NEW INDICATION OF PAROXETINE PHARMACEUTICAL COMPOSITION FOR TREATING CANCER

Information

  • Patent Application
  • 20170304286
  • Publication Number
    20170304286
  • Date Filed
    October 23, 2015
    9 years ago
  • Date Published
    October 26, 2017
    7 years ago
Abstract
A method for treating a cancer includes administering to a subject in need thereof a pharmaceutical composition containing a therapeutically effective amount of Paroxetine or a pharmaceutical acceptable salt thereof. The cancer is selected from the group consisting of pleural-related cancer, abdominal-related cancer, endocrine-related cancer, gastrointestinal tract-related cancer, osteosarcoma, skin cancer, and blood cancer. The pleural-related cancer is lung cancer. The abdominal-related cancer is selected from bladder cancer, cervical cancer, and kidney cancer. The endocrine-related cancer is selected from prostate cancer, breast cancer, and ovarian cancer. The gastrointestinal tract-related cancer is selected from gastric cancer, hepatic cancer, colorectal cancer, pancreatic cancer, and tongue cancer.
Description
FIELD OF THE INVENTION

The present invention related to a new indication of Paroxetine pharmaceutical composition, especially related to inhibition effect of Paroxetine pharmaceutical composition on a variety of cancer cells.


BACKGROUND OF THE INVENTION

Cancer is the most popular disease cause of death in the world. The cancer patients are gradually increase yearly, therefore the treatment method of the cancer has become an important issue. The medical treatments of cancer can be classified as surgical treatment, radiation therapy, chemotherapy and target therapy. Generally, the cancer drug, whether chemotherapy drug or target therapy drug, is to inhibit cancer cells duplication and split to prevent the tumor growth and metastasis.


Recently, the drug design for cancer is mainly focused on development of high-specific drug molecules or target-based antibody. Averagely, only about five of 10,000 new drugs can successfully enter the phase I of clinical trials.


Otherwise, the manufacturing of the drug is also a big problem. When the drug starting the clinical trials, there are lots of problems need to overcome, such as drug safety, patient selection, trial dose and other issues. Even the drug has approved by the FDA and sales on the market, there still possibly face the situation of the poor drug response in patients. Furthermore, if the cancer patients happen the drug resistance, that would reduce the effectiveness of the drugs and result in the medical treatment failure. Therefore, the new drug development is very difficult.


Paroxetine, also known by the trade names Paxil and Seroxat, is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. It is used to treat major depressive disorder, obsessive-compulsive disorder, social anxiety disorder, panic disorder, posttraumatic stress disorder, generalized anxiety disorder and premenstrual dysphoric disorder. Paroxetine is approved by FDA and accumulated a huge data of drug use and drug mechanism research.


Due to the differences of the clinical use, there is no research present that the paroxetine has any potential to inhibit cancer cell.


SUMMARY OF THE INVENTION

In order to solve the above problems, the present invention provide the development of new cancer clinical indications of Paroxetine.


Accordingly, the present invention provides a new indication of Paroxetine. The experimental results showed that the Paroxetine had no toxicity or had little toxicity to normal cells in the present invention.


The present invention provides a pharmaceutical composition of Paroxetine for treating cancer. The pharmaceutical composition is composed of effective dose of Paroxetine and a pharmaceutical acceptable salt.


In one embodiment of the present invention, the cancer is selected from pleural-related cancer, abdominal-related cancer, endocrine-related cancer, gastrointestinal tract-related cancer.


In one embodiment of the present invention, the cancer is selected from osteosarcoma, skin cancer and blood cancer.


In one embodiment of the present invention, the pleural-related cancer is lung cancer.


In one embodiment of the present invention, the abdominal-related cancer is selected from bladder cancer, cervical cancer and kidney cancer.


In one embodiment of the present invention, the endocrine-related cancer is selected from prostate cancer, breast cancer, and ovarian cancer.


In one embodiment of the present invention, the gastrointestinal tract-related cancer is selected from gastric cancer, hepatic cancer, colorectal cancer, pancreatic cancer, and tongue cancer.


In one embodiment of the present invention, the effective dose of Paroxetine is from 20 mg/kg/day to 500 mg/kg/day.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 shows the results of the inhibitory effect of the different cancer cells by Paroxetine.



FIG. 2 shows the results of the inhibitory effect of gastric tumor volume by Paroxetine.



FIG. 3 shows the inhibitory effect of gastric tumor growth via administered high-dose and low-dose of Paroxetine.





DETAILED DESCRIPTION OF THE INVENTION

Cell Culture


Subculture the different types of cancer cells. The cancer cells includes lung cancer, gastric cancer, hepatic cancer, colon cancer, skin cancer, cervical cancer, prostate cancer, bladder cancer, breast cancer, leukemia, pancreatic cancer, ovarian cancer, tongue cancer, osteosarcoma, and renal cancer. The normal cells used in the control group included kidney cells (HEK293), canine fibroblast cell line HFW, and human bronchial epithelial cell line BEAS-2B. (as shown in Table 1).


Cancer cell lines were cultured in different culture medium according to different characteristics (as shown in Table 1). The cell numbers were counted and reseed as 2×106 in culture plate/flask. Then, the culture medium were added to a volume of 10 ml, and the cells were cultured for 2-3 days. Then, the cells were suspended for loading into 96-well plates. The number of cells was 3000 and the volume of the culture medium was 100 μl each well.









TABLE 1







Cancer cell lines and culture medium













Culture


No
Cancer type
Cancer cell type
medium













1
lung cancer
H1650 (lung adenocarcinoma)
RPMI-1640




A549 (lung adenocarcinoma)
DMEM


2
gastric cancer
AGS (Gastric Adenocarcinoma)
RPMI-1640




MKN-45 (Gastric
RPMI-1640




Adenocarcinoma)


3
hepatic cancer
HepG2 (hepatocellular
DMEM




carcinoma)
DMEM




Hep3B (hepatocellular




carcinoma)


4
colon cancer
HCT116(p53+) (colorectal
DMEM




carcinoma)
DMEM




LoVo(Colorectal




Adenocarcinoma)


5
skin cancer
A375 (amelanotic melanoma)
DMEM




BCC (basal cell carcinoma)
DMEM


6
cervical cancer
HeLa (CervixAdenocarcinoma)
DMEM




C-33A (Cervical carcinoma)
MEM




BCRC60554


7
prostate cancer
PC3 (p53−)(Prostate
DMEM




adenocarcinoma)
RPMI-1640




LNCaP clone FGC




(LNCap.FGC)


8
bladder cancer
8301 (urinary bladder
RPMI-1640




carcinoma)
RPMI-1640




T24


9
breast cancer
MCF7 (Mammary Gland,
DMEM




Adenocarcinoma)
DMEM




MDA-MB-231 (Mammary




Gland, Adenocarcinoma)


10
pancreatic cancer
BxPC-3
RPMI-1640




AsPC-1
RPMI-1640


11
ovarian cancer
NIH: OVCAR-3
RPMI-1640




TOV-21G
RPMI-1640


12
tongue cancer
SAS (Tongue squamouscell
DMEM




carcinoma)


13
osteosarcoma
U-2OS
DMEM


14
renal cancer
786-O (Renal adenocarcinoma)
RPMI-1640




BCRC 60243


15
normal cell kidney
HEK293 (Kidney), MDCK,
DMEM



pulmonary
VERO
RPMI-1640



epithelial cell line
BEAS-2B (Lung Epithelial)









Cell Viability Analysis


Removing the original culture medium from 96-well plate. Then add 100 μl of commercially drug at a concentration of 10 μM per well. After 72 hours, add the diluted WST-1 reagent to the well with 100 μl/well, and the diluted WST-1 reagent was acquired from the dilution of 9:1 medium and WST-1 stock reagent. Finally, the total volume of each well was 200 μl/well. Culture the 96-well plate at 37° C. for 30 to 90 minutes. Detecting and calculate the survival rate of each cancer cells with an ELISA reader at OD450 nm. The lower viability of cancer cells represents better inhibition effect via the Paroxetine drug. Otherwise, the higher viability of cancer cells represents worse inhibition effect via the Paroxetine drug.


The Effect of Paroxetine on Different Cancer Cell Lines


The Inhibition Effect of Paroxetine on Pleural-Related Cancer Cells


This inhibition test of Paroxetine on pleural-related cancer cells were using two lung cancer cell lines A549 and H1650. The inhibitory tests of Paroxetine were performed 4 times for each cell lines and then the average value of the inhibitory tests was calculated. The results were shown in Table 2.









TABLE 2





The inhibition effect of Paroxetine


on pleural-related cancer cell lines





















0524-10
0526-10
0529-10
0531-10




min
min
min
min
Average





A549
84.19
127.41
54.01
104.12
92.43






1-10
2-20
3-20
4-20



min
min
min
min
Average





H1650
66.4
31.6
58.2
71.3
56.9









The Inhibition Effect of Paroxetine on Abdominal-Related Cancer Cell Lines


This inhibition test of Paroxetine on abdominal-related cancer cells were using bladder cancer cell lines TSGH and T24 (Table 3), cervical cancer cell lines HeLa and C-33A (Table 4), renal cancer cell line 786-O (Table 5).The inhibitory tests of Paroxetine were performed 4 times for each cell lines and then the average value of the inhibitory tests was calculated. The results were shown in Table 3, Table 4, and Table 5.









TABLE 3





The inhibition effect of Paroxetine on bladder cancer cell lines





















0510-10
0512-10
0515-10
0517-10




min
min
min
min
Average





TSGH
37.09
37.39
36.75
42.18
38.4






1-30
2-20
3-20
4-20



min
min
min
min
Average





T24
111.7
85.2
101.5
101.5
99.9
















TABLE 4







The inhibition effect of Paroxetine on cervical cancer cell lines













0524-10 min
0526-10 min
0529-10 min
0531-10 min
Average
















HeLa
52.61
78.32
50.99
73.36
63.82


C-
33.2
32.1
31.7
35.8
33.2


33A
















TABLE 5







The inhibition effect of Paroxetine on renal cancer cell line













0524-10 min
0526-10 min
0529-10 min
0531-10 min
Average
















786-
35.2
24.0
14.6
22.3
24.0


O









The Inhibition Effect of Paroxetine on Endocrine-Related Cancer Cell Lines


This inhibition test of Paroxetine on endocrine-related cancer cells were using prostate cancer cell lines PC-3 and LNCap (Table 6), breast cancer cell lines MCF7 and MDA-MB-231 (Table 7),and ovarian cancer cell linesNIH-OVCAR-3 and TOV-21G(Table 8). The inhibitory tests of Paroxetine were performed 4 times for each cell lines and then the average value of the inhibitory tests was calculated. The results were shown in Table 6, Table 7, and Table 8.









TABLE 6





The inhibition effect of Paroxetine on prostate cancer cell lines





















PC-3-0524-
PC-3-0526-
PC-3-0529-
PC-3-0531-
Aver-



10 min
10 min
10 min
10 min
age





PC-3
33.52
61.61
39.26
41.84
44.06
















LNCap-1-
LNCap-2-
LNCap-3-
LNCap-4-




10 min
20 min
20 min
20 min
Average





LNCap
65.9
61.7
80.9
78.3
71.7
















TABLE 7







The inhibition effect of Paroxetine on breast cancer cell lines
















0619-




0612-10 min
0614-10 min
0616-10 min
10 min
Average
















MCF7
47.71
49.97
55.41
51.60
51.17


MDA-
47.94
35.88
42.04
41.18
41.76


MB-231
















TABLE 8







The inhibition effect of Paroxetine on ovarian cancer cell lines













7-3-30 min
7-4-30 min
7-7-30 min

Average




















7-4-






30 min


NIH-
80.2
81.9
83.9
97.8
86.0


OVCAR-3






4-30






min


TOV-21G
93.5
79.7
89.2
86.1
87.1









The Inhibition Effect of Paroxetine on Gastrointestinal Tract-Related Cancer Cell Lines


This inhibition test of Paroxetine on gastrointestinal tract-related cancer cells were using gastric cancer cell lines AGS and MKN-45 (Table 9), hepatic cancer cell lines HepG2 and Hep3B (Table 10), colorectal cancer cell lines HCT116-wt and LoVo (Table 11), pancreatic cancer cell lines AsPC-1 and BxPC-3 (Table 12), and tongue cancer cell line SAS (Table 13).The inhibitory tests of Paroxetine were performed 4 times for each cell lines and then the average value of the inhibitory tests was calculated. The results were shown in Table 9, Table 10, Table 11, Table 12and Table 13.









TABLE 9







The inhibition effect of Paroxetine on gastric cancer cell lines
















0517-




0510-10 min
0512-10 min
0515-10 min
10 min
Average
















AGS
12.02
11.10
12.65
12.85
12.2


MKN-
36.20
52.00
37.76
36.02
40.5


45
















TABLE 10





The inhibition effect of Paroxetine on hepatic cancer cell lines
























0531-




0524-20 min
0526-20 min
0529-20 min
20 min
Average





HepG2
66.44
58.28
50.07
41.73
54.13









0619-



0612-20 min
0614-20 min
0616-20 min
20 min
Average





Hep3B
69.85
67.38
66.16
60.90
66.07
















TABLE 11





The inhibition effect of Paroxetine on colorectal cancer cell lines
























0609-




0602-30 min
0605-10 min
0607-10 min
10 min
Average





HCT116-
23.78
30.62
29.66
29.47
28.38


wt



















0623-




0616-10 min
0619-10 min
0621-10 min
10 min
Average





LoVo
54.11
51.54
77.28
48.93
57.97
















TABLE 12





The inhibition effect of Paroxetine on pancreatic cancer cell lines
























1-4-




1-7-3-30 min
1-7-4-30 min
1-7-7-30 min
30 min
Average





AsPC-1
78.8
87.3
69.3
72.5
77.0









3-4-



3-7-3-30 min
3-7-4-30 min
3-7-7-30 min
30 min
Average





BxPC-3
59.7
93.7
70.6
87.0
77.7
















TABLE 13







The inhibition effect of Paroxetine on tongue cancer cell line













6-26-10 min
6-28-10 min
6-30-10 min
7-3-10 min
Average
















SAS
48.20
26.74
57.97
73.09
51.50









The Inhibition Effect of Paroxetine on Other Cancer Cell Lines


This inhibition test of Paroxetine on other cancer cells were using osteosarcoma cell line U2OS (Table 14), skin cancer cell lines A375 and BCC (Table 15). The inhibitory tests of Paroxetine were performed 4 times for each cell lines and then the average value of the inhibitory tests was calculated. The results were shown in Table 14 and Table 15.









TABLE 14







The inhibition effect of Paroxetine on osteosarcoma cancer cell line
















7-3-




6-26-10 min
6-28-10 min
6-30-10 min
10 min
Average
















U2OS
40.61
30.75
30.29
31.10
33.19
















TABLE 15







The inhibition effect of Paroxetine on skin cancer cell lines
















0609-




0602-30 min
0605-10 min
0607-10 min
10 min
Average
















A375
46.75
44.40
35.38
48.77
43.83


BCC
42.13
52.62
41.11
97.05
58.23









The Experiment Design on Control Group


The Inhibition Effect of Paroxetine on Normal Cells


This inhibition test of Paroxetine on normal cells were using normal kidney cell line HEK293 (Table 16) and normal pulmonary epithelial cell lines BEAS-2B (Table 17). The inhibitory tests of Paroxetine were performed 4 times for each cell lines and then the average value of the inhibitory tests was calculated. The results were shown in Table 16 and Table 17.









TABLE 16







The inhibition effect of Paroxetine on normal kidney cell line
















0609-




0602-30 min
0605-30 min
0607-30 min
30 min
Average
















HEK293
64.91
76.80
76.05
67.85
71.40
















TABLE 17







The inhibition effect of Paroxetine on normal pulmonary epithelial


cell line
















0517-




0510-10 min
0512-10 min
0515-10 min
10 min
Average
















BEAS-2B
100.97
102.64
96.40
94.56
98.64









This inhibition test results of Paroxetine on all kinds of cells were shown in Table 18. It is clear that Paroxetine has a significant inhibitory effect on several cancer cell lines. As a result in the experiments of the present invention, Paroxetine has a significant inhibitory effect on various cancer cells. (FIG. 1)









TABLE 18







Summary of the Effect on different cancer cell lines by Paroxetine










cancer cells
Inhibitory effect














lung cancer
74.64462204



bladder cancer
69.1



cervical cancer
63.82



prostate cancer
44.06



breast cancer
46.47



ovarian cancer
86.5



gastriccancer
26.3



hepatic cancer
60.10



colorectal cancer
43.17



pancreatic cancer
77.4



tongue cancer
51.50



osteosarcoma
33.19



skin cancer
51.03



renal cancer
72.5



kidney cell
71.40



pulmonary epithelial cell line
98.64










Animal Model Test of Gastric Cancer with Dose 100 mg/kg/day and 200 mg/kg/day


In this invention, the female mice were (BALB/cAnN.Cg-Foxn1nu/CrlNarl) purchased from National Laboratory Animal Center (Taiwan). The weight of the mice were 21±1 g. These mice were subcutaneously injected with gastric cancer cells (AGS) and then put these mice into different cage sat random. The drug test experiment was divided into three groups, include “control group”, “low dose group (100 mg/kg/day)”, and “high dose group (200 mg/kg/day)”. These mice were then injected test drug intraperitoneally once daily until the tumor size reached 100 mm3. The tumor sizes and body weight were measured twice a week. The tumor sizes were measured and calculated by formula: (L×W2)/2. L represents the tumor longest length. W represents the tumor shortest diameter. The experiment results were shown in Table 19.









TABLE 19





The inhibitory effect of tumor volume via administered Paroxetine


















control group











Tumor
low concentration (100 mg/kg/day)


















longest


volume

longest





weight
length
width
volume
growth
weight
length
width
volume



(g)
mm
mm
mm3
mm3
(g)
mm
mm
mm3











First measurement
















A
18.5
7
7
171.5
171.5
19
7
5
87.5


B
22
8
6
144
144
19
8
6
144


C
20.5
9
8
288
288
18
6
6
108


average



201.1667
201.1667



113.1667







Second measurement
















A
22
7
6
126
−45.5
19
6
5
75


B
20
8
7
196
52
21
7
6
126


C
20
9
7
220.5
−67.5
20
7
6
126


average



180.8333
−20.3333



109







Third measurement
















A
23
9
6
162
36
20.5
7
6
126


B
20
10
8
320
124
23.5
7
4
56


C
21
11
7
269.5
49
19
7
5
87.5


average



250.5
69.667



89.833







Fourth measurement
















A
23
11
7
269.5
107.5
22
6
6
108


B
22
10
6
180
−140
22
4
4
32


C
23
11
8
352
82.5
20
6
5
75


average



267.1667
16.667



71.667







Fifth measurement
















A
22
12
8
384
114.5
22
6
6
108


B
22
11
8
352
172
20
4
5
50


C
23
12
9
486
134
20
4
4
32


average



407.33
140.167



63.333












high concentration (200 mg/kg/day)



















Tumor





longest


volume



low concentration (100 mg/kg/day)
weight
length
width
volume
growth



Tumor volume growth mm3
(g)
mm
mm
mm3
mm3











First measurement













A
87.5
19
6
4
48
48


B
144
18.5
8
5
100
100


C
108
20
7
5
87.5
87.5


average
113.1667



78.5
78.5







Second measurement













A
−12.5
20
6
4
48
0


B
−18
23
5
3
22.5
−77.5


C
18
20
7
5
87.5
0


average
−4.16667



52.66667
−25.8333







Third measurement













A
51
19
5
4
40
−8


B
−70
18.5
0
0
0
−22.5


C
−38.5
18.5
0
0
0
−87.5


average
−19.167



13.333
−39.33







Fourth measurement













A
−18
20
0
0
0
−40


B
−24
21
0
0
0
0


C
−12.5
20
0
0
0
0


average
−18.167



0
−13.33







Fifth measurement













A
0
21
0
0
0
0


B
18
20
0
0
0
0


C
−43
20
0
0
0
0


average
−8.333



0
0









According to the results in FIG. 2, both low dose and high dose of Paroxetine had significant inhibition effect on tumor cells, and the weight of mice did not show a significant decrease during the experiment. These results indicate that both high and low doses of Paroxetine could keep the tested mice in healthy status during the treatment without death.


According to the results in FIG. 3, both low dose and high dose of Paroxetine had effectively slow down the tumor volume growth, and can also reduce the tumor volume. Especially, high doses of Paroxetine had better effect to inhibit tumor growth.


Although the present invention has been described in terms of specific exemplary embodiments and examples, it will be appreciated that the embodiments disclosed herein are for illustrative purposes only and various modifications and alterations might be made by those skilled in the art without departing from the spirit and scope of the invention as set forth in the following claims.

Claims
  • 1. A method for treating a cancer comprising: administering to a subject in need thereof a pharmaceutical composition comprising a therapeutically effective amount of Paroxetine or a pharmaceutical acceptable salt thereof.
  • 2. The method of claim 1, wherein the cancer is selected from the group consisting of pleural-related cancer, abdominal-related cancer, endocrine-related cancer, and gastrointestinal tract-related cancer.
  • 3. The method of claim 1, wherein the cancer is selected from the group consisting of osteosarcoma, skin cancer, and blood cancer.
  • 4. The method of claim 2, wherein the pleural-related cancer is lung cancer.
  • 5. The method of claim 2, wherein the abdominal-related cancer is selected from the group consisting of bladder cancer, cervical cancer, and kidney cancer.
  • 6. The method of claim 2, wherein the endocrine-related cancer is selected from the group consisting of prostate cancer, breast cancer, and ovarian cancer.
  • 7. The method of claim 2, wherein the gastrointestinal tract-related cancer is selected from the group consisting of gastric cancer, hepatic cancer, colorectal cancer, pancreatic cancer, and tongue cancer.
  • 8. The method of claim 1, wherein the effective amount of Paroxetine is from 20 mg/kg/day to 500 mg/kg/day.
CROSS-REFERENCE TO RELATED APPLICATIONS

This is a National Phase Application filed under 35 U.S.C. 371 as a national stage of PCT/CN2015/092780 filed Oct. 23, 2015, an application claiming the benefit under 35 USC 119(e) to the following U.S. Provisional Applications No. 62/068,298 filed Oct. 24, 2014, the content of each of which is hereby incorporated by reference in its entirety.

PCT Information
Filing Document Filing Date Country Kind
PCT/CN2015/092780 10/23/2015 WO 00
Provisional Applications (1)
Number Date Country
62068298 Oct 2014 US