| The present invention was
made with government support under Grant No. EY13695, awarded by the National
Eye Institute, and Grant No. BC043125, awarded by the U.S. Army/DOD Breast
Cancer Program. Another aspect of the invention includes methods for identifying
curcumin derivatives that may be used to treat a subject with cancer
by inhibiting AP-1 or NF-?B activity. Potential agents suitable for testing
are referred to herein as “candidate agents.” The method involves exposing
AP-1 or NF-?B to the candidate agent and determining whether or not its
activation by an AP-1 or NF-?B activator (respectively) is inhibited. As
AP-1 and NF-?B are transcription factors, their activation is most readily
evaluated in a cell assay. However, AP-1 or NF-?B activation can also be
evaluated in cell-free systems using techniques readily known by those
skilled in the art. Sources for candidate agents include, for instance,
chemical compound libraries, and extracts of plants and other vegetations.
For example, in one embodiment,
the method for identifying a curcumin derivative that may be used to treat
a subject with cancer by inhibiting NF-?B involves contacting a cell including
an activatable NF-?B with a curcumin derivative, contacting the cell with
an NF-?B activator (e.g., TNF-? or IL-1) and determining the extent of
the decrease of NF-?B activation by the curcumin derivative. A candidate
agent that results in a decrease of NF-?B activation is accordingly identified
by this method as a curcumin derivative that may be used to treat a subject
with cancer. For example, a cell assay suitable for identifying curcumin
derivatives that are useful for treating a subject with cancer is provided
by Example 3, herein.
In a further exemplary embodiment,
the method for identifying a curcumin derivative that may be used to treat
a subject with cancer by inhibiting AP-1 involves contacting a cell including
an activatable AP-1 with a curcumin derivative, contacting the cell with
an AP-1 activator (e.g., TNF-? or phorbol 12-myristate 13-acetate) and
determining the extent of the decrease of AP-1 activation by the curcumin
derivative. A candidate agent that results in a decrease of AP-1 activation
is accordingly identified by this method as a curcumin derivative that
may be used to treat a subject with cancer. For example, a cell assay suitable
for identifying curcumin derivatives that are useful for treating a subject
with cancer is provided by Example 5, herein.
Candidate agents may also
be tested in animal models. Typically, the animal model is one for the
study of cancer. The study of various cancers in animal models (for instance,
mice) is a commonly accepted practice for the study of human cancers. For
instance, the nude mouse model, where human tumor cells are injected into
the animal, is commonly accepted as a general model useful for the study
of a wide variety of cancers, including prostate cancer (see, for instance,
Polin et al., Investig. New Drugs, 15:99-108 (1997)). Results are typically
compared between control animals treated with candidate agents and the
control littermates that did not receive treatment. Transgenic animal models
are also available and are commonly accepted as models for human disease
(see, for instance, Greenberg et al., Proc. Natl. Acad. Sci. USA, 92:3439-3443
(1995)). Candidate agents can be used in these animal models to determine
if a candidate agent decreases one or more of the symptoms associated with
the cancer, including, for instance, cancer metastasis, cancer cell motility,
cancer cell invasiveness, and the combination thereof.
Administration and Formulation
of Curcumin Derivatives
The present invention provides
a method for using a composition that includes one or more small molecule
inhibitors of the invention to treat a subject with cancer by administering
curcumin derivatives alone, or along with one or more pharmaceutically
acceptable carriers. One or more curcumin derivatives with demonstrated
biological activity can be administered to a subject in an amount alone
or together with other active agents and with a pharmaceutically acceptable
buffer. The a composition that includes one or more small molecule inhibitors
of the invention can be combined with a variety of physiological acceptable
carriers for delivery to a patient including a variety of diluents or excipients
known to those of ordinary skill in the art. For example, for parenteral
administration, isotonic saline is preferred. For topical administration,
a cream, including a carrier such as dimethylsulfoxide (DMSO), or other
agents typically found in topical creams that do not block or inhibit activity
of the peptide, can be used. Other suitable carriers include, but are not
limited to, alcohol, phosphate buffered saline, and other balanced salt
solutions.
Methods of administering
small molecule therapeutic agents are well-known in the art. Reference
is made, for example, to US Pat. Publ. 2001-0051184 A1, published Dec.
13, 2001 (Heng) concerning illustrative modes of administration of curcumin
analogs as well as dosage amounts and protocols.
The formulations may be conveniently
presented in unit dosage form and may be prepared by any of the methods
well known in the art of pharmacy. Preferably, such methods include the
step of bringing the active agent into association with a carrier that
constitutes one or more accessory ingredients. In general, the formulations
are prepared by uniformly and intimately bringing the active agent into
association with a liquid carrier, a finely divided solid carrier, or both,
and then, if necessary, shaping the product into the desired formulations.
The methods of the invention include administering to a subject, preferably
a mammal, and more preferably a human, the composition of the invention
in an amount effective to produce the desired effect. The curcumin derivatives
can be administered as a single dose or in multiple doses. Useful dosages
of the active agents can be determined by comparing their in vitro activity
and the in vivo activity in animal models. Methods for extrapolation of
effective dosages in mice, and other animals, to humans are known in the
art; for example, see U.S. Pat. No. 4,938,949.
The agents of the present
invention are preferably formulated in pharmaceutical compositions and
then, in accordance with the methods of the invention, administered to
a subject, such as a human patient, in a variety of forms adapted to the
chosen route of administration. The formulations include, but are not limited
to, those suitable for oral, rectal, vaginal, topical, nasal, ophthalmic,
or parental (including subcutaneous, intramuscular, intraperitoneal, intratumoral,
and intravenous) administration.
Formulations suitable for
parenteral administration conveniently include a sterile aqueous preparation
of the active agent, or dispersions of sterile powders of the active agent,
which are preferably isotonic with the blood of the recipient. Parenteral
administration of curcumin derivatives (e.g., through an I.V. drip) is
an additional form of administration. Isotonic agents that can be included
in the liquid preparation include sugars, buffers, and sodium chloride.
Solutions of the active agent can be prepared in water, optionally mixed
with a nontoxic surfactant. Dispersions of the active agent can be prepared
in water, ethanol, a polyol (such as glycerol, propylene glycol, liquid
polyethylene glycols, and the like), vegetable oils, glycerol esters, and
mixtures thereof. The ultimate dosage form is sterile, fluid, and stable
under the conditions of manufacture and storage. The necessary fluidity
can be achieved, for example, by using liposomes, by employing the appropriate
particle size in the case of dispersions, or by using surfactants. Sterilization
of a liquid preparation can be achieved by any convenient method that preserves
the bioactivity of the active agent, preferably by filter sterilization.
Preferred methods for preparing powders include vacuum drying and freeze
drying of the sterile injectible solutions. Subsequent microbial contamination
can be prevented using various antimicrobial agents, for example, antibacterial,
antiviral and antifungal agents including parabens, chlorobutanol, phenol,
sorbic acid, thimerosal, and the like. Absorption of the active agents
over a prolonged period can be achieved by including agents for delaying,
for example, aluminum monostearate and gelatin.
Formulations of the present
invention suitable for oral administration may be presented as discrete
units such as tablets, troches, capsules, lozenges, wafers, or cachets,
each containing a predetermined amount of the active agent as a powder
or granules, as liposomes containing the curcumin derivatives, or as a
solution or suspension in an aqueous liquor or non-aqueous liquid such
as a syrup, an elixir, an emulsion, or a draught. Such compositions and
preparations typically contain at least about 0.1 wt-% of the active agent.
The amount of curcumin derivatives (i.e., active agent) is such that the
dosage level will be effective to produce the desired result in the patient.
Nasal spray formulations
include purified aqueous solutions of the active agent with preservative
agents and isotonic agents. Such formulations are preferably adjusted to
a pH and isotonic state compatible with the nasal mucous membranes. Formulations
for rectal or vaginal administration may be presented as a suppository
with a suitable carrier such as cocoa butter, or hydrogenated fats or hydrogenated
fatty carboxylic acids. Ophthalmic formulations are prepared by a similar
method to the nasal spray, except that the pH and isotonic factors are
preferably adjusted to match that of the eye. Topical formulations include
the active agent dissolved or suspended in one or more media such as mineral
oil, petroleum, polyhydroxy alcohols, or other bases used for topical pharmaceutical
formulations.
The tablets, troches, pills,
capsules, and the like may also contain one or more of the following: a
binder such as gum tragacanth, acacia, corn starch or gelatin; an excipient
such as dicalcium phosphate; a disintegrating agent such as corn starch,
potato starch, alginic acid, and the like; a lubricant such as magnesium
stearate; a sweetening agent such as sucrose, fructose, lactose, or aspartame;
and a natural or artificial flavoring agent. When the unit dosage form
is a capsule, it may further contain a liquid carrier, such as a vegetable
oil or a polyethylene glycol. Various other materials may be present as
coatings or to otherwise modify the physical form of the solid unit dosage
form. For instance, tablets, pills, or capsules may be coated with gelatin,
wax, shellac, sugar, and the like. A syrup or elixir may contain one or
more of a sweetening agent, a preservative such as methyl- or propylparaben,
an agent to retard crystallization of the sugar, an agent to increase the
solubility of any other ingredient, such as a polyhydric alcohol, for example
glycerol or sorbitol, a dye, and flavoring agent. The material used in
preparing any unit dosage form is substantially nontoxic in the amounts
employed. The active agent may be incorporated into sustained-release preparations
and devices.
The curcumin derivatives
of the invention can be incorporated directly into the food of the mammal's
diet, as an additive, supplement, or the like. Thus, the invention further
provides a food product containing a curcumin derivative of the invention.
Any food is suitable for this purpose, although processed foods already
in use as sources of nutritional supplementation or fortification, such
as breads, cereals, milk, and the like, may be more convenient to use for
this purpose.
Small molecule inhibitors
such as curcumin derivatives are well-suited for direct or indirect (ultimate)
blocking of tumor-associated AP-1 or NF-?B activity, as they are usually
easily synthesized and readily taken up by mammalian cells. In some embodiments,
the small molecule inhibitor is derivatized or conjugated with a carrier
molecule according to methods well known in the art, so as to increase
targeting efficiency and/or the rate of cellular uptake, for example by
being covalently linked to a ligand that binds to a cell surface receptor. |