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Title: Small peptides for the
treatment of Alzheimer's disease and other beta-amyloid protein
fibrillogenesis disorders
United States Patent: 7,276,483
Issued: October 2, 2007
Inventors: Castillo;
Gerardo M. (Bothell, WA), Nguyen; Beth P. (Bothell, WA), Lake; Thomas P.
(Bothell, WA), Snow; Alan D. (Lynnwood, WA)
Appl. No.: 10/821,250
Filed: April 8, 2004
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Web Seminars -- Pharm/Biotech/etc.
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Abstract
A pharmaceutical composition, or
pharmaceutical agent for treating A.beta. amyloidosis in a patient that
has at least one laminin-derived peptide or fragment thereof from the
group D-A13, D-HA3G76, D-A4G82, D-A5G81, D-A5G101, D-HA3G47, D-HA3G58,
D-HA3G74, D-HA3G83, D-A5G82, D-R-AG73, D-R-A13, D-R-HA3G76, D-R-A4G82, and
D-R-A5G81.
DISCLOSURE OF THE
INVENTION
This application is a
continuation-in-part of U.S. patent application Ser. No. 09/962,955 filed
Sep. 24, 2001, which is a continuation-in-part of U.S. patent application
Ser. No. 09/938,275 filed Aug. 22, 2001, the text and drawings of each of
which are hereby incorporated by reference into the present application as
if fully set forth herein.
Laminin-derived peptides are disclosed which demonstrate greater efficacy
in inhibiting and/or disrupting amyloid fibrils than that of iA.beta.5, a
known peptide currently under development as a beta-amyloid disease
therapeutic.
Methods are disclosed herein for the treatment and diagnosis of
Alzheimer's disease and other disorders that involve the accumulation and
persistence of beta-amyloid protein (A.beta.), sometimes referred to
herein as "beta-amyloid protein fibrillogenesis disorders". Methods are
disclosed for treating Alzheimer's disease and other A.beta. disorders,
comprising administering to a subject or patient a therapeutically
effective dose of at least one laminin globular domain-derived L- or
D-form peptide, such as small 7-12 mer peptides disclosed herein, or an
analog or a derivative thereof. In one exemplary embodiment, the laminin
peptide which is a potent A.beta. amyloid inhibitory agent is selected
from the group consisting of AG73 (SEQ ID NO:1), C-16 (SEQ ID NO:2), A-13
(SEQ ID NO:3), HA3G47 (SEQ ID NO:4), HA3G58 (SEQ ID NO:5), HA3G67 (SEQ ID
NO:6), HA3G74 (SEQ ID NO:7), HA3G76 (SEQ ID NO:8), HA3G79 (SEQ ID NO:9),
HA3G83 (SEQ ID NO:10), A4G82 (SEQ ID NO:11), A5G15 (SEQ ID NO:12), A5G56 (SEQ
ID NO:13), A5G80 (SEQ ID NO:14), A5G81 (SEQ ID NO:15), A5G82 (SEQ ID NO:
16), A5G84 (SEQ ID NO:17), A5G101 (SEQ ID NO:18), A5G109 (SEQ ID NO:19),
hereinafter referred to for easy reference as Sequence Group A, but more
preferably selected from the group consisting of AG73 (SEQ ID NO:1), A-13
(SEQ ID NO:3), HA3G76 (SEQ ID NO:8), A4G82 (SEQ ID NO:11), A5G81 (SEQ ID
NO: 15) and A5G101 (SEQ ID NO:18), hereinafter referred to for easy
reference as Sequence Group B.
The laminin peptides of the present invention may be prepared by known
chemical synthetic methods or by biotechnological methods. Assays useful
for the screening and identification of laminin peptide analogs as
inhibitors of A.beta. fibrillogenesis are also disclosed. In addition,
methods are disclosed for the labeling of polypeptides derived from the
invention for diagnosis of Alzheimer's and other A.beta. amyloidoses.
The present invention relates to the novel and surprising discovery that
laminin globular-domain derived peptides are inhibitors of Alzheimer's
disease amyloidosis, and therefore have potential use for the therapeutic
intervention of Alzheimer's disease and related A.beta. disorders.
It is therefore an object of the present invention is to provide a method
for treating Alzheimer's disease and other disorders involving the
formation and persistence of A.beta., comprising the administration of
laminin-derived peptides.
Another object of the present invention is to disclose specific laminin
globular domain-derived peptides and other novel analogs and derivatives
thereof, the administration of which comprises a method for treating
Alzheimer's disease and other A.beta. amyloidoses.
The invention also relates to pharmaceutical compositions comprising the
laminin globular domain-derived peptides and other analogs and derivatives
of such peptides, or pharmaceutically acceptable salts thereof for use in
the treatment of Alzheimer's disease and other A.beta. amyloidoses.
As used herein the term "laminin globular domain-derived peptide" is used
to include each laminin globular domain-derived peptide which was
surprisingly found to inhibit A.beta. fibrillogenesis as disclosed herein,
analogs, derivative and fragments thereof that retain the activity of the
complex peptide. The term analogs are intended to include variants on the
peptide molecule brought about, for example, homologous substitution of
individual or several amino acid residues. The term derivative is used to
include minor chemical changes that may be made to each of the laminin
globular domain-derived peptides themselves or analogs thereof that
maintain the biological activity of each of the parent peptides disclosed.
The invention also discloses methods to utilize the laminin-derived
peptides as diagnostic or imaging agents for Alzheimer's disease and other
A.beta. amyloidoses.
The invention also discloses methods to utilize antibodies made against
laminin-derived peptides as therapeutic agents for the treatment of
Alzheimer's disease and other A.beta. amyloid disorders.
A primary object of the present invention is to establish new therapeutic
methods for Alzheimer's disease and other disease involving the
accumulation of A.beta.. These A.beta. diseases include, but are not
limited to, the amyloid associated with Alzheimer's disease and Down's
syndrome, and various forms of cerebral amyloidosis, known to those
knowledgeable in the art.
A primary object of the present invention is to use laminin globular
domain derived peptides as potent inhibitors of A.beta. amyloid formation,
deposition, accumulation and/or persistence in Alzheimer's disease and
other A.beta. amyloidoses. Laminin globular domain derived peptides
include, but are not limited to, the peptides of Sequence Group A, and
more preferably the peptides of Sequence Group B and/or A5G109 (SEQ ID
NO:19).
Yet another object of the present invention is to use analogs or
derivatives thereof of each of the laminin globular domain derived
peptides as potent inhibitors of A.beta. amyloid formation, deposition,
accumulation and/or persistence in Alzheimer's disease and other A.beta.
amyloidoses. Laminin globular domain derived peptides include but are not
limited to, the peptides of Sequence Group A, and more preferably the
peptides of Sequence Group B.
Yet another object of the present invention is to use peptidomimetic
compounds modeled from the laminin globular domain peptides disclosed
herein, including but not limited to, the peptides of Sequence Group A.
Yet another aspect of the present invention is to make use of laminin
globular domain-derived peptides including, but not limited to, the
peptides of Sequence Group A, and fragments or analogs thereof, as
potential therapeutics to inhibit the deposition, formation and
accumulation of fibrillar amyloid in Alzheimer's disease and other A.beta.
amyloidosis disorders, and to enhance the clearance and/or removal of
pre-formed amyloid deposits in brain (for Alzheimer's disease and Down's
syndrome and other A.beta. amyloidoses).
Yet another object of the present invention is to use the laminin globular
domain-derived peptides of the present invention, and all constituents,
analogs or variants thereof, including peptides which have at least 70%
identity to the sequences disclosed herein. Specific laminin globular
domain-derived peptides as described above may be derived from any species
including, but are not limited to, human, murine, bovine, porcine, and/or
equine species.
Yet another object of the present invention is to use laminin globular
domain-derived peptides as described herein as a specific indicator for
the presence and extent of laminin breakdown in brain by monitoring
biological fluids including, but not limited to, cerebrospinal fluid,
blood, serum, urine, saliva, sputum and stool.
Yet another object of the present invention is to make use of peptides or
analogs or derivatives thereof as described herein, including but not
limited to, the peptides of Sequence Group A, as potential blocking
therapeutics for the interaction of laminin and laminin-derived fragments
in a number of biological processes and diseases (such as in Alzheimer's
disease, Down's syndrome and other amyloid diseases).
Another object of the present invention is to use pills, tablets, caplets,
soft and hard gelatin capsules, lozenges, sachets, cachets, vegicaps,
liquid drops, elixers, suspensions, emulsions, solutions, syrups, tea
bags, aerosols (as a solid or in a liquid medium), suppositories, sterile
injectable solutions, and sterile packaged powders, which contain laminin
globular domain-derived peptides, including but not limited to, the
peptides of Sequence Group A, and analogs, derivatives or fragments
thereof, to treat patients with Alzheimer's disease and other A.beta.
amyloidoses.
Yet another object of the present invention is to provide compositions and
methods involving administering to a subject a therapeutic dose of laminin
globular domain-derived peptides, which inhibit A.beta. amyloid
deposition, including but not limited to, the peptides of Sequence Group
A, and analogs, derivatives or fragments thereof. Accordingly, the
compositions and methods of the invention are useful for inhibiting
amyloidosis in disorders in which amyloid deposition occurs. The peptides
of the invention can be used therapeutically to treat amyloidosis or can
be used prophylactically in a subject susceptible to amyloidosis. The
methods of the invention are based, at least in part, in directly
inhibiting A.beta. amyloid fibril formation, and/or causing dissolution of
pre-formed A.beta. amyloid fibrils.
Yet another object of the present invention is to provide pharmaceutical
compositions for treating A.beta. amyloidosis. The pharmaceutical
compositions include a therapeutic compound of the invention in an amount
effective to inhibit A.beta. amyloid deposition and a pharmaceutically
acceptable vehicle.
Yet a further aspect of the present invention is to use anti-idiotypic
antibodies to laminin-derived protein fragments and/or laminin-derived
polypeptides as potent inhibitors of amyloid formation, deposition,
accumulation and/or persistence in Alzheimer's disease and other A.beta.
amyloidoses.
Another aspect of the invention is to provide new and novel polyclonal
and/or monoclonal peptide antibodies which can be utilized in a number of
in vitro assays to specifically detect A.beta.-binding laminin derived
protein fragments and/or A.beta.-binding laminin derived polypeptides in
human tissues and/or biological fluids. Polyclonal or monoclonal
antibodies that are made specifically against a peptide portion or
fragment of laminin which interacts with A.beta. can be utilized to detect
and quantify amyloid disease specific laminin fragments in human tissues
and/or biological fluids. These antibodies can be made by administering
the peptides in antigenic form to a suitable host. Polyclonal or
monoclonal antibodies may be prepared by standard techniques known to
those skilled in the art.
Another object of the present invention is to use laminin-derived
polypeptides referred to above, for the detection and specific
localization of laminin peptides important in the amyloid diseases in
human tissues, cells, and/or cell culture using standard
immunohistochemical techniques.
Yet another aspect of the present invention is to use antibodies
recognizing any of the A.beta.-binding laminin fragments, and/or laminin-derived
polypeptides including, but not limited to, the peptides of Sequence Group
A, and analogs, derivatives or fragments thereof, for in vivo labeling;
for example, with a radionucleotide, for radioimaging to be utilized for
in vivo diagnosis, and/or for in vitro diagnosis.
Another object of the present invention is to use A.beta.-binding laminin-derived
polypeptides or fragments thereof, in conjunction with polyclonal and/or
monoclonal antibodies generated against these peptide fragments, using in
vitro assays to detect amyloid disease specific autoantibodies in human
biological fluids. Specific assay systems can be utilized to not only
detect the presence of autoantibodies against A.beta.-binding laminin-derived
protein fragments or polypeptides thereof in biological fluids, but also
to monitor the progression of disease by following elevation or diminution
of laminin protein fragments and/or laminin-derived polypeptide
autoantibody levels.
Another aspect of the invention is to utilize laminin-derived protein
fragments and/or laminin-derived polypeptide antibodies and/or molecular
biology probes for the detection of these laminin derivatives in human
tissues in the amyloid diseases.
Yet another object of the present invention is to use the laminin-derived
protein fragments or polypeptides of the present invention in each of the
various therapeutic and diagnostic applications described above. The
laminin-derived protein fragments include, but are not limited to, a
.about.55 kDa fragment of laminin generated by trypsin digestion, a
.about.55 kDa fragment of laminin generated by elastase digestion, and a
.about.30 kDa fragment of laminin generated by trypsin digestion. The
laminin-derived polypeptides include, but are not limited to the peptides
of Sequence Group A, and analogs, derivatives or fragments thereof,
including peptides which have at least 70% identity to the sequences
disclosed herein. Specific laminin-derived protein fragments or peptides
as described above may be derived from any species including, but are not
limited to, human, murine, bovine, porcine, and/or equine species.
Another object of the invention is to provide polyclonal and/or monoclonal
peptide antibodies that can be utilized in a number of in vitro assays to
specifically detect laminin protein fragments or polypeptides in human
tissues and/or biological fluids. Polyclonal or monoclonal antibodies made
specifically against a peptide portion or fragment of any of the laminin
fragments or polypeptides described herein can be utilized to detect and
quantify laminin-derived protein fragments or laminin-derived polypeptides
in human tissues and/or biological fluids. These antibodies can be made by
isolating and administering the laminin-derived fragments and/or
polypeptides in antigenic form to a suitable host. Polyclonal or
monoclonal antibodies may be prepared by standard techniques by one
skilled in the art.
Yet another object of the present invention is to use laminin-derived
fragment or polypeptide-derived antibodies as described herein as a
specific indicator for the presence and extent of laminin breakdown in
brain by monitoring biological fluids including, but not limited to,
cerebrospinal fluid, blood, serum, urine, saliva, sputum, and stool.
Yet another object of the present invention is to use laminin-derived
fragment or polypeptide antibodies as described herein as a specific
indicator for the presence, extent and/or progression of Alzheimer's
disease and/or other brain amyloidoses by monitoring biological fluids
including, but not limited to, cerebrospinal fluid, blood, serum, urine,
saliva, sputum, and stool.
Yet another object of the present invention is to use laminin-derived
fragment or polypeptide-derived antibodies as described herein as a
specific indicator for the presence and extent of laminin breakdown in
systemic organs by monitoring biological fluids including, but not limited
to, cerebrospinal fluid, blood, serum, urine, saliva, sputum, and stool.
Yet another object of the present invention is to use laminin-derived
fragment or polypeptide antibodies as described herein as a specific
indicator for the presence and extent of amyloidosis in type II diabetes
by monitoring biological fluids including, but not limited to,
cerebrospinal fluid, blood, serum, urine, saliva, sputum, and stool.
Yet another object of the present invention is to use laminin-derived
fragment or polypeptide antibodies as described herein as a specific
indicator for the presence and extent of amyloidosis in other systemic
amyloidoses by monitoring biological fluids including, but not limited to,
cerebrospinal fluid, blood, serum, urine, saliva, sputum, and stool.
Yet another object of the present invention is to make use of peptides or
fragments of laminin as described herein, including but not limited to,
the peptides of Sequence Group A, and fragments thereof, as potential
blocking therapeutics for the interaction of laminin and laminin-derived
fragments in a number of biological processes and diseases (such as in
Alzheimer's disease and other amyloid diseases described herein).
Yet another object of the invention is to utilize specific laminin-derived
fragment or polypeptide antibodies, as described herein, for the detection
of these laminin fragments in human tissues in the amyloid diseases.
Preferred pharmaceutical compositions have at least one laminin peptide or
fragment thereof selected from the Sequence Group A consisting of AG73 (SEQ
ID NO:1), C-16 (SEQ ID NO:2), A-13 (SEQ ID NO:3), HA3G47 (SEQ ID NO:4),
HA3G58 (SEQ ID NO:5), HA3G67 (SEQ ID NO:6), HA3G74 (SEQ ID NO:7), HA3G76 (SEQ
ID NO:8), HA3G79 (SEQ ID NO:9), HA3G83 (SEQ ID NO:10), A4G82 (SEQ ID
NO:11), A5G15 (SEQ ID NO:12), A5G56 (SEQ ID NO:13), A5G80 (SEQ ID NO:14),
A5G81 (SEQ ID NO:15), A5G82 (SEQ ID NO: 16), A5G84 (SEQ ID NO:17), A5G101
(SEQ ID NO:18) and A5G109 (SEQ ID NO:19).
In preferred embodiments the compositions (all from Sequence Group B) have
the structure Arg-Lys-Arg-Leu-Gln-Val-Gln-Leu-Ser-Ile-Arg-Thr (SEQ ID NO:
1) or Arg-Gln-Val-Phe-Gln-Val-Ala-Tyr Ile-Ile-Ile-Lys-Ala (SEQ ID NO:3) or
Tyr-Leu-Ser-Lys-Gly-Arg-Leu-Val-Phe-Ala-Leu-Gly (SEQ ID NO:8) or
Thr-Leu-Phe-Leu-Ala-His-Gly-Arg-Leu-Val-Phe-Met (SEQ ID NO:11) or Ala-Gly-Gln-Trp-His-Arg-Val-Ser-Val-Arg-Trp-Gly
(SEQ ID NO:15) or Asp-Gly-Arg-Trp-His-Arg-Val-Ala-Val-Ile-Met-Gly (SEQ ID
NO:18).
Alternate preferred compositions and pharmaceutical compositions have at
least one laminin peptide or fragment thereof selected from the Sequence
Group D consisting of DP2 D-A13, DP3 D-HA3G76, DP4 D-A4G82, DP5 D-A5G81,
DP6 D-A5G101, DP7 D-HA3G47, DP8 D-HA3G58, DP9 D-HA3G74, DP10 D-HA3G83,
DP11 D-A5G82, DP13 D-R-AG73, DP14 D-R-A13, DP15 D-R-HA3G76, DP16
D-R-A4G82, and DP17 D-R-A5G81, and more preferably from the Sequence Group
E consisting of DP2 D-A13, DP4 D-A4G82, DP5 D-A5G81, DP6 D-A5G101, DP8
D-HA3G58, DP10 D-HA3G83, DP14 D-R-A13, DP15 D-R-HA3G76 and DP16 D-R-A4G82.
In any of the above structures or sequences, the individual amino acids
may be either L- or D-amino acids. The pharmaceutical composition have a
therapeutically effective amount of any of the above structures or
sequences, preferably together with a pharmaceutically acceptable carrier,
diluent or excipient.
In any of the above structures or sequences, the nomenclature or symbolic
representation of any or all of the individual amino acids may be given by
either the standard 3-letter abbreviation for the amino acid, or the
standard single letter code for the amino acid, and sometimes both in
appropriate cases.
Preferred pharmaceutical agents for treating A.beta. amyloidosis in a
patient have a therapeutically effective amount of a polypeptide selected
from Sequence Group B or A5G109 (SEQ ID NO:19), and have an A.beta.
amyloid inhibitory activity or efficacy greater than 30%, as compared to
duly established controls, such as patients who do not received the
preferred pharmaceutical agent.
An important A.beta. amyloidosis to which the disclosed therapeutics are
addressed is Alzheimer's disease. A preferred therapeutically effect
amount of disclosed polypeptide is a dosage in the range of from about 10
.mu.g to about 50 mg/kg body weight/per day, and more preferably in the
range of from about 100 .mu.g to about 10 mg/kg body weight per day.
The pharmaceutical agent may advantageously be administered in a
parenterally injectable or infusible form or orally.
A method is also disclosed to diagnose a disease or susceptibility to
A.beta. amyloidosis related to the level of laminin-derived polypeptides.
First the levels of laminin-derived polypeptides in a sample are
determined, whereby the levels are indicative of the presence of A.beta.
amyloidosis, susceptibility to A.beta. amyloidosis, or progression of
A.beta. amyloidosis. In preferred methods the laminin-derived polypeptides
are selected from the group consisting of Sequence Group B and/or A5G109 (SEQ
ID NO:19).
The sample assayed may be a biological fluid, and the biological fluid may
be serum derived from humans.
A method of making an antibody is also disclosed, the method producing
antibodies from a peptide sequence selected from the group consisting of
Sequence Group B and/or A5G109 (SEQ ID NO:19), and fragments thereof. The
method preferably includes production of at least one type of antibody
selected from the group consisting of polyclonal, monoclonal, chimeric,
and anti-idiotypic antibodies and monitoring a biological fluid for the
presence and extent of laminin-derived polypeptides as an indicator for
the extent of an amyloid disease and radiolabeling the antibodies for
radioimaging or in vivo diagnosis for detection of laminin-derived protein
fragments or laminin-derived polypeptides.
Claim 1 of 4 Claims
1. A pharmaceutical
composition comprising a peptide HA3G76 consisting of
Gly-Leu-Ala-Phe-Val-Leu-Arg-Gly-Lys-Ser-Leu-Tyr (SEQ ID NO:36).
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