Composition and uses of galectin antagonists
The present invention is directed to methods and compositions for augmenting treatment of cancers and other proliferative disorders. In particular embodiments, the invention combines the administration of an agent that inhibits the anti-apoptotic activity of galectin-3 (e.g., a “galectin-3 inhibitor”) so as to potentiate the toxicity of a chemotherapeutic agent. In certain preferred embodiments, the conjoint therapies of the present invention can be used to improve the efficacy of those chemotherapeutic agents whose cytotoxicity is influenced by the status of an anti-apoptotic Bcl-2 protein for the treated cell. For instance, galectin-3 inhibitors can be administered in combination with a chemotherapeutic agent that interferes with DNA replication fidelity or cell-cycle progression of cells undergoing unwanted proliferation.
1 . A method for reducing the rate of growth of a tumor cell and a cell undergoing unwanted proliferation in a patient, wherein said method comprises administering to the patient a therapeutic regimen comprising:
(i) a chemotherapeutic agent whose cytotoxicity is influenced by the status of an anti-apoptotic Bcl-2 protein for said cell; and
(ii) an agent that inhibits galectin-3 activity (“galectin-3 inhibitor”) in an amount sufficient to reduce the levels of one or more G1/S cyclins in said cell.
2 . A method for reducing the rate of growth of a tumor cell and a cell undergoing unwanted proliferation which expresses galectin-3 in a patient comprising,
(i) obtaining a sample of said cell from a patient;
(ii) ascertaining the galectin-3 status of the cell sample; and
(iii) for a patient having a cell sample that expresses galectin-3, administering a therapeutic regimen including a galectin-3 inhibitor in an amount sufficient to reduce the levels of one or more G1/S cyclins in said cell.
3 . A method for enhancing the pro-apoptotic effect of a chemotherapeutic agent that interferes with DNA replication fidelity or cell-cycle progression of a tumor cell or a cell undergoing unwanted proliferation in a patient, said method comprising therapeutic regimen including conjointly administering to said patient said chemotherapeutic agent and a galectin-3 inhibitor in an amount sufficient to reduce the levels of one or more G1/S cyclins in the cells.
4 . The method of claim 1 , wherein the therapeutic regimen includes a chemotherapeutic agent that is influenced by the Bcl-2 or Bcl-xL status of the tumor cell for cytotoxicity.
5 . The method of claim 1 , wherein said galectin-3 inhibitor inhibits signal transduction by galectin-3 binds to galectin-3 with a Kd of 10 −6 M or less.
6 . The method of claim 5 , wherein said galectin-3 inhibitor is a carbohydrate.
7 - 9 . (canceled)
10 . The method of claim 1 , wherein said galectin-3 inhibitor inhibits interaction of galectin-3 with Bcl-2.
11 - 15 . (canceled)
16 . The method of claim 1 , wherein the chemotherapeutic agent induces mitochondrial dysfunction and/or caspase activation.
17 . The method of claim 1 , wherein the chemotherapeutic agent induces cell cycle arrest at G2/M in the absence of said galectin-3 inhibitor.
18 . The method of claim 1 , wherein said chemotherapeutic agent is an inhibitor of chromatin function.
19 . The method of claim 18 , wherein said chemotherapeutic agent is a DNA topoisomerase inhibitor.
20 . The method of claim 19 , wherein said DNA topoisomerase inhibitor is selected from adriamycin, amsacrine, camptothecin, daunorubicin, dactinomycin, doxorubicin, eniposide, epirubicin, etoposide, idarubicin, irinotecan (CPT-11) and mitoxantrone.
21 . The method of claim 18 , wherein said chemotherapeutic agent is a microtubule inhibiting drug.
22 . The method of claim 21 , wherein said microtubule inhibiting drug is a taxane.
23 . The method of claim 22 , wherein said microtubule inhibiting drug is selected from paclitaxel, docetaxel, vincristin, vinblastin, nocodazole, epothilones and navelbine.
24 . The method of claim 1 , wherein said chemotherapeutic agent is a DNA damaging agent.
25 . The method of claim 24 , wherein said DNA damaging agent is selected from actinomycin, amsacrine, anthracyclines, bleomycin, busulfan, camptothecin, carboplatin, chlorambucil, cisplatin, cyclophosphamide, cytoxan, dactinomycin, daunorubicin, docetaxel, doxorubicin, epirubicin, hexamethylmelamineoxaliplatin, iphosphamide, melphalan, merchlorehtamine, mitomycin, mitoxantrone, nitrosourea, plicamycin, procarbazine, taxol, taxotere, teniposide, triethylenethiophosphoramide and etoposide (VP16).
26 . The method of claim 1 , wherein said chemotherapeutic agent is an antimetabolite.
27 . (canceled)
28 . The method of claim 1 , wherein said chemotherapeutic agent is a DNA synthesis inhibitor.
29 . (canceled)
30 . The method of claim 28 , wherein said DNA synthesis inhibitor is a dihydrofolate reductase inhibitor, such as methoxtrexate.
31 . (canceled)
32 . The method of claim 1 , wherein said chemotherapeutic agent is a DNA binding agent.
33 . (canceled)
34 . The method of claim 1 , wherein said chemotherapeutic agent is a DNA repair inhibitor.
35 . The method of claim 1 , wherein the therapeutic regimen includes at least one additional chemotherapeutic agent that affects growth of the tumor cells in an additive or synergistic manner with said galectin-3 inhibitor.
36 - 38 . (canceled)
39 . The method of claim 35 , wherein the chemotherapeutic agent is selected from aminoglutethimide, amsacrine, anastrozole, asparaginase, bcg, bicalutamide, bleomycin, buserelin, busulfan, campothecin, capecitabine, carboplatin, carmustine, chlorambucil, cisplatin, cladribine, clodronate, colchicine, cyclophosphamide, cyproterone, cytarabine, dacarbazine, dactinomycin, daunorubicin, dienestrol, diethylstilbestrol, docetaxel, doxorubicin, epirubicin, estradiol, estramustine, etoposide, exemestane, filgrastim, fludarabine, fludrocortisone, fluorouracil, fluoxymesterone, flutamide, gemcitabine, genistein, goserelin, hydroxyurea, idarubicin, ifosfamide, imatinib, interferon, irinotecan, ironotecan, letrozole, leucovorin, leuprolide, levamisole, lomustine, mechlorethamine, medroxyprogesterone, megestrol, melphalan, mercaptopurine, mesna, methotrexate, mitomycin, mitotane, mitoxantrone, nilutamide, nocodazole, octreotide, oxaliplatin, paclitaxel, pamidronate, pentostatin, plicamycin, porfimer, procarbazine, raltitrexed, rituximab, streptozocin, suramin, tamoxifen, temozolomide, teniposide, testosterone, thioguanine, thiotepa, titanocene dichloride, topotecan, trastuzumab, tretinoin, vinblastine, vincristine, vindesine, and vinorelbine
40 . The method of claim 1 , wherein said therapeutic regimen includes ionizing radiation.
41 . The method of claim 1 , used to inhibit growth of a tumor cell selected from a pancreatic tumor cell, lung tumor cell, a prostate tumor cell, a breast tumor cell, a colon tumor cell, a liver tumor cell, a brain tumor cell, a kidney tumor cell, a skin tumor cell, an ovarian tumor cell and a leukemic blood cell.
42 . The method of claim 1 , used to inhibit growth of a tumor cell selected from squamous cell carcinoma, non-squamous cell carcinoma, glioblastoma, sarcoma, adenocarcinoma, melanoma, papilloma, neuroblastoma, myeloma, lymphoma, and leukemia.
43 . The method of claim 1 , used in the treatment of a proliferative disorder selected from renal cell cancer, Kaposi's sarcoma, chronic lymphocytic leukemia, lymphoma, mesothelioma, breast cancer, sarcoma, ovarian carcinoma, rectal cancer, throat cancer, melanoma, colon cancer, bladder cancer, mastocytoma, lung cancer, liver cancer, mammary adenocarcinoma, pharyngeal squamous cell carcinoma, prostate cancer, pancreatic cancer, gastrointestinal cancer, and stomach cancer.
44 . (canceled)
45 . The method of claim 1 , wherein said galectin-3 inhibitor is a partially depolymerized pectin.
46 . The method of claim 45 , wherein said partially depolymerized pectin is a substantially demethoxylated polygalacturonic acid which is interrupted with rhamnose residues.
47 . The method of claim 45 , wherein said partially depolymerized pectin consists essentially of a homogalacturonan backbone and neutral sugar side chains having a low degree of branching dependent from the backbone.
48 . The method of claim 45 , wherein said partially depolymerized pectin comprises a pH modified pectin, an enzymatically modified pectin, and/or a thermally modified pectin.
49 . The method of claim 45 , wherein said partially depolymerized pectin comprises a modified citrus pectin.
50 - 57 . (canceled)
58 . The method of claim 1 , wherein said galectin-3 inhibitor is administered simultaneously with said therapeutic treatment.
59 . The method of claim 1 , wherein said galectin-3 inhibitor is administered before administering said therapeutic treatment.
60 . The method of claim 1 , wherein said galectin-3 inhibitor is administered after administering said therapeutic treatment.
61 - 67 . (canceled)
68 . A kit comprising (i) a chemotherapeutic agent that interferes with DNA replication fidelity or cell-cycle progression of cells undergoing unwanted proliferation, (ii) a therapeutically effective amount of a galectin-3 inhibitor; and (iii) instructions and/or a label for conjoint administration of the chemotherapeutic agent and the galectin-3 inhibitor.
69 . A packaged pharmaceutical comprising (i) a therapeutically effective amount of a galectin-3 inhibitor; and (ii) instructions and/or a label for administration of the galectin-3 inhibitor for the treatment of patients having tumors that that express galectin-3.