Induced expression of brain derived neurotrophic factor (BDNF) for treatment of neuromuscular, neurodegenerative, autoimmune, developmental and/or metabolic diseases
Inventors
Alonso, Robert • Geisler, John Gerard
Assignees
Publication Number
US-9763896-B2
Publication Date
2017-09-19
Expiration Date
2036-01-21
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Abstract
A method of treating a host of neuromuscular, neurodegenerative, developmental, autoimmune and metabolic diseases/disorders related to aging, such as traumatic injury, stroke, Huntington's disease, Epilepsy, Multiple Sclerosis (MS), Lupus, Type-1 and Type-2 diabetes, Maturity Onset Diabetes of the Young (MODY), myasthenia gravis (MG), rheumatoid arthritis (RA), Graves' disease, Guillain-Barré syndrome (GBS), metabolic syndrome, Muscular Dystrophy or Duchenne Muscular Dystrophy (DMD), severe burns, aging, Amyotrophic Lateral Sclerosis (ALS), Friedreich's Ataxia, Batten Disease, Alzheimer's disease, optic neuritis, Leber's hereditary optic neuropathy (LHON), autism, Rett syndrome, Batten Disease, Angelman's Syndrome, Leigh disease, Fragile-X Syndrome, depression, Parkinson's disease, mitochondrial diseases, developmental disorders, metabolic disease disorders and/or autoimmune disorders by inducing endogenous BDNF expression with DNP treatment to protect from neuromuscular dysfunction/disorders and/or neurodegeneration and/or muscle wasting. DNP was administered to mice daily over a range of doses, and subsequently BDNF expression in the brain showed a dose dependent and non-linear increase in expression.
Core Innovation
The invention provides a method for treating neuromuscular, neurodegenerative, developmental, autoimmune, and metabolic diseases or disorders related to aging by inducing endogenous brain-derived neurotrophic factor (BDNF) expression through administration of 2,4-dinitrophenol (DNP). The induction of BDNF is achieved by administering DNP, or a pharmaceutically acceptable salt thereof, in effective dose ranges identified as 0.001 mg/kg to less than 10 mg/kg, to avoid doses that are either ineffective or potentially harmful. The method is applicable for reversing, slowing, or preventing disease progression or providing remission of symptoms by increasing BDNF systemically, including both in the brain and muscle tissues.
The problem being addressed is the current need for improved methods to induce endogenous expression of BDNF, particularly for treating a wide range of diseases where increased BDNF can provide neuroprotection, muscle protection, and address dysfunction across multiple organ systems. Existing challenges include delivering BDNF across the blood-brain barrier and achieving sufficient and sustained expression without adverse effects. The invention addresses this by identifying specific dose ranges and administration regimens for DNP that effectively induce BDNF, with demonstrated efficacy in preclinical models for diseases such as Huntington's disease, Rett syndrome, multiple sclerosis, epilepsy, Alzheimer's disease, Parkinson's disease, and Duchenne Muscular Dystrophy, among others.
Supporting studies demonstrate that DNP administration in mouse models leads to dose-dependent increases in BDNF expression, with an observed non-linear relationship where excessively high doses yield diminished effects. The invention claims that using DNP within the identified dose range can result in significant neuroprotection, muscle sparing, and attenuation of disease progression in various animal models, supporting the method as a potential therapeutic strategy for a multitude of debilitating and chronic diseases. The formulation may take the form of pharmaceutical compositions with specified unit doses and may be delivered by oral, intravenous, subcutaneous, topical, or transdermal routes, with potential for co-administration with other standard-of-care medications.
Claims Coverage
The patent contains three independent claims, each covering distinct inventive aspects regarding the use and administration of 2,4-dinitrophenol (DNP) for treating Huntington's Disease, Optic Neuritis, or Duchenne Muscular Dystrophy.
Method of treating specific diseases with effective DNP dose
A method of treating a patient with Huntington's Disease, Optic Neuritis, or Duchenne Muscular Dystrophy by administering an effective dose of 2,4-dinitrophenol (DNP), or a pharmaceutically acceptable salt thereof. The effective dose of DNP is specified as a range of 0.001 mg/kg to 5 mg/kg of body weight, with the objective to attenuate progression or provide remission of symptoms for these diseases.
Receiving effective DNP dose for disease treatment
A method whereby a patient with Huntington's Disease, Optic Neuritis, or Duchenne Muscular Dystrophy receives an effective dose of 2,4-dinitrophenol (DNP), or a pharmaceutically acceptable salt thereof. The dose range for DNP is specified as 0.01 mg/kg to 5 mg/kg of body weight to attenuate progression or provide remission of symptoms of the specified diseases.
Providing instructions to administer effective DNP dose
A method of treating Huntington's Disease, Optic Neuritis, or Duchenne Muscular Dystrophy by providing instructions to administer an effective dose of 2,4-dinitrophenol (DNP), or a pharmaceutically acceptable salt thereof. The instructions specify administering DNP in a dose range of 0.01 mg/kg to 5 mg/kg of body weight for the purpose of attenuating progression or providing remission of symptoms of the named diseases.
The inventive features of the patent are centered on the administration, receipt, and instruction for applying effective dose ranges of DNP to treat Huntington's Disease, Optic Neuritis, or Duchenne Muscular Dystrophy, aiming to attenuate progression or provide remission of symptoms.
Stated Advantages
Provides a method to induce endogenous BDNF expression, leading to neuroprotection, attenuation of disease progression, and remission of symptoms for neuromuscular, neurodegenerative, autoimmune, developmental, and metabolic disorders.
Identifies specific and limited ranges of DNP dosing that are effective and avoid ineffective or harmful outcomes in patients requiring increased BDNF expression.
Offers sustained elevation of BDNF and associated clinical benefits for several weeks after concluding DNP treatment.
Demonstrates efficacy across a wide array of diseases and disorders through induction of BDNF by DNP, as supported by multiple preclinical disease models.
Documented Applications
Treatment of neuromuscular, neurodegenerative, developmental, autoimmune, and metabolic diseases and disorders, including those related to aging.
Treatment of Huntington's Disease, Optic Neuritis, and Duchenne Muscular Dystrophy specifically.
Treatment of diseases and disorders such as traumatic brain injury, ischemic stroke, epilepsy, multiple sclerosis, lupus, Type-1 and Type-2 diabetes, MODY, myasthenia gravis, rheumatoid arthritis, Graves' disease, Guillain-Barré syndrome, metabolic syndrome, muscular dystrophy, severe burns, aging, Amyotrophic Lateral Sclerosis, Friedreich's Ataxia, Batten Disease, Alzheimer's disease, optic neuritis, Leber's hereditary optic neuropathy, autism, Rett syndrome, Angelman's Syndrome, Leigh disease, Fragile-X Syndrome, schizophrenia, depression, Parkinson's disease, and mitochondrial diseases.
Use for reversing, slowing, or preventing neuromuscular dysfunction/disorders, neurodegeneration, muscle wasting, and related symptoms.
Application in pediatric and adult patients, with dosing adjusted by body weight, and delivery by oral, intravenous, subcutaneous, topical, and transdermal routes.
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