DMSO Patent 1

    

United States Patent: 4,296,104

          

         

       

      

 

       ( 11 of 13 )

 

 

      United States Patent 4,296,104

      Herschler October 20, 1981

 

 

Therapeutic dimethyl sulfoxide composition and methods of use

 

 

Abstract

The use of urea and/or ethanol with pharmaceutical compositions containing DMSO

is disclosed. The result is a reduction in the undesirable side-effects normally

associated with the application of DMSO compositions, enhancement of the desired

physiological effects produced by DMSO compositions, and other benefits.

Specific compositions contain DMSO with urea and/or alcohol and may also contain

NaCl, KCl and/or acetamide. The use of DMSO to reduce the mortality rate of fish

treated by hyperosmotic delivery is also disclosed.

 

 

      Inventors: Herschler; Robert J. (3080 NW. 8th St., Camas, WA 98607)

      Appl. No.: 071072

      Filed: August 30, 1979

 

      Current U.S. Class:424/679; 424/680; 514/588

      Intern'l Class: A61K 031/10; A61K 031/17; A61K 033/14

      Field of Search: 424/322,153,337

 

 

 

 

References Cited [Referenced By]

 

 

 

U.S. Patent Documents

      3334012Aug., 1967Herschler424/337.

      3361555Jan., 1968Herschler71/103.

      3499961Mar., 1970Dobson et al.424/68.

      3549770Dec., 1970Herschler424/337.

      3549771Dec., 1970Herschler424/337.

      3551554Dec., 1970Herschler424/7.

      3558434Jan., 1971Herschler195/81.

      3711602Jan., 1973Herschler424/45.

      3711606Jan., 1973Herschler424/45.

      3740420Jan., 1973Herschler424/45.

      3743727Jul., 1973Herschler424/181.

      4112946Sep., 1978Herschler128/253.

      4177267Dec., 1979Herschler424/238.

 

 

 

  Other References

      Mallach, 141, Annals New York Academy of Sciences, pp. 457-462.

 

Primary Examiner: Friedman; Stanley J.

Attorney, Agent or Firm: Blakely, Sokoloff, Taylor & Zafman

 

 

 

Claims

 

 

 

 

I claim:

 

1. In a method for administrating dimethyl sulfoxide to a host, the improvement

comprising reducing the side effects of malodorous breath and skin reactions

normally associated with such dimethyl sulfoxide administration, comprising the

step of:

 

administrating to said host a composition comprising dimethyl sulfoxide and a

side-effect reducing agent taken from the group consisting of urea, or ethanol

or mixtures thereof in an amount which is effective for said purpose.

 

2. A method according to claim 1 wherein said composition further includes

acetamide.

 

3. The method according to claim 1 wherein said composition further includes

sodium chloride.

 

4. The method according to claim 1 wherein said composition further includes

potassium chloride.

 

5. The method according to claim 1 wherein said composition further includes

water.

 

6. The method according to claim 1 wherein the weight ratio of urea to dimethyl

sulfoxide is greater than 1:99.

 

7. The method according to claim 1 wherein the ratio of urea to dimethyl

sulfoxide is greater than 1:9.

 

8. The method according to claim 1 wherein said composition has the following

formulation:

 

 

    ______________________________________

    dimethyl sulfoxide

                      about 19 grams;

    urea              about 9 grams;

    sodium chloride   about 1 gram; and

    water             at least about 6 grams;

    ______________________________________

 

 

whereby the aforementioned composition formulation is provided with the weight

ratios noted.

 

 

Description

 

 

 

 

BACKGROUND OF THE INVENTION

 

The present invention relates to pharmaceutical compositions containing DMSO for

adminstration to human or other animal subjects. More specifically, it relates

to new DMSO formulations containing substances which enhance the effectiveness

of DMSO, reduce undesirable side-effects sometimes created by the use of DMSO

and make DMSO compositions more appealing to users.

 

Dimethyl sulfoxide (DMSO) is a versatile substance that has numerous

pharmaceutical and nonpharmaceutical uses. It is widely used throughout the

world for treating humans and other animal subjects.

 

As Described in U.S. Pat. No. 3,549,770, No. 3,740,420, and No. 3,790,682,

incorporated herein by the reference, DMSO is an active agent in relieving the

signs and symptoms of numerous body disorders, including accelerating the

healing of certain injured body tissues and in relieving the signs and symptoms

of anxiety.

 

U.S. Pat. No. 3,551,554, No. 3,711,606 and No. 3,743,727, incorporated herein by

reference, describe how DMSO is effective to enhance tissue penetration of other

substances, especially other physiologically active agents. DMSO can thus be

added to a variety of pharmaceutical compositions to accelerate assimilation

into body tissue. In some instances this means that smaller doses can be

administered when DMSO is used.

 

Yet, despite their many benefits, DMSO compositions are sometimes passed over in

favor of other pharmaceutical compositions even in instances where DMSO would be

the most effective pharmaceutical agent. This is because many subjects suffer

from one or more side-effects when treated with DMSO. In some cases, the

side-effects are so pronounced that subject or physician will forego the use of

DMSO in favor of a less effective therapeutic agent.

 

A variety of undesirable side-effects have been observed to result from

administration of DMSO. The most frequently occurring are adverse skin

reactions, malodorous breath and foul taste.

 

The adverse reactions caused by DMSO are well documented. At page 356 of the

standard reference Contact Dermatitis by Alexander A. Fisher, M.D. (2nd Ed.,

1973), dimethyl sulfoxide (DMSO) is listed as a primary urticariogen. Volume 141

of Annals New York Academy of Sciences includes several articles describing the

undesirable side-effects attributed to DMSO. These include articles by Goldman,

et al. at pages 429, 433-35; Sulzberger, et al. at pages 439-40; Brown at pages

500-501; and several others.

 

The magnitude of the malodorous breath problem is so large that, in some

instances, hospitals have had to isolate wards where DMSO is administered from

the central air conditioning system. Skin irritations from topically applied

DMSO have been so great that a substantial number of patients refuse treatment.

 

Another, potentially more serious side-effect is sometimes observed when DMSO is

administered intravenously. This is red blood cell lysis. Intravenous

administration of DMSO is crucial if the substance is to be used for treating

the brain and spinal cord, for cancer therapy or to treat organ hypoxia, heart

attack and other internal conditions. Large intravenous doses of DMSO can have a

therapeutic effect for such purposes but red blood cell lysis which results from

intravenous DMSO administration can be injurious or even fatal to the subject.

 

Furthermore, it is generally advisable to minimize the dosage of any

pharmaceutical substance administered to a human or other animal subject to the

smallest effective amount. Although DMSO is one of the most penetrating of

pharmaceutical substances and is known to be effective in minute doses, it would

be desirable to further reduce the minimum dosage of DMSO needed to achieve a

desired physiological effect.

 

A related problem is observed when fish are treated with hyperosmotic

concentrations of a membrane permeability altering agent as discussed in U.S.

Pat. No. 4,112,946, incorporated herein by reference. Such agents include urea,

NaCl and acetamide.

 

These substances, with the possible exception of acetamide, are substantially

nontoxic when applied externally to mammalian subjects. But, when incorporated

in a solution in contact with an epithelial membrane of fish, such substances

can be lethal at moderate concentrations (as low as about 3 weight percent).

 

To optimize delivery of therapeutic agents to fish, solutions containing greater

than 3 weight percent of the above listed solutes are required. Fish mortality

is thus a substantial barrier to the effective use of hyperosmotic treatments.

 

SUMMARY OF THE INVENTION

 

Specific DMSO compositions and methods of application have now been discovered.

Use of such compositions expands the acceptability of DMSO by eliminating or

reducing undesirable side-effects. And, the new DMSO compositions and methods of

use are observed to provide new therapeutic effects and beneficial uses.

 

More specifically, it is found that when DMSO and urea are both administered to

epithelial regions of a human or other animal subject, expected adverse skin

reactions, malodorous breath and foul taste are substantially reduced. In most

cases they are entirely eliminated.

 

Furthermore, urea is discovered to potentiate DMSO in certain instances. It

appears that a DMSO composition containing urea and/or ethanol is more rapidly

absorbed into tissue than are similar compositions containing no urea or

ethanol. If the DMSO composition includes another pharmaceutical substance, such

other substance is also absorbed more rapidly when urea and/or ethanol are

present. The presence of NaCl, KCl and/or acetamide reduces discomfort resulting

from topical application of DMSO compositions and appears to further enhance

penetration.

 

It has also been discovered that certain DMSO formulations, which contain urea,

are effective in treating diseased finger and toe nails, for softening cuticle

to be removed from finger and toe nails, and for softening epidermal thickenings

to ease removal.

 

When DMSO is administered intravenously with ethanol, red blood cell lysis is

reduced and continues to decline with repeated administrations.

 

When DMSO is added to solutions containing urea, NaCl, and/or acetamide, such

solutions are less toxic to fish than similar solutions without DMSO.

 

It is therefore an object of this invention to provide pharmaceutical

compositions and methods to allow the application of DMSO to a human or other

animal subject without creating adverse skin reactions, malodorous breath or

foul taste.

 

A further object is to provide compositions and methods of application whereby

the lysis of red blood cells, resulting from intravenous administration of DMSO,

is reduced.

 

A further object is to provide compositions and methods of treatments for

diseases of the fingers and/or toe nails.

 

Another object is to provide formulations and methods of application to enhance

penetration of DMSO and DMSO based pharmaceutical compositions into animal

tissue.

 

An additional object is to provide safe and effective skin softening agents

which can be used to soften cuticle for removal from finger and/or toe nails and

for softening epidermal thickenings to facilitate removal.

 

Yet a further object is to provide means for protecting fish from the toxicity

of solutions used for hyperosmotic treatment of fish.

 

These and other objects, advantages and features of the present invention will

be apparent from the following detailed description.

 

DESCRIPTION OF PREFERRED EMBODIMENTS

 

The side-effects which have long hindered the use of DMSO as a therapeutic agent

are quite surprisingly eliminated when urea is administered with formulations

containing DMSO. Even small amounts of urea are beneficial in reducing histamine

release, burning and itching, localized dermatitis, drying, cracking and

blistering of skin, upleasant breath odor, after-taste, headache and nausea in

subjects receiving dermally administered DMSO compositions.

 

Urea is an especially excellent inhibitor of the side-effects, because it is a

naturally occurring substance in human and other animal subjects. Urea is

substantially non-toxic and animal subjects are quite tolerant to its presence.

It thus can be used with almost any pharmaceutical composition containing DMSO,

without fear of toxic effects.

 

The reasons why urea is effective from reducing and eliminating the above listed

undesired side-effects is not fully understood. It appears, however, that the

urea inhibits or prevents the production of undesirable DMSO metabolites.

 

In the case of the breath odor problem, it is known that dimethyl sulfide is a

minor metabolite of DMSO and that it is expired through the lungs causing

malodorous breath and foul taste. Urea possibly prevents the breakdown of DMSO

to dimethyl sulfide. Supporting laboratory experiments show that DMSO will

decompose to dimethyl sulfide when heated in a test tube. But, when urea is

added and the experiment repeated, no dimethyl sulfide is detected.

 

Similarly, the adverse skin reaction, such as histamine wheal and flare may be

the result of an attack by the dimethyl sulfide molecule against mast cells in

the subcutaneous layer of skin to which DMSO is applied topically. Urea's

blocking of DMSO breakdown to dimethyl sulfide would thus account for the

observed antiurticariogenic effectiveness in reducing adverse skin reactions

caused by DMSO.

 

The enhanced penetration of DMSO solutions containing urea is possibly related

to the fact that urea has a weight per volume percentage concentration at

isotonicity less than that of DMSO and most other pharmaceutical agents so that,

at a given weight percent of solute, compositions containing urea in combination

with DMSO, have an enhanced penetrating ability. The effect is even greater if

the amount of solute is increased by addition of urea to the DMSO composition.

 

It appears that the only suitable substances for enhancing the penetration of

DMSO compositions are substances having a weight per volume percentage

concentration at isotonicity less than that of DMSO, but only a few of such

substances produce the desired increase in penetration.

 

Further criteria of substances which enhance DMSO penetration include water

solubility at ambient temperatures and a molecular weight no greater than 78.

Substances which tend to polymerize are unsuitable. If the substance is to be

used with DMSO-urea compositions applied to living animals, it must also be

relatively non-toxic to the intended animal subject.

 

Specific substances of value in promoting penetration are found to include urea,

NaCl, KCl, ethanol and acetamide. Of these substances urea is the most

effective. It appears to act by "opening" membranes to allow increased

penetration.

 

The fact that urea, NaCl, KCl, acetamide and/or ethanol may be combined to

enhance DMSO penetration is important in several respects. Although urea and

ethanol reduce or eliminate the side-effects created by the administration of

DMSO, some subjects will continue to have at least mild reactions to the

administration of DMSO. By administering urea, NaCl, KCl, acetamide and/or

ethanol, it should be possible to reduce the amount of DMSO administered as an

active therapeutic agent since greater tissue penetration of the applied DMSO

can be obtained. The ability to reduce the amount of DMSO administered, without

reducing the amount which is absorbed, should further diminish adverse

side-effects of the DMSO.

 

A similar benefit results when urea, NaCl, KCl, acetamide and/or ethanol are

added to compositions which contain DMSO as a carrier and penetration enhancer

for other pharmaceutical substances such as antineoplastic agents, analgesics,

anti-inflammatory agents, anticoagulants, vasodilators, anti-microbial agents,

ultra-violet screening agents, diagnostic dyes, diagnostic radiopaque agents,

dietary supplements, nutrients, physiologically active steroids and protein

modifying agents.

 

Protein modifying agents include those substances which modify collagen and,

possibly, other substances found in connective tissue such as hyaluronic acid,

elastin, and fibrinogen. One such protein modifying agent is

methylsulfonylmethane (MSM) as described in my simultaneously filed U.S. patent

application entitled Preparations Containing Methylsulfonylmethane and Methods

of Use and Purification.

 

DMSO is a known penetration enhancer for chemical agents having a molecular

weight less than about 8,000, administered to intact body membranes. It is also

found to enhance the penetration of higher molecular weight substances, such as

enzymes, that are administered to stressed membranes including membranes that

are inflamed, are scarified or have been subjected to severe osmotic stress. In

both situations, the inclusion of urea, NaCl, KCl, ethanol and/or acetamide can

further assist the penetration of DMSO and the pharmaceutical agent. Increased

penetration can improve pharmaceutical effectiveness and, in some instances,

make it possible to reduce the dosage administered.

 

Penetration enhancing substances, such as urea, are particularly useful in DMSO

solutions containing diagnostic dyes. In the staining of cells for diagnostic

examination, it is desirable to use the least possible amount of dye and other

foreign chemicals to minimize alterations in the cells being dyed. the enhanced

cell penetration that results from the addition of urea, makes it possible to

reduce the amount of dye and DMSO in staining compositions. The urea added has

no adverse effect on the structure of cells to be dyed.

 

An additional benefit discovered is that human subjects treated with the

previously described compositions preferred those compositions containing a

salt, most notably NaCl, over similar compositions without salt. Subjects

interviewed indicated that topically applied DMSO compositions containing salt

are more comfortable.

 

Urea can be administered with DMSO to produce the same physiological effects

attributed to DMSO compositions administered without urea. For example, urea can

be administered with DMSO to an area of tissue inflammation in an amount

effective for relieving signs and symptoms of inflammation, to a subject

suffering from pain in an amount effective to relieve pain, to a subject

suffering from abnormal muscle contractions in an amount effective to promote

muscle relaxation, to a subject suffering from symptoms of vascular

insufficiency in the blood and lymph circulatory system in an amount effective

to relieve symptoms of vascular insufficiency.

 

Treatment with effective amounts of DMSO and urea can also relieve signs and

symptoms of a burn, can promote healing of a skin graft area following a

transplant, and can relieve signs and symptoms of respiratory distress. When

DMSO is given with urea to subjects having joints with arthritic signs and

symptoms in an amount effective to relieve signs and symptoms of arthritis, to

subjects suffering from tissue damage in an amount effective to promote the

repair of tissue damage, or to mammalian subjects suffering from signs and

symptoms of anxiety in an amount effective to relieve signs and symptoms of

anxiety, improvement in subjects' conditions are observed.

 

It has also been found that certain compositions, containing both DMSO and urea,

have medical benefits not produced by compositions containing DMSO or urea

alone. As one example, it is found that DMSO, administered with urea, will

repair or remove abnormal, dead, or diseased tissue. DMSO-urea compositions can

thus be used to treat interstitial cystitis or connective tissue diseases such

as progressive systemic sclerosis.

 

DMSO-urea, compositions can also be administered to benefit diseased finger

and/or toe nails of human or other animal subjects. Administering DMSO and urea

to the diseased portion of a nail will soften the diseased portion. After

several days of treatment, the diseased portion of the nail can be removed

painlessly by gentle urging using forceps. In most instances, the undiseased

portion of the nail is not adversely affected by treatment with a DMSO-urea

composition.

 

When used to treat diseased or damaged tissue, DMSO-urea compositions are most

effective when applied at a temperature above 37.degree. C., preferably as hot

as the subject will tolerate. Warm applications are especially beneficial when

treating musculoskeletal disorders such as arthritis, sprains, strains, soft

tissue injury and the like.

 

DMSO-urea compositions are also well suited for use with physical therapy

techniques, particularly the use of energy such as ultra sound, in treating

musculoskeletal disorders.

 

As illustrated by several examples below, DMSO-urea compositions soften and

moisturize the skin of subjects receiving dermal applications. Certain DMSO-urea

compositions accordingly make excellent cosmetic skin softening lotions or gels.

Also DMSO-urea compositions are excellent as vehicles for other skin treating

cosmetic agents. When the phrase "pharmaceutical compositions" is used herein,

it thus includes cosmetic preparations.

 

Urea is known to have some beneficial effect on skin, but in most standard

cosmetic compositions it "washes off". When DMSO and urea are used together,

skin permeation of each is enhanced so the skin-softening benefits of urea are

increased and sustained even after washings.

 

As will be described below, the use of ethanol with DMSO in intravenous

administrations proved to be independently effective in reducing malodorous

breath and red blood cell lysis.

 

Formulations

 

As with any multi-purpose pharmaceutical composition, some experimentation is

necessary to determine the optimum dosage of DMSO and urea to be applied for a

particular purpose. For example, when it is a goal to reduce a side-effect

produced by the application of DMSO, the amount of urea used should be an amount

effective to obtain the desired reduction. Likewise, if the goal is to enhance

penetration, the amount of urea or other penetration enhancing substance should

be an amount sufficient to enhance penetration.

 

As described in the prior patents listed above, DMSO compositions for topical

application should contain at least 10 weight percent DMSO to have any

beneficial effect. Compositions for clinical use should have at least about 40

weight percent DMSO; and for greatest effect, a composition should contain at

least about 50 weight percent DMSO. To be effective in reducing DMSO-induced

side-effects and/or to enhance the penetration of DMSO compositions, urea should

be present in a weight ratio to DMSO of greater than 1:99. Most significant

results are achieved when the weight ratio of urea to DMSO is greater than 1:9.

Normally, DMSO-urea compositions should contain no more than about 60 weight

percent urea since larger concentrations could only be obtained at the cost of

reduced effectiveness due to diminished DMSO amounts.

 

In special circumstances the desired DMSO concentration for a pharmaceutical

composition might be substantially below 10 weight percent or above 50 weight

percent. The above urea ratios will still apply in such circumstances. For

example, if a low concentration (3 to 4 weight percent) DMSO composition is

prepared for application to the eye, a suitable urea amount would be one weight

percent.

 

Compositions containing one weight percent or less of DMSO are effective for

treating membranes that have been stressed, e.g. membranes that are inflamed,

are scarified or have been submitted to severe osmotic stress. In such

instances, the abovestated DMSO-urea ratios would still apply.

 

Pharmaceutical compositions for treating the skin, oral cavity and rectal

epithelium may contain DMSO and urea as their sole components. In any such

composition, the weight ratio of DMSO to urea should not be less than about

100:35. Even at this ratio, the solution is best applied while heated to prevent

precipitation of the urea.

 

When NaCl, KCl, ethanol and/or acetamide are present in DMSO-urea compositions,

to effectively increase penetration or comfort, they should be present in a

certain minimum amount. The combined weight of these agents, in ratio to the

weight of urea present in the composition, should be greater than 1:99.

Significant benefits are observed when the ratio is greater than 1:9.

 

The most effective formulations, at least for topical application, includes

about six grams of urea, one gram of NaCl and at least six grams of water for

every nineteen grams of DMSO. An aqueous medium is usually required for any

DMSO-urea composition containing NaCl or KCl.

 

When included in DMSO compositions, urea, NaCl, and KCl may complex with DMSO

molecules. As a result, such DMSO compositions may include DMSO-urea complexes,

DMSO-salt complexes and/or DMSO-urea-salt complexes of various types. The exact

effect that complexing has on the activity of the compositions containing DMSO

and urea is not known. It is believed, however, that compositions containing the

complexes listed above are effective in obtaining desirable reductions in

side-effects and penetration increases

 

When DMSO is used in the same composition with urea for the removal of cuticle,

for treating diseased finger and toe nails, or for the remover of epidermal

thickenings the composition should include a hydrophobic ointment base and at

least 10 weight percent each of DMSO and urea to be effective. It is also

advantageous to apply a salt such as NaCl or Na.sub.2 S. Use of such a salt

increases the rate at which the nail or thickened skin are softened for removal.

Specifically it appears that DMSO-urea compositions containing NaCl and/or

Na.sub.2 S penetrate more deeply into the area between the nail and plate than

do compositions without such a salt component.

 

Such solutions for treating diseased nails should include between 0.25 and 10

weight percent of a salt selected from NaCl, Na.sub.2 S and mixtures thereof,

along with effective amounts of urea and DMSO. Less than 5 weight percent salt

is found to be fully adequate in most instances.

 

To facilitate topical applications, any of the above compositions may include a

pharmaceutically acceptable thickening agent to increase the viscosity of a

composition. Such thickeners may be used to form creams, lotions, gels, pastes,

ointments and suppositories.

 

Methods of Application

 

Urea may be administered with DMSO compositions by any route previously known

for DMSO administration. The most dramatic reductions in side-effects are

observed when urea is added to DMSO compositions for topical application.

Subjects using topically applied DMSO suffer from substantially less malodorous

breath, foul taste, and adverse skin reaction when urea is used along with the

DMSO.

 

Topical applications of DMSO and urea may be by any standard technique. They may

be painted or spread on and allowed to dry or applied with saturated pads.

 

One advantageous method for treating limbs or digits is to place an appropriate

DMSO-urea liquid composition in a plastic bag and insert the limb so that the

bag forms an overwrap. Heat can be applied to the exterior of the bag to

accelerate treatment.

 

Similary, spinal injuries can be treated by saturating a fabric with a DMSO-urea

solution and then spreading the fabric along the spinal column. The fabric may

be covered with a nonporous plastic sheet and hot water bottles applied to speed

penetration of the DMSO-urea solution.

 

In most instances, it is preferred that DMSO and urea be combined in a common

composition for administration together or otherwise be administered

concurrently. In the specific case of topically applied DMSO composition, some

reduction in side-effects is also observed if patients are treated with DMSO

without urea after a preceeding treatment at the same site, with both DMSO and

urea. For topical administrations at least, it is thus possible to use treatment

regimens such as alternating applications of DMSO compositions with and without

urea.

 

If a DMSO composition, for topical application, includes substances which would

react adversely or be deactivated when combined with urea or would react with

urea to form macromolecules which would retard tissue penetration, a urea

composition can first be applied to the treatment site and allowed to dry. The

DMSO composition could thereafter be applied at the same site with less chance

that the urea-sensitive substances would be adversely affected. As desired NaCl,

KCl, ethanol and/or acetamide can be included in the urea composition or, if

compatible, in the DMSO composition.

 

As a penetration enhancing agent, urea can be administered with DMSO by topical

administration, intravenous administration, subepidermal injection or oral

ingestion. It can also be administered intrathecally, intravesically, rectally,

or by instillation into eye, ear, nose or abnormal sinuses of the body.

 

The following examples describe a few of many clinical tests which show that the

presence of urea can benefit pharmaceutical compositions containing DMSO. In

each of the listed examples, DMSO and urea were applied in a common composition.

 

 

As previously mentioned, alternating applications of a DMSO composition and a

urea composition may be advisable under some circumstances. For example, in the

unusual circumstance that a preferrred DMSO composition contains a chemical

agent that is unstable in the presence of urea, it would be preferable to

alternate applications of the DMSO composition and a urea composition or to mix

the two compositions immediately before administration. Sequential applications

of DMSO and urea compositions or mixing immediately before application might

also be preferred if the separate DMSO and urea compositions have a

substantially longer shelf life than some combined formulation. Whether to

combine urea with a particular DMSO composition is best determined by

experimentation.

 

1. Cutaneous Administrations

 

a. dermal administrations

 

EXAMPLE 1

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        61.7

           water       26.5

           urea        8.8

           NaCl        3.0

    ______________________________________

 

 

A control solution containing 62 wt. percent DMSO in water was also prepared.

Both formulations were dermally applied to each of five human subjects known to

be sensitive to compositions containing DMSO at a concentration of 50 wt.

percent.

 

In a first test, the two solutions were topically applied concurrently but at

different sites on skin of the subjects. Each subject complained of itching and

burning at sites where the control solution was administered. And each had bad

breath odor. At sites where the solution containing urea was applied, there was

no discomfort or adverse skin reaction, even when the solution was applied to

particularly sensitive areas of the neck, below the chin.

 

Several days later, the same subjects were treated with only the solution

containing urea. There was no discomfort or adverse skin reaction. Neither bad

breath nor foul taste were observed. Each of the subjects volunteered that their

skin was softened when the compositions containing urea was applied.

 

After several more days, the subjects were again treated with the control

solution. The subjects experienced a return of malodorous breath, foul taste,

and adverse skin reactions.

 

EXAMPLE 2

 

A test was conducted to determine whether it would be advantageous to use DMSO

compositions containing relatively large amounts of pharmaceutically acceptable

agents having a weight per volume percentage concentration at isotonicity less

than that of DMSO. Urea is such an agent. So, for comparison purposes, the

composition of Example 1 was tested against the following composition which

contains more urea and less water:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        61.7

           water       17.6

           urea        17.6

           NaCl         3.0

    ______________________________________

 

 

Human subjects, suffering from a variety of ailments treatable with DMSO

compositions, received each of the two formulations at separate times during the

course of treatment. In every instance, the subject expressed a preference for

the reformulated composition containing a greater amount of urea.

 

Specific benefits observed include prompter medicinal response and increased

comfort (less tissue irritation). Effected skin area, of subjects suffering from

scleroderma were softened when the high urea comcentration composition was

applied topically. Such subjects receive no substantial relief when urea

compositions without DMSO are applied.

 

EXAMPLE 3

 

The following composition was used to treat subjects suffering from contact

dermatitis, from poison oak, insect bites and other conditions characterized by

subdermal histamine release and consequent discomfort:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        47.6

           water       33.3

           NaCl         4.8

           urea        14.3

    ______________________________________

 

 

Topical applications of this composition provided excellent results. Irritations

and itching of the skin stopped promptly and were followed by rapid healing in

all cases. Minor cuts were also treated with the above solution; and infection

free healing resulted in each case.

 

EXAMPLE 4

 

DMSO compositions have been used successfully to treat a variety of athletic

injuries such as sprains, muscle cramps, and the like. In this example, the

following formulation was used:

 

 

    ______________________________________

    DMSO                   200 g.

    urea                   100 g.

    ethanol (absolute)     50 g.

    water                  25 g.

    methyl salicylate

    (as odorant)           10 g.

    3% Carbopol 934

    (carbomer-934)         80 g.

    triethanolamine        2 g.

    ______________________________________

 

 

Topical application of this composition has proved effective in test treatments

for sprains, muscle cramps and other discomforts. Athletes receiving the above

composition had no abnormal irritations.

 

One subject having very fair complexion and red hair was unable to tolerate a 50

wt. percent aqueous DMSO composition without urea. When a gel containing the

above listed ingredients was applied to the skin of the subject, good medical

relief was observed. Furthermore, there was no indication of the undesirable

side-effects previously experienced from the application of DMSO without urea.

 

EXAMPLE 5

 

A methyl salicylate ointment was prepared for use for treating human subjects

suffering from whiplash. The ointment included urea and ethanol to enhance

penetration of methyl salicylate and DMSO. Specifically, it included:

 

 

    ______________________________________

    DMSO                   200 g.

    urea                   100 g.

    water                  100 g.

    ethanol                50 g.

    methyl salicylate      10 g.

    Carbopol 940

    (carbomer-940)         2.4 g.

    triethanolamine        2 g.

    ______________________________________

 

 

This ointment was applied to the necks of whiplash victims who previously had

experienced discomfort upon treatment with other DMSO substances. Methyl

salicylate in the ointment penetrated extremely rapidly such that the subjects

reported immediate relief from pain. The ointment was soothing when applied

topically to low sensitivity skin areas and no malodorous breath or foul taste

resulted.

 

EXAMPLE 6

 

The paste of Example 13 was used to impregnate polyolefin foam pads. The

impregnated pads were applied to unpared calluses and corns on the foot of a

subject. After daily treatments for four to eight days, the epidermal

thickenings were sufficiently softened for easy removal.

 

EXAMPLE 7

 

Persons with more severe epidermal thickenings were treated according to the

procedure of Example 13 using the composition of Example 6. Good success in the

softening of tissue for removal was achieved.

 

EXAMPLE 8

 

The DMSO-urea composition of Example 1 was administered to patients suffering

from a hardening of the skin as a result of incurable, progressive systemic

sclerosis. Previously, these patients had each been treated for their condition

with solutions of DMSO and water without urea, over a period of years.

 

After treatment with the DMSO-urea composition of Example 1, each of the

patients reported a strong preference for that composition. Specifically, they

reported relief from bad breath and a soothing effect upon application. Most

significantly, skin of the subjects was softer and more flexible after several

weeks of administration.

 

Also, blood circulation of the skin was improved. Systemic sclerosis typically

impairs blood circulation to the skin as evidenced by a minimum of color change

when finger pressure is applied to the effected area. After the patients were

treated with the DMSO-urea composition of Example 1, once daily over the entire

body for several weeks, vascular blanching of the skin was observed when finger

pressure was applied. Blushing occurred upon release.

 

EXAMPLE 9

 

The vascular effect of DMSO compositions containing urea was observed in the

dramatic recovery of one subject with ischemic ulceration of a finger. At the

beginning of treatment, the finger was cyanotic, ulceration was progressing, and

surgical amputation had been recommended.

 

In an attempt to improve this condition, the finger was treated by dipping in an

aqueous DMSO solution. But the treatments were soon abandoned because the pain

of treatment was too great.

 

In a second attempt at treatment, the finger was dipped in the following

preparation over a period of several weeks:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        50

           water       35

           urea        10

           NaCl         5

    ______________________________________

 

 

Twenty-five to fifty milligrams of indomethacin were added to each 500 grams of

this solution to serve as an analgesic and anti-inflammatory agent.

 

After about 12 weeks of treatment, there was apparently full recovery of the

finger with ulcer healing and excellent general appearance of the entire finger.

At the end of the period amputation was counter-indicated; and treatment was

stopped except for occasional applications to relieve discomfort.

 

EXAMPLE 10

 

DMSO and urea may be used effectively together, even at very low concentrations,

when applied to animal membranes which have been stressed.

 

In one laboratory experiment hair was removed from both flanks of rabbits of

about three kilogram body weight. The flanks were then blade shaved to fully

expose the epidermis. Under anesthesia, the both flanks of five rabbits were

severely scarified using a scalpel to expose subcutaneous tissues.

 

The right flank of each rabbit was kept continuously moistened with a 0.75

weight percent aqueous solution of DMSO containing 1.0 mg. of superoxide

dismutase enzyme (m.w. 30,000-40,000) per 10 ml. of solution. The left flanks

were treated identically except that the solution applied was free of DMSO.

 

It was observed that healing was greatly accelerated on the right flanks as

compared to the left. Specifically, strong tension resistant healing of the

right flanks occurred in about half the time.

 

The addition of urea to such low concentrated DMSO compositions can further

improve healing rate, enhance enzyme penetration and eliminate side effects

resulting from DMSO application. When applied to stressed tissue, not more than

about 1.0 weight percent urea is required. For use in preparing the DMSO

formulation of this example, it would be sufficient for the aqueous solution to

contain about 0.75 weight percent urea.

 

EXAMPLE 11

 

Compositions containing methylsulfonylmetane (MSM) and urea improve the softness

and pliability of skin even of persons suffering from adverse skin conditions.

In one test, two human subjects suffering from "hide bound disease" or

progressive systemic sclerosis were treated with a solution containing 20 weight

percent MSM, 20 weight percent urea, 30 weight percent dimethyl sulfoxide and 30

weight percent water.

 

The subjects were treated by placing 15 milliliters of the solution in a plastic

bag, placing a hand or foot to be treated in the bag. The hand or foot with

plastic bag overwrap was then immersed in a heated water bath maintained at a

temperature as warm as the subject would tolerate, taking care not to dilute the

solution.

 

The hands and feet were thus immersed for 30 minutes, three times daily, for a

period of two weeks. The result was a reduction in discomfort and increased skin

softness and pliancy.

 

Dimethyl sulfoxide and urea in the solution enhanced penetration of MSM into the

effected tissue. No adverse side-effects resulted from administration of the

DMSO.

 

EXAMPLE 12

 

DMSO is a useful substance in many dermally applied cosmetic preparations. But,

cosmetics containing DMSO are yet to be widely marketed because many test users

experience malodorous breath and skin irritation. Such cosmetic preparations

include the long-lasting antiperspirants described in U.S. Pat. No. 3,499,961.

 

To test whether such antiperspirants would be improved by the addition of urea,

a comparison test was conducted.

 

A first paste was prepared containing, by weight, 10 parts of a 6:1

DMSO-aluminum chloride complex, 10 parts urea, 10 parts ethanol, 2 parts NaCl.

Sufficient colloidal silica (Cab-O-Sil) was added to the other ingredients so

that a proper paste consistency was achieved.

 

When applied to the left axilla of human subjects no breath odor or skin

irritation resulted.

 

A second, similar paste was formulated without urea. This applied one hour later

to the right axilla of the same subjects. The subjects experienced burning and

itching of the right axilla within 15 minutes after appplication of the second

paste. Malodorous breath was detected 30-35 minutes after application of the

second paste.

 

EXAMPLE 13

 

An anti-mosquito lotion was prepared by combining the following ingredients,

with heating, to form a solution:

 

 

    ______________________________________

    DMSO                    30 g.

    ethanol                 30 g.

    urea                    15 g.

    N,N-diethyl-toluamide   10 g.

    ______________________________________

 

 

This preparation was applied to the skin of three human subjects, known to be

sensitive to DMSO compositions. None of the subjects had adverse skin reactions,

urticaria or bad breath odor.

 

b. nail administrations

 

EXAMPLE 14

 

A paste was prepared containing:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        50

           urea        40

           lanolin     10

    ______________________________________

 

 

By heating the mixture to 60.degree. and milled until a smooth, uniform paste

was formed.

 

This paste was applied to a trauma injured toenail and underlying plate. After

application, the toe was covered by a protective overwrap. At the seventh day

after application, the nail was easily removed with gentle forcep urging.

 

EXAMPLE 15

 

Another paste was formed according to the composition:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

    DMSO               45

    urea               45

    NaCl                5

    lanolin             5

    ______________________________________

 

 

A mixture of these ingredients was heated to 60.degree. C. and milled until a

smooth, uniform paste was formed.

 

This paste was applied to a chronically defective fingernail of a human subject

and also to a healthy nail on an adjacent finger. Both the fingers were covered

by a protective overwrap. By the fifth day after application, the defective nail

was easily removed by gentle urging with forceps. The normal nail was uneffected

although cuticle of both fingernails was removable by gentle rubbing.

 

EXAMPLE 16

 

Another paste was formed having the composition:

 

 

    ______________________________________

                  Wt. Percent

    ______________________________________

    DMSO            45

    urea            45

    sodium sulfide   5

    lanolin          5

    ______________________________________

 

 

This paste was prepared by heating to 60.degree. C. amd milling to a smooth,

uniform paste. This paste was applied to subjects having defective fingernails

in the manner described in Example 15.

 

The paste of this example softened the defective nail and debrided the

underlying nail plate more rapidly than did the paste of Example 15. A slight

etching of the normal nail surface also occurred.

 

EXAMPLE 17

 

The following substances were mixed to form a gel:

 

 

    ______________________________________

    DMSO                    20 g.

    urea                    40 g.

    ethanol                 18 g.

    water                   9 g.

    isopropyl palmitate     8 g.

    Carbopol 940

    (carbomer-940)          2 g.

    di(2-ethylhexyl)amine   2 g.

    griseofulvin            1 g.

    ______________________________________

 

 

Various subjects having defective fingernails with undergrowing fungal infection

were treated using this gel composition. Gauze or polyolefin foam pads were

impregnated with the gel, applied to the defective fingernails and covered by an

occlusive overwrap. After 10 days, the overwrap and pads were removed. The

diseased nails were then easily separated from the plate by forcep urging. After

removal of the nail, a single painting of the preparation on the plate achieved

both debridement of diseased and dead tissue and control of the infection.

 

EXAMPLE 18

 

In a related test, the composition of Example 16 was heated and then painted on

diseased nails of human subjects. Twenty to thirty minutes after application,

the nails were treated with an appropriate pharmaceutical composition, e.g. one

containing an antimicrobial agent.

 

After several days of treatment, the diseased nail portions were removable by

forcep urging and infections were under control.

 

EXAMPLE 19

 

Two liquid preparations were prepared for comparison purposes. These

compositions were as follows:

 

 

    ______________________________________

    Preparation 1:       Wt. Percent

    ______________________________________

    urea                 50

    water                25

    DMSO                 25

    ______________________________________

 

 

The ingredients were mixed, heated to 50.degree. C. and thereafter milled to a

uniform dispersion.

 

 

    ______________________________________

    Preparation 2:       Wt. Percent

    ______________________________________

    urea                 50

    water                50

    ______________________________________

 

 

The ingredients were mixed, heated to 50.degree. C. and thereafter stirred with

cooling to form a uniform solution/dispersion.

 

Each of the preparations was used to impregnate cellulose base foam sheets. The

sheets, in turn, were used to treat subjects having two adjacent digits with

defective toe or fingernails. One digit of each subject was wrapped with a foam

sheet containing Preparation 1 and the adjacent digit wrapped in a foam sheet

containing Preparation 2. It was observed that Preparation 1 was about one-third

more effective in softening defective, diseased nails for removal.

 

EXAMPLE 20

 

A nail conditioner was formulated from the following ingredients:

 

 

    ______________________________________

                      Wt. Percent

    ______________________________________

    water               50

    dimethyl sulfoxide  20

    methylsulfonylmethane (MSM)

                        10

    urea                10

    glycerine            5

    glyoxal (30% aqueous)

                         5

    ______________________________________

 

 

The formulation was applied with cotton pads to healthy nails of human subjects

and allowed to remain for at least 15 minutes. At the end of that time, the

nails were toughened, i.e. less brittle, and the cuticle was softened such that

it could be removed by gentle rubbing.

 

It is not fully understood how the brittleness of the nail is reduced by

application of the formulation. It appears, however, that the MSM is the

principal active agent. The DMSO and urea appear to accelerate penetration of

the MSM into the tough nail material.

 

Subjects using this formulation has no reddening or irritation of the skin

surrounding the nail and did not suffer from malodorous breath.

 

2. Mucosal and Urogenital Administrations

 

EXAMPLE 21

 

The composition of Example 9 was slightly reformulated to include:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        50

           water       35

           urea        12

           NaCl         3

    ______________________________________

 

 

This formulation was administered to patients suffering from urological problems

such as prostatitis, through a catheter extending to the neck of the bladder.

Clinical tests showed that patients receiving the DMSO-urea composition

experienced significantly less discomfort and less malodorous breath than when a

50 wt. percent solution of DMSO in water was administered without urea. The

DMSO-urea composition was equally effective in reducing the signs and symptoms

of prostatitis.

 

EXAMPLE 22

 

The composition of Example 21 was administered to human subjects who suffered

from interstitial cystitis, and who previously showed little improvement when

treated with a 50 wt. percent solution of DMSO in water. In each case, thiry to

one hundred milliliters of the composition was administered daily through a

catheter inserted to the bladder.

 

As compared to treatment with the 50 wt. percent DMSO solution, the DMSO-urea

formulation produced less patient discomfort. Also, improved therapeutic results

were observed. Specifically, frequency of urination, pain and discomfort with

bladder palpitation were reduced. Visual observation with a a cystoscope and

biopsies of bladder tissue confirmed that there was a reduction in inflammatory

lesions. After changing from treatment with aqueous DMSO to treatment with the

DMSO-urea formulation, subjects' bad breath was significantly reduced.

 

EXAMPLE 23

 

For some time, DMSO has been used in concentrations of up to 100 percent for

treating hypersensitive teeth recovering from extensive restorative oral

surgery. Substantial pain and discomfort as well as trauma and localized tissue

injury to the teeth and gums frequently results from such surgical procedures.

DMSO is known to promote general tissue repair and reduce pain so that after

about 2 weeks a patient can comfortably chew solid food again.

 

A young female subject recovering from oral surgery was treated with the

following composition:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        71.4

           urea        23.8

           water        4.8

    ______________________________________

 

 

Cotton pledgets were saturated in the solution and applied to the gums. After

two days of treatment both the relief of pain and the extent of healing were

greater than observed for typical subjects receiving two weeks of treatment with

high concentrations of DMSO solutions without urea.

 

Oral surgery patients treated with DMSO typically experience a sulfurous breath

and bad aftertaste which can last for a full day after treatment. These adverse

side-effects were greatly reduced in the subject treated with the above

composition containing urea.

 

EXAMPLE 24

 

Another composition suitable for treating dental patients includes:

 

 

    ______________________________________

                     Wt. Percent

    ______________________________________

           DMSO        70

           urea        20

           water        8

           NaCl         2

    ______________________________________

 

 

When applied in the manner described in Example 23, this composition produces

superior results in reducing dental pain and swelling associated with procedural

trauma.

 

EXAMPLE 25

 

Elderly persons and subjects having connective tissue diseases, frequently have

a problem with drying, painful gums. To treat this condition, the following

composition was prepared:

 

 

    ______________________________________

    DMSO                   200 g.

    urea                   50 g.

    water                  50 g.

    3% Carbopol 934

    (carbomer-934)         10 g.

    triethanolamine        0.4 g.

    ______________________________________

 

 

The Carbopol 934, a polymer of acrylic acid manufactured by B. F. Goodrich

Chemical Co. of Cleveland, Ohio, in combination with triethanolamine as a

neutralizer, caused the composition to be a soft gel. This was flavored with

small amounts of spirits of peppermint to mask the somewhat bitter taste of

DMSO.

 

When applied topically to the gums of subjects, pain was reduced and gum tissue

was softened.

 

3. Intravenous Administrations

 

In current practice, DMSO is administered intravenously for a variety of

therapeutic purposes, at a rate of 0.1 to 2.0 grams per kilogram body weight.

Typically, intravenously administered DMSO is in an aqueous solution.

 

Subjects receiving DMSO intravenously have suffered from not only malodorous

breath, but also from red blood cell lysis which could lead to renal failure. It

is now found that urea, intravenously administered at the same time as DMSO,

substantially reduces both red blood cell lysis and malodorous breath.

 

To effectively neutralize the hemolytic activity of DMSO and at the same time

reduce expired dimethyl sulfide to acceptable levels, the amount of ethanol

administered should be at least about 0.05 grams per kilogram body weight, up to

about 0.5 grams ethanol per kilogram body weight. The ethanol should be

administered in a weight ratio to DMSO of between about 1:40 and 5:1.

 

Superior results are achieved when the DMSO and urea are administered together

in a common composition with the amount of urea being selected to be effective

in reducing the undesirable side-effects of malodorous breath and/or hemolysis

which can be expected from administration of the DMSO.

 

To enhance penetrating activity of DMSO administered intravenously, such

solutions can contain substances to enhance penetration of the DMSO. Such

substances include urea, NaCl, KCl and/or acetamide. In most instances, such

solutions will contain water as a diluent.

 

Although several possible mechanisms can be postulated to explain the

improvements resulting from intravenously administered ethanol, the actual

mechanism whereby malodorous breath and red blood cell lysis are reduced, is not

understood. The following examples illustrate the effectiveness of this

treatment:

 

EXAMPLE 26

 

In a first test, nine volumes of whole, heparinized human blood were combined

with one volume of a 50 volume percent aqueous solution of DMSO. The extent of

red cell lysis was great and there was a pronounced evolution of dimethyl

sulfide.

 

The test was repeated with the DMSO solution replaced by a 50 volume percent

aqueous solution of ethanol. After the solution was combined with the blood, no

odor was evolved but there was some red blood cell lysis.

 

In a third test, the procedure was repeated again, only the additive solution

contained 66.6 volume percent DMSO and 33.3 volume percent ethanol. After one

volume of solution was added to nine volumes of blood, neither red blood cell

lysis nor dimethyl sulfide odor was observed. A sample of the atmosphere over

the blood was collected and analyzed with a gas chromatograph. There was no

detectable dimethyl sulfide peak.

 

EXAMPLE 27

 

Dog blood was drawn and heparinized to prevent clotting. After tubing, samples

of the blood were mixed with a 20 wt. percent aqueous dimethyl sulfoxide

solution in such an amount that the DMSO-blood mixture contained 12 grams of

DMSO to every 100 g. of blood.

 

Upon mixing, there was almost instant red blood cell lysis with a predominant

odor of dimethyl sulfide. The presence of dimethyl sulfide was confirmed by gas

chromatography.

 

In a separate test, a sample of the heparinized blood from the same dog was

combined with an aqueous solution containing 20 wt. percent DMSO and 10 wt.

percent ethanol. The solution and blood were again combined so that 12 grams of

DMSO were present for each 100 grams of blood in the resulting mixture. After

mixing, only a small amount of red blood cell lysis occurred. The odor of

dimethyl sulfide was absent, but gas chromatography analysis showed a small peak

for dimethyl sulfide.

 

EXAMPLE 28

 

Two intravenous administration bottles were prepared. The first contained a 20

wt. percent aqueous DMSO solution. The second contained an aqueous solution

having 20 wt. percent DMSO and 10 wt. percent ethanol. Two mongrel dogs of about

15 kg. body weight were catheterized. Then, the two solutions were delivered

intravenously to the respective dogs so that each dog received 15 g. of DMSO (1

g. per kg. body weight).

 

When the first solution (DMSO-water) was administered to one dog, the laboratory

rapidly filled with dimethyl sulfide odor. This odor was detected within 30-45

seconds after administration. Urine collected from the dog during the first

hours after administration was a deep red color, indicating severe red blood

cell lysis.

 

When the second solution was administered to the other dog, no dimethyl sulfide

odor was detected by nose. Expired air from the animal was captured for a period

of time in a toluene liquid trap. The trap was operated for 0.25 hours and the

toluene was then analyzed by gas chromatography. There was a small peak showing

that a trace of dimethyl sulfide had been collected.

 

Urine collected from the second dog was clean and on close observation was free

of evidence of any red blood cell lysis. A unit of urine from the second dog was

centrifuged and the sediment collected and observed. There were traces of a red

precipitate, presumably hemoglobin. This may have been due in part to

traumatization during catheterization or might represent a very slight amount of

red blood cell lysis.

 

4. Hyperosmotic Administrations to Fish

 

As mentioned above, urea, NaCl, and acetamide may be beneficial in compositions

for treating mammals. But, these same substances may be toxic to fish at

concentrations of as little as 3 wt. percent in an aqueous solution applied to

an epithelial membrane of the fish.

 

Because these substances are the driving force behind hyperosmotic treatment of

fish, the toxicity places an upper limit on the extent to which hyperosmotic

treatments can succeed.

 

It is now found that the lethality of certain solutions containing hyperosmotic

concentrations of a membrane permeability altering agent can be reduced by

adding DMSO to the composition. Such reformulated compositions can then be

administered, in conjunction with health and/or welfare modifying agents, to an

epithelial membrane, such as the gill membrane, of a water-living animal. The

risk of death from osmotic stress is greatly reduced when the DMSO is used.

 

Suitable procedures for administration are described in U.S. Pat. No. 4,112,946.

Other procedures for administration to epithelial membranes, particularly gill

membrane, may also be used. A reduction in mortality rate will result in any

instance where membranes is subjected to a composition having a moderately high

hyperosmotic concentration of urea, NaCl and/or acetamide.

 

That DMSO would have this beneficial effect is quite surprising in view of the

fact that DMSO is not greatly effective as a membrane permeability altering

agent for treating the membranes of water living animals, particularly gilled

animals.

 

Other dipolar, aprotic solutes, such as dimethyl acetamide (DMAC) and dimethyl

formamide (DMF) are also beneficial in reducing mortality rate. But, these are

less effective than DMSO.

 

The amount of dipolar, aprotic solute to use with a particular solution

containing a hyperosmotic concentration of urea, NaCl and/or acetamide, is best

determined by experimentation. The amount should be sufficient to produce a

desired reduction in mortality rate or cell damage, but should not be so high as

to expose the water-living animal subjects to toxic amounts of the solute. Also,

if the solution includes a health and/or welfare modifying agent along with the

permeability altering agent, the amount of the dipolar, aprotic substance

administered should not be so great as to inhibit transport of the health and/or

welfare modifying agent into the animals.

 

The following examples illustrate how DMSO is effective in reducing mortality

due to osmotic stress.

 

EXAMPLE 29

 

A series of tests were made using twelve small goldfish (Carassius auratus). In

each test, two fish were exposed, by imersion, to an aqueous test solution

containing a hyperosmotic concentration of NaCl. The fish were exposed for five

minutes each and thereafter were transferred to fresh water and observed. The

results are summarized in Table I:

 

 

                  TABLE I

    ______________________________________

    Test          Solute    Conc. (wt. %)

                                       Lethality

    ______________________________________

    1             NaCl      3          1 of 2 dead

    2             NaCl      4          2 of 2 dead

    3             NaCl      5          2 of 2 dead

    4             NaCl      3

                  DMSO      3          none

    5             NaCl      4

                  DMSO      3          none

    6             NaCl      5

                  DMSO      3          1 of 2 dead

    ______________________________________

 

 

Clearly, lethality was reduced when DMSO was used in combination with the NaCl.

 

It was also observed that the gills of all fish tested turned whitish upon

exposure to the hyperosmotic solution. The degree of whiteness, a possible

indicator of osmotic stress, corresponded to the concentration of NaCl. Less

whiteness, at a given NaCl concentration, was observed in fish treated with the

solutions containing DMSO.

 

EXAMPLE 30

 

The procedure of Example 29 was repeated, except that after exposure to the

hyperosmotic solutions, the goldfish were transfered to fresh water containing

0.5 wt. % trypan blue dye. The results appear in Table II:

 

 

                  TABLE II

    ______________________________________

    Test      Solute    Conc. (wt. %)

                                     Lethality

    ______________________________________

    7             NaCl      3          none

    8             NaCl      4          2 of 2 dead

    9             NaCl      5          2 of 2 dead

    10            NaCl      3

                  DMSO      3          none

    11            NaCl      4

                  DMSO      3          none

    12            NaCl      5

                  DMSO      3          none

    13            urea      8          none

    14            urea      12         none

    15            urea      8

                  DMSO      5          none

    16            urea      12

                  DMSO      5          none

    ______________________________________

 

 

Again, decreased lethality was observed for fish exposed to a NaCl solution,

when DMSO was added.

 

The fish were observed for dye uptake. Trypan blue, being a vital exclusion type

dye, only colors non-living cells. Fish exposed to the saline solutions without

DMSO demonstrated an increased dye uptake, pronounced when the NaCl

concentration was 5 wt. percent. From the dye uptake patterns observed, it

appears that NaCl without DMSO is highly lethal to epithelial cells, especially

of the gills, fins and tail.

 

Similar results were observed in tests 13-16 where the fish were exposed to

hyperosmotic concentrations of urea. Although none of the test animals died, dye

uptake was greater when DMSO was absent.

 

These results are contrary to expectations because DMSO is known to facilitate

tissue penetration in most instances. If DMSO behaved in an expected manner, it

would enhance NaCl and urea penetration. Such increased penetration should

logically increase cell damage and, consequently, trypan blue uptake. But, the

results of tests 7-16 show that the opposite is true. DMSO protects cells from

attack by hyperosmotic NaCl and urea solutions, and does not aid in the attack.

Furthermore, the results of tests 7-16 indicate that DMSO not only reduces the

lethality of hypersomotic solutions, but also retards injury of cells exposed to

extreme osmotic challenge.

 

EXAMPLE 31

 

Seven fingerling salmonids of 4-5 inch length were netted in the Washougal River

(State of Washington). The species was not identified; but most likely the

fingerlings were wild, coho salmon (Oncorhynchus kisutch).

 

Four of the fingerlings were immersed in an aqueous solution containing 5 wt.

percent NaCl and 3 wt. percent DMSO. After five minutes, the fingerlings were

returned, for observation, to a holding pond containing river water. The

procedure was repeated with the remaining three fingerlings being immersed in an

aqueous solution containing only 5 wt. percent NaCl.

 

All of the fingerlings lost their friskiness when exposed to a hyperosmotic

solution, but all were alive when transferred to the holding ponds. After three

hours, the three fingerlings exposed to the NaCl solution without DMSO had died.

The other four fingerlings were alive and were released into the river.

 

While I have described and given examples of preferred embodiments of my

invention, it will be apparent to those skilled in the art that changes and

modifications may be made without departing from my invention in its broader

aspects. I therefore intend the appended claims to cover all such changes and

modifications as fall within the true spirit and scope of my invention.

 

 

* * * * *