ANTI-DIABETIC COMPOUNDS

Abstract: Compounds having the formula in which X is present or absent, and, if present, is -A-L-E-G-S-­ L-Q or -A-L-E-G-S-L-Q-K-R, and their pharmaceutically-­ acceptable salts, have insulin-like activity.

Description: This invention is directed to novel compounds having anti-diabetic activity. Each compound of this invention is available by conversion of human proinsulin or an intermediate derived from human proinsulin. Human proinsulin is recognized to exhibit anti-diabetic activity, albeit at a much lower level, relative to human insulin itself. The compounds of this invention exhibit anti-diabetic activity at a level much greater than that demonstrated by human proinsulin. According to the present invention there is provided a compound having the formula (I): in which X is present or absent, and, if present, is -A-L-E-G-S-L-Q or -A-L-E-G-S-L-Q-K-R; or a pharmaceutically-acceptable salt thereof. This invention is directed to three peptides, any of which may be in the form of its pharmaceutically acceptable salt. The peptide sequences and corresponding short-hand descriptions used herein in which the term HPI denotes human proinsulin are as follows: Included in the compounds of this invention are their pharmaceutically acceptable acid addition salts and their pharmaceutically acceptable carboxylic acid salts. The term "pharmaceutically acceptable acid addition salts" encompasses both organic and inorganic acid addition salts including, for example, those prepared from acids such as hydrochloric, sulfuric, sulfonic, tartaric, fumaric, hydrobromic, glycolic, citric, maleic, phosphoric, succinic, acetic, nitric, benzoic, ascorbic, p-toluenesulfonic, benzenesulfonic, naphthalenesulfonic, propionic, carbonic, and the like, or salts, such as, for example, ammonium bicarbonate. Preferably, the acid addition salts are those prepared from hydrochloric acid, acetic acid, or carbonic acid. Any of the above salts can be prepared by conventional methods. The term "carboxylic acid salts" includes, for example, zinc, ammonium, alkali metal salts such as sodium, potassium, and lithium, and the like. Preferred carboxylic acid salts are the zinc and sodium salts. For the sake of convenience, the amino acids of the peptides referred to herein are described by their approved single-letter shorthand designations. These designations are as follows: A Alanine R Arginine N Asparagine D Aspartic Acid C Cysteine E Glutamic Acid Q Glutamine G Glycine H Histidine I Isoleucine L Leucine K Lysine F Phenylalanine P Proline S Serine T Threonine Y Tyrosine V Valine The compounds of this invention can be prepared by routine peptide synthesis methods. Alternatively, and preferably, the compounds of this invention can be prepared from human proinsulin. Human proinsulin is available via a variety of routes, including organic synthesis, isolation from human pancreas by conventional methodology, and, more recently, recombinant DNA methodology. In broad outline, the production of proinsulin using recombinant DNA methodology involves obtaining, whether by isolation, construction, or a combination of both, a sequence of DNA coding for the amino acid sequence of human proinsulin. The DNA coding for human proinsulin then is inserted in reading phase into a suitable cloning and expression vehicle. The vehicle is used to transform a suitable microorganism after which the transformed microorganism is subjected to fermentation conditions leading to (a) the production of additional copies of the human proinsulin gene-containing vector and (b) the expression of human proinsulin or a human proinsulin precursor product. In the event the expression product is a human proinsulin precursor, it generally will comprise the human proinsulin amino acid sequence joined at its amino terminal to another protein, whether foreign or that normally expressed by the gene sequence into which the human proinsulin gene has been inserted. The human proinsulin amino acid sequence is joined to the protein fragment through a specifically cleavable site, typically methionine. This product is customarily referred to as a fused gene product. The human proinsulin amino acid sequence is cleaved from the fused gene product using cyanogen bromide after which the cysteine sulfhydryl moieties of the human proinsulin amino acid sequence are stabilized by conversion to their corresponding S-sulfonates. The resulting human proinsulin S-sulfonate is purified, and the purified human proinsulin S-sulfonate then is converted to human proinsulin by formation of the three properly located disulfide bonds, using, for example, the method of U.S. Patent No. 4,430,266. The resulting human proinsulin product then is purified using recognized methodology. The compounds of this invention can be prepared by enzymatic digestion of human proinsulin. Thus, treatment of human proinsulin with trypsin leads to the production of, among others, (65-A1 split)HPI. Treatment of the product mixture by gel filtration followed by reverse phase high performance liquid chromatography (HPLC) permits recovery of purified (65-A1 split)HPI. The (65-A1 split)HPI is used to prepare the other compounds of this invention. Thus, treatment of (65-A1 split)HPI with carboxypeptidase B yields des(64,65)HPI. Similarly, treatment of (65-A1 split)HPI with chymotrypsin yields des(57-65)HPI. As noted, the compounds of this invention have an insulin-like, anti-diabetic effect substantially greater than that recognized for human proinsulin. The compounds of this invention, due to their insulin-like activity, are useful in the treatment of diabetes. As such, they can be used in a variety of pharmaceutical compositions and formulations and can be administered by a variety of conventional routes, such as intramuscular, intravenous, subcutaneous, and intraperitoneal. In administering the compounds of this invention, the pharmaceutical forms suitable for injection include sterile aqueous solutions or dispersions and sterile powders for reconstitution into sterile injectable solutions or dispersions. Sterile injectable solutions can be prepared by incorporating the compounds of this invention in the calculated amount of the appropriate solvent along with various of the other ingredients, as desired. The following examples are provided to illustrate this invention. They are not intended to be limiting on the scope thereof. Example 1--Preparation of (65-A1 split)HPI Human proinsulin (312 mg wet wt.) was dissolved in 57 ml of 0.1 M Tris buffer (final pH 7.0), and the solution was warmed to 25°C in a water bath. Trypsin (25.1 micrograms) dissolved in 57 microliters of 0.05 M Tris-0.02 M CaCl₂ (pH 7.0) was added. The reaction was terminated after 68 minutes by lowering the pH of the solution to 2.5 by addition of acetic acid. The acidified solution (57 ml) was chromatographed on a 5 x 200 cm G50 Superfine Sephadex column at 6°C using 1 M molar acetic acid as the column solvent. A large broad peak containing unreacted HPI, (32-33 split)HPI, and (65-A1 split)HPI eluted first and was fairly well separated from a second peak containing di-Arg 31,32 human insulin. Column fractions were pooled as follows: Pool Beginning and end points of pool Protein content of pool as determined by u.v. A 1768 - 2146 ml 83.3 mg of a mixture of HPI and monosplit HPI'S B 2146 ml - 2464 ml 98.1 mg of a mixture of HPI and monosplit HPI'S C 2464 ml - 2843 ml 34 mg of di-Arg 31,32 human insulin The above pools were lyophilized. The components in the three lyophilized pools were further resolved by chromatographing the materials in three portions on a 2.5 x 60 cm C-18 HPLC column using 34% CH₃CN in 0.5% trifluoroacetic acid as the column solvent. A portion (79 mg) of Pool A dissolved in dilute HCl (final pH=2) was applied to the column and yielded two pools of interest (D and E). Pool Beginning and end points of pool Protein content of pool as determined by u.v. D 519 - 627 ml 34.4 mg of pure (32-33 split)HPI [43% of 79 mg] E 700 - 808 ml 14.7 mg of 70% pure (65-A1 split)HPI [18.5% of 79 mg] A mixture of 4 mg of Pool A and 98 mg of Pool B was dissolved in 0.01 N HCl, pH=2, applied to the column, and chromatographed to yield Pool F. Then Pool C (34 mg) was dissolved in 0.01 N HCl, applied to the column, and chromatographed to yield Pool G. Pool Beginning and end points of pool Protein content of pool as determined by u.v. F 10.7 mg of pure (32-33 split)HPI (10.5% of 102 mg applied to column) G 20.3 mg of 84% pure di-Arg 31-32 human insulin (59.7% of 34 mg applied to column) The purity of the samples was determined using analytical HPLC, polyacrylamide basic disc gel electrophoresis, and analytical Fast Protein Liquid Chromatography (FPLC). Amino acid analysis and amino acid sequencing were used to establish the identity of the compounds. (65-A1 split)HPI (11.73 mg wet weight, from Pool E) was chromatographed in five runs (approximately 2 mg load per run) on a high performance 1 x 25 cm Beckman Ultrasphere Octyl column. Isocratic elution with a solvent of approximately 27.5% CH₃CN in 0.07 M NH₄OAc, pH 7.1, was used to resolve components, and 4.34 mg of purified (65-A1 split)HPI were obtained. This solution was then lyophilized. The resulting solids were dissolved in 0.05 M NH₄HCO₃, pH 9.0, and chromatographed on a 0.9 x 30 cm G25 M Sephadex column (equilibrated in 0.05 M NH₄HCO₃, pH 9.0) to obtain 3.62 mg of pure (65-A1 split)HPI as determined by u.v. (83% of 4.34 mg). Example 2--Preparation of des(64,65)HPI A. Initial Small Preparation Crude (approximately 70% pure by HPLC) (65-A1 split)HPI (2.10 mg wet wt.) dissolved in 0.5 ml of 0.1 M Tris buffer (pH 7.5) was treated with 4. 04 micrograms of Carboxypeptidase B for 40 minutes at 25°C. The reaction was terminated by adding 1.0 ml of 7 M urea - 0.2 M acetic acid. The solution was chromatographed on a 0.9 x 40 cm G25M Sephadex column equilibrated with 2% acetic acid and then lyophilized. Solid material (1.91 mg) was purified on a 5 x 50 mm Pharmacia Mono S column equilibrated with 7 M urea - 0.1 M acetic acid. A linear salt gradient from 0.07 to 0.3 M NaCl over 30 minutes was used to elute the protein. The main peak material was recovered and stored at 4°C. B. Larger Preparation Crude (approximately 70% pure by HPLC) (65-A1 split)HPI (10.46 mg wet wt.) in 2.5 ml of 0.1 M Tris (final pH 7.1) was treated with 20.1 micrograms of Carboxypeptidase B for 40 minutes at 25°C. The reaction was terminated by acidifying to pH 3.4 with 7 M urea - 0.1 M acetic acid and 1 M HCl. The main peak solution from Part A described above was pooled with this reaction product for the following G50SF step. The resulting des(64-65)HPI was applied to a 2.5 x 125 cm G50SF Sephadex column and eluted at 6°C with 1 M acetic acid. Fractions containing des(64-65)HPI were pooled and lyophilized to obtain 8.07 mg of the desired product as determined by u.v. analysis. The solids from the G50SF Sephadex column were chromatographed on a 5 x 50 mm Pharmacia Mono S cation exchange column equilibrated with 7 M urea - 0.1 M acetic acid. A linear gradient of 0.07 to 0.3 M NaCl over 30 minutes was used to elute the protein. The main peak material was chromatographed on a 0.9 x 40 cm G25M Sephadex column equilibrated with 2% acetic acid to obtain 3.36 mg of pure des(64-65)HPI as determined by u.v. analysis. Example 3--Preparation of des(57-65)HPI. A. Initial Small Preparation. Crude (approximately 50% pure by HPLC) (65-A1 split)HPI (2.86 mg wet wt.) dissolved in 1.29 ml of 0.1 M CaCl₂ - 0.08 M Tris (final pH 7.8) was treated at 25°C with 2.56 micrograms of chymotrypsin. Aliquots containing 0.436 mg of digested protein were acidified with 7 M urea - 0.05 M HCl at 10, 20, 30, 45, and 60 minutes to terminate the reaction. The aliquots were assayed by HPLC to determine the optimum digestion time. Based upon these results, the optimum digestion time was estimated to be about 38 minutes. B. Larger Preparation. Crude (approximately 50% pure by HPLC) (65-A1 split)HPI (16.16 mg wet wt) was digested as above for 38 minutes at 25°C and then acidified to pH 3.0 with 5 M HCl. The 30, 45, and 60 minute samples from Part A were added to the mixture for the following G50SF chromatography step. The solution of the resulting crude des(57-65)HPI was chromatographed at 6°C on a 2.5 x 125 cm G50SF Sephadex column equilibrated with 1 M acetic acid. Fractions containing the des(57-65)HPI were pooled and lyophilized to obtain 5.83 mg of the desired product as determined by u.v. analysis. The solid product from the G50SF Sephadex column was chromatographed on a 5 x 50 mm Pharmacia Mono S cation exchange column equilibrated with 7 M urea - 0.1 M acetic acid. A linear gradient from 0 to 0.4 M NaCl over 30 minutes was used to elute the protein. The main peak material was chromatographed on a 0.9 x 40 cm G25M Sephadex column packed in 2% acetic acid to obtain 3.0 mg of pure des(57-65)HPI as determined by u.v. analysis. Biological Activity A. IM-9 Radioreceptor Assay IM-9 cells were grown in RPMI media containing 2m M glutamine, 25 m M HEPES, and 10% fetal bovine serum. Cells were harvested by centrifugation, washed, and resuspended in HEPES assay buffer, pH 7.6 [DeMeyts, P., Insulin and Growth Hormone Receptors in Human Cultured Lymphocytes and Peripheral Monocytes, Blecher, M., Ed., New York, Marcel Dekker, Inc, 301-330 (1976)]. Cell viability, determined by exclusion of trypan blue, was greater than 90% in each experiment. Triplicate tubes were prepared, each set containing 100 µl of assay buffer, human insulin, human proinsulin, or a compound of this invention, 200 µl ¹²⁵I-insulin (final concentration 1-2 x 10⁻¹¹ M ), and 200 µl cells (about 500,000 cells). Incubations were carried out in 1.5 ml microfuge tubes at 15°C for two hours. Concentrations of stock solutions containing insulin, proinsulin, or compound of this invention used in the binding studies were established by amino acid analysis and by their absorbance at 276 nm. The cells were resuspended during the assay every 30 minutes by inverting the tubes several times. At the end of the incubation, the tubes were centrifuged for one minute in a Beckman Microfuge, the supernatant was aspirated, the tips of the tubes containing the cell pellet were excised, and the radio-activity was measured. The results from the foregoing are provided in Table I following. IM-9 Radioreceptor Assay Compound ED₅₀ ( M ) Relative Potency Human Insulin 4.27 ± 0.3 x 10⁻¹⁰ 70 Human Proinsulin 2.97 ± 0.2 x 10⁻⁸ 1 (65-A1 split)HPI 1.93 ± 0.3 x 10⁻⁹ 15 des(64,65)HPI 2.13 ± 0.2 x 10⁻⁹ 14 des(57-65)HPI 2.05 ± 0.1 x 10⁻⁹ 15 B. Isolated Fat Cell Radioreceptor Assay Isolated fat cells were prepared by a modification [Huber, C.T., Solomon, S.S., and Duckworth, W.C., J. Clin. Invest. 65 , 461-468 (1980)] of the method described in Rodbell, M., J. Biol. Chem. 239 , 375-380 (1964). All incubations were in Krebs-Ringer-Hepes (KRH) buffer, pH 7.4, with 4% bovine serum albumin (BSA) in a total volume of 2 ml. The fat cells were incubated at 15°C for two hours with ¹²⁵I-labeled insulin (1-2 x 10⁻¹¹ M ) and, at a selected concentration, with buffer or human insulin or human proinsulin or a compound of this invention. At selected times, triplicate 300 µl aliquots were removed and added to microfuge tubes containing 100 µl dinonyl phthalate [see Gliemann, J., Osterlind, K., Vinten, J., and Gammeltoft, S., Biochem. Biophys. Acta. 286 , 1-9 (1972)]. After centrifugation for one minute in a microfuge, the tubes were cut through the oil layer, and the cell pellet was counted using a gamma counter to determine binding. Degradation of the ¹²⁵I-labeled insulin was determined by adding the buffer layer from the microfuge tube to ice-cold KRH buffer followed immediately by sufficient trichloroacetic acid to give a final concentraton of 5%. The results from the foregoing are provided in Table II following. Isolated Fat cell Radioreceptor Assay Compound ED₅₀ ( M ) Relative Potency Human Insulin 1.43 ± 0.2 x 10⁻⁹ 178 Human Proinsulin 2.55 ± 0.6 x 10⁻⁷ 1 (65-A1 split)HPI 9.91 ± 1.1 x 10⁻⁹ 26 des(64,65)HPI 1.16 ± 0.1 x 10⁻⁸ 22 des(57-65)HPI 0.94 ± 0.06 x 10⁻⁸ 27 C. Biological Activity in Isolated Rat Adipocytes Adipocytes were prepared from epididymal fat pads by a modification (Huber, supra ) of the collagenase digestion procedure of Rodbell, supra . Krebs-Ringer-HEPES (KRH) buffer, pH 7.4, containing 4% bovine serum albumin and 0.55 m M glucose was used in all isolation and incubation steps. Approximately 2 x 10⁵ adipocytes were incubated in one ml of buffer with ¹²⁵I-(A14) pork insulin and varying concentrations of unlabeled human insulin, human proinsulin, or a compound of this invention. Incubations were conducted at 15°C for 4.5 hrs. At the end of the incubation period, triplicate samples were withdrawn for determination of binding (cell-associated radioactivity) as described in Frank, B.H., Peavy, D.E., Hooker, C.S., and Duckworth, W.C., Diabetes 32 , 705-711 (1983). At the 15°C temperature of the incubation, no degradation of the tracer insulin was detectable. Samples were counted with a Tracor Analytic Model 1285 gamma scintillation spectrometer with a counting efficiency of 85%. Biological activity was assessed according to the method of Moody, A.J.. Stan, M.A., Stan, M., and Glieman, J., Horm. Metab. Res. 6 , 12-16 (1974) by monitoring the incorporation of 2-³H-glucose in total fat cell lipid. Cells were incubated with varying concentrations of cold human insulin, human proinsulin, or a compound of this invention at 37° for 1 hr, and the reaction then was terminated by the addition of 10 ml of Liquifluor (New England Nuclear). Radioactivity was determined in a Searle Isocap 300 liquid scintillation counter at an efficiency of approximately 30%. Blanks were prepared in which the scintillation fluid was added to the vials prior to the addition of cells. The average counts obtained from these vials were subtracted from those observed in all other samples. Competitive binding curves and biological activity dose-response curves were analyzed using the PREFIT and ALLFIT programs [DeLean, A., Munson, P.J., and Rodbard, D., Am. J. Physiol. 235 , E97-E102 (1978)] based on a four-parameter logistic model. These analyses indicated the concentration of insulin or proinsulin necessary to produce a half-maximal response, as well as the maximal and minimal values. All values are presented as the mean ± SEM. The results from the foregoing are provided in Table III following. Biological Activity in Isolated Rat Adipocytes Compound ED₅₀ ( M ) Relative Potency Human Insulin 5.32 ± 0.7 x 10⁻¹¹ 233 Human Proinsulin 1.24 ± 0.2 x 10⁻⁸ 1 (65-A1 split)HPI 6.56 ± 0.9 x 10⁻¹⁰ 19 des(64,65)HPI 6.62 ± 0.3 x 10⁻¹⁰ 19 des(57-65)HPI 6.25 ± 0.3 x 10⁻¹⁰ 20

Claims: Claims for the following Contracting States : BE, CH, DE, FR, GB, IT, LI, NL, SE A compound of the formula (I): in which X is present or absent, and, if present, is -A-L-E-G-S-L-Q or -A-L-E-G-S-L-Q-K-R, or a pharmacuetically-acceptable salt thereof. A compound of formula (I), in which X is -A-L-E-G-S-L-Q. A compound of formula (I), in which X is -A-L-E-G-S-L-Q-K-R. A compound of formula (I), in which X is absent. A pharmaceutical formulation containing as an active ingredient a compound of formula (I) as claimed in any one of claims 1 to 4, or a pharmaceutically-acceptable salt thereof, associated with one or more pharmaceutically-acceptable carriers, excipients or diluents therefor. A process for preparing a compound of formula (I), or a pharmaceutically-acceptable salt thereof, as claimed in claim 1 which comprises: (a) treating human proinsulin with trypsin so as to produce a compound of formula (I) in which X is A-L-E-G-S-L-Q-K-R; (b) treating a compound of formula (I) in which X is A-L-E-G-S-L-Q-K-R with carboxypeptidase B so as to yield a compound of formula (I) in which X is A-L-E-G-S-L-Q; or (c) treating a compound of formula (I) in which X is A-L-E-G-S-L-Q-K-R with chymotrypsin so as to produce a compound of formula (I) in which X is absent. Claim for the following Contracting State : AT A process for preparing a compound of the formula (I): in which X is present or absent, and, if present, is -A-L-E-G-S-L-Q or -A-L-E-G-S-L-Q-K-R, or a pharmacuetically-acceptable salt thereof which comprises; (a) treating human proinsulin with trypsin so as to produce a compound of formula (I) in which X is A-L-E-G-S-L-Q-K-R; (b) treating a compound of formula (I) in which X is A-L-E-G-S-L-Q-K-R with carboxypeptidase B so as to yield a compound of formula (I) in which X is A-L-E-G-S-L-Q; or (c) treating a compound of formula (I) in which X is A-L-E-G-S-L-Q-K-R with chymotrypsin so as to produce a compound of formula (I) in which X is absent.

Inventors: FRANK, BRUCE HILL, PEKAR, ALLEN HOWARD
Applicants: ELI LILLY AND COMPANY
Application year: 1985
Main classification: C12P21
IPC codes: A61K38, C07K14, A61P3, A61P5, C12P21