Methods for preventing or treating neuromuscular or muscular conditions by peripherally administered erythropoietin

Abstract

Methods and compositions are provided for protecting or enhancing excitable tissue function in mammals by systemic administration of an erythropoietin receptor activity modulator, such as erythropoietin, which signals via an EPO-activated receptor to modulate the function of excitable tissue. Excitable tissues include central neuronal tissues, such as the brain, peripheral neuronal tissues, retina, and heart tissue. Protection of excitable tissues provides treatment of hypoxia, seizure disorders, neurodegenerative diseases, hypoglycemia, and neurotoxin poisoning. Enhancement of function is useful in learning and memory. The invention is also directed to compositions and methods for facilitating the transport of molecules across endothelial cell tight junction barriers, such as the blood-brain barrier, by association of molecules with an erythropoietin receptor activity modulator, such as an erythropoietin.

Description

[0001] This application is a Continuation of U.S. application Ser. No. 09 / 717,053, filed Nov. 21, 2000, which is a divisional of U.S. application Ser. No. 09 / 547,220, filed Apr. 11, 2000, now abandoned, which claims benefit under 35 U.S.C. § 119(e) of U.S. provisional patent application No. 60 / 129,131, filed Apr. 13, 1999, the entire contents of each of which is incorporated herein by reference in its entirety.1. FIELD OF THE INVENTION [0002] The present invention is directed to the use of peripherally administered erythropoietin and other erythropoietin receptor activity modulators or EPO-activated receptor modulators to positively affect excitable tissue function. This includes the protection of excitable tissue, such as neuronal and cardiac tissue, from neurotoxins, hypoxia, and other adverse stimuli, and the enhancement of excitable tissue function, such as for facilitating learning and memory. The present invention is further drawn to methods for transport of substances across ...

AI Technical Summary

Benefits of technology

EPO, when administered systemically in high doses, effectively enhances cognitive function and protects neural tissue from various forms of damage, including hypoxia and neurotoxins, demonstrating significant neuroprotective and cognitive-enhancing effects in both animal models and potential human applications.

Problems solved by technology

It is widely understood that decreases in energy supply available to the brain, such as glucose or oxygen, results in a profound impairment of brain function, including cognition.

Many (but not all) neurons in the central nervous system are easily damaged while working under metabolically-limited conditions, e.g., hypoxia, hypoglycemia, stress, and / or prolonged, strong excitation.

Under these circumstances, the electrochemical gradients of these cells often collapse, resulting in irreversible neuronal injury and cell death.

Although the consequences of limited energy substrate on brain function are well known, the effects of improving energy delivery in an otherwise normal brain has been less extensively explored.

To date, however, this possibility has not been evaluated for EPO by any direct study.

Although studies have established that EPO injected intracranially protects neurons against hypoxic neuronal injury, intracranial administration is an impractical and unacceptable route of administration for therapeutic use, particularly for normal individuals.

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