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Wo 2007/030697 A2 (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (43) International Publication Date (10) International Publication Number 15 March 2007 (15.03.2007) PCT WO 2007/030697 A2 (51) International Patent Classification: (US). PIRES, Jammieson, C. [US/US]; 5942 Alleghany A61K 31/16 (2006.01) A61K 38/15 (2006.01) Street, San Diego, CA 92139 (US). MORSE, Andrew A61K 31/4406 (2006.01) A61K 31/19 (2006.01) [US/US]; 10542 Rancho Carmel Drive, San Diego, CA (21) International Application Number: 92128 (US). GITNICK, Dana [CA/US]; 1524 Via Risa, PCT/US2006/034996 San Marcos, CA 92078 (US). TREUNER, Kai [DE/US]; 7665 Palmilla Drive, #5204, San Diego, CA 92122 (US). (22) International Filing Date: DEARIE, Alejandro, R. [US/US]; 555 Naples St., Apt. 7 September 2006 (07.09.2006) #307, Chula Vista, CA 9191 1 (US). (25) Filing Language: English (74) Agents: LAU, Kawai et al.; Townsend and Townsend and (26) Publication Language: English Crew LLP, 12730 High Bluff Drive, Suite 400, San Diego, (30) Priority Data: CA 92130 (US). 60/715,219 7 September 2005 (07.09.2005) US (81) Designated States (unless otherwise indicated, for every 60/764,963 3 February 2006 (03.02.2006) US kind of national protection available): AE, AG, AL, AM, 60/785,713 24 March 2006 (24.03.2006) US AT, AU, AZ, BA, BB, BG, BR, BW, BY, BZ, CA, CH, CN, (71) Applicant (for all designated States except US): BRAIN- CO, CR, CU, CZ, DE, DK, DM, DZ, EC, EE, EG, ES, FI, CELLS, INC. [US/US]; 10835 Road to the Cure, Suite GB, GD, GE, GH, GM, HN, HR, HU, ID, IL, IN, IS, JP, 150, San Diego, CA 92121 (US). KE, KG, KM, KN, KP, KR, KZ, LA, LC, LK, LR, LS, LT, LU, LV,LY,MA, MD, MG, MK, MN, MW, MX, MY, MZ, (72) Inventors; and NA, NG, NI, NO, NZ, OM, PG, PH, PL, PT, RO, RS, RU, (75) Inventors/Applicants (for US only): BARLOW, Car- SC, SD, SE, SG, SK, SL, SM, SV, SY, TJ, TM, TN, TR, rolee [US/US]; 510 Torrey Pointroad, Del Mar, CA 92014 TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW (US). CARTER, Todd, A. [US/US]; 10663 Mathieson St., San Diego, CA 92129 (US). LORRAIN, Kym, I. (84) Designated States (unless otherwise indicated, for every [US/US]; 5715 Menorca Drive, San Diego, CA 92124 kind of regional protection available): ARIPO (BW, GH, [Continued on next page] (54) Title: MODULATION OF NEUROGENESIS BY HDAC INHIBITION Neuronal Differentiation (TUJ1) Log Cone (M) (57) Abstract: The instant disclosure describes methods for treating diseases and conditions of the central and peripheral nervous system by stimulating or increasing neurogenesis. The disclosure includes compositions and methods based on an HDac inhibitory agent alone or in combination with another neurogenic agent to stimulate or activate the formation of new nerve cells. GM, KE, LS, MW, MZ, NA, SD, SL, SZ, TZ, UG, ZM, Published: ZW), Eurasian (AM, AZ, BY, KG, KZ, MD, RU, TJ, TM), — without international search report and to be republished European (AT,BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, upon receipt of that report FR, GB, GR, HU, IE, IS, IT, LT,LU, LV,MC, NL, PL, PT, For two _[etter c o des and other abbreviations, refer to the "Guid- RO, SE, SI, SK, TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, ance Notes o n Codes and Abbreviations "appearing at the begin- GN, GQ, GW, ML, MR, NE, SN, TD, TG). ning ofeach regular issue ofthe P C τ Gazette MODULATION OF NEUROGENESIS BY HDac INHIBITION CROSS-REFERENCES TO RELATED APPLICATIONS This application claims benefit of priority under 35 U.S.C. § 119(e) from U.S. Provisional Patent Applications 60/715,219, filed September 7, 2005; 60/764,963, filed February 3, 2006; 60/785,713, filed March 24, 2006; all three of which are hereby incorporated by reference as if fully set forth. FIELD OF THE DISCLOSURE The instant disclosure relates to methods for treating diseases and conditions of the central and peripheral nervous system by stimulating or increasing neurogenesis via inhibition of histone deacetylase (HDac) activity, including via inhibition of the activity in combination with another neurogenic agent. The disclosure includes methods based on the application of a neurogenesis modulating agent having inhibitory activity against HDac activity to stimulate or activate the formation of new nerve cells. BACKGROUND OF THE DISCLOSURE Neurogenesis is a vital process in the brains of animals and humans, whereby new nerve cells are continuously generated throughout the life span of the organism. The newly born cells are able to differentiate into functional cells of the central nervous system and integrate into existing neural circuits in the brain. Neurogenesis is known to persist throughout adulthood in two regions of the mammalian brain: the subventricular zone (SVZ) of the lateral ventricles and the dentate gyrus of the hippocampus. In these regions, multipotent neural progenitor cells (NPCs) continue to divide and give rise to new functional neurons and glial cells (for review Gage 2000). It has been shown that a variety of factors can stimulate adult hippocampal neurogenesis, e.g., adrenalectomy, voluntary exercise, enriched environment, hippocampus dependent learning and anti-depressants (Yehuda 1989, van Praag 1999, Brown J 2003, Gould 1999, Malberg 2000, Santarelli 2003). Other factors, such as adrenal hormones, stress, age and drugs of abuse negatively influence neurogenesis (Cameron 1994, McEwen 1999, Kuhn 1996, Eisch 2004). In eukaryotic cells, nuclear DNA wraps around a protein core consisting of histones H2A, H2B, H3, and H4 to form chromatin, with basic amino acids of the histones interacting with negatively charged phosphate groups of the DNA. Approximately 146 base pairs of DNA wrap around a histone core to make up a nucleosome particle, the repeating structural motif of chromatin. Histories are subject to posttranslational acetylation of the α,ε-amino groups of N-terminal lysine residues. The acetylation reaction is catalyzed by enzymes termed histone acetyl transferase (HATs). Acetylation neutralizes the positive charge of the lysine side chain, and is thought to impact chromatin structure in a manner that facilitates transcription (e.g., by allowing transcription factors increased access to DNA). A family of enzymes termed histone deacetylases (HDacs) has been reported to reverse histone acetylation. Eight members of the HDac family, termed HDacl- HDacS, have been reported and proposed as two distinct classes: class I, comprising HDacs 1, 2, 3 and 8, and class II, comprising HDacs 4, 5, 6 and 7. In vivo, the acetylation state of chromatin is thought to be maintained by a dynamic balance between the activities of HATs and HDacs. Some small molecules have been reported as having HDac inhibitory activity (HDac inhibitors). HDac inhibitors are thought to shift the HDac/HAT balance towards HAT activity, causing an accumulation of acetylated histones. HDac inhibitors have been reported as associated with a diverse range of biological effects, including the induction of cell cycle arrest, terminal differentiation, and apoptosis. HDac inhibitors have also been shown to inhibit tumor formation in animal models, and a number of compounds are currently in Phase I and Phase II clinical trials as potential therapeutics for a variety of cancers. However, to date, the role of HDac inhibitors in the central and peripheral nervous systems has not been fully elucidated. Citation of the above documents is not intended as an admission that any of the foregoing is pertinent prior art. All statements as to the date or representation as to the contents of these documents is based on the information available to the applicant and does not constitute any admission as to the correctness of the dates or contents of these documents. BRIEF SUMMARY OF THE DISCLOSURE Disclosed herein are compositions and methods for the prophylaxis and treatment of diseases, conditions and injuries of the central and peripheral nervous systems by stimulating or increasing neurogenesis. Aspects of the methods, and activities of the compositions, include increasing or potentiating neurogenesis in cases of a disease, disorder, or condition of the nervous system. Embodiments of the disclosure include methods of treating a neurodegenerative disorder, neurological trauma including brain or central nervous system trauma and/or recovery therefrom, depression, anxiety, psychosis, learning and memory disorders, and ischemia of the central and/or peripheral nervous systems. In other embodiments, the disclosed methods are used to improve cognitive outcomes and treat epilepsy. In one aspect, methods of modulating, such as by stimulating or increasing, neurogenesis are disclosed. The neurogenesis may be at the level of a cell or tissue. The cell or tissue may be present in an animal subject or a human being, or alternatively be in an in vitro or ex vivo setting. In some embodiments, neurogenesis is stimulated or increased in a neural cell or tissue, such as that of the central or peripheral nervous system of an animal or human being. In other embodiments, neurogenesis may be potentiated in a neural cell or tissue. In cases of an animal or human, the methods may be practiced in connection with one or more disease, disorder, or condition of the nervous system as present in the animal or human subject. Thus, embodiments disclosed herein include methods of treating a disease, disorder, or condition by administering at least one neurogenesis modulating agent having inhibitory activity against histone deacetylase (HDac) activity. The agent is hereinafter referred to as a "neurogenic HDac inhibitor" or a "neuromodulating HDac inhibitor" or an "HDac inhibitory agent." While an HDac inhibitory agent may be considered a "direct" agent in that it has direct activity against an HDac by interactions therewith, the disclosure includes an HDac inhibitory agent that may be considered an "indirect" agent in that it does not directly interact with an HDac.
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