Patent Application
20170362292
The content of the ASCII text file of the sequence listing named “20151227_034044_155WO1_seq_ST25” which is 41.7 kb in size was created on Dec. 27, 2015 and electronically submitted via EFS-Web herewith the application is incorporated herein by reference in its entirety.
The present invention generally relates to S-alkylated hepcidin peptides and methods of making and using thereof.
Hepcidin, a peptide hormone produced by the liver, is a regulator of iron homeostasis in humans and other mammals. Hepcidin acts by binding to its receptor, the iron export channel ferroportin, and causing its internalization and degradation. Human hepcidin is a 25-amino acid peptide (Hep25). See Krause et al. (2000) FEBS Lett 480:147-150, and Park et al. (2001) J Biol Chem 276:7806-7810. The structure of the bioactive 25-amino acid form of hepcidin is a simple hairpin with 8 cysteines that form 4 disulfide bonds as described by Jordan et al. (2009) J Biol Chem 284:24155-67. The N terminal region is required for iron-regulatory function, and deletion of 5 N-terminal amino acid residues results in a loss of iron-regulatory function. See Nemeth et al. (2006) Blood 107:328-33.
Abnormal hepcidin activity is associated with iron overload diseases which include hereditary hemochromatosis and iron-loading anemias and myelodysplasia. Hereditary hemochromatosis (HH) is a genetic iron overload disease that is mainly caused by hepcidin deficiency, or very rarely by hepcidin resistance. This allows excessive absorption of iron from the diet and development of iron overload. Clinical manifestations of HH may include liver disease (hepatic cirrhosis, hepatocellular carcinoma), diabetes, and heart failure. Currently, the only treatment for HH is regular phlebotomy, which is effective but very burdensome for the patients.
Iron-loading anemias are hereditary anemias with ineffective erythropoiesis such as β-thalassemia, which are accompanied by severe iron overload. Complications from iron overload are the main cause of morbidity and mortality for these patients. Hepcidin deficiency is the main cause of iron overload in untransfused patients, and contributes to iron overload in transfused patients. The current treatment for iron overload in these patients is iron chelation which is very burdensome, sometimes ineffective and accompanied by frequent side effects.
Mini-hepcidin peptides disclosed in WO 2010/065815 and modified mini-hepcidin peptides disclosed in WO 2013/086143 exhibit hepcidin activity and can be used to modulate iron metabolism and treat diseases of iron metabolism. Many of these mini-hepcidin peptides contain an unprotected free-cysteine residue, e.g., at the A7 amino acid position. Unfortunately, peptide-based therapeutics that contain and/or release free sulfhydryl group(s) can be problematic as they may exhibit (1) decreased stability associated with inherent free-thiol reactivity (S-alkylation/oxidation), and/or (2) dermatological side effects (e.g. skin eruptions).
In some embodiments, the present invention is directed to an S-alkylated hepcidin peptide having the following Structural Formula IA or IB
A1-A2-A3-A4-A5-A6-A7-A8-A9-A10 IA
A10-A9-A8-A7-A6-A5-A4-A3-A2-A1 IB
wherein
wherein
n is 1 or 2 and one or more of the hydrogens bonded to the Cn atom(s) may be substituted with a (C1-C3)alkyl,
X1 and X2 are each independently selected from the group consisting of H, alkyl, alkoxy, alkoxycarbonyl, cycloalkyl, aryl, heteroaryl, heterocycloalkyl, acyl, sulfonyl, alkyl sulfonyl, alkylamino, alkylaminocarbonyl, dialkylaninocarbonyl, carboxyl, and carbamoyl;
wherein the carboxy-terminal amino acid is in amide or carboxy-form; and
wherein A1, A1 to A2, A10, or a combination thereof are optionally absent. In some embodiments, the S-alkylated hepcidin peptide has an amino acid sequence selected from SEQ ID NOs: 1-101 with at least one amino acid substitution, said at least one amino acid substitution has the Structural Formula A. In some embodiments, the amino acid residue having Structural Formula A corresponds to a thiol containing amino acid of SEQ ID NOs: 1-101. In some embodiments, the amino acid residue having Structural Formula A is A7. In some embodiments, A1 is Ida, A2 is Thr, A3 is His, A4 is Dpa, A5 is bhPro, A6 is Arg, A8 is Arg, A9 is bhPhe, and A10 is Ahx-Ida(NHPal). In some embodiments, X1 and X2, are each independently selected from the group consisting of H, phenyl,
wherein R1 and R1′ are each independently selected from the group consisting of H, methyl, (C2)alkyl, (C3)alkyl, (C4)alkyl, (C1-C5)alkyl, (C6)alkyl, (C7)alkyl, (C8)alkyl, (C9)alkyl, and (C10)alkyl; and R2 is —NR1R1′, methyl, (C2)alkyl, (C3)alkyl, (C4)alkyl, (C1-C5)alkyl, (C6)alkyl, (C7)alkyl, (C8)alkyl, (C9)alkyl, and (C10)alkyl. In some embodiments, R1 and R1′ are each independently selected from the group consisting of H, methyl, ethyl, isopropyl, and tert-butyl. In some embodiments, X1 and X2 are each independently selected from the group consisting of H, phenyl,
In some embodiments, X1 and X2 are (a) both
(b) both
(c) both
respectively, (d) phenyl and
respectively, (e) both
or (f) both
In some embodiments, the present invention is directed to a composition comprising at least one S-alkylated hepcidin peptide of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above.
In some embodiments, the present invention is directed to a method of binding a ferroportin or inducing ferroportin internalization and degradation which comprises contacting the ferroportin with at least one S-alkylated hepcidin peptide of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above, or a composition thereof.
In some embodiments, the present invention is directed to a kit comprising at least one S-alkylated hepcidin peptide of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above, or a composition thereof packaged together with a reagent, a device, instructional material, or a combination thereof.
In some embodiments, the present invention is directed to a complex comprising at least one S-alkylated hepcidin peptide of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above, bound to a ferroportin or an antibody.
In some embodiments, the present invention is directed to a method of treating a disease of iron metabolism in a subject which comprises administering at least one S-alkylated hepcidin peptide of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above, or a composition thereof to the subject. In some embodiments, the disease of iron metabolism is an iron overload disease. In some embodiments, the present invention is directed to the use of one or more S-alkylated hepcidin peptides of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above, or a composition thereof for the manufacture of a medicament for treating a disease of iron metabolism and/or lowering the amount of iron in a subject in need thereof. In some embodiments, the present invention is directed to one or more S-alkylated hepcidin peptides of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above, or a composition thereof for use in treating a disease of iron metabolism and/or lowering the amount of iron in a subject in need thereof. In some embodiments, the present invention is directed to the use of one or more S-alkylated hepcidin peptides of the present invention, e.g., an S-alkylated hepcidin peptide as set forth in paragraph [0016] above, or a composition thereof for the manufacture of a medicament for treating a disease of iron metabolism and/or lowering the amount of iron in a subject in need thereof, wherein the medicament is prepared to be administered at an effective daily dose as a single daily dose or as divided daily doses. In some embodiments, the effective daily dose is about 10-500 μg/kg/day and the medicament is formulated for subcutaneous injection. In some embodiments, the effective daily dose is about 10-1000 μg/kg/day and the medicament is formulated for oral, pulmonary, or mucosal administration. In some embodiments, the subject is a mammal. In some embodiments, the subject is human.
Both the foregoing general description and the following detailed description are exemplary and explanatory only and are intended to provide further explanation of the invention as claimed. The accompanying drawings are included to provide a further understanding of the invention and are incorporated in and constitute part of this specification, illustrate several embodiments of the invention, and together with the description serve to explain the principles of the invention.
This invention is further understood by reference to the drawings wherein:
As used herein, “hepcidin peptides” refers to mini-hepcidin peptides disclosed in WO 2010/065815 and modified mini-hepcidin peptides disclosed in WO 2013/086143. As used herein, a “thiol-containing hepcidin peptide” refers to a hepcidin peptide having an amino acid residue containing a free thiol group (—SH). Thiol-containing hepcidin peptides include those having an unprotected free cysteine residue at amino acid position 7 as set forth in the structural formulas of WO 2010/065815 and WO 2013/086143. WO 2010/065815 and WO 2013/086143 are herein incorporated by reference in their entirety.
The present invention provides S-alkylated hepcidin peptides and methods of making and using thereof. As used herein, an “S-alkylated hepcidin peptide” refers to a peptide in which the hydrogen of the free thiol group (—SH) of a thiol-containing hepcidin peptide is substituted by S-alkylation.
As disclosed herein, 1,2-double substituted vinyl-sulfides, which may be efficiently synthesized from corresponding electron-deficient alkynes and unprotected free-cysteine containing peptides in aqueous media, were used as a protecting moiety. See
PR73 was solubilized in 80% 1,4-dioxane in water, containing 50 mM N-methylmorpholine (NMM) (about 2 mg/mL) and subsequently a given electron-deficient alkyne was added (2 eq.). The S-alkylated hepcidin peptides as exemplified herein, and the given electron-deficient alkynes used to produce the exemplified S-alkylated hepcidin peptides are: (1) PR73 SA—Di-tert-butyl acetylenedicarboxylate, (2) PR73SB—Diethyl acetylenedicarboxylate, (3) PR73 SC—Dimethyl acetylenedicarboxylate, (4) PR73 SD—Acetylenedicarboxylic acid, (5) PR73 SE—2-Phenylethynesulfonamide (Pifithrin-μ), (6) PR73 SF—1,2-Bis(tert-butylsulfonyl)acetylene, (7) PR73 SG—Acetylenedicarboxamide, and (8) PR73 SH—Bis(diethoxyphosphoryl)acetylene.
The S-alkylated hepcidin peptides were tested in vitro using a previously described cellular assay based on Fpn degradation. See e.g., Nemeth, et al. (2006) Blood 107: 328. Briefly, HEK293:TREX-Fpn-GFP, a cell line stably transfected with the human ferroportin-GFP construct under the control of doxycycline-inducible promoter, was plated on poly-D-lysine-coated plates in the presence of 20 μM FAC. Fpn expression was induced with 500 ng/mL doxycycline treatment for 24 hours. Then, doxycycline was washed off, and cells were treated with peptides for 24 hours. Cells were then trypsinized and resuspended at 1×106 cells/mL, and the intensity of green fluorescence was analyzed by flow cytometry using FAC Scan (fluorescence activated cell scanner) Analytic Flow Cytometer (Becton Dickinson, San Jose, Calif.) with CellQuest version 3.3 software. Cells not induced with doxycycline to express Fpn-GFP were used to establish a gate to exclude background fluorescence. Cells induced with doxycycline, but not treated with any peptides, were used as the positive control. Each peptide treatment was repeated independently 3 to 6 times. The results were expressed as a fraction of the activity of Hep25, according to Formula 1, (Fx—FHep25)/(Funtreated—FHep25), where F is the mean of the gated green fluorescence and x is the peptide. The results are summarized in Table 1. Generally, the S-alkylated hepcidin peptides showed high potency in the low nanomolar range. PR73 SH, however, showed bioactivity (EC50=1.1±0.1 nM) that is higher than the parental PR73 (EC50=4.2±0.3 nM). Interestingly, the chemical synthesis of the S-alkylated hepcidin peptides does not appear to have a significant impact on bioactivity, rather the overall steric hindrance plays a significant role, with the most bulky substituents having hepcidin activity that is the same or better than Hep25. Hydrophobicity may also play a role, as activity increases in the carboxy-esters-substituent(s) order: —CH3<—C2H5<—C4H9 (PR73 SC<PR73 SB<PR73 SA).
Additionally, the geometry of the vinyl substituents (planar versus tetrahedral) does not appear to significantly influence activity, as planar analog PR73 SA has fairly similar potency to its tetragonal counterpart (PR73 SF). Considering that remaining tetragonal analog PR73 SH shows highest activity, and the fact that all 3 analogs (e.g., PR73 SA, PR73 SF and PR73 SH) are chemically fairly similar having the same number of sub stituent(s)-carbon-atoms (2×4=8), overall volume/space occupied by S-attached moiety appears again as important factor, with the activity increasing from most compact (PR73 SF) to most bulky (PR73 SH) substituent(s). Consistently, PR73 SD, which has the most hydrophilic and least bulky substituent, shows the lowest potency (EC50=218.1±13.4 nM).
Based on in vitro results, PR73SH was selected as a suitable candidate for animal studies, which were carried out as previously described. See Preza, et al. (2011) J. Clin. Invest. 121:4880; Ramos, et al. (2012) Blood 120:3829; and Nemeth, et al. (2006) Blood 107:328. Animal studies were approved by the Animal Research Committee at UCLA. Briefly, C57BL/6 mice were obtained from The Jackson Laboratory (Bar Harbor, Me.) and were maintained on NIH 31 rodent diet (iron content 336 mg/kg; Harlan Teklad, Indianapolis, Iowa). Mice were injected intraperitoneally either with 100 μL PBS (control) or with 50 or 100 nmoles peptide in 100 μL PBS. Mice were killed 6, 24, and 48 hours later, blood was collected by cardiac puncture, and serum was separated using Microtainer tubes (Becton Dickinson, Franklin Lakes, N.J.). Serum iron was determined by using a colorimetric assay (Diagnostic Chemicals, Oxford, Conn.), which was modified for the microplate format so that 50 μL serum was used per measurement. See Nemeth, et al. (2004) J. Clin. Invest. 113(9): 1271-1276. The results were expressed as the percentage of decrease in serum iron when compared with the average value of serum iron levels in PBS-injected mice.
In vivo activity of PR73SH and PR73 was compared by assaying serum iron levels at 3 time points: (6, 24, and 48 hours) and concentrations that were previously shown to be sufficient for PR73 to exert potent bioactivity (50-100 nmoles/mouse). PR73SH activity was similar to the parental PR73 activity profile, with decreased serum iron observed at 6 and 24 hour time points, but not at the 48 hour time point (
Therefore, in some embodiments, the S-alkylated hepcidin peptides according to the present invention comprise an S-alkylated cysteine residue having the bracketed structure set forth in Structural Formula I:
wherein n is 1 or 2 and one or more of the hydrogens bonded to the Cn atom(s) may be substituted with a (C1-C3)alkyl, AA represent the amino acid residues flanking the bracketed S-alkylated cysteine residue (in brackets) and X1 and X2, may be the same or different, and are the X1 and X2 groups of an electron-deficient alkyne having the formula
In some embodiments X1 and X2 are each independently selected from the group consisting of H, alkyl, alkoxy, alkoxycarbonyl, cycloalkyl, aryl, heteroaryl, heterocycloalkyl, acyl, sulfonyl, alkyl sulfonyl, alkylamino, alkylaminocarbonyl, dialkylaninocarbonyl, carboxyl, and carbamoyl. In some embodiments, X1 and X2, are each independently selected from the group consisting of H, phenyl,
wherein R1 and R1′ are each independently selected from the group consisting of H, methyl, (C2)alkyl, (C3)alkyl, (C4)alkyl, (C1-C5)alkyl, (C6)alkyl, (C7)alkyl, (C8)alkyl, (C9)alkyl, and (C10)alkyl; and R2 is —NR1R1′, methyl, (C2)alkyl, (C3)alkyl, (C4)alkyl, (C1-C5)alkyl, (C6)alkyl, (C7)alkyl, (C8)alkyl, (C9)alkyl, or (C10)alkyl. In some embodiments, R1 and R1′ are each independently selected from the group consisting of H, methyl, ethyl, isopropyl, and tert-butyl. In some embodiments, the S-alkylated cysteine residue is at amino acid position 7 corresponding to the structural formulas of WO 2010/065815 and WO 2013/086143.
In some embodiments, the S-alkylated hepcidin peptides according to the present invention have the following Structural Formula IA or IB
A1-A2-A3-A4-A5-A6-A7-A8-A9-A10 IA
A10-A9-A8-A7-A6-A5-A4-A3-A2-A1 IB
wherein
wherein
n is 1 or 2 and one or more of the hydrogens bonded to the Cn atom(s) may be substituted with a (C1-C3)alkyl,
X1 and X2 are each independently selected from the group consisting of H, alkyl, alkoxy, alkoxycarbonyl, cycloalkyl, aryl, heteroaryl, heterocycloalkyl, acyl, sulfonyl, alkyl sulfonyl, alkylamino, alkylaminocarbonyl, dialkylaninocarbonyl, carboxyl, and carbamoyl;
wherein the carboxy-terminal amino acid is in amide or carboxy-form; and
wherein A1, A1 to A2, A10, or a combination thereof are optionally absent. In some embodiments, X1 and X2, are each independently selected from the group consisting of H, phenyl,
wherein R1 and R1′ are each independently selected from the group consisting of H, methyl, (C2)alkyl, (C3)alkyl, (C4)alkyl, (C1-C5)alkyl, (C6)alkyl, (C7)alkyl, (C8)alkyl, (C9)alkyl, and (C10)alkyl; and R2 is —NR1R1′, methyl, (C2)alkyl, (C3)alkyl, (C4)alkyl, (C1-C5)alkyl, (C6)alkyl, (C7)alkyl, (C8)alkyl, (C9)alkyl, or (C10)alkyl. In some embodiments, R1 and R1′ are each independently selected from the group consisting of H, methyl, ethyl, isopropyl, and tert-butyl. In some embodiments, amino acid residue having Structural Formula A is A7.
As provided herein, “Cn atom(s)” refers to the carbon atom(s) in the parentheticals of the Structural Formulas I and A herein. Thus, an example of Structural Formula A having “one or more of the hydrogens bonded to the Cn atom(s) may be substituted with a (C1-C3)alkyl” is
where n is 1 and both the hydrogens are replaced with methyl.
In some embodiments, an S-alkylated hepcidin peptide according to the present invention is a hepcidin peptide having at least one amino acid residue substituted with a residue having Structural Formal A as set forth above, wherein said hepcidin peptides are selected from Table 2, Table 3, and Table 4.
In some embodiments, the amino acid residue, of the hepcidin peptides of Table 2, Table 3, or Table 4, which is substituted with a residue having Structural Formal A is the residue at amino acid position 7. In some embodiments, the amino acid residue, of the hepcidin peptides of Table 2, Table 3, or Table 4, which is substituted with a residue having Structural Formal A is a thiol containing amino acid residue.
The uncommon and unnatural amino acids referenced herein are provided in Table 5.
C
(D)Pen
F
I
C
I
P
F
H
T
D
F
I
C
I
P
F
H
I
C
I
P
F
H
T
D
I
C
I
P
F
H
T
D
F
I
C
I
P
F
H
T
D-R6
F
I
C
I
P
F
H
T
D-R7
I
C
I
P
F
H
T
D
I
C
I
P
F
H
T
D
R
(D)Dpa
(D)Dpa
(D)Dpa
(D)Dpa
D
T
H
Dpa
P
I
C
I
F-R4
D
T
H
Dpa
P
I
C
I
Dpa-R4
H
Dpa
P
I
C
I
F-R4
H
Dpa
P
I
C
I
Dpa-R4
D
T
H
Dpa
P
V
C
V
F-R4
D
T
H
Dpa
P
L
C
L
F-R4
R
R
D
T
H
F
P
R
Cys(S-S-
R
W-R17
D
T
H
F
P
R
Cys(S-S-
R
W-R18
D
T
H
F
P
R
Cys(S-S-
R
W-R19
D
T
H
F
P
R
Cys(S-S-
R
W-R20
D
T
H
F
P
R
C
R
D
D
T
H
F
P
R
C
R
L-α-cyclohexylglycine
L-tert-leucine
β-homophenylalanine
3,3-diphenyl-L-alanine
L-beta-homoproline
L-phenylglycine
(1-napththyl)-L-alanine
(S)-3-Amino-4,4- diphenylbutanoic acid
L-biphenylalanine
L-Penicillamine
D-Penicillamine
S-t-butyl-L-cysteine
octahydroindole-2- carboxylic acid
NΥ-(bromoacetyl)-L-2,3- diaminopropionic acid
L-homocysteine
S-t-Butylthio- L-cysteine
4-(aminomethyl)cyclohexane carboxylic acid
isonipecotic acid
3,3-diphenyl-D-alanine
As provided herein, a bond is represented by a line, such as “—”, or the symbol “,”. The line and symbol represent that the bond is the point of attachment between two molecular subunits. As used herein, usage of “(Cn-Cm)” indicates the range of carbon atoms the indicated hydrocarbon may have. For example, the term “(C1-C6)alkyl” refers to a straight or branched hydrocarbon from 1 to 6 carbon atoms and includes methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl, n-pentyl, n-hexyl, and the like. Similarly, usage of “(Cn)” indicates the number of carbon atoms the indicated hydrocarbon contains.
An “alkyl” refers to a straight or branched chain monovalent radical of saturated and/or unsaturated carbon atoms and hydrogen atoms, such as methyl (Me) ethyl (Et) propyl (Pr) isopropyl (i-Pr) butyl (n-Bu) isobutyl (i-Bu) t-butyl (t-Bu) (sec-Bu) ethenyl, pentenyl, butenyl, propenyl, ethynyl, butynyl, propynyl, pentynyl, hexynyl, and the like, which may be unsubstituted (i.e., contain only carbon and hydrogen) or substituted by one or more substituents as defined below. The term “(C1-C6)alkyl” as used herein refers to a straight or branched hydrocarbon from 1 to 6 carbon atoms and includes methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, isobutyl, tert-butyl, n-pentyl, n-hexyl, and the like. The (C1-C6)alkyl group optionally can be substituted with one or more substituents as defined below. The term “(C1-C3)alkyl” as used herein refers to a straight or branched hydrocarbon of from 1 to 3 carbon atoms and includes methyl, ethyl, n-propyl, isopropyl, and the like. The (C1-C3)alkyl group optionally can be substituted with one or more of more substituents as defined below.
An “alkoxy” refers to the radical —OR, where R is a straight or branched chain alkyl group. Exemplary alkoxy groups include methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, pentoxy, and the like. A “(C1-C6)alkoxy” refers to a straight or branched chain alkoxy group containing from 1 to 6 carbon atoms and a “(C1-C3)alkoxy” refers to a straight or branched chain alkoxy group containing from 1 to 3 carbon atoms.
An “alkoxycarbonyl” refers to the radical —C(O)OR, where R is an alkyl group.
A “cycloalkyl” refers to a non-aromatic monovalent monocyclic, bicyclic, or tricyclic radical comprising 3-14 carbon ring atoms, each of which may be saturated or unsaturated, and which may be unsubstituted or substituted by one or more suitable substituents as defined below, and to which may be fused one or more heterocycloalkyl groups, aryl groups, or heteroaryl groups, which themselves may be unsubstituted or substituted by one or more substituents. The term “(C3-C8)cycloalkyl” means a hydrocarbon ring containing from 3 to 8 carbon atoms, for example, cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl. Where possible, the cycloalkyl group may contain double bonds, for example, 3-cyclohexen-1-yl. The cycloalkyl ring may be unsubstituted or optionally may be substituted by one or more substituents selected from (C1-C6)alkyl, (C1-C6)alkoxy, (C1-C6)thioalkoxy, hydroxy, thiol, halo, formyl, carboxyl, amino, aminoalkyl, —CO2(C1-C6)alkyl, —CO(C1-C6)alkyl, —C(O)N(C1-C6)alkyl, aryl, and heteroaryl.
An “aryl” refers to a cyclic or polycyclic aromatic ring having from 5 to 12 carbon atoms, and may be unsubstituted or substituted by one or more suitable substituents as defined below, and to which may be fused one or more cycloalkyl groups, heterocycloalkyl groups, or heteroaryl groups, which themselves may be unsubstituted or substituted by one or more suitable substituents.
A “heteroaryl” refers to an aromatic monovalent monocyclic, bicyclic, or tricyclic radical comprising 4-18 ring members, including 1-5 heteroatoms selected from nitrogen, oxygen, and sulfur, which may be unsubstituted or substituted by one or more suitable substituents as defined below, and to which may be fused one or more cycloalkyl groups, heterocycloalkyl groups, or aryl groups, which themselves may be unsubstituted or substituted by one or more suitable substituents.
A “heterocycloalkyl” refers to a non-aromatic monovalent monocyclic, bicyclic, or tricyclic radical, which is saturated or unsaturated, comprising 3-18 ring members, which includes 1-5 heteroatoms selected from nitrogen, oxygen, and sulfur, where the radical is unsubstituted or substituted by one or more suitable substituents as defined below, and to which may be fused one or more cycloalkyl groups, aryl groups, or heteroaryl groups, which themselves may be unsubstituted or substituted by one or more suitable substituents.
An “acyl” refers to a —C(O)—R radical, where R is a suitable substituent as defined below.
A “sulfonyl” refers to a —SO2R radical, where R is a suitable substituent as defined below.
An “alkylsulfonyl” refers to the radical —SO2R, where R is an alkyl group.
An “alkylamino” refers to an amino moiety substituted with one (i.e., —NHR) or two (i.e., —NRR′) (C1-C6)alkyl groups which may be the same or different. Examples of such alkylamino groups include aminomethyl, dimethylamino, aminomethylethyl, aminomethylpropyl, and the like.
An “alkylaminocarbonyl” refers to the radical —C(O)NHR, where R is an alkyl group.
A “dialkylaminocarbonyl” refers to the radical —C(O)NRR′, where each R may be the same or different alkyl group.
A “carboxyl” refers to the radical —C(O)OH.
A “carbamoyl group” refers to the radical C(O)NH2.
In general, the various moieties or functional groups for variables in the formulae may be “optionally substituted” by one or more suitable “substituents”. The term “substituent” or “suitable substituent” refers to any suitable substituent that may be recognized or selected, such as through routine testing, by those skilled in the art. In some embodiments, the substituent is N, O, Si, P, or S.
As used herein, a “disease of iron metabolism” includes diseases where aberrant iron metabolism directly causes the disease, or where iron blood levels are dysregulated causing disease, or where iron dysregulation is a consequence of another disease, or where diseases can be treated by modulating iron levels, and the like. More specifically, a disease of iron metabolism according to this disclosure includes iron overload diseases, iron deficiency disorders, disorders of iron biodistribution, other disorders of iron metabolism and other disorders potentially related to iron metabolism, etc. Diseases of iron metabolism include hemochromatosis, HFE mutation hemochromatosis, ferroportin mutation hemochromatosis, transferrin receptor 2 mutation hemochromatosis, hemojuvelin mutation hemochromatosis, hepcidin mutation hemochromatosis, juvenile hemochromatosis, neonatal hemochromatosis, hepcidin deficiency, transfusional iron overload, thalassemia, thalassemia intermedia, alpha thalassemia, sideroblastic anemia, polycythemia vera, myelodysplastic syndromes, porphyria, porphyria cutanea tarda, African iron overload, hyperferritinemia, ceruloplasmin deficiency, atransferrinemia, congenital dyserythropoietic anemia, anemia of chronic disease, anemia of inflammation, anemia of infection, hypochromic microcytic anemia, iron-deficiency anemia, iron-refractory iron deficiency anemia, anemia of chronic kidney disease, erythropoietin resistance, iron deficiency of obesity, other anemias, benign or malignant tumors that overproduce hepcidin or induce its overproduction, conditions with hepcidin excess, Friedreich ataxia, gracile syndrome, Hallervorden-Spatz disease, Wilson's disease, pulmonary hemosiderosis, hepatocellular carcinoma, cancer, hepatitis, cirrhosis of liver, pica, chronic renal failure, insulin resistance, diabetes, atherosclerosis, neurodegenerative disorders, multiple sclerosis, Parkinson's disease, Huntington's disease, and Alzheimer's disease. As used herein, “iron overload diseases” and “diseases of iron overload” refer diseases and disorders that result in or may cause abnormally high levels of iron in afflicted subjects if untreated.
In some cases the diseases and disorders included in the definition of “disease of iron metabolism” are not typically identified as being iron related. For example, hepcidin is highly expressed in the murine pancreas suggesting that diabetes (Type I or Type II), insulin resistance, glucose intolerance, and other disorders may be ameliorated by treating underlying iron metabolism disorders. See Ilyin, G. et al. (2003) FEBS Lett. 542 22-26, which is herein incorporated by reference. As such, these diseases are encompassed under the broad definition. Those skilled in the art are readily able to determine whether a given disease is a “disease or iron metabolism” according to the present invention using methods known in the art, including the assays of WO 2004092405, which is herein incorporated by reference, and assays which monitor hepcidin, hemojuvelin, or iron levels and expression, which are known in the art such as those described in U.S. Pat. No. 7,534,764, which is herein incorporated by reference. In some embodiments of the present invention, the diseases of iron metabolism are iron overload diseases, which include hereditary hemochromatosis, iron-loading anemias, alcoholic liver diseases and chronic hepatitis C.
As used herein, a compound having “hepcidin activity” means that the compound has the ability to lower plasma iron concentrations in subjects (e.g. mice or humans), when administered thereto (e.g. parenterally injected or orally administered), in a dose-dependent and time-dependent manner. See e.g. as demonstrated in Rivera et al. (2005), Blood 106:2196-9.
In some embodiments, the peptides of the present invention have in vitro activity as assayed by the ability to cause the internalization and degradation of ferroportin in a ferroportin-expressing cell line as taught in Nemeth et al. (2006) Blood 107:328-33. In vitro activity may be measured by the dose-dependent loss of fluorescence of cells engineered to display ferroportin fused to green fluorescent protein as in Nemeth et al. (2006) Blood 107:328-33. Aliquots of cells are incubated for 24 hours with graded concentrations of a reference preparation of Hep25 or the S-alkylated hepcidin peptide to be tested. As provided herein, the EC50 values are provided as the concentration of a given compound (e.g. peptide) that elicits 50% of the maximal loss of fluorescence generated by the reference Hep25 preparation. EC50 of Hep25 preparations in this assay range from 5 to 15 nM and some preferred S-alkylated hepcidin peptides have EC50 values in in vitro activity assays of about 1,000 nM or less.
Other methods known in the art for calculating the hepcidin activity and in vitro activity of peptides according to the present invention may be used. For example, the in vitro activity of compounds may be measured by their ability to internalize cellular ferroportin, which is determined by immunohistochemistry or flow cytometry using antibodies which recognizes extracellular epitopes of ferroportin. Alternatively, the in vitro activity of compounds may be measured by their dose-dependent ability to inhibit the efflux of iron from ferroportin-expressing cells that are preloaded with radioisotopes or stable isotopes of iron, as in Nemeth et al. (2006) Blood 107:328-33.
One or more S-alkylated hepcidin peptides according to the present invention, alone or in combination with one or more mini-hepcidins and/or one or more modified mini-hepcidins, may be administered to subjects in order to treat, e.g., inhibit and/or reduce, iron overload in subjects, such as humans. Therefore, S-alkylated hepcidin peptides according to the present invention may be used in medicaments and treatments in order to treat iron overload disorders, e.g. beta-thalassemia and hereditary hemochromatosis, by inhibiting and/or reducing iron overload in subjects. In some embodiments, at least one S-alkylated hepcidin peptide is administered to a subject before, during, after, or a combination thereof, symptoms of iron overload are observed and/or being diagnosed as having an iron overload disorder.
In some embodiments, one or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins and/or modified mini-hepcidins, are provided in the form of a composition which comprises a carrier suitable for its intended purpose. The compositions may also include one or more additional ingredients suitable for its intended purpose. For example, for assays, the compositions may comprise liposomes, niclosamide, SL220 solubilization agent (NOF, Japan), cremophor EL (Sigma), ethanol, and DMSO. For treatment of an iron overload disease, the compositions may comprise different absorption enhancers and protease inhibitors, solid microparticles or nanoparticles for peptide encapsulation (such as chitosan and hydrogels), macromolecular conjugation, lipidization and other chemical modification.
The present invention also provides kits comprising one or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins, one or more modified mini-hepcidins, and/or compositions of the present invention packaged together with reagents, devices, instructional material, or a combination thereof. For example, the kits may include reagents used for conducting assays, drugs, and compositions for diagnosing, treating, or monitoring disorders of iron metabolism, devices for obtaining samples to be assayed, devices for mixing reagents and conducting assays, and the like.
As the S-alkylated hepcidin peptides of the present invention exhibit hepcidin activity, i.e., act as agonists of ferroportin degradation, one or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins and/or modified mini-hepcidins, may be used to treat iron overload diseases. For example, one or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins and/or modified mini-hepcidins, may be administered to a subject to ameliorate the symptoms and/or pathology associated with iron overload in iron-loading anemias (especially β-thalassemias) where phlebotomy is contraindicated and iron chelators are the mainstay of treatment but are often poorly tolerated. One or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins and/or modified mini-hepcidins, may be used to treat hereditary hemochromatosis, especially in subjects who do not tolerate maintenance phlebotomy. One or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins and/or modified mini-hepcidins, may be used to treat acute iron toxicity. In some embodiments, treatment with one or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins and/or modified mini-hepcidins, may be combined with phlebotomy or chelation.
One or more S-alkylated hepcidin peptides, alone or in combination with one or more mini-hepcidins and/or modified mini-hepcidins, may be administered to a subject, preferably a mammal such as a human. In some embodiments, the administration to the subject is before, during, and/or after the subject exhibits an increase in iron levels and/or abnormally high levels of iron. In some embodiments, the subject to be treated is one who is at risk of having high levels of iron and/or has a genetic predisposition to having an iron overload disease. In some embodiments, the peptides are administered in a form of a pharmaceutical composition. In some embodiments, the peptides are administered in a therapeutically effective amount. As used herein, a “therapeutically effective amount” is an amount which ameliorates the symptoms and/or pathology of a given disease of iron metabolism as compared to a control such as a placebo.
A therapeutically effective amount may be readily determined by standard methods known in the art. The dosages to be administered can be determined by one of ordinary skill in the art depending on the clinical severity of the disease, the age and weight of the subject, or the exposure of the subject to iron. In some embodiments, therapeutically effective amounts of S-alkylated hepcidin peptides range from about 0.01 to about 10 mg/kg body weight, about 0.01 to about 3 mg/kg body weight, about 0.01 to about 2 mg/kg, about 0.01 to about 1 mg/kg, or about 0.01 to about 0.5 mg/kg body weight for parenteral formulations. In some embodiments, therapeutically effective amounts for oral administration may be up to about 10-fold higher. Moreover, treatment of a subject with a peptide or composition of the present invention can include a single treatment or, preferably, can include a series of treatments. It will be appreciated that the actual dosages will vary according to the particular peptide or composition, the particular formulation, the mode of administration, and the particular site, host, and disease being treated. It will also be appreciated that the effective dosage used for treatment may increase or decrease over the course of a particular treatment. Optimal dosages for a given set of conditions may be ascertained by those skilled in the art using conventional dosage-determination tests in view of the experimental data for a given peptide or composition. Changes in dosage may result and become apparent by standard diagnostic assays known in the art. In some conditions chronic administration may be required.
The pharmaceutical compositions of the invention may be prepared in a unit-dosage form appropriate for the desired mode of administration. The compositions of the present invention may be administered for therapy by any suitable route including oral, rectal, nasal, topical (including buccal and sublingual), vaginal and parenteral (including subcutaneous, intramuscular, intravenous and intradermal). A variety of administration routes can be used in accordance with the present invention, including oral, topical, transdermal, nasal, pulmonary, transpercutaneous (wherein the skin has been broken either by mechanical or energy means), rectal, buccal, vaginal, via an implanted reservoir, or parenteral. Parenteral includes subcutaneous, intravenous, intramuscular, intraperitoneal, intra-articular, intra-synovial, intrasternal, intrathecal, intrahepatic, intralesional, and intracranial injection or infusion techniques, as well as injectable materials (including polymers) for localized therapy. In some embodiments, the route of administration is subcutaneous. In some embodiments, the composition is in a sealed sterile glass vial. In some embodiments, the composition contains a preservative. Pharmaceutical compositions may be formulated as bulk powder, tablets, liquids, gels, lyophilized, and the like, and may be further processed for administration. See e.g., R
It will be appreciated that the preferred route will vary with the condition and age of the recipient, the nature of the condition to be treated, and the chosen peptide and composition. Pharmaceutical compositions of the present invention comprise a therapeutically effective amount of at least one peptide as disclosed herein, and a pharmaceutically acceptable carrier or diluent, which may be inert. As used herein the language “pharmaceutically acceptable carrier” is intended to include any and all solvents, dispersion media, bulking agent, coatings, antibacterial and antifungal agents, preservatives, isotonic and absorption delaying agents, and the like, compatible with pharmaceutical administration and known in the art. Except insofar as any conventional media or agent is incompatible with the active compound, use thereof in the compositions is contemplated.
Supplementary compounds can also be incorporated into the compositions. Supplementary compounds include niclosamide, liposomes, SL220 solubilization agent (NOF, Japan), Cremophor EL (Sigma), ethanol, and DMSO.
Toxicity and therapeutic efficacy of the peptides and compositions of the present invention can be determined by standard pharmaceutical procedures in cell cultures or experimental animals, e.g., for determining the LD50 (the dose lethal to 50% of the population) and the ED50 (the dose therapeutically effective in 50% of the population). The dose ratio between toxic and therapeutic effects is the therapeutic index and it can be expressed as the ratio LD50/ED50. Peptides which exhibit large therapeutic indices are preferred. While peptides that exhibit toxic side effects may be used, care should be taken to design a delivery system that targets such peptides to the site of affected tissue in order to minimize potential damage to uninfected cells and, thereby, reduce side effects.
The data obtained from the cell culture assays and animal studies can be used in formulating a range of dosage for use in humans. The dosage of peptides of the present invention lies preferably within a range of circulating concentrations that include the ED50 with little or no toxicity. The dosage may vary within this range depending upon the dosage form employed and the route of administration utilized. For any peptide used in the method of the invention, the therapeutically effective dose can be estimated initially from cell culture assays. A dose may be formulated in animal models to achieve a circulating plasma concentration range that includes the IC50 (i.e., the concentration of the test compound which achieves a half-maximal inhibition of symptoms) as determined in cell culture. Such information can be used to more accurately determine useful doses in humans. Levels in plasma may be measured, for example, by high performance liquid chromatography or by mass spectroscopy.
The resulting decrease of plasma iron could also reduce the levels of toxic non-transferrin bound iron (NTBI) and promote the mobilization of iron from the heart and endocrine organs where iron excess is not tolerated. Thus, in some embodiments, one or more S-alkylated hepcidin peptides may be administered to a subject in order to reduce the levels of NTBI and/or promote the mobilization of iron from the heart and endocrine organs to other organs and tissues. In some embodiments, in established iron overload in human subjects, effective treatment with one or more S-alkylated hepcidin peptides may include more than one dose per day, a prolonged treatment period before a beneficial effect in liver iron can be detected, or may be combined with removal of iron by phlebotomy or chelation.
According to U.S. Food and Drug Administration dosing adjustment guidelines, the difference in metabolic rates between the mouse and human requires a conversion based on the Km factor which normalizes doses to body surface area (Reagan-Shaw S, et al. (2008) FASEB J 22(3):659-661). A human equivalent dose (HED) can be estimated by HED=animal dose (mg/kg)×(animal Km/human Km), where the Km for mouse and an adult human are 3 and 37, respectively. Thus, according to the present invention, a subcutaneous dose of an S-alkylated hepcidin peptide in a human could be up to about 50-100 μg/kg/d, about 75-125 μg/kg/d, or about 90-110 μg/kg/d, preferably about 100 μg/kg/d (as this dose is a readily administrable amount of peptide about three times the median basal dose of the most widely used peptide drug, subcutaneous insulin, commonly used at 0.75 U/kg/d or 33 μg/kg/d in type 2 diabetics (Rosenstock J, et al. (2001) Diabetes Care 24(4):631-636)). Of course, lower doses, as well as higher doses, depending on the particular mini-hepcidin, form of administration, formulation, the subject, and the degree of iron overload, may be administered to subject. In some embodiments, a therapeutically effective dose of one or more S-alkylated hepcidin peptides ranges from about 10-500 μg/kg/d. Again, lower doses, as well as higher doses, depending on the particular mini-hepcidin, form of administration, formulation, the subject, and the degree of iron overload, may be administered to subject.
As provided herein, S-alkylated hepcidin peptides according to the present invention may be used to inhibit, reduce, or treat iron overload in subjects at risk due to genetic defects or those who have already undergone iron depletion, but no longer tolerate chelation or venesection therapy. The S-alkylated hepcidin peptides according to the present invention may be used to treat a subject having β-thalassemia major and/or a subject having hepcidin levels that are higher than normal but are lower than what is appropriate for the degree of iron overload and the particular subject. For example, one or more S-alkylated hepcidin peptides according to the present invention may be used to treat a subject who suffers from hyperabsorption of dietary iron, but has normal levels of iron, in order to lower the amount of iron in the subject and offset the hyperabsorption. One or more S-alkylated hepcidin peptides according to the present invention may be used to treat ineffective erythropoiesis and improve anemia in subjects.
Because of the relatively small size of the S-alkylated hepcidin peptides of the present invention, the S-alkylated hepcidin peptides may be appropriately formulated and optimized for oral administration or administration by other noninvasive means such as those used for insulin administration (Roach P. (2008) Clinical Pharmacokinetics 47(9):595-610) such as inhalation, or transcutaneous delivery, or mucosal nasal or buccal delivery.
PR73SH appears to be remarkably stable in mildly oxidizing conditions as prolonged storage of the compound in DMSO (10 mM solution) at room temperature for 30 days shows very limited levels of decomposition or sulfide oxidation (99.5±0.5% of stability, determined by LC/MS/MS experiments). Thus, the present invention also provides storage stable compositions comprising one or more S-alkylated hepcidin peptides.
Section headings are used for organizational purposes only and are not to be construed as defining or limiting the subject matter described. Unless explicitly provided otherwise, singular word forms include the plural forms. As used herein, the singular forms “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise. As used herein, “and/or” means “and” or “or”. For example, “A and/or B” means “A, B, or both A and B” and “A, B, and/or C” means “A, B, C, or a combination thereof” and said “combination thereof” means “A and B, A and C, or B and C”. As used herein, “or” can mean “and/or” unless stated otherwise or the context clearly dictates otherwise.
In the event of a discrepancy between the sequences set forth in the sequence listing and the Tables, the sequences in the Table are controlling.
To the extent necessary to understand or complete the disclosure of the present invention, all publications, patents, and patent applications mentioned herein are expressly incorporated by reference therein to the same extent as though each were individually so incorporated.
Having thus described exemplary embodiments of the present invention, it should be noted by those skilled in the art that the within disclosures are exemplary only and that various other alternatives, adaptations, and modifications may be made within the scope of the present invention. Accordingly, the present invention is not limited to the specific embodiments as illustrated herein, but is only limited by the following claims.
This application claims the benefit of U.S. Application No. 62/097,429, filed Dec. 29, 2014, which is herein incorporated by reference in its entirety.
This invention was made with Government support under DK090554, awarded by the National Institutes of Health. The Government has certain rights in the invention.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/US2015/067545 | 12/27/2015 | WO | 00 |
| Number | Date | Country | |
|---|---|---|---|
| 62097429 | Dec 2014 | US |
