Estrogen beta receptor agonists to prevent or reduce the severity of cardiovascular disease

a technology of estrogen beta receptor and agonist, which is applied in the direction of drug composition, immunological disorders, metabolism disorders, etc., can solve the problems of sudden cardiac death, increased risk of ischemic heart disease, and pain in the hear

Inactive Publication Date: 2010-06-17
HERMSMEYER R KENT
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

This is a condition where plaques form in the inner lining of the arteries, causing narrowing of the channel and thereby impairing blood flow to the heart.
An increased risk for ischemic heart disease is observed in women after menopause or ovariectomy and presents a major medical challenge.
It is the leading cause of death in post-menopausal women, which implicates the importance of the loss of ovarian steroid hormones.
A vasospasm is an abnormally strong and persistent contraction of the muscles of the coronary arteries which leads to transmural myocardial ischemia and can result in sudden cardiac death.
The role of coronary vasospasm in cardiovascular disease is still controversial, and approaches to treatments for cardiovascular disease have not focused upon methods for reducing coronary vasospasm.

Method used

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  • Estrogen beta receptor agonists to prevent or reduce the severity of cardiovascular disease
  • Estrogen beta receptor agonists to prevent or reduce the severity of cardiovascular disease
  • Estrogen beta receptor agonists to prevent or reduce the severity of cardiovascular disease

Examples

Experimental program
Comparison scheme
Effect test

example 1

Animals

[0050]Six adult ovariectomized (OVX) female rhesus monkeys (Macaca mulatta) were employed in the studies described below. None of the monkeys had been exposed to high cholesterol diets and all were later verified to lack evidence of cardiovascular disease. Each of the monkeys had a normal physical examination, including blood chemistry analysis. The monkeys were entered into the study no less than 3 months after ovariectomy. Monkeys do not endogenously produce estriol, and therefore all blood or urine levels found must have resulted from exogenous administration.

example 2

Catheterization

[0051]Angiography after overnight fasting began with preanesthesia with ketamine (10 mg / kg body weight intramuscular), intubation with an endotracheal tube and a light surgical plane of anesthesia with isoflurane (induced at 1.5% to 3% maintained at 0.75% to 1.25%), vaporized with 33% nitrous oxide and 67% oxygen, or with 100% oxygen. Bilateral femoral intraarterial 3F catheters allowed for coronary catheterization and continuous recording of systemic arterial blood pressure and heart rate, which were maintained close to the initial anesthetic value for each monkey. Intravenous heparin (1,000 U) was injected, and up to 120 ml of pyruvated Ringer's solution and 0 to 50 ml of dextran solution were used (as needed) to maintain diastolic blood pressure ≧60 mm Hg. A heating pad assisted in maintenance of a body temperature decrease≦2° C. of preanesthesia body temperature (monitored by rectal thermometer). An electrocardiogram (ECG) recorded on a Gould eight-channel recorde...

example 3

Effect of Estriol to Prevent Vasospasm

[0055]A 0.3% estriol topical cream was formulated with the following components.

Component % Concentration w / w

[0056]estriol0.3[0057]cetyl alcohol, NF6[0058]stearyl alcohol, NF3[0059]sodium lauryl sulfate, NF0.2[0060]isopropyl palmitate, NF1.7[0061]propylene glycol, USP8[0062]sorbitol solution, USP12.9[0063]lactic acid, USP1.2[0064]benzyl alcohol, NF2.1[0065]purified water, USPQS 100

[0066]The six rhesus monkeys of Example 1 were treated daily with this 0.3% estriol topical cream. The cream was rubbed into the skin of the monkeys on an area that had been shaven. This dosage of skin cream is expected to result in an absorption of about 0.3 mg estriol per ml, based on an assumption of 10% absorption of the 3 mg of estriol in each ml of cream. The estriol was purchased from Steraloids (Wilton, N.H.).

[0067]After 4 weeks of daily treatment with 0.2 mg / kg of the estriol topical cream, the monkeys were studied by coronary catheterization, and reactivity w...

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Abstract

A method for preventing or treating vascular hyperreactivity in which a chemical compound that is an estrogen beta receptor agonist is administered to a subject suffering from or at risk of vascular hyperreactivity. Preferably, the administration is topically to the skin.

Description

[0001]This application is a continuation of U.S. patent application Ser. No. 10 / 690,169, filed Oct. 21, 2003, which application claims the benefit of U.S. Provisional Patent Application Ser. No. 60 / 428,811 filed on Nov. 22, 2002, which is incorporated herein in its entirety by reference.FIELD OF THE INVENTION[0002]The invention relates to the use of chemical compounds to reduce the incidence or severity, and to treat or prevent cardiovascular disease, including coronary artery disease such as coronary artery reactivity, cerebrovascular disease such as stroke, and peripheral vascular disease such as intermittent claudication or Raynaud's Disease.BACKGROUND OF THE INVENTION[0003]Cardiovascular disease, including coronary heart disease, stroke and other vascular diseases, is the leading cause of death of men and women in economically-developed countries. The most common and lethal form of cardiovascular disease is ischemic heart disease. It has generally been regarded that ischemic hea...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/56A61P9/00A61K31/57
CPCA61K31/57A61P3/10A61P5/26A61P5/30A61P5/34A61P9/00A61P9/10A61P9/12A61P37/06A61P43/00
Inventor HERMSMEYER, R. KENT
Owner HERMSMEYER R KENT
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