CANCER TREATMENT USING CURCUMIN DERIVATIVES


 
 
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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. 

     
     
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