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PROPHYLACTIC OR AMELIORATING AGENT FOR GENETIC DISEASES

外国特許コード F200010136
整理番号 6172
掲載日 2020年5月25日
出願国 世界知的所有権機関(WIPO)
国際出願番号 2011JP003655
国際公開番号 WO 2012001941
国際出願日 平成23年6月27日(2011.6.27)
国際公開日 平成24年1月5日(2012.1.5)
優先権データ
  • 特願2010-146699 (2010.6.28) JP
発明の名称 (英語) PROPHYLACTIC OR AMELIORATING AGENT FOR GENETIC DISEASES
発明の概要(英語) Disclosed is a prophylactic or ameliorating agent for a genetic disease which is induced by the mutation of an exon in a gene and in which an exon that contains the mutation is skipped so as to produce a functional truncated protein. Specifically disclosed is a prophylactic or ameliorating agent for a genetic disease which is induced by the mutation of an exon in a gene and in which an exon that contains the mutation is skipped so as to produce a functional truncated protein, wherein the prophylactic or ameliorating agent is characterized by comprising a compound having a molecular weight of 1500 or less.
従来技術、競合技術の概要(英語) BACKGROUND ART
Muscular dystrophy, destruction of muscle fibers, and the reproducing are repeated to modified (muscle necrosis), muscle atrophy and muscle weakness gradually proceeds hereditary muscle disease is a general term of, among them, is well known in the progressive muscular dystrophy. Progressive muscular dystrophy of Duchenne muscular dystrophy (Duchenne muscular dystrophy type 1: DMD) is, one of the most common and muscular dystrophy, dystrophin gene on the chromosome X mutation (see non-patent document 1) develop. By early childhood onset progressive muscular atrophy, and the patient usually DMD 20 in decades, heart failure or respiratory failure and death by.
Dystrophin protein (hereinafter, simply referred to as' dystrophin ' and will be also displayed.) Is, the cellular membrane of the muscle cells present inside the area, caused by the contraction of muscle actin - myosin by mechanical energy, a cell membrane or a surrounding connective tissue, such as in a balanced manner and transmitted to the tendon, so that no excessive impact is applied by, the structure of the muscle cells play a role in maintaining or the like. In the case of patients DMD, due to mutation of the dystrophin gene, that no muscle fibers, since there is no or very little dystrophin, muscle contraction of muscle cell membrane is broken, in large amounts of calcium ions than normal flows into the muscle fibers. Excessive calcium, and a protease such as , destroying the muscle to activate the enzyme to induce apoptosis, as a result, activated fibroblasts fiberization occurs, scarred tissue, and is unlikely to regenerate muscle cells, muscle atrophy to proceed.
On the other hand, a type of progressive muscular dystrophy Becker muscular dystrophy (Becker muscular dystrophy 1: BMD) also, develops a mutation of the dystrophin gene, the onset time is typically an adult, as compared to the progress of a condition also slow DMD. Is BMD and DMD, dystrophin gene by mutation of both despite the onset, and the extent of the travel speed are different from each other. This difference between BMD and DMD, rule described by reading frame. Intermediate stop codon in the dystrophin mRNA (premature termination codon: PTC) in the occurring variant (nonsense mutations), severe DMD (Duchenne) results in a normal phenotype, the original reading frame of the dystrophin mRNA (an in-frame mutation) maintained in the mutant, more Mifepristone BMD (Becker) and phenotype (see non-patent document 2). However, it has been found surprisingly, some mild BMD patients, on the dystrophin gene in spite of the nonsense mutation, a nonsense mutations by skipping an exon is, novel in-frame dystrophin mRNA is being produced has been reported (see non-patent document 3-6). Of part of the exon skipping in the dystrophin mRNA lacking dystrophin (truncated dystrophin) is encoded, shorter than the normal dystrophin, muscle cell structure is maintained because the function remains to some extent, the symptoms of muscular dystrophy is relatively light, in addition, the moving speed is moderate and muscle wasting.
Of the underlying muscular dystrophy therapy is not yet been established, conventional, training or joint contracture prevention function as well as a stretch of, heart failure, symptomatic treatment has been performed for disordered breathing was only. However, in recent years, and the inventors of the present invention, other by researchers, new DMD treatment method has been developed, expected are collected. This treatment may be, dystrophin mRNA using antisense oligonucleotides to (AON), by inducing , phenotype DMD phenotype BMD from achieving the conversion to, reduce the symptoms (non-patent document 3) in the method. In the cells of the patient DMD to induce, promote splice sites or splicing element relative to any of the several types of different AON is designed. These AON is, the reading frame of dystrophin mRNA was able to repair. For example, with respect to exon 19 of AON (ESE) by , skipping of exon 19 in the above-described DMD patient cells occurs, the generation of the truncated dystrophin was observed (see non-patent document 3-5). In addition, with respect to exon 51 also used AON relative to patient cells, the current, these AON is clinical studies (see non-patent document 6-8) stage.
However, AON is, periodically must be given an intravenous injection or intramuscular injection, problems that the troublesome for the patient, for the preparation of a high cost for a large amount has a problem that it was. Further, mdx mice muscle AON in processing was performed, to some extent in skeletal muscle but not on the expression of dystrophin, dystrophin expression recovery in the heart (non-patent document 9) difficult. Therefore, a low molecular weight adjusted clinical are in great demand. Low molecular weight non- suppressor mutation (registered trademark) compound PTC124 (3-5 - (2 - fluorophenyl) - 1, 2, 4 - yl benzoic acid -3 -) is, in some DMD nonsense mutations that may be treated patients and has been reported (non-patent document 10 or 11), the current, and the United States in, which is performed in a phase 2b clinical trials. PTC124 Is, at the time of the translation stop codon in the middle of the ribosomal skip (PTC) (read-through) by inducing as, full-length functional dystrophin expression of a therapeutic agent in is recovered to a certain degree, nonsense-mediated mRNA of other genes is an effect of a cracking mechanism, yet unknown.
However, the inventors of the present invention, Cdc-like kinase (Clk) specific kinase as an inhibitor, TG003 (described below in the formulas (1), R1 and R2 represents a methyl group, R3 methoxy group compound) were identified. TG003 Is, in both in vitro or in vivo a compound splicing (see non-patent document 12 and 13), the present inventors (see Patent Document 1) related to the patent application, the phosphorylation of TG003 is via SR protein, has the effect or adjusted, such actions can be utilized to, to the prevention and treatment of diseases such as cancer can occur as described. However, the TG003, dystrophin gene exon skipping may facilitate is not known until now.
  • 出願人(英語)
  • ※2012年7月以前掲載分については米国以外のすべての指定国
  • KYOTO UNIVERSITY
  • 発明者(英語)
  • HAGIWARA, Masatoshi
  • MATSUO, Masafumi
  • KATAOKA, Naoyuki
  • NISHIDA, Atsushi
国際特許分類(IPC)
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