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Title: Drugs for liver diseases
United States Patent: 7,335,647
Issued: February 26, 2008
Inventors: Egashira;
Kensuke (Fukuoka-shi, JP), Takeshita; Akira (Onojo-shi, JP), Koyanagi;
Masamichi (Beppu-shi, JP), Nakamuta; Makoto (Fukuoka-shi, JP), Nishida;
Ken-ichi (Tokyo, JP)
Assignee: Egashira; Kensuke
(Fukuoka-shi, JP), Daiichi Sankyo Company, Limited (Tokyo, JP)
Appl. No.: 10/398,285
Filed: September 28, 2001
PCT Filed: September 28,
2001
PCT No.: PCT/JP01/08552
371(c)(1),(2),(4) Date:
April 10, 2003
PCT Pub. No.:
WO02/30464
PCT Pub. Date: April 18,
2002
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Abstract
Preventives and/or remedies for liver
diseases, which comprise monocyte chemoattractant protein-I (MCP-I)
function inhibitors as active ingredients, respectively. Administration of
the MCP-I function inhibitors brings about effects in preventing and/or
remedying liver diseases.
Description of the
Invention
TECHNICAL FIELD
This invention relates to novel drugs for liver diseases, and also to a
novel preventive and/or remedial method for liver diseases.
BACKGROUND ART
Chemokines are a group of proteins having migration activity for
leukocytes and lymphocytes. From their structures, these chemokines can be
divided roughly into four types. Those with the first and second cysteines
arranged continuously are called "CC chemokines".
Monocyte chemoattractant protein-1 (MCP-1), one of the CC chemokines, was
reported as a protein by itself, and at substantially the same time, its
cDNA sequence was ascertained (J. Exp. Med., 169, 1449-1459, 1989; J. Exp.
Med., 169, 1485-1490, 1989; FEBS lett., 244, 487-493, 1989).
Receptors which recognize MCP-1 have already been identified, and their
cDNAs have also been cloned (Proc. Natl. Acad. Sci. USA, 91, 2752-2756,
1994; Biochem. Biophys. Res. Commun., 202, 1156-1162, 1994). Nine types of
receptors are now known as CC chemokine receptors, and the MCP-1 receptor
is called "CCR2".
Rollins et al. reported that they prepared a variety of amino acid mutants
of MCP-1 protein and some of the amino acid mutants were found to have
lost cell migration activity (J. Biol. Chem., 269, 15918-15924, 1994).
Among these mutants, the mutant obtained by deleting the second to eighth
amino acids as counted from the N terminal, that is, 7ND-MCP-1 has binding
ability to CCR2, but does not provoke cell migration. As a dominant
negative, on the other hand, 7ND-MCP-1 forms a dimer with wild-type MCP-1
and inhibits the function of MCP-1. Further, it is known that N-terminal
deletions of chemokines are potent dominant negative inhibitors of
chemokine-receptor interaction by forming heterodimers with the
corresponding endogenous monomer of the chemokine and that these
inhibitors are effective for the remedy of inflammations such as
post-angioplasty restenosis, rheumatoid arthritis, inflammatory bowel
disease, multiple sclerosis, and chronic pulmonary inflammation, e.g.,
pulmonary fibrosis; autoimmune disease; and the like (JP-A-11506005).
Fibrosis of the liver is a morbidity in which destruction of the normal
tissue structure, proliferation of fibroblasts and accumulation of
extracellular matrices advance, and cirrhosis is a post-fibrosis disease.
At present, no effective and safe remedial method has been established yet
for these diseases. For example, various symptomatic treatments have been
applied to cirrhosis, but cirrhosis advances to uncompensated cirrhosis,
resulting in poor prognostic improvements.
An object of the present invention is to provide a novel preventive and/or
remedy for a liver disease such as hepatic fibrosis or cirrhosis and
further, a novel preventive and/or remedial method for such a liver
disease.
DISCLOSURE OF THE INVENTION
The present inventors have ascertained that 7ND-MCP-1 produced in myocytes
by intramuscular injection of an expression vector containing 7ND-MCP-1
gene, into the femoral region of a model animal (rat) suppresses hepatic
fibrosis and have found that MCP-1 function inhibitors are useful as
preventives and/or remedies for liver diseases, leading to the completion
of the present invention.
Described specifically, the present invention provides a preventive and/or
remedy for a liver disease, comprising an MCP-1 function inhibitor as an
active ingredient.
The present invention also provides a preventive and/or remedial method
for a liver disease, which comprises administering a gene, which encodes
an MCP-1 antagonist or an MCP-1 dominant negative, to an organism.
The present invention further provides a preventive and/or remedy
composition for a liver disease, comprising an MCP-1 function inhibitor
and a pharmaceutically acceptable carrier.
The present invention still further provides use of an MCP-1 function
inhibitor for the manufacture of a preventive and/or remedy for a liver
disease.
BEST MODE FOR CARRYING OUT THE INVENTION
No particular limitation is imposed on the MCP-1 function inhibitor for
use in the present invention insofar as it can inhibit the function of
MCP-1 in the organism. Specific examples can include anti-MCP-1-antibodies
(including polyclonals and monoclonals), MCP-1 antagonists (including
proteins and non-protein, low molecular compounds), MCP-1 dominant
negatives (including proteins and non-protein, low molecular compounds),
and, when those capable of inhibiting the function of MCP-1 are proteins,
also genes encoding such proteins. As these antibodies, antagonists,
dominant negatives, and encoding genes, a variety of antibodies,
antagonists, dominant negatives and encoding genes are already known.
Further, those available by methods known per se in the art are all usable
in the present invention.
For example, anti-MCP-1 antibodies can be obtained by the procedure
disclosed in J. Immunology, 147, 2229-2233, 1991, while MCP-1 antagonists
and MCP-1 dominant negatives are known from JP-A-11506005 and the like.
In the present invention, introduction of a gene encoding an MCP-1
function inhibitor is more preferred than administration of the MCP-1
function inhibitor as a protein to an organism, because the former allows
the gene to remain longer in the organism (blood).
In the present invention, MCP-1 antagonists or MCP-1 dominant negatives
are preferred, with 7ND-MCP-1 being particularly preferred. Further, genes
encoding MCP-1 antagonists or MCP-1 dominant negatives are preferred, with
a gene encoding 7ND-MCP-1 being particularly preferred. As the gene
encoding 7ND-MCP-1, DNA having the base sequence indicated by SEQ ID NO: 1
of the Sequence Listing can be used. This DNA can be prepared by a genetic
engineering procedure known per se in the art. Described specifically,
from the base sequence of a DNA encoding the wild-type MCP-1 and indicated
by SEQ. ID. NO: 2 of the Sequence Listing, the DNA can be prepared using
PCR which employs a synthesis primer.
No particular limitation is imposed on an expression vector to be used for
the expression of the gene in an organism insofar as it can exhibit its
function. Illustrative are plasmid vectors such as pcDNA3, pEF-BOS and
pXT1; and retrovirus vectors such as adenovirus vectors and Sendaivirus
vectors. Upon constructing an expression vector, it is also possible to
use a promoter or an enhancer. No particular limitation is imposed on the
promoter or an enhance insofar as it functions in a host (organism).
Examples of the promoter can include SV40 promoter, CMV promoter, HSV-TK,
SR.alpha., and RSV.
To have the gene expressed in the host (organism), liposomes are also
usable. In this case, the gene may exist inside the liposomes, or inside
or outside the lipid bilayer membranes which constitute the liposomes. A
variety of liposome compositions are known to permit the expression of the
gene in the host (organism).
To confirm production of 7ND-MCP-1 protein from the 7ND-MCP-1 gene
introduced, it is only necessary to determine by ELISA whether or not the
protein exists in serum.
Administration of the MCP-1 function inhibitor, which is an active
ingredient of the preventive and/or remedy according to the present
invention for a liver disease, to organisms of animals including human
being can be conducted orally or parenterally. When the function inhibitor
is a protein, parenteral administration is desired. As a parenteral
administration method, injection can be mentioned. Injection can be
performed directly to a diseased part (the liver) or to a part other than
the liver, such as an artery, vein, muscle, skin or subcutaneous tissue.
As a pharmaceutical preparation (preparation forms) for injecting the
MCP-1 function inhibitor, an injection can be mentioned. This injection
can be obtained by known pharmaceutical preparation manufacturing
technology. Upon manufacturing the injection, one or more of known
additives to pharmaceutical preparations can be added. Illustrative are
isotonicities, buffers, preservatives, excipients, and soothing agents.
The dosage to each patient can be adequately determined depending on his
or her condition, age, sex, weight and the like. For example, 0.1 to 1,000
mg (in the case of a protein) or 0.01 to 100 mg (in the case of a gene)
may be administered once in 2 to 4 weeks.
Claim 1 of 12 Claims
1. A method of reducing fibrosis in a
fibrotic liver of a mammal in need thereof, comprising administering
intramuscularly into the mammal in need thereof a nucleic acid comprising
SEQ ID NO: 1, wherein the nucleic acid of SEQ ID NO: 1 encodes a dominant
negative form of MCP1, and wherein the nucleic acid of SEQ ID NO: 1 is
operably linked to a promoter, thereby expressing the nucleic acid of SEQ
ID NO: 1 in a muscle of the mammal in need thereof and reducing the amount
of fibrosis in the fibrotic liver of the mammal in need thereof. ____________________________________________
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