Use of K-252a derivative

Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Heterocyclic carbon compounds containing a hetero ring...

Reexamination Certificate

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Reexamination Certificate

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06184217

ABSTRACT:

FIELD OF THE INVENTION
The invention relates to a ring-substituted derivative of K-252a for use in methods directed to ameliorating the deleterious effects of a variety of diseases, disorders and conditions.
BACKGROUND OF THE INVENTION
I. The Indolocarbazole K-252a
K-252a is a compound having an indolocarbazole skeleton [Japanese Published Unexamined Patent Application No. 41489/85 (U.S. Pat. No. 4,555,402)] with the stereochemistry shown in Formula I.
It has been reported that K-252a strongly inhibits protein kinase C (PKC) which plays a central role in regulating cell functions, and has various activities such as the action of inhibiting smooth muscle contraction (Jpn. J. Pharmacol. 43 (suppl.): 284, 1987), the action of inhibiting elongation of neurazone (J. Neuroscience, 8: 715, 1988), the action of inhibiting histamine release (Allergy, 43: 100, 1988), the action of inhibiting smooth muscle MLCK (
J. Biol. Chem.,
263: 6215, 1988), anti-inflammatory action (Acta Physiol. Hung., 80: 423, 1992), and the activity of cell survival (J. Neurochemistry, 64: 1502, 1995). It has also been disclosed in Experimental Cell Research, 193: 175-182, 1991, that K-252a has the activity of inhibiting IL-2 production.
In addition, it has been reported that derivatives of K-252a have PCK inhibitory activity, the activity of inhibiting histamine release (Japanese Published Unexamined Patent Application No. 295588/88), antitumor activity [Japanese Published Unexamined Patent Application No. 168689/89 (U.S. Pat. No. 4,877,776), WO 88/07045 (U.S. Pat. No. 4,923,986), WO 94/04541], the action of increasing blood platelets [WO 94/06799 (EP 630898A)], vasodepressor activity (Japanese Published Unexamined Patent Application No. 120388/87), the action of accelerating cholinergic neuron functions [WO 94/02488 (U.S. Pat. No. 5,461,146 and U.S. Pat. No. 5,621,100)] and, curative effect on prostate cancer [WO 94/27982 (U.S. Pat. No. 5,516,771)]. Selected amino-containing trindene compounds have been prepared by Beckmann rearrangement of the corresponding staurosporine oximes (WO 97/05140).
The indolocarbazoles are generally lypophilic. Because of this feature, the indolocarbazoles are able to cress biological membranes with relative ease, compared to proteins. Also indolocarbazoles generally have longer in vivo half lives than proteins.
In addition to K-252a itself, various derivatives of K-252a have been synthesized and tested for biological activity. Among the K-252a derivatives shown to have biological activity is a compound disclosed in Lewis et al., U.S. Pat. Nos. 5,461,146, and 5,621,100, and PCT Publication WO 94/02488, and designated therein as “Compound II-51.” Compound II-51 has been shown to enhance the function of cholinergic neurons, striatal neurons, and sensory neurons.
II. Neurodegenerative Diseases and Disorders
Parkinson's disease is a neurodegenerative disorder that involves progressive and selective loss of dopaminergic neurons of the nigro-striatal pathway (Agid,
Lancet:
337:1991). Administration of 1-methyl-4-phenyl-1,2,4,6-tetrahydropyridine (MPTP) to mice leads to dopaminergic neuron degeneration and serves as an animal model for the dopaminergic neuronal loss and behavioral deficits observed in Parkinson's disease. Peripheral administration of MPTP leads to a highly selective degeneration of the nigrostriatal dopaminergic neuronal system in humans, monkeys and mice (Heikkila et al.,
Science
224; 1451-1453, 1984; Burns et al.,
Proc Natl. Acad. Sci. USA
80:4546-4550, 1983).
Neurodegeneration in the MPTP mouse model has been well-characterized. Systemic administration of MPTP produces selective loss of dopamine content (and metabolites), tyrosine hydroxylase activity, and dopamine uptake sites in dopaminergic neurons of the murine striatum (Heikkila et al.,
Nature
311:467-469, 1984a,b; Tipton et al.,
J. Neurochem.
61:1191-1206, 1993). This effect is dose-dependent. Maximal loss occurs between 3 and 7 days post-lesion (Jackson-Lewis et al.,
Neurodegeneration
4:257-269, 1995). The dopaminergic cell bodies in the nigra are less sensitive to MPTP toxicity than their corresponding nerve terminals. At high MPTP doses, or multiple MPTP injections, substantial loss of TH immunopositive cells in the substantia nigra occurs within a week (Heikkila et al.,
Science
224; 1451-1453, 1984; Jackson-Lewis et al.,
Neurodegeneration
4:257-269, 1995). At lower MPTP doses, or with a single injection, loss of nigral tyrosine hydroxylase positive cells occurs later (Tatton et al.,
J. Neuroscience. Res.
30:666-672, 1991). Thus, at lower doses of MPTP and a short-time period after lesion, striatal damage can be observed in the absence of nigral tyrosine hydroxylase-positive cell loss. This neurodegenerative sequence is similar to that observed in the disease. The MPTP mouse model is a recognized and widely used model for the study of Parkinson's disease.
Non-cholinergic neurons that use &ggr;-aminobutyric acid (GABA) as a neurotransmitter (i.e., GABA-ergic neurons) are widespread throughout the brain. For example, they are found in the nucleus basalis magnocellularis in the rodent (the equivalent region in the human brain is called nucleus basalis of Meynert), a region of the basal forebrain important in attention and memory functions. Damage to GABA-ergic neurons in the basal forebrain may also contribute to behavioral deficits in neurodegenerative diseases such as Alzheimer's disease (Dekker et al.,
Neurosci. and Biobehav. Rev.,
15:299-317, 1991; Gallagher et al.,
Seminars in Neuroscience,
6;351-358, 1994; Torres et al.,
Neuroscience,
63:95-122, 1994).
Neurons in the basal forebrain die in several diseases of the central nervous system, notably Alzheimer's disease (Arendt et al.,
Acta Neuropathol.
(
Berl.
) 61:101-108, 1983; Iraizoz et al.,
Neuroscience,
41:33-40, 1991; Vogels et al.,
Neurobiol. Aging,
11:3-13, 1990). A contributing factor in such neuronal cell death is glutamate excitotoxity, i.e. over-stimulation of neurons by excess glutamate (Choi,
Neuron,
1:623-634, 1988). Accordingly, several animal models of Alzheimer's disease use glutamate or a glutamate analog to produce excitotoxic death in the region of the basal forebrain where neuron death occurs, i.e., the nucleus basalis magnocellularis (Wenk,
Beh. Brain Res.,
72:17-24, 1996).
Neuronal pathology in Alzheimer's disease is first seen in the entorhinal cortex, and loss of neurons in this region becomes severe as the disease progresses (Braak et al.,
Acta Neuropathol.
82:239-259, 1991; Hyman et al.,
Ann. Neurol.
20:472-481, 1986). Neurons in layer 2 of the entorhinal cortex project to the dentate syrus of the hippocampus, and this neuronal pathway plays an important role in memory formation (Levisohn et al.,
Brain Res.
564:230-244, 1991; Olton et al.,
Brain Res.
139:295-308, 1978; Steward et al.,
Brain Res. Bull.
2:41-48, 1977). Neurons in layer 2 of the entorhinal cortex, like many other neurons in the cerebral cortex, use glutamate as a neurotransmitter (Mattson et al.,
Neuron
1:865-876, 1988; White et al.,
Nature
270:356-357, 1977). Thus, loss of flutamatergic neurons in the entorhinal cortex contributes to the behavioural deficits seen in Alzheimer's disease and other neurological disorders.
III. Peripheral Neuropathy
Peripheral neuropathy generally refers to a disorder that affects the peripheral nerves, most often manifested as one or a combination of motor, sensory, sensorimotor, or autonomic neural dysfunction. The wide variety of morphologies exhibited by peripheral neuropathies can each be uniquely attributed to an equally wide variety of causes. For instance, peripheral neuropathies can be genetically acquired, can result from a systemic disease, or can be induced by a toxic agent. Some toxic agents that cause neurotoxicities are therapeutic drugs, antineoplastic agents, contaminants in foods or medicinals, and environmental and industrial pollutants.
In particular, chemotherapeutic agents known

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