USE OF LONG-CHAIN N-ALKYL DERIVATIVES OF DEOXYNOJIRIMYCIN FOR THE MANUFACTURE OF A MEDICAMENT FOR THE TREATMENT OF GLYCOLIPID STORAGE DISEASES

Abstract: A novel method is disclosed for the treatment of a patient affected with Gaucher's disease or other such glycolipid storage diseases. The method comprises administering to said patient a therapeutically effective amount of a long-chain N-alkyl derivative of deoxynojirimycin to alleviate or inhibit the glycolipid storage disease. The long-chain alkyl group has from nine to about 20 carbon atoms and preferably is nonyl or decyl.

Description: USE OF LONG-CHAIN N-ALKYL DERIVAΗVES OF DEOXYNOJIRIMYCIN FOR THE MANUFACTURE OF A MEDICAMENT FOR THE TREATMENT OF GLYCOLIPID STORAGE DISEASES BACKGROUND OF THE INVENTION The present invention relates to a method for the treatment of Gaucher ' s disease and other glycolipid storage diseases. Gaucher * s disease is a glycolytic storage disease caused by a genetic deficiency in activity of the catabolic enzyme beta- glucocerebrosidase. Beutler, Proc. Natl. Acad. Sci. USA 90, 5384-5390 (1993) . Manifestations of this disease are impaired hematopoiesis, bone fractures, a thinning of the bone cortex and massive enlargement of the spleen and liver. In recent years, several therapies have been proposed for the treatment of Gaucher 's disease. An early therapeutic approach involved replacement of the deficient enzyme. See, for example, Dale and Beutler, Proc. Natl. Acad. Sci. USA 73. 4672- 4674 (1976); Beutler et al . , Blood 78. 1183-1189 (1991); and Beutler, Science 256 , 794-799 (1992). Leading commercial products for enzyme replacement are CEREDASE (glucocerebrosidase) , which is derived from human placental tissues, and CEREZYME (recombinant human glucocerebrosidase) , both of which are produced by Genzyme Corp. See , for example, U.S. Patent Nos. 3,910,822; 5,236,838; and 5,549,892. Conjugates of the glucocerebrosidase enzyme with polyethylene glycol (PEG) have also been advanced by Enzon Inc. for treatment of Gaucher ' s disease. See, for example, U.S. Patent Nos. 5,705,153 and 5,620,884. Still another approach for treatment of the disease is gene therapy, which involves an ex vivo gene transfer protocol. Another recent approach involves administration of the totally synthetic drugs, N-butyldeoxynojirimycin and N- butyldeoxygalactonojirimycin, as described, respectively, by Platt et al . , J. Biol. Chem. 269, 8362-8365 (1994); Id. 269. 27108-27114 (1994). See also , U.S. Patent Nos. 5,472,969; 5,786,368; 5,798,366; and 5,801,185. N-butyldeoxynojirimycin (N-butyl-DNJ) and related N-alkyl derivatives of DNJ are known inhibitors of the N-linked oligo- saccharide processing enzymes, α-glucosidase I and II. Saunier et al . , J. Biol. Chem. 257. 14155-14161 (1982); Elbein , Ann. Rev. Biochem. 56. 497-534 (1987) . As glucose analogs, they also have potential to inhibit glycosyltransferases. Newbrun et al . , Arch. Oral Biol. 28. 516-536 (1983); Wang et al . , Tetrahedron Lett. 34. 403-406 (1993) . Their inhibitory activity against the glycosidases has led to the development of these compounds as antihyperglycemic agents and as antiviral agents. See, e.g., PCT Int'l. Appln. WO 87/030903 and U.S. Patent Nos. 4,065,562; 4,182,767; 4,533,668; 4,639,436; 5,011,829; and 5,030,638. In particular, N-butyl-DNJ has been developed as an inhibitor of human immunodeficiency virus (HIV) as described by Karpas et al . , Proc. Nat'l. Acad. Sci. USA 85. 9229-9233 (1988), U.S. Patent 4,849,430; and as an inhibitor of hepatitis B virus (HBV) as described by Block et al . , Proc. Natl. Acad. Sci. USA 91, 2235-2239 (1994), PCT Int'l. Appln. WO 95/19172. BRIEF DESCRIPTION OF THE INVENTION In accordance with the present invention, a novel method is provided for the treatment of a patient affected with Gaucher ' s disease or other such glycolipid storage diseases. The method comprises administering to said patient a therapeutically effective amount of a long-chain N-alkyl derivative of 1,5- dideoxy-1, 5-imino-D-glucitol having from nine to about 20 carbon atoms in the alkyl chain. The N-alkyl εubεtituent thus can be, e.g, nonyl, decyl, undecyl, dodecyl, tetradecyl, hexadecyl, cis- 11-hexadecenyl, octadecyl, cis-13-octadecenyl, and eicosyl. A therapeutically effective amount is meant an amount effective in alleviating or inhibiting Gaucher' s disease or other such glycolipid storage diseases in said patient. The alkyl group in these long-chain N-alkyl-DNJ compounds preferably contains nine to ten carbon atoms (i.e., nonyl and decyl). A most preferred compound is N-nonyl-1, 5-dideoxy-l,5- imino-D-glucitol, also known as the N-nonyl derivative of deoxynojirimycin (DNJ) , which also is abbreviated herein as N- nonyl-DNJ. In the field of general organic chemistry, the long-chain alkyl groups are known to provide more hydrophobic properties to compounds than are the short-chain alkyl groups. That is, solubility with water decreases with increase in chain length and decrease in temperature. For example, at 46°C, caproic acid (short-chain hexyl group) dissolves 10% by weight of water, whereas εtearic acid (long-chain octadecyl group) dissolves only 0.92% even at the higher temperature of 69°C. Bailey's Industrial Oil and Fat Products, ed. Daniel Swern, 3d ed. 1964, p. 126. The long-chain N-alkyl derivatives of DNJ are known amino- εugar compounds. They were originally described as members of a group of short-chain and long-chain N-alkyl derivatives of DNJ having both glucosidase I inhibitory activity and antiviral activity, although no data on the long-chain N-alkyl derivatives was disclosed. See, e.g., DE 3,737,523, EP 315,017 and U.S. Patent Nos. 4,260,622; 4,639,436; and 5,051,407. In another early study, although N-alkylation of the base DNJ reduced the concentration required for 50% inhibition of glucosidase I, the inhibitory activity was reduced as the length of the N-alkyl chain was increased from N-methyl to N-decyl according to Schweden et al., Arch. Biochem. Biophys. 248, 335- 340, at 338 (1986) . As far as the antiviral activity of the amino-sugar compounds against any particular virus is concerned, the activity of any specific analog cannot be predicted in advance. For example, in biologic tests for inhibitory activity against the human immunodeficiency virus (HIV) , slight changes in the structure of the N-substituent were shown to have pronounced effects upon the antiviral profile as reported by Fleet et al . , FEBS Lett. 237. 128-132 (1988). As disclosed in U.S. Patent No. 4,849,430, the N-butyl derivative of DNJ was unexpectedly found to be more than two log orders more effective as an inhibitor of HIV than the N-methyl analog and three log orders more effective than the N-ethyl analog. In another study of N-alkyl derivatives of DNJ for activity against glycolipid biosynthesis, the N-hexyl derivative of DNJ required a dose of 0.2 mg/ml, whereas the corresponding N-butyl analog required a dose of only 0.01-0.1. On the other hand, the N-methyl analog was inactive. Thus, it was believed that effective carbon chain length of the N-alkyl group for thiε activity ranged from 2 to 8 according to U.S. Patent No. 5,472,969. No disclosure was made therein concerning the N-nonyl or other long-chain N-alkyl derivatives of DNJ. N-nonyl-DNJ has been reported to be effective as an inhibitor of the Hepatitis B virus (HBV) baεed on inhibition of alpha-glucosidases in the cellular endoplaεmic reticulum (ER) according to Block et al . , Nature Medicine 4(5) 610-614 (1998). The effectiveness of the long-chain N-alkyl derivatives of DNJ in the method of the invention for treatment of Gaucher 's disease and other such glycolipid storage diεeaεes is illustratively demonstrated herein by inhibitory activity of N- nonyl and N-decyl DNJs against glycolipid bioεyntheεis in Chinese hamster ovary (CHO) cells and human yeloid (HL-60) cells. CHO cells are known glycoprotein-εecreting mammalian cells. A typical CHO cell line is CHO-Kl which iε available to the public from the American Type Culture Collection, Betheεda, MD, under accession number ATCC CCL 61. HL-60 cells are human promyelocytic cells described by Collins et al . , Nature 270. 347-349 (1977). They are also readily available from the American Type Culture Collection under accession number ATCC CCL 240. Effective activity of N-nonyl-DNJ also is further illustratively demonstrated herein in conventional bovine kidney cells (e.g., MDBK, ATCC CCL 22) and hepato a cells (e.g., HepG2 , ATCC HB 8065) . The unpredictability of the N-nonyl-DNJ against glycolipid biosynthesis is demonstrated herein by its inhibitory activity in the foregoing two cell lines. The N-nonyl-DNJ was unexpectedly found to be from about ten- to about twenty-fold better in the CHO cells and about four hundred ti eε better in the HL-60 cellε than N-butyl-DNJ at equivalent concentrations. The N-decyl-DNJ was demonstrated to be an effective inhibitor in HL-60 cells at 50 times lower concentrations than N-butyl-DNJ. The N-nonyl-DNJ also exhibits a more dramatic difference than N-butyl-DNJ in uptake which permits its use at a εubεtantially lower level. In tests of organ distribution, the N-nonyl-DNJ waε taken up five times better into the brain than N-butyl-DNJ. Thus, the N-nonyl-DNJ is believed to be a substantially better compound than N-butyl-DNJ for treating glycolipid storage disorders which involve the non-syεtemic side. N-nonyl-DNJ and N-decyl-DNJ can be conveniently prepared by the N-nonylation or N-decylation, respectively, of 1,5-dideoxy- 1, 5-imino-D-glucitol (DNJ) by methods analogous to the N- butylation of DNJ as described in Example 2 of U.S. Patent No. 4,639,436 by substituting an equivalent amount of n-nonylaldehyde or n-decylaldehyde for n-butylraldehyde. The starting materials are readily available from many commercial sources. For example, DNJ is available from Sigma, St. Louis, MO. n-Nonylaldehyde, also known as 1-nonanal or pelargonaldehyde, and n-decylaldehyde, also known as decanal, are commercially available from Aldrich, Milwaukee, WI . It will be appreciated, however, that the method of the invention is not limited to any particular method of εynthesiε of the N-nonyl-DNJ, N-decyl-DNJ, or other long-chain N-alkyl derivativeε of DNJ. The N-nonyl-DNJ, N-decyl-DNJ, and other long-chain N-alkyl derivatives of DNJ, can be used for treatment of patients afflicted with Gaucher 's disease and other glycolipid storage diseases by conventional methods of administering therapeutic drugs. Thus, the active compound is preferably formulated with pharmaceutically acceptable diluents and carriers. The active drug can be used in the free amine form or the salt form. Pharmaceutically acceptable salt formε are illuεtrated, e.g., by the HC1 salt. The amount of the active drug to be administered must be an effective amount, that is, an amount which is medically beneficial against Gaucher ' ε diεease or other glycolipid storage diseaεe but does not present adverεe toxic effects which overweigh the advantages that accompany its use. It would be expected that the adult human daily doεage would normally range from about 0.1 to about 1000 milligramε of the active compound. The preferable route of adminiεtration iε orally in the form of capεules, tablets, syrups, elixirs, gels and the like, although parenteral adminiεtration also can be used. Suitable formulations of the active compound in pharmaceutically acceptable diluents and carriers in therapeutic dosage form can be prepared by the person skilled in the art by reference to general texts and treatiεeε in the pharmaceutical field εuch as, for example, Remington 'ε Pharmaceutical Sciences r Ed. Arthur Osol, 16 ed., 1980, Mack Publishing Co., Easton, PA, and 18th ed. , 1990. Other glycolipid εtorage diεeaεes to which the method of the invention is directed are, e.g., Tay-Sachs disease, Sandhoff disease, Fabry disease, GM1 ganglioεidosiε and fucosidosis. DETAILED DESCRIPTION OF THE INVENTION While the specification concludes with claims particularly pointing out and distinctly claiming the εubject matter regarded as forming the invention, it iε believed that the invention will be better underεtood from the following preferred embodiments of the invention taken in conjunction with the accompanying drawings. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 εhowε thin layer chro atography of (a) CHO and (b) HL-60 treated cells. Cells were cultured for four dayε in the preεence of radiolabelled palmitic acid and the following concentrations of compound: a) control, no compound b) 50 μM NB-DNJ c) 5 μM NB-DNJ d) 2.5 μM NB-DNJ e) 0.25 μM NB-DNJ f) 0.025 μM NB-DNJ g) 50 μM NN-DNJ h) 5 μM NN-DNJ i) 2.5 μM NN-DNJ j) 0.25 μM NN-DNJ k) 0.025 μM NN-DNJ After extraction the radioactively labelled glycolipids were separated by TLC and visualized by radioautography . FIG. 2, in two parts, FIG.2a and FIG.2b, shows double reciprocal plots of the inhibition of the ceramide glucosyltransferase by N-butyl-DNJ (NB-DNJ) . HL-60 cell ceramide glucosyltransferase activity was measured using ceramide concentrations of 5-20 μM (FIG.2a) and UDP-glucose concentrations of 0.59-5.9 μM (FIG.2b). NB-DNJ concentrations of 5-100 μM were used. The inhibition conεtantε (K were calculated by plotting the Lineweaver-Burk slope against inhibitor concentration as shown in the inserts. FIG. 3 shows inhibition of HL-60 cell ceramide glucoεyltranεferaεe activity by N-butyl-DNJ (open circles) and N-nonyl-DNJ (closed circles) . Activity was expresεed as a percentage of control without inhibitor and the IC 50 values calculated from the rate curves shown. N-butyl-DNJ = 27.1 μM; N-nonyl-DNJ = 2.8 μM. FIG. 4 shows structural relationship between NB-DNJ and ceramide glucosyltransferase εubεtrate. (a) Ceramide structure from the crystal structure of glucosylceramide. The acceptor hydroxyl iε on Cl 1 . (b) The structure NB-DNJ (N-alkyl) based on NMR studies and molecular modelling. (c) One poεεible overlay of ceramide and NB-DNJ. FIG. 5, in two partε, FIG. 5A and FIG. 5B, shows bar graphs of estimated radioactivity. Radiolabelled N-butyl-DNJ (FIG.5B) and N-nonyl-DNJ (FIG.5A) were added to cultured CHO, MDBK and HepG2 cells for the times indicated. Cells were extensively washed and acid precipitated. After solution in NaOH, cell associated radioactivity was determined as a percentage of radiolabelled compound added. FIG. 6 is a bar graph which shows organ distribution of radiolabelled N-butyl-DNJ (NB-DNJ) and N-nonyl-DNJ (NN-DNJ) . Mouse body fluids and organs were collected for different times after gavage with radiolabelled compound. Radioactivity in each sample was determined and expressed as a percentage of radioactivity recovered. Solid bars, NN-DNJ, hatched bars, NB-DNJ. FIG. 7 shows the structures of N-alkylated deoxynojirimycin exemplified herein. Note that the C16 and C18 N-alkyl chains contain an unsaturated bond at ten and twelve carbon atoms from the nitrogen, respectively, whereas the others are saturated. FIG. 8 shows Inhibitory Constants of C4 to C18 DNJ Analogs for Ceramide Glucosyltransferase and α-Glucoεidaεe. FIG.8 containε additional data to those seen in FIG.3 showing inhibition constants (IC 50 ,μM) for the N-alkyl series measured against ceramide glucosyltransferaεe (CerGlcT) and α-glucoεidaεe. The trend is similar to the FIG.3 description - increasing chain length increases inhibition for glucosyltransferase, but not for glucosidase. FIG. 9 shows C4 to C18 DNJ Analog Uptake in MBDK Cells in which radioactivity incorporation/cpm protein iε plotted againεt time in hours (h) . FIG.9 εhowε additional data to thoεe εhown in FIG.5 using C4-C18 N-alkylated DNJ compounds. Trend is apparent - increasing chain length increases cellular uptake in a time-dependent fashion. The double bond has some effect here εince the unsaturated C16 and C18 analogs show εimilar kinetics to the fully saturated CIO and C12 analogs, respectively. FIG. 10 shows Distribution of N-Alkylated DNJ Analogs in Mouse Liver. The radioactivity recovered (%) iε plotted against N-alkyl chain length (C4 to C18) for 30 minutes (clear bars) , 60 minutes (shaded bars) and 90 minutes (filled, black bars) . FIG.10 shows the results of oral gavage with radiolabelled N- alkylated compounds using methods described in FIG.6. Short chain compounds (C4-C6) are rapidly cleared in a time-dependent manner. The C9 and CIO compounds show increased deposition and εlower clearance. The C12 to C18 analogs show the reverse trend, i.e., reduced appearance in the liver but this increases with time. FIG. 11 shows Distribution of N-alkylated DNJ Analogs in Mouse Brain. The radioactivity recovered (%) is plotted against N-alkyl chain length (C4 to C18) for 30 minuteε (clear barε) , 60 minutes (shaded barε) and 90 minuteε (filled, black barε). FIG.11 shows that the progressive accumulation that is also seen in the brain has slowed kinetics suggesting that there is reduced adsorption of longer alkyl chain compounds from the gut. FIG. 12 is a series of four bar charts, A, B, C and D, in which radioactivity (cpm) found in the liver is plotted against time post gavage in hours (h) with four different N-alkyl analogs of deoxynojirimycin (DNJ) . The four analogs shown are:; FIG.12A, N-butyl(C4); FIG.12B, N-nonyl (C9) ; FIG.12C, N-dodecyl (C12) ; FIG.12D, N-cis-13-octadecenyl (C18). FIG.12 shows that in the liver the majority of radioactive C4 is found after 1.5 h but with increasing chain length the clearance time is gradually increased with C18 showing significant deposition at 24 h post gavage. FIG. 13 is a series of four bar charts, A, B, C and D, in which radioactivity (cpm) found in the brain is plotted against time post gavage in hours (h) with the same analog compounds as in FIG.12. The four analogs shown are: FIG.13A, N-butyl (C4) ; FIG.13B, N-nonyl (C9) ; FIG.13C, N-dodecyl (C12); FIG.13D, N-cis- 13-octadecenyl (C18) . FIG.13 shows that the same effect aε in the liver in FIG.12 iε εeen in the brain but at much longer time points, reflecting reduced transmission from the gut to blood and hence, brain. FIG. 14 εhowε Imino Sugar (N-alkyl DNJ) Binding to Serum Protein. The percentage compound radioactivity iε plotted against N-alkyl chain length (C4 to C18) with the protein bound percentage shown by open circles and the non-bound percentage shown by filled circles. FIG.14 shows the protein binding capacity of N-alkylated compounds. Short chain compounds (C4-C6) bind poorly but those larger than CIO are almost completely bound to protein. The C8 and C9 analogs appear to favor equally, protein and solution phase. In order to illustrate the invention in greater detail, the following specific laboratory examples were carried out. Although specific examples are thus illustrated herein, it will be appreciated that the invention iε not limited to theεe specific, illustrative examples or the details therein. EXAMPLE I A comparison was made between N-butyl-DNJ and N-nonyl-DNJ for glycolipid bioεyntheεiε inhibition which showed that potency is cell and chain length dependent. Chinese Hamster Ovary (CHO) cells and human myeloid (HL-60) cells grown in the presence of varying concentrations of inhibitor in addition to a precursor (radiolabelled palmitic acid) of glycolipid bioεynthesis were treated with solvents to extract the glycolipids by the procedure described by Platt et al . , J. Biol. Chem. 269. 8362-8365 (1994). The radiolabelled lipids were separated by TLC (FIG.l) and bands corresponding to glucoεylceramide and lactosyl- cera ide were quantitated by scanning densitometry to estimate the reduction in glycolipid biosyntheεiε. Theεe data were plotted to obtain inhibitory conεtants (IC 50 ) for both cell lines and compounds (Table 1) . These data show that cell lineε have different εensi- tivities to both N-butyl- and N-nonyl-DNJ. HL-60 cells are more than 10 times more sensitive to N-butyl-DNJ and 100 times more sensitive to N-nonyl-DNJ than CHO cells. This cell specificity is unexpected. In addition, N-nonyl is between 10 and 365 times more effective than N-butyl-DNJ. Detailed work to probe the mechanism of the ceramide glucosyltransferaεe, the enzyme inhibited by alkylated deoxynojirimycin compoundε has demonstrated that these compounds are competitive inhibitors for ceramide and non- competitive inhibitors for UDP-glucoεe (FIG.2). N-nonyl-DNJ has a 10-fold increaεed potency over N-butyl-DNJ in inhibiting ceramide glucosyltransferaεe in in vitro assayε (IC 50 values of 2.8 μM and 27.1 μM respectively, see FIG.3). The mechanism of action of alkylated deoxynojirimycin compounds is proposed to be that of ceramide mimicry and a model demonstrating thiε mimicry at the molecular level is shown in FIG.4. An energy minimized molecular model of NB-DNJ and ceramide predicts structural ho ology of three chiral centers and the N-alkyl chain of NB-DNJ, with the trans- alkenyl and N-acyl chain of ceramide. Thiε increased in vitro potency does not explain the dramatic difference in inhibition of glycolipid biosyntheεiε in cellular εystems. The activity is explained by the differential uptake into cells. In three cell lines, CHO, MDBK and HepG2 , radio- labelled N-nonyl-DNJ and N-butyl-DNJ were incubated for up to 24 hours and the amount of cell-associated radioactivity determined. In all cases N-nonyl-DNJ was increased by 3.5-5 fold. It is clearly the combination of the inhibitory effect and increased uptake that is important in potentiating the inhibition by N-nonyl-DNJ. Further evidence that longer alkyl chains are taken up much better has been obtained by in vivo studies with mouse. After oral gavage with radiolabelled N-nonyl-DNJ and N-butyl- DNJ for 30, 60, and 90 minutes, the body fluids were collected and organs removed for estimations of radio activity (FIG.5). The amount of radioactivity recovered in the liver and brain was 10 fold higher for N-nonyl-DNJ than N-butyl-DNJ after 90 min (see Table 2) . Evidence was obtained that longer (than C9) chain DNJ compounds are more effect ceramide glucosyltranεferaεe inhibitors. This follows from proposed mechanism of action studies that demonstrate enhanced potency correlates with ceramide mimicry (FIG.4). More specifically, N-decyl-DNJ (CIO) shows inhibition at 50 times lower concentrations than N-butyl-DNJ in the HL-60 cell-based asεay deεcribed above. In view of the above data, the long-chain N-alkyl derivatives of DNJ are effective for treatment of glycolipid storage diεeaεes. TABLE 1 Table 1. Inhibition of glycolipids of N-butyl- and N-nonyl- DNJ. Radiolabelled glucosylceramide and lactoεylceramide bands from Fig. 1 were quantitated by scanning densitometry and the percentage of control (no treatment, track a, Fig. 1) expressed in comparison to compound dose. From the linear curve, an IC 50 value was obtained. A range of values iε quoted to repreεent variability of the radiolabelled productε. TABLE 2 % recovered N-nonyl-DNJ % recovered N-butyl-DNJ 30 Liver Brain Liver Brain 60 27.1 0.4 8.5 0.2 90 12.6 0.3 2.8 0.1 13.5 0.4 0.9 0.03 Table 2. Recovery of radiolabelled co poundε after adminiεtration in the normal mouse. Mouse body fluids and organs were collected for different times after gavage with radiolabelled compound. Radioactivity in each sample was determined and expressed as a percentage of radioactivity recovered (data from Fig.5). EXAMPLE II The laboratory procedures of Example I were carried out to further demonstrate the advantage of the long-chain N-alkyl derivatives of deoxynojirimycin compared to the short-chain analogs for the treatment of glycolipid storage diεeases. The chemical structures of the analogs compared in this Example are shown in Figure 7. These analogs are saturated except the C16 and C18 alkyl chain analogs which are mono-unεaturated. The inhibition conεtants (IC 50 ) for the N-alkyl series measured against ceramide glycosyltransferase (CerGlcT) and alpha-glucosidaεe are εhown in Figure 8. The trend is similar to that εhown in Figure 3 in which increasing chain length increases inhibition for glycosyltransferase, but not for glucosidase. This εupportε the mechanism of ceramide mimicry as the basis of inhibition εhown in Figure 4. The optimal chains length appears to be CIO (decyl) . Figure 9 confirms the trend εhown in Figure 5 in which increasing chain length increases cellular uptake in a time dependent manner. The effect of the double bond in the C16 and C18 analogs is seen in that the C16 shows similar kinetics to the saturated CIO analog, and the C18 shows similar kinetics to the saturated C12 analog. In Figure 10, the resultε of oral gavage with radiolabelled analogs as in Figure 6 are εhown for additional analogε. Short- chain analogs (C4 to C6) are cleared rapidly in a time dependent manner. The C9 and CIO analogε show increased deposition and slower clearance. The C12 to C18 analogs show reduced appearance in the liver, but this increases with time. These results support the mechanism of increased tissue uptake by longer alkyl chain analogs since after 30 minutes the accumulation in the liver of the C9 analog is ten times that seen with the εhort- chain C4 analog. Figure 11 shows the progreεεive accumulation that iε also seen in the mouse brain has slowed kinetics and thereby εuggests that there is a reduced adsorption of the longer chain alkyl analogs from the gut. Further evidence of reduced adsorption is shown in Figures 12 and 13 when longer time points post gavage are uεed to monitor tiεεue depoεition. Thuε, Figure 12 shows that in the liver the majority of radioactive C4 is found after 1.5 hours, but with increasing chain length the clearance time is gradually increased, with C18 showing significant deposition at 24 hours post gavage. Figure 13 shows that the same effect is εeen in the mouεe brain but at much longer time pointε, reflecting reduced tranεmiεsion from the gut to the blood and hence the brain. Figure 14 shows the protein binding capacity of the N- alkylated analogs of deoxynojirimycin. The short-chain analogs (C4 to C6) bind poorly but those larger than CIO are almost completely bound to protein. The C8 and C9 analogε appear to favor equally, protein and εolution phase. In summary then, the slowed uptake from the gut by the long- chain alkyl analogs of deoxynojirimycin εhown in Example II results in slowed tranεmiεεion to the liver but there is progreεεive accumulation. Thiε accumulation in the liver with time is also εhown in the brain. Theεe reεultε have great significance for the treatment of glycolipid εtorage diseases, especially when the storage in the brain shows pathology for Gaucher type II/III, Tay-Sachs and Sandhoff diεeaεeε. Various other examples will be apparent to the person skilled in the art after reading the present diεcloεure without departing from the εpirit and scope of the invention. It is intended that all such other examples be included within the scope of the appended claims.

Claims: CLAIMS What is claimed is: 1. The method of treating a patient affected with a glycolipid storage diseaεe compriεing adminiεtering to εaid patient a long-chain N-alkyl derivative of deoxynojirimycin having from nine to about twenty carbon atomε in the alkyl chain in an amount effective for alleviating or inhibiting εaid glycolipid storage disease. 2. The method of Claim 1 in which the long-chain N-alkyl derivative of deoxynojirimycin iε N-nonyl-DNJ or N-decyl-DNJ. 3. The method of Claim 2 in which the N-alkyl derivative of deoxynojirimycin iε N-nonyl-DNJ. 4. The method of Claim 1 in which the glycolipid εtorage diεeaεe is Gaucher 's disease. 5. The method of Claim 2 in which the glycolipid storage diεeaεe is Gaucher ' ε disease. 6. The method of Claim 3 in which the glycolipid storage diεeaεe is Gaucher ' s disease. 7. The method of Claim 1 in which the N-alkyl derivative of deoxynojirimycin is administered in a doεage of from about 0.1 to about 1000 mg in a pharmaceutically acceptable diluent or carrier. 8. The method of Claim 2 in which the N-nonyl-DNJ or N- decyl-DNJ is adminiεtered in a dosage of from about 0.1 to about 1000 mg in a pharmaceutically acceptable diluent or carrier. 9. The method of Claim 3 in which the N-nonyl-DNJ is adminiεtered in a doεage of from about 0.1 to about 1000 mg in a pharmaceutically acceptable diluent or carrier. 10. The method of Claim 4 in which the N-alkyl derivative of deoxynojirimycin iε adminiεtered in a doεage of from about 0.1 to about 1000 mg in a pharmaceutically acceptable diluent or carrier. 11. The method of Claim 5 in which the N-nonyl-DNJ or N- decyl-DNJ iε adminiεtered in a dosage of from about 0.1 to about 1000 mg in a pharmaceutically acceptable diluent or carrier. 12. The method of Claim 6 in which the N-nonyl-DNJ is adminiεtered in a doεage of from about 0.1 to about 1000 mg in a pharmaceutically acceptable diluent or carrier.

Inventors: BUTTERS TERRY D, DWEK RAYMOND A, JACOB GARY S, PLATT FRANCES M, BUTTERS, TERRY, D., DWEK, RAYMOND, A., JACOB, GARY, S., PLATT, FRANCES, M.
Applicants: BUTTERS TERRY D, DWEK RAYMOND A, JACOB GARY S, PLATT FRANCES M, SEARLE & CO, UNIV OXFORD, BUTTERS, TERRY, D., DWEK, RAYMOND, A., G.D. SEARLE & CO., JACOB, GARY, S., PLATT, FRANCES, M., UNIVERSITY OF OXFORD
Application year: 1999
Main classification: A61K31
IPC codes: A61K31, A61P3, C07D211