Abstract:
Provided is an age-related apolipoprotein B oxidase (apoBNOX) found tightly associated with the low-density lipoprotein particles and believed to be responsible for oxidizing lipoprotein particles and initiating atherogenesis. It causes damage by directly oxidizing the apolipoprotein B protein and indirectly oxidizing the lipids in the particles due to superoxide formation by the apoBNOX and its conversion into hydrogen peroxide. apoBNOX activity is inhibited by tyrosol and hydroxytyrosol and components of white wine, important components of French and Mediterranean diets, which seem to be a very good source of inhibitors of the apolipoprotein B oxidase. Agents comprising at least one naturally-occurring apoBNOX inhibitor and compositions lessen, ameliorate or treat disorders and complications resulting from cell damage caused by oxidation of apolipoprotein B. Also provided is an assay system comprising recombinant apoBNOX or an equivalent peptide and apolipoprotein B purified from human sera as a model to screen for agents and supplements that lower apoBNOX activity when administered orally.

Description:
CROSS-REFERENCE TO RELATED APPLICATIONS 
     This application claims benefit of U.S. Provisional Application No. 61/309,687, filed Mar. 2, 2010, which application is incorporated by reference herein to the extent there is no inconsistency with the present disclosure. 
    
    
     REFERENCE TO SEQUENCE LISTING 
     The Sequence Listing submitted herewith is incorporated by reference herein. 
     BACKGROUND 
     The field of this disclosure relates to aging-associated oxidative damage, and specifically, to an aging-specific particle associated Lipoprotein B NADH oxidase (apoBNOX) attached to circulating lipoprotein particles, its use as a target to identify agents for the prevention or treatment of disorders caused by oxidative damage to circulating lipoproteins and the identification of such agents for use as dietary supplements and/or pharmaceutical preparations with examples derived from olive oil and white wine, including tyrosol (4-hydroxyphenethyl alcohol) and its hydroxylated derivative, hydroxytyrosol. 
     apoBNOX is a member of the ECTO-NOX or ENOX family of proteins. These proteins exhibit one or more cyanide-resistant external plasma membrane or soluble hydroquinone oxidases capable of catalyzing protein disulfide interchange and that oxidize NAD(P)H as an alternate substrate (NADH oxidase=NOX) (Morré, 1998, in Plasma Membrane Redox Systems and Their Role in Biological Stress and Disease, H. Asard, A. Bérczi and R. J. Caubergs, eds., pp. 121-156, Kluwer Academic Publishers, Dordrecht, Netherlands; Morré and Morré, 2003, Free Radical Res. 37: 795-808). Based on activity characteristics, at least three but distinct ECTO-NOX or ENOX (for external cell surface NOX) proteins have been described. These proteins are characterized by the property of having two distinct biochemical activities, hydroquinone (NAD(P)H) oxidation and protein disulfide-thiol interchange, that alternate. One (CNOX or ENOX1) is constitutive with an activity that is widely distributed among animals, plants and yeasts (Jiang et al., 2008, Biochemistry 48: 14018-14038). A second ENOX activity is tumor or cancer-associated, designated tNOX or ENOX2 (Hostetler et al., 2009, Clin. Proteomics 5: 46-51). ENOX 2 proteins are inhibited by a series of quinone site inhibitors all with anticancer activity. A third protein with ENOX-like activity (designated arNOX) is age-related (Morré et al., 2003, Mol. Cell. Biochem. 254: 101-109) and predominant only on cell surfaces and body fluids of aged individuals and on plasma membrane of late passage cultured cells or senescent plant parts. Shed forms of both activities are found in body fluids and in culture media conditioned by the growth of mammalian or plant cells. arNOX differs from ENOX1 and ENOX2 by generating superoxide based on superoxide susceptible oxidation of ferricytochrome c, a standard method for measurement of superoxide generation (Butler et al., 1982, J. Biol. Chem. 257: 10747-10750). 
     apoBNOX differs from ENOX1 and ENOX2 as well as the canonical arNOX by being tightly bound to circulating low density lipoprotein (LDL) particles and carrying out ferricytochrome c reduction which is resistant to inhibition by superoxide dismutase. It also exhibits an inhibitor response pattern different from other ENOX proteins and utilizes lipoprotein particle-bound protein B as its natural substrate. The activity of arNOX, which differs in the above important respects from apoBNOX in aging cells and in sera, has been described previously (Morré and Morré, 2006, Rejuvenation Res. 9: 231-236). 
     Age and oxidative stress are major risk factors for heart disease (Schmuck et al., 1995, Clin. Chem. 41: 1628-1632). A large body of evidence supports the notion that reactive oxygen species provide a causal link in the appearance of oxidized circulating lipoproteins such as oxidized LDLs and their subsequent clearance by macrophages and delivery to the arterial wall. It now appears likely that oxidized LDL is a major contributor to progressive atherogenesis by enhancing endothelial injury, by inducing foam cell (lipoprotein engorged macrophages) generation and associated smooth muscle proliferation (Halvoet, 1999, Ther. Apher. 3: 287-293). Macrophages clear the circulation of oxidized lipoprotein particles by internalizing them and in so doing are transformed into foam cells. The foam cells deliver their cargo of oxidized fats and cholesterol where they are deposited beneath the arterial wall. Such progressive delivery of oxidatively-damaged lipoprotein particles eventually leads to atherosclerotic plaques and advanced heart disease. 
     However, the basis for LDL oxidation has been little studied. Levels of common antioxidants including α-tocopherol, β-carotene and ascorbate decline with age but there is no apparent correlation between ingestion of these common antioxidants and amelioration of the aging process or decreased mortality (Bjelakovic et al., 2007, JAMA 294: 842-857). The implication is that the oxidative damage leading to aging and increased atherogenic risk is the result of a much more specific causation. Why does LDL oxidation increase in the elderly and why is it greater in some individuals than in others? Our findings suggest that LDL oxidation in the elderly and in individuals at high risk for heart disease correlates with levels of circulating apoBNOX. 
     The amount of apoBNOX associated with circulating lipoprotein particles increases starting at about age 30 and reaches maximum at about age 75 in males and age 55-65 in females. Of those who die of a heart attack, 85% are 65 or older (American Heart Association, 2008, Circulation 17: e25-3146). Women surviving beyond age 65 usually have diminished apoBNOX levels compared to men and a lower risk of cardiovascular disease compared to men (Kannel and Lavine, 2003, Prog. Cardiovasc. Nursing 18: 135-140) further suggesting some causal relationship between apoBNOX levels and atherogenic risk. 
     Consequently, there is a need to find agents that inhibit apoBNOX for the purposes of reducing or treating the resultant physiological conditions, such as oxidation of apoprotein B molecules in low density lipoprotein (LDLs) and attendant arterial changes. The arNOX activity of aging cells has been shown to be inhibited by naturally occurring agents such as coenzyme Q (ubiquinone) including CoQ 10 , CoQ 9  and CoQ 8  (Morré et al., 2008, BioFactors 32: 231-235); Morré et al., 2003, Mol. Cell. Biochem. 254: 101-109; U.S. Pat. No. 6,878,514). These agents, however, are relatively ineffective in the inhibition of apoBNOX. 
     Even if it were an effective inhibitor, the use of coenzyme Q would not completely be satisfactory as an apoBNOX inhibitor for several reasons: it is costly, it oxidizes easily losing its efficacy, and preparations containing coenzyme Q must be specially packaged to prevent loss of function. Thus, there are no economical and chemically stable agents or methods currently known to inhibit apoBNOX activity. Accordingly, it would be an improvement in the art to identify economical and chemically stable agents and techniques with the agents that inhibit apoBNOX but that are also non-toxic and advantageously are naturally occurring. 
     DEFINITIONS 
     As used herein, the term “disorder” refers to an ailment, disease, illness, clinical condition, or pathological condition. 
     As used herein, the term “reactive oxygen species” refers to oxygen derivatives from oxygen metabolism or the transfer of free electrons, resulting in the formation of free radicals (e.g., superoxides or hydroxyl radicals). 
     As used herein, the term “antioxidant” refers to compounds that neutralize the activity of reactive oxygen species or inhibit the cellular damage done by said reactive species. 
     As used herein, the term “pharmaceutically acceptable carrier” refers to a carrier medium that does not interfere with the effectiveness of the biological activity of the active ingredient, is chemically inert, and is not toxic to the patient to whom it is administered. 
     As used herein, the term “pharmaceutically acceptable derivative” refers to any homolog, analog, or fragment which exhibits apoBNOX inhibitory activity. This term includes chemical derivatives as well, such as salts, esters and the like, such that the active ingredient is released, produced or otherwise available after administration. 
     SUMMARY 
     The present disclosure relates to a new molecular target for oxidation of apolipoprotein B associated with circulating lipoprotein particles and to agents to inhibit the target molecule and methods for using the same, and more particularly, to inhibitors such as tyrosol and hydroxytyrosol that are present in high amounts in the Mediterranean Diet including both olive oil and white wine, or white wine extracts or concentrates. These several naturally-occurring apoBNOX inhibitors alone, and especially in combinations, can be incorporated into nutritional supplements and/or pharmaceutical compositions to lessen the severity and/or reduce incidence of or to treat disorders and complications of disorders resulting from cell damage caused by the lipoprotein particle-associated apoBNOX molecules. In one exemplary embodiment, these agents comprise at least one naturally occurring apoBNOX inhibitor. In another embodiment, the inhibitor may be administered in a sustained release formulation incorporated in a nutritional supplement or in a pharmaceutical formulation. 
     Provided herein are pharmaceutical compositions, nutritional supplements, methods of use, and pharmaceutical kits for the treatment of disorders resulting from oxidative changes in cells that result in aging by targeting an aging-related ENOX isoform (apoBNOX) into the sera by aging cells and present tightly associated with the surface of circulating lipoprotein particles. 
     The present compositions and methods are based, at least in part, on the discovery of an aging-related isoform of NADH oxidase (apoBNOX) directly associated with circulating lipoprotein particles and capable of directly oxidizing the apoprotein B constituents of the particles. The inhibition of apoBNOX results in a decrease in apolipoprotein B oxidation and an attendant decrease in damaged lipoprotein particles and decreased foam cell formation, leading to diminished development of atherogenic plaques. 
     In another embodiment, the present disclosure provides methods and compositions for screening assays to identify agents that inhibit apoBNOX. In one embodiment, there are methods for inhibition of lipoprotein particle-associated apoBNOX in sera. 
     The pharmaceutical or nutritional supplement compositions can be used to advantage via varying modes of administration of compounds that inhibit apoBNOX. The modes of administration of compounds includes but is not limited to oral administration (using capsules, tablets, soft gels, solutions), rectal administration (using suppositories), intravenous, intramuscular or intradermal injections, inhalation (aerosols), transdermal administration (transdermal patches or iontophoretic compositions) or a kit for administering in a mode described herein. In yet another embodiment, the present disclosure comprises the methods for isolation of purified apoBNOX and characterization of apoBNOX. 
     In various other exemplary embodiments, the composition further includes an edible or pharmaceutically acceptable carrier. In some exemplary embodiments, the apoBNOX inhibitory agent is present together with other apoBNOX inhibitors derived from naturally occurring sources including but not limited to olive oil and white wine or white wine extracts. In various exemplary embodiments, apoBNOX inhibitor agents from one source may be augmented by the effects of apoBNOX inhibitory agents from another source. 
     Those of skill in the art will recognize that the apoBNOX inhibitory compositions described herein can be administered in any convenient manner. In certain exemplary embodiments such forms of administration include gel capsules, tablets or sustained release granules. In these and other exemplary embodiments, the apoBNOX inhibitory agent is provided at a concentration to allow for a daily dose of from between 100 and 600, or between 200 and 600, or between about 100 and 300 mg per day for an adult human. 
     The magnitude of a therapeutic dose of apoBNOX inhibitor in the acute or chronic management of aging-related oxidative damage varies with the severity of the condition to be treated and the route of administration. The dose and dose frequency also vary according to the age, body weight, condition and response of the individual patient, and the particular combination used. All combinations described herein are encompassed as therapeutic and it is understood that one skilled in the art would be able to determine a proper dosage of particular inhibitor mixtures using the parameters provided herein. In general, the total daily dose ranges of the active materials for the conditions described herein are generally from about 10 mg to about 2000 mg administered in divided doses administered parenterally, orally or topically to an adult human. An exemplary total daily dose is from about 200 mg to about 600 mg. 
     In various embodiments of the methods provided herein, the apoBNOX inhibitory capsules or tablets are taken orally at least once a day by an adult human. 
     At least one dosage form is as a sustained release formulation. Preferably, the sustained release formulation is provided in a manner that maintains a constant level of inhibition for at least 12 hours of a 24 hour period in an adult human. 
     Methods (screening assays) for identifying compounds, agents or compositions that inhibit apoBNOX allow the development of nutritional supplements or pharmaceutical compositions useful for inhibiting apoBNOX and thus, reducing or ameliorating the effects of apoB and/or LDL oxidation, with the benefit that cardiovascular disease is delayed or decreased in severity. These screening assays may be based on the use of recombinant apolipoprotein B, purified naturally occurring proteins and/or synthetic peptides, for example an apoB-derived peptide comprising, consisting essentially of or consisting of the amino acid sequence FHCRDGNCIHNHWQCDGDYDCGEGSDE (SEQ ID NO:3) or a sequence with at least 50%-99% identity thereto which serves as a substitute for the apoBNOX protein. In such assays, apoBNOX activity is measured in the presence and absence of a test compound in apoNOX and apoB (or analog) containing reaction mixtures. Those compounds, agents or compositions that inhibit apoBNOX are identified as those resulting in less oxidation or lower rates of oxidation of apoB or its equivalent in the assay, including where the reaction is monitored via NADH oxidation or ferricytochrome c reduction. 
     In an embodiment, the invention encompasses methods for inhibition of lipoprotein-particle-associated apoBNOX in sera. In other embodiments, the invention encompasses methods for inhibition of apoBNOX purified from lipoproteins of sera or replaced by an appropriate synthetic peptide. With the first embodiment, the source of apoBNOX can be apoBNOX normally present in sera. In the other embodiments, the apoBNOX can be apoBNOX purified from sera or lipoprotein particles isolated from sera or preferably the apoBNOX source is recombinant protein expressed in bacteria transfected with apoBNOX cDNA. 
     Provided as well is a synthetic peptide which can serve as an apoB replacement in apoBNOX assays. The peptide comprises the sequence FHCRDGNCIHNHWQCDGDYDCGEGSDE (SEQ ID NO:3), or a sequence with at least about 50%, 75%, 92%, 96%, 97%, 98% or 99% identity thereto. 
     These and other features and advantages of the present compositions and methods are set forth below or will become more fully apparent in the description that follows and in the appended claims. The features and advantages may be realized and obtained by means of the formulations and combinations particularly pointed out in the appended claims. Furthermore, the features and advantages of the present methods and compositions may be learned by the practice of the invention or will be apparent from the description, as set forth hereinafter. 
    
    
     
       BRIEF DESCRIPTION OF THE FIGURES 
       Various exemplary embodiments of the composition and methods provided herein will be described in detail, with reference to the following figures wherein: 
         FIG. 1 . Time course of serum apoBNOX activity of a 73 y male subject after oral administration of an appropriate sustained release (SR) apoBNOX inhibitor administered daily based on decreased amounts of circulating oxidized lipoprotein B determined by an ELISA assay specific for oxidized lipoprotein B (Mercodia). 
         FIG. 2 . Calibration curve for determining the amount of oxidized apoprotein B using the ELISA method of  FIG. 1 . 
         FIG. 3 . Correlation between ferricytochrome c reduction as a measure of apoBNOX activity and levels of oxidized apoprotein B in sera and plasma of four laboratory volunteers. 
         FIG. 4 . Scheme illustrating the role of apoBNOX in oxidation of apoB associated with low density lipoprotein particles. 
         FIG. 5 . Unique amino acid sequence and functional motifs of apoBNOX. The amino acid sequence of the protein is given in SEQ ID NO:2 and the coding sequence is given in SEQ ID NO:1. 
         FIG. 6 . ELISA analysis of arNOX isoforms of LDL (left) compared to saliva (right). In contrast to saliva, with LDL nearly all of the arNOX reacts with a specific antibody to isoform SF2 (=apoBNOX) compared to a mixture of antibodies to all 5 arNOX isoforms (mix). 
         FIG. 7 . 2-D gel electrophoresis and western blot with antibody to TM9 SF2 (apoBNOX) showing the presence of a ca. 18 kDa soluble fragment associated with low density lipoprotein particles purified from human sera. 
     
    
    
     DETAILED DESCRIPTION 
     The present disclosure provides pharmaceutical or cosmetic compositions, methods of use, and pharmaceutical kits for the treatment of disorders resulting from oxidative changes in cells that result in aging by targeting an aging-related isoform of NADH oxidase (apoBNOX) associated with circulating lipoprotein particles. The compositions may contain agents extracted from common dietary ingredients. For example, the compositions described herein may comprise at least one extract shown to inhibit apoBNOX activity, whether alone or with other inhibition agents and, inhibit or block its activity. The composition may comprise natural extracts or agents derived therefrom known to comprise active agents useful in inhibiting apoBNOX together with other compounds known to the art. Such other compounds may comprise gums, fillers, preservatives and the like. 
       FIG. 4  illustrates the role of apoBNOX in the oxidation of the apoB protein associated with low density lipoprotein particles and the recognition of the oxidized LDL by macrophages, resulting in the formation of foam cells leading to fatty streaks and atherogenic plaques. In this scheme, the apoBNOX binds selectively to lipoprotein particle-associated apoB and withdraws electrons to form superoxide. Evidence that the source of these electrons is protein thiols is given in Table 1. The superoxide thus generated is converted to hydrogen peroxide by the action of superoxide dismutase. The hydrogen peroxide thus generated attacks lipids (particularly phosphatidylcholine) of the low density lipoprotein particles to form reactive lipid peroxides that then attack key lysine residues in the apoB. Evidence that superoxide generated by arNOX when converted to hydrogen peroxide is capable of oxidizing phosphatidylcholine is given by the data of Table 2. 
     
       
         
               
             
               
               
               
             
               
               
               
               
             
           
               
                 TABLE 1 
               
             
             
               
                   
               
               
                 Lipid oxidation catalyzed by H 2 O 2  formed from  
               
               
                 recombinant arNOX-generated superoxide. 
               
             
          
           
               
                   
                   
                 H 2 O 2    
               
               
                   
                 Relative units 
                 equivalent 
               
               
                 Incubated 2 h 
                 cm 
                 μmoles/mg 
               
               
                   
               
             
          
           
               
                 SF2 1  + lecithin + SOD 
                 0.12 
                 0.06 
                 1.3 
               
               
                 SF2 + lecithin + SOD + CoQ 2   
                 0.06 
                   
                   
               
               
                 SF2 + lecithin + SOD + 3-way inhibitor 3   
                 0.06 
                   
                   
               
               
                 SF2 + lecithin 
                 0.06 
                   
                   
               
               
                 SF4 1  + lecithin + SOD 
                 0.10 
                 0.06 
                 1.3 
               
               
                 SF4 + lecithin +SOD + CoQ 
                 0.04 
                   
                   
               
               
                 SF4 + lecithin + SOD + 3-way inhibitor 
                 0.04 
                   
                   
               
               
                 SF4 + lecithin 
                 0.04 
                   
                   
               
               
                 Saliva + lecithin + SOD 
                 0.3 
                 0.18 
                 4.0 
               
               
                 Saliva + lecithin + SOD + CoQ 
                 0.12 
                   
                   
               
               
                 Saliva + lecithin 
                 0.12 
                   
                   
               
               
                 Saliva + lecithin + SOD + 3-way inhibitor 
                 0.12 
               
               
                   
               
               
                   1 100 ng/25 μl; 250 μl = 1 μg recombinant SF-4 
               
               
                   2 To 2.5 ml of 255 volume were added 2.5 μl of 100 mM coenzyme Q 10  in ethanol 
               
               
                   3 To 2.5 ml of assay volume were added 25 μl of an aqueous mixture of 4 mg/ml  Schizandra   Schizandra   chinensis  extract, 9% Schizandrins, Draco, San Jose, CA) plus 1 mg/ml salicin (Sigma-Aldrich, St. Louis, MO) and 20 μl of IBR Dormin (Israeli Biotechnology Research, Ramat-Gan, Israel). 
               
             
          
         
       
     
     
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                 TABLE 2 
               
             
             
               
                   
               
               
                 Oxidation of protein thiols of human apoB purified from serum LDL by 
               
               
                 recombinant arNOX SF-2 and SF-4 and saliva (75 y male). 
               
             
          
           
               
                   
                 Relative 
                 nmoles SH 
               
               
                   
                 units 
                 oxidized 3   
               
               
                   
               
             
          
           
               
                 Complete 
                 25 
                 500 
               
               
                 apo B 1   
                 9 
                 180 
               
               
                 SF2 2   
                 0 
                 0 
               
               
                   
               
               
                   1 160 μg human apoB purified from LDL = 16 μg cysteine thiol = 1,333 nmoles 
               
               
                   2 0.2 μg recombinant arNOX SF2 
               
               
                   3 Based on DTNB (dithiodinitrobenzoic acid) reactivity of cysteine standards. Incubation time of 2 h. Oxidation of 500 nmoles SH generated 250 nmoles H 2 O 2 . 
               
             
          
         
       
     
     That apoBNOX is a unique arNOX form related to atherogenesis is implicit in the sequence of apoBNOX ( FIG. 5 ) also known as TM9 SF2 (GenBank accession number U81006; WO 2011/022387; see also SEQ ID NO:2 herein). The C-terminus of apoBNOX which is shed into the circulation contains a peptide sequence of 25 amino acids with 56% similarity with the LDL receptor binding surface. Without wishing to be bound by theory, it is believed that this allows for the tight binding of the apoBNOX to the exposed binding surface of the apoB of the lipoprotein particles. As a result of the tight binding, nearly 50% of the total arNOX activity (Table 3) and nearly all of the TM9 SF2 (apoBNOX) ( FIG. 6 ) of human sera or plasma co-purifies with LDL upon flotation centrifugation through dilute salt solutions or distilled water. Truncated TM9 SF2 (apoBNOX) is present in isolated LDL as shown by 2-D gel electrophoresis and western blotting with TM9 SF2 −  (apoBNOX − ) specific antisera ( FIG. 7 ). Comparing preparations of LDL from subjects with low and high LDL levels (Table 4), apoBNOX levels determined by immune absorbance enzyme linked assay (ELISA) correlated with total arNOX activity further demonstrating the specific association between apoBNOX and lipoprotein particles of sera. Tight binding is also evidenced by co-isolation of apoB and apoBNOX via size exclusion chromatography. These findings together with the property of the apoBNOX associated with lipoprotein particles to resist inhibition by superoxide dismutase and coenzyme Q 10  as well as other water-soluble arNOX inhibitors such as savory infusion and apigenin and its other active constituents point to the uniqueness of the TM9 SF1 arNOX form in support of its special designation as apoBNOX. 
     
       
         
               
             
               
               
               
             
               
               
               
               
               
             
           
               
                 TABLE 3 
               
             
             
               
                   
               
               
                 arNOX is lipoprotein-associated. apoBNOX-mediated oxidation 
               
               
                 of apoprotein B of serum lipoproteins was determined from rate of 
               
               
                 ferricytochrome c reduction with lipoprotein particles  
               
               
                 isolated by flotation centrifugation of sera of human  
               
               
                 subjects with low vs. elevated LDL amounts. 
               
             
          
           
               
                   
                   
                 Lipoprotein bound, 
               
               
                   
                 Nmoles/min/ml 
                 % of total activity 
               
             
          
           
               
                   
                 Elevated LDL 
                 Low LDL 
                 Elevated LDL 
                 Low LDL 
               
               
                   
               
               
                 Serum 
                 1.0 
                 0.6 
                 32 
                 20 
               
               
                 Plasma 
                 1.2 
                 1.0 
                 43 
                 27 
               
               
                   
               
             
          
         
       
     
     arNOX-mediated oxidation of apoprotein B of serum lipoproteins was determined from rate of ferricytochrome c reduction with lipoprotein particles isolated by flotation centrifugation of sera and plasma of human subjects with low vs. elevated LDL amounts. 
     
       
         
               
             
               
               
               
             
               
               
               
             
           
               
                 TABLE 4 
               
             
             
               
                   
               
               
                 Correlation between ELISA absorbance using apoBNOX  
               
               
                 antibody (FIG. 6) and arNOX activity based on superoxide  
               
               
                 generation measured from a standard assay using ferricytochrome c  
               
               
                 reduction comparing sera of subjects with low and high levels of LDL. 
               
             
          
           
               
                   
                 ELISA  
                 arNOX activity 
               
               
                   
                 absorbance 
                 Ferricytochrome c reduction, 
               
               
                   
                 Blank 
                 nmoles/min/100 μl 
               
               
                   
               
             
          
           
               
                 Low LDL 
                 0.09 
                 0.045 
               
               
                 High LDL 
                 0.23 
                 0.12 
               
               
                 Ratio High/Low LDL 
                 2.6 
                 2.7 
               
               
                   
               
             
          
         
       
     
     EXAMPLES 
     Example 1 
     Characterization of apoBNOX Inhibitors 
     Reduction of ferricytochrome c by superoxide was employed as the measure of superoxide dismutase-resistant apoBNOX activity (Mayo, L. A. and Curnutte, J., 1990, Meth. Enzyme. 186: 567-575; Butler, J. et al., 1982, J. Biol. Chem. 257: 10747-10750). The assay consists of 150 μl buffy coats in PBSG buffer (8.06 g NaCl, 0.2 g KCl, 0.18 g Na 2 HPO 4 , 0.13 g CaCl 2 , 0.1 MgCl 2 , 1.35 g glucose dissolved in 1000 ml deionized water, adjusted to pH 7.4, filtered and stored at 4° C.). Rates were determined using an SLM Aminco DW-2000 spectrophotometer (Milton Roy, Rochester, N.Y.) in the dual wave length mode of operation with continuous measurements over 1 min every 1.5 min. After 45 min, test compounds were added and the reaction was continued for an additional 45 min. After 45 min, a millimolar extinction coefficient of 19.1 cm −1  was used for reduced ferricytochrome c. The results from a typical test compound effective in inhibiting apoBNOX are provided in Table 5. 
     
       
         
               
             
               
               
               
             
           
               
                 TABLE 5 
               
             
             
               
                   
               
               
                 apoBNOX activity inhibition by 100 μM tyrosol  
               
               
                 (4-hydroxylphenethyl alcohol) and white wine extract. 
               
             
          
           
               
                 Substance 
                   
                 apoBNOX activity, 
               
               
                 or extract 
                   
                 % inhibition 
               
               
                   
               
               
                 Tyrosol 
                 100 μM 
                 70% 
               
               
                 White wine 
                 Concentrated extract 
                 65% 
               
               
                   
               
             
          
         
       
     
     Inhibition by 100 μM tyrosol or white wine concentrate in the assay was about 65-70%. 
     Example 2 
     Kinetics of apoBNOX 
     By incorporating sustained release agents in the tyrosol, hydroxytyrosol and/or white wine extract formulations, it is possible to achieve 12 h protection from a two capsule/day regimen with the possibility of extending the regimen to a one capsule/day 24 h protection regimen. This is a further unique aspect of the present methods in that makes possible a therapeutic utility of the technology of importance to treating aging-related damage from oxidized circulating lipoproteins in individuals as they age beyond 30 years. 
     Example 3 
     apoBNOX Activity Associated with Serum Lipoprotein Particles 
     That the apoBNOX activity is associated with lipoprotein particles of sera was demonstrated from data of Table 3. 
     Example 4 
     Correlation of apoBNOX Activity and Apoprotein B Oxidation 
       FIG. 3  shows a correlation between apoBNOX activity and protein B oxidation for sera and plasma of four laboratory volunteers. 
     Example 5 
     Expression of Recombinant apoBNOX 
     pET11a vector and  Escherichia coli  BL21 (DE3) competent cells were purchased from Novagen (Madison, Wis.). I.M.A.G.E. Full length cDNA IRAUp969E0589D was from ImaGenes (Berlin, Germany). 
     Plasmids carrying TM9SF2 sequence were prepared by inserting the pET11a vector (between NheI and BamHI sites) with TM9SF2 sequence. The TM9SF2 sequence was synthesized by GenScript USA Inc. (Piscataway, N.J.). 
     DNA sequences of the ligation products (pET11a-TM9SF2) were confirmed by DNA sequencing. Then pET11a-TM9SF2 was transformed to  E. coli  BL21 (DE3) competent cells. A single colony was picked and inoculated into the 5 ml LB/AMP medium. The overnight culture (1 ml) was diluted into 100 ml LB/AMP media (1:100 dilution). The cells were grown with vigorous shaking (250 rpm) at 37° C. to an OD600 of 0.4-0.6 and IPTG (0.5 mM) was added for induction. Cultures were collected after 5 h shaking (250 rpm) at 37° C. Expression of the TM9SF2 was confirmed by SDS-PAGE with silver staining. 
     Cultures were centrifuged at 6,000 g for 20 min. Pellets were resuspended in 20 mM Tris-Cl, pH 8.0 (0.5 mM PMSF added). Cells were broken by French Press at 20,000 psi 3 times. 
     The extracts were centrifuged at 10,000 rpm for 20 min. Supernatant was discarded and pellets (inclusion bodies) were resuspended in 20 ml of Tris buffer. Two ml of 20% Triton X-100 was added to each tube and sample volume was adjusted to 40 ml with Tris buffer. Tubes were incubated at room temperature for 1 h with shaking and centrifuged at 10,000 rpm for 20 min. Supernatants were discarded and pellets were washed two times with Tris buffer by resuspending in 25 ml of Tris buffer and centrifuged one time with 25 ml of pure water. 
     For solubilization of the inclusion bodies, pellets were resuspended in 20 ml of water and 4 ml of 0.5 M CAPS buffer, pH 11 (50 mM final concentration), 40 μl of 1 M DTT (1 mM final concentration) and 0.4 ml of 30% sodium lauryl Sarcosine (0.3% final concentration) were added. Sample volumes were adjusted to 40 ml with water. Samples were incubated at room temperature for 17 h. 
     
       
         
               
             
               
               
             
               
               
             
           
               
                 TABLE 6 
               
             
             
               
                   
               
               
                 Transmembrane 9 superfamily member 2 ( Homo sapiens ) (SEQ ID NO: 1) 
               
             
          
           
               
                 VERSION  
                 NP_004791.1 GI: 4758874 
               
               
                 DBSOURCE 
                 REFSEQ: accession NM_004800.1 
               
               
                   
               
             
          
           
               
                 1 
                 cgcaaccgga actagccttc tgggggccgg cttggtttat ctctggcggc cttgtagtcg 
               
               
                   
               
               
                 61 
                 tctccgagac tccccacccc tccttccctc ttgaccccct aggtttgatt gccctttccc 
               
               
                   
               
               
                 121 
                 cgaaacaact atcatgagcg cgaggctgcc ggtgttgtct ccacctcggt ggccgcggct 
               
               
                   
               
               
                 181 
                 gttgctgctg tcgctgctcc tgctgggggc ggttcctggc ccgcgccgga gcggcgcttt 
               
               
                   
               
               
                 241 
                 ctacctgccc ggcctggcgc ccgtcaactt ctgcgacgaa gaaaaaaaga gcgacgagtg 
               
               
                   
               
               
                 301 
                 caaggccgaa atagaactat ttgtgaacag acttgattca gtggaatcag ttcttcctta 
               
               
                   
               
               
                 361 
                 tgaatacaca gcgtttgatt tttgccaagc atcagaagga aagcgcccat ctgaaaatct 
               
               
                   
               
               
                 421 
                 tggtcaggta ctattcgggg aaagaattga accttcacca tataagttta cgtttaataa 
               
               
                   
               
               
                 481 
                 gaaggagacc tgtaagcttg tttgtacaaa aacataccat acagagaaag ctgaagacaa 
               
               
                   
               
               
                 541 
                 acaaaagtta gaattcttga aaaaaagcat gttattgaat tatcaacatc actggattgt 
               
               
                   
               
               
                 601 
                 ggataatatg cctgtaacgt ggtgttacga tgttgaagat ggtcagaggt tctgtaatcc 
               
               
                   
               
               
                 661 
                 tggatttcct attggctgtt acattacaga taaaggccat gcaaaagatg cctgtgttat 
               
               
                   
               
               
                 721 
                 tagttcagat ttccatgaaa gagatacatt ttacatcttc aaccatgttg acatcaaaat 
               
               
                   
               
               
                 781 
                 atactatcat gttgttgaaa ctgggtccat gggagcaaga ttagtggctg ctaaacttga 
               
               
                   
               
               
                 841 
                 accgaaaagc ttcaaacata cccatataga taaaccagac tgctcagggc cccccatgga 
               
               
                   
               
               
                 901 
                 cataagtaac aaggcttctg gggagataaa aattgcctat acttactctg ttagcttcga 
               
               
                   
               
               
                 961 
                 ggaagatgat aagatcagat gggcgtctag atgggactat attctggagt ctatgcctca 
               
               
                   
               
               
                 1021 
                 tacccacatt cagtggttta gcattatgaa ttccctggtc attgttctct tcttatctgg 
               
               
                   
               
               
                 1081 
                 aatggtagct atgattatgt tacggacact gcacaaagat attgctagat ataatcagat 
               
               
                   
               
               
                 1141 
                 ggactctacg gaagatgccc aggaagaatt tggctggaaa cttgttcatg gtgatatatt 
               
               
                   
               
               
                 1201 
                 ccgtcctcca agaaaaggga tgctgctatc agtctttcta ggatccggga cacagatttt 
               
               
                   
               
               
                 1261 
                 aattatgacc tttgtgactc tatttttcgc ttgcctggga tttttgtcac ctgccaaccg 
               
               
                   
               
               
                 1321 
                 aggagcgctg atgacgtgtg ctgtggtcct gtgggtgctg ctgggcaccc ctgcaggcta 
               
               
                   
               
               
                 1381 
                 tgttgctgcc agattctata agtcctttgg aggtgagaag tggaaaacaa atgttttatt 
               
               
                   
               
               
                 1441 
                 aacatcattt ctttgtcctg ggattgtatt tgctgacttc tttataatga atctgatcct 
               
               
                   
               
               
                 1501 
                 ctggggagaa ggatcttcag cagctattcc ttttgggaca ctggttgcca tattggccct 
               
               
                   
               
               
                 1561 
                 ttggttctgc atatctgtgc ctctgacgtt tattggtgca tactttggtt ttaagaagaa 
               
               
                   
               
               
                 1621 
                 tgccattgaa cacccagttc gaaccaatca gattccacgt cagattcctg aacagtcgtt 
               
               
                   
               
               
                 1681 
                 ctacacgaag cccttgcctg gtattatcat gggagggatt ttgccctttg gctgcatctt 
               
               
                   
               
               
                 1741 
                 tatacaactt ttcttcattc tgaatagtat ttggtcacac cagatgtatt acatgtttgg 
               
               
                   
               
               
                 1801 
                 cttcctattt ctggtgttta tcattttggt tattacctgt tctgaagcaa ctatacttct 
               
               
                   
               
               
                 1861 
                 ttgctatttc cacctatgtg cagaggatta tcattggcaa tggcgttcat tccttacgag 
               
               
                   
               
               
                 1921 
                 tggctttact gcagtttatt tcttaatcta tgcagtacac tacttctttt caaaactgca 
               
               
                   
               
               
                 1981 
                 gatcacggga acagcaagca caattctgta ctttggttat accatgataa tggttttgat 
               
               
                   
               
               
                 2041 
                 cttctttctt tttacaggaa caattggctt ctttgcatgc ttttggtttg ttaccaaaat 
               
               
                   
               
               
                 2101 
                 atacagtgtg gtgaaggttg actgaagaag tccagtgtgt ccagttaaaa cagaaataaa 
               
               
                   
               
               
                 2161 
                 ttaaactctt catcaacaaa gacctgtttt tgtgactgcc ttgagtttta tcagaattat 
               
               
                   
               
               
                 2221 
                 tggcctagta atccttcaga aacaccgtaa ttctaaataa acctcttccc atacaccttt 
               
               
                   
               
               
                 2281 
                 cccccataag atctgtcttc aacactataa agcatttgta ttgtgatttg attaagtata 
               
               
                   
               
               
                 2341 
                 tatttggttg ttctcaatga agagcaaatt taaatattat gtgcatttga a 
               
               
                   
               
             
          
         
       
     
     
       
         
               
             
               
               
             
           
               
                 TABLE 7 
               
               
                   
               
               
                 Transmembrane 9 superfamily member 2 ( Homo sapiens )(SEQ ID NO: 2) 
               
               
                   
               
             
             
               
                   
               
             
          
           
               
                 1 
                 msarlpvlsp prwprlllls llllgavpgp rrsgafylpg lapvnfcdee kksdeckaei 
               
               
                   
               
               
                 61 
                 elfvnrldsv esvlpyeyta fdf cq asegk rpsenl gqvl fg eriepspy kftfnkket c   
               
               
                   
               
               
                 121 
                   klvc tktyht ekaedkqkle flkksmlln y qh hwivdnmp vtwcydvedg qrfcnpgfpi 
               
               
                   
               
               
                 181 
                 gcyitdkgha kdacvissdf herdtfyifn hvdikiyyhv vetgsmgarl vaaklepksf 
               
               
                   
               
               
                 241 
                 k hth idkpdc 
               
               
                   
               
               
                 Conserved CQ/CE 
               
               
                 Adenine nucleotide binding site GXVXXG at amino acids 97-102 
               
               
                 Putative protein disulfide interchange site CXXXC 
               
               
                 Putative copper sites YQH and HTH 
               
             
          
         
       
     
     Example 6 
     Refolding of Recombinant apoBNOX 
     After solubilization, samples were centrifuged at 10,000 rpm for 20 min and supernatants were collected. The supernatants were filtered through 0.45 μm syringe filter. The filtrates were poured into two dialysis bags (3,500 MWCO, flat width 45 mm and diameter 29 mm, SpectraPor) and dialyzed against cold dialysis buffer A (25 mM Tris-HCl, pH 8.5, 1 mM cysteamine, 0.1 mM cysteamine, 1 mM 6-aminocaproic acid and 0.5 mM benzamidine HCl) with 3 changes, against cold dialysis buffer B (25 mM Tris-HCl, pH 8.0, 1 mM 6-aminocaproic acid and 0.5 mM benzamidine HCl) with one change and against dialysis buffer C (50 mM Tris-HCl, pH 8.0, 1 mM 6-aminocaproic acid and 0.5 mM benzamidine HCl) with one change. Dialysis was at least 17 h for each change. After dialysis, PMSF was added to final concentration of 0.5 mM and samples were centrifuged at 10,000 rpm for 20 min. Supernatant was collected and concentrated to about 16 ml by using Centriplus Concentrator (Amicon, MWCO 10,000, 470 rpm, 2800×g). Refolded arNOX was aliquoted to 0.5 ml into microcentrifuge tubes and stored at −80° C. 
     Example 7 
     Measurement of apoBNOX Activity 
     arNOX activity was assayed from measurements of superoxide production based on a standard method where reduction of ferricytochrome c was monitored from the increase in absorbance at 550 nm with reference at 540 nm (Butler et al., 1982). As a further check for the specificity of the apoBNOX activity, 60 units of superoxide dismutase (SOD) were added near the end of the assay to ascertain that the rate returned to base line. Rates were determined over 1 min at intervals of 1.5 min using a SLM Aminco DW 2000 spectrophotometer (Milton Roy, Rochester, N.Y.) in the dual wavelength mode of operation. An extinction coefficient of 19.1 mM −1  cm −1  was used for reduced ferricytochrome c. 
     Oxidation of NADH was determined spectrophotometrically from the disappearance of NADH measured at 340 nm in a reaction mixture containing 25 mM Tris-Mes (pH 7.2), 100 μM GSH, 1 mM KCN to inhibit mitochondrial oxidase activity, 150 μM NADH, and the enzyme at 37° C. with temperature control (±0.5° C.) and stirring. Prior to assay, 1 μM reduced glutathione was added to reduce the protein in the presence of substrate. After 10 min, 0.03% hydrogen peroxide was added to reoxidize the protein under renaturing conditions and in the presence of substrate to start the reaction. Activities were measured using a Hitachi U3210 spectrophotometer with continuous recording. Assays were for 1 min and were repeated on the same sample at intervals of 1.5 min for the times indicated. An extinction coefficient of 6.22 mM-1 cm-1 was used to determine specific activity. 
     Proteins were estimated by the bicinchoninic acid method with bovine serum albumin was the standard. 
     Example 8 
     Isolation of Low Density Lipoproteins and Purification of apoB 
     Lipoproteins were obtained from sera of normal human volunteers by flotation centrifugation (55,000 rpm in a Beckman L8-70 for 16 h at 4° C., salt density&gt;1.05 g/ml). The LDL was dialyzed for 24 h against 3-4 changes of 0.1 M sodium bicarbonate, pH 8.6 and solubilized with sodium deoxycholate (1.1 g/2 ml) with gentle stirring in the dark. The solubilized dilapidated apoB was applied to a Sepharose CL-4B column. The apoB-containing fractions from the column were pooled and concentrated by ultrafiltration with Amicon YM-10 filters. 
     All references cited herein are hereby incorporated by reference in their entireties to the extent they are not inconsistent with the present disclosure. References cited herein reflect the levels of skill in the art(s) to which the present disclosure relates. 
     All patents and publications mentioned in the specification are indicative of the levels of skill of those skilled in the art to which the invention pertains. References cited herein are incorporated by reference herein in their entirety to indicate the state of the art, in some cases as of their filing date, and it is intended that this information can be employed herein, if needed, to exclude (for example, to disclaim) specific embodiments that are in the prior art. For example, when a compound is claimed, it should be understood that compounds known in the prior art, including certain compounds disclosed in the references disclosed herein (particularly in referenced patent documents), are not intended to be included in the claim. 
     Tyrosol or hydroxytyrosol and white wine components, for example in the form of wine wine extract or concentrate, can provide health benefits when provided at a daily dose of 50-600, or about 100-300 mg per day for an adult human. These materials are found within the French and Mediterranean diets (and in olive oil) in significant amounts and may contribute to the so-called French paradox of relatively low cardiovascular disease despite a fairly rich diet. Other apoBNOX inhibitory agents, as identified in the screening assays provided herein, can be also formulated for human supplements or pharmaceutical compositions, using similar dosages or dosages sufficient to provide similar apoBNOX inhibition. 
     Tyrosol and hydroxytyrosol can be formulated in nutritional supplements or pharmaceutical compositions as esters with pharmaceutically acceptable acids, for example, fatty acids. Illustrations of some hydroxytyrosol and tyrosol derivatives included in this invention include those esterified with fatty acids of 1 to 16 and others. Hydroxyl groups may be protected, for example, an acetic acid chain via an ester bond, as well. Useful compounds include (3,4-Dihydroxyphenyl)ethyl oleate, 2-(3,4-Dihydroxyphenyl)ethyl stearate, 2-(3,4-Dihydroxyphenyl)ethyl docosahexaenoate, 2-(3,4-Dihydroxyphenyl)ethyl eicosapentaenoate, 2-(4-Hydroxyphenyl)ethyl acetate, 2-(4-Hydroxyphenyl)ethyl oleate, 2-(4-Hydroxyphenyl)ethyl stearate, 2-(4-Hydroxyphenyl)ethyl docosahexaenoate, 2-(4-Hydroxyphenyl)ethyl eicosapentaenoate, 2-(3,4-Diacetoxyphenyl)ethyl acetate, 2-(3,4-Dioleyloxyphenyl)ethyl oleate, 2-(3,4-Distearyloxyphenyl)ethyl stearate, 2-(3,4-Didocosahexaenoyloxyphenyl)ethyl docosahexaenoate, 2-(3,4-Dieicosapentaenoyloxyphenyl)ethyl eicosapentaenoate, 2-(4-Acetoxyphenyl)ethyl acetate, 2-(4-Oleyloxyphenyl)ethyl oleate, 2-(4-Stearyloxyphenyl)ethyl stearate, 2-(4-Docosahexaenoyloxyphenyl)ethyl docosahexaenoate, 2-(4-Eicosapentaenoyloxyphenyl)ethyl eicosapentaenoate, 
     Hydroxytyrosol and tyrosol are sensitive to oxidation and are hydrophilic. This last characteristic might be problematic if hydroxytyrosol or tyrosol are pretended to be used in fat-based food products or supplements. Oxidation of hydroxytyrosol and tyrosol clearly affect the stability and preservation of both compounds. The hydroxytyrosol and tyrosol derivatives presented in this invention avoid these two problems. The hydroxyl groups on these derivatives are protected from oxidation by preparing hydroxytyrosol or tyrosol fatty acid esters. When compared to hydroxytyrosol and tyrosol, the hydroxytyrosol and tyrosol fatty acid esters are much more resistant against oxidation. At the same time, depending on the length of the fatty acid chain of the fatty acid esters, their solubility in fat-based food products will be increased. Hydroxytyrosol or tyrosol esters with a wide range of solubilities can be prepared, from totally water-soluble hydroxytyrosol or tyrosol derivatives when acetic acid is used in the formation of the ester to totally oil-soluble hydroxytyrosol or tyrosol derivatives when oleic acid is used in the formation of the ester. The hydroxytyrosol and tyrosol derivatives are hydrolyse in the intestinal tract of rats to their two components, hydroxytyrosol or tyrosol and the fatty acid. Hydroxytyrosol or tyrosol are then rapidly absorbed, being detected in plasma and cerebrospinal fluid. This implies that, after their hydrolysis, mentioned fatty acid esters can act as antioxidants to reduce or ameliorate diseases with an oxidative stress origin. 
     Every formulation or combination of components described or exemplified can be used to practice the invention, unless otherwise stated. Specific names of compounds are intended to be exemplary, as it is known that one of ordinary skill in the art can name the same compounds differently. When a compound is described herein such that a particular isomer or enantiomer of the compound is not specified, for example, in a formula or in a chemical name, that description is intended to include each isomers and enantiomer of the compound described individual or in any combination. One of ordinary skill in the art will appreciate that methods, starting materials, synthetic methods, and pharmaceutically acceptable carriers, adducts, salts and compositions other than those specifically exemplified can be employed in the practice of the invention without resort to undue experimentation. All art-known functional equivalents, of any such methods, starting materials, synthetic methods, and pharmaceutically acceptable carriers, salts, adducts and compositions are intended to be included in this invention. Whenever a range is given in the specification, for example, a temperature range, a time range, or a composition range, all intermediate ranges and subranges, as well as all individual values included in the ranges given are intended to be included in the disclosure. 
     As used herein, “comprising” is synonymous with “including,” “containing,” or “characterized by,” and is inclusive or open-ended and does not exclude additional, unrecited elements or method steps. As used herein, “consisting of” excludes any element, step, or ingredient not specified in the claim element. As used herein, “consisting essentially of” does not exclude materials or steps that do not materially affect the basic and novel characteristics of the claim. Any recitation herein of the term “comprising”, particularly in a description of components of a composition or in a description of elements of a device, is understood to encompass those compositions and methods consisting essentially of and consisting of the recited components or elements. The invention illustratively described herein suitably may be practiced in the absence of any element or elements, limitation or limitations which is not specifically disclosed herein. 
     The terms and expressions which have been employed are used as terms of description and not of limitation, and there is no intention in the use of such terms and expressions of excluding any equivalents of the features shown and described or portions thereof, but it is recognized that various modifications are possible within the scope of the invention claimed. Thus, it should be understood that although the present invention has been specifically disclosed by preferred embodiments and optional features, modification and variation of the concepts herein disclosed may be resorted to by those skilled in the art, and that such modifications and variations are considered to be within the scope of this invention as defined by the appended claims. 
     In general the terms and phrases used herein have their art-recognized meaning, which can be found by reference to standard texts, journal references and contexts known to those skilled in the art. The following definitions are provided to clarify their specific use in the context of the invention. 
     The exact formulation, route of administration and dosage can be chosen by the individual physician in view of the patient&#39;s condition (see e.g. Fingl et. al., in The Pharmacological Basis of Therapeutics, 1975, Ch. 1 p. 1). 
     It should be noted that the attending physician would know how to and when to terminate, interrupt, or adjust administration due to toxicity, organ dysfunctions, or other deleterious effects. Conversely, the attending physician would also know to adjust treatment to higher levels if the clinical response were not adequate (precluding toxicity). The magnitude of an administered dose in the management of the disorder of interest will vary with the severity of the condition to be treated and to the route of administration. The severity of the condition may, for example, be evaluated, in part, by standard prognostic evaluation methods. Further, the dose and perhaps dose frequency, will also vary according to the age, body weight, and response of the individual patient. A program comparable to that discussed above also may be used in veterinary medicine. 
     Depending on the specific conditions being treated and the targeting method selected, such agents may be formulated and administered systemically or locally. Techniques for formulation and administration are well known to the art. Suitable routes may include, for example, oral, rectal, transdermal, vaginal, transmucosal, or intestinal administration; parenteral delivery, including intramuscular, or subcutaneous injections, as well as intrathecal, intravenous, intraperitoneal injections, or transdermal administration. 
     For injection, the agents of the invention may be formulated in aqueous solutions, preferably in physiologically compatible buffers such as Hanks&#39; solution, Ringer&#39;s solution, or physiological saline buffer. For transmucosal administration, penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are generally known in the art. 
     Use of pharmaceutically acceptable carriers to formulate the compounds herein disclosed for the practice of the invention into dosages suitable for systemic administration is within the scope of the invention. With proper choice of carrier and suitable manufacturing practice, the compositions of the present invention, in particular those formulated as solutions, may be administered parenterally, such as by intravenous injection. Appropriate compounds can be formulated readily using pharmaceutically acceptable carriers well known in the art into dosages suitable for oral administration. Such carriers enable the compounds of the invention to be formulated as tablets, pills, capsules, liquids, gels, syrups, slurries, suspensions and the like, for oral ingestion by a patient to be treated. 
     Agents intended to be administered intracellularly may be administered using techniques well known to those of ordinary skill in the art. For example, such agents may be encapsulated into liposomes, then administered as described above. Liposomes are spherical lipid bilayers with aqueous interiors. All molecules present in an aqueous solution at the time of liposome formation are incorporated into the aqueous interior. The liposomal contents are both protected from the external microenvironment and, because liposomes fuse with cell membranes, are efficiently delivered into the cell cytoplasm. Additionally, due to their hydrophobicity, small organic molecules may be directly administered intracellularly. 
     Pharmaceutical compositions suitable for use in the present methods include compositions wherein the active ingredients are contained in an effective amount to achieve the intended purpose. Determination of the effective amounts is well within the capability of those skilled in the art, especially in light of the detailed disclosure provided herein. 
     In addition to the active ingredients, these pharmaceutical compositions may contain suitable pharmaceutically acceptable carriers comprising excipients and auxiliaries which facilitate processing of the active compounds into preparations which can be used pharmaceutically. The preparations formulated for oral administration may be in the form of tablets, dragees, capsules, or solutions, including those formulated for delayed release or only to be released when the pharmaceutical reaches the small or large intestine. 
     The pharmaceutical compositions provided herein may be manufactured in a manner that is itself known, e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levitating, emulsifying, encapsulating, entrapping or lyophilizing processes. 
     Pharmaceutical formulations for parenteral administration include aqueous solutions of the active compounds in water-soluble form. Additionally, suspensions of the active compounds may be prepared as appropriate oily injection suspensions. Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters, such as ethyl oleate or triglycerides, or liposomes. Aqueous injection suspensions may contain substances which increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran. Optionally, the suspension may also contain suitable stabilizers or agents which increase the solubility of the compounds to allow for the preparation of highly concentrated solutions. 
     Pharmaceutical preparations for oral use can be obtained by combining the active compounds with solid excipient, optionally grinding a resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries, if desired, to obtain tablets or dragee cores. Suitable excipients are, in particular, fillers such as sugars, including lactose, sucrose, mannitol, or sorbitol; cellulose preparations such as, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, gum tragacanth, methyl cellulose, hydroxypropylmethyl-cellulose, sodium carboxymethylcellulose, and/or polyvinylpyrrolidone (PVP). If desired, disintegrating agents may be added, such as the cross-linked polyvinyl pyrrolidone, agar, or alginic acid or a salt thereof such as sodium alginate. 
     Dragee cores are provided with suitable coatings. For this purpose, concentrated sugar solutions may be used, which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, and/or titanium dioxide, lacquer solutions, and suitable organic solvents or solvent mixtures. Dyestuffs or pigments may be added to the tablets or dragee coatings for identification or to characterize different combinations of active compound doses. 
     Pharmaceutical preparations which can be used orally include push-fit capsules made of gelatin, as well as soft, sealed capsules made of gelatin and a plasticizer, such as glycerol or sorbitol. The push-fit capsules can contain the active ingredients in admixture with filler such as lactose, binders such as starches, and/or lubricants such as talc or magnesium stearate and, optionally, stabilizers. In soft capsules, the active compounds may be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols. In addition, stabilizers may be added.