FIELD OF THE INVENTION
[0001] This invention relates to uses of incensole, incensole acetate, their derivatives,
and pharmaceutical compositions comprising them, for treating various diseases or
conditions.
BACKGROUND OF THE INVENTION
[0002] Boswellia species (
Burseraceae) are native of Eastern Africa, where their resin ("
frankincense" "
olibanum") has been widely used as incense and for various medical purposes. For example these
species are known as diuretic agents, for the treatment of vasious diseases such as
Bilharzia, stomachache syphilis and Rheumatism (Watt, 1962). Boswellia resin was found
to be useful for the treatment of inflammations (Singh & Atal, 1986), as well as several
diseases associated with inflammatory conditions such as for example active Crohn's
disease and Asthma (Gerhardt et al., 2001; Gupta, 1998). It was previously reported
that the anti-inflammatory properties of Boswellia resin may be attributed to the
Boswellic acid and its derivatives (Ammon et al., 1993).
[0003] The use of Boswellia resin for its psychoactive properties extends beyond the Near
East and Europe. In Ayurveda, the Indian medical tradition, Boswellia resin is reported
to have a 'strong action on the nervous system'. In Ethiopia, where Boswellia trees
are indigenous, it is believed to have a tranquilizing effect.
The isolation of IA (incensole acetate) and its structural elucidation was first described
by Corsano and Nicoletti (Corsano & Nicoletti, 1967). In 2006 the isolation and investigation
of several constituents including incensole of Boswellia resin as well as their anti-inflammatory
potential were published (
Banno et. al, 2006, Journal of Ethnopharmacology 107, 249-253).
US Patent No. 5064823 discloses pentacyclic triterpenoid compounds such as α boswelic acid and its acetate,
which have an inhibitory effect on topoisomerase I and topoisomerase II.
[0004] WO 02/053138 discloses the use of incensole and/or furanogermacrens, derivatives, metabolites
and analogeous thereof for selective inhibition of neoplastic cells, for example for
the treatment, inhibition or prevention of precancerous lesions, tumors, cancer growth
or other neoplasias in mammals.
[0005] NF-κB (nuclear factor-κB) is a collective name for a group of inducible dimeric transcription
factors. NF-κB is found in essentially all cell types and is involved in activation
of a large number of genes in response to various stressful situations, e.g. infection
and inflammation. The subcellular localization of NF-κB is controlled by a family
of inhibitory proteins, IκBs, which bind NF-κB and mask its nuclear localization signal,
thus preventing nuclear translocation. Exposure of cells to a variety of extracellular
stimuli leads to the rapid phosphorylation, ubiquitination, and ultimately proteolytic
degradation of IκB, which frees NF-κB to translocate to the nucleus where it regulates
gene transcription (Karin and Ben-Neriah, 2000). IκB phosphorylation, followed by
its degradation is considered to be the major step in NF-κB regulation (Ghosh & Karin,
2002).
[0006] Traumatic brain injury (TBI) is often associated with permanent cognitive disorders,
learning disabilities and various behavioral and emotional problems. Despite promising
pre-clinical data, most of the clinical trials conducted so far have failed to demonstrate
any significant improvement in outcomes, mainly because of ineffective therapies or
because of the selection of inappropriate target mechanisms (Marmarou et al, 2005,
Narayan et al, 2002). Secondary brain damage, triggered by the initial impact, develops
over hours, weeks and even months following injury. Secondary brain damage can increase
mortality and worsen disability but, unlike the primary lesion, may potentially be
attenuated by appropriate treatment. TBI induces early phase neuronal activation of
NF-κB, followed by its remarkably prolonged activation (Beni et al, 2004) even up
to 1 year (Nonaka, 1999). Studies on the role of NF-κB in the brain following closed
head injury in (CHI) mice have revealed that inhibition of acute NF-κB activation
is associated with enhanced functional recovery (Beni et al, 2004).
SUMMARY OF THE INVENTION
[0007] The invention relates to a compound having the structural formula I, including enantiomers,
diastereomers, solvates, and pharmaceutically acceptable salts thereof:

wherein,
R is selected from H, -C(=O)R', and -C(=O)OR", wherein R' is C1-25alkyl and R" is H or C1-25alkyl;
R1, R2, R5, and R6 are independently selected from H, OH and CH3;
R3, R4, R7, and R8 are independently selected H and OH;
R9 is H or CH3; or
one of R1 and R2 and one of R3 and R4 taken together form (i) a second bond between C12 and C13 or (ii) an epoxide ring, along with the carbon to which they are bonded; and/or
one of R5 and R6 and one of R7 and R8 taken together form (iii) a second bond between C8 and C9 or (iv) an epoxide ring, along with the carbon to which they are bonded; and/or
one of R5 and R6 together with R form a single bond, thereby forming an epoxide ring along with the
carbon to which they are bonded,
for use in neuroprotection. Moreover, the invention relates to a compound having the
structural formula I for use in the treatment, prevention or amelioration of a disease
or condition selected from depression, anxiety, obsessive compulsive behaviors, deterioration
in cognitive function, and deterioration in neurobehavioral function.
[0008] The invention further relates to a TRPV3 agonist having the structural formule I
for use in treating a disease or condition selected from mood-disorders, anxiety,
and a combination thereof.
BRIEF DESCRIPTION OF THE DRAWINGS
[0009] In order to understand the invention and to see how it may be carried out in practice,
embodiments will now be described, by way of non-limiting example only, with reference
to the accompanying drawings, in which:
Figure 1: Shows that IA (incensole acetate) and IN (incensole) inhibit IκBα degradation in
a dose dependant manner. HeLa cells were pre-incubated with IA (Fig. 1A) or IN (Fig. 1B) at the indicated
concentrations for 2 hrs prior to 20 minutes exposure to TNFα (20 ng/ml). At least
three more experiments were repeated with highest indicated dose, resulting similarly.
Figure 2: Shows that IA impairs IKK phosphorylation upstream of IKK, thus inhibiting IκBα
degradation and NF-κB accumulation in cell nuclei. (A) IA inhibits IKK phosphorylation. HeLa cells were stimulated with TNFα (20 ng/ml for
20 minutes) in the absence or presence of IA (140 µM) as shown. Whole cell extracts
were prepared and analyzed for the phosphoryation of IKKα and IKKβ by Western blotting
(WB). (B) HeLa cells were stimulated with TNFα (20 ng/ml for 20 minutes) in the absence or
presence of IA (140 µM). Cells were fixed and then stained with rabbit anti-p65 followed
by anti-rabbit Rhodamine Red-labeled secondary Ab, and with DAPI for nuclei location
(not shown). (B1) HeLa cells, no treatment; (B2) HeLa cells + IA; (B3) HeLa cells
+TNF; (B4) HeLa cells +IA+TNF. The cells were examined under an Axioscope Zeiss microscope
with a plan-Neofluor * 60 lens. Results of one of three independent experiments are
shown.
Figure 3: Shows IA activity on inflammatory mediators levels. (A(1)) Representative Western Blot bands of Cox2 are shown with tubulin as reference. (A(2)) COX-2 levels were measured in RAW 264.7 cells incubated for 24 hrs,. with LPS in
the presence or in the absence of IA (60 µM/ml); **, p<0.001. (B) Murine peritoneal macrophages were activated by LPS (1 µg/ml for 24 hrs.) in absence
of IA or in the presence of IA at indicated concentrations. NO generation was determined
by measuring the nitrite accumulated in the supernatants; **, p<0.001. (C) Generation of ROS by RAW 264.7 macrophages (5 x 105 cells in 0.5 ml Hanks' balanced salt solution) was measured by chemiluminescence.
Cells were pre-incubated with various doses of IA for 24 hrs before luminol (10 µl)
and zymosan (30 µl) were added to the tubes; *, p<0.05; **, p<0.01; ***, p<0.001
Figure 4: Shows that IA inhibited inflammation in the inflamed paw model after injection of
carrageenin. IA (50 mg/kg) or vehicle were injected i.p. to Sabra female mice (5 per group) 30
min before induction of the inflammatory stimulus. Hind paws were then injected with
50 µl of saline or λ-carrageenin (4%). Ensuing inflammatory swelling was measured
by increase in foot volume in a plethysmometer. IA also reduced paw redness (as a
measure of erythema) and licking (as a measure of pain) (data not shown). There were
highly significant effects of treatment (F=11.7, df=3,64, P<0.001). *, different from
IA + saline, P<0.05; **, ***, different from vehicle + saline at P<0.01, P<0.001 respectively;
#, different from vehicle + carrageenin, P< 0.05.
Figure 5: Shows the beneficial effect of IA (50 mg/kg) on neurobehavioural recovery and cognitive
function following closed head injury (CHI). (A) Motor function was assessed at 1h after CHI and up to 21 days and is expressed as
ΔNSS (Example 5). ΔNSS values were significantly higher in IA-treated (filled bars)
as compared to vehicle treated (empty bars) mice. This effect was sustained from 24h
to 21 days following injury as determined by the Mann-Whitney test (n =9-10 per group;
* p<0.01; **pH0.001, as compared to vehicle treated, at the same day). (B) Mice were subjected to the object recognition test (Example 6) 3, 7, 14 and 21 days
after CHI. The absolute time spent exploring each of the two objects was recorded
and the % time calculated. At baseline (bl), when presented with two identical objects,
exploration time of each object was about 50% in both groups. In the test (T) situation,
after one of the objects was replaced by a novel one the % time spent exploring the
new object was calculated. IA mice spent a significantly higher percentage of their
exploration time near the novel object (*p≤ 0.01; **p<0.001 as compared to baseline
measurement at the same day) whereas the vehicle-treated mice demonstrated a severe
deficit on this test and could not distinguish between the two objects (n=3-5/group).
Figure 6: Shows that IA (50 mg/kg) inhibits IL-1β and TNFα mRNA expression following closed
head injury. IL-1β and TNFα mRNA levels were quantified 3 hours post-injury by real time polymarerase
chain reaction. β-actin was used as endogenous control. *p<0.05 vs. vehicle, as determined
by student's t-tests.
Figure 7: Shows that IA exerts a potent and dose dependent effect in the plus-maze test, indicating
an anxiolytic effect. Mice (female Sabra strain, aged 3.5-4.5 months old) were injected intraperitoneally
with 10, 30 or 50 mg/kg of incensole acetate or with vehicle. Each dose was administered
to 5 mice. Fourty five min after injection the mice were tested in the plus-maze for
'anti-anxiety' effects. Diazepam (5 mg/kg) was injected to a separatae group of mice
as a positive control. One-way Anova indicated significant effects (F = 4.2, df=4,32,
P<0.01). Data are presented as means ± SEM. *, P<0.05; **, P<0.01 compared to vehicle.
Figure 8: Shows that IA exerts a potent and dose dependent anti-depressive effect in the Porsolt
forced swimming test, indicating an anti-depressant effect. Mice (female Sabra strain, aged 3.5-4.5 months old) were injected intraperitoneally
with 10, 30 or 50 mg/kg of incensole acetate or with vehicle. Each dose was administered
to 5 mice. Fifty min after injection the mice were tested in the Porsolt forced swimming
test for 'anti-depressant' effects. Desipramine (5 mg/kg) was injected to a separate
group of mice as a positive control. One-way Anova indicated significant effects (F
= 8.9, df=4,27, P<0.01). Data are presented as means ± SEM. DMI=desipramine. *, P<0.05;
**, P<0.01; ***, P<0.001 compared to vehicle.
Figure 9: Shows that IA modulates c-Fos expression in several brain areas. The diagram (Fig. 9A) illustrates brain areas of female Sabra mice (15-20 weeks; n = 4-5) where IA (50
mg/kg) significantly changed the number of c-Fos-immunoreactive cells, 60 min after
i.p. injection of IA or vehicle. The drawings were modified from plates 30, 38, 45,
89 respectively from Paxinos and Franklin (2001). The atlas sections are arranged
from anterior a to posterior d. The number under each section indicates its distance
(mm) from the bregma. "A" is anterior to bregma and "P" is posterior to bregma. IA
significantly increased c-Fos in the lateral septum (LS), central nucleus of the amygdala
(CEA) and solitary complex (Sol). IA significantly reduced c-Fos in the motor cortex
(MCtx), medial striatum (MSt) and hippocampal CA3 region (CA3). Fig. 9B shows representative micrographs and Fig. 9C (Table 1) quantification.
Figure 10: Shows that IA exhibits an anti-depressant-like effect in the Porsolt forced-swimming
test and an anxiolytic effect in the elevated plus maze in WT, but not TRPV3-/- mice. Wild type and TRPV3-/- mice (18-20 weeks old) were injected with vehicle (isopropanol:emulphor:saline =1:1:18)
or IA (75 mg/kg). 30 min
Figure 10: Shows that IA exhibits an anti-depressant-like effect in the Porsolt forced-swimming
test and an anxiolytic effect in the elevated plus maze in WT, but not TRPV3-/- mice. Wild type and TRPV3-/- mice (18-20 weeks old) were injected with vehicle (isopropanol:emulphor:saline =1:1:18)
or IA (75 mg/kg). 30 min later they were tested in a, the elevated plus maze (5 min), followed by b, 9 min exposure to the Porsolt forced-swimming test. In the elevated plus maze assay,
IA caused wild type (WT) mice to spend significantly more time in the aversive open
arms of the maze (relative to the total time spent in both arms). In the Porsolt forced-swim
test, immobility was significantly reduced by IA in WT mice, whereas TRPV3 knockout
(KO) mice did not respond to IA. No difference was noted in WT and TRPV3 KO mice in
response to vehicle. Data are presented as means ± SEM; n = 4-5. * p < 0.05, compared to WT-Vehicle-injected mice (Bonferroni post hoc test). ** p < 0.01, compared to WT-Vehicle-injected mice (Bonferroni post hoc test).
Figure 12: Shows that IA is a potent TRPV3 activator (agonist). a, IA or 2-APB evoked robust calcium increases in mouse HEK293 TRPV3-YFP transfected
cells compared with vehicle, #, p < 0.001 (n = 9). IA treated HEK293-TRPV3(+) cells show a significantly higher activation than
HEK293-pcDNA cells, * p < 0.001 (n = 9). b, IA dose-dependently induced calcium influx in TRPV3-YFP transfected HEK293 cells
in the presence of calcium in the extracellular media , ○, EC50 = 16 µM, Hill slope = 2.2, (n = 10). In the absence of calcium, □, the effect of IA was markedly reduced, #, p < 0.05 (n = 5). c, IA (500 µM) increased intracellular calcium levels in primary keratinocytes from
TRPV3+/+ but not TRPV3-/- mice. Camphor (10 mM) showed a similar effect. *; #, p < 0.005 (n = 6), t test (two-tailed). d, Representative single cell robustly increased calcium in these cells. #, p < 0.001 (n = 41-51). g, IA induced a very modest calcium influx in rat TRPV4 transfected HEK293 compared
to vehicle, #, p < 0.001 (n = 26). 4αPDD induced a robust calcium increase that was significantly
larger than the effect of IA, *, p < 0.001 (n = 26). All error bars indicate SEM; p values in all subfigures but c represent analysis with one-way ANOVA Bonferroni's
post hoc.
Figure 13: Shows that IA activates a TRPV3 current when it is stably expressed in HEK293 cells. a, Sample time course shows summed charge of current activated (-85 to -45 mV, in
pC) with application of IA (200 µM). b, Sample current response to voltage ramp from same cell as a. c, Dose response for
IA shows activation of currents at 200 µM in TRPV3(+) HEK293 cells (■), but not in
TRPV3(-) controls (▲); *, p < 0.001 1-way ANOVA with Dunnett's posthoc vs. TRPV3(-). d, TRPV agonist 2-APB (100 µM) activates currents in TRPV3(+) cells but not in TRPV3(-)
cells; **, p < 0.001, unpaired two-tailed Student's t-test. e, IA (200 µM) does not activate currents in TRPV1(+), TRPV4(+) cells, nor does vehicle
in TRPV3(+) cells. TRPV3(+) response to IA is shown for reference. *, p < 0:001. Error bars represent SEM, n = 4-5.
DETAILED DESCRIPTION OF THE INVENTION
[0010] The present invention is based on the finding that incensole (IN) and incensole acetate
(IA), possess various pharmacological activities which were not previously attributed
to the isolated compounds per-se.
[0011] In the first aspect of the invention, there is provided a compound having the structural
formula I, including enantiomers, diastereomers, solvates, and pharmaceutically acceptable
salts thereof:

wherein,
R is selected from H, -C(=O)R', and -C(=O)OR", wherein R' is C1-25alkyl and R" is H or C1-25alkyl;
R1, R2, R5, and R6 are independently selected from H, OH and CH3;
R3, R4, R7, and R8 are independently selected H and OH;
R9 is H or CH3; or
one of R1 and R2 and one of R3 and R4 taken together form (i) a second bond between C12 and C13 or (ii) an epoxide ring, along with the carbon to which they are bonded; and/or
one of R5 and R6 and one of R7 and R8 taken together form (iii) a second bond between C8 and C9 or (iv) an epoxide ring, along with the carbon to which they are bonded; and/or
one of R5 and R6 together with R form a single bond, thereby forming an epoxide ring along with the carbon
to which they are bonded,
for use in neuroprotection.
[0012] By the term
"one of R1 and R2 and one of R3 and R4 taken together form a second bond between C12 and C13" is meant that the bond formed between
C12 and C13 is a π bond, thereby the bond between C
12 and C
13 is a double bond.
[0013] Similarly by the term
"one of R5 and R6 and one of R7 and R8 taken together form (iii) a second bond between C8 and C9" is meant that the bond formed between C
8 and C
9 is a π bond, thereby the bond between C
8 and C
9 is a double bond.
[0014] It is appreciated that double bond conformations are also within the scope of the
present invention.
[0015] As used herein the term
"C1-25 alkyl" refers to a saturated aliphatic hydrocarbon of 1 to 25 carbon atoms. The C
1-25 alkyl may be a straight or a branched alkyl.
[0016] Whenever a numerical range e.g. "1-25" is stated herein, it means that the group
in this case the alkyl group, may contain 1 carbon atom, 2 carbon atoms, 3 carbon
atoms, etc., up to and including 25 carbon atoms.
[0017] According to one embodiment of the present invention, the compound is incensole or
incensole acetate. The structures of these compounds are shown below.

[0018] The term
"treatment, prevention or amelioration" in connection with the inflammatory disease aspect concerns improvement of at least
one undesired manifestation of the disease such as: increase in disease free periods,
decrease in acute disease periods (in time and severely), decrease in severity of
the disease , improvement in life quality, decreased mortality as well as prophylactic
treatment before disease occurs.
[0019] As used herein the term
"medicament" refers to a pharmaceutical composition. Specifically, it refers to a pharmaceutical
composition comprising at least one compound of structural formula I described in
the present invention in any suitable pharmaceutical acceptable carrier (e.g. an excipient
or diluent), and also to different formulations required for different routes of administration.
For example the medicament may be formulated for oral administration, or may be formulated
for parenteral, rectal or other modes of administration.
[0020] The active ingredients of a pharmaceutical composition as disclosed herein may include
at least one compound of formula I, i.e. a single compound, or two or more compounds.
[0021] By the term
"consisting essentially of" in connection with a pharmaceutical composition is meant that the active ingredient
includes one or more compounds of formula I as defined above and is substantially
free of other active compounds. By the term
"substantially free of other active compounds" is meant that the active ingredient includes at least 70%w/w of a compound of formula
I, more preferably at least 80%w/w, more preferably at least 90%w/w, even more preferably
at least 95% w/w of a compound of formula I. The active ingredient may include at
least one of the above indicated concentrations of compound of formula I and up to
99.9% w/w of compound of formula I. The active ingredient may also include at least
one of the above indicated concentrations and up to 99%w/w of compound of formula
I.
[0022] By yet a further aspect of the invention there is provided a compound having the
structural formula I as hereinabove defined for use in neuroprotection.
[0023] In one embodiment said neuroprotection is for treatment, prevention or amelioration
of a disease or condition resulting from injury, trauma, or CNS neurodegenerative
diseases.
[0024] The term
"treatment, prevention or amelioration" in connection with neuroprotection as used herein, means treating, preventing, or
reversing cognitive decline associated with concentration loss, memory-acquisition
loss, and information-storage or retrieval loss including, but not limited to, neuronal
disorders, such as cognitive decline associated with aging, cognitive impairment and
neurodegenerative disorders, such as Alzheimer's disease, Parkinson's disease, ALS,
Huntington Chorea, HIV associated dementia, Lewy body dementia, multiple sclerosis,
and prion disease. The term also includes treating, preventing, or reversing neuronal
dysfunction associated with loss of motor skills (ataxia), such as Parkinson's disease
and amyotrophic lateral sclerosis as well as neuronal dysfunction resulting from CNS
injury, such as head trauma, stroke, spinal-cord injury, and peripheral-nerve injury.
[0025] As used herein the term
"neurodegenerative disease" refers broadly to disorders or diseases that affect the nervous system and are characterized
by gradual neuronal loss and/or gradual loss of neuronal function, including but are
not limited to age-associated memory impairment, Parkinson's disease, Alzheimer's
disease, Huntington's chorea disease, multiple sclerosis and amyotrophic lateral sclerosis
(ALS), HIV associated dementia, Lewy body dementia, and prion disease.
[0026] In another one of its aspects the present invention provides a compound having the
structural formula I for use in the treatment, prevention or amelioration of a disease
or condition selected from depression, anxiety, obsessive compulsive behaviors, deterioration
in cognitive function, deterioration in neurobehavioral function, and combination
of any of the above.
[0027] The term
"deterioration of cognitive and/or neurobehavioral function" refers to decrease in learning and memory capacitates, to decrease in orientation
in time and space and decrease in coordination, and movement capacities due to CNS
function. The deterioration may be a natural result of aging but may also be as a
result of injury, trauma (caused by accidents, stroke, surgery or diseases) or of
disease in the CNS notably neurodegenerative diseases.
[0028] The terms
"injury" and
"trauma" includes physical injury to the CNS (or head) as a result of physical insult, injury
or damage due to stroke, ischemia, hypoxia, surgery or a disease such as an infectious
disease in the CNS (such as AIDS -associated dementia) as well as a neurodegenerative
disease, for example Alzheimers, Parkinson, Hungtinton Chorea or old age dementia.
[0029] The term
"treatment, prevention or amelioration of depression, anxiety or obsessive compulsive
behavior" refers to decrease or elimination of the severity of the condition, decrease in the
duration of the episode as well as preventive treatment in individuals prone for such
conditions to avoid or minimize the entry to these undesired episodes. The term
"treatment" in connection with depression concerns improvement of at least one undesired manifestation
of the disease such as anorexia and bulimia as well as the manifestation of clinical
depression.
[0030] It is demonstrated in the present invention that incensole acetate (IA), a
Boswellia resin constituent, is a potent TRPV3 agonist that causes anxiolytic-like and antidepressive-like
behavioral effects in wild type (WT) mice with concomitant changes in c-Fos activation
in the brain. These behavioral effects were not noted in TRPV3
-/- mice, suggesting that they are mediated via TRPV3 channels. IA robustly activated
TRPV3 channels stably expressed in HEK293 cells and in keratinocytes from TRPV3
+/+ mice. It had no effect on keratinocytes from TRPV3
-/- mice and showed modest or no effects on TRPV1, TRPV2 and TRPV4. The results shown
below (see Example 15) imply that TRPV3 channels in the brain play a role in emotional
regulation.
[0031] In a further aspect of the invention, there is provided a TRPV3 agonist having the
structural formula I for use in treating a disease or condition selected from mood-disorders,
anxiety, and a combination thereof.
[0032] As used herein the term
"mood disorders" refers to an emotional and/or behavioral disturbance characterized by persistent
and pervasive bouts of euphoria and/or depression. Exemplary mood disorders include
depression and bipolar disorders (also known as manic depressive illness). Anxiety
is frequently associated with mood disorders, such as depression.
[0033] By a specific embodiment the mood-disorder is depression.
[0034] Said TRPV3 agonist is a compound having the structural formula I as defined hereinabove.
In yet a further embodiment said compound is incensole or incensole acetate.
[0035] The invention relates to a compound having structural formula I for use in the treatment,
prevention, or amelioration of a disease or condition selected mood disorders, anxiety,
and a combination thereof.
Compounds of the Invention:
[0036] In one embodiment R' and/or R" of structural formula I are each independently C
1-20alkyl; in a further embodiment C
1-15alkyl; in yet a further embodiment C
1-10alkyl; in a further embodiment C
1-6alkyl; in an additional embodiment C
1-5alkyl.
[0037] In another embodiment, the bond between carbons 8,9 and\or 12,13 is a single bond.
In a further embodiment carbons 8,9 and\or 12,13 form an epoxide ring, along with
the carbon to which they are bonded. In yet a further embodiment, the substituents
on carbons 8,9 and\or 12,13 are substituted as to form a diol. In another embodiment
one or more of R
1, R
2, R
5, R
6, and R
9 is H.
[0038] In one embodiment of the present invention, the compound is incensole or incensole
acetate.
[0039] Compounds used by the methods and uses of the invention may be synthesized by the
synthetic routes described and detailed in
G. STRAPPAGHETTI, G. PROIETTI, S. CORSANO, AND I. GRGURINA. Synthesis of incensole.
BIOORGANIC CHEMISTRY 11, 1-3 (1982) and
T. Kato, C.C. Yen, T. Kobayashi, Y. Kitahara. Cyclization of polyenes XXI. Synthesis
of DL-incensole. Chemistry letters 1191-1192 (1976). The derivatives of structural formula I may be synthesized by procedures as described
in
FessendenR.J. & Fessenden J.S.; Organic chemistry, 1990, Brooks/Cole Publishing company,
California (pp. 257-301 (alcohols), 301-323 (ethers and epoxides), 529-591 (aldehydes and ketones),
591-627 (Derivatives of carboxylic acids), 391-448 (double bonds)). Synthesis procedures
can be also found in additional general textbooks, for example, Morrison R.T. & Boyd
R.N.; Organic chemistry, 1992, Pramount communication company, California.
Pharmaceutical compositions, dosages, and routes of administration
[0040] As used herein a
"pharmaceutical composition" refers to a preparation of one or more compounds described herein, with other inert
chemical components such as suitable pharmaceutically acceptable carriers. The purpose
of a pharmaceutical composition is to facilitate administration of a compound to a
mammal.
As used herein the term
"pharmaceutically acceptable carrier" refers to an inert nontoxic carrier or diluent that does not cause significant irritation
to a subject (mammal) and does not abrogate the biological activity and properties
of the administered compound.
[0041] Examples without limitation of carriers are lactose, sucrose, water, organic solvents,
and polyethyleneglycol.
[0042] The carriers may include additional excipients such as binders, disintegrants, lubricants,
surface active agents, preservatives and favoring agents.
According to one embodiment of the present invention the route of administration of
the composition is selected from oral, parenteral, inhalation, topical, transdermal,
nasal, trnsmucosal (e.g. intranasal), intestinal, and rectal.
[0043] Additionally according to a preferred embodiment of the present invention the parenteral
route of administration is selected from intravenous, intramuscular, intraperitoneal
and subcutaneous administration.
[0044] Additional suitable routes may be for example intramedullary, intrathecal, direct
intraventicular, and intraocular injections.
[0045] A specific embodiment is the oral route of administration.
[0046] The pharmaceutical composition may be formulated as to provide immediate release
or sustained release of the active ingredient from the dosage form after administration
to a patient by employing procedures well known in the art.
[0047] The final form of the composition includes but not limited to a liquid, a syrup,
an elixir, an emulsion, a suspension, drops, a spray, a cream, an ointment, a lotion,
a gel, a paste, a powder, a granule, a tablet, a caplet, a pill, a capsule, a suppository,
a transdermal patch or an injection.
[0048] The pharmaceutically acceptable carrier selected for preparing the pharmaceutical
compositions of the present invention depends on the final form of the composition.
[0049] Typically, such carriers include additional excipients such as binders, disintegrants,
adsorbents, lubricants, wetting agents, buffering agents and surface active agents.
[0050] The pharmaceutical compositions are preferably present in a unit dosage form. Unit
dosage form as used herein refers to physically discrete units suited as unitary dosages
for the mammalian subject to be treated, such as a tablet, a capsule, or powders in
vials or ampoules, each unit containing a predetermined quantity of the active ingredient
calculated to produce the desired therapeutic effect.
[0051] Preferably the pharmaceutical composition in a unit dosage form comprises a therapeutically
effective amount of the active ingredient in an amount from 0.1 mg to 1000 mg, more
preferably 1 to 500 mg.
[0052] Oral dosage forms suitable for oral administration may be presented as discrete pharmaceutical
unit dosage forms, such as capsules, cachets, soft elastic gelatin capsules, tablets,
caplets, or aerosols sprays, each containing a predetermined amount of the active
ingredients, as a powder or granules, or as a solution or a suspension in an aqueous
liquid, a non-aqueous liquid, an oil-in-water emulsion, or a water-in-oil liquid emulsion.
Dosage forms such as oil-in-water emulsions typically comprise surfactants such as
an anionic surfactant, for example anionic phosphate ester or lauryl sulfates, but
other types of surfactants such as cationic or nonionic surfactants may be used in
the compositions of the present invention. See generally,
Remington's Pharmaceutical Sciences, Mack Publishing, Easton Pa., latest edition.
[0053] For the purpose of preparing a tablet dosage form, various pharmaceutical carriers
which are well-known in this field can be widely used. As to the examples of carriers,
excipients such as lactose, sodium chloride, glucose, starch, calcium carbonate, kaolin,
cellulose, aluminum silicate and the like may be used; the binders may be for example
water, ethanol, propanol, glucose solution, starch solution, gelatin solution, carboxymethyl
cellulose, shellac, methyl cellulose, polyvinylpyrrolidone and the like; the disintegrants
may be for example starch, sodium alginate, sodium laurylsulfate, sodium starch glycolate
and the like; the wetting agents may be for example glycerin, surfactants and the
like; the adsorbents may be for example starch, lactose, kaolin, bentonite, colloidal
silicic acid and the like; lubricants such as talc, strearates, polyethylene glycols
and the like can be used. The tablets preparations can be further shaped into tablets
coated with usual tablet coating, for example sugar coated tablets, gelatin film coated
tablets, tablets coated with enteric coating, tablets coated with film coating, or
double layer tablets and multiple layer tablets.
[0054] For the purpose of preparing a capsule dosage form, the compounds of formula [I]
as the active ingredients are mixed with the above-mentioned various carriers and
the mixture or granules prepared from the mixtures are placed into rigid gelatin capsules
or soft capsules.
[0055] For the purpose of preparing a suppository dosage form, various carriers which are
well-known in this field can be widely used. As to the examples of carries, polyethylene
glycols, cacao butter, higher alcohols, esters of higher alcohols, gelatin, semi-synthesized
glycerides and the like can be mentioned.
[0056] For the purpose of preparing an injection dosage form, liquid preparations, emulsion
preparations and suspension preparations are sterilized, further these preparations
are preferably isotonic to the blood, and all the diluents which are conventionally
used in this field can also be used for example, water, ethyl alcohol, macrogols,
propylene glycol, ethyoxylated isostearyl alcohol, polyoxylated isostearyl alcohol
and polyoxyethylenesorbitan fatty acid esters.
[0057] Additionally, for the purpose of preparing an isotonic injection solutions, an adequate
amount of sodium chloride, glucose or glycerin may be added to the injection preparations,
further, usual dissolving additives, buffering agents, preservatives and the like
may be added.
[0058] An example of a pharmaceutical carrier for preparing an injection emulsion preparation
is triglyceride emulsion. An example of an acceptable triglyceride emulsion useful
in the intravenous and intraperitoneal administration of the compounds of the present
invention is the triglyceride emulsion commercially distributed under the tradename
Intralipid.RTM.
[0059] Moreover, if necessary, coloring agents, preservatives, spices, flavors, sweetening
agents and others may be added to the pharmaceutical preparations of the present invention.
[0060] Topical preparations such as creams, ointments, pastes, gels, lotions, transdermal
patches, inhalants, sprays, aerosols and the like are formulated by using carriers
and exipients which are well known in the field.
[0061] Methods of preparing the compositions include the step of bringing into association
a compound of the present invention with the pharmaceutical carrier. In general, the
compositions are prepared by uniformly and intimately bringing into association a
compound of the present invention with liquid, semi-solid or solid carriers, and then,
if necessary, shaping the product.
[0062] The pharmaceutical compositions may be prepared by methods of pharmacy well known
to those skilled in the art, e.g. by means of conventional mixing, dissolving, pulverizing,
granulating, compressing, emulsifying, levigating, or lyophilizing processes. Techniques
for formulation and administration of drugs may be found in "
Remington's Pharmaceutical Sciences," Mack Publishing Co., Easton, PA, latest edition.
[0063] Pharmaceutical compositions for use in accordance with the present invention may
thus be formulated in conventional manner using one or more pharmaceutically acceptable
carriers comprising excipients and auxiliaries, which facilitate processing of the
active compounds into preparations which, can be used pharmaceutically. The proper
formulation is dependent upon the route of administration chosen.
[0064] The amount of the active ingredient that may be combined with the pharmaceutical
carrier to produce a single dosage form will vary depending upon the mammal treated
and the particular mode of administration. For example, a composition intended for
oral administration to humans may vary from about 5% to about 95% w/w of the total
composition.
[0065] Dosage unit forms will generally contain between 0.1 to 1000 mg of the active ingredient,
more preferably 1 to 500 mg.
[0066] The therapeutically or prophylactically effective amount of an active ingredient
administered orally may range from 0.1 to 1000 mg daily, more preferably from 1 to
500 mg daily, either singly or in multiple dosage over 24-hour period. For oral administration,
the therapeutically effective amount of the active ingredient may be several times
greater than that for parenteral administration.
[0067] The above dosages refer to humans.
[0068] The desired dose is suitably administered once daily, or several sub-doses, e.g.
2 to 4 sub-doses, are administered at appropriate intervals through the day, or other
appropriate schedule.
[0069] In the practice of the invention the amount of the compound incorporated in the pharmaceutical
composition may vary widely. Factors considered when determining the precise amount
are well known to those skilled in the art. Examples of such factors include, but
are not limited to, age, sex and weight of the subject being treated, intended medical
use of the compounds, severity of the disease, the dosage form, route of administration
being employed and the frequency with which the composition is to be administered.
[0070] The exact dose may be determined, in accordance with the standard practice in the
medical arts of "dose titrating" the recipient; that is, initially administering a
low dose of the compound, and gradually increasing the dose until the desired therapeutic
effect is observed.
[0071] The ratio between toxicity and therapeutic effect for a particular compound is its
therapeutic index and can be expressed as the ratio between LD50 (the amount of compound
lethal in 50% of the population) and ED50 (the amount of compound effective in 50%
of the population). Therapeutic index data obtained from animal studies can be used
in formulating a range of dosages for use in humans. The dosage of such compounds
preferably lies within a range of plasma concentrations that include the ED50 with
little or no toxicity. The dosage may vary within this range depending upon the dosage
form employed and the route of administration utilized. The exact formulation, route
of administration and dosage can be chosen by the individual physician in view of
the patient's condition.
EXAMPLES
Materials and Methods
[0072] Extraction and Isolation of IA. Boswellia carterii resin (20 gr., Pamir, Tel Aviv, Israel) was extracted with PE
(PE) (3 times with 150 ml). Petroleum ether (PE) extract was washed with NaOH 5% solution
(3 times with 200 ml). The resulting aqueous acid-containing fraction was then acidified
with HCl 1M, washed with saturated NaCl and re-extracted with PE. It was then dried
over MgSO
4. The non acid containing PE fraction was acidified with HCl (1M) and then washed
with a saturated NaCl solution and dried over MgSO
4. After evaporation the residue was chromatographed on a silica column. Fractions
were assayed for their activity on IκB degradation as described below. A fraction
eluted with 3% diethyl-ether in PE, which contained IA, showed activity. Pure IA was
obtained by chromatography on a semi preparative HPLC column (Spectra-physics applied
bio systems 783 absorbance detector with a vydac C18 semi-preparative HPLC column
- Valco). Acetonitrile (ACN) and water were used as mobile phase for HPLC and the
gradient consisted of 90-99% ACN for 30 min. A Waters HPLC instrument: pump 600, PDA
996 detector 600 with an analytical C18 Symmetry column (4.6/250 mm) were used to
analyze the purification process. Several NMR methods (H-NMR, C-NMR, DEPT, COSY, HSQC,
HMBC, TOCSY and NOESY) as well as a GC-MS analysis were used for the structure elucidation
of the isolated active compounds.
[0073] NMR spectra were recorded both in CDC13 and in C6D6 solutions using a Bruker avance
spectrometer 400 MHz and repeated using a Varian Unity Spectrometer Varian Unity Inova
spectrometer 500 MHz.
[0074] GC-MS Analysis was performed using a Hewlett-Packard G1800A GCD system with a HP5971
gas chomatograph with an electron ionization detector. An SPB-5 (30 m x 0.25 mm x
0.25µm film thickness) column was used. The following method was used for analysis:
The column was held at 70°C for 4 mins, after which, a temperature gradient was applied
from 70°C to 280°C, at a rate of 50 degree/min. (Inlet temperature: 280°C; Detector
temperature: 280°C; Splitless injection; gas - Helium, 1 mL/min).
[0075] Cell Cultures. HeLa cells were grown in Dulbecco's modified Eagle medium supplemented with 10% foetal
calf serum and 1% (v/v) penicillin/streptomycin (all from Biological Industries, Kibbutz
Beit Haemek, Israel), in a humidified incubator at 37° C.
[0076] RAW 264.7 macrophage cell line derived from BALB/c mice was obtained from American
Type Culture collection (Rockville, MD, USA). The cells were cultured in Dulbecco's
modified Eagle medium (DMEM) supplemented with 10% fetal calf serum (Hyclone, Logan,
UT), 1% (v/v) penicillin/streptomycin (Beit Haemek, Israel), nonessential amino acid
(Sigma, St. Louis, USA), glutamine 1% (Beit Haemek, Israel) and pyruvate 1% (Beit
Haemek, Israel). Cells were grown in a humidified incubator at 37°C.
[0077] Peritoneal macrophages were harvested from C57BL/6 female mice four days after intraperitoneal
injection of 1.5 ml of a 3% thioglycollate medium (Difco, NJ, USA). The cells were
re-suspended in Dulbecco's modified Eagle medium (DMEM) supplemented with 5% foetal
calf serum (FCS), and plated (1.2x10
5 cells per well) in 96-microwell plates flat-bottom (Nunc, Roskide, Denmark).
[0078] IκBα Degradation. HeLa cells were pre-incubated with IA (50 µg/ml, dissolved in ethanol) for 2 hrs,
and then stimulated for 20 minutes with TNFα (20 ng/ml, Emeryville, CA, USA). After
removing the slides from plates for immonostaining (see below), proteins were extracted
from remaining cells in the plates. Proteins were extracted from cells in NP-40 lysis
buffer. Total protein concentration was determined using the Bradford method. Lysates
were then analyzed either by Western blotting (WB).
[0079] Western Blot (WB). Following separation by SDS-PAGE, proteins were blotted to a polyvinylidene difluoride
(PVDF) membrane (Millipore). The membrane was blocked in 5% (w/v) milk powder and
then incubated in TBST containing the primary antibody and 2% (w/v) milk powder. All
phospho-specific antibodies were purchased from Cell signaling Inc. αIκBα, αp65 and
αCOX2 antibodies from Santa Cruz Inc. (California, USA). After binding of an appropriate
secondary antibody coupled to horseradish peroxidase, proteins were visualized by
enhanced chemiluminiscence according to the instructions of the manufacturer (Amersham
Lifescience).
[0080] p65 Subunit Immunostaining. HeLa Cells were preincubated with IA and then stimulated with TNFα as described in
the IκBα degradation assay above. Cells were then fixed with formaldehyde 1%, permeabilized
with 0.25% Triton X-100, stained with rabbit anti-p65 (Santa Cruz, California, USA)
and visualized with anti-rabbit Rhodamine Red-labeled secondary antibody (Jackson
ImmunoResearch, Baltimore, USA). Cells were also stained with DAPI (blue) for nuclei
location (data not shown). The cells were examined under an Axioscope Zeiss microscope
with a plan-Neofluor * 60 lens.
[0081] COX-2 Production. RAW 264.7 cells were treated with subtoxic concentrations (confirmed by MTT colorimetric
assay) of incensole acetate (10-20 µg/ml, dissolved in ethanol and further diluted
in medium) and incubated with lipopolysaccharide (LPS, E. coli 1 µg/ml for 24 hs,
Sigma, Israel) for 16-24 hrs. Cells treated with vehicle served as control group.
[0082] Proteins were extracted from cells in NP-40 lysis buffer (50 mM Tris/HCl pH 7.5,
150 mM NaCl, 0.1% SDS, 1% NP-40, 10 mM EDTA, 1 mM phenylmethylsulfonylfluoride (PMSF),
and 10 mM DTT). Total protein concentration was determined using the Bradford method
and the lysates were analyzed by Western blotting.
[0083] Nitric Oxide (NO) Levels. Following 2-3 h of incubation of murine peritoneal macrophages at 37°C, the non-adherent
cells were removed by intensive rinsing. About 95% of the adherent cells were macrophages.
IA was first dissolved in absolute ethanol, and the solutions were further diluted
with Dulbecco's Modified Eagle's Medium (DMEM medium). Various nontoxic concentrations
were added to the macrophages, followed by addition of 1 µg/ml of LPS for activation.
The macrophages were then cultivated in a humid atmosphere with 5% CO
2 for 24 hrs. The supernatant fluids were harvested and kept at -20°C until assayed.
NO generation was determined by measuring the nitrite accumulated in the supernatants
(100 µl) of the IA-treated macrophages as follows. The cells were then treated with
IA in various doses. An equal volume (100 µl) of Griess reagent (1% sulphanilamide,
0.1% naphthalene diamine HCl, 2% H
3PO
4) was added to each supernatant. Following 10 min of incubation at room temperature,
the color production was measured at 550 nm with an ELISA reader. The concentration
of the nitrite was calculated according to a standard curve.
[0084] ROS (Reactive Oxygen Species) Production by RAW 264.7 Macrophages. Raw 264.7 cells were scrapped, washed and resuspended in Hanks' balanced salt solution
(without phenol red). For measurement of chemiluminescence, 0.5 ml of cell suspension
(5 x 105 cells) was added to each luminometer tube, together with various doses of
IA tested (dissolved in ethanol and further diluted with Hanks). The cells were incubated
for 24 hrs. 10 µl of luminol (Sigma, St. Louis, USA) and 30 µl of zymosan (Sigma,
St. Louis, USA) were added to the tubes, and the chemiluminescence was measured immediately
in a luminometer (Biolumate LB 95, Berhold, Wilbad, Germany).
[0085] Inflamed Paw Model. Sabra female mice were used to assess the response to IA or vehicle in an
in vivo model of inflammation. Drug or vehicle was administered 30 min before induction of
the inflammatory stimulus. Mice (5 per group) were injected
i.p. with vehicle (isopropanol:Emulphor:saline = 1:1:18) or with vehicle containing IA
(50 mg/kg,
i.p). Emulphor (a polyethoxylated vegetable oil) is a commercial emulsifier. Hind paws
were injected with 50 µl of saline (left or right alternatively) or λ-carrageenin
(4%, right or left alternatively), using 26G needles. Ensuing inflammatory swelling
was measured by increase in foot volume in a plethysmometer (Ugo-Basile, Italy). Paw
volume as well as redness (as a measure of erythema) and licking (as a measure of
pain) were assayed before carrageenin application and every 60 min until 4 hrs.
[0086] Statistical Analysis. Student's t test was used to assess the differences between the control and IA-treated
groups. For a dose response effect, analysis of the data was performed using a one
way ANOVA followed by Bonferroni post-hoc comparisons. The paw model results were
analyzed by ANOVA followed by Bonferroni post-hoc comparisons at every time point.
[0087] For analysis of c-Fos immunoreactivity, positive nuclei were identified based on
their round form and optical density at least twice that of background. The numbers
of c-Fos immunoreactive nuclei from the right and left hemispheres were averaged to
obtain a representative number for the given region from each mouse. Student t tests
were performed comparing the control (vehicle) with the IA group.
[0088] Responses to IA in WT versus TRPV3
-/-mice were assessed using two-way analysis-of-variance (ANOVA) with Bonferroni post-hoc
comparisons (Graphpad Prism 4 software).
Animals and Procedures
[0089] Female Sabra mice (Harlan, Israel, 2.5-3.5 months old) were used for the paw inflammatory
model.. Female Sabra mice (Harlan, Israel, 15-20 weeks old) and wild type C57BL/6
or TRPV3 KO female mice (18-20 weeks old) were used for behavioral assessments. Ten
mice were housed in each cage. For the chronic studies, mice were housed in groups
of eight. Temperature in the animal room was maintained between 20-22°C, the light
cycle was 12 h lights on (8-20h); 12 h lights off (20-8.00h). Female mice were used
for all behavioural assessments, in order to prevent confounding due to potential
wound infliction induced by inter-male fighting (See also below
"Animals and Procedures" Section relating to Example 15.
[0090] Mice were consecutively tested in the elevated plus maze and the forced swimming
test. The animal care and the protocols met the guidelines of the U.S. National Institutes
of Health, detailed in the Guide for the Care and Use of Laboratory Animals, and were
applied in conformity with the Institutional Ethics Committee.
Drugs and Injections for Behavioral Assays
[0091] IA, IN and the extract were dissolved in a mixture of isopropanol: cremophor:saline=1:1:18.
Injection volume was 10µl/g body weight. Injections were performed by the intraperitoneal
(i.p.) route.
Behavioral Assays
Elevated Plus Maze
[0092] Mice were placed in the central platform (10 X 10 cm) between the open (10 X 45 cm)
and enclosed (10 X 45 X 40 cm) arms of a plus maze. The number of entries and the
time spent in each of the arms was recorded. As described by others (Crawley, 2000;
Treit and Menard, 1998), an 'anti-anxiety' effect was calculated both as the ratio
of entries onto the open arms to total arm entries, and as the % time on the open
arms proportional to the time in the closed arms. Mice (female Sabra strain, aged
3.5-4.5 months old) were injected intraperitoneally with 10, 30 or 50 mg/kg of incensole
acetate or with vehicle. Each dose was administered to 5 mice. Fifty min after injection
the mice were tested in the plus-maze for 'anti-depressant' effects. Desipramine (5
mg/kg) was injected to a separate group of mice as a positive control. One-way Anova
indicated significant effects (F = 8.9, df=4,27, P<0.01). All doses had 'anti-depressant'
effects, but only those of 0 and 30 mg/kg were significant. Data are presented as
means ± SEM. DMI=desipramine
*) P<0.05, **) P<0.01, ***) P<0.001 compared to vehicle
Posrsolt's Forced swimming test (FST)
[0093] Mice were placed in a 2 liter glass beaker (11 cm diameter) filled with water (24±1°C)
up to 30 cm from the bottom (so that the mouse could not touch the bottom and 8 cm
from the rim (so that the mouse cannot escape). Immobility time (when the animal does
not move except for small movements required to float) was recorded by 3 experimenters
after 2, 6 and 9 min.
For Example 15, the following experiments were conducted:
[0094] Drug. IA was isolated as described above under Materials and Methods. It was then dissolved
in ethanol for in vitro assays or in isopropanol for in vivo assays. A stock solution
of 20 mg/ml for in-vitro assays and 50 mg/ml for in vivo assay was prepared.
Cell culture
[0095] Human HEK 293 cells stably expressing TRPV1 were a kind gift from Merck Research
Laboratories (Whitehouse Station, NJ). Cells were cultured in minimal essential medium,
Eagle, modified with non-essential amino acids, 1mM sodium pyruvate, 2 mM L-glutamine
and 1.5 g/L sodium bicarbonate (ATCC, Mabassas, VA), containing 1% Penicillin-streptomycin,
and 10% foetal bovine serum. Cells were passaged three times a week using Trypsin-
EDTA 1 x (Invitrogen, Carlsbad, CA) and grown under 5% CO2 at 37°C.
[0096] TRPV3-YFP [
O'dell, D.K., Rimmerman, N., Pickens, S.R. & Walker J.M. Fatty acyl amides of endogenous
tetrahydroisoquinolines are active at the recombinant human TRPV1 receptor. Bioorg.
Med. Chem. 15, 6164-6169 (2007)], TRPV4 and mock-transfected cell lines were cultured in DMEM 1x with L-glutamine
(Mediatech, Inc. Herndon, VA), containing 1% penicillin-streptomycin (Invitrogen,
Carlsbad, CA) and 10% foetal bovine serum.
[0097] HEK293 cells were transiently transfected with a rat TRPV2 plasmid using lipofectamine
reagent (Invitrogen, Carlsbad, California) according to manufacturer's protocol. They
were then maintained in Dulbecco's modified Eagle Medium / 10% fetal calf serum ,supplemented
with Penicillin, Streptomycin, and L-glutamine. Primary keratinocytes from TRPV3-deficient
and TRPV3+/+ mouse pups (day 1-4) were harvested and cultured as described previously
[
Chung, M.K., Lee, H., Mizuno, A., Suzuki, M. & Caterina, M.J. TRPV3 and TRPV4 mediate
warmth-evoked currents in primary mouse keratinocytes. J. Biol. Chem. 279, 21569-21575
(2004)].
[0099] For single cell calcium imaging, HEK293-rat TRPV2 and HEK293-mouse TRPV3-YFP expressing
cells were plated on collagen-coated glass cover slips. Cells were loaded for 60 min
with 3 µM Fura-2 AM.
[0101] Cells were plated on glass coverslips (10
5/cm
2) and incubated for 48-60 h, then loaded with fura-2 AM (20 µM, 0.04% pleuronic acid,
32°C for 1h) in imaging buffer containing (in mM): 130 NaCl, 2.5 CaCl
2, 0.6 MgCl
2, 10 HEPES, 1.2 NaHCO
3, 10 glucose, pH 7.45. Ratiometric Ca
2+ imaging was performed as previously described [
O'dell, D.K., Rimmerman, N., Pickens, S.R. & Walker J.M. Fatty acyl amides of endogenous
tetrahydroisoquinolines are active at the recombinant human TRPV1 receptor. Bioorg.
Med. Chem. 15, 6164-6169 (2007)]. Drug was added to the bath following a period of baseline recording. Calcium measurements
were made from 30 randomly selected cells per coverslip.
[0102] Electrophysiological recording. Currents were recorded using whole-cell voltage-clamp. Pipettes were pulled from
microcapillary glass (A-M Systems). A coverslip containing cells was transferred to
a 300 µL chamber that was constantly perfused (1-2 mL/min) with external solution.
Voltage protocols were generated and data were digitized and recorded using Pulse
(HEKA Elektronik) software in conjunction with an Axopatch 200A amplifier (Axon Instruments),
and the data analyzed using an in-house Visual Basic (Microsoft) analysis program.
[0103] The pipette solution contained (in mM): 121.5 Kgluconate, 10 HEPES, 17 KCl, 9 NaCl,
1 MgCl
2, 0.2 EGTA, 2 MgATP, and 0.5 NaATP, pH 7.2. The external solution contained (in mM):
120 NaCl, 5 KCl, 1 MgCl
2, 2 CaCl
2, 10 Glucose and 20 HEPES, pH 7.4 with NaOH. The measured charge (pC) was defined
as the charge elicited between-85 and -45 mV by a ramping voltage stimulus (-85 mV
to +35 mV, 0.54 mV/msec; holding potential -55 mV). Currents were sampled at 5 kHz.
Experimental and control cells were alternated whenever possible. Control values were
obtained from adjacent cells with no detectable YFP fluorescence, presumed to be non-TRPV3-expressing.
[0104] Data analysis of calcium imaging data. Analysis of calcium imaging data was done using a non-linear regression curve fit
(Graphpad 4 Prism, San Diego, CA).
t tests and one way ANOVA were calculated using SPSS (Chicago, IL). In the keratinocyte
experiments, drug-induced response for each cell was taken as the maximal post-drug
measurements over time minus the average of the last 5 pre-drug measurements. Averaged
drug responses over 30 randomly selected cells per coverslip were analyzed with two-tailed
unpaired
t tests.
[0105] For analysis of c-Fos immunoreactivity, positive nuclei were identified based on
their round form and optical density at least twice that of background. The numbers
of c-Fos immunoreactive nuclei from the right and left hemispheres were averaged to
obtain a representative number for the given region from each mouse. Student
t tests were performed comparing the control (vehicle) with the IA group.
[0106] Responses to IA in WT versus TRPV3
-/- mice were assessed using two-way analysis-of-variance (ANOVA) with Bonferroni post-hoc
comparisons (Graphpad Prism 4 software).
[0107] Animals and procedures. Female Sabra mice (Harlan, Israel, 15-20 weeks old) and wild type C57BL/6 or TRPV3
KO female mice (18-20 weeks old) [
Chung, M.K., Lee, H., Mizuno, A., Suzuki, M. & Caterina, M.J. TRPV3 and TRPV4 mediate
warmth-evoked currents in primary mouse keratinocytes. J. Biol. Chem. 279, 21569-21575
(2004)] were used for behavioral assessments. 10 mice were housed in each cage. The animal
care and protocols met the guidelines of the U.S. National Institutes of Health, detailed
in the
Guide for the Care and Use of Laboratory Animals, and were applied in conformity with the Institutional Ethics Committees. For the
c-Fos immunostaining, female Sabra mice (see above) were used. Temperature in the
animal room was maintained between 20-22°C, the light cycle was 12 h lights on (8:00-20:00h);
12 h lights off (20:00-8:00h). Mice were injected with intraperitoneal
(i.p.) incensole acetate in a mixture of isopropanol:cremophor:saline (1:1:18) at a volume
of 10 µl/g body weight
Example 1: IA and IN Inhibit IκBα Degradation.
[0108] IA and IN were assayed at different concentrations for their activity on IκBα degradation
in TNFα-stimulated HeLa cells. Both compounds inhibited IκBα degradation in a dose
dependent manner
(Fig. 1A, 1B).
Example 2: IA Inhibits IκBα by Impairment of IKK Activity.
[0109] In order to demonstrate that IA inhibits the NF-κB pathway upstream from the IKKs
experimentally, the effects of IA on TNFα-induced phosphorylation of the IKKs were
tested. These experiments showed inhibition of IKKα/IKKβ phosphorylation by IA
(Fig. 2A). Following IκBα degradation, NF-κB is free to accumulate in the nucleus. Immunostaining
of the p65 sub-unit of NF-κB showed that IA inhibited the nuclear accumulation of
NF-κB following TNFα stimulation in HeLa cells
(Fig. 2B).
[0110] Example 3: IA Blocks NF-κB-mediated Inflammatory Response in vitro and in vivo. To investigate whether the NF-κB inhibitory effect of IA confers an anti-inflammatory
activity, it was determined, as detailed herein above in Materials and Methods, the
levels of COX-2, nitric oxide production and ROS with and without IA in different
cell lines. The
in vivo anti-inflammatory activity of IA was examined in inflamed paw model in mice. COX-2
production in LPS-stimulated RAW 264.7 cells was inhibited by IA at a dose of 60 µM
(P<0.001) (
Fig. 3A). NO production by murine peritoneal macrophages was determined by measuring the
nitrite accumulated in the supernatants in an ELISA reader. IA inhibited NO generation
in a dose dependent manner (ANOVA P<0.0001), reaching about 45% of NO production at
80 µM (p=0.0022)
(Fig. 3B). ROS are known to be important in various biological and pathological processes and
are involved in inflammation. We therefore tested the effects of IA on ROS generation
by Zymozan activated Raw 264.7 cells at three concentrations. A significant dose-dependent
inhibitory effect was found (ANOVA P<0.0001), reaching about 45% inhibition at 60
µM (p=0.0021)
(Fig. 3C).
[0111] Having established that IA inhibits the expression of several key inflammatory mediators
in vitro, the anti-inflammatory properties of IA
in vivo were studies. It was thereupon found that IA significantly reduced inflammation in
the inflamed paw model in mice during a 4 hrs period. The decreased inflamed paw volume
in the treated mice reflects a decrease in edema, which is a component of the inflammatory
response. There were highly significant effects of treatment (F=11.7, df=3,64, P<0.001),
time (F=10.6, do-4,64, P<0.0001) and interaction (F=3.9, df=12,64, P<0.001)
(Fig. 4). IA also significantly reduced other inflammatory parameters, such as redness and
pain (data not shown).
Example 5: Effect of IA on Post-CHI functional Outcome
[0112] To examine the effect of IA on functional recovery after CHI, the parameters of injured
mice, treated with IA were compared with those of injured mice treated with vehicle.
[0113] At 1 h after CHI, the functional status of the mice was evaluated according to a
set of 10 neurobehavioral tasks (neurological severity score, NSS) that tests reflexes,
alertness coordination, and motor abilities. One point was awarded for absence of
reflex or failure to perform a particular task. Hence, a score of 10 reflects maximal
neurological impairment. Mice were equally divided to vehicle \ IA groups according
to their NSS scores. Only mice with NSS > 4 at 1 h after injury were included in the
study. Immediately after NSS1h assessment, mice were randomly assigned to intraperitoneal
(i.p.) injection with vehicle (isopropanol: Emulphor - a commercial emulsifier: saline
= 1:1:18) or with vehicle containing IA (50 mg/kg, n=9-10 mice/group). Recovery (ΔNSSt)
was defined as the difference between NSS1h and NSS measured at any later time point
and was determined at several time points up to 21 days following CHI.
[0114] NSS at 1h were similar in both groups, (7.03 ± 0.19 and 7.03 ± 0.19, respectively)
indicating no difference in the initial severity of injury. Markedly greater recovery
of motor ability was observed in the IA group 24 h after injury as compared with vehicle
(ΔNSS = 1.00 ± 0.12 vs 0.41 ± 0.09 , respectively, P=0.002) as depicted in
Fig. 5A. ΔNSS values increased with time in both IA and vehicle mice as a result of spontaneous
recovery, but continued to be significantly higher in IA mice at all subsequent time
points, up to 3 weeks post injury.
Example 6: Effect of IA on memory function
[0115] Memory function was assessed by ORT (Object Recognition Test) and the results are
depicted in
Fig. 5B. Whereas naive, non-injured mice were not affected by IA (data not shown), it had
a robust effect on the injured animals. Both groups spent equal time at the two objects
(~50% of total exploration time) at the baseline measurements, at all times post CHI.
However, at the test performed 4 h later, when a novel object replaced one of the
familiar ones, IA-treated mice spent most of their exploration time at the new object,
in contrast to the vehicle-treated animals, that did not memorize the "old" object.
At 3 days post injury IA treated mice spent significantly longer times exploring the
new object (P=0.01), similar to the time spent by a naive animal. This effect of IA
was sustained for 7 and 14 days. At 21 days, it appears that the vehicle-treated mice
regained their ability, and exploration time reached a similar level to that of the
IA-treated mice.
Example 7: Effect on tissue edema formation
[0116] A pronounced increase in tissue water content was observed in the left (ipsilateral)
hemisphere of all injured mice at 24 h after injury, indicating the effect of injury
in both groups. Although water accumulation tended to be smaller in IA mice (81.47
± 0.35 % in IA vs 82.16 ± 0.30 % in vehicle) the difference did not reach statistical
significance (P=0.15).
Example 8: Effect of IA on cytokines expression profile after CHI
[0117] Since it was shown hereinabove that the pro-inflammatory cytokines TNF-α and IL-1β
are upregulated within 1-4 h post-CHI, and that their inhibition is associated with
better recovery. The mRNA levels of these cytokines were quantified at 3 hours after
CHI using real-time PCR. Their amounts are expressed relative to β-actin, and it is
apparent from
Fig. 6 that IA significantly inhibited mRNA expression of both TNF-α and IL-1β (P < 0.05,
n=5/group).
Example 9: Effect of IA on body temperature
[0118] Thirty minutes after treatment with IA (namely, 90 min post CHI), a mild (~1°C) and
short-term (~30-60 min) duration of hypothermia was noted in IA- as compared to vehicle-
treated mice (data is not shown).
Example 10: The anxiolytic effect of IA:
[0119] When placed in an elevated plus-maze for the first time, a mouse's behavior is largely
based on its anxiety level. Normal mice that have not received any anti-anxiety drugs
will become moderately anxious in this new environment. Thus, they tend to prefer
the closed arms over the less secure open arms. Meanwhile, mice treated with anti-anxiety
drugs (e.g., diazepam, commonly known as valium) tend to be less anxious, so they
spend more time in the 5 open arms compared to normal mice and they are generally
less active. Forty five min after injection the mice were tested in the plus-maze
for 'anti-anxiety' effects of IA
(Fig. 7). Diazepam (5 mg/kg) was injected to a separate group of mice as a positive control.
One-way Anova indicated significant effects (F = 4.2, df=4,32, P<0.01). Data are presented
as means ± SEM.
*, P<0.05; **, P<0.01 compared to vehicle.
[0120] Example 11: The c-Fos transcription factor is a product of an immediate early gene and its increase
serves as a marker of enhanced neuronal activity. It is thus used in histological
sections to map out brain regions that are activated or attenuated after treatment
with psychoactive drugs. IA significantly increased c-Fos in the lateral septum, central
nucleus of the amygdala and solitary nucleus, while significantly reducing c-Fos in
the motor cortex, medial striatum and hippocampal CA3 region
(Fig. 9A-C). The central nucleus of the amygdala and the lateral septum play major roles in
the expression of emotions; it is assumed that c-Fos expression in the central nucleus
of the amygdala is due to circuits that are engaged by both anxiolytic and anxiogenic
drugs.
[0121] The data from the behavioral assays together with the c-Fos immunostaining establish
the anxiolytic and anti-depressive effects of IA.
[0122] Example 12: IA (75 mg/kg) exerted a potent anxiolytic-like effect in WT mice, while TRPV3
-/- mice spent identical time on the open arms, regardless of whether they were injected
IA or only vehicle (
Fig. 10a; F
strain = 6.3, df 1, 14,
p < 0.05; F
interaction = 5.0, df 1,14,
p < 0.05). In the Porsolt forced swim test, IA significantly reduced the immobility
time in WT, but not in TRPV3
-/- mice (F
IA = 5.5, df 1,16,
p < 0.04; F
interaction = 5.9, df 1,16,
p < 0.03)
(Fig. 10b). No significant differences were recorded between vehicle-treated WT mice and vehicle-treated
TRPV3
-/- mice in the forced swim and elevated plus maze assays.
[0123] These results indicate that the effects of IA in preclinical models for antidepressants
and anxiolytics are mediated via TRPV3 channels.
Example 13: The anti-depressant effect of IA:
[0124] We used the Porsolt forced swimming test to examine the anti-depressant effect of
IA. The method is based on the observation that a mouse, when forced to swim in a
situation from which there is no escape, will, after an initial period of vigorous
activity, eventually cease to move altogether making only those movements necessary
to keep its head above water. This characteristic and readily identifiable behavioral
immobility indicates a state of despair in which the rat has learned that escape is
impossible and resigns itself to the experimental conditions. Fifty min after injection
the mice were tested in the Porsolt forced swimming test for 'anti-depressant' effects
(Fig. 8). Desipramine (5 mg/kg) was injected to a separate group of mice as a positive control.
One-way Anova indicated significant effects (F = 8.9, df=4,27, P<0.01). Data are presented
as means ± SEM. DMI=desipramine
*, P<0.05; * *, P<0.01; ***, P<0.001 compared to vehicle
Example 15: IA effects on behavioral parameters
[0125] To study the functional effects of IA on the CNS, IA was assayed in a panel of standard
behavioral assays in mice (female Sabra strain, 15-20 weeks old), namely: the elevated
plus maze [
Crawley, J.N. What's Wrong with my Mouse? Behavioral Phenotyping of Transgenic and
Knockout Mice (Wiley-Liss, New York, 2000)], the Porsolt forced-swimming test [
Petit-Demouliere, B., Chenu, F. & Bourin, M. Forced swimming test in mice: a review
of antidepressant activity. Psychopharmacology 177, 245-255 (2005)], locomotion in the open field test and cataleptic response in a ring test [
Fride, E. & Mechoulam, R. Pharmacological activity of the cannabinoid receptor agonist,
anandamide, a brain constituent. Eur. J. Pharmacol. 231, 313-314 (1993). The elevated plus maze assay is based on the preference of mice for the closed
arms of a maze, apparently due to fear of open spaces. At 50 mg/kg IA exerted a potent
anxiolytic-like effect, causing mice to spend significantly more time in the aversive
open arms of the maze. In the Porsolt forced-swim test, a standard assay for the evaluation
of anti-depressant effects, IA significantly reduced the immobility recorded over
9 minutes, thus indicating a reversal of an avolition response. A significant ring.
Dose dependency was noted in all assays (10-100 mg/kg, data not shown), and the findings
were replicated in 7 independent experiments.
[0126] IA (100 µM) significantly increased calcium influx (EC
50= 16 µM; Hill slope = 2.2;
Fig. 12a,b,d) in HEK293 cells stably expressing mouce TRPV3-YFP. When calcium was removed from
the extracellular medium, the calcium increase in response to IA was significantly
reduced
(Fig. 12b), providing further evidence for the influx of calcium through TRPV3 channels. The
effect of IA on TRPV3 resembles the effect of the broad-spectrum agonist 2-aminoethyl
diphenylborinate (2-APB), which served as a positive control
(Fig. 12a,d). IA (500 µM) also induced a calcium influx in primary keratinocytes from WT mice,
but not from TRPV3
-/- mice [
Moqrich A., Hwang S.W., Earley T.J., Petrus M.J., Murray A.N., Spencer K.S., Andahazy
M., Story G.M. & Patapoutian A. Impaired thermosensation in mice lacking TRPV3, a
heat and camphor sensor in the skin. Science. 307, 1468-72 (2005)]
(Fig. 12c). The effect of IA (500 µM) resembles the one of camphor (10 mM), a known agonist of
TRPV3. IA, at a concentration (100 µM) that was maximally effective in TRPV3 expressing
cells did not induce calcium influx in HEK293 cells transiently transfected with rat-TRPV2
(Fig. 12f), and caused only minimal calcium influx in HEK293 cells expressing rat TRPV and human
TRPV4
(Fig. 12e,g).
[0128] The effect of IA on different brain regions were studied by looking at the effect
of IA on c-Fos immunoreactivity in mice brains 60 min after administration of IA (50
mg/kg;
i.p.). The c-Fos transcription factor is a product of an immediate early gene and its
increase serves as a marker of enhanced neuronal activity. It is thus used in histological
sections to map out brain regions that are activated or attenuated after treatment
with psychoactive drugs [
Werme, M., Ringholm, A., Olson, L. & Brene S. Differential patterns of induction of
NGFI-B, Norl and c-fos mRNAs in striatal subregions by haloperidol and clozapine.
Brain Res. 863, 112-119 (2000); and
Dragunow, M., Robertson, G.S., Faull, R.L., Robertson, H.A. & Jansen, K. D2 dopamine
receptor antagonists induce fos and related proteins in rat striatal neurons. (1990)
Neuroscience 37, 287-294]. IA significantly increased c-Fos in the lateral septum, central nucleus of the
amygdala and solitary nucleus, while significantly reducing c-Fos in the motor cortex,
medial striatum and hippocampal CA3 region (
Fig. 9; Table 1). The central nucleus of the amygdala and the lateral septum play major roles
in the expression of emotions [
Thompson, B.L. & Rosen, J.B. Immediate-early gene expression in the central nucleus
of the amygdala is not specific for anxiolytic or anxiogenic drugs. Neuropharmacology
50, 57-68 (2006); and
Henry, B., Vale, W. & Markou, A. The effect of lateral septum corticotropin-releasing
factor receptor 2 activation on anxiety is modulated by stress. J. Neurosci. 26, 9142-9152
(2006)]; it is assumed that c-Fos expression in the central nucleus of the amygdala is
due to circuits that are engaged by both anxiolytic and anxiogenic drugs [
Thompson, B.L. & Rosen, J.B. Immediate-early gene expression in the central nucleus
of the amygdala is not specific for anxiolytic or anxiogenic drugs. Neuropharmacology
50, 57-68 (2006).]
[0129] The data from the behavioral assays together with the c-Fos immunostaining establish
the anxiolytic and anti-depressive effects of IA. Given the robust effect of IA on
TRPV3 channels and the observation that IA does not interact with a long list of receptors
known to be involved in psychoactivity, the possibility that its behavioral effects
are mediated through CNS TRPV3 channels was investigated. Thus, the panel of behavioral
assays with WT and TRPV3
-/- mice, which were administered either IA or vehicle was repeated.
[0130] IA (75 mg/kg) exerted a potent anxiolytic-like effect in WT mice, while TRPV3
-/-mice spent identical time on the open arms, regardless of whether they were injected
IA or only vehicle (
Fig. 10a; F
strain= 6.3, df 1,
14, p < 0.05; F
interaction = 5.0, df 1,14,
p < 0.05). In the Porsolt forced swim test, IA significantly reduced the immobility
time in WT, but not in TRPV3
-/- mice (F
IA = 5.5, df 1,16,
p < 0.04; F
interaction = 5.9, df 1,16,
p < 0.03)
(Fig. 10b). No significant differences were recorded between vehicle-treated WT mice and vehicle-treated
TRPV3
-/- mice in the forced swim and elevated plus maze assays.
[0131] These results indicate that the effects of IA in preclinical models for antidepressants
and anxiolytics are mediated via TRPV3 channels.
[0132] Collectively, the data presented here, along with the expression of TRPV3 mRNA in
the brain, indicate that TRPV3 channels affects emotional and behavioral processes
in the CNS, in addition to its known effects on thermosensation.
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US Patent No. 5064823
WO 02/053138