WITHAFERIN A ANALOGS AND USES THEREOF
20170066797 ยท 2017-03-09
Assignee
- Whitehead Institute For Biomedical Research (Cambridge, MA)
- Arizona Board Of Regents On Behalf Of The University Of Arizona (Tucson, AZ)
Inventors
- Leslie Gunatilaka (Tucson, AZ, US)
- Ekanayake Mudiyanselage Kithsiri Wijeratne (Tucson, AZ, US)
- Ya-Ming Xu (Tucson, AZ, US)
- Luke Whitesell (Somerville, MA)
- Susan L. Lindquist (Cambridge, MA)
Cpc classification
A61P29/00
HUMAN NECESSITIES
A61P25/28
HUMAN NECESSITIES
C07D407/08
CHEMISTRY; METALLURGY
A61P9/02
HUMAN NECESSITIES
A61K31/585
HUMAN NECESSITIES
International classification
Abstract
The present invention provides a novel class of withanolides that have been isolated from W. somnifera under aeroponic conditions or produced semi-synthetically from withanolide natural products. The invention also provides pharmaceutical compositions thereof and methods for using the same in proliferative diseases, neurodegenerative diseases, autoimmune, and inflammatory diseases.
Claims
1-182. (canceled)
183. A compound of the formula: ##STR00061## or a pharmaceutically acceptable salt thereof; wherein R.sup.2 is hydrogen, OR.sup.B or C(R.sup.D).sub.3; each of R.sup.3, R.sup.4 and R.sup.5 is independently hydrogen or OR.sup.C; each R.sup.B and R.sup.C is hydrogen, SO.sub.3H, PO.sub.3H.sub.2, C(O)R.sup.D, C(O)N(R.sup.D).sub.2, CO.sub.2R.sup.D, SOR.sup.D, SO.sub.2R.sup.D or C(R.sup.D).sub.3; and each R.sup.D is independently a hydrogen, a halogen, an aliphatic moiety, a heteroaliphatic moiety, an acyl moiety, an aryl moiety, a heteroaryl moiety, alkoxy, aryloxy, alkylthio, arylthio, amino, alkylamino, dialkylamino, heteroaryloxy, or heteroarylthio moiety.
184. The compound according to claim 183, wherein R.sup.2 is selected from the group consisting of hydrogen, OH, OSO.sub.3H, and OAc.
185. The compound according to claim 183, wherein each of R.sup.3, R.sup.4 and R.sup.5 is independently selected from the group consisting of hydrogen, OH, OSO.sub.3H, and OAc.
186. The compound according to claim 183 of the formula: ##STR00062## ##STR00063## wherein R.sup.2, R.sup.3, R.sup.4 and R.sup.5 are those defined in claim 183.
187. A compound of formula: ##STR00064## or a pharmaceutically acceptable salt thereof; wherein denotes a single or double bond; R.sup.1 is hydrogen or OR.sup.A; R.sup.2 is hydrogen or OR.sup.B; each of R.sup.4 and R.sup.5 is independently hydrogen or OR.sup.C; each of R.sup.A, R.sup.B and R.sup.C is independently hydrogen, SO.sub.3H, PO.sub.3H.sub.2, C(O)R.sup.D, C(O)N(R.sup.D).sub.2, CO.sub.2R.sup.D, SOR.sup.D, SO.sub.2R.sup.D or C(R.sup.D).sub.3; and each R.sup.D is independently a hydrogen, a halogen, an aliphatic moiety, a heteroaliphatic moiety, an acyl moiety, an aryl moiety, a heteroaryl moiety, alkoxy, aryloxy, alkylthio, arylthio, amino, alkylamino, dialkylamino, heteroaryloxy or heteroarylthio moiety.
188. The compound according to claim 187, wherein is a double bond.
189. The compound according to claim 187, wherein is a single bond.
190. The compound according to claim 187, wherein R.sup.1 is selected from the group consisting of hydrogen, OH, OSO.sub.3H and OAc.
191. The compound according to claim 187, wherein R.sup.2 is selected from the group consisting of hydrogen, OH, OSO.sub.3H and OAc.
192. The compound according to claim 187, wherein R.sup.4 is selected from the group consisting of hydrogen, OH, OSO.sub.3H and OAc.
193. The compound according to claim 187, wherein R.sup.5 is selected from the group consisting of hydrogen, OH, OSO.sub.3H and OAc.
194. The compound according to claim 187, wherein R.sup.4 and R.sup.5 are hydrogen.
195. The compound according to claim 187 of the formula: ##STR00065## ##STR00066## ##STR00067## wherein R.sup.1, R.sup.2, R.sup.4 and R.sup.5 are those defined in claim 187.
196. The compound according to claim 187, wherein R.sup.2 is OH or OAc.
197. A method of treating a clinical condition associated with heat shock protein, said method comprising administering to a subject in need of such a treatment a therapeutically effective amount of a compound of claim 183, wherein said clinical condition is selected from the group consisting of a proliferative disease, a cardiovascular disease, a neurodegenerative disease an inflammatory disease, an autoimmune disease and a protein aggregation disorder.
198. The method according to claim 197, wherein the proliferative disease is cancer.
199. The method according to claim 197, wherein the cardiovascular disease comprises hypertension or ischemia.
200. The method according to claim 197, wherein the neurodegenerative disease is Parkinson's disease.
201. The method according to claim 197, wherein the inflammatory disease comprises arthritis or asthma.
202. The method according to claim 197, wherein the protein aggregation disorder comprises Huntington's disease or Alzheimer's disease.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF CERTAIN EMBODIMENTS OF THE INVENTION
[0101] The present invention provides novel withanolides. Such compounds may be isolated from W. somnifera or produced semi-synthetically from natural products of W. somnifera (e.g., withaferin A). In certain embodiments, the inventive compound is isolated from aeroponically grown W. somnifera. The inventive compounds typically include a steroid core with an ergosterol skeleton as shown herein. The compounds of the present invention are useful in the treatment of proliferative diseases such as cancer, benign neoplasms, and diseases involving neoangiogenesis. The compounds of the present invention are also useful in the treatment of protein aggregation disorders. The present invention also provides pharmaceutical compositions and methods of using the inventive compounds for the treatment of various diseases (e.g., neurodegenerative diseases).
Compounds
[0102] Compounds of the present invention include withanolides and analogs thereof. Particularly useful compounds of the present invention include those with biological activity. The inventive compounds have been found to have a variety of biological activities. In certain embodiments, the compounds of the invention have anti-proliferative activity. In certain embodiments, the compounds of the invention have cytotoxic activity. In certain embodiments, the compounds of the invention modulate the heat shock response. In certain embodiments, the compounds modulate annexin II. In certain embodiments, the compounds inhibit vimentin. In certain embodiments, the compounds inhibit NFB activation. In certain embodiments, the compounds inhibit protein kinase C. In certain embodiments, the compounds induce apoptosis. In certain embodiments, the compound have an IC.sub.50 of less than approximately 10 M, e.g., less than approximately 1 M, e.g., less than approximately 0.1 M, or e.g., less than approximately 0.01 M. The inventive compounds may be useful in the treatment of a variety of diseases. In certain embodiments, the compounds are useful in the treatment of proliferative diseases such as cancer and other neoplasms. Certain compounds are also useful in treating inflammatory diseases or autoimmune diseases. In certain embodiments, the compounds are useful in the treatment of cardiovascular diseases, diseases involving angiogenesis, neurodegenerative diseases, or protein aggregation disorders. Certain compounds of the invention are also useful as radiosensitizers. In certain embodiments, an inventive compound has greater solubility in water and other aqueous media than does withaferin A.
[0103] In certain embodiments, the invention provides a compound of formula (I) or a pharmaceutically acceptable salt thereof:
##STR00011##
[0104] wherein [0105] denotes a single or double bond; [0106] R.sup.1 is hydrogen or OR.sup.A, where R.sup.A is hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sup.D; SO.sub.2R.sup.D; C(R.sup.D).sub.3; wherein each occurrence of R.sup.D is independently a hydrogen, a halogen, an aliphatic moiety, a heteroaliphatic moiety, an acyl moiety; an aryl moiety; a heteroaryl moiety; alkoxy; aryloxy; alkylthio; arylthio; amino, alkylamino, dialkylamino, heteroaryloxy; or heteroarylthio moiety; [0107] R.sup.2 is O or OR.sup.B, where R.sup.B is hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sup.D; SO.sub.2R.sup.D; or C(R.sup.D).sub.3; and
[0108] R.sup.3, R.sup.4 and R.sup.5 are each independently hydrogen or OR.sup.C, where each occurrence of R.sup.C is independently hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sub.C; SO.sub.2R.sub.C; or C(R.sup.D).sub.3.
[0109] In certain embodiments, is a double bond. In certain embodiments,
is a single bond.
[0110] In certain embodiments, R.sup.1 of formula I is hydrogen. In certain other embodiments, R.sup.1 of formula I is hydroxyl. In certain embodiments, R.sup.1 of formula I is alkoxy. In certain embodiments, R.sup.1 of formula I is a protected hydroxyl group. In certain embodiments, R.sup.1 of formula I is phosphate. In certain embodiments, R.sup.1 of formula I is sulfate. In certain other embodiments, R.sup.1 of formula I is acetate.
[0111] In certain embodiments, R.sup.2 of formula I is hydrogen. In certain other embodiments, R.sup.2 of formula I is hydroxyl. In certain embodiments, R.sup.2 of formula I is alkoxy. In certain embodiments, R.sup.2 of formula I is a protected hydroxyl group. In certain embodiments, R.sup.2 of formula I is phosphate. In certain embodiments, R.sup.2 of formula I is sulfate. In certain other embodiments, R.sup.2 of formula I is acetate.
[0112] In certain embodiments, R.sup.3 of formula I is hydrogen. In certain other embodiments, R.sup.3 of formula I is hydroxyl. In certain embodiments, R.sup.3 of formula I is alkoxy. In certain embodiments, R.sup.3 of formula I is a protected hydroxyl group. In certain embodiments, R.sup.3 of formula I is phosphate. In certain embodiments, R.sup.3 of formula I is sulfate. In certain other embodiments, R.sup.3 of formula I is acetate.
[0113] In certain embodiments, R.sup.4 of formula I is hydrogen. In certain other embodiments, R.sup.4 of formula I is hydroxyl. In certain embodiments, R.sup.4 of formula I is alkoxy. In certain embodiments, R.sup.4 of formula I is a protected hydroxyl group. In certain embodiments, R.sup.4 of formula I is phosphate. In certain embodiments, R.sup.4 of formula I is sulfate. In certain other embodiments, R.sup.4 of formula I is acetate.
[0114] In certain embodiments, R.sup.5 of formula I is hydrogen. In certain other embodiments, R.sup.5 of formula I is hydroxyl. In certain embodiments, R.sup.5 of formula I is alkoxy. In certain embodiments, R.sup.5 of formula I is a protected hydroxyl group. In certain embodiments, R.sup.5 of formula I is phosphate. In certain embodiments, R.sup.5 of formula I is sulfate. In certain other embodiments, R.sup.5 of formula I is acetate.
[0115] In certain embodiments, R.sup.4 and R.sup.5 of formula I are both hydrogen. In certain embodiments, only one of R.sup.4 and R.sup.5 are hydrogen. In certain embodiments, at least one of R.sup.4 and R.sup.5 is hydrogen.
[0116] In certain embodiments, compounds of the invention are of the formula:
##STR00012##
[0117] In certain embodiments, compounds of the invention are of the formula:
##STR00013##
[0118] In certain embodiments, compounds of the invention are of the formula:
##STR00014##
[0119] In certain embodiments, compounds of the invention are of the formula:
##STR00015##
[0120] In certain embodiments, compounds of the invention are of the formula:
##STR00016##
[0121] In certain embodiments, compounds of the invention are of the formula:
##STR00017##
[0122] In certain embodiments, compounds of the invention are of the formula:
##STR00018##
[0123] In certain embodiments, compounds of the invention are of the formula:
##STR00019##
[0124] In certain embodiments, the invention provides a compound of formula (II) or a pharmaceutically acceptable salt thereof:
##STR00020##
[0125] wherein [0126] R.sup.2 is OR.sup.B, where R.sup.B is hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sup.D; SO.sub.2R.sup.D; or C(R.sup.D).sub.3; wherein each occurrence of R.sup.D is independently a hydrogen, a halogen, an aliphatic moiety, a heteroaliphatic moiety, an acyl moiety; an aryl moiety; a heteroaryl moiety; alkoxy; aryloxy; alkylthio; arylthio; amino, alkylamino, dialkylamino, heteroaryloxy; or heteroarylthio moiety; [0127] R.sup.3, R.sup.4 and R.sup.5 are each independently hydrogen or OR.sup.C, where each occurrence of R.sup.C is independently hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sub.C; SO.sub.2R.sub.C; or C(R.sup.D).sub.3.
[0128] In certain embodiments, R.sup.2 of formula II is hydrogen. In certain other embodiments, R.sup.2 of formula II is hydroxyl. In certain embodiments, R.sup.2 of formula II is alkoxy. In certain embodiments, R.sup.2 of formula II is a protected hydroxyl group. In certain embodiments, R.sup.2 of formula II is phosphate. In certain embodiments, R.sup.2 of formula II is sulfate. In certain other embodiments, R.sup.2 of formula II is acetate.
[0129] In certain embodiments, R.sup.3 of formula II is hydrogen. In certain other embodiments, R.sup.3 of formula II is hydroxyl. In certain embodiments, R.sup.3 of formula II is alkoxy. In certain embodiments, R.sup.3 of formula II is a protected hydroxyl group. In certain embodiments, R.sup.3 of formula II is phosphate. In certain embodiments, R.sup.3 of formula II is sulfate. In certain other embodiments, R.sup.3 of formula II is acetate.
[0130] In certain embodiments, R.sup.4 of formula II is hydrogen. In certain other embodiments, R.sup.4 of formula II is hydroxyl. In certain embodiments, R.sup.4 of formula II is alkoxy. In certain embodiments, R.sup.4 of formula II is a protected hydroxyl group. In certain embodiments, R.sup.4 of formula II is phosphate. In certain embodiments, R.sup.4 of formula I is sulfate. In certain other embodiments, R.sup.4 of formula II is acetate.
[0131] In certain embodiments, R.sup.5 of formula II is hydrogen. In certain other embodiments, R.sup.5 of formula II is hydroxyl. In certain embodiments, R.sup.5 of formula II is alkoxy. In certain embodiments, R.sup.5 of formula II is a protected hydroxyl group. In certain embodiments, R.sup.5 of formula II is phosphate. In certain embodiments, R.sup.5 of formula II is sulfate. In certain other embodiments, R.sup.5 of formula II is acetate.
[0132] In certain embodiments, R.sup.4 and R.sup.5 of formula II are both hydrogen. In certain embodiments, only one of R.sup.4 and R.sup.5 are hydrogen. In certain embodiments, at least one of R.sup.4 and R.sup.5 is hydrogen.
[0133] In certain embodiments, compounds of the invention are of the formula:
##STR00021##
[0134] In certain embodiments, compounds of the invention are of the formula:
##STR00022##
[0135] In certain embodiments, compounds of the invention are of the formula:
##STR00023##
[0136] In certain embodiments, compounds of the invention are of the formula:
##STR00024##
[0137] In certain embodiments, compounds of the invention are of the formula:
##STR00025##
In certain embodiments, R.sup.2 and R.sup.3 are OR.sup.B, where R.sup.B is hydrogen or acetyl.
[0138] Exemplary compounds of the invention include:
##STR00026##
[0139] In one embodiment, the inventive compound is of the formula:
##STR00027##
[0140] In certain embodiments, the invention provides a compound of formula (III) or a pharmaceutically acceptable salt thereof:
##STR00028##
[0141] wherein [0142] denotes a single or double bond; [0143] R.sup.1 is hydrogen or OR.sup.A, where R.sup.A is hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sup.D; SO.sub.2R.sup.D; C(R.sup.D).sub.3; wherein each occurrence of R.sup.D is independently a hydrogen, a halogen, an aliphatic moiety, a heteroaliphatic moiety, an acyl moiety; an aryl moiety; a heteroaryl moiety; alkoxy; aryloxy; alkylthio; arylthio; amino, alkylamino, dialkylamino, heteroaryloxy; or heteroarylthio moiety; [0144] R.sup.2 is O or OR.sup.B, where R.sup.B is hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sup.D; SO.sub.2R.sup.D; or C(R.sup.D).sub.3; and [0145] R.sup.4 and R.sup.5 are each independently hydrogen or OR.sup.C, where each occurrence of R.sup.C is independently hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sub.C; SO.sub.2R.sub.C; or C(R.sup.D).sub.3.
[0146] In certain embodiments, is a double bond. In certain embodiments,
is a single bond.
[0147] In certain embodiments, R.sup.1 of formula III is hydrogen. In certain other embodiments, R.sup.1 of formula III is hydroxyl. In certain embodiments, R.sup.1 of formula III is alkoxy. In certain embodiments, R.sup.1 of formula III is a protected hydroxyl group. In certain embodiments, R.sup.1 of formula III is phosphate. In certain embodiments, R.sup.1 of formula I is sulfate. In certain other embodiments, R.sup.1 of formula III is acetate.
[0148] In certain embodiments, R.sup.2 of formula III is hydrogen. In certain other embodiments, R.sup.2 of formula III is hydroxyl. In certain embodiments, R.sup.2 of formula III is alkoxy. In certain embodiments, R.sup.2 of formula III is a protected hydroxyl group. In certain embodiments, R.sup.2 of formula III is phosphate. In certain embodiments, R.sup.2 of formula III is sulfate. In certain other embodiments, R.sup.2 of formula III is acetate.
[0149] In certain embodiments, R.sup.4 of formula III is hydrogen. In certain other embodiments, R.sup.4 of formula III is hydroxyl. In certain embodiments, R.sup.4 of formula III is alkoxy. In certain embodiments, R.sup.4 of formula III is a protected hydroxyl group. In certain embodiments, R.sup.4 of formula III is phosphate. In certain embodiments, R.sup.4 of formula III is sulfate. In certain other embodiments, R.sup.4 of formula III is acetate.
[0150] In certain embodiments, R.sup.5 of formula III is hydrogen. In certain other embodiments, R.sup.5 of formula III is hydroxyl. In certain embodiments, R.sup.5 of formula III is alkoxy. In certain embodiments, R.sup.5 of formula III is a protected hydroxyl group. In certain embodiments, R.sup.5 of formula III is phosphate. In certain embodiments, R.sup.5 of formula III is sulfate. In certain other embodiments, R.sup.5 of formula III is acetate.
[0151] In certain embodiments, R.sup.4 and R.sup.5 of formula III are both hydrogen. In certain embodiments, only one of R.sup.4 and R.sup.5 are hydrogen. In certain embodiments, at least one of R.sup.4 and R.sup.5 is hydrogen.
[0152] In certain embodiments, compounds of the invention are of the formula:
##STR00029##
In certain embodiments, R.sup.2 is OAc. In certain embodiments, R.sup.2 and R.sup.4 are OR.sup.B, and R.sup.5 is hydrogen. In certain embodiments, R.sup.2 and R.sup.4 are OH. In certain embodiments, R.sup.2 and R.sup.4 are OAc. In certain embodiments, R.sup.2 and R.sup.5 are OR.sup.B, and R.sup.4 is hydrogen. In certain embodiments, R.sup.2 and R.sup.5 are OH. In certain embodiments, R.sup.2 and R.sup.5 are OAc.
[0153] In certain embodiments, compounds of the invention are of the formula:
##STR00030##
In certain embodiments, R.sup.2 is OAc. In certain embodiments, R.sup.2 and R.sup.4 are OR.sup.B, and R.sup.5 is hydrogen. In certain embodiments, R.sup.2 and R.sup.4 are OH. In certain embodiments, R.sup.2 and R.sup.4 are OAc. In certain embodiments, R.sup.2 and R.sup.5 are OR.sup.B, and R.sup.4 is hydrogen. In certain embodiments, R.sup.2 and R.sup.5 are OH. In certain embodiments, R.sup.2 and R.sup.5 are OAc.
[0154] In certain embodiments, compounds of the invention are of the formula:
##STR00031##
In certain embodiments, R.sup.2 is OAc. In certain embodiments, R.sup.2 and R.sup.4 are OR.sup.B, and R.sup.5 is hydrogen. In certain embodiments, R.sup.2 and R.sup.4 are OH. In certain embodiments, R.sup.2 and R.sup.4 are OAc. In certain embodiments, R.sup.2 and R.sup.5 are OR.sup.B, and R.sup.4 is hydrogen. In certain embodiments, R.sup.2 and R.sup.5 are OH. In certain embodiments, R.sup.2 and R.sup.5 are OAc.
[0155] In certain embodiments, compounds of the invention are of the formula:
##STR00032##
In certain embodiments, R.sup.2 is OAc. In certain embodiments, R.sup.2 and R.sup.4 are OR.sup.B, and R.sup.5 is hydrogen. In certain embodiments, R.sup.2 and R.sup.4 are OH. In certain embodiments, R.sup.2 and R.sup.4 are OAc. In certain embodiments, R.sup.2 and R.sup.5 are OR.sup.B, and R.sup.4 is hydrogen. In certain embodiments, R.sup.2 and R.sup.5 are OH. In certain embodiments, R.sup.2 and R.sup.5 are OAc.
[0156] In certain embodiments, compounds of the invention are of the formula:
##STR00033##
In certain embodiments, R.sup.2 is OR.sup.B. In certain embodiments, R.sup.2 is OH. In certain embodiments, R.sup.2 is OAc.
[0157] In certain embodiments, compounds of the invention are of the formula:
##STR00034##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R.sup.3 are independently OH or OAc.
[0158] In certain embodiments, compounds of the invention are of the formula:
##STR00035##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R.sup.3 are independently OH or OAc.
[0159] In certain embodiments, compounds of the invention are of the formula:
##STR00036##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R.sup.3 are independently OH or OAc.
[0160] In certain embodiments, compounds of the invention are of the formula:
##STR00037##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R.sup.3 are independently OH or OAc.
[0161] In certain embodiments, compounds of the invention are of the formula:
##STR00038##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R are independently OH or OAc.
[0162] In certain embodiments, compounds of the invention are of the formula:
##STR00039##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R.sup.3 are independently OH or OAc.
[0163] Exemplary compounds of the invention include:
##STR00040##
[0164] In certain embodiments, the invention provides a compound of formula (IV) or a pharmaceutically acceptable salt thereof:
##STR00041##
[0165] wherein [0166] R.sup.3, R.sup.4 and R.sup.5 are each independently hydrogen or OR.sup.C, where each occurrence of R.sup.C is independently hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sub.C; SO.sub.2R.sub.C; or C(R.sup.D).sub.3.
[0167] In certain embodiments, R.sup.3 of formula IV is hydrogen. In certain other embodiments, R.sup.3 of formula I is hydroxyl. In certain embodiments, R.sup.3 of formula IV is alkoxy. In certain embodiments, R.sup.3 of formula IV is a protected hydroxyl group. In certain embodiments, R.sup.3 of formula IV is phosphate. In certain embodiments, R.sup.3 of formula IV is sulfate. In certain other embodiments, R.sup.3 of formula IV is acetate.
[0168] In certain embodiments, R.sup.4 of formula IV is hydrogen. In certain other embodiments, R.sup.4 of formula IV is hydroxyl. In certain embodiments, R.sup.4 of formula IV is alkoxy. In certain embodiments, R.sup.4 of formula IV is a protected hydroxyl group. In certain embodiments, R.sup.4 of formula IV is phosphate. In certain embodiments, R.sup.4 of formula IV is sulfate. In certain other embodiments, R.sup.4 of formula IV is acetate.
[0169] In certain embodiments, R.sup.5 of formula IV is hydrogen. In certain other embodiments, R.sup.5 of formula IV is hydroxyl. In certain embodiments, R.sup.5 of formula IV is alkoxy. In certain embodiments, R.sup.5 of formula IV is a protected hydroxyl group. In certain embodiments, R.sup.5 of formula IV is phosphate. In certain embodiments, R.sup.5 of formula IV is sulfate. In certain other embodiments, R.sup.5 of formula IV is acetate.
[0170] In certain embodiments, R.sup.4 and R.sup.5 of formula IV are both hydrogen. In certain embodiments, only one of R.sup.4 and R.sup.5 are hydrogen. In certain embodiments, at least one of R.sup.4 and R.sup.5 is hydrogen.
[0171] Exemplary compounds of the invention include:
##STR00042##
[0172] In certain embodiments, the invention provides a compound of formula (V) or a pharmaceutically acceptable salt thereof:
##STR00043##
[0173] wherein [0174] denotes a single or double bond; [0175] R.sup.1 is hydrogen or OR.sup.A, where R.sup.A is hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sup.D; SO.sub.2R.sup.D; C(R.sup.D).sub.3; wherein each occurrence of R.sup.D is independently a hydrogen, a halogen, an aliphatic moiety, a heteroaliphatic moiety, an acyl moiety; an aryl moiety; a heteroaryl moiety; alkoxy; aryloxy; alkylthio; arylthio; amino, alkylamino, dialkylamino, heteroaryloxy; or heteroarylthio moiety; [0176] R.sup.2 is O or OR.sup.B, where R.sup.B is hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sup.D; SO.sub.2R.sup.D; or C(R.sup.D).sub.3; and [0177] R.sup.3, R.sup.4 and R.sup.5 are each independently hydrogen or OR.sup.C, where each occurrence of R.sup.C is independently hydrogen, SO.sub.3H; PO.sub.3H.sub.2; C(O)R.sup.D; C(O)N(R.sup.D).sub.2; CO.sub.2R.sup.D; SOR.sub.C; SO.sub.2R.sub.C; or C(R.sup.D).sub.3.
[0178] In certain embodiments, is a double bond. In certain embodiments,
is a single bond.
[0179] In certain embodiments, R.sup.1 of formula V is hydrogen. In certain other embodiments, R.sup.1 of formula V is hydroxyl. In certain embodiments, R.sup.1 of formula V is alkoxy. In certain embodiments, R.sup.1 of formula V is a protected hydroxyl group. In certain embodiments, R.sup.1 of formula V is phosphate. In certain embodiments, R.sup.1 of formula V is sulfate. In certain other embodiments, R.sup.1 of formula V is acetate.
[0180] In certain embodiments, R.sup.2 of formula V is hydrogen. In certain other embodiments, R.sup.2 of formula V is hydroxyl. In certain embodiments, R.sup.2 of formula V is alkoxy. In certain embodiments, R.sup.2 of formula V is a protected hydroxyl group. In certain embodiments, R.sup.2 of formula V is phosphate. In certain embodiments, R.sup.2 of formula V is sulfate. In certain other embodiments, R.sup.2 of formula V is acetate.
[0181] In certain embodiments, R.sup.3 of formula V is hydrogen. In certain other embodiments, R.sup.3 of formula V is hydroxyl. In certain embodiments, R.sup.3 of formula V is alkoxy. In certain embodiments, R.sup.3 of formula V is a protected hydroxyl group. In certain embodiments, R.sup.3 of formula V is phosphate. In certain embodiments, R.sup.3 of formula V is sulfate. In certain other embodiments, R.sup.3 of formula V is acetate.
[0182] In certain embodiments, R.sup.4 of formula V is hydrogen. In certain other embodiments, R.sup.4 of formula V is hydroxyl. In certain embodiments, R.sup.4 of formula V is alkoxy. In certain embodiments, R.sup.4 of formula V is a protected hydroxyl group. In certain embodiments, R.sup.4 of formula V is phosphate. In certain embodiments, R.sup.4 of formula V is sulfate. In certain other embodiments, R.sup.4 of formula V is acetate.
[0183] In certain embodiments, R.sup.5 of formula V is hydrogen. In certain other embodiments, R.sup.5 of formula V is hydroxyl. In certain embodiments, R.sup.5 of formula V is alkoxy. In certain embodiments, R.sup.5 of formula V is a protected hydroxyl group. In certain embodiments, R.sup.5 of formula V is phosphate. In certain embodiments, R.sup.5 of formula V is sulfate. In certain other embodiments, R.sup.5 of formula V is acetate.
[0184] In certain embodiments, R.sup.4 and R.sup.5 of formula V are both hydrogen. In certain embodiments, only one of R.sup.4 and R.sup.5 are hydrogen. In certain embodiments, at least one of R.sup.4 and R.sup.5 is hydrogen.
[0185] In certain embodiments, compounds of the invention are of the formula:
##STR00044##
In some embodiments, R.sup.2 and R.sup.3 are OR.sup.B. In some embodiments, R.sup.2 and R.sup.3 are OH. In some embodiments, R.sup.2 and R.sup.3 are OAc.
[0186] In certain embodiments, compounds of the invention are of the formula:
##STR00045##
In some embodiments, R.sup.2 and R.sup.3 are OR.sup.B. In some embodiments, R.sup.2 and R.sup.3 are OH. In some embodiments, R.sup.2 and R.sup.3 are OAc.
[0187] In certain embodiments, compounds of the invention are of the formula:
##STR00046##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R.sup.3 are OR.sup.B. In some embodiments, R.sup.2 and R.sup.3 are independently OH or OAc.
[0188] In certain embodiments, compounds of the invention are of the formula:
##STR00047##
In some embodiments, R.sup.1 is OSO.sub.3H. In some embodiments, R.sup.2 and R.sup.3 are OR.sup.B. In some embodiments, R.sup.2 and R.sup.3 are independently OH or OAc.
[0189] Exemplary compounds of the invention include:
##STR00048## ##STR00049##
Isolation of Withanolides from W. somnifera
[0190] Withanolide natural products are isolated from the aerial tissue and/or roots of W. somnifera. The identity and amounts of natural products isolated is dependent on how the plant is grown. When W. somnifera is grown aeroponically, using chemically-defined nutrient media and without soil, novel natural products can be isolated. In certain embodiments, the amount of a particular natural product may be altered by growing W. somnifera under different conditions.
[0191] In certain embodiments, natural products are isolated from W. somnifera which has been grown aeroponically. For example, 2,3-dihydrowithaferin A-3-O-sulfate may be isolated from aeroponically grown W. somnifera.
[0192] In further embodiments, natural products from aeroponically grown W. somnifera are isolated from the aerial tissues of the plant. In further embodiments, natural products from aeroponically grown W. somnifera are isolated from the leaves of the plant. In further embodiments, natural products from aeroponically grown W. somnifera are isolated from the stem of the plant.
[0193] In further embodiments, natural products from aeroponically grown W. somnifera are isolated from the roots of the plant.
[0194] In certain embodiments, aerial tissues of W. somnifera are extracted with a solvent to give the crude natural product extract. In certain embodiments, the solvent is a polar solvent. In certain embodiments, the solvent is a nonpolar solvent. In certain embodiments, the solvent is a protic solvent. In certain embodiments, the solvent is an aprotic solvent. In certain embodiments, the solvent is a polar, protic solvent. In certain embodiments, the solvent is an alcohol. In certain embodiments, the solvent is methanol. In certain embodiments, the solvent is ethanol. In certain embodiments, the solvent is isopropanol. In certain embodiments, the solvent is a mixture of alcohols. In certain embodiments, the solvent is a mixture of one or more alcohols and water.
[0195] In certain embodiments, the crude natural product extract obtained from W. somnifera is purified. In certain embodiments, the extract is purified by chromatography. In certain embodiments, the extract is purified by silica gel chromatography. In certain embodiments, the crude extract is purified by reversed-phase chromatography. In certain embodiments, the crude extract is purified by successive rounds of chromatography. HPLC may be used to purify the desired compounds.
[0196] In certain embodiments, the desired natural product is further purified by crystallization.
[0197] The purified compounds may be characterized by various analytical methods including elemental analysis, mass spectrometry, IR, UV/vis, NMR, and x-ray crystallography.
[0198] Semi-Synthesis of Novel Withanolides from Natural Products
[0199] In some embodiments, novel withanolides are synthesized from withanolide natural products. In certain embodiments, novel withanolides are synthesized from withaferin A.
[0200] With reference to Scheme 1, epi-withaferin A may be synthesized from withaferin A. Withaferin A may be oxidized according to methods known by those skilled in the art to give 4-dehydrowithaferin A. An appropriate oxidant, for example, is manganese dioxide. 4-Dehydrowithaferin A may then be reduced to give epi-withaferin A. An appropriate reducing agent, for example, is sodium borohydride/cerium trichloride heptahydrate.
##STR00050##
[0201] With reference to Scheme 2, 4,27-di-O-acetyl epi-withaferin A may be synthesized from withaferin A using an acetylation procedure. An appropriate acetylating agent, for example, is acetic anhydride.
##STR00051##
[0202] With reference to Scheme 3, 27-O-acetyl epi-withaferin A may be synthesized from withaferin A. Withaferin A may be oxidized to 4-dehydrowithaferin A according to methods described in Scheme 1. 4-Dehydrowithaferin A may be acetylated using methods like those described in Scheme 2 to give 27-O-acetyl-4-dehydrowithaferin A. Reduction of 27-O-acetyl-4-dehydrowithaferin A in a manner analogous to that of Scheme 1 may provide 27-O-acetyl epi-withaferin A.
##STR00052##
[0203] With reference to Scheme 4, 4-O-acetyl epi-withaferin A may be synthesized from withaferin A. Withaferin A may be oxidized to 4-dehydrowithaferin A according to methods described in Scheme 1. The 27-hydroxyl group of 4-dehydrowithaferin A may be protected with a protecting group according to methods known to those skilled in the art. Suitable protecting groups include silyl protecting groups (e.g., t-butyldimethylsilyl). 27-O-t-butyldimethylsilyl-4-dehydrowithaferin A may be reduced according to methods analogous to those described in Scheme 1 to give 27-O-t-butyldimethylsilyl epi-withaferin A. 27-O-t-butyldimethylsilyl epi-withaferin A may be acetylated according to methods analogous to those described in Scheme 2 to give 4-O-acetyl-27-O-t-butyldimethylsilyl epi-withaferin A. 4-O-Acetyl-27-O-t-butyldimethylsilyl epi-withaferin A may be deprotected according to methods known to those skilled in the art. A suitable reagent for removing a t-butyldimethylsilyl group, for example, is an aqueous acid. A suitable aqueous acid is, for example, hydrochloric acid.
##STR00053## ##STR00054##
[0204] With reference to Scheme 5, 27-O-acetylwithaferin A may be synthesized from withaferin A using methods well known to those skilled in the art. A suitable acetylation procedure, for example, uses acetic anhydride in pyridine.
##STR00055##
Anti-Proliferative Activity of Withanolides
[0205] A sulfated withanolide isolated from the aerial tissue of aeroponically-grown W. somnifera, 2,3-dihydrowithaferin A-3-O-sulfate, displays concentration- and time-dependent inhibition of the proliferation/survival of MCF-7 breast cancer cells (
[0206] Without wishing to be bound by a particular theory, the possible mode of action for the anti-cancer activity displayed by withanolides is the disruption of cytoskeletal organization with the appearance of focal aggregates of filamentous actin (F-actin) (Falsey, et al., Nat. Chem. Biol. (2006) 2: 33-38, incorporated herein by reference). Human diploid fibroblasts were cultured in the presence of withaferin A (
[0207] Withaferin A is also shown to inhibit tumor cell migration and invasion in prostate cancer cells and Ewing's sarcoma cells (
Withanolide Induction of Heat Shock Response
[0208] Withaferin A induces a heat shock response in cells, possibly as a consequence of F-actin aggregation as described above. Exposing a heat shock reporter cell line to serial concentrations of withaferin A demonstrated that the response can be induced at compound exposures compatible with cell survival (
Gene Expression Profiling of Astrocytes Treated with Withaferin A
[0209] Primary human astrocytes were exposed to WA (1 M) or an equal volume of DMSO solvent for 6 hours. RNA was isolated by phenol-chloroform extraction, reverse transcribed, labeled and hybridized to Agilent dual-color human whole genome arrays followed by standard analysis for relative mRNA levels. Results demonstrate induction of an adaptive transcriptional response that includes classic elements of the heat shock response. In addition, it was found that withaferin A also triggers a robust anti-oxidant defense response with marked upregulation of the glutamate-cysteine ligase, the glutamate-cystine transporter, and thioredoxin reductase activity in addition to driving expression of numerous components of neurotrophic pathways.
Neuroprotective Activity of Withaferin A in a Cell Culture Model of Apoptosis
[0210] Neurotrophic factor deprivation-induced apoptosis of rat spinal cord motor neurons was used as a model system to evaluate neuroprotective activity of withaferin A. Primary spinal cord motor neurons were purified from E15 rats. These cells were dissociated from the ventral spinal cord, enriched by density gradient centrifugation, and purified by magnetic bead cell separation using an antibody against p75NTR which is expressed on the cell surface of motor neurons at this developmental age. The resulting cultures are 96% motor neurons as assessed by HB9 or islet-1 immunoreactivity and are virtually devoid of astrocytes or microglia. For viability experiments, the cells were plated at a low density (500 cells/well of a 96-well plate). In these cultures, motor neuron survival is highly dependent on trophic factors added to the culture media (in the form of BDNF, GDNF, or cardiotrophin-1), as 50% of the attached cells will undergo apoptosis when deprived of trophic factors (Oppenheim, R. W., et al., Nature, 360: 755-757; Henderson, C. E., et al., Science, 266: 1062-1064, 1994). BDNF was used as the trophic factor.
[0211] Neuronal survival was assessed by staining with calcein-A, a fluorescent dye that is taken up by viable neurons. Results are presented in
[0212] In some experiments, a fluorescence image of the entire well within a plate was captured using a flash cytometer (Trophos). Using this method, it is possible to resolve the cell bodies and neurites of surviving motor neurons.
Neuroprotective Effect of WA in a Cell Culture Model of Glutathione Depletion
[0213] WA was tested in a second model for neuroprotection that utilizes primary astrocytes cultured from the cerebral cortices of postnatal day 1-3 rat pups. In the CNS, astrocytes play a pivotal role in protecting neurons from oxidative stress, a hallmark of nearly all neurodegenerative diseases and disorders. Astrocytes contain high levels of the major cellular antioxidant glutathione (GSH) and thereby, protect neurons via (i) the release of GSH; and (ii) by providing GSH precursors necessary for neuronal GSH synthesis (for a review, see Dringen et al., Eur. J Biochem., 267: 4912-4916.). The regulation of GSH synthesis, utilization, and export is reportedly mediated by the transcription factor Nrf2 (Nuclear factor-erythroid 2-related factor 2), which has been found to play a major role in astrocyte-mediated neuronal protection from oxidative stress (Shih et al., J. Neuroscience, 23: 3394-3406, 2003).
[0214] In this assay, which is summarized in
Effect of WA in PC12 Cell Culture Model of Huntington's Disease (HD)
[0215] The PC12 cell culture model of HD originally developed by E. Schweitzer's group (Aiken et al., Neurobiol Dis, 16: 546-555, 2004) was used for evaluation of withaferin A. As shown in
Uses of Withaferin A Analogs and Pharmaceutical Compositions Thereof
[0216] The invention further provides methods of treating a disease using an analog of withaferin A. The inventive method involves the administration of a therapeutically effective amount of an inventive compound to a subject (including, but not limited to a human or other animal) in need of it.
[0217] Certain inventive compounds activate the heat shock network. Thus, in certain embodiments, the present invention provides a method for treating a heat shock network-associated disorder comprising the step of administering to a patient in need thereof a compound of the present invention or pharmaceutically acceptable composition thereof.
[0218] As used herein, the term heat shock network-associated disorders means any disease or other deleterious condition in which the heat shock network is known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which the heat shock network is known to play a role including, but not limited to, autoimmune diseases as well as Huntington's disease, Parkinson's disease, Alzheimer's disease, and other disorders associated with protein misfolding and/or aggregation.
[0219] Certain inventive compounds alter the actin bundling activity of annexin II. Thus, in certain embodiments, the present invention provides a method for treating an annexin II-mediated disorder comprising the step of administering to a patient in need thereof a compound of the present invention or pharmaceutically acceptable composition thereof.
[0220] As used herein, the term annexin II-mediated disorders means any disease or other deleterious condition in which annexin II is known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which annexin II is known to play a role including, but not limited to, atherosclerosis, diabetes, disorders associated with pathological proliferation of blood vessels such as diabetic retinopathy, macular degeneration, and cancers, e.g., glioma, colorectal carcinoma, gastric carcinoma, hepatic carcinoma, small cell lung carcinoma, and pancreatic carcinoma.
[0221] Certain inventive compounds inhibit the 20S proteasome. Thus, in certain embodiments, the present invention provides a method for treating a 20S proteasome-mediated disorder comprising the step of administering to a patient in need thereof a compound of the present invention or pharmaceutically acceptable composition thereof.
[0222] As used herein, the term 20S proteasome-mediated disorders means any disease or other deleterious condition in which the 20S proteasome is known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which the 20S proteasome is known to play a role including, but not limited to, multiple myeloma, pancreatic cancers, B-cell related cancers such as non-Hodgkin's lymphoma, glioma, and autoimmune diseases.
[0223] Certain inventive compounds inhibit the intermediate filament protein vimentin. Thus, in certain embodiments, the present invention provides a method for treating a vimentin-mediated disorder comprising the step of administering to a patient in need thereof a compound of the present invention or pharmaceutically acceptable composition thereof.
[0224] As used herein, the term vimentin-mediated disorders means any disease or other deleterious condition in which vimentin is known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which vimentin is known to play a role including, but not limited to, autoimmune diseases, organ transplantation, vascular disease, and giant axonal neuropathy.
[0225] Certain inventive compounds inhibit NFB activation. Thus, in certain embodiments, the present invention provides a method for treating NFB-mediated disorders comprising the step of administering to a patient in need thereof a compound of the present invention or pharmaceutically acceptable composition thereof.
[0226] As used herein, the term NFB-mediated disorders means any disease or other deleterious condition in which NFB is known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which NFB activation is known to play a role including, but not limited to, rheumatoid arthritis, inflammatory bowel disease, asthma and other inflammatory disorders, as well as cancers such as leukemia, lymphoma, colon cancer, and ovarian cancer.
[0227] Certain inventive compounds inhibit protein kinase C (PKC). Thus, in certain embodiments, the present invention provides a method for treating a PKC-mediated disorder comprising the step of administering to a patient in need thereof a compound of the present invention or pharmaceutically acceptable composition thereof.
[0228] As used herein, the term PKC-mediated disorders means any disease or other deleterious condition in which PKC is known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which PKC is known to play a role including, but not limited to, Alzheimer's disease, diabetic vascular disease, glaucoma, lung cancer, colon cancer, renal cell cancer, hepatocellular cancer, prostate cancer, ovarian cancer, bladder cancer, and brain cancer.
[0229] Certain inventive compounds induce apoptosis, particularly Par-4-dependent apoptosis. Thus, in certain embodiments, the present invention provides a method for treating a Par-4-mediated disorder comprising the step of administering to a patient in need thereof a compound of the present invention or pharmaceutically acceptable composition thereof.
[0230] As used herein, the term Par-4-mediated disorders or conditions means any disease or other deleterious condition in which Par-4 is known to play a role. Accordingly, another embodiment of the present invention relates to treating or lessening the severity of one or more diseases in which apoptosis is known to play a role including, but not limited to, autoimmune diseases and cancer.
[0231] The compounds and pharmaceutical compositions of the present invention may be used in treating or preventing any disease or condition including, but not limited to, asthma, arthritis, inflammatory diseases (e.g., Crohn's disease, rheumatoid arthritis, psoriasis), proliferative diseases (e.g., cancer, benign neoplasms, diabetic retinopathy), cardiovascular diseases, neurodegenerative diseases, protein aggregation disorders (e.g., Huntington's disease, Alzheimer's disease), and autoimmune diseases (e.g., rheumatoid arthritis, lupus). The inventive compounds and pharmaceutical compositions may be administered to animals, preferably mammals (e.g., domesticated animals, cats, dogs, mice, rats), and more preferably humans. Any method of administration may be used to deliver the inventive compound or pharmaceutical composition to the animal. In certain embodiments, the compound or pharmaceutical composition is administered orally. In other embodiments, the compound or pharmaceutical composition is administered parenterally.
[0232] As used herein, the terms treatment, treat, and treating refer to reversing, alleviating, delaying the onset of, or inhibiting the progress of a disease or disorder, or one or more symptoms thereof, as described herein. In some embodiments, treatment may be administered after one or more symptoms have developed. In other embodiments, treatment may be administered in the absence of symptoms. For example, treatment may be administered to a susceptible individual prior to the onset of symptoms (e.g., in light of a history of symptoms and/or in light of genetic or other susceptibility factors). Treatment may also be continued after symptoms have resolved, for example to prevent or delay their recurrence.
[0233] The invention further relates to a method for treating, ameliorating, or preventing cellular neoplasia by administration of an effective amount of a compound according to this invention to a mammal, in particular a human in need of such treatment. A neoplasia is defined by cells displaying aberrant cell proliferation and/or survival and/or a block in differentiation. The term neoplasia includes benign neoplasia, which is described by hyperproliferation of cells, incapable of forming an aggressive, metastasizing tumor in vivo, and, in contrast, malignant neoplasia, which is described by cells with multiple cellular and biochemical abnormalities, capable of forming a systemic disease, for example forming tumor metastases in distant organs.
[0234] Compounds according to this invention can be particularly used for the treatment of malignant neoplasia, also described as cancer, characterized by tumor cells finally metastasizing into distinct organs or tissues. Examples of malignant neoplasia treated with compounds according to the present invention include solid and hematological tumors. Solid tumors are exemplified by tumors of the breast, bladder, bone, brain, central and peripheral nervous system, colon, connective tissue, endocrine glands (e.g., thyroid and adrenal cortex), esophagus, endometrium, germ cells, head and neck, kidney, liver, lung, larynx and hypopharynx, mesothelioma, muscle, ovary, pancreas, prostate, rectum, renal, small intestine, soft tissue, testis, stomach, skin, ureter, vagina, and vulva. Malignant neoplasia include inherited cancers exemplified by retinoblastoma and Wilms tumor. In addition, malignant neoplasia include primary tumors in said organs and corresponding secondary tumors in distant organs (tumor metastases). Hematological tumors are exemplified by aggressive and indolent forms of leukemia and lymphoma, namely non-Hodgkins disease, chronic and acute myeloid leukemia (CML/AML), acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia (CLL), Hodgkins disease, multiple myeloma, and T-cell lymphoma. Also included are myelodysplastic syndrome, plasma cell neoplasia, paraneoplastic syndromes, cancers of unknown primary site as well as AIDS-related malignancies.
[0235] It will also be appreciated that a cancer (malignant neoplasia) as a life-threatening disease process does not necessarily require the formation of metastases in distant organs. Certain tumors exert devastating effects on the primary organ itself through their aggressive growth properties. These can lead to the destruction of the tissue and organ structure finally resulting in failure of the assigned organ function.
[0236] In certain embodiments, the current invention provides a method for the treatment of benign neoplasia. Examples of benign neoplasia treated with compounds according to the present invention include, but are not limited to, benign soft tissue tumors, bone tumors, brain and spinal tumors, eyelid and orbital tumors, granuloma, lipoma, meningioma, multiple endocrine neoplasia, nasal polyps, pituitary tumors, prolactinoma, pseudotumor cerebri, seborrheic keratoses, stomach polyps, thyroid nodules, cystic neoplasms of the pancreas, hemangiomas, vocal cord nodules, polyps, and cysts, Castleman disease, chronic pilonidal disease, dermatofibroma, pilar cyst, pyogenic granuloma, and juvenile polyposis syndrome.
[0237] In certain embodiments, the present invention provides methods for treating or lessening the severity of autoimmune diseases including, but not limited to, inflammatory bowel disease, arthritis, systemic lupus erythematosus, rheumatoid arthritis, psoriatic arthritis, osteoarthritis, Still's disease, juvenile arthritis, diabetes, myasthenia gravis, Hashimoto's thyroiditis, Ord's thyroiditis, Graves' disease, Sjogren's syndrome, multiple sclerosis, Guillain-Barre syndrome, acute disseminated encephalomyelitis, Addison's disease, opsoclonus-myoclonus syndrome, ankylosing spondylosis, antiphospholipid antibody syndrome, aplastic anemia, autoimmune hepatitis, celiac disease, Goodpasture's syndrome, idiopathic thrombocytopenic purpura, optic neuritis, scleroderma, primary biliary cirrhosis, Reiter's syndrome, Takayasu's arteritis, temporal arteritis, warm autoimmune hemolytic anemia, Wegener's granulomatosis, psoriasis, alopecia universalis, Behcet's disease, chronic fatigue, dysautonomia, endometriosis, interstitial cystitis, neuromyotonia, scleroderma, or vulvodynia.
[0238] In some embodiments, the present invention provides a method for treating or lessening the severity of one or more diseases and conditions, wherein the disease or condition is selected from heteroimmune conditions or diseases, which include, but are not limited to graft versus host disease, transplantation, transfusion, anaphylaxis, allergies (e.g., allergies to plant pollens, latex, drugs, foods, insect poisons, animal hair, animal dander, dust mites, or cockroach calyx), type I hypersensitivity, allergic conjunctivitis, allergic rhinitis, and atopic dermatitis.
[0239] In some embodiments, the present invention provides a method for treating or lessening the severity of an inflammatory disease including, but not limited to, asthma, appendicitis, Behcet's disease, Blau syndrome, blepharitis, bronchiolitis, bronchitis, bursitis, cervicitis, cholangitis, cholecystitis, chronic recurrent multifocal osteomyelitis (CRMO), colitis, conjunctivitis, cryopyrin associated periodic syndrome (CAPS), cystitis, dacryoadenitis, dermatitis, dermatomyositis, encephalitis, endocarditis, endometritis, enteritis, enterocolitis, epicondylitis, epididymitis, familial cold-induced autoinflammatory syndrome, familial Mediterranean fever (FMF), fasciitis, fibrositis, gastritis, gastroenteritis, hepatitis, hidradenitis suppurativa, laryngitis, mastitis, meningitis, mevalonate kinase deficiency (MKD), Muckle-Well syndrome, myelitis myocarditis, myositis, nephritis, oophoritis, orchitis, osteitis, otitis, pancreatitis, parotitis, pericarditis, peritonitis, pharyngitis, pleuritis, phlebitis, pneumonitis, pneumonia, proctitis, prostatitis, pyelonephritis, pyoderma gangrenosum and acne syndrome (PAPA), pyogenic sterile arthritis, rhinitis, salpingitis, sinusitis, stomatitis, synovitis, systemic juvenile rheumatoid arthritis, tendonitis, TNF receptor associated periodic syndrome (TRAPS), tonsillitis, uveitis, vaginitis, vasculitis, or vulvitis.
[0240] In certain embodiments, the present invention provides methods for treating or lessening the severity of arthropathies and osteopathological diseases including, but not limited to, rheumatoid arthritis, osteoarthrtis, gout, polyarthritis, and psoriatic arthritis.
[0241] In certain embodiments, the present invention provides methods for treating or lessening the severity of hyperproliferative diseases including, but not limited to, psoriasis or smooth muscle cell proliferation including vascular proliferative disorders, atherosclerosis, and restenosis. In certain embodiments, the present invention provides methods for treating or lessening the severity of endometriosis, uterine fibroids, endometrial hyperplasia and benign prostate hyperplasia.
[0242] In certain embodiments, the present invention provides methods for treating or lessening the severity of acute and chronic inflammatory diseases and dermal diseases including, but not limited to, ulcerative colitis, inflammatory bowel disease, Crohns disease, allergic rhinitis, allergic dermatitis, cystic fibrosis, chronic obstructive bronchitis, and asthma.
[0243] In some embodiments, the present invention provides a method for treating or lessening the severity of a cardiovascular disorder including, but not limited to, myocardial infarct, angina pectoris, reocclusion after angioplasty, restenosis after angioplasty, reocclusion after aortocoronary bypass, restenosis after aortocoronary bypass, stroke, transitory ischemia, a peripheral arterial occlusive disorder, pulmonary embolism, deep venous thrombosis, ischemic stroke, cardiac hypertrophy and heart failure.
[0244] In certain embodiments, the present invention provides methods for treating or lessening the severity of neuropathological disorders and/or protein aggregation disorders including, but not limited to, Parkinson's disease, Alzheimer's disease or polyglutamine related disorders including, but not limited to, Huntington's disease, Spinocerebellar ataxia 1 (SCA 1), Machado-Joseph disease (MJD)/Spinocerebella ataxia 3 (SCA 3), Kennedy disease/Spinal and bulbar muscular atrophy (SBMA), Dentatorubral pallidolusyian atrophy (DRPLA), fronto-temporal dementia, Lewy body disease, Pick's disease, and progressive supranuclear palsy (PSP).
[0245] In some embodiments, the invention provides methods of treating a subject in need of neuroprotection. In some embodiments, the subject has suffered a stroke, seizure, or traumatic injury to the nervous system or has suffered exposure to a toxic agent, e.g., a neurotoxic agent. For example, in some embodiments the subject has suffered a spinal cord injury. In some embodiments, the subject has suffered or is expected to suffer oxidative stress to the nervous system or a portion thereof (e.g., the central nervous system (CNS) or a portion thereof (e.g., brain, brain region, spinal cord)), or the peripheral nervous system (PNS) or a portion thereof, such as one or more nerves or nerve trunks. In some embodiments, said nerve is a cranial nerve. In some embodiments said oxidative stress is caused at least in part by exposure of the subject to a toxic agent, e.g., a neurotoxin. In some embodiments, the toxic agent is a chemical compound. A chemical compound can be, e.g., a polypeptide, nucleic acid, small organic molecule, etc. A chemical compound can be invented by man or can be a naturally occurring compound. In some embodiments, the toxic agent is an infectious agent or a substance produced by an infectious agent (e.g., a bacterium) or encoded in its genome. In some embodiments the toxic agent is a virus, e.g., a neurotropic virus. In some embodiments the subject has suffered or is expected to suffer an event that causes oxygen deprivation, nutrient (e.g., glucose) deprivation, and/or growth factor deprivation of nervous system cells. In some embodiments the subject has suffered a hemorrhagic event in the nervous system, e.g., a hemorrhagic stroke, subarachnoid hemorrhage, or aneurysm. In some embodiments a subject suffers from or is at increased risk of (e.g., has one or more art-recognized risk factors for) a disease or condition characterized by neuronal deterioration or loss, e.g., a neuropathy. In some embodiments the subject suffers or is at increased risk of diabetes (e.g., diabetic neuropathy), motor neuron disease, or glaucoma. In some embodiments, administering a compound of the invention inhibits at least some death (e.g., apoptosis) and/or deterioration of nervous system cells that would otherwise occur, e.g., the invention protects at least some nervous system cells from undergoing death or deterioration. In some embodiments, said nervous system cells comprise neuronal cells (also termed neurons). A neuronal cell is often characterized, at least in part, by containing one or more markers of neuronal differentiation. Such a marker can be, for example, a neurofilament (e.g., heavy (NF-H), medium (NF-M) or light neurofilament (NF-L) proteins, nestin and -internexin) NeuN, or MAP2. A neuronal cell further is often characterized as having one or more cell processes (e.g., axon, dendrite). In some embodiments, said nervous system cells comprise glial cells, e.g., astrocytes, oligodendrocytes, and/or microglia. Without wishing to be bound by theory, such non-neuronal nervous system cells may secrete neurotrophic factors or otherwise promote survival and/or inhibit deterioration of neuronal cells. For example, such cells, e.g., astrocytes, may secrete one or more anti-oxidants or anti-oxidant precursors. In some embodiments, the invention provides a method of providing an acute neuroprotective effect by administering a compound of the invention close to the time of acute nervous system insult (e.g., stroke, seizure, injury, toxin exposure), thereby producing an acute neuroprotective effect in at least some neuronal cells. In some embodiments said administration occurs prior to, e.g., within 2 hours, 4 hours, or 6 hours prior to occurrence of the insult. In some embodiments said administration occurs within 24 hours or within 48 hours prior to occurrence of the insult. For example, a compound may be administered before a surgical procedure that is expected to result in neuronal damage, oxygen or nutrient deprivation, or otherwise have deleterious effects on the nervous system and/or before administration of a therapeutic agent that may have such an effect (e.g., as an undesired side effect). In some embodiments said administration occurs subsequent to, e.g., within 2 hours, 4 hours, or 6 hours after occurrence of the insult. In some embodiments, said administration occurs within 24 hours or within 48 hours after occurrence of the insult. In some embodiments administration occurs chronically, e.g., the compound is administered multiple times (or continuously) over a time period of at least 6 weeks, e.g., a period of at least 6 weeks after occurrence of the insult. In some embodiments, a neuroprotective effect is evident within 24 hours, or within 48 hours, after administration of a compound, e.g., the extent of neuronal death or deterioration is reduced relative to what would be expected had the compound not been administered. In some embodiments, neuronal death, e.g., apoptosis, is reduced by at least 20%, e.g., by between 20% and 90%, e.g., by between 40% and 80%, e.g., by between 50% and 75%. If desired, cell viability and/or apoptosis may be assessed using a variety of assays known in the art. In some embodiments, neuroprotection according to the inventive methods results in an improved functional outcome relative to what would be otherwise expected (e.g., relative to a control). In some embodiments, the invention provides a method of inhibiting neuronal excitotoxicity, e.g., excitotoxicity induced by an excitatory amino acid such as NMDA or glutamate (e.g., an abnormally elevated level or sudden release of large amounts of such amino acid(s)). In some embodiments, the invention provides a method of inhibiting ischemic reperfusion injury. In some embodiments, a compound according to the invention provides a neurotrophic effect, e.g., promotes survival, development, and/or growth of neurons. In some embodiments, a compound according to the invention has an effect that at least in part mimics that of nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), ciliary neurotrophic factor (CNTF), neurotrophin-3 (NT-3), erythropoietin (EPO), and/or neurotrophin-4 (NT-4). In some embodiments, a compound according to the invention augments a deficiency of at least one of said neurotrophic factors and/or is administered together with one or more of said neurotrophic factors. In some embodiments, the invention provides a method of promoting neurite outgrowth and/or axonal outgrowth. In some embodiments, said promoting of neurite outgrowth and/or axonal outgrowth occurs in neurons that have been subjected to an injury that results in severing of an axon. In some embodiments, said promoting of neurite outgrowth and/or axonal outgrowth occurs in neurons that are at least in part deprived of a neurotrophic factor, e.g., BDNF-deprived. In some embodiments, the invention provides a method of enhancing peripheral axon and/or nerve regeneration, e.g., after a crush injury.
[0246] The present invention further includes a method for the treatment of mammals, including humans, which are suffering from one of the above-mentioned conditions, illnesses, disorders, or diseases. The method comprises that a pharmacologically active and therapeutically effective amount of one or more of the compounds according to this invention, which function to induce various cellular effects, induce the heat shock response, arrest cell proliferation, induce cell differentiation, and/or induce apoptosis, is administered to the subject in need of such treatment.
[0247] The invention further relates to the use of the compounds according to the present invention for the production of pharmaceutical compositions which are employed for the treatment and/or prophylaxis and/or amelioration of the diseases, disorders, illnesses, and/or conditions as mentioned herein.
[0248] The invention further relates to the use of the compounds according to the present invention for the production of pharmaceutical compositions that activate the heat shock response.
[0249] The invention further relates to the use of the compounds according to the present invention for the production of pharmaceutical compositions for inhibiting or treating cellular neoplasia, such as benign or malignant neoplasia, e.g., cancer.
[0250] The invention further relates to the use of the compounds according to the present invention for the production of pharmaceutical compositions which can be used for treating, preventing, or ameliorating of diseases responsive to arresting aberrant cell growth, such as proliferative diseases of benign or malignant behavior, such as any of those diseases mentioned herein.
[0251] The invention further relates to the use of the compounds according to the present invention for the production of pharmaceutical compositions which can be used for treating, preventing, or ameliorating of disorders responsive to induction of apoptosis, such as any of those diseases mentioned herein.
[0252] The exact amount required will vary from subject to subject, depending on the species, age, and general condition of the subject, the particular compound, its mode of administration, its mode of activity, and the like. The compounds of the invention are preferably formulated in dosage unit form for ease of administration and uniformity of dosage. It will be understood, however, that the total daily usage of the proteins and compositions of the present invention will be decided by the attending physician within the scope of sound medical judgment. The specific therapeutically effective dose level for any particular patient or organism will depend upon a variety of factors including the disorder being treated and the severity of the disorder; the activity of the specific protein employed; the specific composition employed; the age, body weight, general health, sex, and diet of the patient; the time of administration, route of administration, and rate of excretion of the specific compound employed; the duration of the treatment; drugs used in combination or coincidental with the specific compound employed; and like factors well known in the medical arts.
[0253] Furthermore, after formulation with an appropriate pharmaceutically acceptable carrier in a desired dosage, the pharmaceutical compositions of this invention can be administered to humans and other animals orally, rectally, parenterally, intracisternally, intravaginally, intraperitoneally, topically (as by powders, ointments, or drops), bucally, as an oral or nasal spray, or the like, depending on the severity of the condition being treated. In certain embodiments, the proteins of the invention may be administered orally or parenterally at dosage levels sufficient to deliver from about 0.001 mg/kg to about 100 mg/kg, from about 0.01 mg/kg to about 50 mg/kg, preferably from about 0.1 mg/kg to about 40 mg/kg, preferably from about 0.5 mg/kg to about 30 mg/kg, from about 0.01 mg/kg to about 10 mg/kg, from about 0.1 mg/kg to about 10 mg/kg, and more preferably from about 1 mg/kg to about 25 mg/kg, of subject body weight per day, one or more times a day, to obtain the desired therapeutic effect. The desired dosage may be delivered three times a day, two times a day, once a day, every other day, every third day, every week, every two weeks, every three weeks, or every four weeks. In certain embodiments, the desired dosage may be delivered using multiple administrations (e.g., two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, or more administrations). In some embodiments, e.g., for treating cancer and/or when a pro-apoptotic effect is desired, a dose that is at or relatively close to the maximum tolerated dose (MTD) is used. In some embodiments, a dose between 50% and 100% of MTD may be used. In some embodiments, a dose between 75% and 100% of MTD may be used. In some embodiments, e.g., in methods of treating a neurodegenerative disease, providing neuroprotection, and/or promoting axonal and/or neurite outgrowth, a lower dose is used than in methods for treating cancer. In some embodiments, the dose for use in such methods is between 10- and 100-fold lower than the MTD and/or between 10- and 100-fold lower than the dose used in cancer. MTD can be determined using standard methods known to those skilled in the art.
[0254] Liquid dosage forms for oral and parenteral administration include, but are not limited to, pharmaceutically acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. In addition to the active compounds, the liquid dosage forms may contain inert diluents commonly used in the art such as, for example, water or other solvents, solubilizing agents and emulsifiers such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, dimethylformamide, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor, and sesame oils), glycerol, tetrahydrofurfuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof. Besides inert diluents, the oral compositions can also include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, and perfuming agents. In certain embodiments for parenteral administration, the compounds of the invention are mixed with solubilizing agents such Cremophor, alcohols, oils, modified oils, glycols, polysorbates, cyclodextrins, polymers, and combinations thereof.
[0255] Injectable preparations, for example, sterile injectable aqueous or oleaginous suspensions may be formulated according to the known art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution, suspension or emulsion in a nontoxic parenterally acceptable diluent or solvent, for example, as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution, U.S.P. and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil can be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid are used in the preparation of injectables.
[0256] The injectable formulations can be sterilized, for example, by filtration through a bacterial-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use.
[0257] In order to prolong the effect of a drug, it is often desirable to slow the absorption of the drug from subcutaneous or intramuscular injection. This may be accomplished by the use of a liquid suspension of crystalline or amorphous material with poor water solubility. The rate of absorption of the drug then depends upon its rate of dissolution which, in turn, may depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally administered drug form is accomplished by dissolving or suspending the drug in an oil vehicle. Injectable depot forms are made by forming microencapsule matrices of the drug in biodegradable polymers such as poly(lactide-co-glycolide). Depending upon the ratio of drug to polymer and the nature of the particular polymer employed, the rate of drug release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injectable formulations are also prepared by entrapping the drug in liposomes or microemulsions which are compatible with body tissues.
[0258] Compositions for rectal or vaginal administration are preferably suppositories which can be prepared by mixing the compounds of this invention with suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectum or vaginal cavity and release the active compound.
[0259] Solid dosage forms for oral administration include capsules, tablets, pills, powders, and granules. In such solid dosage forms, the active compound is mixed with at least one inert, pharmaceutically acceptable excipient or carrier such as sodium citrate or dicalcium phosphate and/or a) fillers or extenders such as starches, lactose, sucrose, glucose, mannitol, and silicic acid, b) binders such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinylpyrrolidinone, sucrose, and acacia, c) humectants such as glycerol, d) disintegrating agents such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate, e) solution retarding agents such as paraffin, f) absorption accelerators such as quaternary ammonium compounds, g) wetting agents such as, for example, cetyl alcohol and glycerol monostearate) absorbents such as kaolin and bentonite clay, and i) lubricants such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof. In the case of capsules, tablets and pills, the dosage form may also comprise buffering agents.
[0260] Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polyethylene glycols and the like. The solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings and other coatings well known in the pharmaceutical formulating art. They may optionally contain opacifying agents and can also be of a composition that they release the active ingredient(s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner. Examples of embedding compositions which can be used include polymeric substances and waxes. Solid compositions of a similar type may also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugar as well as high molecular weight polethylene glycols and the like.
[0261] The active compounds can also be in micro-encapsulated form with one or more excipients as noted above. The solid dosage forms of tablets, dragees, capsules, pills, and granules can be prepared with coatings and shells such as enteric coatings, release controlling coatings and other coatings well known in the pharmaceutical formulating art. In such solid dosage forms the active protein may be admixed with at least one inert diluent such as sucrose, lactose or starch. Such dosage forms may also comprise, as is normal practice, additional substances other than inert diluents, e.g., tableting lubricants and other tableting aids such a magnesium stearate and microcrystalline cellulose. In the case of capsules, tablets, and pills, the dosage forms may also comprise buffering agents. They may optionally contain opacifying agents and can also be of a composition that they release the active ingredient(s) only, or preferentially, in a certain part of the intestinal tract, optionally, in a delayed manner. Examples of embedding compositions which can be used include polymeric substances and waxes.
[0262] Dosage forms for topical or transdermal administration of a compound of this invention include ointments, pastes, creams, lotions, gels, powders, solutions, sprays, inhalants or patches. The active component is admixed under sterile conditions with a pharmaceutically acceptable carrier and any needed preservatives or buffers as may be required. Ophthalmic formulation, ear drops, and eye drops are also contemplated as being within the scope of this invention. Additionally, the present invention contemplates the use of transdermal patches, which have the added advantage of providing controlled delivery of a compound to the body. Such dosage forms can be made by dissolving or dispensing the compound in the proper medium. Absorption enhancers can also be used to increase the flux of the compound across the skin. The rate can be controlled by either providing a rate controlling membrane or by dispersing the compound in a polymer matrix or gel.
[0263] In some embodiments, a method of local administration to the nervous system or a portion thereof is used to administer a compound according to the invention. In some embodiments a compound according to the invention is administered using an internal (implantable) or external pump system to deliver a compound according to the invention to the CNS. Such systems can comprise a reservoir from which continuous or intermittent release of a composition occurs into the target tissue or in the vicinity thereof, e.g., via a catheter. The pump may be programmed to release predetermined amounts at predetermined time intervals. See, e.g., U.S. Pat. No. 6,263,237, which is incorporated herein by reference. In some embodiments a technique of regional delivery of therapeutic agents directly into brain parenchyma, such as intracerebral microinfusion, is used. In certain embodiments delivery is accomplished by surgically implanting a catheter through the skull so that the tip has access to a CSF-containing space. The other end of the catheter is then connected to a reservoir (e.g., an Ommaya reservoir), which is placed beneath the scalp (subcutaneously). Methods for administering agents to the spinal cord, e.g., methods such as are commonly used in the treatment of chronic pain to deliver analgesic agents (e.g., intrathecal administration such as by injection) may be used in certain embodiments of the invention. If a pump is used, the catheter may be implanted so that the discharge portion lies in the intrathecal space while the other end is connected to the pump reservoir.
[0264] For local administration to the PNS, if desired, injection or infiltration into a nerve or nerve trunk, e.g., adjacent to a site of nerve damage or injury, may be used. Methods for administering anesthetic agents to diverse nerves, nerve bundles, etc., within the PNS are well known in the art, and are of use in various embodiments of the invention.
[0265] It will also be appreciated that the compounds and pharmaceutical compositions of the present invention can be employed in combination therapies, that is, the compounds and pharmaceutical compositions can be administered concurrently with, prior to, or subsequent to, one or more other desired therapeutics or medical procedures. For example, an inventive compound may be administered concurrently with another anticancer agent and/or with radiation in order to treat cancer. In some embodiments an inventive compound is administered concurrently with another neuroprotective agent in order to treat a subject in need of neuroprotection and/or concurrently with a procedure or process such as inducing hypothermia or hyperbaric oxygen treatment. The particular combination of therapies (therapeutics or procedures) to employ in a combination regimen will take into account compatibility of the desired therapeutics and/or procedures and the desired therapeutic effect to be achieved. It will also be appreciated that the therapies employed may achieve a desired effect for the same disorder, or they may achieve different effects (e.g., control of any adverse effects).
[0266] In still another aspect, the present invention also provides a pharmaceutical pack or kit comprising one or more containers filled with one or more of the ingredients of the pharmaceutical compositions of the invention, and in certain embodiments, includes an additional approved therapeutic agent for use as a combination therapy. Optionally associated with such container(s) can be a notice in the form prescribed by a governmental agency regulating the manufacture, use or sale of pharmaceutical products, which notice reflects approval by the agency of manufacture, use or sale for human administration.
[0267] These and other aspects of the present invention will be further appreciated upon consideration of the following Examples, which are intended to illustrate certain particular embodiments of the invention but are not intended to limit its scope, as defined by the claims.
EXAMPLES
General Experimental Procedures
[0268] Reagents and solvents for extraction and chemical reactions were purchased from Aldrich Chemical Co. Bakerbond C.sub.18 (40 M) was a product of J.T. Baker Inc. Kromasil C.sub.18 reversed phase column (2504.6 mm, 5 m) for HPLC was obtained from Supelco Inc. Melting point was determined on an electrothermal melting point apparatus and is not corrected. Optical rotation was measured with JASCO Dip-370 polarimeter. IR spectrum was for KBr disk recorded on a Shimadzu FTIR-8300 spectrometer. UV was recorded with a Shimadzu UV-1601 spectrophotometer. .sup.1H NMR and .sup.13C NMR spectra were measured on a Bruker DRX-500. Mass spectra were recorded on a Shimadzu LCMS QP8000a and an IonSpec FT mass spectrometer (for HRMS).
Aeroponic Culture of W. somnifera
[0269] Chambers for aeroponic cultivation of plants measured 1.0 m1.0 m1.5 m (WLH) and were equipped with 6 nozzles powered by an external pump to spray nutrient solution every 4 min for a period of 1 min. A reservoir of 450 L of nutrient solution was maintained at the bottom of the chamber. The nutrient solution was prepared according to a general hydroponic recipe with a pH of 6.0. The aeroponic nutrient solution was made up by mixing solutions A and B prepared and mixed as follows: Solution A consisted of Ca(NO.sub.3).sub.2.4H.sub.2O (0.579 g/L), CaCl.sub.2.6H.sub.2O (0.278 g/L), 10% FeKH.sub.2PO.sub.4 (0.24 g/L), K.sub.2SO.sub.4 (0.193 g/L), MgSO.sub.4.7H.sub.2O (0.6 g/L), H.sub.3BO.sub.3 (0.003 g/L), 20% CuSO.sub.4 (0.003 g/L), 20% MnSO.sub.4.H.sub.2O (0.004 g/L), Na.sub.2MoO.sub.4.2H.sub.2O (0.001 g/L), 20% ZnSO.sub.4.7H.sub.2O (0.004 g/L). Solution A (900 mL) and Solution B (900 mL) were added to 140 L of water and mixed thoroughly and if necessary the pH of the solution adjusted to 5.6-6.0 with citric acid or KOH. Each box accommodated 20 plants. The mature plants were harvested and aerial parts (leaves and stems) and roots were collected separately. Roots were freeze-dried, while the aerial parts were air-dried.
Extraction and Isolation of 2,3-dihydrowithaferin A-3-O-sulfate from W. somnifera
[0270] Dry powder (100 g) obtained from the aerial tissue of W. somnifera was extracted three times with MeOH (3250 mL) at room temperature. After evaporation under reduced pressure, 19.8 g of the crude extract was obtained. A portion (1.98 g) of this extract was applied to a column of C-18 (30.0 g) and eluted successively with a gradient of 50-100% aqueous MeOH. The fraction eluted with 50% MeOH was further fractionated on a column of C-18 (30 g) with 40% aqueous MeOH as the eluent. Fractions were collected and combined based on their TLC profiles. Final purification was carried out on a column of silica gel and elution with CHCl.sub.3-MeOH (8:2). Crystallization from MeOH yielded 2,3-dihydrowithaferin A-3-O-sulfate (40.4 mg, 0.4%) as colorless crystals. Mp dec>167 C.; [].sup.25.sub.D+14.5 (c 0.21, MeOH); UV (MeOH) .sub.max 214 nm; .sup.1H NMR (C.sub.5D.sub.5N, 500 MHz) 5.66 (1H, br. s, H-3), 4.84 (1H, d, J=12.0 Hz, H-27a), 4.74 (1H, d, J=12.0 Hz, H-27b), 4.43 (1H, br. s, H-4), 4.37 (1H, br. d, J=13.0 Hz, H-22), 3.62 (1H, br. dd, J=8.5, 16.0 Hz, H-2), 3.40 (1H, br. s, H-6), 3.25 (1H, d, J=16 Hz, H-2), 2.07 (3H, s, CH.sub.3-28), 1.63 (3H, s, CH.sub.3-19), 0.95 (3H, d, J=6.5 Hz, CH.sub.3-21), 0.50 (3H, s, CH.sub.3-18); .sup.13C NMR (C.sub.5D5N, 500 MHz) 208.7 (qC, C-1), 166.4 (qC, C-26), 155.9 (qC, C-24), 127.3 (qC, C-25), 78.4 (CH, C-22), 75.5 (CH, C-4), 73.8 (CH, C-3), 65.0 (qC, C-5), 57.0 (Ch, C-6), 56.2 (CH.sub.2, C-27), 56.0 (CH, C-14), 52.0 (CH, C-17), 49.7 (qC, C-10), 42.8 (qC, C-13), 42.5 (CH, C-9), 41.6 (CH.sub.2, C-2), 39.2 (CH.sub.2, C-16), 39.0 (CH, C-20), 31.3 (CH.sub.2, C-23), 30.0 (CH.sub.2, C-7), 29.9 (CH, C-8), 27.3 (CH.sub.2, C-12), 24.5 (CH.sub.2, C-15), 21.4 (CH.sub.2, C-11), 20.1 (CH.sub.3, C-28), 15.5 (CH.sub.3, C-19), 13.6 (CH.sub.3, C-21), 11.5 (CH.sub.3, C-18); Negative HRESIMS m/z 567.2248 (calcd for C.sub.28H.sub.39O.sub.10S, 567.2264).
Cytotoxicity Assay
[0271] A standard tetrazolium dye [3-(4,5-di-methylthiazol-2-yl)-2,5-diphenyltetrazoliumbromide; MTT]-based colorimetric assay was used to measure the proliferation/survival of cells in triplicate wells using a 96-well plate-based format. Compounds 1 and 2 were formulated in DMSO and applied to cells such that final DMSO concentration did not exceed 0.2%. Cells were exposed continuously to test compounds for 24 or 72 h at which times related viable cell number per well was determined as previously described (Wijeratne, et al., J Nat. Prod. (2003) 66: 1567-1573, incorporated herein by reference).
Detection of Actin Aggregation
[0272] Cells were seeded in 8-well chamber slides at a density of 210.sup.4 cells per well and allowed to adhere for 48 h. Compounds 1 and 2 were freshly prepared as 5 mM stock solutions in DMSO and applied to cells at a final concentration of 4 M in RPMI culture medium supplemented with 10% fetal bovine serum, Glutamax, and penicillin/streptomycin. Control wells were treated with an equal volume of DMSO, not exceeding 0.2% in culture media. Cells were incubated for 4 or 24 h in the continuous presence of the indicated compounds, then washed twice with PBS, fixed with 4% paraformaldehyde/PBS (pH 7.6), and permabilized with 0.1% triton-X 100/PBS. Slides were blocked for 30 min at room temperature with 10% (v/v) goat serum and 1% bovine serum albumin (w/v) in PBS, then incubated with AlexaFluor 488-conjugated phalloidin to stain F-actin (Molecular Probes). To visualize nuclei, cells were counterstained with DAPI (1 g/ml) in PBS for 3 min. After extensive washing, cells were visualized using an Olympus IX71 microscope with 100 objective and identical exposure conditions.
Heat Shock Induction
[0273] Immortalized mouse embryo fibroblasts derived from homozygous Hsf1 knockout mice or their wild type littermates were exposed overnight to equitoxic concentrations of 1 or the known heat shock-inducing Hsp90 inhibitor gendanamycin. Whole cell lysates were prepared in non-ionic detergent buffer and immunoblotted for relative levels of Hsp72, a highly inducible member of the Hsp70 family of molecular chaperones, using monoclonal antibody C92F3A-5 (StressMarq Biosciences, Victoria, BC). Reactivity was detected using peroxidase-conjugated secondary antibody and chemiluminescent detection. To evaluate the relative ability of compounds to induce a heat shock response at the transcriptional level, a reporter cell line was used as previously described (Turbyville, et al., J. Nat. Prod. (2006) 69: 178-184, incorporated herein by reference). These cells are stably transduced with a plasmid encoding enhanced green fluorescent protein (EGFP) under the control of a minimal heat shock response element derived from the promoter region of the Hsp70B gene. They demonstrate a robust, concentration-dependent fluorescent response to known heat shock-modulating drugs such as Hsp90 inhibitors and can be used as a sensitive and specific system to non-destructively monitor induction of the heat shock response in live cells.
Conversion of 2,3-dihydrowithaferin A-3-O-sulfate to Withaferin A in Cell Culture Media
[0274] Stock solutions of 2,3-dihydrowithaferin A-3-O-sulfate in DMSO (50 L) were diluted into cell culture medium (950 L) to achieve the indicated starting concentration, mixed thoroughly and the solution incubated in a CO.sub.2 incubator at 37 C. Aliquots (100 L) were withdrawn at 4, 16, and 24 h and subjected to HPLC analysis for 2,3-dihydrowithaferin A-3-O-sulfate (RR.sub.T=18.5 min) and withaferin A (RR.sub.T=23.5 min) on a Kromasil C.sub.18 RP column (2504.6 mm, 5 mm) with gradient elution using 40-100% aqueous MeOH and using an ELSD detector. An external standard curve method was used to calculate the concentration of each compound in the sampled aliquots (Khajuria, et al., J Sep. Sci. (2004) 27: 541-546, incorporated herein by reference).
Synthesis of Epi-Withaferin A from Withaferin A
##STR00056##
[0275] 4-dehydrowithaferin A was prepared by manganese dioxide oxidation of withaferin A as described in the literature (Lavie, et al., J. Chem. Soc. (1965) 7517-7531). Briefly, to a solution of withaferin A (30 mg) in chloroform/ethyl acetate (5:7, 2.0 mL) was added freshly prepared manganese dioxide (MnO.sub.2, 300 mg) and stirred at 25 C. After 16 hours, the reaction mixture was filtered, the filtrate was evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography (silica gel) using 8% methanol in dichloromethane as eluant to give 4-dehydrowithaferin A (18.4 mg, 62% yield).
[0276] To a stirred solution of 4-dehydrowithaferin A (6.0 mg) in methanol (1.0 mL) and tetrahydrofuran (0.5 mL) was added CeCl.sub.3.7H.sub.2O (130 mg). The reaction mixture was then kept in an ice bath and NaBH.sub.4 (ca. 0.5 mg) was added and stirred at 0 C. After 30 minutes, a small ice cube was added to the reaction mixture. Solvents were evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography (silica gel) using 6% methanol in dichloromethane as eluant to give epi-withaferin A (4.2 mg, 70% yield) as a white solid; mp 227-228 C.; [].sup.25.sub.D+29.9 (c 1.0, CHCl.sub.3); .sup.1H NMR (500 MHz, CDCl.sub.3) : 6.80 (dd, J=10.1, 1.5 Hz, 1H, H-3), 5.97 (dd, J=10.1, 2.5 Hz, 1H, H-2), 4.64 (brs, 1H, H-4), 4.37 (dt, J=13.5, 3.3 Hz, 1H, H-22), 4.32 (d, J=12.5 Hz, 1H, H-27a), 4.27 (d, J=12.5 Hz, 1H, H-27b), 3.65 (brs, 1H, H-6), 2.45 (dd, J=13.6, 7.2 Hz, 1H, H-23a), 2.10 (brd, 1H, H-7a), 2.00 (s, 3H, H.sub.3-28),1.96-1.89 (m, 4H), 1.78 (brs, 1H), 1.67-1.58 m, 2H), 1.49-1.42 (m, 2H), 1.31 (m, 1H), 1.18 (s, 3H, H.sub.3-18), 1.15-1.00 (m, 4H), 0.94 (d, J=6.6 Hz, 3H, H.sub.3-21), 0.88 (m, 1H), 0.66 (s, 3H, H.sub.3-19); .sup.13C NMR (125 MHz, CDCl.sub.3) : 201.4, 167.1, 153.3, 148.2, 128.4, 125.6, 78.7, 65.7, 64.3, 57.0, 55.9, 55.3, 51.9, 47.5, 45.5, 42.5, 39.3, 38.7, 30.6, 29.8, 29.7, 27.2, 24.1, 22.2, 19.9, 13.8, 13.2, 11.6; HRFABMS m/z 471.2764 [M+H].sup.+ (calcd for C.sub.28H.sub.39O.sub.6 471.2747).
Synthesis of 4,27-di-O-acetyl Epi-Withaferin A from Epi-Withaferin A
##STR00057##
[0277] To a solution of epi-withaferin A (1.0 mg) in pyridine (0.1 mL) was added acetic anhydride (0.1 mL) and stirred at 25 C. After 14 hours, ethanol (15 mL) was added to the reaction mixture. The volatiles were evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography (silica gel) using 6% methanol in dichloromethane as eluant to give 4,27-di-O-acetyl epi-withaferin A (1.1 mg, 93% yield); mp 214-216 C.; [].sup.25.sub.D+36.8 (c 1.1, CHCl.sub.3); .sup.1H NMR (600 MHz, CDCl.sub.3) : 6.66 (dd, J=10.1, 1.5 Hz, 1H, H-3), 6.05 (dd, J=10.1, 2.4 Hz, 1H, H-2), 5.87 (brs, 1H, H-4), 4.88 (d, J=11.8 Hz, 1H, H-27a), 4.84 (d, J=11.8 Hz, 1H, H-27b), 4.38 (dt, J=13.1, 3.3 Hz, 1H, H-22), 3.53 (brs, 1H, H-6), 2.50 (dd, J=17.6, 13.3 Hz, 1H, H-23a), 2.09 (s, 3H, OAc), 2.05 (s, 3H, H.sub.3-28), 2.03 (s, 3H, OAc), 2.01-1.92 (m, 4H), 1.67-1.33 (m, 6H), 1.28 (s, 3H, H.sub.3-18), 1.23-1.01 (m, 4H), 0.98 (d, J=6.6 Hz, 3H, H.sub.3-21), 0.94-0.81 (m, 2H), 0.70 (s, 3H, H.sub.3-19); APCI-MS (+) m/z 555 [M+1].sup.+.
Synthesis of 27-O-acetyl Epi-Withaferin A
[0278] ##STR00058##
[0279] To a stirred solution of 4-dehydrowithaferin A (5 mg) in pyridine (0.2 mL) was added acetic anhydride (0.1 mL), and the reaction was stirred at 25 C. for 18 hours. Pyridine and excess acetic anhydride were evaporated under reduced pressure and azeotroped with ethanol. The resulting residue was then purified via preparative thin layer chromatography using 4% methanol in dichloromethane as eluant to give 27-O-acetyl-4-dehydrowithaferin A (5.25 mg, 96% yield). A portion of 27-O-acetyl-4-dehydrowithaferin A (3.0 mg) was then dissolved in a mixture of tetrahydrofuran (0.2 mL) and methanol (0.2 mL). CeCl.sub.3.7H.sub.2O (65 mg) was added, and the mixture was stirred at 0 C. for 5 minutes. To this solution NaBH.sub.4 (ca 0.5 mg) was added, and the mixture was stirred at 0 C. for 10 minutes further. A small ice cube was added to the reaction mixture, solvents were evaporated under reduced pressure, and the residue was partitioned between water and ethyl acetate. The ethyl acetate layer was dried over anhydrous Na.sub.2SO.sub.4, evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography (silica gel) using 2% methanol in dichloromethane as eluant to give 27-O-acetyl epi-withaferin A (2.5 mg, 70% yield) as a white solid, mp 188-190 C.; .sup.1H NMR (500 MHz, CDCl.sub.3) : 6.83 (dd, J=10.2, 1.4 Hz, 1H, H-3), 6.00 (d, J=10.2, 2.5 Hz, 1H, H-2), 4.88 (d, J=11.9 Hz, 1H, H-27a), 4.85 (d, J=11.9 Hz, 1H, H-27b), 4.71 (s, 1H, H-4), 4.38 (dt, J=13.2, 3.3 Hz, 1H, H-22), 3.63 (s, 1H, H-6), 2.50 (dd, J=17.6, 14.5 Hz, 1H, H-23a), 2.12 (m, 1H, H-7a), 2.05 (s, 3H, H.sub.3-28), 2.03 (s, 3H, OAc), 1.99 (dd, J=13.2, 3.3 Hz, 1H), 1.93 (brd, J=9.9 Hz, 1H), 1.68-1.45 (m, 4H), 1.34 (m, 1H), 1.28-1.1.22 (m, 3H), 1.21 (s, 3H, H.sub.3-18), 1.18-1.03 (m, 4H), 0.98 (d, J=6.7 Hz, 3H, H.sub.3-21), 0.94-0.81 (m, 2H), 0.69 (s, 3H, H.sub.3-19); APCI-MS (+) m/z 513 [M+1].sup.+.
Synthesis of 4-O-acetyl Epi-Withaferin A from Withaferin A
##STR00059##
[0280] To a solution of 4-dehydrowithaferin A (11.3 mg) in DMF (0.5 mg) were added t-butyldimethylsilyl chloride (36.4 mg) and 4-pyrrolidinopyridine (42.9 mg) and stirred under atmosphere of nitrogen for 1 hour at 60 C. The reaction mixture was then diluted with ethyl acetate and washed with brine. The ethyl acetate solution was evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography using dichloromethane as eluant to give 27-O-t-butyldimethylsilyl-4-dehydrowithaferin A (9.5 mg, 68% yield). This compound was then dissolved in tetrahydrofuran (0.2 mL) and methanol (0.2 mL). CeCl.sub.3.7H.sub.2O (125 mg) was added, and the reaction was stirred at 0 C. for 5 minutes. To this solution was added NaBH.sub.4 (ca 1.0 mg), and the reaction was stirred at 0 C. After 10 minutes, a small ice cube was added to the reaction mixture, solvents were evaporated under reduced pressure, and the residue was partitioned between water and ethyl acetate. The ethyl acetate layer was dried over anhydrous Na.sub.2SO.sub.4, evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography (silica gel) using 2% methanol in dichloromethane as eluant to give 27-O-t-butyldimethylsilyl epi-withaferin A (7.5 mg, 70% yield) as a white solid, APCI-MS (+) m/z 585 [M+1].sup.+. 27-O-t-Butyldimethylsilyl epi-withaferin A was then acetylated using acetic anhydride and pyridine to give 4-O-acetyl-27-O-t-butyldimethylsilyl epi-withaferin A (8.0 mg, 99.5% yield) as a white solid (APCI-MS (+) m/z 627 [M+1].sup.+). 4-O-acetyl-27-O-t-butyldimethylsilyl epi-withaferin A (8.0 mg) was then dissolved in tetrahydrofuran (0.5 mL) and methanol (0.3 mL) and kept in an ice bath. To this solution was added 2 N HCl (0.15 mL), and the reaction was stirred at 0 C. After 1 hour, the reaction mixture was diluted with water. Methanol and tetrahydrofuran were evaporated under reduced pressure, and the water remaining was extracted with ethyl acetate (315 mL). The combined ethyl acetate extracts were washed with water, dried over anhydrous Na.sub.2SO.sub.4, evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography (silica gel) using 5% methanol in dichloromethane as eluant to give 4-O-acetyl epi-withaferin A as a white solid (5.3 mg, 70% yield), mp 236-38 C.; .sup.1H NMR (600 MHz, CDCl.sub.3) : 6.66 (dd, J=10.4, 1.5 Hz, 1H, H-3), 6.05 (dd, J=10.4, 2.4 Hz, 1H, H-2), 5.87 (brs, 1H, H-4), 4.39 (brd, J=13.4, 3.3 Hz, 1H, H-22), 4.37 (d, J=12.5 Hz, 1H, H-27a), 4.32 (d, J=12.5 Hz, 1H, H-27b), 3.53 (brs, 1H, H-6), 2.48 (dd, J=16.2, 13.9 Hz, 1H, H-23a), 2.11 (brd, 1H, H-7a), 2.09 (s, 3H, OCH.sub.3), 2.01 (s, 3H, H.sub.3-28),1.97-1.93 (m, 4H), 1.54-1.45 (m, 2H), 1.34 (m, 1H), 1.28 (s, 3H, H.sub.3-18), 1.23-1.00 (m, 6H), 0.98 (d, J=6.6 Hz, 3H, H.sub.3-21), 0.94-0.84 (m, 2H), 0.69 (s, 3H, H.sub.3-19); APCI-MS (+) m/z 513 [M+1].sup.+.
Synthesis of 27-O-acetylwithaferin A from Withaferin A
##STR00060##
[0281] To a solution of withaferin A (10.0 mg) in pyridine (0.1 mL) was added acetic anhydride (2.4 L), and the reaction was stirred at 25 C. After 2 h, ethanol (15 mL) was added to the reaction mixture. The volatiles were evaporated under reduced pressure, and the residue was separated via preparative thin layer chromatography (silica gel) using 6% methanol in dichloromethane as eluant to give 27-O-acetylwithaferin A (8.5 mg, 72% yield) as a white solid; mp 218-220 C.; .sup.1H NMR (500 MHz, CDCl.sub.3) : 6.90 (dd, J=9.9, 5.8 Hz, 1H, H-3), 6.18 (d, J=9.9 Hz, 1H, H-2), 4.88 (d, J=11.8 Hz, 1H, H-27a), 4.84 (d, J=11.8 Hz, 1H, H-27b), 4.38 (dt, J=13.6, 3.3 Hz, 1H, H-2), 3.74 (dd, J=5.8, 2.1 Hz, 1H, H-6), 3.22 (s, 1H, H-4), 2.51 (dd, J=13.2, 10.9 Hz, 2H), 2.12 (ddd, J=14.9, 6.3, 2.6, 1H, H-7a), 2.05 (s, 3H, H.sub.3-28), 2.04 (s, 3H, OAc), 1.96 (m, 2H), 1.93 (dt, J=9.6, 3.3 Hz, 1H), 1.82 (dt, J=14.2, 3.6 Hz, 1H), 1.69-1.59 (m, 2H), 1.53-1.43 (m, 2H), 1.39 (s, 3H, H.sub.3-18), 1.25 (m, 3H), 1.18-1.01 (m, 2H), 0.98 (d, J=6.6 Hz, 3H, H.sub.3-21), 0.91-0.82 (m, 2H), 0.69 (s, 3H, H.sub.3-19); APCI-MS (+) m/z 513 [M+1].sup.+.
Assessment of Withanolides in Neuroprotection Models
[0282] As described above, withaferin A showed neuroprotective effects in certain cell-based assays. In further experiments, additional withanolides are assessed in one or more of these cell-based assays.
[0283] In other experiments, neuroprotective effects of withanolide(s) are assessed in one or more in vivo animal models, e.g., in rodents such as mice or rats. One such model is an ischemic stroke model, e.g., a model involving occlusion of the middle cerebral artery (MCAO), optionally followed by reperfusion, e.g., as described by Arboleda-Velasquez, J F, et al. (Arboleda, J. F., et al., Proc. Natl. Acad. Sci. 105(12):4856-4861, 2008; Huang, Z., et al., Science, 265: 1883-1885, 1994; Huang, Z., et al., J. Cereb. Blood Flow Metab. 17: 1143-1151, 1997.). Another model is a spinal cord injury model. See, e.g., Basso, D M, et al., A sensitive and reliable locomotor rating scale for open field testing in rats. J. Neurotrauma, 12(1):1-21, 1995; Basso, D M., et al., Graded histological and locomotor outcomes after spinal cord contusion using the NYU weight-drop device versus transection. Exp. Neurol., 139(2): 244-256, 1996.
Other Embodiments
[0284] The foregoing has been a description of certain non-limiting preferred embodiments of the invention. Those of ordinary skill in the art will appreciate that various changes and modifications to this description may be made without departing from the spirit or scope of the present invention, as defined in the following claims.