# US 9,517,265 B2 · Methods for the prevention and/or treatment of memory impairment

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- Number: US 9,517,265 B2
- Document ID: US9517265B2
- Status: Granted
- Kind: B2
- Application number: 13/867,470
- Filed: 2013-04-22
- Published: 2013-11-14
- Granted: 2016-12-13
- Earliest claimed: 2010-10-22
- Assignees: The Governing Council of the University of Toronto
- Applicants: The Governing Council of the University of Toronto
- Inventors: Beverley A. Orser
- Web page: https://patentgrep.com/patent/US9517265B2

## CPC

- A61K 39/3955: {against proteinaceous materials, e.g. enzymes, hormones, lymphokines}
- A61K 31/53: having six-membered rings with three nitrogens as the only ring hetero atoms, e.g. chlorazanil, melamine (melarsoprol A61K31/555 {; with four nitrogen atoms A61K31/495})
- A61K 31/551: having two nitrogen atoms, e.g. dilazep
- A61K 31/5517: condensed with five-membered rings having nitrogen as a ring hetero atom, e.g. imidazobenzodiazepines, triazolam
- C07K 16/286: {against neuromediator receptors, e.g. serotonin receptor, dopamine receptor}
- 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)
- C07K: PEPTIDES (peptides in foodstuffs A23; obtaining protein compositions for foodstuffs, working-up proteins for foodstuffs A23J; preparations for medicinal purposes A61K; peptides containing beta-lactam rings C07D; cyclic dipeptides not having in their molecule any other peptide link than those which form their ring, e.g. piperazine-2,5-diones, C07D; ergot alkaloids of the cyclic peptide type C07D519/02; macromolecular compounds having statistically distributed amino acid units in their molecules, i.e. when the preparation does not provide for a specific; but for a random sequence of the amino acid units, homopolyamides and block copolyamides derived from amino acids C08G69/00; macromolecular products derived from proteins C08H1/00; preparation of glue or gelatine C09H; single cell proteins, enzymes C12N; genetic engineering processes for obtaining peptides C12N15/00; compositions for measuring or testing processes involving enzymes C12Q; investigation or analysis of biological material G01N33/00)

## Abstract

The present invention relates to methods for the prevention and/or treatment of memory impairment and for improving memory and particularly to methods for the prevention and/or treatment of memory impairment and improving memory comprising administering an agent that decreases activity of a GABAA receptor. The present invention also relates the use of an agent that decreases activity of a GABAA receptor for preventing or treating a memory deficit and for improving memory.

## Claims

### Claim 1

A method for attenuating and/or treating a persistent memory deficit, comprising administering a benzodiazepine site inverse agonist, wherein the memory deficit is induced by inflammation and/or administration of an anesthetic selected from the group consisting of isoflurane, sevoflurane, desflurane, etomidate and propofol.

### Claim 2 (depends on 1)

The method of claim 1, wherein the memory deficit is short-term memory loss.

### Claim 3 (depends on 1)

The method of claim 1, wherein the memory deficit is long-term memory loss.

### Claim 4 (depends on 1)

The method of claim 1, wherein the inverse agonist is selected from the group consisting of L-655,708, MRK-016, Ru493851, α5IA, pyridazines, TB-21007, PWZ-029, and combinations thereof.

### Claim 5 (depends on 4)

The method of claim 4, wherein the inverse agonist is selected from the group consisting of L-655,708, MRK-016 and combinations thereof.

### Claim 6 (depends on 1)

The method of claim 1, wherein the memory deficit is induced by administration of the anesthetic.

### Claim 7 (depends on 1)

The method of claim 1, wherein the memory deficit is induced by inflammation.

### Claim 8 (depends on 1)

The method of claim 1, wherein the inverse agonist agent reduces inflammation- and/or surgery-induced increases in IL-1β expression and/or activity.

### Claim 9 (depends on 1)

The method of claim 1, where the inverse agonist is administered before the memory deficit is induced.

### Claim 10 (depends on 9)

The method of claim 9, wherein the inverse agonist is further administered during and/or after the memory deficit is induced.

### Claim 11 (depends on 1)

The method of claim 1, where the inverse agonist is administered while the memory deficit is induced.

### Claim 12 (depends on 1)

The method of claim 1, where the inverse agonist is administered after the memory deficit is induced.

### Claim 13 (depends on 12)

The method of claim 12, wherein the inverse agonist is further administered before and/or while the memory deficit is being induced.

### Claim 14 (depends on 1)

The method of claim 1, wherein the inverse agonist preferentially targets α5GABAA receptors.

### Claim 15 (depends on 1)

The method of claim 1, wherein the persistent memory deficit is a memory deficit that persists for 24 hours or more after administration of the anesthetic.

### Claim 16 (depends on 1)

The method of claim 1, carried out on an immature subject.

### Claim 17

A method for attenuating a persistent memory deficit induced by an anesthetic in a subject to be treated with the anesthetic, the method comprising administering a benzodiazepine site inverse agonist prior to or with the anesthetic to prevent the anesthesia-induced memory deficit, wherein the subject is at risk for a post-anesthetic cognitive deficit and wherein the anesthetic is selected from the group consisting of isoflurane, sevoflurane, desflurane, etomidate and propofol.

### Claim 18 (depends on 17)

The method of claim 17, wherein the subject is being anesthetized for surgery.

### Claim 19 (depends on 17)

The method of claim 17, wherein the inverse agonist is administered 30 minutes before the anesthetic.

### Claim 20 (depends on 17)

The method of claim 17, wherein the method further comprises administering the inverse agonist after administration of the anesthetic.

### Claim 21 (depends on 20)

The method of claim 20, wherein the inverse agonist is administered within 72 hours of the anesthetic.

### Claim 22 (depends on 17)

The method of claim 17, wherein the inverse agonist preferentially targets α5GABAA receptors.

### Claim 23 (depends on 17)

The method of claim 17, wherein the persistent memory deficit persists for 24 hours or more after administration of the anesthetic.

### Claim 24 (depends on 17)

The method of claim 17, wherein the subject is immature.

### Claim 25

A method for treating a persistent memory deficit induced by an anesthetic in a subject having been treated with the anesthetic, the method comprising administering a benzodiazepine site inverse agonist to treat the anesthesia-induced memory deficit, wherein the subject is experiencing a post-anesthetic cognitive deficit and wherein the anesthetic is selected from the group consisting of isoflurane, sevoflurane, desflurane, etomidate and propofol.

### Claim 26 (depends on 25)

The method of claim 25, wherein the subject was anesthetized for surgery.

### Claim 27 (depends on 25)

The method of claim 25, wherein the inverse agonist is administered within 72 hours of the anesthetic.

### Claim 28 (depends on 25)

The method of claim 25, wherein the inverse agonist preferentially targets α5GABAA receptors.

### Claim 29 (depends on 25)

The method of claim 25, wherein the persistent memory deficit persists for 24 hours or more after administration of the anesthetic.

### Claim 30 (depends on 25)

The method of claim 25, wherein the subject is immature.
