U.S. patent application number 16/381774 was filed with the patent office on 2019-10-17 for combination of micheliolide derivatives or nanoparticles with ionizing radiation and checkpoint inhibitors for cancer therapy.
The applicant listed for this patent is The University of Chicago. Invention is credited to Christina Chan, Wenbo Han, Wenbin Lin.
Application Number | 20190314324 16/381774 |
Document ID | / |
Family ID | 68161046 |
Filed Date | 2019-10-17 |
United States Patent
Application |
20190314324 |
Kind Code |
A1 |
Lin; Wenbin ; et
al. |
October 17, 2019 |
COMBINATION OF MICHELIOLIDE DERIVATIVES OR NANOPARTICLES WITH
IONIZING RADIATION AND CHECKPOINT INHIBITORS FOR CANCER THERAPY
Abstract
Nanoparticles comprising micheliolide (MCL) or derivatives
thereof, and optionally additional therapeutic agents, such as
chemotherapeutic agents, are described. Also described are methods
of treating diseases, such as cancer, comprising the use of
combinations of MCL or a derivative thereof with X-ray irradiation
and/or other therapeutic agents, such as immune checkpoint
inhibitors. The use of the combinations can provide synergistic
anticancer therapeutic efficacy, for example, as the MCL or
derivative thereof can both sensitize cancer cells to therapy and
target resistant cancer stem cells (CSCs) for selective cell
death.
Inventors: |
Lin; Wenbin; (Chicago,
IL) ; Chan; Christina; (Chicago, IL) ; Han;
Wenbo; (Chicago, IL) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
The University of Chicago |
Chicago |
IL |
US |
|
|
Family ID: |
68161046 |
Appl. No.: |
16/381774 |
Filed: |
April 11, 2019 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
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62657112 |
Apr 13, 2018 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61K 2039/505 20130101;
A61K 39/3955 20130101; A61K 47/6929 20170801; C07K 16/2827
20130101; A61K 47/6803 20170801; A61N 5/10 20130101; A61P 35/00
20180101; A61K 39/3955 20130101; A61K 41/0038 20130101; A61K 47/543
20170801; A61P 37/00 20180101; A61K 31/343 20130101; A61K 2300/00
20130101; A61K 2300/00 20130101; A61K 9/00 20130101; A61K 2039/585
20130101; A61K 31/343 20130101; A61K 45/06 20130101 |
International
Class: |
A61K 31/343 20060101
A61K031/343; A61K 47/68 20060101 A61K047/68; A61K 45/06 20060101
A61K045/06; A61P 35/00 20060101 A61P035/00; A61P 37/00 20060101
A61P037/00 |
Goverment Interests
STATEMENT OF GOVERNMENT SUPPORT
[0002] This invention was made with government support under Grant
No. U01-CA198989 awarded by the National Institutes of Health. The
government has certain rights in the invention.
Claims
1. A composition comprising a nanoparticle and micheliolide (MCL)
or a derivative thereof.
2. The composition of claim 1, comprising a derivative of MCL,
wherein said derivative is dimethylamino micheliolide (DMAMCL) or a
lipid conjugate of MCL.
3. The composition of claim 1, wherein the MCL or the derivative
thereof is attached to or sequestered within the nanoparticle.
4. The composition of claim 1, wherein the nanoparticle is selected
from the group consisting of a polymeric micelle, a liposome, a
dendrimer, an organic polymer-based nanoparticle, a silica-based
nanoparticle, a nanoscale coordination polymer, a nanoscale
metal-organic framework, and an inorganic nanoparticle.
5. The composition of claim 1, wherein the nanoparticle comprises a
core and one or more coating layers or agents covering at least a
portion of an outer surface of the core.
6. The composition of claim 5, wherein the core comprises an
organic polymer, a silica-based material, a nanoscale coordination
polymer, a metal-organic framework, or an inorganic material.
7. The composition of claim 5, wherein the one or more coating
agents or layers are selected from a metal oxide, a polymer, a
single lipid layer, a lipid bilayer, and combinations thereof.
8. The composition of claim 5, wherein the one or more coating
agents or layers further comprise a passivating agent, a targeting
agent, and/or an imaging agent.
9. The composition of claim 5, wherein the MCL or derivative
thereof is attached to or sequestered in the nanoparticle core.
10. The composition of claim 5, wherein the MCL or the derivative
thereof is attached to or sequestered in a nanoparticle coating
layer.
11. The composition of claim 1, further comprising a
chemotherapeutic agent and/or an immunotherapy agent.
12. The composition of claim 11, wherein the chemotherapeutic agent
is attached or sequestered in a nanoparticle core or a nanoparticle
coating layer.
13. The composition of claim 11, wherein the chemotherapeutic agent
is selected from the group consisting of cisplatin, oxaliplatin, or
prodrugs thereof; doxorubicin, daunorubicin, docetaxel,
mitoxanthrone, paclitaxel, digitoxin, gemcitabine, methotrexate,
leucovorin, pemetresed disodium, vinblastine, vincristine,
vindesine, cytarabine, azathioprine, melphalan, imitinib,
anastrozole, letrozole, carboplatin, etoposide, vinorelbine, and
septacidin.
14. The composition of claim 11, wherein the immunotherapy agent is
selected from the group consisting of an anti-CD52 antibody, an
anti-CD20 antibody, anti-CD47 antibody, an anti-GD2 antibody,
polysaccharide K, a cytokine, Alemtuzumab, Ofatumumab, Rituximab,
Zevalin, Adcetris, Kadcyla, Ontak, a PD-1 inhibitor, a PD-L1
inhibitor, a CTLA-4 inhibitor, an IDO inhibitor, a CCR7 inhibitor,
an OX40 inhibitor, a TIM3 inhibitor, and a LAG3 inhibitor.
15. The composition of claim 11, wherein the immunotherapy agent is
attached to or sequestered in a nanoparticle coating layer.
16. A pharmaceutical composition comprising a composition of claim
1 and a pharmaceutically acceptable carrier.
17. A method for treating a disease in a subject in need thereof,
the method comprising: administering to the subject micheliolide
(MCL) or a derivative thereof; and exposing at least a portion of
the subject to ionizing irradiation energy.
18. The method of claim 17, wherein administering the MCL or
derivative thereof comprises administering a nanoparticle and/or a
nanoscale coordination polymer (NCP) comprising the MCL or
derivative thereof.
19. The method of claim 17, wherein the ionizing irradiation energy
is X-rays or protons.
20. The method of claim 17, wherein the disease is cancer.
21. The method of claim 17, wherein the disease is selected from
the group consisting of a skin cancer, a connective tissue cancer,
an adipose cancer, a breast cancer, a head and neck cancer, a lung
cancer, a stomach cancer, a pancreatic cancer, an ovarian cancer, a
cervical cancer, a uterine cancer, an anogenital cancer, a kidney
cancer, a bladder cancer, a colon cancer, a prostate cancer, a
central nervous system (CNS) cancer, a retinal cancer, a blood
cancer, a neuroblastoma, multiple myeloma, and a lymphoid
cancer.
22. The method of claim 17, wherein the method further comprises
administering to the subject an additional therapeutic agent or
treatment selected from an immunotherapy agent and/or a cancer
treatment, wherein the cancer treatment is selected from the group
consisting of surgery, chemotherapy, toxin therapy, cryotherapy and
gene therapy.
23. The method of claim 22, wherein the additional therapeutic
agent or treatment comprises an immunotherapy agent.
24. The method of claim 23, wherein the immunotherapy agent is an
immune checkpoint inhibitor.
25. The method of claim 24, wherein the immune checkpoint inhibitor
is selected from the group consisting of a PD-1 inhibitor, a PD-L1
inhibitor, a CTLA-4 inhibitor, an IDO inhibitor, a CCR7 inhibitor,
an OX40 inhibitor, a TIM3 inhibitor, and a LAG3 inhibitor.
26. A method for treating a disease in a subject in need thereof,
the method comprising: administering to the subject micheliolide
(MCL) or a derivative thereof; and administering to the subject one
or more additional therapeutic agent or treatment.
27. The method of claim 26, wherein administering to the subject
MCL or a derivative thereof comprises administering to the subject
a nanoparticle comprising MCL or a derivative thereof.
28. The method of claim 26, wherein the one or more additional
therapeutic agent or treatment agent is selected from a
chemotherapeutic agent, an immune therapy agent, radiotherapy,
surgery, chemotherapy, toxin therapy, cryotherapy and gene
therapy.
29. The method of claim 26, wherein the disease is cancer.
30. The method of claim 26, wherein the disease is selected from
the group consisting of a skin cancer, a connective tissue cancer,
an adipose cancer, a breast cancer, a head and neck cancer, a lung
cancer, a stomach cancer, a pancreatic cancer, an ovarian cancer, a
cervical cancer, a uterine cancer, an anogenital cancer, a kidney
cancer, a bladder cancer, a colon cancer, a prostate cancer, a
central nervous system (CNS) cancer, a retinal cancer, a blood
cancer, a neuroblastoma, multiple myeloma, and a lymphoid
cancer.
31. The method of claim 26, wherein the one or more additional
therapeutic agent or treatment comprises an immunotherapeutic
agent.
32. The method of claim 31, wherein the immunotherapeutic agent is
an immune checkpoint inhibitor.
33. The method of claim 31, wherein the one or more additional
therapeutic agent or treatment further comprises radiotherapy.
34. The method of claim 33, wherein the one or more additional
therapeutic agent or treatment agent further comprises one or more
of surgery, toxin therapy, cryotherapy and gene therapy.
35. The method of claim 26, wherein the one or more additional
treatment agent comprises chemotherapy.
Description
RELATED APPLICATIONS
[0001] The presently disclosed subject matter claims the benefit of
U.S. Provisional Patent Application Ser. No. 62/657,112, filed Apr.
13, 2018, the disclosure of which is incorporated herein by
reference in its entirety.
TECHNICAL FIELD
[0003] The presently disclosed subject matter relates to
nanoparticles (NPs) comprising micheliolide (MCL) or a derivative
thereof, as well as to the use of combinations of MCL or a
derivative and/or NPs thereof in combination with X-ray irradiation
and/or other therapeutic agents, e.g., immune checkpoint
inhibitors, for treating disease. In some embodiments, the
combinations can provide synergistic anticancer therapeutic
efficacy.
ABBREVIATIONS
[0004] .degree. C.=degrees Celsius [0005] percentage [0006]
microgram [0007] micromolar [0008] cm=centimeter [0009] CSCs=cancer
stem cells [0010] DLS=dynamic light scattering [0011]
DOPC=1,2-dioleoyl-sn-glycero-3-phosphocholine [0012]
DSPE-PEG.sub.2k=1,2-distearoyl-sn-glycero-3-phosphoethanolamine-N-[amino(-
polyethylene glycol)2000] [0013] DMAMCL=dimethylamino micheliolide
[0014] ESI-MS=electrospray ionization mass spectrometry [0015]
EtOH=ethanol [0016] Gy=gray [0017] Kg=kilogram [0018] kVp=peak
kilovoltage [0019] mA=milliampere [0020] MCL=micheliolide [0021]
mg=milligram [0022] mL=milliliter [0023] mm=millimeter [0024]
mmol=millimole [0025] MOF=metal-organic framework [0026]
NCP=nanoscale coordination polymer [0027] nm=nanometer [0028]
nMOF=nanoscale metal-organic framework [0029] NMR=nuclear magnetic
resonance [0030] NPs=nanoparticles [0031] Ox=oxaliplatin [0032]
PD-L1=programmed death ligand 1 [0033] PEG=poly(ethylene glycol)
[0034] PBS=phosphate buffered saline [0035] SBU=secondary building
unit [0036] THF=tetrahydrofuran
BACKGROUND
[0037] Chemotherapy and radiotherapy are among the powerful
anticancer therapies used across a multitude of cancer types.
However, the effective use of these therapies can be limited due to
undesirable side effects to healthy cells at high dosages. In
addition, these therapies are often compromised by the development
of drug and radio-resistance by tumor cells.
[0038] Accordingly, there is an ongoing need for additional cancer
treatment methods and compositions, such as those with enhanced
anticancer efficacy. For instance, there is an ongoing need for
additional cancer treatment methods and compositions that can be
used to treat drug- and/or radio-resistant cancers and/or that can
be used to treat cancer while avoiding the development of drug-
and/or radio-resistant cancer cells.
SUMMARY
[0039] In some embodiments, the presently disclosed subject matter
provides a composition comprising a nanoparticle and micheliolide
(MCL) or a derivative thereof. In some embodiments, the composition
comprises a derivative of MCL, wherein said derivative is
dimethylamino micheliolide (DMAMCL) or a lipid conjugate of
MCL.
[0040] In some embodiments, the MCL or the derivative thereof is
attached to or sequestered within the nanoparticle. In some
embodiments, the nanoparticle is selected from the group comprising
a polymeric micelle, a liposome, a dendrimer, an organic
polymer-based nanoparticle, a silica-based nanoparticle, a
nanoscale coordination polymer, a nanoscale metal-organic
framework, and an inorganic nanoparticle.
[0041] In some embodiments, the nanoparticle comprises a core and
one or more coating layers or agents covering at least a portion of
an outer surface of the core. In some embodiments, the core
comprises an organic polymer, a silica-based material, a nanoscale
coordination polymer, a metal-organic framework, or an inorganic
material. In some embodiments, the one or more coating agents or
layers are selected from a metal oxide, a polymer, a single lipid
layer, a lipid bilayer, and combinations thereof. In some
embodiments, the one or more coating agents or layers further
comprise a passivating agent, a targeting agent, and/or an imaging
agent.
[0042] In some embodiments, the MCL or derivative thereof is
attached to or sequestered in the nanoparticle core. In some
embodiments, the MCL or the derivative thereof is attached to or
sequestered in a nanoparticle coating layer.
[0043] In some embodiments, the composition further comprises a
chemotherapeutic agent and/or an immunotherapy agent. In some
embodiments, the chemotherapeutic agent is attached or sequestered
in a nanoparticle core or a nanoparticle coating layer. In some
embodiments, the chemotherapeutic agent is selected from the group
comprising cisplatin, oxaliplatin, or prodrugs thereof;
doxorubicin, daunorubicin, docetaxel, mitoxanthrone, paclitaxel,
digitoxin, gemcitabine, methotrexate, leucovorin, pemetresed
disodium, vinblastine, vincristine, vindesine, cytarabine,
azathioprine, melphalan, imitinib, anastrozole, letrozole,
carboplatin, etoposide, vinorelbine, and septacidin. In some
embodiments, the immunotherapy agent is selected from the group
comprising an anti-CD52 antibody, an anti-CD20 antibody, anti-CD47
antibody, an anti-GD2 antibody, polysaccharide K, a cytokine,
Alemtuzumab, Ofatumumab, Rituximab, Zevalin, Adcetris, Kadcyla,
Ontak, a PD-1 inhibitor, a PD-L1 inhibitor, a CTLA-4 inhibitor, an
IDO inhibitor, a CCR7 inhibitor, an OX40 inhibitor, a TIM3
inhibitor, and a LAG3 inhibitor. In some embodiments, the
immunotherapy agent is attached to or sequestered in a nanoparticle
coating layer.
[0044] In some embodiments, the presently disclosed subject matter
provides a pharmaceutical composition comprising a composition
comprising a nanoparticle and micheliolide (MCL) or a derivative
thereof and a pharmaceutically acceptable carrier.
[0045] In some embodiments, the presently disclosed subject matter
provides a method for treating a disease in a subject in need
thereof, the method comprising: administering to the subject
micheliolide (MCL) or a derivative thereof; and exposing at least a
portion of the subject to ionizing irradiation energy. In some
embodiments, administering the MCL or derivative thereof comprises
administering a nanoparticle and/or a nanoscale coordination
polymer (NCP) comprising the MCL or derivative thereof. In some
embodiments, the ionizing irradiation energy is X-rays or
protons.
[0046] In some embodiments, the disease is cancer. In some
embodiments, the disease is selected from the group comprising a
skin cancer, a connective tissue cancer, an adipose cancer, a
breast cancer, a head and neck cancer, a lung cancer, a stomach
cancer, a pancreatic cancer, an ovarian cancer, a cervical cancer,
a uterine cancer, an anogenital cancer, a kidney cancer, a bladder
cancer, a colon cancer, a prostate cancer, a central nervous system
(CNS) cancer, a retinal cancer, a blood cancer, a neuroblastoma,
multiple myeloma, and a lymphoid cancer.
[0047] In some embodiments, the method further comprises
administering to the subject an additional therapeutic agent or
treatment selected from an immunotherapy agent and/or a cancer
treatment, wherein the cancer treatment is selected from the group
comprising surgery, chemotherapy, toxin therapy, cryotherapy and
gene therapy. In some embodiments, the additional therapeutic agent
or treatment comprises an immunotherapy agent. In some embodiments,
the immunotherapy agent is an immune checkpoint inhibitor. In some
embodiments, the immune checkpoint inhibitor is selected from the
group comprising a PD-1 inhibitor, a PD-L1 inhibitor, a CTLA-4
inhibitor, an IDO inhibitor, a CCR7 inhibitor, an OX40 inhibitor, a
TIM3 inhibitor, and a LAG3 inhibitor.
[0048] In some embodiments, the presently disclosed subject matter
provides a method for treating a disease in a subject in need
thereof, the method comprising: administering to the subject
micheliolide (MCL) or a derivative thereof; and administering to
the subject one or more additional therapeutic agent or treatment.
In some embodiments, administering to the subject MCL or a
derivative thereof comprises administering to the subject a
nanoparticle comprising MCL or a derivative thereof. In some
embodiments, the one or more additional therapeutic agent or
treatment agent is selected from a chemotherapeutic agent, an
immune therapy agent, radiotherapy, surgery, chemotherapy, toxin
therapy, cryotherapy and gene therapy.
[0049] In some embodiments, the disease is cancer. In some
embodiments, the disease is selected from the group comprising a
skin cancer, a connective tissue cancer, an adipose cancer, a
breast cancer, a head and neck cancer, a lung cancer, a stomach
cancer, a pancreatic cancer, an ovarian cancer, a cervical cancer,
a uterine cancer, an anogenital cancer, a kidney cancer, a bladder
cancer, a colon cancer, a prostate cancer, a central nervous system
(CNS) cancer, a retinal cancer, a blood cancer, a neuroblastoma,
multiple myeloma, and a lymphoid cancer.
[0050] In some embodiments, the one or more additional therapeutic
agent or treatment comprises an immunotherapeutic agent. In some
embodiments, the immunotherapeutic agent is an immune checkpoint
inhibitor.
[0051] In some embodiments, the one or more additional therapeutic
agent or treatment further comprises radiotherapy. In some
embodiments, the one or more additional therapeutic agent or
treatment agent further comprises one or more of surgery, toxin
therapy, cryotherapy and gene therapy. In some embodiments, the one
or more additional treatment agent comprises chemotherapy.
[0052] Accordingly, it is an object of the presently disclosed
subject matter to provide compositions comprising MCL or a
derivative thereof in a nanoparticle and/or in combination with
another therapeutic agent, e.g., a chemotherapeutic agent or an
immunotherapeutic agent, as well as methods of treating disease
using the compositions, alone or in combination with X-ray
irradiation and/or another therapy, e.g., immunotherapy.
[0053] These and other objects are achieved in whole or in part in
the presently disclosed subject matter. An object of the presently
disclosed subject matter having been stated above, other objects
and advantages will become apparent upon a review of the following
descriptions, examples, and figures.
BRIEF DESCRIPTION OF THE DRAWINGS
[0054] FIG. 1 is a graph showing the in vitro cytotoxicity of
combinations of dimethylamino micheliolide (DMAMCL) and irradiation
in mouse glioma 261 (GL261) cells. The cytotoxic effect of the
combination is represented by a decrease in cell viability (in
percentage (5%)). The cytotoxicity was measured at two different
concentrations of DMAMCL: 1 micromolar (1 .mu.M, open triangles)
and 10 .mu.M (open circles). The irradiation dose varied from 0 to
8 gray (Gy) as indicated on the x-axis. For comparison, cell
viability data for GL261 cells treated with irradiation and
phosphate buffered saline (PBS, filled squares) in place of the
DMAMCL is also shown.
[0055] FIG. 2 is a graph showing the in vivo antitumor efficacy of
combinations of dimethylamino micheliolide (DMAMCL) and irradiation
in a mouse glioma 261 (GL261) tumor model in immunocompromised
mice. Mice were orally dosed with 50 milligrams per kilogram
(mg/kg) DMAMCL or with phosphate buffered saline and irradiated or
not irradiated with a 4 gray (Gy) irradiation dose about 4 hours
later every day for up to 7 days. Data for mice treated with PBS
and not irradiated (PBS) is shown in open circles, data for mice
treated with PBS and radiation (PBS (+)) is shown in filled
circles, data for mice treated with DMAMCL and not irradiated is
shown in open squares, and data for mice treated with DMAMCL and
radiation (DMAMCL (+)) is shown in filled squares. Tumor size was
measured in cubic millimeters (mm.sup.3).
[0056] FIG. 3 is a graph showing the in vivo antitumor efficacy of
combinations of micheliolide (MCL), irradiation, and an
immunotherapy agent in a mouse glioma 261 (GL261) tumor model in
immunocompetent mice. Mice were orally dosed with 50 milligrams per
kilogram (mg/kg) MCL or phosphate buffered saline daily for up to
12 days. Some of the mice were irradiated with a 2 gray (Gy)
irradiation dose about 4 hours after dosing with MCL. Some of the
mice also received two 75 microgram (.mu.g) doses of a programmed
death ligand 1 (PD-L1) antibody on days 0 and 4. Data for mice
treated with PBS and not irradiated (PBS) is shown in filled
squares, data for mice treated with MCL and not irradiated is shown
in open circles, data for mice treated with MCL and radiation (MCL
(+)) is shown in open triangles, and data for mice treated with
MCL, irradiation and antibody (MCL+.alpha.-PD-L1 (+)) is shown in
open stars. Tumor size was measured in cubic centimeters
(cm.sup.3).
[0057] FIG. 4 is a graph showing the intensity plot (intensity (in
percentage (%)) versus size (diameter in nanometers (d.nm))) of
oxaliplatin-containing nano-coordination polymers (OxNCP) also
comprising micheliolide (MCL) as measured using dynamic light
scattering (DLS).
DETAILED DESCRIPTION
[0058] The presently disclosed subject matter will now be described
more fully hereinafter with reference to the accompanying Examples,
in which representative embodiments are shown. The presently
disclosed subject matter can, however, be embodied in different
forms and should not be construed as limited to the embodiments set
forth herein. Rather, these embodiments are provided so that this
disclosure will be thorough and complete, and will fully convey the
scope of the embodiments to those skilled in the art.
[0059] Unless otherwise defined, all technical and scientific terms
used herein have the same meaning as commonly understood by one of
ordinary skill in the art to which this presently described subject
matter belongs. Although any methods, devices, and materials
similar or equivalent to those described herein can be used in the
practice or testing of the presently disclosed subject matter,
representative methods, devices, and materials are now described.
All publications, patent applications, patents, and other
references mentioned herein are incorporated by reference in their
entirety. Throughout the specification and claims, a given chemical
formula or name shall encompass all optical and stereoisomers, as
well as racemic mixtures where such isomers and mixtures exist.
I. Definitions
[0060] While the following terms are believed to be well understood
by one of ordinary skill in the art, the following definitions are
set forth to facilitate explanation of the presently disclosed
subject matter.
[0061] Following long-standing patent law convention, the terms
"a", "an", and "the" refer to "one or more" when used in this
application, including the claims. Thus, for example, reference to
"a chemotherapeutic agent" includes a plurality of such
chemotherapeutic agents, and so forth.
[0062] Unless otherwise indicated, all numbers expressing
quantities of size, reaction conditions, and so forth used in the
specification and claims are to be understood as being modified in
all instances by the term "about". Accordingly, unless indicated to
the contrary, the numerical parameters set forth in this
specification and attached claims are approximations that can vary
depending upon the desired properties sought to be obtained by the
presently disclosed subject matter.
[0063] As used herein, the term "about", when referring to a value
or to an amount of size (i.e., diameter), dose, weight,
concentration, or percentage is meant to encompass variations of in
one example .+-.20% or .+-.10%, in another example .+-.5%, in
another example .+-.1%, and in still another example .+-.0.1% from
the specified amount, as such variations are appropriate to perform
the disclosed methods.
[0064] Numerical ranges recited herein by endpoints include all
numbers and fractions subsumed within that range (e.g. 1 to 5
includes, but is not limited to, 1, 1.5, 2, 2.75, 3, 3.90, 4, and
5).
[0065] As used herein, the term "and/or" when used in the context
of a listing of entities, refers to the entities being present
singly or in combination. Thus, for example, the phrase "A, B, C,
and/or D" includes A, B, C, and D individually, but also includes
any and all combinations and sub-combinations of A, B, C, and
D.
[0066] The use of the term "or" in the claims is used to mean
"and/or" unless explicitly indicated to refer to alternatives only
or the alternatives are mutually exclusive, although the disclosure
supports a definition that refers to only alternatives and
"and/or." As used herein "another" can mean at least a second or
more.
[0067] The term "comprising", which is synonymous with "including,"
"containing," or "characterized by" is inclusive or open-ended and
does not exclude additional, unrecited elements or method steps.
"Comprising" is a term of art used in claim language which means
that the named elements are present, but other elements can be
added and still form a construct or method within the scope of the
claim.
[0068] As used herein, the phrase "consisting of" excludes any
element, step, or ingredient not specified in the claim. When the
phrase "consists of" appears in a clause of the body of a claim,
rather than immediately following the preamble, it limits only the
element set forth in that clause; other elements are not excluded
from the claim as a whole.
[0069] As used herein, the phrase "consisting essentially of"
limits the scope of a claim to the specified materials or steps,
plus those that do not materially affect the basic and novel
characteristic(s) of the claimed subject matter.
[0070] With respect to the terms "comprising", "consisting of", and
"consisting essentially of", where one of these three terms is used
herein, the presently disclosed and claimed subject matter can
include the use of either of the other two terms.
[0071] As used herein the term "alkyl" can refer to C.sub.1-20
inclusive, linear (i.e., "straight-chain"), branched, or cyclic,
saturated or at least partially and in some cases fully unsaturated
(i.e., alkenyl and alkynyl) hydrocarbon chains, including for
example, methyl, ethyl, propyl, isopropyl, butyl, isobutyl,
tert-butyl, pentyl, hexyl, octyl, ethenyl, propenyl, butenyl,
pentenyl, hexenyl, octenyl, butadienyl, propynyl, butynyl,
pentynyl, hexynyl, heptynyl, and allenyl groups. "Branched" refers
to an alkyl group in which a lower alkyl group, such as methyl,
ethyl or propyl, is attached to a linear alkyl chain. "Lower alkyl"
refers to an alkyl group having 1 to about 8 carbon atoms (i.e., a
C.sub.1-8 alkyl), e.g., 1, 2, 3, 4, 5, 6, 7, or 8 carbon atoms.
"Higher alkyl" refers to an alkyl group having about 10 to about 20
carbon atoms, e.g., 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20
carbon atoms. In certain embodiments, "alkyl" refers, in
particular, to C.sub.1-8 straight-chain alkyls. In other
embodiments, "alkyl" refers, in particular, to C.sub.1-8
branched-chain alkyls.
[0072] Alkyl groups can optionally be substituted (a "substituted
alkyl") with one or more alkyl group substituents, which can be the
same or different. The term "alkyl group substituent" includes but
is not limited to alkyl, substituted alkyl, halo, arylamino, acyl,
hydroxyl, aryloxyl, alkoxyl, alkylthio, arylthio, aralkyloxyl,
aralkylthio, carboxyl, alkoxycarbonyl, oxo, and cycloalkyl. In some
embodiments, there can be optionally inserted along the alkyl chain
one or more oxygen, sulfur or substituted or unsubstituted nitrogen
atoms, wherein the nitrogen substituent is hydrogen, lower alkyl
(also referred to herein as "alkylaminoalkyl"), or aryl.
[0073] Thus, as used herein, the term "substituted alkyl" includes
alkyl groups, as defined herein, in which one or more atoms or
functional groups of the alkyl group are replaced with another atom
or functional group, including for example, alkyl, substituted
alkyl, halogen, aryl, substituted aryl, alkoxyl, hydroxyl, nitro,
amino, alkylamino, dialkylamino, sulfate, and mercapto.
[0074] "Alkylene" refers to a straight or branched bivalent
aliphatic hydrocarbon group having from 1 to about 20 carbon atoms,
e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17,
18, 19, or 20 carbon atoms. The alkylene group can be straight,
branched or cyclic. The alkylene group also can be optionally
unsaturated and/or substituted with one or more "alkyl group
substituents." There can be optionally inserted along the alkylene
group one or more oxygen, sulfur or substituted or unsubstituted
nitrogen atoms (also referred to herein as "alkylaminoalkyl"),
wherein the nitrogen substituent is alkyl as previously described.
Exemplary alkylene groups include methylene (--CH.sub.2--);
ethylene (--CH.sub.2--CH.sub.2--); propylene
(--(CH.sub.2).sub.3--); cyclohexylene (--C.sub.6H.sub.10--);
--CH.dbd.CH--CH.dbd.CH--; --CH.dbd.CH--CH.sub.2--;
--(CH.sub.2).sub.q--N(R)--(CH.sub.2).sub.r--, wherein each of q and
r is independently an integer from 0 to about 20, e.g., 0, 1, 2, 3,
4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20,
and R is hydrogen or lower alkyl; methylenedioxyl
(--O--CH.sub.2--O--); and ethylenedioxyl
(--O--(CH.sub.2).sub.2--O--). An alkylene group can have about 2 to
about 3 carbon atoms and can further have 6-20 carbons.
[0075] The term "aryl" is used herein to refer to an aromatic
substituent that can be a single aromatic ring, or multiple
aromatic rings that are fused together, linked covalently, or
linked to a common group, such as, but not limited to, a methylene
or ethylene moiety. The common linking group also can be a
carbonyl, as in benzophenone, or oxygen, as in diphenylether, or
nitrogen, as in diphenylamine. The term "aryl" specifically
encompasses heterocyclic aromatic compounds. The aromatic ring(s)
can comprise phenyl, naphthyl, biphenyl, diphenylether,
diphenylamine and benzophenone, among others. In particular
embodiments, the term "aryl" means a cyclic aromatic comprising
about 5 to about 10 carbon atoms, e.g., 5, 6, 7, 8, 9, or 10 carbon
atoms, and including 5- and 6-membered hydrocarbon and heterocyclic
aromatic rings.
[0076] The aryl group can be optionally substituted (a "substituted
aryl") with one or more aryl group substituents, which can be the
same or different, wherein "aryl group substituent" includes alkyl,
substituted alkyl, aryl, substituted aryl, aralkyl, hydroxyl,
alkoxyl, aryloxyl, aralkyloxyl, carboxyl, acyl, halo, nitro,
alkoxycarbonyl, aryloxycarbonyl, aralkoxycarbonyl, acyloxyl,
acylamino, aroylamino, carbamoyl, alkylcarbamoyl, dialkylcarbamoyl,
arylthio, alkylthio, alkylene, and --NR'R'', wherein R' and R'' can
each be independently hydrogen, alkyl, substituted alkyl, aryl,
substituted aryl, and aralkyl.
[0077] Thus, as used herein, the term "substituted aryl" includes
aryl groups, as defined herein, in which one or more atoms or
functional groups of the aryl group are replaced with another atom
or functional group, including for example, alkyl, substituted
alkyl, halogen, aryl, substituted aryl, alkoxyl, hydroxyl, nitro,
amino, alkylamino, dialkylamino, sulfate, and mercapto.
[0078] Specific examples of aryl groups include, but are not
limited to, cyclopentadienyl, phenyl, furan, thiophene, pyrrole,
pyran, pyridine, imidazole, benzimidazole, isothiazole, isoxazole,
pyrazole, pyrazine, triazine, pyrimidine, quinoline, isoquinoline,
indole, carbazole, and the like.
[0079] The term "arylene" refers to a bivalent aromatic group,
e.g., a bivalent phenyl or naphthyl group. The arylene group can
optionally be substituted with one or more aryl group substituents
and/or include one or more heteroatoms. The term "arylene" includes
bivalent groups comprising more than one aromatic ring fused to or
linked to one another (e.g., via a covalent bond or a linking
group), such as bivalent biphenyl or bivalent terphenyl.
[0080] The term "aralkyl" as used herein refers to a -alkyl-aryl
group, which can be substituted or unsubstituted. An exemplary
aralkyl group is benzyl.
[0081] The term "acyl" refers to the group --C(.dbd.O)R, wherein R
is a substituted or unsubstituted alkyl, aralkyl, or aryl
group.
[0082] The term "amino" refers to the group --N(R).sub.2 wherein
each R is independently H, alkyl, substituted alkyl, aryl,
substituted aryl, aralkyl, or substituted aralkyl. The terms
"aminoalkyl" and "alkylamino" can refer to the group --N(R).sub.2
wherein each R is H, alkyl or substituted alkyl, and wherein at
least one R is alkyl or substituted alkyl. "Arylamine" and
"aminoaryl" refer to the group --N(R).sub.2 wherein each R is H,
aryl, or substituted aryl, and wherein at least one R is aryl or
substituted aryl, e.g., aniline (i.e., --NHC.sub.6H.sub.5).
[0083] The term "lipid" can refer to a hydrophobic or amphiphilic
small molecule, such as, but not limited to a fatty acid, a sterol,
a fat-soluble vitamin, a phospholipid, a glycerolipid, a
glycerophospholipid, a sphingolipid, a saccharolipid, or a
polyketide.
[0084] As used herein, the term "metal-organic framework" or "MOF"
refers to a solid two- or three-dimensional network comprising both
metal and organic components, wherein the organic components
include at least one, and typically more than one carbon atom. In
some embodiments, the material is crystalline. In some embodiments,
the material is amorphous. In some embodiments, the material is
porous. In some embodiments, the metal-organic matrix material is a
coordination polymer, which comprises repeating units of
coordination complexes comprising a metal-based secondary building
unit (SBU), such as a metal ion or metal complex, and a bridging
polydentate (e.g., bidentate or tridentate) organic ligand. In some
embodiments, the material contains more than one type of SBU or
metal ion. In some embodiments, the material can contain more than
one type of organic bridging ligand.
[0085] The term "nanoscale metal-organic framework" can refer to a
nanoscale particle comprising an MOF.
[0086] The terms "nanoscale particle," nanomaterial," and
"nanoparticle" refer to a structure having at least one region with
a dimension (e.g., length, width, diameter, etc.) of less than
about 1,000 nm. In some embodiments, the dimension is smaller
(e.g., less than about 500 nm, less than about 250 nm, less than
about 200 nm, less than about 150 nm, less than about 125 nm, less
than about 100 nm, less than about 80 nm, less than about 70 nm,
less than about 60 nm, less than about 50 nm, less than about 40
nm, less than about 30 nm or even less than about 20 nm). In some
embodiments, the dimension is between about 20 nm and about 250 nm
(e.g., about 20, 30, 40, 50, 60, 70, 80, 90, 100, 110, 120, 130,
140, 150, 160, 170, 180, 190, 200, 210, 220, 230, 240, or 250
nm).
[0087] In some embodiments, the nanoparticle is approximately
spherical. When the nanoparticle is approximately spherical, the
characteristic dimension can correspond to the diameter of the
sphere. In addition to spherical shapes, the nanomaterial can be
disc-shaped, plate-shaped (e.g., hexagonally plate-like), oblong,
polyhedral, rod-shaped, cubic, or irregularly-shaped.
[0088] The nanoparticle can comprise a core region (i.e., the space
between the outer dimensions of the particle) and an outer surface
(i.e., the surface that defines the outer dimensions of the
particle). In some embodiments, the nanoparticle can have one or
more coating layers surrounding or partially surrounding the
nanoparticle core. Thus, for example, a spherical nanoparticle can
have one or more concentric coating layers, each successive layer
being dispersed over the outer surface of a layer closer to the
center of the particle.
[0089] In some embodiments, the presently disclosed nanoparticle
can comprise a solid metal-organic framework matrix, which can
comprise one or more pores or hollow interior regions. The matrix
can be amorphous or crystalline. In some embodiments, the
nanoparticle core can further comprise one or more of: MCL or a
derivative thereof; an optical imaging agent; and/or another
therapeutic agent (e.g., an anticancer agent or an
immunotherapeutic agent), which can be physically trapped within
the matrix, coordinated to a metal ion of the matrix, or chemically
bonded (e.g., to an organic bridging ligand in the matrix) via a
covalent or ionic bond. In some embodiments, a chemotherapeutic
agent or prodrug thereof can be an organic bridging ligand within a
metal-organic matrix material that forms the core of the
nanoparticle. For example, when the matrix material is a metal
bisphosphonate coordination polymer, the bisphosphonate can be a
chemotherapeutic agent or prodrug thereof.
[0090] When the core comprises a non-matrix therapeutic and/or
imaging agent, said agents can be said to be "embedded" in the
nanoparticle. "Embedded" can refer to a therapeutic agent or an
imaging agent that is bound, for example covalently bound or bound
via a coordinative bond, inside the core of the particle (e.g., to
a bisphosphonate, dicarboxylate, or metal ion of the matrix
material). Alternatively, the complex or agent can be "sequestered"
(i.e., non-covalently/physically encapsulated) inside pores in the
core or interact with a core material via hydrogen bonding, London
dispersion forces, or any other non-covalent interaction.
[0091] The terms "polymer" and "polymeric" refer to chemical
structures that have repeating units (i.e., multiple copies of a
given chemical substructure). Polymers can be formed from
polymerizable monomers. A polymerizable monomer is a molecule that
comprises one or more moieties that can react to form bonds (e.g.,
covalent or coordination bonds) with moieties on other molecules of
polymerizable monomer. Generally, each polymerizable monomer
molecule can bond to two or more other molecules. In some cases, a
polymerizable monomer will bond to only one other molecule, forming
a terminus of the polymeric material.
[0092] Polymers can be organic, or inorganic, or a combination
thereof. As used herein, the term "inorganic" refers to a compound
or composition that contains at least some atoms other than carbon,
hydrogen, nitrogen, oxygen, sulfur, phosphorous, or one of the
halides. Thus, for example, an inorganic compound or composition
can contain one or more silicon atoms and/or one or more metal
atoms.
[0093] As used herein "organic polymers" are those that do not
include silica or metal atoms in their repeating units. Exemplary
organic polymers include polyvinylpyrrolidone (PVO), polyesters,
polyamides, polyethers, polydienes, and the like. Some organic
polymers contain biodegradable linkages, such as esters or amides,
such that they can degrade over time under biological
conditions.
[0094] The term "hydrophilic polymer" as used herein generally
refers to hydrophilic organic polymers, such as but not limited to,
polyvinylpyrrolidone, polyvinylmethylether, polymethyloxazoline,
polyethyloxazoline, polyhydroxypropyloxazoline,
polyhydroxypropylmethacrylamide, polymethyacrylamide,
polydimethylacrylamide, polyhydroxylpropylmethacrylate,
polyhydroxyethylacrylate, hydroxymethylcellulose,
hydroxyethylcellulose, polyethylenimine (PEI), polyethyleneglycol
(i.e., PEG) or another hydrophilic poly(alkyleneoxide),
polyglycerine, and polyaspartamide. The term "hydrophilic" refers
to the ability of a molecule or chemical species to interact with
water. Thus, hydrophilic polymers are typically polar or have
groups that can hydrogen bond to water.
[0095] The terms "bonding" or "bonded" and variations thereof can
refer to either covalent or non-covalent bonding. In some cases,
the term "bonding" refers to bonding via a coordinate bond. The
term "conjugation" can refer to a bonding process, as well, such as
the formation of a covalent linkage or a coordinate bond.
[0096] A "coordination complex" is a compound in which there is a
coordinate bond between a metal ion and an electron pair donor,
ligand or chelating group. Thus, ligands or chelating groups are
generally electron pair donors, molecules or molecular ions having
unshared electron pairs available for donation to a metal ion.
[0097] The term "coordinate bond" refers to an interaction between
an electron pair donor and a coordination site on a metal ion
resulting in an attractive force between the electron pair donor
and the metal ion. The use of this term is not intended to be
limiting, in so much as certain coordinate bonds also can be
classified as having more or less covalent character (if not
entirely covalent character) depending on the characteristics of
the metal ion and the electron pair donor.
[0098] As used herein, the term "ligand" refers generally to a
species, such as a molecule or ion, which interacts, e.g., binds,
in some way with another species. More particularly, as used
herein, a "ligand" can refer to a molecule or ion that binds a
metal ion in solution to form a "coordination complex." See
Martell, A. E., and Hancock, R. D., Metal Complexes in Aqueous
Solutions, Plenum: New York (1996), which is incorporated herein by
reference in its entirety. The terms "ligand" and "chelating group"
can be used interchangeably. The term "bridging ligand" can refer
to a group that bonds to more than one metal ion or complex, thus
providing a "bridge" between the metal ions or complexes. Organic
bridging ligands can have two or more groups with unshared electron
pairs separated by, for example, an alkylene or arylene group.
Groups with unshared electron pairs, include, but are not limited
to, --CO.sub.2H, --NO.sub.2, amino, hydroxyl, thio, thioalkyl,
--B(OH).sub.2, --SO.sub.3H, POSH, phosphonate, and heteroatoms
(e.g., nitrogen, oxygen, or sulfur) in heterocycles.
[0099] The term "coordination site" when used herein with regard to
a ligand, e.g., a bridging ligand, refers to an unshared electron
pair, a negative charge, or atoms or functional groups cable of
forming an unshared electron pair or negative charge (e.g., via
deprotonation under at a particular pH).
[0100] The term "imaging agent" refers to a chemical moiety that
aids in the visualization of a sample. For example, an imaging
agent can be a "contrast agent" and can refer to a moiety (a
specific part of or an entire molecule, macromolecule, coordination
complex, or nanoparticle) that increases the contrast of a
biological tissue or structure being examined. The contrast agent
can increase the contrast of a structure being examined using, for
example, magnetic resonance imaging (MRI), optical imaging,
positron emission tomography (PET) imaging, single photon emission
computed tomography (SPECT) imaging, or a combination thereof
(i.e., the contrast agent can be multimodal).
[0101] The term "MRI contrast agent" refers to a moiety that
effects a change in induced relaxation rates of water protons in a
sample.
[0102] The terms "optical imaging agent" or "optical contrast
agent" refer to a group that can be detected based upon an ability
to absorb, reflect or emit light (e.g., ultraviolet, visible, or
infrared light). Optical imaging agents can be detected based on a
change in amount of absorbance, reflectance, or fluorescence, or a
change in the number of absorbance peaks or their wavelength
maxima. Thus, optical imaging agents include those which can be
detected based on fluorescence or luminescence, including organic
and inorganic dyes.
[0103] The terms "fluorophore" and "fluorescent moiety" refer to
species that can be excited by visible light or non-visible light
(e.g., UV light). Examples of fluorophores include, but are not
limited to: quantum dots and doped quantum dots (e.g., a
semiconducting CdSe quantum dot or a Mn-doped CdSe quantum dot),
fluorescein, fluorescein derivatives and analogues, indocyanine
green, rhodamine, triphenylmethines, polymethines, cyanines,
phalocyanines, naphthocyanines, merocyanines, lanthanide complexes
or cryptates, fullerenes, oxatellurazoles, LaJolla blue, porphyrins
and porphyrin analogues and natural chromophores/fluorophores such
as chlorophyll, carotenoids, flavonoids, bilins, phytochrome,
phycobilins, phycoerythrin, phycocyanines, retinoic acid and
analogues such as retinoins and retinates.
[0104] The term "cancer" as used herein refers to diseases caused
by uncontrolled cell division and/or the ability of cells to
metastasize, or to establish new growth in additional sites. The
terms "malignant", "malignancy", "neoplasm", "tumor," "cancer" and
variations thereof refer to cancerous cells or groups of cancerous
cells.
[0105] Particular types of cancer include, but are not limited to,
skin cancers (e.g., melanoma), connective tissue cancers (e.g.,
sarcomas), adipose cancers, breast cancers, head and neck cancers,
lung cancers (e.g., mesothelioma), stomach cancers, pancreatic
cancers, ovarian cancers, cervical cancers, uterine cancers,
anogenital cancers (e.g., testicular cancer), kidney cancers,
bladder cancers, colon cancers, prostate cancers, central nervous
system (CNS) cancers, retinal cancer, blood, neuroblastomas,
multiple myeloma, and lymphoid cancers (e.g., Hodgkin's and
non-Hodgkin's lymphomas).
[0106] The term "metastatic cancer" refers to cancer that has
spread from its initial site (i.e., the primary site) in a
patient's body.
[0107] The terms "anticancer drug", "chemotherapeutic", and
"anticancer prodrug" refer to drugs (i.e., chemical compounds) or
prodrugs known to, or suspected of being able to treat a cancer
(i.e., to kill cancer cells, prohibit proliferation of cancer
cells, or treat a symptom related to cancer). In some embodiments,
the term "chemotherapeutic" as used herein refers to a
non-MCL-based molecule that is used to treat cancer and/or that has
cytotoxic ability. Some traditional or conventional
chemotherapeutic agents can be described by mechanism of action or
by chemical compound class, and can include, but are not limited
to, alkylating agents (e.g., melphalan), anthracyclines (e.g.,
doxorubicin), cytoskeletal disruptors (e.g., paclitaxel),
epothilones, histone deacetylase inhibitors (e.g., vorinostat),
inhibitors of topoisomerase I or II (e.g., irinotecan or
etoposide), kinase inhibitors (e.g., bortezomib), nucleotide
analogs or precursors thereof (e.g., methotrexate), peptide
antibiotics (e.g., bleomycin), platinum based agents (e.g.,
cisplatin or oxaliplatin), retinoids (e.g., tretinoin), and vinka
alkaloids (e.g., vinblastine).
II. General Considerations
[0108] Water-soluble micheliolide (MCL) is a derivative of a
natural sesquiterpene lactone, compounds commonly used to treat
inflammation. The presently disclosed subject matter is related to
the finding that MCL and related compounds can synergize with other
disease treatments, particularly cancer treatments, such as
chemotherapy and radiotherapy. Without being bound by any one
theory, it is believed that the synergistic effects with regard to
treating cancer can be related to the activity of the MCL or a
related compound in sensitizing cancer cells to therapy and/or
targeting resistant CSCs for selective cell death. In some
embodiments, the combined efficacy of MCL and related compounds
with the other treatment (e.g., with radiation) can be further
enhanced by immune checkpoint inhibitors. In some embodiments,
nanoparticles (NPs) containing MCL or a derivative thereof, and
optionally one or more additional therapeutic agents (e.g.,
chemotherapeutic agents and/or immunotherapy agents), can be used
to enhance the bioavailability and relative tumor deposition of
MCL, its derivative and/or other agents, allowing for lower total
doses and less frequent dosing.
[0109] Accordingly, in some embodiments, the presently disclosed
subject matter relates to the use of MCL NPs, as well as to
combinations of MCL or a derivative thereof and/or NPs with X-ray
irradiation and/or other therapeutic agents, e.g., immune
checkpoint inhibitors, for treating disease (e.g., cancer). In some
embodiments, the combinations can provide synergistic anticancer
therapeutic efficacy.
III. Compositions
[0110] In some embodiments, the presently disclosed subject matter
provides a composition comprising: (i) a nanoparticle and (ii) MCL
or a derivative thereof. MCL has the following structure:
##STR00001##
The cyclization of parthenolide, a sesquiterpene lactone found in
feverfew (Tanacetum parthenium), to form MCL was described in 1993.
See Castaneda-Acosta et al., J. Nat. Prod. 1993, 56(1), 90-98.
Exemplary derivatives of MCL include, but are not limited to, the
compounds described in U.S. Pat. No. 9,255,078, the disclosure of
which is incorporated herein by reference in its entirety. For
example, in some embodiments, the derivative of MCL comprises a
compound wherein a carbon-carbon double bond has been replaced by a
carbon-carbon single bond or a three-membered ring (e.g., an
epoxide) and/or wherein one of the carbon atoms of the
carbon-carbon double bond has been substituted, e.g., by a
substituted or unsubstituted alkyl group; wherein an oxygen atom
has been replaced by --CH.sub.2-- or a --NR'-- group, wherein R' is
an alkyl or substituted alkyl group; or wherein the hydroxyl group
has been substituted by an alkyl, substituted alkyl, or acyl group.
In some embodiments, the MCL derivative can be provided as a
pharmaceutically acceptable salt. In some embodiments, the MCL
derivative has a structure of the formula:
##STR00002##
wherein represents a single or double bond; R is selected from H,
alkyl, substituted alkyl, and acyl; and R.sub.1 is selected from H,
alkyl, substituted alkyl, and amino; or a pharmaceutically
acceptable salt thereof. In some embodiments, the amino group is
--N(R.sub.2)(R.sub.3), wherein R.sub.2 and R.sub.3 are
independently selected from H, alkyl (e.g., C.sub.1-12 or C.sub.1-6
alkyl), cycloalkyl, and substituted alkyl, or wherein R.sub.2 and
R.sub.3 together form an alkylene group, e.g., propylene, butylene,
or pentylene. In some embodiments, R is substituted alkyl, e.g.,
--CH.sub.2--O--R.sub.4, wherein R.sub.4 is alkyl or alkenyl,
optionally wherein R.sub.4 is a lipid. In some embodiments,
represents a single bond and R.sub.1 is --N(R.sub.2)(R.sub.3). In
some embodiments, R.sub.2 and R.sub.3 are each methyl, ethyl or
propyl. In some embodiments, the MCL derivative is a lipid
conjugate of MCL or a derivative thereof, e.g., a compound wherein
the hydroxyl group of MCL is covalently linked (e.g., via one or
more ether or ester groups) to a lipid or lipid derivative (e.g., a
sterol, a fatty acid or a fatty alcohol). In some embodiments, the
MCL derivative is dimethylamino micheliolide (DMAMCL) or a lipid
conjugate of MCL or DMAMCL.
[0111] Any suitable nanoparticle can be used, including but not
limited to a polymeric micelle, a liposome, a dendrimer, an organic
polymer-based nanoparticle, a silica-based nanoparticle, a
nanoscale coordination polymer (NCP), a nanoscale metal-organic
framework (nMOF), or an inorganic polymer, such as a gold or iron
oxide nanoparticle. In some embodiments, the nanoparticle is a NCP
and/or nMOF. Exemplary methods of preparing and using NCPs and
nMOFs are described, for example in PCT International Patent
Application Publication Nos. WO 2015/069926 and WO 2013/009701,
U.S. Pat. No. 9,693,957, and U.S. Patent Application Publication
No. 2016/0346204, the disclosures of each of which are incorporated
herein by reference in their entireties.
[0112] In some embodiments, the nanoparticle comprises a nMOF that
comprises metal-containing clusters or ions coordinated to organic
molecules, wherein the material comprises repeating coordination
units. The organic molecule (which can also be referred to as a
"bridging ligand") can include, for example, carboxylate,
phosphate, amino, mercapto, or hydroxyl groups to form coordinate
bonds with a metal ion. The metal-containing clusters can be
referred to as secondary building units (SBUs). In some
embodiments, the SBUs are metal oxo clusters. For example, suitable
SBUs can include, but are not limited to, Zr-oxo clusters, Hf-oxo
clusters, Zn-oxo clusters, Ti-oxo clusters, Cu-carboxylate
paddlewheels, and others. In some embodiments, the oxo clusters
comprise anions selected from oxide (O.sup.2-), hydroxide
(OH.sup.-), S.sup.2-, SH.sup.-, and formate (HCO.sub.2.sup.-). Each
SBU is bonded to at least one other SBU via coordinative bonding to
the same bridging ligand. Stated another way, each SBU is bonded
via a coordinative bond to at least one bridging ligand, which is
also coordinatively bonded to at least one other SBU.
[0113] Any suitable bridging ligand or ligands can be used. In some
embodiments, each bridging ligand is an organic compound comprising
multiple coordination sites. The coordination sites can each
comprise a group capable of forming a coordinate bond with a metal
cation or a group capable of forming such a group. Thus, each
coordination site can comprise an unshared electron pair, a
negative charge, or an atom or functional group capable of forming
an unshared electron pair or negative charge. Typical coordination
sites include, but are not limited to, functional groups such as
carboxylate and derivatives there (e.g., esters, amides,
anhydrides), nitrogen-containing groups (e.g., amines,
nitrogen-containing aromatic and non-aromatic heterocycles),
alcohols, phenols and other hydroxyl-substituted aromatic groups;
ethers, acetylacetonate (i.e., C(.dbd.O)CH.sub.2C(.dbd.O)CH.sub.3),
phosphonates, phosphates, thiols, and the like. In some
embodiments, each bridging ligand comprises between 2 and 10
coordination sites (i.e., 2, 3, 4, 5, 6, 7, 8, 9, or 10
coordination sites). In some embodiments, each bridging ligand is
capable of binding to two or three SBUs. In some embodiments, each
of the organic bridging ligands is a dicarboxylate or a
tricarboxylate. The coordination sites of the organic bridging
ligand can be bonded to the same polyvalent (e.g., divalent or
trivalent) linking group, such as an alkylene or arylene group. In
some embodiments, the bridging ligand further includes a group,
such as an amino, hydroxyl, or thiol, that can form a covalent bond
with a therapeutic agent (e.g., a chemotherapeutic or
immunotherapeutic agent or MCL or a derivative thereof). For
instance, the bridging ligand can be amino-triphenyldicarboxylic
acid (amino-TPDC).
[0114] In some embodiments, the NCP is a metal bisphosphonate
coordination polymer comprising a multivalent metal ion and a
bisphosphonate. Any suitable multivalent metal ion can be used. In
some embodiments, the multivalent metal ion is divalent. In some
embodiments, the metal ion is Ca.sup.2+, Mg.sup.2+, Mn.sup.2+,
Zn.sup.2+, or a combination thereof. In some embodiments, the metal
is Zn.sup.2+. In some embodiments, the bisphosphonate is a
chemotherapeutic prodrug. Thus, in some embodiments, a
chemotherapeutic is present as a bridging ligand between metal ions
in the NCP. In some embodiments, the bisphosphonate is a cisplatin,
oxaliplatin, or carboplatin prodrug. In some embodiments, the
prodrug can be prepared by providing a metal complex based on
cisplatin, oxaliplatin, carboplatin or another platinum
coordination complex chemotherapeutic and having two hydroxyl
ligands, and contacting the metal complex with diethoxyphosphinyl
isocyanate, diethoxyphosphinyl isothiocyanate,
diethoxyphosphinyl-containing carboxylic anhydride, or
diethoxyphosphinyl-containing acyl chloride to form metal ligands
that can provide phosphonate groups available for further
coordinative bonding. Thus, in some embodiments, the bisphosphonate
can be a bisphosphonate ester of cis,
cis-trans-[Pt(NH.sub.3).sub.2Cl.sub.2(OH).sub.2], a dihydroxyl
complex based on cisplatin. Accordingly, in some embodiments, the
bisphosphonate comprises a metal coordination complex and,
therefore, includes a second metal ion, such as a Pt ion, in
addition to the multivalent metal ion of the NCP.
[0115] Alternatively, in some embodiments, the bisphosphonate is an
organic compound comprising at least two phosphonate groups and is
free of an additional metal ion. For example, the bisphosphonate
can have a structure of the formula:
##STR00003##
wherein n and m are each independently an integer between 0 and 2
(i.e., each independently 0, 1, or 2); each R is independently H,
alkyl, substituted alkyl, aralkyl, aryl, or substituted aryl;
R.sub.1 is H, hydroxyl, halo, alkyl, substituted alkyl, amino,
alkoxy, or alkylthio; and R.sub.2 is halo, alkyl, substituted
alkyl, aralkyl, substituted aralkyl, alkoxy, alkylthio, aryloxy,
arylthio or arylamino; or an anion or salt thereof.
[0116] In some embodiments, the nanoparticle can comprise a core
comprising one of the above-mentioned materials, such as an organic
polymer, a silica-based matrix, a NCP, a nMOF, or an inorganic
material, and further comprises one or more coating layers that
surrounds at least a portion of the surface of the nanoparticle
core and/or one or more coating agents, e.g., an agent attached to
a coating layer or to the surface of the nanoparticle core.
Suitable coating agents or layers include, but are not limited to,
metal oxide, polymer (e.g., a silica-based polymer, such as silica,
poly(siloxane), or poly(silsesquioxane), or an organic or
hydrophilic organic polymer), a single lipid layer, a lipid
bilayer, or a combination thereof. In some embodiments, one or more
of the coating agents or layers can be derivatized with a targeting
agent (such as a RGD peptide or an antibody or antibody fragment)
and/or a passivating agent (such as a hydrophilic polymer e.g.,
poly(ethylene glycol) (PEG)) and or an imaging agent (such as a
fluorescent moiety). In some embodiments, the one or more coating
agents or layers are selected from the group comprising, but not
limited to, dioleoyl L-.alpha.-phosphatidylethanolamine (DOPE),
1,2-dioleoyl-sn-glycero-3-phosphocholine (DOPC),
1,2-dioleoyl-sn-glycero-3-phosphate sodium salt (DOPA),
1,2-distearoyl-sn-glycero-3-phosphoethanolamine (DSPE), pegylated
DSPE (e.g., DSPE-PEG.sub.2k), 1,2-dioleoyl-3-trimethylammonium
propane (DOTAP), anisamide-derivatized DOPE, cholesterol, silica,
cRGfK-derivatized silica, PEG-derivatized silica,
anisamide-PEG-derivatized silica, and combinations thereof.
[0117] In some embodiments, the MCL or derivative thereof is part
of the nanoparticle. For example, in some embodiments, the MCL or
its derivative can be attached to or sequestered within the
nanoparticle core. For example, in some embodiments, the MCL
derivative can include a chemical functional group that can form a
covalent or ionic bond with an organic functional group or metal
ion present in a component of an NCP or nMOF nanoparticle core. In
some embodiments, the MCL or derivative thereof can be physically
sequestered (e.g., encapsulated) in pores or channels in an NCP or
nMOF nanoparticle core. In some embodiments, the MCL or its
derivative can be attached (e.g., covalently or electrostatically)
to a coating agent or layer or sequestered within a coating layer.
In some embodiments, the MCL derivative can comprise a fatty acid
or other lipid moiety and the MCL derivative can be sequestered in
a lipid or lipid bilayer coating layer.
[0118] In some embodiments, the nanoparticle comprises a
therapeutic agent other than the MCL or its derivative, e.g., a
chemotherapeutic agent or an immunotherapy agent. Any suitable
chemotherapeutic agent or immunotherapy agent can be used. In some
embodiments, the chemotherapeutic agent can be selected from the
group including, but not limited to, a platinum complex, such as
cisplatin, oxaliplatin, carboplatin, or a prodrug thereof;
doxorubicin; daunorubicin; docetaxel; mitoxanthrone; paclitaxel;
digitoxin; gemcitabine; methotrexate; leucovorin; pemetresed
disodium; vinblastine; vincristine; vindesine; cytarabine;
azathioprine; melphalan; imitnib; anastrozole; letrozole;
etoposide; vinorelbine; digoxin, and septacidin. In some
embodiments, the nanoparticle can comprise more than one
chemotherapeutic agent. In some embodiments, one or more
chemotherapeutic agent is attached to or sequestered in a
nanoparticle core. In some embodiments, one or more
chemotherapeutic agent is attached to or sequestered in a
nanoparticle coating layer.
[0119] In some embodiments, the immunotherapy agent is selected
from the group including, but not limited to, an anti-CD52
antibody, an anti-CD20 antibody, an anti-CD20 antibody, anti-CD47
antibody an anti-GD2 antibody, a radiolabeled antibody, an
antibody-drug conjugate, polysaccharide K, a neoantigen, an
anti-LAG3 antibody, an anti-4-IBB antibody, an anti-TIM3 antibody
and a cytokine. In some embodiments, the cytokine is an interferon,
an interleukin, or tumor necrosis factor alpha (TNF-.alpha.). In
some embodiments, the cytokine is selected from the group
comprising IFN-.alpha., INF-.gamma., IL-2, IL-12 and TNF-.alpha..
In some embodiments, the immunotherapy agent is selected from the
group comprising Alemtuzumab, Ofatumumab, Rituximab, Zevalin,
Adcetris, Kadcyla and Ontak. In some embodiments, the immunotherapy
agent is selected from the group comprising a PD-1 inhibitor or a
PD-L1 inhibitor, such as, but not limited to, BMS-936559 or
BMS-936558 from Bristol-Myers Squibb, MPDL3280A from Genentech,
MK-3475 from Merck, CT-011 from Curetech, and MEDI4736 from
MedImmune; a CTLA-4 inhibitor (e.g., ipilimumab, tremelimumab); an
indoleamine-2,3-dioxygenase (IDO) inhibitor; and a CCR7 inhibitor.
The IDO inhibitor can be any suitable IDO inhibitor, such as, but
not limited to oxadiazole and other heterocyclic IDO inhibitors,
e.g., as reported in U.S. Patent Application Publication Nos.
2006/0258719 and 2007/0185165, which are incorporated herein by
reference in their entireties. IDO inhibitors also include those
described in PCT Publication WO 99/29310, incorporated herein by
reference in its entirety, which reports methods for altering T
cell-mediated immunity comprising altering local extracellular
concentrations of tryptophan and tryptophan metabolites, BMS-986205
from Bristol-Myers Squibb or F001287 from Flexus, epacadostat from
Incyte Corp., indoximod, IO-102, EOS-200271, HTI-1090, IO-101,
KHK-2455, 1-methyl-DL-tryptophan, p-(3-benzofuranyl)-DL-alanine,
p-[3-benzo(b)thienyl]-DL-alanine, and 6-nitro-L-tryptophan), and
IDO inhibitors described in WO 03/087347, incorporated herein by
reference in its entirety, also published as European Patent
1501918, which describes methods of making antigen-presenting cells
for enhancing or reducing T cell tolerance. Compounds having IDO
inhibitory activity are further reported in WO 2004/094409, and in
U.S. Patent Application Publication No. 2004/0234623, incorporated
herein by reference in its entirety, and which is directed to
methods of treating a subject with a cancer or an infection by the
administration of an inhibitor of indoleamine-2,3-dioxygenase in
combination with other therapeutic modalities. In some embodiments,
the small molecule inhibitors are those disclosed in U.S. Pat. No.
8,088,803, which is incorporated by reference in its entirety
herein. In some embodiments, the immunotherapy agent is an immune
checkpoint inhibitor (e.g., an antibody immune checkpoint
inhibitor, such as, but not limited to, a PD-1/PD-L1 antibody, a
CTLA-4 antibody, an OX40 antibody, a TIM3 antibody, a LAG3
antibody, an anti-CD47 antibody). In some embodiments, one or more
immunotherapy agent is attached to or sequestered in a nanoparticle
core. In some embodiments, one or more immunotherapy agent is
attached to or sequestered in a nanoparticle coating layer.
[0120] In some embodiments, the nanoparticle comprises both MCL or
a derivative thereof and one or more additional therapeutic agents
(e.g., chemotherapeutic and/or immunotherapy agents). The other
therapeutic agent can be attached to or sequestered within the
nanoparticle core or can be attached to or sequestered in a coating
layer or agent. In some embodiments, the nanoparticle is an NCP or
nMOF comprising a chemotherapeutic agent, e.g., cisplatin,
oxaliplatin, or a prodrug thereof, and the nanoparticle further
comprises a lipid coating layer comprising the MCL or its
derivative, e.g., a MCL lipid conjugate. In some embodiments, both
the MCL or its derivative and the additional therapeutic agent are
attached to or sequestered in the nanoparticle core. In some
embodiments, both the MCL or its derivative and the additional
therapeutic agent are attached to or sequestered in a coating
layer, attached to the nanoparticle core surface, or attached to a
coating agent.
[0121] In some embodiments, the composition comprises a mixture of
nanoparticles, wherein one type of nanoparticle comprises MCL or a
derivative thereof and another type of nanoparticle comprises one
or more additional therapeutic agents (e.g., a chemotherapeutic, an
immunotherapeutic and/or a nucleic acid therapeutic agent).
IV. Pharmaceutical Compositions
[0122] In some embodiments, the presently disclosed subject matter
provides a composition comprising MCL or a derivative and/or
nanoparticle thereof as described herein and a pharmaceutically
acceptable carrier, e.g., a pharmaceutically acceptable carrier
that is pharmaceutically acceptable in humans. In some embodiments,
the composition can also include other components, such as, but not
limited to anti-oxidants, buffers, bacteriostatics, bactericidal
antibiotics, suspending agents, thickening agents, and solutes that
render the composition isotonic with the bodily fluids of a subject
to whom the composition is to be administered.
[0123] For example, suitable formulations can include aqueous and
non-aqueous sterile injection solutions that can contain
anti-oxidants, buffers, bacteriostatics, bactericidal antibiotics,
and solutes that render the formulation isotonic with the bodily
fluids of the subject; and aqueous and non-aqueous sterile
suspensions that can include suspending agents and thickening
agents. The formulations can be presented in unit-dose or
multi-dose containers, for example sealed ampoules and vials, and
can be stored in a frozen or freeze-dried (lyophilized) condition
requiring only the addition of sterile liquid carrier, for example
water for injections, immediately prior to use. Some exemplary
ingredients are sodium dodecyl sulfate (SDS), in one example in the
range of 0.1 to 10 mg/ml, in another example about 2.0 mg/ml;
and/or mannitol or another sugar, for example in the range of 10 to
100 mg/m I, in another example about 30 mg/m I; and/or
phosphate-buffered saline (PBS).
[0124] It should be understood that in addition to the ingredients
particularly mentioned above, the formulations of the presently
disclosed subject matter can include other agents conventional in
the art having regard to the type of formulation in question. For
example, sterile pyrogen-free aqueous and non-aqueous solutions can
be used.
[0125] The methods and compositions disclosed herein can be used on
a sample either in vitro (for example, on isolated cells or
tissues) or in vivo in a subject (i.e. living organism, such as a
patient). In some embodiments, the subject is a human subject,
although it is to be understood that the principles of the
presently disclosed subject matter indicate that the presently
disclosed subject matter is effective with respect to all
vertebrate species, including mammals, which are intended to be
included in the terms "subject" and "patient". Moreover, a mammal
is understood to include any mammalian species for which employing
the compositions and methods disclosed herein is desirable,
particularly agricultural and domestic mammalian species.
[0126] As such, the methods of the presently disclosed subject
matter are particularly useful in warm-blooded vertebrates. Thus,
the presently disclosed subject matter concerns mammals and birds.
More particularly provided are methods and compositions for mammals
such as humans, as well as those mammals of importance due to being
endangered (such as Siberian tigers), of economic importance
(animals raised on farms for consumption by humans), and/or of
social importance (animals kept as pets or in zoos) to humans, for
instance, carnivores other than humans (such as cats and dogs),
swine (pigs, hogs, and wild boars), ruminants (such as cattle,
oxen, sheep, giraffes, deer, goats, bison, and camels), rodents
(e.g., mice, rats, hamsters, gerbils, etc.) and horses. Also
provided is the treatment of birds, including the treatment of
those kinds of birds that are endangered, kept in zoos or as pets
(e.g., parrots), as well as fowl, and more particularly
domesticated fowl, for example, poultry, such as turkeys, chickens,
ducks, geese, guinea fowl, and the like, as they are also of
economic importance to humans. Thus, also provided is the treatment
of livestock including, but not limited to domesticated swine (pigs
and hogs), ruminants, horses, poultry, and the like.
[0127] Suitable methods for administration of a composition of the
presently disclosed subject matter include, but are not limited to
intravenous and intratumoral injection, oral administration,
subcutaneous administration, intraperitoneal injection,
intracranial injection, and rectal administration. Alternatively, a
composition can be deposited at a site in need of treatment in any
other manner, for example by spraying a composition within the
pulmonary pathways. The particular mode of administering a
composition of the presently disclosed subject matter depends on
various factors, including the distribution and abundance of cells
to be treated and mechanisms for metabolism or removal of the
composition from its site of administration. For example,
relatively superficial tumors can be injected intratumorally. By
contrast, internal tumors can be treated following intravenous
injection.
[0128] In one embodiment, the method of administration encompasses
features for regionalized delivery or accumulation at the site to
be treated. In some embodiments, a composition is delivered
intratumorally. In some embodiments, selective delivery of a
composition to a target is accomplished by intravenous injection of
the composition followed by irradiation (e.g., X-ray irradiation)
of the target.
[0129] For delivery of compositions to pulmonary pathways,
compositions of the presently disclosed subject matter can be
formulated as an aerosol or coarse spray. Methods for preparation
and administration of aerosol or spray formulations can be found,
for example, in U.S. Pat. Nos. 5,858,784; 6,013,638; 6,022,737; and
6,136,295.
[0130] In some embodiments, an effective dose of a composition of
the presently disclosed subject matter is administered to a
subject. An "effective amount" is an amount of the composition
sufficient to produce detectable treatment (e.g., tumor size
reduction, pain relief, reduction of the concentration of a
disease-related blood marker, etc.). Actual dosage levels of
constituents of the compositions of the presently disclosed subject
matter can be varied so as to administer an amount of the
composition that is effective to achieve the desired effect for a
particular subject and/or target. The selected dosage level can
depend upon the activity (e.g., nanoparticle drug loading and/or
the IC.sub.50 of the therapeutic components in certain cell types
(e.g., cancer cell lines) of the composition and the route of
administration.
[0131] After review of the disclosure herein of the presently
disclosed subject matter, one of ordinary skill in the art can
tailor the dosages to an individual subject, taking into account
the particular formulation, method of administration to be used
with the composition, and nature of the target to be treated. Such
adjustments or variations, as well as evaluation of when and how to
make such adjustments or variations, are well known to those of
ordinary skill in the art.
[0132] A dose may be administered on an as needed basis or every 1,
2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 18, or 24 hours (or any range
derivable therein) or 1, 2, 3, 4, 5, 6, 7, 8, 9, or times per day
(or any range derivable therein). A dose can be first administered
before or after symptoms are exhibited by the subject; after a
clinician evaluates the subject for the disease; or before, at
about the same time as, or after administration of a second
treatment (chemotherapy, radiation therapy, immunotherapy). In some
embodiments, the patient is administered a first dose of a
compound, such as MCL, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 hours
(or any range derivable therein) or 1, 2, 3, 4, or 5 days after the
subject exhibits signs or symptoms of the disease (or any range
derivable therein). The subject can be treated for 1, 2, 3, 4, 5,
6, 7, 8, 9, 10 or more days (or any range derivable therein) or
until symptoms of an the disease, such as tumor size, have
disappeared or been reduced or after 6, 12, 18, or 24 hours or 1,
2, 3, 4, or 5 days after symptoms of the disease have disappeared
or been reduced.
V. Methods of Treating Disease Using Combinations Comprising MCL or
a Derivative Thereof and Another Therapeutic Agent and/or
Radiation
[0133] In some embodiments, the presently disclosed subject matter
provides a method for treating a disease (e.g., cancer or another
hyperproliferative disease) by using the MCL or derivative and/or
nanoparticle thereof and/or pharmaceutical composition thereof in
combination with another treatment modality, e.g., a
chemotherapeutic, an immunotherapeutic, radiation, surgery, etc. In
some embodiments, the other treatment modality is radiation. Thus,
in some embodiments, the presently disclosed subject matter
provides a method of treating a disease in a subject in need
thereof, the method comprising: administering to the subject an MCL
or derivative and/or nanoparticle thereof and/or pharmaceutical
composition thereof as described herein; and irradiating at least a
portion of the subject with ionizing radiation, such as with x-rays
and/or protons. In some embodiments, the method comprises
administering a nanoparticle and/or NCP comprising MCL or a
derivative thereof. In some embodiments, the subject is a mammal.
In some embodiments, the subject is a human.
[0134] In some embodiments, the patients are irradiated with a
linear accelerator (LINAC), using conventional techniques,
Intensity-Modulated Radiation Therapy (IMRT), Image Guided
Radiation Therapy (IGRT), or Stereotactic Body Radio Therapy
(SBRT), a .sup.60Co radiation source, an implanted radioactive seed
such as the ones used in brachytherapy, an orthovoltage or
supervoltage X-ray irradiator, a high energy electron beam
generated from LINAC, or a proton source.
[0135] In some embodiments, the .gamma.-rays generated by a LINAC
pass through an energy modulator (filter) before irradiating the
patient, optionally wherein the filter comprises one or more
element(s) with atomic number(s) of at least 20, further optionally
wherein the filter comprises copper. In some embodiments, the
filter has a thickness that is less than 5 mm, less than 4 mm, less
than 3 mm, less than 2 mm, less than 1 mm, less than 0.5 mm, less
than 0.4 mm, less than 0.3 mm, less than 0.2 mm, less than 0.1
mm.
[0136] In some embodiments, X-rays are generated by placing
radioactive sources inside the patient on a temporary or permanent
basis. In some embodiments, a nanoparticle composition is injected
along with the implantation of a radioactive source.
[0137] The radiation dosage regimen is generally defined in terms
of Gray or Sieverts time and fractionation and can be carefully
defined by the radiation oncologist. The amount of radiation a
subject receives can depend on various considerations, such as the
location of the tumor in relation to other critical structures or
organs of the body, and the extent to which the tumor has spread.
One illustrative course of treatment for a subject undergoing
radiation therapy is a treatment schedule with a total dose of 5,
10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, or 80 Gray
(Gy) or any derivable range therein. The radiation dose can be
administered to the subject in a single daily fraction of 1.0-2.0
Gy, 1.0-5.0 Gy, or 5.0-10.0 Gy 1, 2, 3, 4, or 5 days a week. A Gy
is an abbreviation for Gray and refers to 100 rad of dose.
Illustrative dosages used for photon-based radiation are measured
in Gy, and in an otherwise healthy subject (that is, little or no
other disease states present such as high blood pressure,
infection, diabetes, etc.) for a solid epithelial tumor ranges from
about 60 to about 80 Gy, and for a lymphoma ranges from about 20 to
about 40 Gy. Illustrative preventative (adjuvant) doses are
typically given at about 45 to about 60 Gy in about 1.8 to about 2
Gy fractions for breast, head, and neck cancers.
[0138] In some embodiments, the disease is cancer. In some
embodiments, the disease is selected from the group including, but
not limited to, a skin cancer, such as a melanoma; a connective
tissue cancer, such as a sarcoma; an adipose cancer; a breast
cancer; a head and neck cancer, such as a glioma; a lung cancer,
such as mesothelioma; a stomach cancer; a pancreatic cancer; an
ovarian cancer; a cervical cancer; a uterine cancer; an anogenital
cancer, such as a testicular cancer; a kidney cancer; a bladder
cancer; a colon cancer; a prostate cancer; a central nervous system
(CNS) cancer; a retinal cancer; a blood cancer, such as leukemia; a
neuroblastoma; multiple myeloma, and a lymphoid cancer, such as
Hodgkin's or non-Hodgkin's lymphoma.
[0139] The method can comprise administering the MCL or a
derivative and/or nanoparticle thereof to the subject at about the
same time as, or later than the administration of the radiation. In
some embodiments, the MCL or derivative and/or nanoparticle thereof
can be administered to the subject prior to a dose or course of
radiation.
[0140] In some embodiments, the method can further comprise
administering to the subject an additional therapeutic agent or
treatment. In some embodiments, the additional therapeutic agent or
treatment is an immunotherapy agent or a cancer treatment selected
from surgery, chemotherapy, toxin therapy, cryotherapy, and gene
therapy. In some embodiments, the chemotherapy can be
co-administered with the MCL or derivative thereof, e.g., in a
nanoparticle comprising both MCL or a derivative thereof and a
chemotherapeutic agent. In some embodiments, the additional
therapeutic agent is an immunotherapeutic agent. In some
embodiments, the additional therapeutic agent is an immune
checkpoint inhibitor, such as, but not limited to, a PD-1
inhibitor, a PD-L1 inhibitor, a CTLA-4 inhibitor, an IDO inhibitor,
a CCR7 inhibitor, an OX40 inhibitor, a TIM3 inhibitor, and a LAG3
inhibitor.
[0141] The additional therapeutic agent or treatment can be
administered prior to, at the same time as, or later than the
administration of the MCL or derivative and/or nanoparticle
thereof. For example, in some embodiments, administration of MCL or
a derivative thereof alone, or of MCL or a derivative thereof in
combination with X-ray irradiation treatment, can be performed
prior to surgery to reduce the size of a tumor.
[0142] In some embodiments, the presently disclosed subject matter
provides a method comprising treating a disease in a subject in
need thereof, the method comprising: (i) administering to the
subject MCL or a derivative and/or nanoparticle thereof and (ii)
administering to the subject a chemotherapeutic agent, an
immunotherapy agent, or radiotherapy. In some embodiments, the
method comprises administering the MCL or derivative thereof and an
immunotherapy agent. In some embodiments, the method comprises
administering to the subject a nanoparticle comprising MCL or a
derivative thereof. In some embodiments, the subject is a mammal.
In some embodiments, the subject is a human.
[0143] In some embodiments, the disease is cancer. In some
embodiments, the disease is selected from the group including, but
not limited to, a skin cancer, such as a melanoma; a connective
tissue cancer, such as a sarcoma; an adipose cancer; a breast
cancer; a head and neck cancer, such as a glioma; a lung cancer,
such as mesothelioma; a stomach cancer; a pancreatic cancer; an
ovarian cancer; a cervical cancer; a uterine cancer; an anogenital
cancer, such as a testicular cancer; a kidney cancer; a bladder
cancer; a colon cancer; a prostate cancer; a central nervous system
(CNS) cancer; a retinal cancer; a blood cancer, such as leukemia; a
neuroblastoma; multiple myeloma, and a lymphoid cancer, such as
Hodgkin's or non-Hodgkin's lymphoma.
[0144] In some embodiments, the immunotherapeutic agent is an
immune checkpoint inhibitor, such as, but not limited to, a PD-1
inhibitor, a PD-L1 inhibitor, a CTLA-4 inhibitor, an IDO inhibitor,
a CCR7 inhibitor, an OX40 inhibitor, a TIM3 inhibitor, and a LAG3
inhibitor. In some embodiments, the immunotherapeutic agent can be
formulated in the same pharmaceutical composition as the MCL or
derivative and/or nanoparticle thereof or be part of (e.g.,
embedded in or attached to) the same nanoparticle as the MCL or
derivative thereof.
[0145] In some embodiments, the method further comprises
administering to the subject a chemotherapeutic agent. In some
embodiments, the chemotherapeutic agent can be provided in a
nanoparticle, such as a nanoparticle further comprising the MCL or
derivative thereof. In some embodiments, the chemotherapeutic agent
is selected from the group including, but not limited to, a
platinum complex, such as cisplatin, oxaliplatin, carboplatin, or a
prodrug thereof; doxorubicin; daunorubicin; docetaxel;
mitoxanthrone; paclitaxel; digitoxin; gemcitabine; methotrexate;
leucovorin; pemetresed disodium; vinblastine; vincristine;
vindesine; cytarabine; azathioprine; melphalan; imitnib;
anastrozole; letrozole; etoposide; vinorelbine; digoxin, and
septacidin.
[0146] In some embodiments, the presently disclosed subject matter
provides a method of treating a disease (e.g., cancer) in a subject
in need thereof, wherein the method comprises: (i) administering to
the subject MCL or a derivative and/or nanoparticle thereof; (ii)
administering to the subject an immunotherapeutic agent (e.g., an
immune checkpoint inhibitor); and (iii) irradiating at least a
portion of the subject with ionizing radiation, such as with x-rays
and/or protons. In some embodiments, the method can further
comprise an additional therapeutic agent or treatment selected from
the group including, but not limited to, surgery, toxin therapy,
cryotherapy and gene therapy.
EXAMPLES
[0147] The following Examples have been included to provide
guidance to one of ordinary skill in the art for practicing
representative embodiments of the presently disclosed subject
matter. In light of the present disclosure and the general level of
skill in the art, those of skill can appreciate that the following
Examples are intended to be exemplary only and that numerous
changes, modifications, and alterations can be employed without
departing from the scope of the presently disclosed subject
matter.
Example 1
Combinations of Micheliolide and Radiotherapy
1.1. In Vitro Cytotoxicity Against Glioma Cells GL261:
[0148] GL261 cells were seeded onto 96-well plates at a density of
2000 cells/well and treated with various concentrations of the
dimethylamino Michael adduct of MCL (dimethylamino micheliolide,
DMAMCL) for 24 hours to allow for sufficient cellular uptake and
conversion to MCL before irradiation. The cells were irradiated
with varying amounts of X-ray irradiation and then incubated for an
additional 24 hours. The culture medium was exchanged with fresh
medium and further incubated for an additional 48 hours. The cell
viability was then detected by
(3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl-
)-2H-tetrazolium) (MTS) assay (Promega, Madison, Wis., United
States of America).
[0149] At doses up to 10 .mu.M DMAMCL or 8 Gy irradiation,
monotherapy DMAMCL or irradiation showed little to no toxicity.
However, cells treated with 1 or 10 .mu.M DMAMCL and X-ray
irradiation of 8 Gy irradiation showed significant cytotoxicity
that far exceeded the additive effects of either therapy alone. See
FIG. 1.
1.2. In Vivo Antitumor Activity:
[0150] The combination of DMAMCL and irradiation was evaluated on
the glioma GL261 tumor model on immunocompromised Rag2.sup.-/-
C57BL/6 mice. See FIG. 2. The mice were orally dosed with 50 mg/kg
DMAMCL or PBS daily and irradiated with 4 Gy irradiation
approximately 4 hrs after dosing, as applicable, for up to 7 days,
starting when the tumors reached about 2-300 mm.sup.3. A Precision
X-ray X-RAD 225 Image Guided Biologic Irradiator (Precision X-Ray
Irradiation, North Branford, Conn., United States of America) was
used for all animal studies. The instrument was set at 225 peak
kilovoltage (kVp) and 13 milliampere (mA), with a 0.3 mm flat-board
copper (Cu) filter installed before a 15-mm collimator. The
irradiation was given in two successive fractions with incident
angles of 0.degree. and 180.degree. for each mouse.
[0151] Fractionated irradiation allows for higher total doses of
X-ray but showed little or no appreciable effects on tumor growth.
Though DMAMCL alone initially suppressed tumor growth, the tumors
were ultimately not significantly different in size compared to
those treated with irradiation alone. These results are consistent
with in vitro results which showed varied effects leading to high
average cell viability with large deviation in cells and tumors
treated with irradiation alone. In contrast, the combination of
DMAMCL and irradiation successfully controlled tumor growth leading
to relatively stable tumor sizes over the course of treatment.
Example 2
Combinations of Micheliolide, Radiotherapy and Immune Checkpoint
Blockade
[0152] The combination of DMAMCL, irradiation, and PD-L1 antibody
was evaluated on the glioma GL261 tumor model on wildtype C57BL/6
mice. See FIG. 3. The treatment began 14 days after the inoculation
of 2.times.10.sup.6 GL261 cells. The mice were orally dosed with 50
mg/kg DMAMCL or PBS daily and irradiated with 2 Gy irradiation
approximately 4 hrs after dosing, as applicable, for up to 12 days,
starting when the tumors reached .about.150-200 mm.sup.3. One group
of mice received two doses of 75 .mu.g PD-L1 antibody on days 0 and
4. DMAMCL alone showed no effect on tumor growth, but combination
with irradiation suppressed tumor growth and ultimately led to
tumor regression. The combination of DMAMCL, irradiation, and a
PD-L1 antibody controlled and regressed tumor growth immediately
after treatment. By the cessation of treatment, 3/5 tumors treated
with this combination were barely palpable. DMAMCL showed synergy
with irradiation to control and regress GL261 tumors, which was
further enhanced by combination with an immune checkpoint
inhibitor.
Example 3
Nanoparticle-Based Micheliolide
[0153] Micheliolide and its derivatives can be formulated into
nanoscale coordination polymers (NCPs) for use in treating multiple
cancer types in combination with radiotherapy. Exemplary methods of
preparing and using NCPs are described, for example in PCT
International Patent Application Publication Nos. WO 2015/069926
and WO 2013/009701, U.S. Pat. No. 9,693,957, and U.S. Patent
Application Publication No. 2016/0346204, the disclosures of each
of which are incorporated herein by reference in their entireties.
In some embodiments, according to the presently disclosed subject
matter, MCL and its derivatives were loaded directly or as
lipid-conjugates onto NCPs.
3.1. Synthesis of MCL Derivatives:
[0154] As shown in Equation 1 (Eq 1) of Scheme 1, below,
micheliolide (500 mg, 2 mmol) was dissolved in 20 mL anhydrous
dichloromethane (DCM). 2.5 mL dimethylamine 2M solution in
tetrahydrofuran (THF) was added to the solution. The mixture was
stirred at room temperature for 8 hours and then solvent was
removed by rotary evaporation. The solid residue was purified by
column chromatography using 5% methanol in DCM to obtain pure
DMAMCL. .sup.1H-NMR (CDCl.sub.3, 500 MHz): 1.32 (s, 3H), 1.70 (s,
3H), 1.82 (m, 2H), 2.06 (q, 1H), 2.19 (m, 4H), 2.27 (s, 6H), 2.41
(m, 2H), 2.62 (m, 2H), 2.67 (d, 2H), 2.72 (dd, 1H), 3.84 (t, 1H).
ESI-MS: m/z=294.2 ([M+H].sup.+, expected 294.2).
##STR00004##
[0155] As shown in Equation 2 (Eq 2) of Scheme 1, above, stearyl
alcohol (1.62 g, 6 mmol) and paraformaldehyde (180 mg, 6 mmol) was
mixed in a dry round bottom flask. Bromotrimethylsilane (5 mL) was
added drop-wise to the mixture and the solution was stirred at room
temperature until all solid dissolved. Solvents was then removed by
rotary evaporation to obtain crude 1-(bromomethoxy)octadecane.
[0156] As shown in Equation 3 (Eq 3) of Scheme 1, above,
micheliolide (MCL, 500 mg, 2 mmol) was dissolved in anhydrous THF.
Sodium hydride (NaH, 100 mg, 2.5 mmol) was added portion-wise to
the mixture. 1-(Bromomethoxy)octadecane dissolved in anhydrous THF
was added drop-wise to the mixture and the mixture was stirred for
24 hours at room temperature. Solvents were removed and the solid
residue was purified by column chromatography using 10% ethyl
acetate (EtOAc) in hexanes to obtain
(octadecyloxy)methoxymicheliolide. .sup.1H-NMR (CDCl.sub.3, 500
MHz): 0.91 (t, 3H), 1.30 (m, 26H), 1.38 (s, 3H), 1.57 (m, 4H), 1.74
(s, 3H), 1.87 (m, 2H), 2.09 (d, 1H), 2.25 (m, 3H), 2.43 (dd, 1H),
2.71 (t, 1H), 2.92 (d, 1H), 3.66 (m, 5H), 3.76 (t, 1H), 4.83 (d,
1H), 4.95 (d, 1H), 5.44 (d, 1H), 6.19 (d, 1H). ESI-MS: m/z=531.4
([M+H].sup.+, expected 531.4)
3.2. Loading of MCL onto Oxaliplatin (Ox)-Containing NCPs to
Provide OxNCP/MCL:
[0157] OxNCP/MCL was obtained by adding a 804 THF solution of DOPC,
cholesterol, MCL (molar ratio 3.5:2:3), DSPE-PEG2k (20 mol %) and
OxNCP bare particles to 500 .mu.L 30% (v/v) EtOH/H.sub.2O at
50.degree. C. THF and EtOH were evaporated and the solution was
allowed to cool to room temperature before use. The particle size
and distribution were determined by dynamic light scattering (DLS).
See FIG. 4. OxNCP/MCL has a Z-average diameter of 76 nm.
[0158] It will be understood that various details of the presently
disclosed subject matter may be changed without departing from the
scope of the presently disclosed subject matter. Furthermore, the
foregoing description is for the purpose of illustration only, and
not for the purpose of limitation.
* * * * *