Compounds with the biological activity of vasoactive intestinal peptide for the treatment of pulmonary and arteriolar hypertension
The present invention relates to peptides which are highly biologically and pharmacologically active as therapeutic drug for the treatment of diseases related to hypertension, especially in medical interventions involving dilatation and remodeling of arterial blood vessels, either in the pulmonary or in the systemic circulation. The peptides which can be used according to the invention for the treatment of said diseases comprise at least one specific highly conservative amino acid residue sequence which seem to play an important role in connection with pulmonary and arteriolar hypertension events. It could be shown that the known naturally occurring peptides “vasoactive intestinal peptide (VIP)” and “pituitary adenylate cyclase-activating polypeptide (PACAP)”, having these specific sequences are potent drugs which can be successfully used for treatment of primary pulmonary hypertension (PPH), secondary pulmonary hypertension (SPH), and hypertension of the systemic circulation. Furthermore, the present invention discloses pharmaceutical compositions useful for treatment of PPH, SPH, and hypertension of the systemic circulation within said methods.
1. A method for treating primary pulmonary hypertension comprising administering to a human patient a polypeptide comprising the following amino acid sequence:
Arg-Lys-Gln-Met-Ala-Val-Lsy-Lys-Tyr-Leu (SEQ ID NO: 4)
by inhalation.
2. The method according to claim 1 , wherein said polypeptide further comprises at least one of the following amino acid sequences:
His-Ser-Asp (SEQ ID NO: 14); Phe-Thr-Asp (SEQ ID NO: 13).
3. The method according to claim 1 , wherein said polypeptide has the following amino acid sequence:
(A) n -Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-(B) m ((A) n -SEQ ID NO: 4-(B) m ) wherein
(A) n and (B) m , represent any sequence of naturally occurring amino acid residues, and (A) n and (B) m vary independently from each other; and
n and m are integers having values from 0-25, and n and m vary independently from each other.
4. The method according to claim 3 , wherein, if n>2, (A) n has the following sequence:
(X) o -Phe-Thr-Asp-(Y) p ((X) o -SEQ ID NO: 13-(Y) p ) wherein
(X) o and (Y) p represent any sequence of naturally occurring amino acid residues, and
(X) o and (Y) p vary independently from each other; and o and p are integers having values from 0-11, and o and p vary independently from each other.
5. The method according to claim 4 , wherein, if o>2, (X) o has the following sequence:
(X′) q -His-Ser-Asp-(X″) r ((X′) q -SEQ ID NO: 14-(X″) r ) wherein (X′) q and -(X″) r represent any sequence of naturally occurring amino acid residues, and (X′) q and -(X″) r vary independently from each other;
and r and q are integers having values from 0-4, and r and q vary independently from each other.
6. The method according to claim 4 , wherein the sequence of said polypeptide is selected from the following group:
(i) Phe-Thr-Asp X 1 -X 2 -X 3 -X 4 -X 5 -Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-Asn-Ser-Ile-Leu-Asn (SEQ ID NO: 5);
(ii) Phe-Thr-Asp-Asn-Tyr-Thr-Arg-Leu-Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-Asn-Ser-Ile-Leu-Asn (SEQ ID NO: 6);
(iii) Phe-Thr-Asp-Ser-Tyr-Ser-Arg-Tyr-Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu (SEQ ID NO: 7)
(iv) His-Ser-Asp-X 1 -X 2 -Phe-Thr-Asp-X 3 -X 4 -X 5 -X 6 -X 7 -Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu (SEQ ID NO: 8);
(v) His-Ser-Asp-Ala-Val-Phe-Thr-Asp-Asn-Tyr-Thr-Arg-Leu-Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu (SEQ ID NO: 9);
(vi) His-Ser-Asp-Gly-Ile-Phe-Thr-Asp-Ser-Tyr-Ser-Arg-Tyr-Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu (SEQ ID NO: 10);
(vii) His-Ser-Asp-X 1 -X 2 -Phe-Thr-Asp-X 3 -X 4 -X 5 -X 6 -X 7 -Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-X 8 -X 9 -X 10 -X 11 -X 12 (SEQ ID NO: 11);
(viii) His-Ser-Asp-X 1 -X 2 -Phe-Thr-Asp X 3 -X 4 -X 5 -X 6 -X 7 -Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-X 8 -X 9 -X 10 -X 11 -X 12 -X 13 -X 14 -X 15 -X 16 -X 17 -X 18 -X 19 -X 20 -X 21 -X 22 (SEQ ID NO: 12);
(ix) His-Ser-Asp-Ala-Val-Phe-Thr-Asp-Asn-Tyr-Thr-Arg-Leu-Arg-Lys-Gln-Met-Ala-Val-Lys-Lys-Tyr-Leu-Asn-Ser-Ile-Leu-Asn (VIP) (SEQ ID NO: 1);
wherein X 1 -X 22 is any naturally occurring amino acid residue.
7. The method according to claim 1 , wherein said polypeptide is in a stabilized form.
8. The method according to claim 1 , wherein said polypeptide reduces vessel tone of human pulmonary arterial rings.
9. The method according to claim 1 , wherein said polypeptide reduces the intracellular free calcium concentration in human vascular smooth muscle cells (VSMC).
10. The method according to claim 1 , wherein said polypeptide wherein said polypeptide reduces proliferation of vascular smooth muscle cells (VSMC) of human pulmonary arterial vessels.
11. The method according to claim 1 , wherein said disease is right heart failure caused by primary pulmonary hypertension.
12. The method according to claim 1 , wherein pulmonary arterial pressure is reduced to more than 20% after administration of said polypeptide.
13. The method of claim 1 , wherein diastolic blood pressure associated with primary pulmonary hypertension is reduced to 5-25% and systolic blood pressure associated with primary pulmonary hypertension is reduced to 10-30% after administration of said polypeptide.
14. The method according to claim 7 , wherein said polypeptide reduces vessel tone of human pulmonary arterial rings.
15. The method according to claim 7 , wherein said polypeptide reduces proliferation of vascular smooth muscle cells (VSMC) of human pulmonary arterial vessels.
16. The method according to claim 7 , wherein the disease or a disorder is right heart failure caused by primary pulmonary hypertension.
17. The method according to claim 7 , wherein pulmonary arterial pressure is reduced to more than 20% after administration of said polypeptide.
18. The method of claim 7 , wherein the disease or a disorder correlated directly or indirectly with hypertension symptoms in human lung and/or heart tissue is arteriolar hypertension associated with primary pulmonary hypertension, wherein diastolic blood pressure associated with primary pulmonary hypertension is reduced to 5-25% and systolic blood pressure is reduced to 10-30% after administration of said polypeptide.