ON-TARGETplus SRSF4 siRNA
Dharmacon
L-005151-01


SRSF5
SMARTpool: ON-TARGETplus SRSF5
Dharmacon
L-007279-01


SRSF6
SMARTpool: ON-TARGETplus SRSF6 siRNA
Dharmacon
L-016067-01


STAT3
SMARTpool: ON-TARGETplus STAT3 siRNA
Dharmacon
L-003544-00


RELB
SMARTpool: ON-TARGETplus RELB
Dharmacon
L-004767-00


RELA
SMARTpool: ON-TARGETplus RELA
Dharmacon
L-003533-00


HIPK2
SMARTpool: ON-TARGETplus HIPK2 siRNA
Dharmacon
L-003266-00


TCF4
SMARTpool: ON-TARGETplus TCF7L2 siRNA
Dharmacon
L-003816-00


LEF1
SMARTpool: ON-TARGETplus LEF1 siRNA
Dharmacon
L-015396-00









Example 1. Wnt Pathway Activity Screening Assay

The screening assay for Wnt pathway activity is described as follows. Reporter cell lines can be generated by stably transducing cancer cell lines (e.g., colon cancer) or primary cells (e.g., IEC-6 intestinal cells) with a lentiviral construct that includes a Wnt-responsive promoter driving expression of the firefly luciferase gene.


SW480 colon carcinoma cells were transduced with a lentiviral vector expressing luciferase with a human Sp5 promoter consisting of a sequence of eight TCF/LEF binding sites. SW480 cells stably expressing the Sp5-Luc reporter gene and a hygromycin resistance gene were selected by treatment with 150 μg/mL of hygromycin for 7 days. These stably transduced SW480 cells were expanded in cell culture and used for all further screening activities. Each compound was dissolved in DMSO as a 10 mM stock and used to prepare compound source plates. Serial dilution (1:3, 10-point dose-response curves starting from 10 μM) and compound transfer was performed using the ECHO 550 (Labcyte, Sunnyvale, Calif.) into 384-well white solid bottom assay plates (Greiner Bio-One) with appropriate DMSO backfill for a final DMSO concentration of 0.1%. For Sp5-Luc reporter gene assays, the cells were plated at 4,000 cells/well in 384-well plates with a DMEM medium containing 1% fetal bovine serum, and 1% Penicillin-Streptomycin and incubated for 36 to 48 hours at 37° C. and 5% CO2. Following incubation, 15 μl of BriteLite Plus luminescence reagent (Perkin Elmer) was added to each well of the 384-well assay plates. The plates were placed on an orbital shaker for 2 min and then luminescence was quantified using the Envision (Perkin Elmer) plate reader. Readings were normalized to DMSO only treated cells, and normalized activities were utilized for EC50 calculations using the dose-response log (inhibitor) vs. response-variable slope (four parameters) nonlinear regression feature available in GraphPad Prism 5.0 (or Dotmatics). For EC50 of >10 μM, the percent inhibition at 10 μM is provided.


Table 4 shows the measured activity for representative compounds of Formulas (I)-(VIII) as described herein.












TABLE 4







Compound
EC50 (μM)



















1
0.0205



2
0.4790



3
0.1187



4
0.1229



5
0.0223



6
0.0057



7
0.6809



8
0.6132



9
0.5581



10
0.0903



11
0.0025



12
2.2197



13
0.6619



14
1.5970



15
0.0029



16
0.6790



17
0.9877



18
2.1485



19
1.8500



20
1.6480



21
0.9642



22
>10



23
1.5059



24
1.4515



25
0.3250



26
0.0821



27
>10



28
0.4089



29
>10



30
3.5744



31
1.2060



32
1.2680



33
4.6397



34
1.6370



35
0.2615



36
3.5070



37
1.7320



38
1.4280



39
1.8980



40
2.4370



41
0.2562



42
0.0843



43
0.0950



44
0.6270



45
0.8339



46
0.6300



47
0.2266



48
0.7800



49
3.2460



50
2.8060



51
0.8088



52
0.2526



53
1.1517



54
0.1760



55
0.0800



56
1.2500



57
0.2260



58
0.4637



59
1.3942



60
1.0905



61
0.7950



62
0.0370



63
0.0680



64
0.1060



65
0.1963



66
0.4770



67
0.0966



68
>10



69
>10



70
0.3300



71
0.0500



72
0.0050



73
0.0040



74
1.9600



75
0.0471



76
1.0327



77
1.8160



78
0.0570



79
0.0590



80
0.0364



81
0.0150



82
0.0410



83
0.5000



84
0.0650



85
0.0250



86
0.1200



87
0.0130



88
0.0300



89
0.0270



90
1.5000



91
0.0490



92
0.0028



93
0.1010



94
0.0400



95
0.2890



96
0.0300



97
0.1250



98
0.0070



99
0.4300



100
0.2100



101
0.0670



102
0.0610



103
1.3066



104
1.6570



105
2.3990



106
0.0790



107
0.2420



108
0.3148



109
0.2300



110
0.1205



111
1.1493



112
0.7930



113
0.4514



114
0.0950



115
0.3350



116
0.6840



117
0.6451



118
0.8485



119
0.0060



120
0.0046



121
>10



122
0.0188



123
0.0034



124
0.0014



125
0.0006



126
0.0110



127
0.0090



128
0.3450



129
0.0230



130
0.0100



131
0.0012



132
0.6380



133
0.6586



134
0.0409



135
0.0822



136
0.6373



137
0.0130



138
1.0548



139
1.0473



140
0.6427



141
0.0264



142
0.0191



143
0.0110



144
0.4600



145
>10



146
0.3750



147
0.0313



148
0.1200



149
0.2400



150
0.2400



151
0.2529



152
>10



153
0.0302



154
>10



155
0.0111



156
0.0100



157
0.0700



158
0.1500



159
0.0125



160
0.0110



161
0.0040



162
2.7262



163
0.0570



164
0.0057



165
0.0088



166
1.0701



167
0.0020



168
0.0123



169
>10



170
>10



171
>10



172
0.0080



173
0.0040



174
>10



175
0.8230



176
>10



177
0.0010



178
0.0350



179
0.0924



180
1.1205



181
>10



182
0.0283



183
>10



184
>10



185
1.5068



186
0.0051



187
>10



188
0.0854



189
0.0120



190
0.0233



191
0.0354



192
>10



193
0.9810



194
1.2719



195
1.7510



196
0.9990



198
0.9990



199
2.1258



200
0.0201



201
>10



202
0.0210



203
>10



204
0.0080



205
0.3440



206
>10



207
>10



208
0.0420



209
0.0410



210
0.0390



211
0.0200



212
0.1163



213
0.0530



214
>10



215
>10



216
>10



217
0.2681



218
0.0830



219
0.0857



220
0.0230



221
>10



222
>10



223
>10



224
0.0104



225
4.5673



226
2.8972



227
>10



228
>10



229
0.0454



230
0.0630



231
>10



232
0.0700



233
0.0553



234
0.0330



235
0.0510



236
0.0435



237
0.0526



238
0.2972



239
0.5969



240
0.2981



241
0.1621



242
0.0189



243
0.0100



244
0.0020



245
0.0077



246
0.0615



247
3.6404



248
>10



249
0.0593



250
0.0580



251
0.0320



252
0.0570



253
0.0018



254
0.0120



255
0.0040



256
0.0001



257
0.0222



258
0.7095



259
0.0980



260
0.0480



261
3.1130



262
0.0167



263
0.0353



264
0.4700



265
0.5512



266
1.4820



267
0.8229



268
0.8002



269
0.3544



270
3.3289



271
0.0663



272
0.0019



273
0.0092



274
0.0109



275
0.0455



276
0.0407



277
0.0101



278
0.0210



279
>10



280
>10



281
0.0220



282
0.2019



283
0.1544



284
1.6613



285
>10



286
>10



287
0.6199



288
0.0304



289
0.1244



290
0.0966



291
0.1092



292
0.0050



293
0.0405



294
0.0210



295
0.3774



296
>10



297
1.6066



298
>10



299
0.0183



300
0.5725



301
1.3544



302
0.0450



303
0.0450



304
0.0132



305
0.2464



306
0.3050



307
1.7347



308
2.9450



309
1.2850



310
1.1759



311
1.8500



312
3.7479



313
3.1153



314
0.8438



315
3.6150



316
0.2912



317
3.2588



318
3.0035



319
0.5937



320
0.1314



321
0.1974



322
0.7452



323
0.2240



324
1.6304



325
>10



326
0.6047



327
1.0300



328
0.3206



329
0.3903



330
0.6416



331
0.4180



332
0.4349



333
>10



334
2.2950



335
>10



336
2.4870



337
1.3682



338
1.9849



339
0.3746



340
0.0305



341
0.3100



342
>10



343
1.3450



344
>10



345
2.2496



346
>10



347
0.1463



348
0.1802



349
0.2600



350
0.2750



351
>10



352
>10



353
>10



354
0.3302



355
0.2017



356
1.3537



357
0.4214



358
>10



359
0.1000



360
0.6700



361
>10



362
>10



363
>10



364
0.2549



365
>10



366
>10



367
3.7284



368
0.4151



369
>10



370
0.5226



371
3.8539



372
>10



373
>10



374
>10



375
0.2500



376
>10



377
0.6579



378
>10



379
>10



380
>10



381
>10



382
>10



383
>10



384
0.9990



385
>10



386
>10



387
>10



388
0.8750



389
0.7106



390
>10



391
>10



392
>10



393
>10



394
>10



395
>10



396
>10



397
>10



398
1.0550



399
>10



400
>10



401
0.7078



402
1.5068



403
>10



404
>10



405
>10



406
>10



407
0.0224



408
1.4390



409
0.4322



410
0.0400



411
1.0650



412
0.1330



413
>10



414
>10



415
0.1911



416
0.3887



417
0.1017



418
0.9600



419
0.3986



420
0.3240



421
1.4690



422
3.5740



423
>10



424
0.6050



425
1.8900



426
1.5362



427
>10



428
0.0750



429
0.2710



430
2.6291



431
0.2850



432
1.2600



433
1.6250



434
1.7550



435
>10



436
>10



437
0.5800



438
0.3950



439
1.0350



440
3.7584



441
3.0583



442
1.1353



443
>10



444
1.4123



445
1.3496



446
0.0450



447
0.1037



448
0.6850



449
0.1651



450
1.6714



451
1.5407



452
1.8451



453
3.2950



454
>10



455
0.6039



456
2.9580



457
0.4450



458
0.5723



459
4.0486



460
3.8519



461
4.0743



462
>10



463
3.4100



464
0.5750



465
4.7090



466
1.8375



467
0.7500



468
5.2741



469
4.2100



470
8.2523



471
1.1716



472
>10



473
>10



474
0.7000



475
7.6900



476
>10



477
3.4472



478
1.8800



479
3.4771



480
3.8654



481
>10



482
5.2700



483
3.4243



484
>10



485
>10



486
2.1350



487
2.8033



488
6.0953



489
>10



490
3.2916



491
3.8928



492
9.3750



493
4.9690



494
4.7500



494
>10



496
4.1638



497
>10



498
>10



499
0.9150



500
0.8900



501
>10



502
3.6415



503
1.0041



504
0.6429



505
1.9107



506
0.5723



507
0.4733



508
0.5780



509
3.6848



510
3.5514



511
0.4073



512
>10



513
0.3864



514
1.2732



515
0.4051



516
0.4197



517
0.2441



518
1.6829



519
>10



520
>10



521
>10



522
1.5135



523
2.5118



524
>10



525
0.4787



526
1.3039



527
0.5536



528
3.6395



529
>10



530
>10



531
>10



532
>10



533
>10



534
>10



535
1.8531



536
1.1044



537
3.9923



538
1.0263



539
0.5134



540
0.0439



541
0.1038



542
0.1530



543
0.1275



544
0.1084



545
0.0215



546
0.0585



547
2.1238



548
0.1309



549
0.1288



550
0.0935



551
0.1493



552
0.0182



553
0.1615



554
0.0363



555
0.0656



556
0.4223



557
0.1839



558
0.1439



559
0.2498



560
0.3652



561
0.0140



562
0.0545



563
0.0800



564
1.3194



565
0.4248



566
0.0466



567
0.2646



568
0.2695



569
0.4709



570
0.5935



571
0.7057



572
0.1892



573
0.0230



574
0.3751



575
0.1611



576
0.1885



577
0.2560



578
0.1168



579
0.0327



580
0.4717



581
0.0569



582
0.0926



583
0.1074



584
1.8905



585
0.0348



586
0.1146



587
2.2058



588
0.5724



589
0.1017



590
1.0194



591
0.0570



592
0.3463



593
0.0131



594
0.0409



595
0.0686



596
0.7096



597
0.3819



598
0.1779



599
0.1323



600
0.3809



601
0.3193



602
0.1186



603
0.0095



604
0.0133



605
0.0268



606
0.1015



607
0.4678



608
0.4469



609
0.8240



610
0.6067



611
0.1070



612
0.3571



613
3.6364



614
0.1645



615
0.3828



616
1.4015



617
0.5774



618
0.0418



619
0.0518



620
0.0868



621
0.3380



622
>10



623
0.2845



624
0.0733



625
>10



626
>10



627
>10



628
>10



629
1.080



630
>10



631
3.381



632
>10



633
>10



634
3.662



635
6.071



636
0.097



637
>10



638
>10



639
>10



640
>10



641
>10



642
>10










Example 2. DYRK1A Kinase Activity Assay

Representative compounds were screened using the assay procedure for DYRK1A kinase activity as described below.


Each compound was dissolved in DMSO as a 10 mM stock and used to prepare compound source plates. Serial dilution (1:3, 11-point dose-response curves from 10 μM to 0.00016 μM) and compound transfer was performed using the ECHO 550 (Labcyte, Sunnyvale, Calif.) into 1536-well black-walled round bottom plates (Corning).


The DYRK1A kinase assay was run using the Ser/Thr 18 peptide Z-lyte assay kit according to manufacturer's instructions (Life Technologies—a Division of Thermo-Fisher). This is a non-radioactive assay using fluorescence resonance energy transfer (FRET) between coumarin and fluorescein to detect kinase activity which is represented as a ratio of coumarin emission/fluorescein emission.


Briefly, recombinant DYRK1A kinase, ATP and Ser/Thr peptide 18 were prepared in 1× Kinase buffer to final concentrations of 0.19 μg/mL, 30 μM, and 4 μM respectively. The mixture was allowed to incubate with the representative compounds for one hour at room temperature. All reactions were performed in duplicate. Unphosphorylated (“0% Control”) and phosphorylated (“100% control”) forms of Ser/Thr 18 served as control reactions. Additionally, an 11-point dose-response curve of Staurosporine (1 μM top) was run to serve as a positive compound control.


After incubation, Development Reagent A was diluted in Development Buffer then added to the reaction and allowed to further incubate for one hour at room temperature. The plate was read at Ex 400 Em 455 to detect the coumarin signal and Ex 400 Em 520 to measure the signal (EnVision Multilabel Plate Reader, PerkinElmer).


The Emission ratio (Em) was calculated as a ratio of the coumarin (C) emission signal (at 445 nm)/Fluorescein (F) emission signal (at 520 nm). The percent phosphorylation was then calculated using the following formula: [1−((Em ratio×F100%)−C100%)/((C0%−C100%)+(Em ratio×(F100%−F0%)))]. Dose-response curves were generated and inhibitory concentration (IC50) values were calculated using non-linear regression curve fit in the Dotmatics' Studies Software (Bishops Stortford, UK).


Table 5 shows the measured activity for representative compounds of Formulas (I)-(VII) as described herein.












TABLE 5







Compound
EC50 (μM)



















1
0.012



2
0.063



3
0.027



4
0.010



5
0.012



6
0.014



7
0.007



8
0.008



9
0.008



10
0.004



11
0.009



12
0.010



13
0.010



14
0.012



15
0.004



16
0.022



17
0.004



18
0.033



19
0.004



20
0.001



21
0.001



22
0.020



23
0.015



24
0.005



25
0.010



26
0.020



27
0.021



28
0.024



29
0.011



30
0.009



31
0.019



32
0.024



33
0.056



34
0.021



35
0.002



36
0.063



37
0.054



38
0.050



39
0.022



40
0.060



41
0.009



42
0.001



43
0.001



44
0.011



45
0.021



46
0.006



47
0.002



48
0.011



49
0.025



50
0.056



51
0.045



52
0.004



53
0.032



54
0.001



55
0.001



56
0.002



57
0.003



58
0.005



59
0.004



60
0.017



61
0.006



62
0.001



63
0.006



64
0.001



65
0.001



66
0.004



67
0.001



68
0.003



69
0.002



70
0.002



71
0.002



72
0.002



73
0.001



74
0.006



75
0.006



76
0.001



77
0.002



78
0.001



79
0.002



80
0.004



81
0.001



82
0.017



83
0.004



84
0.001



85
0.059



86
0.038



87
0.001



88
0.001



89
0.001



90
0.002



91
0.001



92
0.001



93
0.007



94
0.001



95
0.001



96
0.001



97
0.003



98
0.002



99
0.002



100
0.002



101
0.001



102
0.004



103
0.004



104
0.004



105
0.001



106
0.001



107
0.001



108
0.001



109
0.002



110
0.001



111
0.001



112
0.002



113
0.004



114
0.003



115
0.004



116
0.016



117
0.003



118
0.004



119
0.012



120
0.061



121
0.036



122
0.053



123
0.005



124
0.043



125
0.002



126
0.075



127
0.014



128
0.005



129
0.024



130
0.004



131
0.020



132
0.025



133
0.025



134
0.048



135
0.015



136
0.065



137
0.005



138
0.048



139
0.062



140
0.008



141
0.028



142
0.080



143
0.012



144
0.024



145
0.031



146
0.043



147
0.026



148
0.046



149
0.040



150
0.051



151
0.005



152
0.005



153
0.016



154
0.016



155
0.039



156
0.026



157
0.015



158
0.080



159
0.005



160
0.011



161
0.055



162
0.064



163
0.060



164
0.073



165
0.006



166
0.040



167
0.005



168
0.050



169
0.008



170
0.007



171
0.015



172
0.070



173
0.010



174
0.030



175
0.030



176
0.086



177
0.036



178
0.076



179
0.042



180
0.053



181
0.086



182
0.029



183
0.036



184
0.047



185
0.028



186
0.010



187
0.030



188
0.005



189
0.012



190
0.014



191
0.011



192
0.006



193
0.014



194
0.015



195
0.014



196
0.013



198
0.026



199
0.010



200
0.072



201
0.097



202
0.003



203
0.021



204
0.042



205
0.003



206
0.016



207
0.090



208
0.014



209
0.008



210
0.004



211
0.022



212
0.006



213
0.002



214
0.045



215
0.009



216
0.093



217
0.005



218
0.002



219
0.004



220
0.002



221
0.039



222
0.002



223
0.022



224
0.009



225
0.001



226
0.028



227
0.008



228
0.020



229
0.003



230
0.025



231
0.092



232
0.012



233
0.038



234
0.017



235
0.030



236
0.044



237
0.019



238
0.018



239
0.024



240
0.026



241
0.010



242
0.052



243
0.076



244
0.014



245
0.017



246
0.008



247
0.046



248
0.010



249
0.002



250
0.012



251
0.083



252
0.010



253
0.015



254
0.083



255
0.023



256
0.019



257
0.035



258
0.034



259
0.016



260
0.009



261
0.041



262
0.098



263
0.030



264
0.008



265
0.070



266
0.072



267
0.092



268
0.072



269
0.028



270
0.054



271
0.020



272
0.058



273
0.004



274
0.044



275
0.002



276
0.002



277
0.012



278
0.005



279
0.055



280
0.018



281
0.010



282
0.011



283
0.005



284
0.009



285
0.012



286
0.008



287
0.008



288
0.058



289
0.084



290
0.006



291
0.056



292
0.016



293
0.096



294
0.011



295
0.026



296
0.030



297
0.036



298
0.003



299
0.002



300
0.057



301
0.028



302
0.018



303
0.027



304
0.033



305
0.013



306
0.045



307
0.065



308
0.093



309
0.043



310
0.091



311
0.054



312
0.071



313
0.074



314
0.074



315
0.060



316
0.010



317
0.030



318
0.043



319
0.021



320
0.034



321
0.031



322
0.059



323
0.005



324
0.040



325
0.042



326
0.023



327
0.050



328
0.020



329
0.048



330
0.046



331
0.081



332
0.044



333
0.035



334
0.014



335
0.070



336
0.012



337
0.069



338
0.041



339
0.020



340
0.063



341
0.001



342
0.034



343
0.017



344
0.010



345
0.017



346
0.045



347
0.002



348
0.013



349
0.006



350
0.077



351
0.029



352
0.005



353
0.004



354
0.034



355
0.025



356
0.024



357
0.019



358
0.035



359
0.083



360
0.021



361
0.020



362
0.018



363
0.019



364
0.025



365
0.056



366
0.026



367
0.002



368
0.082



369
0.072



370
0.010



371
0.030



372
0.015



373
0.007



374
0.100



375
0.053



376
0.066



377
0.011



378
0.004



379
0.003



380
0.019



381
0.003



382
0.008



383
0.006



384
0.000



385
0.045



386
0.017



387
0.025



388
0.004



389
0.023



390
0.020



391
0.005



392
0.008



393
0.021



394
0.004



395
0.011



396
0.040



397
0.014



398
0.027



399
0.020



400
0.071



401
0.076



402
0.013



403
0.020



404
0.028



405
0.068



406
0.028



407
0.013



408
0.010



409
0.033



410
0.001



411
0.009



412
0.002



413
0.005



414
0.024



415
0.021



416
0.011



417
0.002



418
0.002



419
0.001



420
0.017



421
0.003



422
0.002



423
0.013



424
0.002



425
0.003



426
0.004



427
0.006



428
0.002



429
0.006



430
0.012



431
0.002



432
0.011



433
0.003



434
0.008



435
0.002



436
0.014



437
0.003



438
0.011



439
0.003



440
0.029



441
0.012



442
0.013



443
0.042



444
0.056



445
0.012



446
0.003



447
0.011



448
0.004



449
0.005



450
0.004



451
0.007



452
0.004



453
0.010



454
0.008



455
0.033



456
0.006



457
0.005



458
0.040



459
0.043



460
0.031



461
0.023



462
0.006



463
0.070



464
0.071



465
0.033



466
0.024



467
0.022



468
0.030



469
0.032



470
0.003



471
0.007



472
0.016



473
0.003



474
0.026



475
0.015



476
0.007



477
0.005



478
0.003



479
0.012



480
0.010



481
0.007



482
0.022



483
0.003



484
0.025



485
0.015



486
0.016



487
0.004



488
0.029



489
0.051



490
0.007



491
0.043



492
0.048



493
0.035



494
0.034



494
0.011



496
0.015



497
0.035



498
0.049



499
0.013



500
0.020



501
0.064



502
0.059



503
0.011



504
0.035



505
0.033



506
0.044



507
0.046



508
0.063



509
0.031



510
0.043



511
0.023



512
0.039



513
0.045



514
0.040



515
0.060



516
0.075



517
0.022



518
0.014



519
0.031



520
0.027



521
0.062



522
0.019



523
0.016



524
0.099



525
0.014



526
0.053



527
0.034



528
0.016



529
0.032



530
0.100



531
0.021



532
0.033



533
0.006



534
0.027



535
0.021



536
0.068



537
0.097



538
0.076



539
0.006



540
0.002



541
0.001



542
0.001



543
0.002



544
0.003



545
0.001



546
0.002



547
0.004



548
0.003



549
0.002



550
0.002



551
0.002



552
0.001



553
0.002



554
0.001



555
0.002



556
0.003



557
0.002



558
0.002



559
0.003



560
0.003



561
0.002



562
0.003



563
0.016



564
0.002



565
0.010



566
0.002



567
0.004



568
0.002



569
0.002



570
0.003



571
0.003



572
0.002



573
0.002



574
0.006



575
0.011



576
0.001



577
0.002



578
0.002



579
0.003



580
0.001



581
0.001



582
0.001



583
0.001



584
0.004



585
0.002



586
0.009



587
0.006



588
0.004



589
0.001



590
0.002



591
0.001



592
0.001



593
0.004



594
0.003



595
0.002



596
0.012



597
0.003



598
0.001



599
0.001



600
0.001



601
0.001



602
0.001



603
0.001



604
0.003



605
0.005



606
0.007



607
0.008



608
0.007



609
0.005



610
0.008



611
0.001



612
0.001



613
0.004



614
0.001



615
0.002



616
0.007



617
0.002



618
0.003



619
0.010



620
0.005



621
0.004



622
0.009



623
0.001



624
0.007



625
>10



626
>10



627
>10



628
>10



629
>10



630
>10



631
>10



632
>10



633
>10



634
>10



635
>10



636
>10



637
0.008



638
0.007



639
0.040



640
0.029



641
0.040



642
0.016










Example 3. CLK2 Kinase Activity Assay

Representative compounds were screened using the assay procedure for CLK2 kinase activity as described below.


Each compound was dissolved in DMSO as a 10 mM stock and used to prepare compound source plates. Serial dilution (1:3, 11-point dose-response curves from 10 μM to 0.00016 μM) and compound transfer was performed using the ECHO 550 (Labcyte, Sunnyvale, Calif.) into 1536-well black-walled round bottom plates (Corning).


The CLK2 kinase assay was run using the Ser/Thr 6 peptide Z-lyte assay kit according to manufacturer's instructions (Life Technologies—a Division of Thermo-Fisher). This is a non-radioactive assay using fluorescence resonance energy transfer (FRET) between coumarin and fluorescein to detect kinase activity which is represented as a ratio of coumarin emission/fluorescein emission.


Briefly, recombinant CLK2 kinase, ATP and Ser/Thr peptide 6 were prepared in 1× Kinase buffer to final concentrations of 0.43 μg/mL, 60 μM, and 4 μM respectively. The mixture was allowed to incubate with the representative compounds for one hour at room temperature. All reactions were performed in duplicate. Unphosphorylated (“0% Control”) and phosphorylated (“100% control”) forms of Ser/Thr 6 served as control reactions. Additionally, an 11-point dose-response curve of Staurosporine (1 μM top) was run to serve as a positive compound control.


After incubation, Development Reagent A was diluted in Development Buffer then added to the reaction and allowed to further incubate for one hour at room temperature. The plate was read at Ex 400 Em 455 to detect the coumarin signal and Ex 400 Em 520 to measure the signal (EnVision Multilabel Plate Reader, PerkinElmer).


The Emission ratio (Em) was calculated as a ratio of the coumarin (C) emission signal (at 445 nm)/Fluorescein (F) emission signal (at 520 nm). The percent phosphorylation was then calculated using the following formula: [1−((Em ratio×F100%)−C100%)/((C0%−C100%)+(Em ratio×(F100%−F0%)))]. Dose-response curves were generated and inhibitory concentration (IC50) values were calculated using non-linear regression curve fit in the Dotmatics' Studies Software (Bishops Stortford, UK).


Table 6 shows the activity of representative compounds of Formulas (I)-(VIII) as provided herein.












TABLE 6







Compound
EC50 (μM)



















1
0.023



2
0.072



3
0.024



4
0.057



5
0.020



6
0.015



7
0.014



8
0.027



9
0.045



10
0.006



11
0.009



12
0.006



13
0.014



14
0.010



15
0.002



16
0.095



17
0.017



18
0.020



19
0.006



20
0.005



21
0.004



22
0.007



23
0.027



24
0.026



25
0.001



26
0.001



27
0.032



28
0.046



29
0.025



30
0.018



31
0.028



32
0.038



33
0.003



34
0.014



35
0.002



36
0.070



37
0.043



38
0.035



39
0.025



40
0.045



41
0.001



42
0.001



43
0.001



44
0.001



45
0.005



46
0.001



47
0.003



48
0.003



49
0.006



50
0.027



51
0.037



52
0.002



53
0.019



54
0.001



55
0.001



56
0.004



57
0.001



58
0.010



59
0.010



60
0.002



61
0.008



62
0.001



63
0.001



64
0.001



65
0.001



66
0.001



67
0.001



68
0.001



69
0.002



70
0.001



71
0.002



72
0.002



73
0.001



74
0.012



75
0.013



76
0.008



77
0.006



78
0.001



79
0.001



80
0.003



81
0.001



82
0.013



83
0.005



84
0.001



85
0.007



86
0.003



87
0.001



88
0.001



89
0.001



90
0.001



91
0.001



92
0.001



93
0.005



94
0.001



95
0.001



96
0.001



97
0.001



98
0.001



99
0.002



100
0.001



101
0.001



102
0.002



103
0.002



104
0.002



105
0.001



106
0.001



107
0.001



108
0.001



109
0.001



110
0.001



111
0.001



112
0.001



113
0.001



114
0.001



115
0.001



116
0.001



117
0.002



118
0.008



119
0.005



120
0.023



121
0.003



122
0.011



123
0.006



124
0.037



125
0.001



126
0.012



127
0.006



128
0.002



129
0.053



130
0.003



131
0.013



132
0.001



133
0.002



134
0.006



135
0.004



136
0.002



137
0.001



138
0.001



139
0.003



140
0.002



141
0.009



142
0.021



143
0.017



144
0.005



145
0.005



146
0.005



147
0.009



148
0.004



149
0.002



150
0.003



151
0.001



152
0.001



153
0.011



154
0.003



155
0.014



156
0.010



157
0.002



158
0.003



159
0.001



160
0.003



161
0.017



162
0.008



163
0.032



164
0.028



165
0.002



166
0.003



167
0.004



168
0.033



169
0.001



170
0.001



171
0.001



172
0.007



173
0.004



174
0.004



175
0.005



176
0.006



177
0.006



178
0.005



179
0.011



180
0.002



181
0.015



182
0.011



183
0.001



184
0.001



185
0.001



186
0.004



187
0.002



188
0.003



189
0.008



190
0.005



191
0.003



192
0.005



193
0.002



194
0.002



195
0.001



196
0.005



198
0.011



199
0.002



200
0.022



201
0.015



202
0.002



203
0.011



204
0.027



205
0.001



206
0.012



207
0.003



208
0.004



209
0.011



210
0.007



211
0.008



212
0.005



213
0.001



214
0.002



215
0.005



216
0.002



217
0.003



218
0.001



219
0.001



220
0.001



221
0.003



222
0.003



223
0.003



224
0.012



225
0.002



226
0.004



227
0.010



228
0.004



229
0.002



230
0.004



231
0.003



232
0.005



233
0.008



234
0.006



235
0.008



236
0.019



237
0.007



238
0.002



239
0.002



240
0.002



241
0.004



242
0.015



243
0.005



244
0.016



245
0.034



246
0.003



247
0.002



248
0.001



249
0.001



250
0.004



251
0.000



252
0.002



253
0.007



254
0.003



255
0.003



256
0.009



257
0.007



258
0.002



259
0.004



260
0.001



261
0.002



262
0.085



263
0.018



264
0.002



265
0.008



266
0.015



267
0.008



268
0.012



269
0.012



270
0.004



271
0.002



272
0.005



273
0.004



274
0.011



275
0.001



276
0.002



277
0.006



278
0.005



279
0.002



280
0.002



281
0.006



282
0.004



283
0.004



284
0.001



285
0.001



286
0.003



287
0.004



288
0.011



289
0.004



290
0.002



291
0.032



292
0.009



293
0.016



294
0.001



295
0.002



296
0.001



297
0.001



298
0.001



299
0.001



300
0.008



301
0.008



302
0.006



303
0.015



304
0.016



305
0.003



306
0.008



307
0.013



308
0.007



309
0.003



310
0.004



311
0.003



312
0.004



313
0.018



314
0.010



315
0.003



316
0.007



317
0.016



318
0.019



319
0.006



320
0.009



321
0.007



322
0.006



323
0.002



324
0.006



325
0.004



326
0.010



327
0.010



328
0.006



329
0.008



330
0.012



331
0.015



332
0.006



333
0.020



334
0.002



335
0.019



336
0.003



337
0.002



338
0.005



339
0.007



340
0.010



341
0.000



342
0.004



343
0.003



344
0.003



345
0.003



346
0.004



347
0.002



348
0.003



349
0.002



350
0.011



351
0.004



352
0.003



353
0.003



354
0.012



355
0.008



356
0.006



357
0.003



358
0.007



359
0.006



360
0.004



361
0.005



362
0.004



363
0.008



364
0.010



365
0.013



366
0.004



367
0.002



368
0.004



369
0.009



370
0.006



371
0.011



372
0.002



373
0.004



374
0.019



375
0.006



376
0.011



377
0.007



378
0.002



379
0.004



380
0.005



381
0.003



382
0.004



383
0.003



384
0.000



385
0.012



386
0.008



387
0.005



388
0.004



389
0.009



390
0.011



391
0.004



392
0.009



393
0.006



394
0.003



395
0.005



396
0.012



397
0.003



398
0.003



399
0.004



400
0.012



401
0.015



402
0.005



403
0.006



404
0.005



405
0.003



406
0.003



407
0.003



408
0.002



409
0.005



410
0.001



411
0.005



412
0.002



413
0.004



414
0.003



415
0.001



416
0.003



417
0.003



418
0.002



419
0.001



420
0.011



421
0.003



422
0.003



423
0.021



424
0.002



425
0.003



426
0.005



427
0.009



428
0.002



429
0.009



430
0.007



431
0.001



432
0.017



433
0.003



434
0.005



435
0.002



436
0.008



437
0.002



438
0.004



439
0.002



440
0.003



441
0.005



442
0.003



443
0.007



444
0.009



445
0.005



446
0.001



447
0.002



448
0.003



449
0.002



450
0.003



451
0.005



452
0.002



453
0.002



454
0.003



455
0.005



456
0.002



457
0.001



458
0.020



459
0.013



460
0.008



461
0.019



462
0.002



463
0.013



464
0.013



465
0.002



466
0.003



467
0.012



468
0.005



469
0.006



470
0.002



471
0.003



472
0.010



473
0.003



474
0.017



475
0.011



476
0.007



477
0.003



478
0.009



479
0.004



480
0.007



481
0.009



482
0.014



483
0.008



484
0.006



485
0.004



486
0.006



487
0.005



488
0.003



489
0.019



490
0.003



491
0.020



492
0.012



493
0.006



494
0.012



494
0.009



496
0.006



497
0.005



498
0.003



499
0.003



500
0.012



501
0.011



502
0.014



503
0.010



504
0.006



505
0.004



506
0.008



507
0.010



508
0.007



509
0.006



510
0.016



511
0.006



512
0.014



513
0.006



514
0.004



515
0.005



516
0.005



517
0.008



518
0.007



519
0.018



520
0.003



521
0.009



522
0.008



523
0.009



524
0.015



525
0.008



526
0.004



527
0.011



528
0.005



529
0.008



530
0.017



531
0.005



532
0.003



533
0.002



534
0.004



535
0.006



536
0.005



537
0.013



538
0.002



539
0.007



540
0.003



541
0.001



542
0.001



543
0.003



544
0.002



545
0.001



546
0.002



547
0.003



548
0.002



549
0.003



550
0.002



551
0.010



552
0.001



553
0.002



554
0.001



555
0.001



556
0.002



557
0.002



558
0.003



559
0.004



560
0.004



561
0.001



562
0.001



563
0.005



564
0.002



565
0.006



566
0.002



567
0.008



568
0.003



569
0.008



570
0.009



571
0.007



572
0.002



573
0.002



574
0.002



575
0.002



576
0.002



577
0.003



578
0.002



579
0.002



580
0.001



581
0.002



582
0.002



583
0.002



584
0.006



585
0.001



586
0.007



587
0.008



588
0.002



589
0.002



590
0.004



591
0.001



592
0.002



593
0.003



594
0.002



595
0.002



596
0.001



597
0.009



598
0.008



599
0.002



600
0.003



601
0.002



602
0.002



603
0.001



604
0.002



605
0.002



606
0.004



607
0.006



608
0.008



609
0.006



610
0.009



611
0.003



612
0.005



613
0.007



614
0.007



615
0.007



616
0.006



617
0.002



618
0.002



619
0.002



620
0.003



621
0.003



622
0.005



623
0.002



624
0.010



625
0.005



626
0.007



627
0.007



628
0.005



629
0.009



630
0.008



631
0.010



632
0.003



633
0.003



634
0.008



635
0.010



636
0.009



637
1.902



638
1.133



639
>10



640
7.429



641
>10



642
9.777










Example 4. CLK3 Kinase Activity Assay

Representative compounds were screened using the assay procedure for CLK3 kinase activity as described below.


Each compound was dissolved in DMSO as a 10 mM stock and used to prepare compound source plates. Serial dilution (1:3, 11-point dose-response curves from 10 μM to 0.00016 μM) and compound transfer was performed using the ECHO 550 (Labcyte, Sunnyvale, Calif.) into 1536-well black-walled round bottom plates (Corning).


The CLK3 kinase assay was run using the Ser/Thr 18 peptide Z-lyte assay kit according to manufacturer's instructions (Life Technologies—a Division of Thermo-Fisher). This is a non-radioactive assay using fluorescence resonance energy transfer (FRET) between coumarin and fluorescein to detect kinase activity which is represented as a ratio of coumarin emission/fluorescein emission.


Briefly, recombinant CLK3 kinase, ATP and Ser/Thr peptide 18 were prepared in 1× Kinase buffer to final concentrations of 1.5 μg/mL, 156 μM, and 4 μM respectively. The mixture was allowed to incubate with the representative compounds for one hour at room temperature. All reactions were performed in duplicate. Unphosphorylated (“0% Control”) and phosphorylated (“100% control”) forms of Ser/Thr 18 served as control reactions. Additionally, an 11-point dose-response curve of Staurosporine (1 μM top) was run to serve as a positive compound control.


After incubation, Development Reagent A was diluted in Development Buffer then added to the reaction and allowed to further incubate for one hour at room temperature. The plate was read at Ex 400 Em 455 to detect the coumarin signal and Ex 400 Em 520 to measure the signal (EnVision Multilabel Plate Reader, PerkinElmer).


The Emission ratio (Em) was calculated as a ratio of the coumarin (C) emission signal (at 445 nm)/Fluorescein (F) emission signal (at 520 nm). The percent phosphorylation was then calculated using the following formula: [1−((Em ratio×F100%)−C100%)/((C0%−C100%)+(Em ratio×(F100%−F0%)))]. Dose-response curves were generated and inhibitory concentration (IC50) values were calculated using non-linear regression curve fit in the Dotmatics' Studies Software (Bishops Stortford, UK).


Table 7 shows the activity of representative compounds of Formulas (I)-(VIII) as provided herein.












TABLE 7







Compound
EC50 (μM)



















1
5.302



2
>10



3
3.700



4
6.607



5
4.927



6
>10



7
2.355



8
6.159



9
6.088



10
1.779



11
5.154



12
6.020



13
3.503



14
4.305



15
0.485



16
>10



17
2.671



18
3.989



19
0.967



20
0.563



21
0.733



22
2.328



23
0.627



24
1.252



25
0.326



26
0.492



27
>10



28
>10



29
>10



30
>10



31
>10



32
>10



33
0.148



34
5.248



35
0.084



36
3.400



37
5.500



38
8.008



39
4.261



40
2.380



41
1.420



42
0.424



43
0.309



44
1.720



45
1.760



46
1.300



47
0.313



48
1.100



49
2.204



50
5.731



51
3.950



52
0.361



53
3.493



54
0.020



55
0.013



56
0.047



57
0.081



58
9.838



59
6.145



60
0.581



61
0.916



62
0.034



63
0.343



64
0.021



65
0.047



66
0.049



67
0.041



68
0.139



69
0.062



70
0.036



71
0.109



72
0.022



73
0.011



74
0.498



75
4.024



76
0.717



77
1.674



78
0.044



79
0.352



80
0.093



81
0.032



82
0.616



83
0.073



84
0.014



85
1.805



86
1.273



87
0.011



88
0.012



89
0.014



90
0.039



91
0.022



92
0.089



93
0.071



94
0.011



95
0.046



96
0.017



97
0.060



98
0.086



99
0.135



100
0.037



101
0.044



102
0.088



103
1.434



104
0.378



105
2.440



106
0.055



107
0.090



108
0.101



109
0.079



110
0.048



111
0.089



112
0.116



113
0.133



114
0.048



115
0.099



116
0.391



117
0.147



118
0.601



119
0.048



120
0.061



121
0.030



122
6.956



123
0.056



124
0.218



125
0.057



126
7.330



127
0.042



128
0.028



129
0.164



130
0.018



131
0.160



132
0.012



133
0.037



134
0.076



135
0.041



136
0.109



137
0.007



138
0.197



139
0.079



140
0.022



141
0.033



142
0.090



143
0.045



144
0.093



145
0.074



146
0.113



147
0.493



148
0.124



149
0.065



150
0.089



151
0.055



152
0.033



153
0.093



154
>10



155
0.138



156
1.800



157
0.416



158
0.083



159
0.034



160
0.037



161
0.105



162
9.838



163
0.075



164
0.087



165
0.020



166
0.209



167
0.019



168
0.076



169
0.050



170
0.012



171
0.034



172
0.117



173
0.024



174
9.838



175
0.180



176
0.149



177
0.209



178
0.207



179
0.969



180
0.296



181
0.017



182
9.838



183
0.105



184
0.177



185
0.308



186
0.037



187
0.132



188
0.023



189
0.026



190
0.039



191
0.049



192
0.017



193
0.322



194
0.213



195
0.280



196
0.995



198
0.984



199
0.136



200
0.209



201
2.269



202
0.065



203
0.558



204
0.206



205
0.182



206
0.213



207
1.292



208
0.058



209
0.094



210
0.054



211
0.107



212
0.089



213
0.051



214
0.344



215
0.500



216
0.843



217
0.040



218
0.032



219
0.026



220
0.061



221
0.188



222
0.263



223
0.123



224
0.056



225
0.016



226
0.116



227
1.305



228
0.106



229
0.044



230
0.087



231
0.361



232
0.143



233
0.521



234
0.120



235
2.629



236
0.205



237
0.134



238
0.230



239
0.087



240
0.113



241
0.034



242
0.076



243
0.062



244
0.064



245
9.838



246
0.021



247
0.048



248
0.066



249
0.030



250
>10



251
0.067



252
0.118



253
0.026



254
0.043



255
0.062



256
0.062



257
0.115



258
0.083



259
0.167



260
0.128



261
0.150



262
0.754



263
0.358



264
0.035



265
0.091



266
0.067



267
9.838



268
0.145



269
0.183



270
0.088



271
0.034



272
0.052



273
0.029



274
0.203



275
0.020



276
0.009



277
0.029



278
0.036



279
0.093



280
0.079



281
0.025



282
0.050



283
0.033



284
0.025



285
0.090



286
0.082



287
0.044



288
0.037



289
0.039



290
0.017



291
0.054



292
0.060



293
0.186



294
0.025



295
0.096



296
0.055



297
0.084



298
0.013



299
0.029



300
0.122



301
0.105



302
0.046



303
0.085



304
0.021



305
0.033



306
0.138



307
0.307



308
0.083



309
0.037



310
0.074



311
0.218



312
0.252



313
0.295



314
0.202



315
0.139



316
0.417



317
9.838



318
>10



319
0.817



320
0.033



321
0.067



322
0.066



323
0.059



324
0.205



325
>10



326
0.144



327
0.414



328
0.047



329
0.042



330
0.109



331
0.158



332
0.196



333
>10



334
0.089



335
2.313



336
0.107



337
0.109



338
0.222



339
0.099



340
0.785



341
0.003



342
0.090



343
0.468



344
9.838



345
0.107



346
0.133



347
0.018



348
0.538



349
0.037



350
1.905



351
9.838



352
9.838



353
0.085



354
0.537



355
0.151



356
0.078



357
0.043



358
0.071



359
0.962



360
0.330



361
0.164



362
0.292



363
9.838



364
0.139



365
0.443



366
0.074



367
0.214



368
0.102



369
0.102



370
0.101



371
0.408



372
0.069



373
0.156



374
9.838



375
0.100



376
>10



377
0.113



378
0.050



379
0.069



380
>10



381
>10



382
0.063



383
0.046



384
0.100



385
0.389



386
0.201



387
0.132



388
0.029



389
9.914



390
0.137



391
0.062



392
0.092



393
>10



394
0.069



395
0.030



396
>10



397
>10



398
0.056



399
0.188



400
0.180



401
0.895



402
0.110



403
0.306



404
>10



405
>10



406
0.227



407
0.019



408
0.032



409
0.142



410
0.015



411
0.351



412
0.088



413
5.488



414
1.360



415
0.031



416
0.061



417
0.073



418
0.041



419
0.016



420
0.344



421
0.083



422
0.054



423
6.212



424
0.047



425
0.056



426
0.088



427
9.838



428
0.019



429
0.365



430
0.147



431
0.018



432
2.971



433
0.062



434
0.189



435
0.046



436
>10



437
0.062



438
0.269



439
0.049



440
0.562



441
0.538



442
0.101



443
0.566



444
0.362



445
0.203



446
0.023



447
0.037



448
0.028



449
0.019



450
0.085



451
0.053



452
0.068



453
0.246



454
>10



455
0.110



456
0.094



457
0.052



458
2.192



459
0.269



460
0.231



461
0.342



462
0.048



463
1.277



464
3.662



465
0.293



466
0.064



467
0.279



468
0.166



469
0.470



470
0.040



471
0.089



472
1.082



473
0.285



474
2.039



475
0.569



476
0.800



477
0.204



478
0.137



479
0.145



480
0.186



481
0.741



482
2.378



483
0.303



484
0.428



485
0.303



486
0.291



487
0.302



488
2.528



489
0.340



490
0.142



491
1.938



492
0.885



493
0.912



494
0.973



494
1.901



496
0.524



497
0.678



498
>10



499
0.042



500
0.117



501
0.418



502
0.336



503
0.104



504
0.117



505
0.217



506
0.392



507
0.060



508
0.068



509
0.140



510
1.867



511
0.050



512
0.094



513
0.049



514
0.049



515
0.109



516
0.063



517
0.216



518
0.039



519
0.236



520
0.075



521
0.776



522
0.048



523
0.081



524
0.198



525
0.038



526
0.140



527
0.066



528
0.059



529
0.188



530
0.151



531
0.052



532
0.305



533
0.051



534
0.471



535
0.053



536
0.079



537
0.329



538
0.058



539
0.123



540
0.041



541
0.014



542
0.036



543
0.060



544
0.031



545
0.012



546
0.021



547
0.043



548
0.026



549
0.026



550
0.028



551
0.078



552
0.009



553
0.280



554
0.016



555
0.021



556
0.038



557
0.039



558
0.049



559
0.066



560
0.085



561
0.006



562
0.020



563
0.026



564
0.037



565
0.071



566
0.034



567
0.261



568
0.044



569
0.164



570
0.143



571
0.318



572
0.015



573
0.008



574
0.200



575
0.026



576
0.081



577
0.056



578
0.048



579
0.019



580
0.033



581
0.011



582
0.018



583
0.027



584
0.177



585
0.013



586
0.023



587
0.678



588
0.070



589
0.031



590
0.040



591
0.020



592
0.043



593
0.022



594
0.014



595
0.019



596
0.042



597
0.094



598
0.052



599
0.011



600
0.078



601
0.059



602
0.018



603
0.011



604
0.007



605
0.009



606
0.060



607
0.135



608
0.141



609
0.061



610
0.031



611
0.031



612
0.012



613
0.133



614
0.097



615
0.053



616
0.019



617
0.012



618
0.012



619
0.029



620
0.016



621
0.026



622
0.036



623
0.010



624
0.026



625
>10



626
>10



627
>10



628
>10



629
>10



630
>10



631
>10



632
>10



633
>10



634
>10



635
>10



636
>10



637
>10



638
>10



639
>10



640
>10



641
>10



642
>10










Example 5. Screening Compounds Using Primary Human Mesenchymal Stem Cells

Representative compounds were screened using primary human mesenchymal stem cells (hMSCs) to determine their ability to induce chondrogenesis (process by which cartilage is developed).


Human Mesenchymal Stem Cell Culture: Primary human mesenchymal stem cells (hMSCs) were purchased from Lonza (Walkersville, Md.) and expanded in Mesenchymal Stem Cell Growth Media (Lonza). Cells between passage 3 and 6 were used for the experiments.


Compound Screening: Each compound was dissolved in DMSO as a 10 mM stock and used to prepare compound source plates. For the 96 well assay, serial dilution (1:3, 6-point dose-response curves from 2700 nM to 10 nM) and compound transfer was performed using the ECHO 550 (Labcyte, Sunnyvale, Calif.) into 96-well clear bottom assay plates (Greiner Bio-One) with appropriate DMSO backfill for a final DMSO concentration of 0.03%. hMSCs were plated at 20,000 cells/well in 250 μL/well Incomplete Chondrogenic Induction Medium (Lonza; DMEM, dexamethasone, ascorbate, insulin-transferrin-selenium [ITS supplement], gentamycin-amphotericin [GA-1000], sodium pyruvate, proline and L-glutamine). TGF-β3 (10 ng/mL) was used as a positive control for differentiation while negative control wells were treated with 75 nL DMSO for normalization and calculating EC50 values. For the 384 well assay, serial dilution (1:3, 8-point dose-response curves from 5000 nM to 2.2 nM) and compound transfer was performed using the ECHO 550 (Labcyte, Sunnyvale, Calif.) into 384-well clear bottom assay plates (Greiner Bio-One) with appropriate DMSO backfill for a final DMSO concentration of 0.03%. hMSCs were plated at 8,000 cells/well in 80 μL/well Incomplete Chondrogenic Induction Medium (Lonza; DMEM, dexamethasone, ascorbate, insulin-transferrin-selenium [ITS supplement], gentamycin-amphotericin [GA-1000], sodium pyruvate, proline and L-glutamine). TGF-β3 (10 ng/mL) was used as a positive control for differentiation while negative control wells were treated with 25 nL DMSO for normalization and calculating EC50 values. Cells were incubated at 37° C. and 5% CO2 for 6 days. To image chondrogenic nodules, the cells were fixed using 4% formaldehyde (Electron Microscopy Sciences), and stained with 2 μg/mL Rhodamine B (Sigma-Aldrich) and 20 μM Nile Red (Sigma-Aldrich) [Johnson K., et al, A Stem Cell-Based Approach to Cartilage Repair, Science, (2012), 336(6082), 717-721]. The nodules imaged (25 images per well for 96 well plates and 9 images per well for 384 well plates at 10× magnification) by excitation at 531 nm and emission at 625 nm and quantified using the CellInsight CX5 (Thermo Scientific). Area of nodules in each well was normalized to the average of 3 DMSO treated wells on the same plate using Excel (Microsoft Inc.). The normalized averages (fold change over DMSO) of 2 or 3 replicate wells for each compound concentration were calculated. Due to solubility limitations of some of the compounds, curve fitting was incomplete leading to inaccurate EC50 determinations.


Using TGF-β3 as a positive control, the concentration of representative compounds required to induce 50% levels of chondrogenesis is reported. In addition, the maximum activity of each compound and the respective dose that each compound reached maximum chondrogenesis activity is reported.


Table 8 shows the activity of representative compounds of Formulas (I)-(VIII) as provided herein.














TABLE 8









Max. Activity
Conc (nM)




Conc (nM)
as %
of 50%




of Max.
TGF-β3
TGF-β3



Compound
activity
activity
activity





















2
100.00
81.50
NA



5
10.00
105.94
10.00



6
900.00
123.63
300.00 



7
10.00
90.66
NA



10
2700.00
139.59
2700.00 



12
300.00
75.21
NA



14
30.00
89.51
NA



17
2700.00
193.68
900.00 



23
900.00
23.35
NA



25
10.00
38.95
NA



26
2700.00
81.70
2700.00 



28
30.00
68.85
NA



29
10.00
74.69
NA



42
30.00
25.59
NA



44
100.00
44.90
100.00 



45
30.00
54.23
30.00



46
30.00
43.81
NA



47
300.00
82.14
300.00 



52
100.00
52.14
30.00



58
100.00
92.55
NA



71
30.00
63.09
30.00



72
300.00
72.21
100.00 



73
300.00
80.93
30.00



75
2700.00
103.95
2700.00 



78
30.00
101.97
30.00



79
300.00
68.34
300.00 



80
300.00
68.99
100.00 



81
300.00
138.10
300.00 



82
10.00
51.90
10.00



85
30.00
45.36
NA



86
30.00
53.74
30.00



92
2700.00
128.78
2700.00 



98
300.00
94.43
30.00



101
900.00
121.01
900.00 



102
10.00
75.71
30.00



106
30.00
23.57
NA



107
100.00
27.40
NA



119
300.00
156.71
100.00 



120
30.00
138.52
30.00



121
61.73
29.30
NA



122
10.00
67.82
10.00



123
30.00
397.03
30.00



124
30.00
60.96
NA



126
300.00
148.02
10.00



127
300.00
96.85
NA



128
10.00
54.67
NA



129
100.00
124.50
100.00 



130
900.00
68.09
NA



131
100.00
504.45
30.00



132
100.00
154.45
10.00



133
30.00
83.83
10.00



134
10.00
98.66
NA



135
300.00
311.36
100.00 



136
30.00
84.58
30.00



137
30.00
182.87
30.00



138
10.00
75.63
30.00



139
10.00
16.68
NA



141
30.00
101.95
30.00



142
30.00
85.77
10.00



143
100.00
52.25
NA



144
185.19
56.69
 6.86



145
20.58
53.57
20.58



146
20.58
59.30
 2.29



147
300.00
140.43
300.00 



148
20.58
60.38
20.58



149
61.73
55.53
20.58



150
61.73
46.95
NA



153
300.00
110.41
100.00 



154
20.58
51.83
20.58



155
30.00
74.94
30.00



156
100.00
110.06
100.00 



157
100.00
71.04
100.00 



158
100.00
112.45
10.00



159
100.00
151.67
100.00 



160
300.00
143.19
300.00 



161
100.00
127.78
100.00 



162
30.00
41.80
NA



163
100.00
125.28
100.00 



164
300.00
202.71
100.00 



165
100.00
61.91
100.00 



166
10.00
81.84
30.00



167
30.00
112.83
30.00



168
300.00
59.89
300.00 



169
300.00
107.78
10.00



170
300.00
98.17
10.00



171
100.00
127.12
10.00



172
300.00
82.80
NA



173
30.00
102.25
30.00



174
300.00
180.88
10.00



175
10.00
40.08
NA



176
10.00
73.98
10.00



177
10.00
56.78
NA



178
300.00
159.03
30.00



179
30.00
92.95
100.00 



180
10.00
57.77
30.00



181
100.00
62.92
NA



182
10.00
44.51
NA



183
30.00
69.96
100.00 



184
30.00
83.81
30.00



185
300.00
94.60
300.00 



186
100.00
34.37
NA



187
61.73
26.05
NA



189
100.00
198.15
100.00 



190
300.00
86.34
NA



191
300.00
130.24
300.00 



193
10.00
54.36
10.00



194
10.00
64.61
30.00



195
100.00
113.50
10.00



196
185.19
30.96
NA



198
30.00
68.59
10.00



200
100.00
80.49
30.00



201
10.00
54.83
30.00



202
300.00
151.62
100.00 



203
10.00
54.09
10.00



204
300.00
93.85
NA



206
300.00
69.83
900.00 



207
20.58
38.34
NA



208
30.00
77.29
NA



209
100.00
113.89
100.00 



210
30.00
106.19
30.00



211
100.00
80.09
NA



212
30.00
100.12
10.00



213
300.00
80.62
NA



214
30.00
134.58
100.00 



215
10.00
64.62
30.00



216
10.00
46.94
NA



218
30.00
63.82
NA



219
30.00
112.69
30.00



220
30.00
90.42
NA



221
10.00
69.65
30.00



222
2700.00
149.58
100.00 



223
100.00
70.15
10.00



224
30.00
73.66
30.00



226
100.00
69.27
30.00



227
100.00
47.21
NA



228
100.00
69.07
300.00 



229
100.00
148.85
100.00 



230
100.00
111.47
100.00 



231
10.00
73.57
10.00



232
300.00
143.65
30.00



233
10.00
57.99
NA



234
30.00
101.69
30.00



235
100.00
109.62
100.00 



236
300.00
90.17
30.00



237
30.00
72.03
30.00



238
30.00
76.17
30.00



239
30.00
75.32
30.00



240
100.00
64.24
100.00 



242
300.00
155.71
10.00



243
100.00
166.67
100.00 



244
30.00
202.56
30.00



245
30.00
72.64
30.00



246
30.00
42.02
NA



247
20.58
58.38
20.58



249
30.00
67.73
30.00



250
100.00
167.12
100.00 



251
300.00
105.29
300.00 



252
100.00
91.27
NA



253
100.00
81.26
NA



254
30.00
41.58
NA



255
30.00
69.78
NA



256
10.00
53.30
NA



257
10.00
68.35
NA



258
10.00
65.63
10.00



259
30.00
74.59
NA



260
30.00
145.63
30.00



261
100.00
142.24
10.00



262
300.00
120.09
30.00



263
300.00
40.87
NA



265
30.00
84.72
10.00



266
10.00
60.59
10.00



267
10.00
60.19
30.00



268
10.00
67.88
30.00



269
100.00
102.25
10.00



270
10.00
61.98
10.00



271
10.00
87.93
10.00



272
10.00
163.06
2700.00 



273
30.00
258.86
10.00



274
100.00
161.88
100.00 



275
10.00
72.56
10.00



276
100.00
79.43
30.00



277
100.00
230.76
100.00 



278
300.00
129.40
300.00 



279
10.00
64.71
10.00



280
10.00
71.42
10.00



281
10.00
82.05
NA



282
30.00
85.12
30.00



283
30.00
82.91
30.00



284
2700.00
96.85
300.00 



285
61.73
35.60
NA



286
20.58
149.15
20.58



288
100.00
81.83
30.00



289
10.00
92.78
10.00



291
30.00
70.00
30.00



292
100.00
118.06
100.00 



293
30.00
73.13
30.00



294
100.00
113.70
30.00



295
10.00
50.58
30.00



296
300.00
59.20
30.00



297
30.00
50.46
100.00 



298
10.00
20.31
NA



300
100.00
35.62
NA



301
30.00
44.84
NA



302
10.00
16.19
NA



303
100.00
33.55
NA



304
100.00
166.66
100.00 



305
100.00
112.53
10.00



306
30.00
50.78
30.00



307
300.00
42.25
NA



308
300.00
42.05
NA



309
10.00
192.93
10.00



310
10.00
109.95
10.00



311
10.00
59.96
30.00



312
100.00
48.05
NA



313
30.00
108.39
10.00



314
30.00
96.23
30.00



315
30.00
98.45
30.00



316
10.00
61.18
10.00



317
300.00
78.39
100.00 



318
300.00
112.64
900.00 



319
10.00
23.78
NA



320
300.00
23.53
NA



321
300.00
85.98
30.00



322
100.00
27.61
NA



323
300.00
117.15
10.00



324
300.00
15.54
NA



325
10.00
32.35
NA



326
300.00
36.29
NA



327
30.00
54.34
30.00



328
30.00
78.06
30.00



329
10.00
52.09
10.00



330
10.00
24.77
NA



331
30.00
70.81
10.00



332
10.00
75.80
10.00



333
10.00
81.62
10.00



334
100.00
37.32
NA



335
30.00
270.04
30.00



336
30.00
60.86
30.00



337
10.00
50.58
30.00



338
10.00
69.41
10.00



339
100.00
51.13
100.00 



340
300.00
89.16
10.00



341
100.00
58.20
100.00 



342
10.00
16.72
NA



343
100.00
76.37
100.00 



344
30.00
59.25
100.00 



345
300.00
17.37
NA



346
100.00
148.84
10.00



347
300.00
178.02
100.00 



348
10.00
671.43
10.00



349
100.00
34.48
NA



350
10.00
200.61
10.00



351
10.00
52.76
10.00



352
10.00
43.53
NA



353
30.00
37.32
NA



354
100.00
307.85
100.00 



355
300.00
41.31
NA



356
10.00
45.46
NA



357
300.00
19.45
NA



358
10.00
68.52
10.00



359
10.00
225.83
10.00



360
100.00
41.90
NA



361
300.00
45.50
NA



362
10.00
134.56
10.00



363
10.00
77.01
10.00



364
100.00
47.23
NA



365
30.00
28.72
NA



366
10.00
91.84
10.00



367
10.00
67.56
10.00



368
10.00
35.89
NA



369
300.00
16.70
NA



370
300.00
20.26
NA



371
300.00
23.29
NA



372
300.00
43.91
NA



373
300.00
24.15
NA



374
300.00
49.61
NA



375
100.00
65.19
30.00



376
300.00
56.47
300.00 



377
100.00
76.76
100.00 



378
30.00
53.50
30.00



379
100.00
31.53
NA



380
100.00
11.95
NA



381
30.00
52.05
10.00



382
30.00
26.87
NA



383
100.00
124.27
100.00 



384
30.00
50.30
30.00



385
300.00
32.14
NA



386
100.00
70.43
10.00



387
30.00
95.48
30.00



388
30.00
70.15
30.00



389
100.00
71.37
30.00



390
100.00
44.44
NA



391
300.00
33.63
NA



392
30.00
30.42
NA



393
30.00
26.71
NA



394
30.00
43.48
NA



395
300.00
113.87
30.00



396
100.00
67.18
100.00 



397
30.00
191.09
10.00



398
300.00
17.82
NA



399
30.00
51.72
30.00



400
300.00
33.36
NA



401
100.00
29.21
NA



402
300.00
36.55
NA



403
10.00
97.11
10.00



404
300.00
39.60
NA



405
100.00
17.28
NA



406
10.00
194.10
10.00



407
100.00
46.08
NA



408
30.00
8.03
NA



409
30.00
81.89
10.00



410
30.00
341.50
10.00



411
10.00
11.03
NA



412
10.00
62.01
30.00



413
30.00
27.60
NA



414
10.00
65.88
10.00



415
300.00
160.71
300.00 



416
100.00
61.37
10.00



417
30.00
35.50
NA



418
300.00
16.91
NA



419
100.00
61.23
30.00



420
10.00
34.10
NA



421
300.00
30.79
NA



422
10.00
49.91
NA



423
100.00
40.37
NA



424
300.00
7.07
NA



425
100.00
58.81
10.00



426
30.00
58.48
30.00



427
30.00
17.69
NA



428
30.00
213.44
10.00



429
30.00
30.25
NA



430
30.00
50.32
30.00



431
2700.00
155.01
30.00



432
100.00
28.47
NA



433
10.00
59.37
30.00



434
10.00
119.14
10.00



435
30.00
69.86
30.00



436
10.00
21.83
NA



437
300.00
151.58
10.00



438
10.00
531.63
10.00



439
10.00
317.16
10.00



440
10.00
79.94
10.00



441
300.00
100.58
300.00 



442
30.00
119.04
30.00



443
10.00
36.97
NA



444
10.00
97.58
10.00



445
10.00
45.33
NA



446
300.00
134.44
300.00 



447
30.00
134.32
100.00 



448
100.00
122.15
100.00 



450
10.00
50.80
10.00



451
100.00
39.72
NA



452
30.00
44.64
NA



453
100.00
42.68
NA



454
300.00
51.70
300.00 



455
30.00
129.63
30.00



456
100.00
93.54
30.00



457
30.00
243.99
10.00



458
100.00
68.63
100.00 



459
30.00
54.49
30.00



460
300.00
42.48
NA



461
300.00
42.39
NA



462
30.00
21.83
NA



463
300.00
33.61
NA



464
300.00
204.88
10.00



465
30.00
220.08
10.00



466
300.00
24.71
NA



467
100.00
159.84
30.00



468
100.00
37.61
NA



469
100.00
48.11
NA



470
30.00
50.89
30.00



471
100.00
50.22
100.00 



472
10.00
49.80
NA



473
300.00
70.02
30.00



474
10.00
36.43
NA



475
300.00
21.03
NA



476
30.00
61.59
30.00



477
10.00
49.47
NA



478
30.00
88.20
10.00



479
300.00
30.77
NA



480
300.00
30.28
NA



481
100.00
30.27
NA



482
100.00
37.84
NA



483
100.00
60.82
10.00



484
300.00
42.80
NA



485
100.00
288.64
100.00 



486
100.00
34.64
NA



487
10.00
67.03
10.00



488
10.00
61.82
10.00



489
300.00
149.76
300.00 



490
30.00
101.29
30.00



491
30.00
13.94
NA



492
300.00
31.04
NA



493
300.00
198.09
100.00 



494
100.00
23.56
NA



494
300.00
50.74
300.00 



496
300.00
70.79
10.00



497
300.00
20.08
NA



498
300.00
60.11
300.00 



499
100.00
122.47
30.00



500
100.00
21.19
NA



501
10.00
101.61
10.00



502
10.00
25.30
NA



503
100.00
72.07
30.00



504
300.00
35.53
NA



505
100.00
40.25
NA



506
10.00
81.39
10.00



507
100.00
82.21
100.00 



508
10.00
57.35
10.00



509
10.00
59.04
10.00



510
300.00
51.44
300.00 



511
100.00
180.26
100.00 



512
10.00
162.22
10.00



513
30.00
87.33
10.00



514
30.00
48.45
NA



515
10.00
66.42
10.00



516
10.00
181.12
10.00



517
100.00
29.35
NA



518
10.00
36.72
NA



519
30.00
59.64
30.00



520
10.00
79.53
30.00



521
10.00
110.65
10.00



522
300.00
52.03
300.00 



523
300.00
45.54
NA



524
300.00
24.16
NA



525
10.00
33.13
NA



526
10.00
82.89
10.00



527
100.00
14.51
NA



528
300.00
51.59
300.00 



529
10.00
15.49
NA



530
10.00
109.70
10.00



531
100.00
58.03
100.00 



532
300.00
61.21
300.00 



533
100.00
42.79
NA



534
10.00
52.33
30.00



535
10.00
22.73
NA



536
10.00
50.08
10.00



537
300.00
20.61
NA



538
30.00
106.38
10.00



541
10.00
25.44
NA



545
10.00
27.11
NA



572
30.00
27.60
NA



575
300.00
18.63
NA



580
2700.00
24.91
NA



591
30.00
22.26
NA



595
30.00
25.69
NA



603
2700.00
67.97
2700.00 



617
5000.00
231.44
5000.00 



618
1700.00
558.12
200.00 



619
100.00
224.83
50.00



620
100.00
185.47
100.00 



621
10.00
180.89
10.00



622
30.00
69.41
30.00



623
10.00
73.44
30.00







NA = Not applicable






Example 6. Catabolism Prevention Assay

Representative compounds were screened using primary human chondrocytes to determine their ability to protect against catabolic breakdown by measuring levels of cartilage degradative protease enzymes-matrix metalloproteinases (MMPs).


Human Chondrocyte Cell Culture: Primary human chondrocytes were purchased from Lonza (Walkersville, Md.) and expanded in Chondrocyte Growth Media (CGM, Lonza). Cells between passage 2 and 5 were used for the experiments.


Chondrocyte Protection assay: Chondrocytes were plated at 300,000 cells/well in 2 mL/well Chondrocyte Growth Medium (Lonza; 500 mL Basal Medium, 25 mL FBS, 0.5 mL GA-1000, 1 mL R3-IGF, 2.5 mL bFGF, 0.5 mL Transferrin, and 1 mL Insulin). Cells were incubated at 37° C. and 5% CO2 overnight. Media was replaced with 3 mL of Chondrocyte Growth Medium. Each compound was dissolved in DMSO as a 10 mM stock. Serial dilutions (300 nM, 100 nM, 30 nM) and compound transfer was performed manually with appropriate DMSO backfill for a final DMSO concentration of 0.1%. After 2 hours of incubation at 37° C. and 5% CO2, IL1-β (Peprotech, Rocky Hill, N.J.) was added to a final concentration of 10 ng/mL. 1 well was left unstimulated. Cells were incubated at 37° C. and 5% CO2 for 24 hr. Media was aspirated and washed twice with Phosphate Buffered Saline (ThermoFisher, Waltham, Mass.) then cells were frozen in the plate at −80° C. Total RNA was isolated from the frozen chondrocytes using the RNeasy Mini Kit (Qiagen, Valencia, Calif.). RNA concentrations were measured using the Cytation3 (Biotek Instruments Inc., Winooski, Vt.). cDNA was synthesized from 1 g of RNA using the QuantiTect Reverse Transcription kit (Qiagen, Valencia, Vt.) and a thermal cycler (Bio-Rad, Hercules, Calif.). qRT-PCR was performed with QuantiTect SYBR Green PCR Kit (Qiagen, Valencia, Calif.) and gene-specific primers for MMP-1, MMP-3 and MMP-13, using CFX384 (Bio-Rad, Hercules, Calif.). Transcripts were quantitated by comparative Ct method and normalized to endogenous controls, Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) and 18S. Expression values were normalized to the expression of the unstimulated well on the same plate using Excel (Microsoft Inc.). The normalized averages (fold change over unstimulated) for each compound concentration were calculated.


Table 9 shows the expression values for MMP-1, MMP-3, MMP-13 of representative compounds of Formulas (I)-(VIII) as provided herein.











TABLE 9









Conc (nM) of Max. activity












Compound
MMP-1
MMP-3
MMP-13
















23
18.25
NA
NA



25
40.33
NA
NA



26
NA
NA
59.49



42
NA
NA
NA



46
NA
58.60
NA



52
NA
NA
NA



106
76.01
65.63
83.32



107
NA
NA
63.03



123
13.78
37.44
44.97



219
92.23
80.34
63.39



298
86.58
46.89
50.55



541
90.64
NA
63.55



545
41.79
46.43
NA



572
77.86
58.87
75.49



575
19.31
NA
65.25



580
84.92
84.26
87.48



591
76.26
75.64
89.81



595
76.53
70.04
81.98



603
95.71
98.35
73.09



621
66.60
NA
NA



622
NA
NA
NA



623
48.59
NA
NA







NA = No inhibition






Chondrocyte Protection assay compound screening: Each compound was dissolved in DMSO as a 10 mM stock and used to prepare compound source plates. For the assay, serial dilution (1:3, 11-point dose-response curves from 3 μM to 0.05 nM) and compound transfer was performed using the ECHO 550 (Labcyte, Sunnyvale, Calif.) into 384-well assay plates (Greiner Bio-One) with appropriate DMSO backfill for a final DMSO concentration of 0.1%. Chondrocytes were plated at 8,000 cells/well in 40 μL/well Chondrocyte Differentiation Medium (Lonza; 500 mL Basal Medium, 25 mL FBS, 0.5 mL GA-1000, 1 mL R3-IGF, 2.5 mL bFGF, 0.5 mL Transferrin, and 1 mL Insulin). After 2 hours of incubation at 37° C. and 5% CO2, IL1-β (Peprotech, Rocky Hill, N.J.) was added to a final concentration of 10 ng/mL. 11 wells in 1 row were left unstimulated for normalization and calculating EC50 values. Cells were incubated at 37° C. and 5% CO2 overnight. Assay plates are spun, 25 μl of supernatant media was collected using (S2 pipettor, Apricot Designs). Cells were lysed using 10 μL of (Cell Titer-Glo, Promega). Luminescent signal detected using an En Vision Multilabel reader (Perkin Elmer). MMP-3 levels were measured in supernatant. Supernatant diluted 1:7 in DMEM. MMP-3 levels in the supernatant were measured using MMP-3 LANCE Ultra detection kit (Perkin Elmer). Briefly, 5 μL of diluted supernatant was transferred to low-volume 384 well plates using (S2 pipettor, Apricot Designs). A standard curve was prepared using MMP-3 analyte (range 300,000 μg/mL to 1 μg/mL). 1.7 μL of 8× mix of Eu-labelled anti-MMP-3 antibody and ULight labelled anti-MMP-3 antibody was added to the plates using Mantis Liquid handler (Formulatrix). Plates were incubated overnight at room temperature. LANCE signal was detected using an EnVision Multilabel reader (Perkin Elmer), equipped with TR-FRET using excitation wavelength of 320 nm and two emission wavelengths of 615 nm and 665 nm. Data was analyzed according to the kit protocol, using the ratio of 615 nm/665 nm and the standard curve values were used to calculate the amount of MMP3 in the lysates (in pg/ml). The normalized averages (fold change over IL1-β stimulated) for each compound concentration were calculated. EC50 and maximum % inhibition values were calculated using the dose-response nonlinear regression curve-fit in Dotmatics.


Table 10 shows the activity of representative compounds of Formulas (I)-(VIII) as provided herein.











TABLE 10







Maximum %


Compound
EC50 (μM)
Inhibition

















1
0.0389
100.0


2
0.0004
58.2


3
0.8107
23.7


4
2.9970
99.9


6
0.0022
42.1


8
0.3421
76.0


9
2.9970
65.6


10
0.0015
46.9


11
2.9970
80.0


12
0.2803
88.7


13
3.0000
71.0


14
0.3387
71.9


15
0.0765
100.0


16
0.0087
99.5


17
0.0037
64.7


18
1.0530
25.5


19
2.9970
31.1


20
0.0002
72.6


21
2.9970
92.6


22
0.0178
64.6


23
2.9970
51.7


24
3.0000
74.1


25
2.9970
91.9


26
0.0014
64.6


27
3.0000
88.5


30
2.9970
3.4


31
2.9970
2.4


32
0.0002
77.8


34
2.9970
12.9


35
2.9970
99.3


36
1.6120
ND


37
2.9970
55.1


38
2.9970
97.5


39
0.0478
60.8


43
2.9970
41.9


46
1.0535
100.0


48
2.2683
100.0


49
0.0035
66.1


50
2.9970
44.4


51
2.9970
48.1


53
3.0000
74.9


57
3.0000
54.9


58
0.0108
61.1


59
0.0016
99.2


61
0.0022
69.2


65
2.9970
98.1


66
0.0049
62.6


67
2.9970
48.7


68
2.9970
26.6


69
0.0697
12.3


74
0.0023
62.7


75
0.0080
95.1


76
0.0004
97.9


77
2.9970
84.8


83
0.3034
ND


87
2.2248
100.0


88
2.9970
100.0


89
0.0055
79.8


90
0.0067
29.7


96
0.1797
100.0


99
2.9970
39.6


100
0.6155
8.6


101
2.9970
45.7


102
0.0002
26.3


103
0.3071
36.3


104
0.0071
72.8


105
2.7374
53.1


106
0.8179
100.0


107
2.9970
22.9


108
2.9970
32.1


109
1.1565
100.0


110
1.0796
87.2


111
0.0126
76.2


112
1.1986
88.3


113
2.9970
57.0


114
2.9970
62.8


116
0.0130
61.2


117
0.0442
94.4


118
0.1378
21.1


125
2.9970
ND


130
0.0406
60.5


140
0.0008
76.4


152
1.7070
31.8


173
2.9970
90.2


188
1.0996
100.0


189
0.1107
100.0


192
0.0019
95.5


199
0.0024
80.9


205
0.0208
61.5


208
0.0205
39.0


219
0.0355
87.3


220
0.0136
100.0


222
1.1471
64.9


225
0.845
89.2


241
0.0001
87.1


248
2.9970
40.7


260
2.9970
ND


264
2.9970
81.0


275
2.9970
58.4


284
2.9970
32.9


287
0.0128
74.2


290
0.6042
ND


298
2.9970
23.2


299
0.1702
100.0


341
0.0011
58.2


367
2.9970
75.7


394
0.0179
90.4


431
0.0067
100.0


449
0.3188
100.0


462
1.4680
99.9


490
0.3289
80.2


533
2.9970
40.8


539
0.0328
42.3


540
0.0474
80.7


541
3.0000
95.6


542
0.0095
47.6


543
0.3059
81.8


544
1.0073
63.5


546
0.0004
97.3


547
0.8979
52.1


548
2.9970
62.4


549
2.9970
69.0


550
2.9970
66.9


551
1.0550
100.0


552
0.6971
83.2


553
0.3044
52.3


554
2.9970
53.7


555
2.9970
85.1


556
0.1537
100.0


557
1.6340
50.5


558
2.9970
46.9


559
0.0191
41.2


560
2.9970
63.6


562
0.0881
34.8


563
0.0573
72.4


564
0.0714
0.0


565
0.0122
76.6


566
0.0115
43.8


567
1.3710
69.8


568
2.9970
42.7


569
2.9970
0.2


570
2.9970
80.6


571
0.0350
51.0


572
1.189
96.5


573
2.9970
70.0


574
1.9190
59.5


575
0.0758
41.5


576
2.9970
62.6


578
2.9970
37.6


579
0.4920
91.0


580
2.9970
59.4


582
2.9970
52.2


583
2.9970
67.5


584
0.0715
38.6


585
1.4320
77.9


586
0.0046
41.7


587
0.0187
ND


588
0.0105
74.7


589
2.9970
43.5


590
2.9970
33.2


591
0.423
100.0


592
2.9970
29.7


593
0.0004
62.9


594
0.1434
35.3


595
0.0027
86.2


596
0.7976
39.9


597
0.0029
3.7


599
2.9970
66.4


601
2.9970
91.6


602
0.8974
99.5


603
3.0000
55.5


604
0.0401
57.4


605
2.9970
59.9


606
2.9970
76.1


607
0.4167
79.7


608
2.9970
18.3


609
0.1543
50.2


610
2.9970
30.4


611
0.0087
68.3


612
2.9970
38.6


613
0.0466
51.4


614
2.9970
41.1


616
2.9970
48.3


619
3.0000
71.5


620
0.0374
37.1


621
3.777
46.5


622
0.010
83.8


623
9.985
89.5


625
2.9970
70.9


627
2.9970
90.7


628
2.9970
54.3


629
0.0002
70.0


630
0.0051
67.0


631
0.0067
72.0


632
0.1233
72.2


634
0.0461
83.8


635
0.0040
78.5


636
0.2977
64.5


637
2.9970
39.1


639
2.9970
43.7


641
0.0358
48.4


642
2.9970
29.5





ND = No data





Claims
  • 1. A method of treating osteoarthritis in a subject, the method comprising administering a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof, to a subject identified as having an elevated level of a biomarker associated with inflammation.
  • 2. A method of selecting a subject for treatment, the method comprising: (a) performing a diagnostic test on the subject to confirm osteoarthritis; and(b) selecting the subject for treatment, wherein the treatment includes administration of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 3. The method of claim 2, wherein the diagnostic test comprises at least one of joint aspiration, X-ray, and MRI.
  • 4. A method of selecting a subject for treatment, the method comprising selecting a subject identified as having an elevated level of a biomarker associated with inflammation for treatment with a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits DYRK1A at an IC50 value of less than 100 nM and CLK2 and/or CLK3 at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 5.-8. (canceled)
  • 9. A method of modifying the progression of osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject has an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and(b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 10. A method of treating osteoarthritis in a subject, the method comprising administering a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof, to a subject identified as having an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level.
  • 11. A method of selecting a subject for treatment, the method comprising: (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and(b) selecting the subject for treatment, wherein the treatment includes administration of a single compound, wherein the single compound inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 12. A method of selecting a subject for treatment, the method comprising selecting a subject identified as having an elevated level of Wnt pathway activity in a sample from the subject as compared to a reference level, and treating the subject with a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 13. A method of inducing chondrogenesis in a subject in need thereof, the method comprising (a) detecting an elevated level of Wnt pathway activity in a sample from the subject, as compared to a reference level; and(b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof, wherein the subject exhibits chondrogenesis.
  • 14. A method of treating osteoarthritis in a subject in need thereof, the method comprising: (a) detecting an elevated level of a biomarker associated with inflammation in a sample of the subject; and(b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 15. A method of treating osteoarthritis in a subject in need thereof, the method comprising: (a) identifying a subject, wherein the subject is identified when a sample of the subject has an elevated level of a biomarker associated with inflammation; and(b) administering to the subject a therapeutically effective amount of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 16. A method of selecting a subject for treatment, the method comprising: (a) detecting an elevated level of a biomarker associated with inflammation in a sample of the subject; and(b) selecting the subject for treatment, wherein the treatment includes administration of a single compound, wherein the single compound is a dual DYRK1A/CLK2 and/or CLK3 inhibitor, which inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof.
  • 17.-41. (canceled)
  • 42. The method of claim 1, wherein the method induces chondrogenesis.
  • 43. The method of claim 1, wherein the method induces chondrocyte differentiation.
  • 44. The method of claim 1, wherein the method increases chondrocyte function.
  • 45. The method of claim 1, wherein the method prevents cartilage breakdown.
  • 46. The method of claim 1, wherein the method prevents chondrocyte catabolic effects.
  • 47. The method of claim 1, wherein the method induces cartilage growth.
  • 48. (canceled)
  • 49. The method of claim 1, wherein chondrogenesis is increased compared to the chondrogenesis observed prior to administration of the single compound or a pharmaceutically acceptable salt of solvate thereof.
  • 50.-59. (canceled)
  • 60. The method of claim 1, wherein the administration of the single compound or a pharmaceutically acceptable salt or solvate thereof, is parenteral.
  • 61. The method of claim 1, wherein the administration of the single compound or a pharmaceutically acceptable salt or solvate there is intra-articular.
  • 62. The method of claim 61, wherein the intra-articular administration is ultrasound-guided.
  • 63. The method of claim 61, wherein the administration is directed to one or more joints.
  • 64. The method of claim 63, wherein the one or more joints is selected from the group consisting of: shoulder, elbow, wrist, finger, sacroiliac, hip, knee, ankle, toe, and neck.
  • 65. (canceled)
  • 66. The method of claim 61, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, is administered once.
  • 67. (canceled)
  • 68. The method of claim 61, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, is administered more than once with each injection separated by at least 1 week.
  • 69. (canceled)
  • 70. The method of claim 61, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, is administered more than once with each injection separated by at least 3 months.
  • 71. (canceled)
  • 72. The method of claim 61, wherein the single compound or a pharmaceutically acceptable salt or solvate is administered more than once with each injection separated by 3 months to 60 months.
  • 73. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (I):
  • 74. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (II):
  • 75. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (III):
  • 76. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (IV):
  • 77. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (V):
  • 78. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (VI):
  • 79. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (VII):
  • 80. The method of claim 1, wherein the first compound, the second compound, and the dual DYRK1A/CLK2 and/or CLK3 inhibitor are each independently selected from a compound of Formula (VIII):
  • 81.-87. (canceled)
  • 88. The method of claim 1, wherein the dual DYRK1A/CLK2 and/or CLK3 inhibitor is substantially present as a non-stoichiometric hydrate having between 1% and 20% by weight water.
  • 89. The method of claim 1, wherein the single compound is selected from the group consisting of: a compound in Table 3, or a pharmaceutically acceptable salt or solvate thereof, and combinations thereof.
  • 90. The method of claim 1, wherein the dual DYRK1A/CLK2 and/or CLK3 inhibitor is N-(5-(3-(7-(3-fluorophenyl)-3H-imidazo[4,5-c]pyridin-2-yl)-1H-indazol-5-yl)pyridin-3-yl)-3-methylbutanamide, or a pharmaceutically acceptable salt or solvate thereof.
  • 91. The method of claim 90, wherein the N-(5-(3-(7-(3-fluorophenyl)-3H-imidazo[4,5-c]pyridin-2-yl)-1H-indazol-5-yl)pyridin-3-yl)-3-methylbutanamide is substantially present as a non-stoichiometric hydrate of Form 1 having between 1% and 20% by weight water.
  • 92.-97. (canceled)
  • 98. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, has an IC50 between about 100 pM and about 10 μM for DYRK1A.
  • 99. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, has an IC50 between about 100 pM and about 10 μM for CLK2 and/or CLK3.
  • 100. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, has an IC50 between about 1 nM and about 1 μM for DYRK1A.
  • 101. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, has an IC50 between about 1 nM and about 1 μM for CLK2 and/or CLK3.
  • 102. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, has an IC50 between about 1 nM and about 100 nM for DYRK1A
  • 103. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt or solvate thereof, has an IC50 between about 1 nM and about 100 nM for CLK2 and/or CLK3.
  • 104. The method of claim 9, wherein the level of Wnt pathway activity is the level of β-catenin expression.
  • 105. The method of claim 9, wherein the Wnt pathway activity is detection of a mutation in a Wnt pathway gene comprising at least one of gain-of-function mutation in a β-catenin gene, a loss-of-function mutation in an AXIN gene, a loss-of-function mutation in an AXIN2 gene, a loss-of-function mutation in a APC gene, a loss-of-function mutation in a CTNNβ1 gene, a loss-of-function mutation in a Tsc1 gene, a loss-of-function mutation in a Tsc2 gene, a loss-of-function mutation GSK3β gene, a loss-of-function mutation in a SFRP3 gene, a loss-of-function mutation in a Wnt7b gene, a loss-of-function mutation in a WISP1 gene, a loss-of-function mutation in a DKK1 gene, a loss-of-function mutation in a DOTL1 gene, a loss-of-function mutation in a FZDB gene, a loss-of-function mutation in a LRP5 gene, and a loss-of-function mutation in a LRP6 gene.
  • 106. The method of claim 9, wherein the Wnt pathway activity is detection of an elevated level of expression of one or more Wnt-upregulated genes.
  • 107. The method of claim 106, wherein the one or more Wnt-upregulated genes are selected from the group consisting of: CCND1, CXCL12, LRP5, MMP7, MMP9, LEF1, AXIN2, MYC, TCF7L2, TCF7, LRP6, DVL2, BIRC, ERRB2, MAPK8, PKN1, ABCB1, ADAM10, ALEX1, ASCL2, BAMBI, BCL2L2, BIRC5, BMI1, BMP4, CCND1, CD44, CDKN2A, CDXI, CEBPD, CLDN1, COX2, DNMT1, EDN1, EFNB1, ENC1, EPHB2, EPHB3, FGF18, FGFBP, FRA1, FSCN1, FZD7, FZD8, GAST, HEF1, HES1, ID2, ITF2, JAG1, JUN, L1CAM, LAMC2, LGR5, MENA, MET, MMP14, MYB, MYCBP, NOS2, NOTCH2, NRCAM, PLAU, PLAUR, PPARD, S100A4, S100A6, SGK1, SMC3, SOX9, SP5, SRSF3, SUZ12, TCF1, TIAM1, TIMP-1, TN-C, VEGF, WNT-5a, WNT-5b, WNT11, and YAP.
  • 108. The method of claim 1, wherein the biomarker associated with inflammation is selected from the group consisting of cytokines/chemokines, white blood cell count, modified Glasgow Prognostic Score, neutrophil to lymphocyte ratio, platelet to lymphocyte ratio, T17 lymphocytes, C reactive protein, serum amyloid A, reactive oxygen species, reactive nitrogen species, oxidatively/nitrossatively modified DNA or proteins, 3-Nitrotyrosine, 8-oxodg or 8-OHdG, 8-Iso-PGF2alpha, malonaldehyde, 4-Hydroxynonenal prostaglandin levels, COX2 expression, NF-κB activation, STAT3 activation, cartilage oligomeric matrix protein, ARGS, ADAMTS5, and combinations thereof.
  • 109. The method of claim 108, wherein the biomarker is a cytokine.
  • 110. The method of claim 109, wherein the cytokine is selected from the group consisting of IL-1α, IL-1β, IL-2, IL-4, IL-5, IL-6, IL-7, IL-8, IL-10, IL-12/IL23p40, IL-13, IL-15, IL-16, IL-17A, IL-17F, IL-21, IL-23, TNFα, TNF-β, IFN-γ, CXCL1, CD38, CD40, CD69, IgG, IP-10, L-17A, MCP-1, PGE2, sIL-2, sIL-6, and combinations thereof.
  • 111.-112. (canceled)
  • 113. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt of solvate thereof, has an EC50 between about 100 pM and about 1 μM in an assay measuring Wnt pathway activity.
  • 114. The method of claim 1, wherein the single compound or a pharmaceutically acceptable salt of solvate thereof, has at least 30-fold selectivity for CLK2 and/or CLK3 compared to a reference CLK2 and/or CLK3 inhibitor and at least 30-fold selectivity for DYRK1A compared to a reference DYRK1A inhibitor.
  • 115. The method of claim 1, wherein the subject has a total WOMAC score of 36 to 72.
  • 116. The method of claim 1, wherein the subject has a Kellgren-Lawrence grade of 2 or 3.
  • 117. The method of claim 1, wherein the subject has a score of X on the Numeric Pain Rating Scale.
  • 118. The method of claim 1, wherein the method increases a joint space width by at least 0.15 mm from the point of intra-articular administration.
  • 119. The method of claim 1, wherein the method results in an increase in the cartilage thickness by at least 0.15 mm from the point of intra-articular administration.
  • 120. The method of claim 119, wherein the subject has about 2 to about 4 mm of baseline cartilage prior to intra-articular administration.
  • 121. (canceled)
  • 122. The method of claim 1, wherein administration of the single compound or pharmaceutically acceptable salt or solvate thereof, decreases a subject's WOMAC total score, as compared to the subject's WOMAC total score prior to administration.
  • 123. (canceled)
  • 124. The method of claim 1, wherein administration of the single compound or pharmaceutically acceptable salt or solvate thereof, decreases a subject's WOMAC function score, as compared to the subject's WOMAC function score prior to administration.
  • 125. (canceled)
  • 126. The method of claim 1, wherein administration of the single compound or pharmaceutically acceptable salt or solvate thereof, decreases a subject's WOMAC pain score, as compared to the subject's WOMAC pain score prior to administration.
  • 127. (canceled)
  • 128. The method of claim 1, wherein administration of the single compound, or pharmaceutically acceptable salt or solvate thereof, decreases a subject's WOMAC stiffness score, as compared to the subject's WOMAC stiffness score prior to administration.
  • 129. The method of claim 1, wherein administration of the single compound, or pharmaceutically acceptable salt or solvate thereof, decreases a subject's NRS score, as compared to the subject's NRS score prior to administration.
  • 130.-131. (canceled)
  • 132. A pharmaceutical composition comprising a therapeutically effective amount of a single compound, wherein the single compound inhibits CLK2 and/or CLK3 at an IC50 value of less than 100 nM and DYRK1A at an IC50 value of less than 100 nM, or a pharmaceutically acceptable salt or solvate thereof, and one or more pharmaceutical excipients
  • 133. (canceled)
  • 134. The pharmaceutical combination of claim 132, further comprising at least one pharmaceutically acceptable carrier.
RELATED APPLICATION

This application claims the benefit of U.S. Provisional Application No. 62/793,855, filed Jan. 17, 2019, which is incorporated herein by reference in its entirety.

PCT Information
Filing Document Filing Date Country Kind
PCT/US2020/013995 1/17/2020 WO
Provisional Applications (1)
Number Date Country
62793855 Jan 2019 US