Patent Application
20230165861
The present invention relates to a pharmaceutical composition for protecting or mitigating radiation. Specifically, the present invention relates to a pharmaceutical composition for preventing or treating any damages, e.g., vascular damage, skin damage, gastrointestinal tract damage, tissue inflammation, or tissue fibrosis, which can be induced by radiation exposure. Further, the present invention relates to a pharmaceutical composition that is capable of preventing or treating pulmonary fibrosis.
There are various cases of biological damage caused by radiation exposure such as radiation exposure accidents at industrial sites dealing with radiation, side effects on normal tissues caused by radiation treatment, etc.
Radiation exerts an adverse effect on cells and tissues primarily due to cytotoxicity. Human exposure to ionizing radiation occurs mostly through anti-cancer radiotherapy, or occupational or environmental exposure.
Radiation exposure may occur in occupational settings, e.g., exposure (or potential exposure) to radiation in the industry of nuclear power or nuclear weapons. Currently, there are 104 commercially-licensed nuclear power plants in the U.S.A. Globally, a total of 430 nuclear power plants are in operation in 32 countries. All employees hired in these nuclear power plants may be exposed to radiation when carrying out their assigned duties. The Three Mile Island Nuclear Power Plant Accident occurred on Mar. 28, 1979, when radioactive materials were released into the nuclear reactor building and the surrounding environment, shows the potential for very hazardous exposure. Even without such a major accident, workers serving in the nuclear power industry are being exposed to higher levels of radiation compared to civilians.
Other causes of occupational exposure may arise from smoke alarm, emergency signs, other consumables, and solvents remaining in the manufacture of mechanical components, plastics, and radioactive medical products.
Further, biological damage due to radiation exposure is often developed as chronic side effects upon radiation treatment, and this lowers the recovery rate of radiation treatment. Recently, according to the development of the technique for radiation treatment, the survival rate of cancer patients who received a radiotherapy is getting higher, but biological damages occurred as side effects due to radiation, especially pulmonary fibrosis, pose a major problem that deteriorates the quality of life of cancer patients. With the recent development of radiotherapy equipment and software and the evolution of the radiation biological concept, radiotherapy techniques have been developed, that are capable of effectively controlling only cancer lesions while protecting normal tissues with one to several times (five times or so) of radiation treatments. However, these techniques are still restrictively used depending on the phase of cancer progression, the site of cancer formation, etc.
Despite the development of such radiotherapy techniques, side effects such as pulmonary fibrosis which inevitably occurs upon radiation treatment are frequently shown in patients treated with chest radiation. Radiation pneumonia occurs after 2 to 3 months of radiotherapy in 10% to 15% of patients who received the chest radiotherapy for the treatment of lung cancer, breast cancer, or Hodgkin lymphoma, and is developed to a fibrotic disease, which is a chronic side effect, after 6 months. Pulmonary fibrosis progressed in such a way would still be remained even after about 2 years, and as result, the decline of lung function, patient's pain, and discomfort in life are accompanied. (Xie H et al., Exp Biol Med (Maywood):238(9):1062-8. 2013.).
Currently, immunosuppressants are primarily used for the treatment of pulmonary fibrosis. Steroids or cytotoxic drugs, etc., may be used, but steroids are used first. In addition, as therapeutic agents for pulmonary fibrosis caused by radiation exposure, a combination therapy of steroids, azathioprine, or cyclophosphamide is currently used (Ochoa et al., Journal of Medical Case Reports, 6:413.2012). However, there is no evident ground that such treatments improve the patients' survival rates or their quality of life. In addition, up to date, several fibrosis inhibitors have been attempted in animal experiments and in small-scale patients, but no noticeable effect has been demonstrated.
Accordingly, there is an urgent demand for the development of radioprotectants or medicines for mitigating radiation, which are capable of protecting or mitigating tissue damages caused by radiation (e.g., pulmonary fibrosis caused by radiation).
The present inventors have made intensive efforts to develop such radioprotectants or medicines for mitigating radiation, and as a result, they have newly discovered that Dacomitinib ((2E)-N-{4-[(3-chloro-4-fluorophenyl)amino]-7-methoxy-6-quinazolinyl}-4-(1-piperidinyl)-2-bu tenamide), which is a kind of inhibitors of an epidermal growth factor receptor (EGFR), has an effect of inhibiting DNA damages, and have newly identified that the Dacomitinib has an excellent radioprotection/radiomitigation effect as well as an effect for preventing or treating pulmonary fibrosis, thereby completing the present invention.
An object of the present invention is to provide a pharmaceutical composition for inhibiting DNA damage, comprising a compound of Formula 1, or a pharmaceutically acceptable salt or solvate thereof.
Another object of the present invention is to provide a pharmaceutical composition for protecting or mitigating radiation against radiation-induced damage, comprising a compound of Formula 1, or a pharmaceutically acceptable salt or solvate thereof.
Still another object of the present invention is to provide a pharmaceutical composition for preventing or treating pulmonary fibrosis, comprising a compound of Formula 1, or a pharmaceutically acceptable salt or solvate thereof.
The compound of Formula 1, or the pharmaceutically acceptable salt or solvate thereof of the present invention has an excellent effect of preventing or mitigating radiation-induced damage which is a side effect including vascular damage, skin damage, gastrointestinal tract damage, tissue inflammation, tissue fibrosis, etc., which are shown upon radiation exposure.
Further, the compound of Formula 1, or the pharmaceutically acceptable salt or solvate thereof of the present invention has an excellent effect of preventing or treating pulmonary fibrosis, particularly, pulmonary fibrosis caused by radiation exposure or drug therapy for anticancer treatment. Accordingly, it is expected that the pharmaceutical composition of the present invention can be effectively used for preventing or treating pulmonary fibrosis induced by radiation exposure or drug therapy for anticancer treatment.
In addition, the compound of Formula 1, or the pharmaceutically acceptable salt or solvate thereof of the present invention has an effect of effectively preventing or treating biological damage, which can be exhibited upon radiation treatment, by inhibiting DNA damage.
<Description of Symbols of Drawings>
No IR: control group (non-irradiation group)
IR: irradiation group
IR+Dacomitinib: irradiation and Dacomitinib pre-treatment group
No Bleomycin: control group (Bleomycin non-injection group)
Bleomycin: Bleomycin injection group
Bleomycin+Dacomitinib: Bleomycin injection and Dacomitinib pre-treatment group
All of the terms used herein, unless otherwise defined, are used as meaning the same as commonly understood by one of ordinary skill in the art to which this invention belongs. Further, although the present specification discloses preferred methods or samples, those similar or equivalent thereto are also included in the scope of the present invention.
An aspect of the present invention provides a pharmaceutical composition for inhibiting DNA damage, comprising a compound of Formula 1 below, or a pharmaceutically acceptable salt or solvate thereof.
The chemical name of the compound of Formula 1 above is (2E)-N-{4-[(3-chloro-4-fluorophenyl)amino]-7-methoxy-6-quinazolinyl}-4-(1-piperidinyl)-2-but enamide, and is also disclosed as “Dacomitinib (PF-00299804)”.
The “DNA damage” above is induced by radiation exposure or drug therapy for anticancer treatment, and may refer to damage that may be caused by the direct loss of a structure or function of DNA or to damage which may indirectly act on DNA. The DNA damage above may accompany any symptoms of biological damage; specifically, the DNA damage above may accompany symptoms of vascular damage, skin damage, gastrointestinal tract damage, tissue inflammation, or tissue fibrosis, etc., or may accompany symptoms of pulmonary fibrosis, etc., but the DNA damage is not limited thereto.
In one specific embodiment, as a result of measuring the level of DNA damage in normal cells around the irradiated site after irradiating a mouse, it was confirmed that DNA damage was remarkably reduced in the mouse administered with the compound of Formula 1 of the present invention, as compared to the control group.
Another aspect of the present invention provides a pharmaceutical composition for protecting or mitigating radiation against radiation-induced damage, comprising a compound of Formula 1, or a pharmaceutically acceptable salt or solvate thereof.
As used herein, the term “radioprotection” refers to the inhibition or alleviation of any radiation-induced damage, which is induced by radiation exposure, by applying to the body prior to the radiation exposure.
As used herein, the term “radiomitigation” refers to the inhibition or alleviation of any radiation-induced damage, which is induced by radiation exposure, by applying to the body within a short period of time after radiation exposure before appearing distinct signs of the radiation exposure.
As used herein, the term “within a short period of time” refers to a period of time during which any radiation-induced damage can be inhibited or alleviated by applying before appearing distinct signs of damage caused by radiation exposure. In one specific embodiment, the term “within a short period of time” refers to a period of time within 36 hours, within 24 hours, or within 12 hours after irradiation, but is not limited thereto.
As used herein, the term “radiation-induced damage” refers to any biological damage caused by radiation exposure. For example, the radiation-induced damage includes vascular damage, skin damage, gastrointestinal tract damage, tissue inflammation, or tissue fibrosis, but is not limited thereto.
As used herein, the term “pharmaceutically acceptable salt” includes salts that are commonly used in the field of pharmaceuticals, such as hydrochloride, hydrobromide, hydroiodide, hydrofluoride, sulfate, sulfonate, citrate, camphorate, maleate, acetate, lactate, nikitinate, nitrate, succinate, phosphate, malonate, malate, salicylate, phenylacetate, stearate, formate, fumarate, urea, sodium, potassium, calcium, magnesium, zinc, lithium, cinnamate, methylamino, mathanesulfonate, picrate, p-toluenesulfonate, naphthalenesulfonate, tartrate, triethylamino, dimethylamino, and tri(hydroxylmethyl)aminomethane, and specifically, the pharmaceutically acceptable salt may be hydrochloride, but the pharmaceutically acceptable salt is not limited thereto.
As used herein, the term “solvate” or “pharmaceutically acceptable solvate” above refers to a solvate formed from the conjugation of one or more solvent molecules with the compound of Formula 1. The term “solvate” includes a hydrate (e.g., hemihydrate, monohydrate, dehydrate, trihydrate, tetrahydrate, etc.).
Still another aspect of the present invention provides a pharmaceutical composition for preventing or treating pulmonary fibrosis, comprising the compound of Formula 1, or the pharmaceutically acceptable salt or solvate thereof.
As used herein, the term “pulmonary fibrosis” may be pulmonary fibrosis occurred due to various reasons, specifically, due to radiation exposure, drug therapy for anticancer treatment, smoking, or dusty work environments, etc., but is not limited thereto. Further, the pulmonary fibrosis above may be side effects of radiotherapy occurred by exposure of radiation to normal tissues during radiotherapy for cancer or may be side effects of drug therapy for anticancer treatment, but is not limited thereto. The radiotherapy or drug therapy for cancer, which is capable of inducing pulmonary fibrosis, includes treatment of a lung cancer, a breast cancer, or Hodgkin lymphoma, etc., but is not limited thereto.
The compound of Formula 1, or the pharmaceutically acceptable salt or solvate thereof of the present invention may exhibit an effect of protecting or mitigating radiation or an effect of preventing or treating pulmonary fibrosis by inhibiting DNA damage caused by radiation.
As used herein, the term “prevention” refers to any activity that inhibits, alleviates, or delays the symptoms due to DNA damage (i.e., radiation damage and/or lung fibrosis) by administering the compositions of the present invention to a subject.
As used herein, the term “treatment” refers to any activity that improves or benefits the symptoms due to DNA damage (i.e., radiation damage and/or pulmonary fibrosis symptoms) by administering the compositions of the present invention to a subject.
Another aspect of the present invention is to provide a method for inhibiting DNA damage, comprising administering the pharmaceutical compositions.
Still another aspect of the present invention is to provide a method for protecting or mitigating radiation against radiation-induced damage, comprising administering the pharmaceutical compositions.
Still another aspect of the present invention is to provide a method for preventing or treating pulmonary fibrosis, comprising administering the pharmaceutical compositions.
The radiation-induced damage, pulmonary fibrosis, prevention, and treatment are as described above.
As used herein, the term “administration” refers to the introduction of the compositions of the present invention to a subject by any suitable method, and the administration route can be administered through various routes of oral or parenteral administration as long as it can reach a target tissue.
The pharmaceutical compositions above may be administered before or after exposure to a DNA damage-inducing factor. The DNA damage-inducing factor may be radiation, drug administration for anticancer treatment, etc., but is not limited thereto. Specifically, the pharmaceutical compositions above may be administered before, after, or simultaneously with radiation exposure, and may be administered before, after, or simultaneously with drug therapy for anticancer treatment, and specifically, may be administered before radiation exposure, but it is not limited thereto.
A subject to which the pharmaceutical compositions are administered may be all animals including humans. The animals above may be mammals such as humans as well as cattle, horses, sheep, pigs, goats, camels, antelopes, dogs, cats, etc., which are in need of treatment of similar symptoms. Further, the animals may refer to those other than humans, but are not limited thereto.
The pharmaceutical compositions according to the present invention, for the purpose of achieving the effect of protecting or mitigating radiation, can be administered by dividing the administration into several times such that the total dosage per day reaches about 0.1 mg/kg to 100 mg/kg as the compound of Formula 1, based on adults. The dosage above may be appropriately increased or decreased depending on the intensity of radiation causing damage, type of radiation-induced damage, or degree of progression, administration route, gender, age, weight, etc.
In one specific embodiment of the present invention, it was confirmed that tissue damage, vascular damage, and pulmonary fibrosis, which are caused by irradiation, were suppressed in a mouse model administered with a compound of Formula 1. Accordingly, the compound of Formula 1 of the present invention may be used for protecting or mitigating radiation, or for preventing or treating pulmonary fibrosis.
Still another aspect of the present invention provides use of a compound of Formula 1 for inhibiting DNA damage.
Still another aspect of the present invention provides use of a compound of Formula 1 for protecting or mitigating radiation against radiation-induced damage.
Still another aspect of the present invention provides use of a compound of Formula 1 for preventing or treating pulmonary fibrosis.
The compound of Formula 1, radiation-induced damage, pulmonary fibrosis, prevention, and treatment are as described above.
Hereinafter, the present invention will be described in detail through exemplary embodiments below. However, these exemplary embodiments are for illustrative purposes only and are not intended to limit the scope of the present invention.
Experimental Method
(1) Hematoxylin and Eosin Staining (H&E Staining) Method for Biological Tissues
The tissue of a mouse was fixed with 10% neutral formalin for one day, and a paraffin section was made. In order to remove the paraffin around the tissue, the tissue was allowed to react with a xylene solution and 95%, 90%, and 70% ethanol solutions in sequential order for 5 minutes each, and then immersed in a hematoxylin solution for 1 minute to stain the nuclei and then washed under running water for 10 minutes. Thereafter, the cytoplasm was stained by immersing the tissue in an eosin solution for 30 seconds. Thereafter, the tissue was immersed in 50%, 70%, 90%, and 95% ethanol solutions, and a xylene solution in sequential order, followed by dropping one drop of a mounting solution. Then, the tissue was covered with a cover slide and observed under a microscope (Carl Zeiss Vision).
(2) Trichrome Staining Method for Biological Tissues
The tissue of a mouse was fixed with 10% neutral formalin for one day, and a paraffin section was made. In order to remove paraffin around the tissue, the tissue was allowed to react with a xylene solution and 95%, 90%, and 70% ethanol solutions in sequential order for 5 minutes each. For the antigen activation of the tissue, the tissue was immersed in a 0.1 M citric acid solution (pH 6.0) and then boiled for 20 minutes. Subsequently, the tissue was allowed to react with a Bouin's solution for 1 minute, Weigert's hematoxylin for 10 minutes, phoshotunstic/phosphomolydic acid for 10 minutes, aniline blue for 5 minutes, and 1% acetic acid for 1 minute in sequential order. Thereafter, a dehydration process was performed, and then the tissue was covered with a cover glass and observed under a microscope (Carl Zeiss Vision).
(3) γH2AX Immunostaining Method
The tissue of a mouse was fixed with 10% neutral formalin for one day, and a paraffin section was made. In order to remove paraffin around the tissue, the tissue was immersed in a xylene solution and 100%, 95%, 90%, and 70% ethanol solutions in sequential order. For the antigen activation of the tissue, the tissue was immersed in a 0.1 M citric acid solution (pH 6.0) and boiled for 30 minutes, and then reacted with 3% hydrogen peroxide for 15 minutes. The tissue was allowed to react with γH2AX (abcam), which was diluted in 1:200 ratio in a PBS solution (including phosphate based saline buffer and 0.1% triton x-100), at 4° C. for 16 hours. After washing the tissue with PBS, a secondary antibody conjugated with biotin was diluted in 1:200 ratio and reacted with the tissue at room temperature for 30 minutes. After reacting the tissue with ABC (Avidin biotin complex) at room temperature for 30 minutes and color-developing 3,3′-DAB (3,3′-diaminobenzidine), the tissue was counterstained with hematoxylin. Subsequently, the tissue was immersed in 50%, 70%, 90%, 95%, and 100% ethanol solutions and a xylene solution in sequential order, followed by dropping one drop of a mounting solution. Then, the tissue was covered with a cover slide and observed under a microscope (Carl Zeiss Vision).
Inhibition Test of Dacomitinib on Tissue Damage Caused by Radiation
The lung tissue of a mouse animal model, in which the chest of the mouse was irradiated in a size of 3 mm with an intensity of 90 Gy, was fixed with 10% formalin, and a paraffin section was made. Thereafter, tissue inflammatory response and fibrosis were identified by using a hematoxylin and eosin staining method. Upon observing the tissue with this staining method, the cell nucleus is observed in blue and the cytoplasm in pink. One hour before irradiating the mouse animal model, 10 mg/kg of Dacomitinib was administered intraperitoneally. Two weeks after the irradiation, the inflammatory response and fibrosis of the tissue damage site were identified by using a hamatoxylin and eosin staining method.
As shown in
Based on the results of
Inhibition Test of Dacomitinib on In Vivo Vascular Damage Caused by Radiation
The lung tissue of a mouse animal model, in which the chest of the mouse was irradiated in a size of 3 mm with an intensity of 90 Gy, was fixed with 10% formalin, and a paraffin section was made. Thereafter, the tissue was stained with hematoxylin and eosin. Upon observing the tissue with this staining method, the cell nucleus is observed in blue and the cytoplasm in pink. One hour before irradiating the mouse animal model, 10 mg/kg of Dacomitinib was administered intraperitoneally. Two weeks after the irradiation, the change in the thickness of the vascular wall according to the vascular damage in the lung tissue of the mouse animal model was confirmed by a hematoxylin and eosin staining method. The results are statistically shown in
As shown in
Accordingly, based on the results of
Pulmonary Fibrosis Inhibition Test in Experimental Animal Model
In order to observe whether a phenomenon of pulmonary fibrosis of vascular endothelial cells is shown as the symptom of pulmonary fibrosis occurred after radiotherapy, the site of the lung of a C57BL/6 mouse was topically irradiated with an intensity of 90 Gy. After excising the lung from the mouse, the cross-section of the aorta of the lung tissue was stained by a trichrome staining method in order to identify collagen which is a protein shown upon fibrosis of the pulmonary vascular endothelial cells. The Dacomitinib treatment group was administered intraperitoneally with Dacomitinib in an amount of 10 mg/kg one hour before irradiation. The results are shown in
As shown in
Based on the results of
Inhibition Test of Dacomitinib on DNA Damage Caused by Radiation
One of the side effects occurred after radiotherapy is DNA damage in normal cells around the irradiated site. When DNA gets damaged, the phosphorylation of γH2AX proceeds to recognize the damaged DNA and activate the repair signaling mechanism, and thus, DNA damage can be confirmed by staining with the γH2AX protein. Accordingly, γH2AX, which is known as a marker, was used for staining in order to measure the degree of DNA damage. The results are shown in
According to
Based on such results of
Inhibition Test of Dacomitinib on Tissue Damage Caused by Bleomycin
Bleomycin, which is commonly used as a therapeutic agent for various tumors including lymphoma, causes pulmonary damage and pulmonary fibrosis of tissue as one of the serious side effects, and thus, bleomycin is broadly used in preparing a model of acute pulmonary damage and pulmonary fibrosis in an experimental animal. Accordingly, a bleomycin-induced pulmonary fibrosis model was prepared to confirm the inhibitory effect of Dacomitinib on pulmonary damage and pulmonary fibrosis.
1.25 U/kg of bleomycin was mixed with 50 μL of a saline solution and then injected into the airway of a mouse. One hour before the bleomycin injection, 10 mg/kg of Dacomitinib was administered intraperitoneally. Three weeks after the bleomycin injection, the lung tissue of the mouse was fixed with 10% formalin, and a paraffin section was made, followed by identifying the lung tissue with hematoxylin and eosin staining and trichrome staining methods.
As shown in
From the above description, one of ordinary skill in the art will appreciate that the present invention can be implemented in other specific forms without changing the technical spirit or essential features. In this regard, the examples described above are illustrative in all respects and should be understood as not limiting. The scope of the present invention should be construed as including the meaning and scope of the appended claims rather than the detailed description, and all changes or modifications derived from the equivalent concepts.
| Number | Date | Country | Kind |
|---|---|---|---|
| 10-2017-0175986 | Dec 2017 | KR | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/KR2018/016365 | 12/20/2018 | WO |
