INHIBITION OF DELTA-6 DESATURASE FOR THE TREATMENT OF CARDIOMETABOLIC DISEASE
Systems and methods for screening whether a candidate compound inhibits delta-6 desaturase activity are disclosed. Also disclosed is a transgenic mammal which overexpresses a gene encoding delta-6 desaturase and an animal model of a cardiometabolic disorder or disease that includes the transgenic mammal. A method of treating a cardiometabolic disorder or disease is also disclosed.
This application is a divisional application of U.S. application Ser. No. 13/902,435 filed on May 24, 2013 and entitled “Inhibition of Delta-6 Desaturase for the Treatment of Cardiometabolic Disease”, which claims priority to U.S. Provisional Application Ser. No. 61/651,369 filed on May 24, 2012 and entitled “Inhibition of Delta-6 Desaturase for the Treatment of Cardiometabolic Disease”, the disclosures of which are hereby incorporated by reference in their entirety.
GOVERNMENTAL SUPPORTThis invention was made with government support under Grant No. R21 HL094890 awarded by the National Institutes of Health. The government has certain rights in the invention.
FIELD OF THE INVENTIONThe present disclosure relates to systems and methods for screening whether a candidate compound inhibits delta-6 desaturase activity.
BACKGROUND OF THE INVENTIONThe growing prevalence of obesity and type 2 diabetes complicates risk and clinical management by potentiating and/or exacerbating hypertension, hyperlipidemia, atherosclerosis and cardiomyopathy, leading to increasing use of the term “cardiometabolic disease” (CMD) to encompass the many facets of this complex syndrome. While several classes of drugs have been developed to manage various aspects of CMD, novel integrative therapies that target central “unifying” features of its pathogenesis and/or progression are needed to simplify clinical management, reduce risk of multi-drug interactions, and avoid potentially adverse effects, such as the effect of treatment using statin cardiovascular drugs on diabetes risk.
CMD and related disorders are thought to be associated with dietary factors. Compared to the diet of our ancestors, the modern Western diet is highly enriched with linoleic acid (LA), an essential polyunsaturated fatty acid (PUFA), due largely to increased consumption of LA-rich vegetable oils used in commercial food processing. This greater proportion of LA may contribute to the higher prevalence and onset of insulin resistance/type 2 diabetes in developed societies by increasing endogenous production of arachidonic acid (AA) and its proinflammatory eicosanoid derivatives that are key initiators and propagators of inflammatory signaling linked to the development of these conditions. However, numerous large cohort studies examining the effect of dietary n6 PUFA (LA) intake on insulin sensitivity have produced widely variable results, making unclear whether to increase, decrease, or ignore dietary intake of LA in attempting to manage metabolic risk.
Systemic low-grade inflammation is widely believed to play an important role in the pathogenesis and/or progression of all CMD-related pathologies. As described previously, excess dietary LA is thought to increase the endogenous production of arachidonic acid (AA). The metabolism of AA by cyclooxygenase (COX) and lipoxygenase (LO) enzyme pathways generates an array of pro-inflammatory eicosanoid species that are known to be centrally involved in the initiation and propagation of the inflammatory cascade. Accordingly, nearly all currently available treatments for inflammation, such as NSAIDs, target COX enzyme pathways which produce pro-inflammatory eicosanoid species such as prostaglandins and thromboxanes. AA-derived eicosanoid products of the LO enzyme pathways, such as leukotrienes and HETEs, also contribute significantly to inflammatory signaling and are implicated in cardiovascular disease, which has led to the development of several experimental LO and dual COX-LO inhibitor compounds. However, there is some concern regarding the use of these and other inhibitors of AA metabolism enzymes, as different selectivities and potencies of an inhibitor for one enzyme pathway may divert AA into another pathway, creating an imbalance in the relative distribution of species with different, or even opposing, pathogenic potentials. Therefore, the targeting of select AA metabolism enzymes as an anti-inflammatory treatment in metabolic disease and its complications is thought to be a complicated and risky approach.
Delta-6 desaturase (D6D) is a microsomal enzyme that catalyzes rate-limiting steps in the endogenous conversion of dietary LA to AA. The D6D pathway is the primary source of long-chain PUFAs present in biological membranes in the absence of dietary supplementation, therefore changes in serum and tissue D6D product/substrate ratios (e.g., AA/LA) are commonly used as indices of D6D activity in vivo. A number of epidemiological studies over the past two decades have demonstrated positive correlations between serum AA/LA ratios and CMD-related pathologies, but whether elevations in D6D activity actually cause or potentiate the development of CMD/inflammation cannot be determined from these studies. D6D hyperactivity has been recently linked to common single nucleotide polymorphisms of the D6D gene (fads2) that are strongly associated with increased incidence of type 2 diabetes, coronary artery disease and systemic low-grade inflammation. Therefore, D6D hyperactivity, resulting from a “Western” diet or genetic predisposition, could potentiate CMD by increasing endogenous conversion of dietary LA (the primary PUFA in the modern diet) to AA and its pro-inflammatory derivatives. However, the effectiveness of D6D inhibition at reducing or reversing CMD and related syndromes remains largely unknown.
Therefore, a need exists for a treatment for a cardiometabolic disease or disorder that includes administering an inhibitor of D6D. A need also exists for a method for identifying a compound as an inhibitor of D6D for use as a treatment of a cardiometabolic disease or disorder. Further, a need exists for a transgenic animal characterized by the overexpression of D6D for use in the study of the role of D6D overexpression in the progression of a cardiometabolic disease or disorder.
BRIEF SUMMARY OF THE INVENTIONThe present disclosure provides a method for identifying a test compound as a candidate compound for the treatment of a cardiometabolic disease or disorder in a mammal. The method may include contacting a mammalian delta-6 desaturase (D6D) with the test compound and determining the level of D6D activity in the presence of the test compound. A decreased level of D6D activity in the presence of the test compound relative to a level of D6D activity in the absence of the test compound may identify the test compound as a candidate compound for the treatment of a cardiometabolic disease or disorder in a mammal. Contacting the mammalian delta-6 desaturase (D6D) with the test compound may occur in vitro. The method may also include: administering an amount of the candidate compound to a mammal, maintaining the mammal for a time and under conditions sufficient to allow the candidate compound to modify D6D activity in the mammal; determining a first value of at least one index of D6D activity before the administration of the candidate compound to the mammal and a second value for the index of D6D activity after the administration of the candidate compound to the mammal; and comparing the first value and the second value of the index of D6D activity. A reduced second value relative to the first value may indicate that the candidate compound reduces D6D activity in vivo. The index of D6D activity may be selected from blood or serum glucose level, glucose tolerance, blood or serum insulin level, insulin resistance, arachidonic acid/linoleic acid (AA/LA ratio), level of at least one proinflammatory eicosanoid; liver macrophage content, and insulin receptor inactivation (IRS-1 phosphorylation). The index values may be determined from a first tissue measurement and a second tissue measurement taken from a tissue selected from serum, liver, heart and muscle. The mammal may be an animal model of human cardiometabolic disease; a murine model of hyperphagic obesity including a leptin-deficient ob mouse; a murine model of diet-induced insulin resistance including a normal mouse maintained on a fat-enriched (“western”) diet for a period of at least about 12 weeks; or a transgenic mouse which overexpresses the fatty acid desaturase 6 (fads2) gene. The disease or disorder involving insulin resistance may be selected from hyperglycemia, type 2 diabetes, metabolic syndrome, hyperlipidemia and oxidative stress.
In another aspect, the present disclosure provides a transgenic knock-in mammal characterized by overexpression of D6D. The transgenic mammal may include a genetically modified genome comprising at least one additional endogenous gene encoding a delta-6 desaturase. The endogenous gene encoding a delta-6 desaturase may be fads2. The transgenic mammal may be a rodent, a mouse, or a rat.
In an additional aspect, the present disclosure provides an animal model for studying a cardiometabolic disease or disorder in a mammal. The animal model may include a mammal having a heterozygous promotion of at least one endogenous gene encoding a delta-6 desaturase. The endogenous gene encoding a delta-6 desaturase may be fads2. The transgenic mammal may be a rodent, a mouse, or a rat. The cardiometabolic disease or disorder may be selected from hyperglycemia, type 2 diabetes, metabolic syndrome, hyperlipidemia and oxidative stress. In an additional aspect, the present disclosure provides a method for treating a cardiometabolic disease or disorder. The method may include administering to a subject in need thereof a therapeutically effective amount of an inhibitor of delta-6 desaturase (D6D). The inhibitor of D6D may be SC-26196 or a derivative thereof. Administering to the subject may include administration by a route selected from oral, intravenous, subcutaneous, intramuscular, and intraperitoneal administration.
The following drawings illustrate various aspects of the disclosure.
Corresponding reference characters and labels indicate corresponding elements among the views of the drawings. The headings used in the figures should not be interpreted to limit the scope of the claims.
DETAILED DESCRIPTIONIn various aspects, the disclosure provides methods of identifying a test compound as a candidate compound for the treatment of a cardiometabolic disease or disorder in a mammal. Using this method, the candidate compound may be identified as a compound associated with a decreased level of delta-6 desaturase (D6D) activity. In various other aspects, the disclosure provides a method of treating cardiometabolic disease or disorder by administering a therapeutically effective amount of an inhibitor of delta-6 desaturase (D6D) to a subject in need.
Without being limited to any particular theory, it is thought that D6D may have a pivotal role in the development and progress of cardiometabolic disease (CMD) and related symptoms including, but not limited to insulin resistance, chronic inflammation, hyperlipidemia, and lipooxidative stress. A schematic illustration of D6D's role in the etiology of CMD is provided in
D6D enzymatic activity may be assessed using a ratio of product:precursor (serum and tissue AA/LA ratio) as a surrogate marker of systemic D6D activity in vivo; an elevated AA/LA ratio indicates D6D hyperactivity. Over the past two decades, elevated serum AA/LA ratio has been associated with a variety of disorders including, but not limited to: insulin resistance, childhood obesity, impaired fasting glucose, incident type 2 diabetes, development of metabolic syndrome, LDL oxidation in type 2 diabetics, hyperlipidemia and hyperinsulinemia in fatty liver disease. In addition, elevated AA/LA ratio has been shown to independently predict cardiovascular disease (CVD) incidence and mortality.
Although the specific mechanisms by which D6D hyperactivity is associated with this variety of disorders remain to be characterized, D6D hyperactivity has been recently linked to common single nucleotide polymorphisms (SNPs) of the D6D gene (fads2). These fads2 SNPs have been demonstrated to be highly predictive of type 2 diabetes, inflammation and cardiovascular disease. In addition, D6D hyperactivity and/or expression are known to be independently stimulated by hyperinsulinemia as well as dietary factors including excessive dietary sucrose, cholesterol, or hydrogenated fat.
This association of elevated D6D enzymatic activity with a wide variety of metabolic-related disorders, coupled with the linking of D6D hyperactivity with fads2 SNPs, infer that a genetic predisposition for increased D6D activity may potentiate the risk of a variety of diseases associated with inflammation, including diabetes and cardiovascular disease, by enhancing endogenous production of AA and its pathogenic metabolites.
It has been discovered unexpectedly that the inhibition of D6D activity in animal models of cardiometabolic disease (CMD) resulted in widespread and potent reduction and/or reversal of a variety of pathological conditions related to CMD. As described in detail herein below in the Examples, D6D inhibition in murine models of hyperphagic obesity and diet-induced insulin resistance not only reversed elevations in D6D activity indices (e.g., AA/LA ratio) in serum, liver, heart and muscle in these models, but also normalized glucose tolerance and serum levels of several COX and LOX-derived proinflammatory eicosanoids. D6D inhibition also attenuated hepatic inflammation as measured by macrophage content; attenuated insulin receptor inactivation as measured by IRS-1 phosphorylation; and reduced evidence of tissue lipoxidative stress. D6D inhibition in the murine models was also surprisingly found to induce dramatic normalization of tissue membrane phospholipid contents to healthy compositions, which may further provide potent protective effects in the context of CMD.
Without being limited to any particular theory, inhibition of the D6D pathway may attenuate CMD risk by reducing the extent of systemic low-grade inflammation by slowing endogenous AA production and subsequent flux through COX and LO pathways. D6D activity may indeed represent a pivotal determinant of cardiometabolic risk. Therefore, pharmacological inhibition of D6D activity may be a safe and highly effective means of treatment of CMD, as well as a means of further elucidating the mechanisms responsible for the development and progression of CMD and related disorders.
Method of Identifying D6D Inhibiting CompoundsIn one aspect, a method of identifying a test compound as a candidate compound for the treatment of a cardiometabolic disease (CMD) or disorder in a mammal is provided. In this aspect, the identified candidate compound may be characterized by its efficacy in inhibiting mammalian delta-6 desaturase (D6D) activity. A variety of assays, both in vitro and in vivo may be used to assess the test compound according to this method, as described in detail herein below. Non-limiting examples of cardiometabolic disease or disorders suitable for treatment using the candidate compounds identified by the methods in this aspect include: insulin resistance, hyperglycemia, type 2 diabetes, metabolic syndrome, hyperlipidemia and oxidative stress.
The in vitro assay may include, but is not limited to a cell culture and/or a preparation in various aspects. Non-limiting examples of suitable cell cultures include a mammalian liver cell culture, a mammalian muscle cell culture, a mammalian cardiac cell culture, and any combination thereof. Non-limiting examples of suitable preparations include a microsome preparation derived from at least one of: mammalian liver cells, mammalian muscle cells, and mammalian cardiac cells. To obtain the microsome preparation, any standard method known in the art may be used. By way of non-limiting example, mammalian liver cells may be homogenized and centrifuged at least one time. In this example, the supernate may be discarded after centrifuging and the pellet containing the microsomes may be resuspended in a buffer such as a homogenization buffer to form the preparation.
The in vivo assay may include administering an amount of the test compound to a mammal. Any mammal may be suitable for use in the in vivo assay including, but not limited to: mice, rats, rabbits, pigs, dogs, cats, monkeys, cows, horses, and humans. In various aspects, it may be advantageous to conduct an in vivo assay using healthy animal model, an animal model of a CMD, or both. In one aspect, the animal model of a CMD may be a wild-type animal in which a CMD-related condition is induced by dietary means. Non-limiting examples of dietary means suitable for inducing CMD and/or a CMD-related condition include feeding the mammal a diet characterized by a relatively high proportion of LA or other n6 PUFAs, a relatively high proportion of sucrose, and/or any other dietary means of inducing CMD and/or a CMD-related condition.
By way of non-limiting example, an animal model of a CMD may be a wild-type animal or other suitable genotype chronically fed a diet that includes about 20% lard by weight for a period of at least 8 weeks prior to participation in any experimental manipulations or measurements. Typically, at least 8 weeks is needed before overt metabolic dysfunction is observed in this non-limiting example.
In another aspect, the animal model of a CMD may be a transgenic animal model in which one or more genes associated with CMD or a CMD condition are knocked out, overexpressed, or modified in any other suitable manner known in the art. Non-limiting examples of transgenic animal models of a CMD include: leptin-deficient ob/ob mice, LDL receptor knockout mice, fads2-TG mice, and any other suitable transgenic animal model known in the art.
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The test compound may be contacted with the D6D for an extended period prior to obtaining any measurements. In various aspects, the amount of time that the test compound is contacted with the D6D should be sufficiently long to allow the test compound to modify D6D activity. In one aspect, if an in vitro assay is used, the test compound may be contacted with the D6D for a time period ranging up to about 24 hours. In other aspects, if an in vitro assay is used, the test compound may be contacted with the D6D for a time period of about 1 minute to about 10 minutes, of about 5 minutes to about 15 minutes, of about 10 minutes to about 20 minutes, of about 15 minutes to about 25 minutes, of about 20 minutes to about 30 minutes, of about 25 minutes to about 35 minutes, of about 30 minutes to about 40 minutes, of about 35 minutes to about 45 minutes, of about 40 minutes to about 50 minutes, of about 45 minutes to about 55 minutes, of about 50 minutes to about 60 minutes, of about 55 minutes to about 65 minutes, of about 1 hour to about 3 hours, of about 1 hour to about 3 hours, of about 2 hours to about 4 hours, of about 3 hours to about 5 hours, of about 4 hours to about 6 hours, of about 5 hours to about 7 hours, of about 6 hours to about 8 hours, of about 7 hours to about 9 hours, of about 8 hours to about 10 hours, of about 9 hours to about 11 hours, of about 10 hours to about 12 hours, of about 11 hours to about 13 hours, of about 12 hours to about 14 hours, of about 13 hours to about 15 hours, of about 14 hours to about 16 hours, of about 15 hours to about 17 hours, of about 16hours to about 18 hours, of about 17 hours to about 19 hours, of about 18 hours to about 20 hours, of about 19 hours to about 21 hours, of about 20 hours to about 22 hours, of about 21 hours to about 23 hours, and of about 22 hours to about 24 hours.
In another aspect, if an in vivo assay is used, the test compound may be contacted with the D6D for a time period ranging up to about8 weeks. In other aspects, if an in vivo assay is used, the test compound may be contacted with the D6D for a time period of about 1 hour to about 3 hours, of about 2 hours to about 4 hours, of about 3 hours to about 5 hours, of about 4 hours to about 8 hours, of about 6 hours to about 12 hours, of about 8 hours to about 16 hours, of about 12 hours to about 24 hours, of about 18 hours to about 36 hours, of about 1 day to about 3 days, of about 2 days to about 4 days, of about 3 days to about 5 days, of about 4 days to about 6 days, of about 5 days to about 1 week, of about 6 days to about 2 weeks, of about 1 week to about 3 weeks, of about 2 weeks to about 4 weeks, of about 3 weeks to about 5 weeks, of about 4 weeks to about 6 weeks, of about 5 weeks to about 7 weeks, and of about 6 weeks to about 8 weeks.
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If an in vivo assay is used, the level of D6D activity may be detected in the mammal after administration of the test compound using any method of quantifying enzyme activity in vivo known in the art without limitation. In one aspect, the level of D6D activity may be detected in the mammal by determining a level of at least one index of D6D activity. Non-limiting examples of suitable indices of D6D activity include: blood or serum glucose level, glucose tolerance, blood or serum insulin level, insulin resistance, arachidonic acid/linoleic acid (AA/LA ratio), dihomo-γ-linolenic acid to linoleic acid ratio (DGLA/LA), 22:6n3/22:5n3 ratio level of at least one proinflammatory eicosanoid; liver macrophage content, and insulin receptor inactivation (IRS-1 phosphorylation). The level of the at least one index of D6D activity may be determined using methods known in the art that are appropriate for the particular index of D6D activity for which a level is to be determined. By way of non-limiting example, if the index of D6D activity to be determined is blood or serum glucose level, the blood or serum glucose level may be determined using any method known in the art including, but not limited to: analysis of a blood or serum sample obtained from the mammal using chemical or enzymatic detection methods, non-invasive glucose monitoring methods such as near-IR detection, ultrasound detection, and dielectric spectroscopy, and any combination thereof.
Referring back to
In another aspect, the comparison performed in step 206 may be accomplished by comparing the level of D6D activity in the presence of the test compound determined in step 204 to a predetermined threshold level of D6D activity. This predetermined threshold level may be obtained by determining one or more baseline levels of D6D activity in the absence of the target compound using any one or more known methods including, but not limited to: obtaining published baseline levels of D6D reported for similar in vitro or in vivo assays in the scientific literature and measuring and storing a baseline level of D6D activity from one or more in vitro or in vivo assays performed prior to the use of the method 200. In this other aspect, a level of D6D activity in the presence of the test compound that is less than the predetermined threshold value identifies the test compound as a candidate compound for the treatment of a cardiometabolic disease or disorder in a mammal.
Referring again to
In various aspects, the mammal may be in a healthy condition, or may be afflicted with one or more CMDs or disorders. In one aspect, the mammal afflicted with a CMD or disorder may be a wild-type mammal that is afflicted with a CMD or disorder of undetermined causation including, but not limited to human patients diagnosed with CMD or other disorder by a medical practitioner. In another aspect, the mammal afflicted with CMD or other disorder may be a mammal induced to develop a CMD or other disorder as described previously herein in connection with in vivo assays. Non-limiting examples of mammals induced to develop a CMD or other disorder include: feeding a wild-type or transgenic mammal a diet known to induce a CMD or other disorder such as a high LA and/or high sucrose diet, as described herein previously; transgenic mammals in which one or more genes associated with CMD or a CMD condition are knocked out, overexpressed, or modified in any other suitable manner as described previously herein.
Other non-limiting examples suitable for use in step 206 include: an animal model of human cardiometabolic disease; a murine model of hyperphagic obesity including a leptin-deficient ob/ob mouse; a murine model of diet-induced insulin resistance including a normal mouse maintained on a fat-enriched (“western”) diet for a period of at least about 4 weeks; and a transgenic mouse which overexpresses the fatty acid desturase 6 (fads2) gene.
The method of administration of the candidate compound in step 208 may be accomplished using any known method of active compound administration including, but not limited to: oral administration, intravenous administration, subcutaneous administration, intramuscular administration, intraperitoneal administration, and any combination thereof.
Referring again to
In various aspects, the conditions under which the mammal may be maintained in step 210 may include maintenance of additional factors including, but not limited to: concentration of the candidate compound, diet, activity of the mammal, wake/sleep cycles, and other miscellaneous environmental conditions. In one aspect, the candidate compound may be administered in a single dosing in step 208 such that the concentration of the candidate compound is maintained above an effective level for a time period sufficient to modify D6D activity in the mammal. In another aspect, the concentration of the candidate compound may be maintained at a relatively constant level by any means known in the art including, but not limited to: continuous administration of the candidate compound using known methods such as continuous intravenous administration; administration of controlled-release compositions including the candidate compound such as extended release oral compositions; and administration of the candidate compound using a implant configured to release the candidate compound with an essentially zero-order release profile. In an additional aspect, the maintenance of the concentration of candidate compound may be maintained according to a predetermined schedule that may vary with time. Non-limiting examples of suitable predetermined schedules include a constantly increasing concentration over time associated with the administration of multiple doses of increasing size and/or frequency; an initial increase followed by a gradual decrease in concentration associated with a single administration; and cycles of increasing and decreasing concentration associated with multiple repeated doses in which the doses may be repeated twice or more daily, daily, every other day, every third day, every fourth day, every fifth day, every sixth day, weekly, every other week, and monthly.
Non-limiting examples of dietary factors that may be maintained in step 210 include: total caloric intake; proportion of overall fat, protein and/or carbohydrate; supplementary dietary factors such as additional LA, vitamins, minerals, and/or medications in addition to the candidate compound; caloric allocation and timing of meals; and any other dietary factor known in the art. Non-limiting examples of factors related to the activity of the mammal include the duration, intensity, frequency, scheduling of exercise, as well as other activities such as spontaneous movement about an enclosure, sitting versus standing, and any other activity-related factor known in the art. Non-limiting examples of other miscellaneous environmental factors include light/dark cycles, ambient temperature and/or humidity, presence or absence of other mammals, and any other relevant miscellaneous environmental factor.
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The at least one index of D6D activity may be determined using any method known in the art including, but not limited to the methods described herein above in connection with the determination of the level of D6D activity using an in vivo assay at step 204, as well as the methods described herein below in the Examples. In one aspect, the first value of the at least one index of D6D activity may be determined by obtaining the appropriate measurements from the mammal prior to the administration of the candidate compound. In another aspect, the first value of the at least one index of D6D activity may be determined by retrieving a predetermined threshold value of the index of D6D activity in the absence of the candidate compound. This predetermined threshold value may be obtained by determining one or more baseline values of the index of D6D activity in the absence of the candidate compound using any one or more known methods including, but not limited to: obtaining published baseline levels of D6D reported for similar in vitro or in vivo assays in the scientific literature, and measuring of one or more indices of D6D activity using comparable mammals prior to the use of the method 200 and storing one or more baseline values.
Referring back to
In one aspect, step 214 may be performed a single time using a single second value obtained at a selected time after the initial administration of the candidate compound at step 208. This aspect may correspond to a single administration of the candidate compound, or alternatively may correspond to the maintenance of a predetermined concentration of the candidate compound in the mammal over an extended period of time. In another aspect, additional values of the at least one index of D6D activity may be obtained by repeating step 212 at predetermined intervals after the initial performance of step 212. These additional values at least one index of D6D activity may be compared repeatedly at step 214 to obtain a time profile of the effect of the candidate compound on D6D activity.
Transgenic Mammals Overexpressinq D6DIn various other aspects, the disclosure provides a transgenic knock-in mammal characterized by the overexpression of delta-6 desaturase (D6D). In one aspect, the genetically modified genome includes at least one additional endogenous gene encoding a D6D. The transgenic mammal may be any mammal including, but not limited to mice, rats, rabbits, pigs, dogs, cats, monkeys, sheep, cows, and horses. In one aspect, the transgenic mammal may be a rodent including, but not limited to a mouse or a rat.
In an aspect, the at least one additional endogenous gene encoding a delta-6 desaturase is fads2. To produce the transgenic knock-in mammal, the full length fads2 gene may be cloned into a mammalian expression vector that also includes an expression cassette. A purified fragment containing one or more restriction enzymes and the expression cassette may be transfected into a pronuclei of a fertilized mammal to generate the transgenic knock-in animal.
By way of non-limiting example, a full-length mouse Fads2 cDNA sequence may be cloned into the EcoRV and Notl site of the pcDNA-3.1(+) mammalian expression vector, thereby situating the Fads2 downstream of a CMV promoter and upstream of a polyadenylation sequence and a neomycin resistant gene. A purified Nrul/Bst1107l fragment containing the CMV-Fads2 expression cassette may be microinjected into the pronuclei of fertilized FVB/N mice to generate the transgenic knock-in mice overexpressing D6D.
In an aspect, the genotype of the transgenic knock-in mammal may be confirmed by comparing the genotype of the candidate transgenic mammal to a corresponding genotype of a non-transgenic wild-type mammal. Any known method of assessing the genotype of the mammals may be used including, but not limited to Southern blot and PCR amplification of genomic DNA. In another aspect, the phenotype of the transgenic knock-in mammal may be compared to the corresponding phenotype of the corresponding wild-type mammal to further confirm the transgenic traits of the transgenic knock-in mammal. The phenotype of the transgenic and wild-type mammals may be compared by measuring any one or more of the indices of D6D activity discussed previously herein including, but not limited to: blood or serum glucose level, glucose tolerance, blood or serum insulin level, insulin resistance, arachidonic acid/linoleic acid (AA/LA ratio), level of at least one proinflammatory eicosanoid; liver macrophage content, and insulin receptor inactivation (IRS-1 phosphorylation).
In another aspect, the founder (F1) generation of transgenic knock-in mammals produced using the procedures described previously may be cross-bred with a corresponding wild-type mammal to assess germline transmission according to standardized procedures well-known in the art. The resulting F2 generation may be back-crossed with the parent F1 generation to assess the consistency and stability of the D6D overexpression trait. Successive generations may be backcrossed and similarly assessed.
In various aspects, the transgenic knock-in mammal is characterized by a number of consistent alterations of phenotypic traits relative to a corresponding wild-type mammal including, but not limited to: increased fasting blood glucose levels; impaired glucose tolerance; increased hepatic AA/LA levels; eicosanoids and PC/PE levels; increased body weight; and hyperlipidemia. AS such, the transgenic knock-in mammal may be used as an animal model for studying a cardiometabolic disease or disorder in a mammal.
In various aspects, an animal model for studying a cardiometabolic disease or disorder in a mammal is provided. In one aspect, the animal model includes a mammal having a heterozygous promotion of at least one endogenous gene encoding a delta-6 desaturase. In another aspect, the endogenous gene encoding a delta-6 desaturase may be fads2. The animal model may be any mammal including, but not limited to mice, rats, rabbits, pigs, dogs, cats, monkeys, sheep, cows, and horses. In one aspect, the animal model may be a rodent including, but not limited to a mouse or a rat. Non-limiting examples of cardiometabolic diseases or disorders suitable for study using the animal model include hyperglycemia, type 2 diabetes, metabolic syndrome, hyperlipidemia and oxidative stress.
In one aspect, the animal model may be used to examine the phenotypic consequences resulting from heterozygous promotion of at least one endogenous gene encoding D6D. In another aspect, the animal model may be used to examine the phenotypic consequences of disrupting D6D activity in a mammal chronically exposed to elevated levels of D6D activity. Since D6D is thought to be involved in a variety of biological, medical or physiological processes or phenomena, including, but not limited to, hyperglycemia, type 2 diabetes, metabolic syndrome, hyperlipidemia and oxidative stress, the animal model having heterozygous promotion of at least one endogenous gene encoding D6D may be useful for studying mechanisms and/or etiology of these processes or phenomena. In an additional aspect, the animal model having heterozygous promotion of at least one endogenous gene encoding D6D will be useful as a mammalian in vivo screening model for studying these and other processes/phenomena.
In another aspect, the animal model may be sufficiently similar to humans in terms of anatomy, physiology, or response to variations in diet, activity, and/or other environmental conditions, as well as response to one or more D6D inhibitory compounds to be used in medical research investigating a physiological or pathological mechanism. In one aspect, the animal model may be an exploratory model, aiming to understand a biological mechanism. In a second aspect, the animal model may be a predictive model in which the animal model is used with the aim of discovering and quantifying the impact of a treatment.
Method of Treating Cardiometabolic Disease Using D6D Inhibiting CompoundsIn various aspects, the disclosure provides a method for treating a cardiometabolic disease or disorder. In one aspect, the method includes administering to a subject in need thereof a therapeutically effective amount of an inhibitor of delta-6 desaturase (D6D). In one aspect, the cardiometabolic disease or disorder may be chosen from: insulin resistance, hyperglycemia, type 2 diabetes, metabolic syndrome, hyperlipidemia and oxidative stress. The therapeutically effective amount, as used herein, refers to the dose required to treat a condition or disease including, but not limited to, a cardiometabolic disease or disorder.
In one aspect, the inhibitor of delta-6 desaturase (D6D) may be SC-26196 or a derivative thereof.
At present, SC-26196 is the only known selective D6D inhibitor with oral activity. While we have demonstrated remarkably beneficial effects of this compound in animal models of CMD, as described herein below in the Examples, at least 2 factors may limit the potential therapeutic utility of SC-26196 in humans. In addition, a possible off-target effect of SC-26196 may impact this compound's selectivity and utility as a means of investigating the role of D6D in CMD models.
Initial characterization of SC-26196 showed an IC50 of 0.2 μM in vitro and about 65% inhibition of D6D enzymatic activity in vivo at a dose of 100 mg/kg b.i.d., i.g. over a 24 hr period. Chronic administration at 100 mpk/d (mixed in mouse chow) for 4 weeks subsequently reduced tissue AA/LA ratios in mice, and imparted protective effects in a model of acute inflammation. Lower doses (50 and 75 mpk/d, for 4 wks) may be ineffective at reversing the stereotypical elevations of tissue AA/LA associated with acute inflammation, and may further be unable to elicit the same improvements on disease outcomes associated the 100 mpk/d dose. Therefore, potency may be a significant limitation to the use of SC-26196 in humans. Peak plasma levels following 100 mpk ig dosing was 2 μM with a half-life of 1.2 hours and about 60% bioavailability based on AUC calculations, however it is unclear if bioavailability may be further enhanced by modification of its structure.
In addition to the dramatic D6D inhibitory effects, administration of SC-26196 at 100 mpk/d for 4 wks consistently resulted in significant hepatomegaly in all animal models tested. It is unclear whether this toxicity is a result of its metabolism, an inhibitory effect on CYP450 enzymes, or other direct effects on liver physiology. However, there is some evidence to suggest that SC-26196 may act on another microsomal liver enzyme that could explain its hepatotoxicity.
Potential off-target effects on microsomal triglyceride transfer protein (MTP) may also be a concern. MTP is a liver enzyme that transfers triglycerides to apoB100, thereby playing critical role in hepatic VLDL synthesis and release. MTP inhibitors (MTPIs) represent a novel class of potent anti-hyperlipidemic agents through their inhibitory effect on hepatic VLDL synthesis/release, but their clinical utility is limited by hepatosteatosis (fatty liver) resulting from an accumulation of triglycerides and immature VLDL particles in liver. Given the potent hypolipidemic effects of SC-26196 in LDLR−/− mice and its hepatotoxicity, the possibility that SC-26196 might exhibit MTP inhibiting properties was examined. SC-26196 inhibited MTP activity in purified bovine MTP and rat liver microsomal extracts at a 100 mpk dosing in vivo, albeit with relatively weak potency. This weak inhibition of MTP may explain the heptatotoxicity of SC-26196 that limits its potential as a therapeutic agent in humans. A SC-26196 derivative may be developed that could represent an orally active D6D inhibitor without this off-target effect.
EXAMPLESThe following examples are included to demonstrate preferred embodiments of the invention. It should be appreciated by those of skill in the art that the techniques disclosed in the examples that follow represent techniques discovered by the inventors to function well in the practice of the invention, and thus can be considered to constitute preferred modes for its practice. However, those of skill in the art should, in light of the present disclosure, appreciate that many changes can be made in the specific embodiments which are disclosed and still obtain a like or similar result without departing from the spirit and scope of the invention.
Example 1 Inhibition of D6D Ameliorates Cardiometabolic Disease in MiceTo assess the effects of D6D inhibition on structures and processes related to cardiometabolic diseases and disorders, the following experiments were conducted. Animal studies have reported evidence of increased D6D activity in rodent models of CMD (e.g., increase in AA/LA in tissue phospholipids), making them reasonable models for studying the role of D6D in its pathogenesis. To probe the effect of D6D directly, the compound SC-26196, a selective D6D inhibitor was orally administered by admixing the SC-26196 in the food mixtures of the rodent models of CMD at a dosage of about 100 mg/kg/day for four weeks. The rodent models of CMD used in these experiments included a murine model of hyperphagic obesity (leptin-deficient ob mice) and a diet-induced insulin resistance model (normal C57Bl/6 mice fed a high-fat “Western” diet) for 8 weeks prior to participation in any experiments.
Initially, the effects of D6D inhibition in conjunction with a normal diet were assessed. 4 mo old ob/ob mice were administered the selective D6D inhibitor SC-26196 (100 mg/kg/d mixed in chow) for 4 weeks (ob/ob+D6D-; n=12). The ob mice treated with SC-26196 for four weeks (ob+SC) were compared to untreated ob mice (ob) and normal C57Bl/6 mice (Bl/6).
D6D inhibition did not ablate tissues of long-chain PUFAs, but instead decreased the long-chain PUFAs to control levels, suggesting the existence of redundant mechanism for maintaining basal levels of LC-PUFAs for essential biological functions. There are important physiological functions of LC-PUFA (including AA) that can presumably remain intact despite pharmacological D6D inhibition.
To assess the interaction of a high-fat Western diet with the effects of D6D inhibition, the following experiment was conducted. The ob mice and the Bl/6 mice were maintained on a high fat/sucrose Western diet and part of each group was treated with SC-26196 in a similar manner as described above. The treated and untreated ob and Bl/6 mice were compared.
Mice lacking LDL receptors (LDLR−/−) were similarly maintained on a high fat/sucrose Western diet and treated with SC-26196 in a similar manner as described above. As summarized in
The results of this experiment demonstrated that D6D inhibition reversed elevations in D6D activity indices (e.g., AA/LA ratio) in serum, liver, heart and muscle in these models, and also normalized glucose tolerance and serum levels of several COX and LOX-derived proinflammatory eicosanoids; attenuated hepatic inflammation (macrophage content) and insulin receptor inactivation (IRS-1 phosphorylation); and reduced evidence of tissue lipoxidative stress.
Example 2 Generation of Fads2 Transgenic MiceTo develop and characterize a transgenic mouse with global over-expression of the D6D gene, Fads2, the following experiments were conducted.
A full length mouse Fads2 cDNA sequence (1.6 kb) was cloned into the EcoRV and Notl site of the pcDNA-3.1(+) mammalian expression vector as illustrated schematically in
Transgenic positive founder mice were identified by Southern blot and PCR amplification of genomic DNA isolated from the tail. An image of a representative Southern blot comparing wild type (WT), transgenic (TG), and a negative control (NEG) is provided in
Independent founders were used to establish CMV-Fads2 transgenic mouse lines that were tested for Fads2 expression levels in the heart, liver and other tissues of interest. At approximately 6 weeks of age, transgenic positive (TG) mice were mated to wild-type mice to assess germline transmission according to standard procedures, and the offspring were crossbred for at least six generations.
The results of this experiment demonstrated the development of a Fads2 transgenic mouse with stable and consistent phenotypic properties across at least five or more generations.
Example 3 Overexpression of D6D Increases Fasting Glucose and Impairs Glucose ToleranceTo assess the consequences of D6D overexpression in processes and structures related to cardiometabolic disease and disorders, the following experiments were conducted. A line of mice with transgenic overexpression of the D6D gene (fads2) were developed using the methods summarized in Example 2
Phenotyping studies of the first-fifth generation of fads2-TG mice at 3-4 months of age were performed to characterize a number of structures related to cardiometabolic disease and disorders that may be related to D6D hyperactivity. Corresponding measurements were performed on wild-type (WT) littermates to assess differential effects due to D6D overexpression. As summarized in
PC/PE levels (
Compositional analysis of individual phospholipid classes in the heart revealed a pattern of PUFA redistribution generally consistent with expectations.
The results of this experiment demonstrated that D6D overexpression in the fads2 transgenic mice result in comparable phenotypic characteristics to other animal models of cardiometabolic disorders.
Claims
1. A transgenic knock-in mammal characterized by overexpression of D6D, wherein the transgenic mammal comprises a genetically modified genome comprising at least one additional endogenous gene encoding a delta-6 desaturase.
2. The transgenic mammal of claim 1, wherein the endogenous gene encoding the delta-6 desaturase is fads2.
3. The transgenic mammal of claim 1, wherein the transgenic mammal is a rodent.
4. The transgenic mammal of claim 1, wherein the transgenic mammal is a mouse.
5. The transgenic mammal of claim 1, wherein the transgenic mammal is a rat.
6. An animal model for studying a cardiometabolic disease or disorder in a mammal, the animal model comprising a mammal having a heterozygous promotion of at least one endogenous gene encoding a delta-6 desaturase.
7. The animal model of claim 6, wherein the endogenous gene encoding the delta-6 desaturase is fads2.
8. The animal model of claim 7, wherein the animal model is a rodent.
9. The animal model of claim 7, wherein the animal mod& is a mouse.
10. The animal model of claim 7, wherein the animal model is a rat.
11. The animal model of claim 7, wherein the cardiometabolic disease or disorder is selected from hyperglycemia, type 2 diabetes, metabolic syndrome, hyperlipidemia and oxidative stress.
Type: Application
Filed: Jan 8, 2015
Publication Date: Jul 2, 2015
Inventor: Adam J. Chicco (Fort Collins, CO)
Application Number: 14/592,131