Combinations of TGFβ and COX-2 inhibitors and methods for their therapeutic application
Inventors
Lu, Patrick Y. • Simonenko, Vera • Evans, David • Xu, John J.
Assignees
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Abstract
The present invention provides compositions and methods for using combinations of TGFβ1 and Cox-2 inhibitors and TGFβ1 and Hoxb13 inhibitors for the treatment of various medical conditions, including skin scaring due to trauma wounds and surgery, corneal and retina scaring due to injury and surgery, internal organ scaring due to injury and surgery, heart tissue scaring due to heart attack and surgery, and lung, liver, and kidney fibrosis due to inflammation and injury. One example is to use siRNA inhibitors to silence TGFβ1 and Cox-2 at the same time, resulting in significant less scar formation.
Core Innovation
The invention relates to scarless-like wound healing by a therapy combining TGFβ1 inhibition and COX-2 inhibition, including the reduction of fibrosis and scar formation. It is based on a biological rationale that TGFβ1-driven inflammation and fibrosis and COX-2-driven inflammatory and fibroblast proliferation contribute to scarring outcomes, and that combined targeting provides a synergistic effect.
The invention provides multi-target siRNA strategies that silence TGFβ1 and Cox-2, and optionally Hoxb13, using selected siRNA duplexes. The disclosed compositions include the siRNA molecule hmTF-25-2 (SEQ ID NO: 36 and SEQ ID NO: 37) and the siRNA molecule hmCX-25-1 (SEQ ID NO: 50 and SEQ ID NO: 51), optionally with further inhibitor components described as targeting the same axes.
The siRNA molecules are delivered with a pharmaceutically acceptable histidine-lysine polymer carrier (HMK histidine-lysine polymer, including HKP/H3K4b/PT73) that forms nanoparticles with the siRNA molecules. The disclosed formulations are intended for topical administration for wound healing, and the document further describes use for tissue fibrosis associated with chronic inflammation and scarring in organs such as liver, lung, kidney, and heart.
Claims Coverage
The independent claims cover pharmaceutical compositions and associated therapeutic uses defined by specific hmTF-25-2 and hmCX-25-1 siRNA molecules, optional restriction to only those siRNAs, and nanoparticle formation with a histidine-lysine polymer carrier, together with treatment indications for wounds and tissue fibrosis in specified organs. Across the independent claims, there are 2 core formulation inventive features and 2 core use inventive features.
Specified dual-siRNA set
A composition consisting of the siRNA molecule hmTF-25-2 (SEQ ID NO: 36 and SEQ ID NO: 37), the siRNA molecule hmCX-25-1 (SEQ ID NO: 50 and SEQ ID NO: 51).
Histidine-lysine polymer nanoparticle formulation
The siRNA molecules and a pharmaceutically acceptable histidine-lysine polymer form nanoparticles.
Only the specified siRNAs present
A composition comprising siRNA molecules and a pharmaceutically acceptable carrier, wherein the only siRNA molecules present are the siRNA molecule hmTF-25-2 (SEQ ID NO: 36 and SEQ ID NO: 37) and the siRNA molecule hmCX-25-1 (SEQ ID NO: 50 and SEQ ID NO: 51).
Therapy for wounds and minimizing scarring
A method for treating an inflamed, neovascularized wound in a mammal by administering a therapeutically effective amount of a composition to the mammal or the wound, wherein the treatment minimizes scar formation.
Therapy for tissue fibrosis in specified organs
A method for treating tissue fibrosis in a mammal caused by scaring after chronic inflammation of the tissue, wherein the tissue is part of the liver, lung, kidney or heart of the mammal, comprising administering a therapeutically effective amount of the composition.
Overall, the independent claims are centered on compositions that include the specific hmTF-25-2 and hmCX-25-1 siRNA molecules and, in key embodiments, a pharmaceutically acceptable histidine-lysine polymer that forms nanoparticles with the siRNAs. The claims further connect the compositions to treating inflamed/neovascularized wounds with minimized scar formation and to treating tissue fibrosis associated with scarring after chronic inflammation in the liver, lung, kidney, and heart.
Stated Advantages
Minimized scarring in wound healing.
Reduced tissue fibrosis.
Documented Applications
Scarless-like wound healing, including accelerated wound closure and reduced scar/collagen remodeling in skin excision/burn models.
Treatment of tissue fibrosis associated with chronic inflammation/scarring in organs including liver, lung, kidney, and heart.
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