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| United States Patent Application |
20080171096
|
| Kind Code
|
A1
|
|
Wu; Jie
|
July 17, 2008
|
Method for Decreasing Nicotine and Other Substance Use in Humans
Abstract
A method for decreasing nicotine and other substance use in humans is
disclosed. Tetrahydroberberine (THB) and its analogs,
l-Tetrahydropalmatine (l-THP) and l-Stepholidine (l-SPD), are present in
and can be isolated from several plants in the Magnoliidae superorder.
According to the disclosed method, THB and its analogs are used to block
nicotine-induced DA release, and modulate heterologous or homoeric
expression of human nicotinic acetylcholine receptors (nAChR) in humans.
Specifically, THB exhibits bi-directory modulation of
.alpha.4.beta.2-nAChR-mediated currents induced by nicotine. THB also
shows predominant inhibition on homologously expressed .alpha.7-nAChR
function. Thus, according to the disclosed method, THB is used to
simultaneous blockade midbrain DA system function, the brain reward
center, and neuronal .alpha.4.beta.2- and .alpha.7-nAChR function, the
major nicotine targets in the brain. Therefore, THB and its analogs serve
as a novel class of natural compounds to decrease nicotine dependence in
humans. Furthermore other substances, such as alcohol, cocaine, and
opiates, also operate by triggering the brain reward center, resulting in
a cycle of substance or alcohol abuse. THB and its analogs can be used to
decrease use of substances such as alcohol, cocaine, and opiates.
Finally, because THB and its analogs are DA antagonists, THB and its
analogs can also be used as a treatment for Parkinson's Disease,
Alzheimer's Disease and Schizophrenia.
| Inventors: |
Wu; Jie; (Avondale, AZ)
|
| Correspondence Address:
|
QUARLES & BRADY LLP
RENAISSANCE ONE, TWO NORTH CENTRAL AVENUE
PHOENIX
AZ
85004-2391
US
|
| Assignee: |
ARIZONA HEALTH CONSULTING GROUP, LLC
Scottsdale
AZ
|
| Serial No.:
|
013224 |
| Series Code:
|
12
|
| Filed:
|
January 11, 2008 |
| Current U.S. Class: |
424/725; 514/280; 514/284 |
| Class at Publication: |
424/725; 514/280; 514/284 |
| International Class: |
A61K 31/435 20060101 A61K031/435; A61K 36/00 20060101 A61K036/00; A61P 25/18 20060101 A61P025/18 |
Claims
1-40. (canceled)
41. A method of treatment for schizophrenia in a subject comprising an
effective amount of a Corydalis, Stephania or Fibraurea plant to the
subject for attenuating dopamine receptors selected from the group
consisting of D1-type and D2-type dopamine receptors in midbrain regions
of the subject who has or may have schizophrenia.
42. A method as recited in claim 41, wherein the effective amount of the
Corydalis, Stephania or Fibraurea plant is greater than 1 mg/kg body
weight of the subject.
43. A method as recited in claim 41, wherein the effective amount of the
Corydalis, Stephania or Fibraurea plant is about 10 mg/kg to about 50
mg/kg body weight of the subject.
44. A method as recited in claim 41, wherein the Corydalis, Stephania or
Fibraurea plant includes the compound tetrahydroberberine or analog
thereof.
45. A method as recited in claim 44, wherein the analog of
tetrahydroberberine is selected from the group consisting of
l-tetrahydropalmatine, l-stepholidine and analogs thereof.
46. A method as recited in claim 41, wherein the effective amount of a
Corydalis, Stephania or Fibraurea plant is administered via a method
selected from the group consisting of oral, sublingual, subcutaneous,
topical, inhalation and intravenous.
47. A method of treatment for schizophrenia in a subject comprising an
effective amount of tetrahydroberberine or analog thereof to the subject
having affinity for dopamine receptors selected from the group consisting
of D1-type and D2-type dopamine receptors in midbrain regions of the
subject who has or may have schizophrenia.
48. A method as recited in claim 47, wherein the effective amount of
tetrahydroberberine or analog thereof is greater than 1 mg/kg body weight
of the subject.
49. A method as recited in claim 47, wherein the effective amount of
tetrahydroberberine or analog thereof is about 10 mg/kg to about 50 mg/kg
body weight of the subject.
50. A method as recited in claim 47, wherein the tetrahydroberberine or
analog thereof is obtained from a Corydalis, Stephania or Fibraurea
plant.
51. A method as recited in claim 47, wherein the analog of
tetrahydroberberine is selected from the group consisting of
l-tetrahydropalmatine, l-stepholidine and analogs thereof.
52. A method as recited in claim 47, wherein the effective amount of
tetrahydroberberine or analog thereof is administered via a method
selected from the group consisting of oral, sublingual, subcutaneous,
topical, inhalation and intravenous.
53. A method of treatment for reducing symptoms of schizophrenia in a
subject comprising an effective amount of a Corydalis, Stephania or
Fibraurea plant to the subject; andwherein the effective amount of the
Corydalis, Stephania or Fibraurea plant includes a plant compound
selected from the group consisting of tetrahydroberberine,
l-tetrahydropalmatine, and l-stepholidine having affinity for dopamine
receptors in midbrain regions of the subject.
54. A method as recited in claim 53, wherein the effective amount of the
plant compound is greater than 1 mg/kg body weight of the subject.
55. A method as recited in claim 53, wherein the effective amount of the
plant compound is about 10 mg/kg to about 50 mg/kg body weight of the
subject.
56. A method as recited in claim 53, wherein the dopamine receptors
include D1-type and D2-type dopamine receptors.
57. A method as recited in claim 53, wherein the effective amount of a
Corydalis, Stephania or Fibraurea plant is administered via a method
selected from the group consisting of oral, sublingual, subcutaneous,
topical, inhalation and intravenous.
58. A method of treatment for reducing symptoms of schizophrenia in a
subject comprising an effective amount of tetrahydroberberine or analog
thereof selected from the group consisting of l-tetrahydropalmatine,
l-stepholidine and analogs thereof having affinity for dopamine receptors
in midbrain regions of the subject who has or may have schizophrenia.
59. A method as recited in claim 58, wherein the dopamine receptors
include D1-type and D2-type dopamine receptors.
60. A method as recited in claim 58, wherein the effective amount of
tetrahydroberberine or analog thereof is greater than 1 mg/kg body weight
of the subject.
61. A method as recited in claim 58, wherein the effective amount of
tetrahydroberberine or analog thereof is about 10 mg/kg to about 50 mg/kg
body weight of the subject.
62. A method as recited in claim 58, wherein the tetrahydroberberine or
analog thereof is obtained from a Corydalis, Stephania or Fibraurea
plant.
63. A method as recited in claim 58, wherein the effective amount of
tetrahydroberberine or analog thereof is administered via a method
selected from the group consisting of oral, sublingual, subcutaneous,
topical, inhalation and intravenous.
Description
CLAIM OF DOMESTIC PRIORITY
[0001]The present application is a division of U.S. application Ser. No.
10/360,112, now U.S. Pat. No. 7,341,745, filed on Feb. 7, 2003, entitled
"Method for Decreasing Nicotine and other Substance Use in Humans," and
claims priority to the foregoing parent application pursuant to 35 U.S.C.
.sctn. 120.
CROSS-REFERENCE TO RELATED APPLICATIONS
[0002]The present patent application is related to co-pending U.S.
continuation patent application Ser. No. 11/972,993, filed on Jan. 11,
2008. The present patent application is further related to co-pending
U.S. divisional patent application Ser. No. 12/013,089, filed Jan. 11,
2008.
FIELD OF THE INVENTION
[0003]The present invention relates generally to a method for decreasing
human's cravings for cigarettes and reducing instances of relapse during
detoxification once smoking abstinence has been achieved, and more
specifically, to a method for decreasing nicotine use by treating a human
with a novel class of natural compounds such as tetrahydroberberine (THB)
and its analogs, isolated from the Magnoliidae superorder of plants, such
as Corydalis and Stephania.
BACKGROUND OF THE INVENTION
[0004]Cigarette smoking is a prevalent, modifiable risk factor for
increased morbidity and mortality in the United States, and perhaps in
the world. Smokers incur medical risks attributable to direct inhalation.
Bystanders, termed passive smokers, also incur medical risks from
second-hand smoke. Society, as a whole, also bears the economic costs
associated with death and disease attributable to smoking. Although the
majority of smokers have tried repeatedly to quit smoking, eighty percent
of smokers return to tobacco in less than two years after quitting.
Therefore, tobacco dependence is a health hazard for millions of
Americans.
[0005]Nicotine is the principal alkaloid in tobacco and is primarily
responsible for tobacco dependence. The initiation and maintenance of
tobacco dependence in a human is due to certain bio-behavioral and
neuromolecular mechanisms. Nicotinic acetylcholine receptors (nAChRs) in
humans are the initial binding sites for nicotine. The binding of
nicotine to nAChRs modulates the brain's "reward" function by triggering
dopamine release in the human brain.
[0006]Although a variety of psychopharmacological effects contribute to
the reinforcing action, the existence of a mesolimbic dopaminergic
pathway for nicotinic reward is the predominant hypothesis. The
mesolimbic dopaminergic pathway originates in the ventral tegmental area
(VTA) of the midbrain and projects to forebrain structures including the
prefrontal cortex and to limbic areas such as the olfactory tubercle, the
amygdala, the septal region, and the nucleus accumbens. Many studies have
indicated that dopamine release in the nucleus accumbens of the human
brain is "rewarding" or signals an encounter with a "reward" from the
environment. Other substances, such as alcohol, cocaine, and opiates,
operate in the same manner, resulting in a cycle of substance or alcohol
abuse.
[0007]Therefore, a need exists for a novel compound that can block the
dopamine release system to abolish nicotinic stimulation or
smoking-induced "rewarding" and/or can block nAChRs to limit increasing
nicotine-induced dopamine release.
BRIEF DESCRIPTION OF THE DRAWINGS
[0008]FIG. 1 is an illustration of a Corydalis ambigua plant;
[0009]FIG. 2 is an illustration of tubers from the Corydalis ambigua
plant;
[0010]FIGS. 3A-3B are illustrations of a Stephania plant and tubers from
the Stephania plant;
[0011]FIGS. 4A-4C show the chemical structure of Tetrahydroberberine (THB)
and two analogs of Tetrahydroberberine (THB analogs);
[0012]FIG. 5 illustrates the detection of .alpha.4 and .beta.2 nAChR
subunit transcripts by RT-PCR in wild-type SH-EP1 cells and cells
co-transfected with .alpha.4 and .beta.2 cDNA;
[0013]FIGS. 6A-6B are a series of graphs illustrating effects of THB and
THB analogs on .alpha.4.beta.2-nAChR responses and the effects of THB on
nicotinic responses mediated by different nAChR subtypes;
[0014]FIGS. 7A-7C are a series of graphs illustrating the effects of THB
on nicotinic response;
[0015]FIGS. 8A-8C further illustrate the effects of THB on nicotine
responses; and
[0016]FIGS. 9A-9D illustrate how THB accelerates acute desensitization of
nicotinic current.
SUMMARY OF THE INVENTION
[0017]The present invention provides a method for decreasing nicotine use
in living organisms, for example, in humans. In one embodiment, and by
way of example only, the method includes administering a dose of
Magnoliidae to the living organism providing at least one Magnoliidae
compound, selected from the group Tetrahydraberberine (THB),
Tetrahydropalmatine (l-THP) and Stepholidine (l-SPD), in an effective
amount to reduce nicotine use by the living organism. The dose of
Magnoliidae can be administered, for example, orally, sublingually,
dermally, subcutaneously, intravenously or through respiratory
inhalation.
[0018]In another exemplary embodiment, a method for reducing sensitization
to nicotine in a living organism includes administering a dose of THB,
l-THP, l-SPD, or analogs of THB, following extraction from one or more
Magnoliidae plants. In one embodiment, and by way of example only, THB
analogs include a conserved four-ring structure, that in another example,
include a benzene-hexane-hexane-benzene structure.
[0019]Other independent features and advantages of the method for
decreasing nicotine use in living organisms will become apparent from the
following detailed description, taken in conjunction with the
accompanying drawings which illustrate, by way of example, the principles
of the invention.
DETAILED DESCRIPTION OF VARIOUS EMBODIMENTS
[0020]This description discloses a method for reducing smoking in humans
by treating a human with one of a group of chemical analogs isolated from
select genera of the Magnoliidae superorder of plants.
[0021]FIG. 1 is an illustration of one species of Corydalis, specifically,
Corydalis ambigua 10. Corydalis ambigua 10 is one species of the
Corydalis genus of herbal plants, primarily found in East Asia, namely
China, and Japan. Mature Corydalis ambigua 10 is about 150.0 cm in height
and about 80.0 cm in width. Corydalis ambigua 10 is a perennial herb.
Corydalis is a genus of the Fumariaceae sub-family, the Papoveraceae
family, the Papaverales order and the Magnoliidae superorder of plants.
[0022]FIG. 2 is a depiction of the tubers 20 of the Corydalis ambigua
plant. While one embodiment specifically refers to using the ambigua
species, any species of Corydalis containing tetrahydroberberine (THB) or
its analogs may be used. Thus, the term Corydalis refers to all species
of Corydalis containing THB or its analogs, including Corydalis ambigua.
Although, one embodiment specifically envisions extracting THB and its
analogs from the tubers 20 of the Corydalis ambigua, THB and its analogs
can be extracted by purifying any of the plant parts, including, but not
limited to, the leaves, stem, and tubers. Furthermore, a second
embodiment envisions administering Corydalis, without prior purification
of THB or its analogs. Thus, the term Corydalis encompasses the entire
Corydalis plant and also all extracts derived from the Corydalis plant.
[0023]FIG. 3A is an illustration of one species of the Stephania genus of
plants, also a genus of herbal plants, primarily found in East Asia. FIG.
3B is a depiction of the tubers of the Stephania plant. The Stephania
genus of plants includes, but is not limited to, Stephania intermedia,
Stephania hainanensis, and Stephania yunnanensis. The Stephania genus of
plants contains analogs of THB. Specifically, Stephania intermedia,
hainanensis, and yunnanensis contain l-tetrahydropalmatine (l-THP or
dl-THP) while both Stephania intermedia and yunnanensis contain
l-Stepholidine (l-SPD). L-THP can also be found in and purified from
Fibraurea recisa Pierre. Both Stephania and Fibraurea are from the
Menispermaceae family and the Ranunculales order of plants. As with
Corydalis, both Stephania and Fibraurea belong to the Magnoliidae
superorder of plants.
[0024]As with Corydalis, one embodiment specifically envisions extracting
l-THP and l-SPD from the tubers of the Fibraurea or Stephania plants.
However, in a second embodiment, l-THP and l-SPD can be extracted by
purifying any of the plant parts, including, but not limited to, the
leaves, stem, and tubers. Yet another embodiment envisions administering
any species of Stephania or Fibraurea without prior purification of l-THP
or l-SPD.
[0025]According to the present disclosure, the term Magnoliidae will be
used to refer to all species in the Magnoliidae superorder of plants that
contain THB, l-THP, l-SPD, or any analog of THB, l-THP, or l-SPD. FIGS.
4A-C show the chemical structure of compounds 30 isolated from
Magnoliidae plants. According to one embodiment, compounds 30 can be
referred to collectively as "Magnoliidae compounds" or each, singularly,
as "a Magnoliidae compound." However, according to one embodiment,
Magnoliidae compounds are not limited to the Magnoliidae compounds 30
shown, but also include any analog of Magnoliidae compounds 30. In one
embodiment, analog of Magnoliidae compounds 30 can be characterized by a
conserved four-ring structure. For example, the analogs can have a
conserved benzene-hexane-hexane-benzene structure, as shown in all
Magnoliidae compounds 30.
[0026]FIG. 4A shows the chemical structure of Tetrahydroberberine (THB)
32. FIG. 4B shows the chemical structure of one analog of THB 32,
l-Tetrahydropalmatine (l-THP) 34. FIG. 4C shows the chemical structure of
a second analog of THB 32, l-Stepholidine (l-SPD) 36. l-THP 34 and l-SPD
36 are homologue analogs of THB and are collectively referred to as THB
analogs. Magnoliidae compounds 30 are extracted from one or more parts of
any Magnoliidae species by Classical Alkaloid Chemical Purifying Method.
In one embodiment, the Magnoliidae plant is immersed into an alkaline
solution, extracted using benzene, then crystallized and purified to get
THB 32, l-THP 34, and l-SPD 36. In another embodiment, if Magnoliidae
compounds are not practically available as found in or extracted from
Magnoliidae plants, Magnoliidae compounds may be synthesized or derived
from other sources.
[0027]Magnoliidae compounds exhibit a marked depression effect in the
central nervous system such as sedation, hypnosis and analgesia. The
pharmacological mechanism of THB and its analogs involve working as a
class of antagonists to inhibit brain dopamine receptor (DA) function,
blockade of .alpha.-adrenergic receptor and 5-TH receptor functions, and
direct modulation of ion channel function.
[0028]Numerous biochemical and behavioral experiments have indicated that
THB and its analogs exhibit all the characteristics of a DA antagonist.
Compared with traditional DA receptor antagonists, the Magnoliidae
compounds exhibit two unique properties. First, THB possesses an
equipotent effect on D1-type and D2-type DA receptor binding. Second, in
normal rats, l-SPD exhibits the characteristics of D2 receptor
antagonist, while in rats with unilateral nigral lesion (DA receptor
super sensitivity in striatum), l-SPD acts on D1 receptors as an agonist.
Therefore, by blocking DA receptor function, Magnoliidae compounds block
nicotine-induced DA release, which is the major cellular mechanism of
nicotine reward and dependence.
[0029]Basic cellular mechanisms of nicotinic dependence also involve the
functional state changes during repeated nicotinic agonists exposure and
receptor changes in the number of receptors during chronic nicotinic
exposure. Nicotinic Acetylcholine Receptors (nAChRs) can exist in many
different functional states, such as resting, activation, desensitization
or inactivation. The desensitization of nAChRs plays an important role in
initiating nicotinic tolerance and dependence. Recovery from receptor
desensitization contributes to nicotinic withdrawal symptoms.
[0030]Magnoliidae compounds possess clear modulating effects on
heterologous expression of human nicotinic acetylcholine receptors
(nAChRs) in the native nAChR-null SH-EP1 human epithelial cell line using
patch-clamp techniques. nAChRs are prototypical members of the
ligand-gated ion channel superfamily of neurotransmitter receptors.
nAChRs provide both classical and contemporary models for the
establishment of concepts pertaining to mechanisms of drug action,
synaptic transmission, and structure and function of transmembrane
signaling compounds.
[0031]The nAChRs that mediate depolarizing inward sodium (Na.sup.+)
current play important roles in classical excitatory neurotransmission at
the nerve-muscle junction, through autonomic ganglia, and perhaps in a
variety of central nervous system cholinergic pathways that contribute to
processes such as perception, cognition, and emotion. nAChRs on nerve
terminals also exist on motor, preganglionic and central neurons, and
these nAChRs can regulate release of acetylcholine (ACh) or other
neurotransmitters, meaning that some nAChRs also modulate
neurotransmissions.
[0032]nAChRs exist as a diverse family of proteins composed of different
combinations of subunits derived from at least seventeen different genes
(.alpha.1-.alpha.10, .beta.1-.beta.4, .gamma., .delta., and .epsilon.).
Naturally expressed nAChRs in muscle are made from .alpha.1, .beta.1
.delta. and either .gamma. (in fetal tissue) or .epsilon. (in adult
tissue) subunits and have properties just like those of heterologously
expressed nAChR made of the same subunits. nAChR can form as homomers of
the most ancient subunits, .alpha.7, .alpha.8, .alpha.9 or .alpha.10,
although .alpha.7 plus .alpha.8, .alpha.9 plus .alpha.10, and other
higher order complexes can also form in heterologous expression systems
or can also form naturally.
[0033]Binary complexes of .alpha.2, .alpha.3 .alpha.4 or .alpha.6 subunits
with .beta.2 or .beta.4 subunits also can form distinctive nAChR
subtypes, at least in heterologous expression systems. .alpha.5 and
.beta.3 subunits are likely "wild-cards" able to integrate into at least
some of the .alpha./.beta. binary complexes to form ternary complexes
with unique properties, and more than one kind of .alpha. or .beta.
subunit can exist in some nAChR subtypes, for example, naturally
expressed .alpha.3.alpha.5.beta.2.beta.4-nAChRs in postganglionic neurons
and .alpha.4.alpha.6.beta.2-nAChR in heterologous expression systems.
Therefore, in one embodiment, heterologous, de novo expression of
functional, .alpha.4.beta.2-nAChR in a cloned epithelial cell line was
used to demonstrate the efficacy of Magnoliidae compounds.
[0034]FIG. 5 depicts the detection of .alpha.4 and .beta.2 nAchR subunit
transcripts by reverse transcription polymerase chain reaction RT-PCR in
wild-type (WT) human SH-EP1 (nAchR-null human epithelial) cells 42 and
human SH-EP1 cells co-transfected with .alpha.4 and .beta.2 cDNA 44 on an
agarose gel 40. In FIG. 4, cDNA was synthesized from 0.8 microgram
(.mu.g) of total RNA prepared from wild type SH-EP1,
SH-EP1-.alpha.4.beta.2, and SH-EP1 .alpha.4.beta.4 cells using oligo
d(T).sub.12-18 primer in a RT reaction. One-tenth of the RT product was
then used in each PCR with gene-specific primers for .alpha.4 46, .beta.2
48, or GAPDH (lanes C as internal control) 50. One-tenth of each 50 .mu.l
RT-PCR product was then resolved on one percent agarose gel. The 100 base
pair DNA ladder 52 was used as the molecular weight marker. The presence
of .alpha.4 46 and .beta.2 48 subunits are seen in the co-transfected
cells 44, whereas both are absent in the WT cells 42. Thus, RT-PCR
confirms the expression of .alpha.4 and .beta.2 nAChR subunits.
[0035]In FIGS. 6-9, whole-cell patch-clamp recording techniques in
voltage-clamp mode were used to detect changes in current. Conventional
whole-cell current recording coupled with techniques for fast application
and removal of agonist (9 channel multi-barrel pipette), were applied in
this study. Briefly, cells plated on poly-lysine-coated 35-mm culture
dishes were placed on the stage of an inverted microscope (Olympus iX7,
Lake Success, N.Y.) and continuously superfused with standard external
solution (2 ml/min). Glass microelectrodes (3-5 M.OMEGA. resistance
between pipette and extracellular solutions) were used to form tight
seals (>1 G.OMEGA.) on the cell surface until suction was applied to
convert to conventional whole-cell recording.
[0036]Cells were then voltage-clamped at holding potentials of -60 mV and
ion currents in response to application of ligands were measured (Axon
Instruments 200B amplifier, Foster City, Calif.), typically using data
filtered at 2 kHz, acquired at 5 kHz, displayed and digitized on-line
(Axon Instruments Digidata 1200 series A/D board), and stored to computer
hard drive. Both pipette and whole current capacitance were minimized and
the series resistance was routinely compensated to 80%. The access
resistance before series resistance compensation was between 10-20
M.OMEGA.. Data acquisition and analyses were done using Pclamp8 (Axon
Instruments), and results were plotted using Origin 5.0 (Microcal, North
Hampton, Mass.).
[0037]Data usually were fit over the 10-90% period from inward current
peak until agonist exposure was terminated (5-10 sec). The experimental
data are presented as means.+-.standard errors, and comparisons of
different conditions were analyzed for statistical significance using the
Student's t-tests. All experiments were performed at room temperature
(22.+-.1.degree. C.). A pipette electrode solution comprising
TrisPO.sub.4dibasic 110 milli-Molar (mM), Trisbase 28 mM,
Ethylenediaminetetraacetate (EDTA) 11 mM, Magnesium Chloride (MgCl.sub.2)
2 mM, Calcium Chloride (CaCl.sub.2) 0.5 mM, and Sodium-Adenosine
Triphosphate (Na-ATP) 4 mM, resulting in a pH of 7.3, was used.
[0038]FIG. 6A illustrates the effects of high concentrations of
Magnoliidae compounds on .alpha.4.beta.2-nAChR responses. The series of
graphs illustrate the similar effects of THB (1), l-THP (2) and l-SPD
(3), respectively on .alpha.2.beta.4-nAChR mediated currents. A
concentration of 0.1 mM of each Magnoliidae compound was used. The
results demonstrate that each of the Magnoliidae compounds exhibits clear
pharmacological effects on human neuronal nAChRs expressed in the human
epithelia cell-line. The major pharmacological effect of Magnoliidae
compounds at high concentrations is inhibition of nAChR function. In FIG.
6A, the inhibition of nAChR function is represented by the reduction of
peak current response and the acceleration of the steady-state component.
[0039]In FIG. 6B, the effects of Magnoliidae compounds on nicotinic
responses mediated by different nAChR subtypes are shown. In FIG. 6B, the
effects of Magnoliidae compounds on .alpha.4.beta.2 (1), .alpha.4.alpha.4
(2) and .alpha.7 (3) subtypes is shown. In FIG. 6B, THB, at a
concentration of 0.1 mM, was used as the representative Magnoliidae
compound. Nicotine, at a concentration of 1.0 .mu.M, was again used as
the control. In FIG. 6B, the inhibition of each nAChR subtype function is
represented by the reduction of peak current response and the
acceleration of the steady-state component. As illustrated in graph (s),
the inhibitory effect occurs more predominantly in .alpha.7-nAChRs.
[0040]FIG. 7A illustrates the concentration-dependent manner in which
Magnoliidae compounds effect a nicotinic response in nAChRs. Graphs (1)
and (5) illustrate nicotine-induced currents alone, at a concentration of
1.0 .mu.M. Graphs (2), (3), and (4) illustrate the mediating effects of
THB when added in the presence of nicotine, as the concentration of THB
increases from 1.0 .mu.M (2), to 10 .mu.M (3) to 100 .mu.M (4).
[0041]FIG. 7B further illustrates the difference in nicotine-induced
currents between nicotine alone and the addition of 100 .mu.M THB. Again,
the inhibition of nAChR function is demonstrated by the reduction of peak
current response and the acceleration of the steady-state component. FIG.
7C further illustrates this concentration-dependent inhibition as a
graphical comparison of peak (Ip) and steady-state (Is) components of
nicotinic responses at different THB concentrations.
[0042]FIG. 8A illustrates nicotine-induced responses at different nicotine
concentrations: 0.1 .mu.M (1), 1.0 .mu.M (2), 10 .mu.M (3), and 100 .mu.M
(4). Low nicotine concentrations are representative of the concentration
range in the brain of about 100-300 nano-Molar (nM) or 0.1-0.3 .mu.M
after one cigarette smoke. FIG. 8B illustrates the effects of THB at a
concentration of 30 .mu.M. In FIG. 8A+B, the superimposed graphs of FIGS.
8A and 8B demonstrate the ability of Magnoliidae compounds to modulate
.alpha.4.beta.2-nAChR function. FIG. 8C shows the dose-response curves of
nicotine-induce peak currents with and without THB, while FIG. 8D shows
the dose-response curves of nicotine-induced steady-state currents with
and without THB.
[0043]FIG. 9A and FIG. 9B demonstrate how THB, at a 30 .mu.M
concentration, accelerates acute desensitization of nicotine-induced
currents at different holding potentials. In FIG. 9A, current-mediation
is shown at a holding potential (V.sub.H) of -40 milli-Volts (mV). In
FIG. 9B, the accelerated acute desensitization is shown at a VH of -80
mV. The bar graph in FIG. 9C compares the relative values for the peak
current (Ip), steady state (Is) and decay constant (tau) at two different
voltages measured in FIGS. 9A and 9B. Finally, FIG. 9D compares the
voltage dependent peak currents without THB (Ip) and in the presence of
THB (Ip+THB). FIG. 9D also compares the voltage-dependent steady state
currents without THB (Is) and in the presence of THB (Is+THB).
[0044]Through the mechanisms described above, Magnoliidae compounds serve
to reduce nicotine use and produce smoking cessation in humans through
one or more biological mechanisms. First, Magnoliidae compounds act as a
DA receptor antagonist, reducing the reward processes in the brain
produced by nicotine use. Second, Magnoliidae compounds cause nAChR
modulation through bi-directory regulation of nAChR function,
specifically through .alpha.4.beta.2-nAChR-mediated currents induced by
nicotine. At high agonist concentrations, Magnoliidae compounds diminish
or even eliminate nAChR function by accelerating nAChR acute
desensitization.
[0045]At low agonist concentrations, Magnoliidae compounds potentiate
nicotinic response or enhance nAChR function. This potentiation may have
increased efficacy when combining the Magnoliidae compound with
nicotine-replacement therapy (NRT). If Magnoliidae compounds are used
together with nicotine (either while still smoking or in conjunction with
a nicotine additive or other nicotine-replacement therapy), the
Magnoliidae compounds will block the brain reward center function (as the
DA receptor antagonists) and reduce the reinforcement feeling, then
gradually decrease the human's nicotine-dependence.
[0046]3-H nicotine binding experiments demonstrate that Magnoliidae
compounds exhibit a low affinity binding ability to
.alpha.4.alpha..beta.2-nAChR. At high concentrations, Magnoliidae
compounds show more predominant inhibition on heterologously expressed
.alpha.7-nAChR function. The ability to reduce nicotine use is further
illustrated by the ability of Magnoliidae compounds to act on
.alpha.4.beta.2-nAChR subunits, .alpha.4.alpha.b4-nAChR subunits, and
.alpha.7-nAChR subunits.
[0047]Further, Magnoliidae compounds may act on .alpha.4.beta.2-nAChR
subunits combining with any other .alpha. or .beta. subunit, including
but not limited to .alpha.2, .alpha.3, .alpha.5, .alpha.6, or .beta.3.
Therefore, the simultaneous blockade of midbrain DA system function (the
brain reward center) and neuronal .alpha.4.beta.2-nAChR and
.alpha.7-nAChR function (the major nicotine targets in the brain) by the
Magnoliidae compounds, demonstrate that Magnoliidae compounds serve as a
novel class of natural compounds for reducing nicotine use and producing
smoking cessation in living organisms, particularly in humans.
[0048]The nAChRs densensitization, adaptation and up-regulation are the
major cellular mechanism of nicotine tolerance, dependence and
withdrawal. The major reason to fail in smoking cessation (quitting
smoking) is the on-set of nicotine withdrawal symptoms. The basic
cellular mechanism for withdrawal symptoms is that the numbers of nAChRs
increase in the brain after long term exposure to nicotine. Once a human
quits smoking, numerous nAChRs located on brain regions outside of the
reward center will activate by an endogenous nicotinic receptor agonist,
acetylcholine, and produce a series cardiac, respiratory and
endo-secretary responses, called withdrawal symptoms.
[0049]Administration of Magnoliidae compounds will eliminate withdrawal
symptoms by two mechanisms. First, the Magnoliidae compounds, at low
nicotinic concentrations (<500 nM), enhance nAChR efficacy, thus
decreasing the required nicotinic concentrations in the brain. Second,
the Magnoliidae compounds, at slightly higher nicotinic concentrations
(>1.0 .mu.M), diminish nAChR function by acceleration of nAChRs
desensitization. Therefore, the optimal way to achieve smoking cessation
is to block the brain reward center (DA system) and block the
over-expressed nAChR function. Magnoliidae compounds serve both functions
and present a novel method to meet these needs, reducing nicotine use and
sustaining smoking cessation.
[0050]The ability of Magnoliidae compounds to decrease nicotine use is
further enhanced by the compounds' ability to act on no-epinephrine,
epinephrine, and/or serotonin (5-TH) receptors. Because of the ability of
Magnoliidae compounds to act on these receptors as well as acting as a DA
receptor antagonist, reducing the reward processes in the brain,
Magnoliidae compounds are also useful in treating other substance use,
abuse and addiction. Therefore, Magnoliidae compounds can be administered
to humans to reduce use of addictive substances, including reducing
alcohol, cocaine, and opiate (or opioid) use.
[0051]Magnoliidae compounds also act on ion channels, such as calcium
(Ca.sup.2+) channels, potassium (K.sup.+) channels, sodium (Na.sup.2+)
channels, or chloride (Cl.sup.-) channels. For instance, FIG. 8 shows
that Magnoliidae compound (THB) suppressed nicotinic response depending
on VH, meaning that THB may insert into nicotinic channel pores during
nAChR activation to block these channels, termed `open channel block`
mechanism. `Open channel block` may accelerate nAChR desensitization. The
direct action of Magnoliidae compounds on Ca.sup.2+ and K.sup.+ channels,
for example, also protects cardiac tissues and brain tissues against
ischemia-induced injury.
[0052]Because of the manner in which Magnoliidae compounds act on
biological mechanisms in the brain, as described above, Magnoliidae
compounds can also be used in some neurological and psychological
disorder treatment and prevention, for example, Alzheimer's Disease (AD)
and Parkinson's Disease (PD). Specifically, co-administration of
Magnoliidae compounds with levadopa (L-DOPA), as PD therapy, will prevent
or significantly delay L-DOPA-induced akinesia. Furthermore, with the
recent development of nicotinic agonists as a novel therapeutic strategy
for both AD and PD, co-application of Magnoliidae compounds with low
concentrations of the nicotinic agonists will increase efficacy and
reduce the current side-effects that include nicotine tolerance and
nicotine dependence. Finally, since midbrain DA receptor over-activity is
the major cause of schizophrenia, the ability of Magnoliidae compounds to
act as a DA receptor antagonist demonstrates that Magnoliidae compounds
can be useful as an anti-schizophrenia agent.
[0053]According to clinical trial data, the optimal dosage to decrease
nicotine use and produce smoking cessation is by administering a dose of
10-50 mg/Kg of body weight of one or more Magnoliidae compounds,
including THB, l-THP, l-SPD, or any other THB analog, and the effects can
be maintained for 2-3 hours. However, since Magnoliidae compounds easily
pass the blood-brain barrier, they quickly and easily reach peak
concentration in the brain tissue. Therefore, doses as low as 1 mg/Kg of
body weight can cause nicotine-desensitization and decrease nicotine use.
[0054]Also because of the ease in passing the blood-brain barrier,
administration of Magnoliidae compounds can be accomplished in several
ways. It is important to note that administration of Magnoliidae
compounds can occur either by administration of the Magnoliidae plant
without purification or extraction of the Magnoliidae compounds, or by
administration of the Magnoliidae compounds following extraction or
purification. Therefore, administration of Magnoliidae described below
includes both the extracted or purified Magnoliidae compounds, as well as
the any part of a Magnoliidae plant.
[0055]Furthermore, administration of Magnoliidae can be in liquid form.
Magnoliidae can be administered as a drink including, but not limited to,
soft drinks, coffee, tea, nutritional and dietary supplement drinks, milk
shakes, and protein shakes. Magnoliidae can also be administered
sublingually in a chewing gum form. The method of administration with the
Magnoliidae can also be by integrating it into sprays or lozenges to
deliver sublingually to by-pass liver metabolism.
[0056]The method of administration with the Magnoliidae compounds can also
be by making the Magnoliidae plant capable of respiratory inhalation. For
example, parts of the Magnoliidae plant can be made into a tobacco-free
cigarette or cigar. Administration in this manner is particularly
desirable for reducing nicotine use while not requiring withdrawal from
the psychological and behavioral aspects of smoking.
[0057]The method of administration with the Magnoliidae compounds can also
be by making the Magnoliidae plant capable of respiratory inhalation. For
example, parts of the Magnoliidae plant can be made into a tobacco-free
cigarette or cigar. Administration in this manner is particularly
desirable for reducing nicotine use while not requiring withdrawal from
the psychological and behavioral aspects of smoking.
[0058]Administration of Magnoliidae compounds can also be effectively
accomplished by preparing the Magnoliidae compounds in injectable forms
to deliver parenterally to by-pass liver metabolism and for faster and
stronger actions. Magnoliidae compounds can be dissolved in injection
solution and be prepared either for use as a subcutaneous injection or
for use as a direct venous injection or in an intravenous solution.
[0059]Finally, Magnoliidae compounds can be made into a patch so that the
Magnoliidae compounds can be administered by dermal application of the
patch to the skin. A Magnoliidae compound patch can also be prepared with
a nicotine additive, or other nicotine-replacement-therapy, for increased
efficacy.
[0060]Various embodiments of the invention are described above in the
Drawings and Description of Various Embodiments. While these descriptions
directly describe the above embodiments, it is understood that those
skilled in the art may conceive modifications and/or variations to the
specific embodiments shown and described herein. Any such modifications
or variations that fall within the purview of this description are
intended to be included therein as well. Unless specifically noted, it is
the intention of the inventor that the words and phrases in the
specification and claims be given the ordinary and accustomed meanings to
those of ordinary skill in the applicable art(s). The foregoing
description of a preferred embodiment and best mode of the invention
known to the applicant at the time of filing the application has been
presented and is intended for the purposes of illustration and
description. It is not intended to be exhaustive or to limit the
invention to the precise form disclosed, and many modifications and
variations are possible in the light of the above teachings. The
embodiment was chosen and described in order to best explain the
principles of the invention and its practical application and to enable
others skilled in the art to best utilize the invention in various
embodiments and with various modifications as are suited to the
particular use contemplated. Therefore, it is intended that the invention
not be limited to the particular embodiments disclosed for carrying out
this invention, but that the invention will include all embodiments
falling within the scope of the appended claims.
* * * * *