# US 2021/0330624 A1 · Compositions and methods for treating or preventing diseases and/or disorders caused by exposure to air pollution

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- Number: US 2021/0330624 A1
- Document ID: US20210330624A1
- Status: Published application
- Kind: A1
- Application number: 17/280,092
- Filed: 2019-09-25
- Published: 2021-10-28
- Earliest claimed: 2018-09-26
- Assignees: Amarin Pharmaceuticals Ireland Limited
- Applicants: Amarin Pharmaceuticals Ireland Limited
- Inventors: Craig Granowitz; Sephy Philip
- Web page: https://patentgrep.com/patent/US20210330624A1

## CPC

- A61K 31/202: having three or more double bonds, e.g. linolenic (eicosanoids, e.g. leukotrienes A61K31/557)
- A61K 31/232: having three or more double bonds, e.g. etretinate
- A61P 9/00: Drugs for disorders of the cardiovascular system
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

## Abstract

In various embodiments, the present disclosure provides compositions and methods for treating and/or preventing diseases and disorders caused by exposure to air pollution and/or inhalation of particulate matter, such as oxidative stress, endothelial dysfunction, narrowing and/or thickening of arteries, and/or inflammation.

## Claims

### Claim 1

A method of treating or preventing oxidative stress, endothelial dysfunction, narrowing and/or thickening of arteries, and/or inflammation induced by inhalation of particulate matter in a subject, the method comprising administering to the subject a composition comprising about 4 g of eicosapentaenoic acid per day.

### Claim 2 (depends on 1)

The method of claim 1, wherein the particulate matter is less than about 10 μm and greater than about 2.5 μm in diameter.

### Claim 3 (depends on 1)

The method of claim 1, wherein the particulate matter is less than or equal to about 2.5 μm in diameter.

### Claim 4 (depends on 1)

The method of claim 1, where in the particulate matter is less than about 0.1 μm in diameter.

### Claim 5 (depends on 1)

The method of claim 1, wherein the inflammation is pulmonary and/or systemic inflammation.

### Claim 6 (depends on 1)

The method of claim 1, wherein administration of the composition reduces a risk of atherosclerotic cardiovascular disease in the subject.

### Claim 7 (depends on 1)

The method of claim 1, wherein the subject experiences a reduction in blood pressure levels.

### Claim 8 (depends on 1)

The method of claim 1, wherein the subject experiences a reduction in insulin resistance.

### Claim 9 (depends on 1)

The method of claim 1, wherein the subject experiences a reduction in an inflammatory biomarker selected from the group consisting of vascular endothelial growth factor (VEGF), tumor necrosis factor-α (TNF-α), monocyte chemoattractant protein-1 (MCP-1), interleukin-1β (IL-1β), soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cellular adhesion molecule-1 (sVCAM-1), high sensitivity reactive protein (hsCRP), lipoprotein-associated phospholipase A2 (Lp-PLA2), and circulating monocyte levels.

### Claim 10 (depends on 1)

The method of claim 1, wherein the subject experiences a reduction in a metabolic biomarker selected from the group consisting of total cholesterol (TC), very low dense lipoprotein cholesterol (VLDL-C), low dense lipoprotein cholesterol (LDL-C), high dense lipoprotein cholesterol (HDL-C), non-high dense lipoprotein cholesterol (non-HDL-C), HDL-C functionality, apolipoprotein B (Apo B), interleukin-6 (IL-6), apolipoprotein A-1 (Apo A-1), and homeostasis model assessment of insulin resistance (HOMA-IR) levels.

### Claim 11 (depends on 1)

The method of claim 1, wherein the subject experiences a reduction in an oxidative biomarker selected from the group consisting of lipid oxidation, lipid peroxidation, lipid hydroperoxidation, malondialdehyde, prostaglandin-2α (PGF-2α), platelet-derived growth factor (PDGF), and antioxidant potential levels.

### Claim 12 (depends on 1)

The method of claim 1, wherein the subject exhibits beneficial effects in heart rate and/or rhythm following administration of the composition.

### Claim 13 (depends on 12)

The method of claim 12, wherein the beneficial effects include a reduction in arrhythmia suppression levels, ventricular arrhythmia rates, or heart rate or an increase in heart rate variability.

### Claim 14 (depends on 1)

The method of claim 1, wherein the composition is administered to the subject in 1 to 4 dosage units per day.

### Claim 15 (depends on 1)

The method of claim 1, wherein the eicosapentaenoic acid comprises at least about 96 wt.% of all omega-3 fatty acids in the composition.

### Claim 16

A method of treating or preventing oxidative stress, endothelial dysfunction, narrowing and/or thickening of arteries, and/or inflammation induced by long term and/or short term exposure to air pollution in a subject, the method comprising administering to the subject a composition comprising about 4 g of eicosapentaenoic acid per day.

### Claim 17 (depends on 16)

The method of claim 16, wherein the air pollution contains particulate matter.

### Claim 18 (depends on 16)

The method of claim 16, wherein the particulate matter is less than about 10 μm and greater than about 2.5 μm in diameter.

### Claim 19 (depends on 16)

The method of claim 16, wherein the particulate matter is less than or equal to about 2.5 μm in diameter.

### Claim 20 (depends on 16)

The method of claim 16, where in the particulate matter is less than about 0.1 μm in diameter.

### Claim 21 (depends on 16)

The method of claim 16, wherein the inflammation is pulmonary and/or systemic inflammation.

### Claim 22 (depends on 16)

The method of claim 16, wherein administration of the composition reduces a risk of atherosclerotic cardiovascular disease in the subject.

### Claim 23 (depends on 16)

The method of claim 16, wherein the subject experiences a reduction in blood pressure levels.

### Claim 24 (depends on 16)

The method of claim 16, wherein the subject experiences a reduction in insulin resistance.

### Claim 25 (depends on 16)

The method of claim 16, wherein the subject experiences a reduction in an inflammatory biomarker selected from the group consisting of vascular endothelial growth factor (VEGF), tumor necrosis factor-α (TNF-α), monocyte chemoattractant protein-1 (MCP-1), interleukin-1β (IL-1β), soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cellular adhesion molecule-1 (sVCAM-1), high sensitivity reactive protein (hsCRP), lipoprotein-associated phospholipase A2 (Lp-PLA2), and circulating monocyte levels.

### Claim 26 (depends on 16)

The method of claim 16, wherein the subject experiences a reduction in a metabolic biomarker selected from the group consisting of total cholesterol (TC), very low dense lipoprotein cholesterol (VLDL-C), low dense lipoprotein cholesterol (LDL-C), high dense lipoprotein cholesterol (HDL-C), non-high dense lipoprotein cholesterol (non-HDL-C), HDL-C functionality, apolipoprotein B (Apo B), interleukin-6 (IL-6), apolipoprotein A-1 (Apo A-1), and homeostasis model assessment of insulin resistance (HOMA-IR) levels.

### Claim 27 (depends on 16)

The method of claim 16, wherein the subject experiences a reduction in an oxidative biomarker selected from the group consisting of lipid oxidation, lipid peroxidation, lipid hydroperoxidation, malondialdehyde, prostaglandin-2α (PGF-2α), platelet-derived growth factor (PDGF), and antioxidant potential levels.

### Claim 28 (depends on 16)

The method of claim 16, wherein the subject exhibits beneficial effects in heart rate and/or rhythm following administration of the composition.

### Claim 29 (depends on 28)

The method of claim 28, wherein the beneficial effects include a reduction in arrhythmia suppression levels, ventricular arrhythmia rates, or heart rate or an increase in heart rate variability.

### Claim 30 (depends on 16)

The method of claim 16, wherein the composition is administered to the subject in 1 to 4 dosage units per day.

### Claim 31 (depends on 16)

The method of claim 16, wherein the eicosapentaenoic acid comprises at least about 96 wt.% of all omega-3 fatty acids in the composition.

### Claim 32

A method of treating or preventing oxidative stress, endothelial dysfunction, narrowing and/or thickening of arteries, and/or inflammation induced by inhalation of particulate matter in a subject, the method comprising administering to the subject a composition comprising about 4 g of eicosapentaenoic acid per day, wherein administration of the composition reduces a risk of atherosclerotic cardiovascular disease in the subject.

### Claim 33 (depends on 32)

The method of claim 32, wherein the air pollution contains particulate matter.

### Claim 34 (depends on 32)

The method of claim 32, wherein the particulate matter is less than about 10 μm and greater than about 2.5 μm in diameter.

### Claim 35 (depends on 32)

The method of claim 32, wherein the particulate matter is less than or equal to about 2.5 μm in diameter.

### Claim 36 (depends on 32)

The method of claim 32, where in the particulate matter is less than about 0.1 μm in diameter.

### Claim 37 (depends on 32)

The method of claim 32, wherein the inflammation is pulmonary and/or systemic inflammation.

### Claim 38 (depends on 32)

The method of claim 32, wherein the subject experiences a reduction in blood pressure levels.

### Claim 39 (depends on 32)

The method of claim 32, wherein the subject experiences a reduction in insulin resistance.

### Claim 40 (depends on 32)

The method of claim 32, wherein the subject experiences a reduction in an inflammatory biomarker selected from the group consisting of vascular endothelial growth factor (VEGF), tumor necrosis factor-α (TNF-α), monocyte chemoattractant protein-1 (MCP-1), interleukin-1β (IL-1β), soluble intercellular adhesion molecule-1 (sICAM-1), soluble vascular cellular adhesion molecule-1 (sVCAM-1), high sensitivity reactive protein (hsCRP), lipoprotein-associated phospholipase A2 (Lp-PLA2), and circulating monocyte levels.

### Claim 41 (depends on 32)

The method of claim 32, wherein the subject experiences a reduction in metabolic biomarker selected from the group consisting of total cholesterol (TC), very low dense lipoprotein cholesterol (VLDL-C), low dense lipoprotein cholesterol (LDL-C), high dense lipoprotein cholesterol (HDL-C), non-high dense lipoprotein cholesterol (non-HDL-C), HDL-C functionality, apolipoprotein B (Apo B), interleukin-6 (IL-6), apolipoprotein A-1 (Apo A-1), and homeostasis model assessment of insulin resistance (HOMA-IR) levels.

### Claim 42 (depends on 32)

The method of claim 32, wherein the subject experiences a reduction in an oxidative biomarker selected from the group consisting of lipid oxidation, lipid peroxidation, lipid hydroperoxidation, malondialdehyde, prostaglandin-2α (PGF-2α), platelet-derived growth factor (PDGF), and antioxidant potential levels.

### Claim 43 (depends on 32)

The method of claim 32, wherein the subject exhibits beneficial effects in heart rate and/or rhythm following administration of the composition.

### Claim 44 (depends on 43)

The method of claim 43, wherein the beneficial effects include a reduction in arrhythmia suppression levels, ventricular arrhythmia rates, or heart rate or an increase in heart rate variability.

### Claim 45 (depends on 32)

The method of claim 32, wherein the composition is administered to the subject in 1 to 4 dosage units per day.

### Claim 46 (depends on 32)

The method of claim 32, wherein the eicosapentaenoic acid comprises at least about 96 wt.% of all omega-3 fatty acids in the composition.
