(12) United States Patent (10) Patent No.: US 9,393,221 B2 W (45) Date of Patent: Jul.19, 2016

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(12) United States Patent (10) Patent No.: US 9,393,221 B2 W (45) Date of Patent: Jul.19, 2016 USOO9393221B2 (12) United States Patent (10) Patent No.: US 9,393,221 B2 W (45) Date of Patent: Jul.19, 2016 (54) METHODS AND COMPOUNDS FOR FOREIGN PATENT DOCUMENTS REDUCING INTRACELLULAR LIPID STORAGE WO WO2007096,251 8, 2007 OTHER PUBLICATIONS (75) Inventor: Sean Wu, Brookline, MA (US) Onyesom and Agho, Asian J. Sci. Res., Oct. 2010, vol. 4, No. 1, p. (73) Assignee: THE GENERAL, HOSPITAL 78-83. CORPORATION, Boston, MA (US) Davis et al., Br J Clin Pharmacol., 1996, vol. 4, p. 415-421.* Schweiger et al., Am J Physiol Endocrinol Metab, 2009, vol. 279, E289-E296. (*) Notice: Subject to any disclaimer, the term of this Maryam Ahmadian et al., Desnutrin/ATGL is regulated by AMPK patent is extended or adjusted under 35 and is required for a brown adipose phenotype, Cell Metabolism, vol. U.S.C. 154(b) by 748 days. 13, pp. 739-748, 2011. Mohammadreza Bozorgmanesh et al., Diabetes prediction, lipid (21) Appl. No.: 13/552,975 accumulation product, and adiposity measures; 6-year follow-up: Tehran lipid and glucose study, Lipids in Health and Disease, vol. 9, (22) Filed: Jul.19, 2012 pp. 1-9, 2010. Judith Fischer et al., The gene encoding adipose triglyceride lipase (65) Prior Publication Data (PNPLA2) is mutated in neutral lipid storage disease with myopathy, Nature Genetics, vol.39, pp. 28-30, 2007. US 2013/OO23488A1 Jan. 24, 2013 Astrid Gruber et al., The N-terminal region of comparative gene identification-58 (CGI-58) is important for lipid droplet binding and activation of adipose triglyceride lipase, vol. 285, pp. 12289-12298, Related U.S. Application Data 2010. (60) Provisional application No. 61/509,890, filed on Jul. Ken-Ichi Hirano et al., Triglyceride deposit cardiomyovasculopathy, The New England Journal of Medicine, vol. 359, pp. 2396-2398. 20, 2011. 2008. John D. Horowitz et al., Perhexiline and hypertrophic (51) Int. Cl. cardiomyopathy: A new horizon for metabolic modulation, Circula CI2N5/00 (2006.01) tion, vol. 122, pp. 1547-1549, 2010. CI2N 5/02 (2006.01) Sally Inglis et al., Metabolic therapeutics in angina pectoris: history A6 IK3I/37 (2006.01) revisited with perhexiline, European Journal of Cardiovascular Nurs A6 IK3I/25 (2006.01) ing, vol. 5, pp. 175-184, 2006. A6 IK3I/4375 (2006.01) Kunihisa Kobayashi et al., The lack of the C-terminal domain of A6 IK3I/439 (2006.01) adipose triglyceride lipase causes neutral lipid storage disease A6 IK3I/4458 (2006.01) through impaired interactions with lipid droplets, The Journal of A 6LX3L/24709 (2006.01) Clinical Endocrinology and Metabolism, vol. 93, pp. 2877-2884, 2008. A6 IK3I/706 (2006.01) Leong Lee et al., Metabolic modulation with perhexiline in chronic C4OB 30/06 (2006.01) heart failure: A randomized, controlled trial of short-term use of a GOIN33/50 (2006.01) novel treatment, Circulation, vol. 112, pp. 3280-3288, 2005. GOIN33/92 (2006.01) Krishnakant G. Soni et al., Coatomer-dependent protein delivery to (52) U.S. Cl. lipid droplets, Journal of CellScience, vol. 122, pp. 1834-1841, 2009. CPC ............. A6 IK3I/137 (2013.01); A61 K3I/215 John R. Ussher et al., Targeting malonyl CoA inhibition of (2013.01); A61 K3I/439 (2013.01); A61 K mitochondrial fatty acid uptake acid uptake,as an approach to treat 31/4375 (2013.01); A61 K3I/4458 (2013.01); cardiac ischemia reperfusion, Basic Research in Cardiology, vol. A61 K3I/4709 (2013.01); A61 K3I/706 104, pp. 203-210, 2009. (2013.01); C40B30/06 (2013.01); G0IN 33/5061 (2013.01); G0IN33/5073 (2013.01); * cited by examiner G0IN33/92 (2013.01) Primary Examiner — Kade Ariani (58) Field of Classification Search (74) Attorney, Agent, or Firm — Nixon Peabody LLP None See application file for complete search history. (57) ABSTRACT (56) References Cited Compounds and compositions for reducing intracellular lipid accumulation in a cell are described herein. These com U.S. PATENT DOCUMENTS pounds are useful for the treatment and prevention of lipid/ glycogen disorders, as well as for the treatment and preven 7,449.482 B2 11/2008 Cheng et al. tion of obesity. A high throughput screen for identifying 7,855,289 B2 12/2010 Nunes et al. 2001/0048980 A1 12/2001 Kishimoto et al. compounds that reduce intracellular lipid accumulation in 2007/0275997 A1 11, 2007 Frenneaux cells is also provided. 2009/0324682 A1 12/2009 Popowski 2011/0048980 A1 3/2011 Seman 9 Claims, 15 Drawing Sheets U.S. Patent Jul. 19, 2016 Sheet 1 of 15 US 9,393,221 B2 #################### V,±0IJI #################### agerse SSX 38 I’01), U.S. Patent Jul. 19, 2016 Sheet 2 of 15 US 9,393,221 B2 ------------ S33: E. s E. ran as R s w as rise ces gas ca a. warra a s s se s A 383d 8 ex es e e SSX 3 2. s was e R s w w c s i SSX 3 SS U.S. Patent Jul. 19, 2016 Sheet 3 of 15 US 9,393,221 B2 (Of’91)I {{#######{}{}&&############3 U.S. Patent Jul. 19, 2016 Sheet 4 of 15 US 9,393,221 B2 }} {}}} # {} age s’ acs x 8. U.S. Patent Jul. 19, 2016 Sheet 5 Of 15 US 9,393,221 B2 U.S. Patent Jul. 19, 2016 Sheet 7 Of 15 US 9,393,221 B2 . A W H F D M S K W M S K FoxA2 festi if U.S. Patent Jul. 19, 2016 Sheet 8 of 15 US 9,393,221 B2 U.S. Patent Jul. 19, 2016 Sheet 9 Of 15 US 9,393,221 B2 FE A PC A PEEE s: - E C. S. 8 - - - A CEE A PERENE s 3. e d E} FIG. 7D U.S. Patent Jul. 19, 2016 Sheet 11 of 15 US 9,393,221 B2 ####### * )(310,0${}\\ E On Molimanae O U.S. Patent US 9,393,221 B2 42,1149 !############ U.S. Patent US 9,393,221 B2 AS f U.S. Patent US 9,393,221 B2 Per met veh) va) NON FIG SE Pik i. FIG. SF U.S. Patent Jul. 19, 2016 Sheet 15 Of 15 US 9,393,221 B2 (c.595--Ga., p.a.233esis: 62} C, i 2 ?essic-l. p.289X) ES 3 8 3 US 9,393,221 B2 1. 2 METHODS AND COMPOUNDS FOR spleen must be removed to improve cardiopulmonary func REDUCING INTRACELLULAR LIPID tion. For patients with Fabry disease, the drugs phenyloin and STORAGE carbamazepine may be prescribed to help treat pain (includ ing bone pain). CROSS-REFERENCE TO RELATED Given the lack of specific therapies for lipid/glycogen stor APPLICATIONS age diseases, there is need in the art for compositions and methods for treatment of these disorders. This application claims the benefit under 35 U.S.CS119(e) of U.S. Provisional Application No. 61/509,890, filed Jul. 20, SUMMARY 2011, which is herein incorporated by reference in its entirety. 10 Embodiments of the present invention are based, in part, on SEQUENCE LISTING the establishment of a high throughput assay for the identifi cation of compounds capable of modulating intracellular The instant application contains a Sequence Listing which lipid storage. The inventors have generated both a murine and has been submitted in ASCII format via EFS-Web and is 15 human induced pluripotent stem cell (iPSC) model system of hereby incorporated by reference in its entirety. Said ASCII neutral lipid storage disease, myopathy subtype (NLSD-M), a copy, created on Jul. 25, 2012, is named 071061 US.txt and is condition characterized by aberrant lipid accumulation in 12,530 bytes in size. cardiac and skeletal muscle that results from the loss of func FIELD OF INVENTION tional adipose triglyceride lipase (ATGL). They demonstrate that differentiated ATGL-knockout (KO) iPSCs and human The invention relates to methods, compounds and compo mutant iPSCs exhibit significantly increased lipid accumula sitions for the treatment of lipid/glycogen storage disorders tion compared to differentiated control iPSCs, and using a and obesity. high throughput platform for iPSC differentiation and small 25 molecule screening have identified compounds that reduce BACKGROUND lipid accumulation within both mouse and human NLSD-M iPSCs and extended the mean life span of ATGK knock out Metabolic disorders, such as lipid storage disease and gly mice by 30% (from 13 to 17 weeks). They have also deter cogen storage disease, can have devastating effects on mined that inhibitors of intracellular lipid storage shift cellu patients. The Lipid storage diseases represent a group of 30 lar energy metabolism from fatty acid oxidation to glycolysis. disorders in which harmful amounts of lipids accumulate in Thus, compounds selected using the high throughput Screen various cells and tissues in the body. Glycogen storage dis are useful for the treatment and prevention of a variety of ease is the result of defects in the processing of glycogen lipid/glycogen storage disorders, as well are useful for the synthesis or breakdown within cells. Individuals with lipid/ treatment of obesity. glycogen storage disorders either do not produce enough of 35 Accordingly, in one aspect, the invention provides for a one of the enzymes needed to breakdown (metabolize) lipids, method of reducing intracellular lipid accumulation in a cell or glycogen, or they produce enzymes that do not work prop comprising a contacting the cell with an effective amount of erly. Over time, this excessive storage of fats and glycogen a compound selected from Table 1. In one embodiment, the can cause permanent cellular and tissue damage, for example, compound is selected from a compound listed in Table 2. In in the heart, muscle, brain, peripheral nervous system, liver, 40 one embodiment the compound is selected from a compound spleen, and bone marrow.
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