U.S. patent application number 13/159171 was filed with the patent office on 2011-11-24 for targeted drug-carrying bacteriophages.
This patent application is currently assigned to RAMOT AT TEL-AVIV UNIVERSITY LTD.. Invention is credited to Itai Benhar, Eliora Z. Ron, Doron Shabat, Marina Shamis, Iftach YACOBY.
Application Number | 20110286971 13/159171 |
Document ID | / |
Family ID | 36607349 |
Filed Date | 2011-11-24 |
United States Patent
Application |
20110286971 |
Kind Code |
A1 |
YACOBY; Iftach ; et
al. |
November 24, 2011 |
TARGETED DRUG-CARRYING BACTERIOPHAGES
Abstract
The present invention relates to the field of drug delivery.
More specifically, the invention relates to the preparation and use
of a bacteriophage conjugated through a labile/non labile linker or
directly to at least 1,000 therapeutic drug molecules such that the
drug molecules are conjugated to the outer surface of the
bacteriophage. The bacteriophage optionally displays on its coat a
ligand that endows it with specificity towards target cells. Thus,
there is provided a targeted, high-capacity drug delivery system
useful for the treatment of various pathological conditions.
Inventors: |
YACOBY; Iftach; (Kfar Hess,
IL) ; Ron; Eliora Z.; (Tel Aviv, IL) ; Shabat;
Doron; (Tel Aviv, IL) ; Shamis; Marina;
(Hadera, IL) ; Benhar; Itai; (Rehovot,
IL) |
Assignee: |
RAMOT AT TEL-AVIV UNIVERSITY
LTD.
TEL AVIV
IL
|
Family ID: |
36607349 |
Appl. No.: |
13/159171 |
Filed: |
June 13, 2011 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11850942 |
Sep 6, 2007 |
7985573 |
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13159171 |
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PCT/IL06/00309 |
Mar 8, 2006 |
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11850942 |
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60659072 |
Mar 8, 2005 |
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Current U.S.
Class: |
424/93.2 ;
424/93.6; 435/235.1 |
Current CPC
Class: |
A61P 31/04 20180101;
A61P 9/10 20180101; A61P 31/12 20180101; A61K 47/62 20170801; A61P
33/00 20180101; A61P 35/00 20180101; A61P 37/06 20180101; A61P
31/10 20180101; A61P 31/00 20180101 |
Class at
Publication: |
424/93.2 ;
435/235.1; 424/93.6 |
International
Class: |
A61K 35/76 20060101
A61K035/76; C12N 7/01 20060101 C12N007/01; A61P 31/10 20060101
A61P031/10; A61P 37/06 20060101 A61P037/06; A61P 31/12 20060101
A61P031/12; A61P 33/00 20060101 A61P033/00; A61P 9/10 20060101
A61P009/10; A61P 35/00 20060101 A61P035/00; C12N 7/00 20060101
C12N007/00; A61P 31/04 20060101 A61P031/04 |
Claims
1. A pharmaceutical composition comprising bacteriophage-drug
conjugates, wherein an average of at least 1,000 drug or isotope
molecules is conjugated to an outer surface of each
bacteriophage.
2. The composition of claim 1, wherein the bacteriophage displays
an exogenous targeting moiety which binds a cell surface molecule
on a target cell.
3. The composition of claim 2, wherein the targeting moiety is
selected from the group consisting of an antibody, an antibody
fragment, a peptide, a polypeptide, a carbohydrate, a lipid, a
glycolipid, a nucleic acid and derivatives thereof.
4. The composition of claim 2, wherein the targeting moiety
comprises a ligand selected from: the ZZ domain derived from
Staphylococcus aureus protein A, avidin, streptavidin, biotin and
derivatives thereof, the ligand bound to a targeting molecule
selected from: an antibody, an antibody fragment, a peptide, a
polypeptide, a carbohydrate, a lipid, a glycolipid, a nucleic acid
and analogs and derivatives thereof.
5. The composition of claim 2, wherein the target cell is selected
from the group consisting of a bacterial cell, a fungal cell, a
yeast cell, a unicellular parasite cell, a multicellular parasite
cell and a mammalian cell.
6. The composition of claim 1, wherein the drug is selected from a
group consisting of: an antibacterial agent, an antibiotic, an anti
fungal drug, an anti viral drug, a parasiticide, a cytotoxic agent,
a cytostatic agent, and a radioactive isotope.
7. The composition of claim 1, wherein the drug is linked to a coat
protein of the bacteriophage via a linker.
8. The composition of claim 7, wherein the linker is a labile
linker which upon cleavage releases the drug.
9. The composition of claim 8, wherein the drug is in the form of
an inactive prodrug, which, upon the cleavage of the linker is
released in an active drug form.
10. The composition of claim 7, wherein the release of the drug is
facilitated by an enzymatic activity selected from: an enzymatic
activity present on the surface the target cell, an enzymatic
activity present inside the target cell, an enzymatic activity
present in bodily fluids, an exogenous enzyme administered to a
subject and an enzymatic activity facilitated by an enzyme encoded
by a nucleic acid delivered to the target cell by the
bacteriophage.
11. The composition of claim 7, wherein the release of the drug is
facilitated by at least one enzyme selected from the group
consisting of: proteases, peptidases, esterases, amidases,
glycosidases and lipases.
12. The composition of claim 7, wherein the linker is selected from
the group consisting of a branched linker and a dendrimer so that
the composition can carry a plurality of drugs.
13. The composition of claim 7, wherein the linker is an
aminoglycoside.
14. The composition of claim 1 further comprising a
pharmaceutically acceptable excipient or diluent.
15. A bacteriophage comprising a coat protein having an amino acid
sequence as set forth in SEQ ID NO:1 and analogs thereof.
16. A bacteriophage-drug conjugate comprising an average of at
least 1,000 drug molecules conjugated to the outer surface of the
bacteriophage, with the bacteriophage displaying an exogenous
targeting moiety that binds a cell surface molecule on a target
cell.
17. A method of treating a disease in a subject in need thereof,
comprising administering to the subject a therapeutically effective
amount of a pharmaceutical composition according to claim 1.
18. The method of claim 17, wherein the bacteriophage displays an
exogenous targeting moiety which binds a cell surface molecule on a
target cell.
19. The method of claim 17, wherein the disease is selected from: a
bacterial infection, a viral infection, a fungal infection, a yeast
infection, a parasitic infection, a non-infectious disease or
disorder, an autoimmune disease, a hyperproliferative disorder,
restenosis, an angiogenesis-dependent disease and cancer.
20. The method of claim 17, wherein the subject is a selected from
the group consisting of mammals and non-mammalian animals.
21. The method of claim 20, wherein the subject is human.
22. The method of claim 21, wherein the bacteriophage comprises a
nucleic acid molecule comprising an exogenous nucleic acid sequence
that is transcribed and translated in the target cell.
23. A method of treating a bacterial infestation, comprising
exposing the bacteria to a bacteriophage-drug conjugate.
24. A kit for generating a targeted bacteriophage-drug conjugate,
comprising: (i) a bacteriophage-drug conjugate displaying a ligand
capable of binding a targeting molecule that selectively binds a
target molecule on a target cell; and (ii) instructions for linking
the targeting moiety to the ligand.
Description
FIELD OF THE INVENTION
[0001] The present invention provides bacteriophages conjugated
through a linker or directly to a drug such that the drug is linked
to the outer surface of the bacteriophage, the bacteriophage
optionally displaying a targeting moiety, useful in targeted drug
delivery.
BACKGROUND OF THE INVENTION
[0002] Targeted Therapy
[0003] Targeted drug delivery is a powerful technology which holds
numerous potential advantages over conventional drug formulations.
Methods for controlling the action of a drug in a specific temporal
and spatial distribution, so as to direct its action to the desired
target organ or cell, are currently being investigated to achieve
increased safety and decreased side effects, increased
bioavailability of the drug, improved dosage forms and
administration schedules, and overall increased efficiency of the
treatment. Since the development of methods of producing monoclonal
antibodies (mAbs) by K.delta.hler and Milstein, and the initial
clinical trials of antibody therapy in cancer patients, there has
been progress in antibody-based therapeutics, particularly in
oncology. Early clinical trials with murine achieved biological
effects principally by inducing immune effector functions
(complement-dependent cytotoxicity, and antibody-dependent cellular
cytotoxicity), which had the potential for therapeutic effect with
minimal toxicity, as compared with standard chemotherapy. The range
of possible therapeutic approaches with mAb targeted therapy was
similarly impressive, with the possible selective delivery of
isotopes, drugs, toxins and other cytotoxic materials to tumors by
linking these agents to tumor targeting mAbs. Subsequent trials in
a wide range of tumor systems with numerous constructs, however,
demonstrated the limitations of murine antibodies regarding
immunogenicity and the development of human anti-mouse antibody
responses, (White et al., 2001) and demonstrated that the effective
targeting and treatment of most solid tumors may not be achieved
successfully with murine constructs.
[0004] Recent developments in the fields of protein engineering and
particularly in antibody engineering techniques have led to the
production of improved targeting moieties, such as humanized mAb
constructs, recombinant antibody fragments such as single-chain
antibodies (scFvs), short peptides, non-antibody ligand-binding
proteins and even non proteinaceous molecules such as
carbohydrates. Still, targeted therapy is mostly focused on cancer,
with limited attention to immune system and autoimmune
disorders.
[0005] Immunoconjugates are bifunctional molecules that consist of
a "targeting" domain that localizes in tumors coupled to a
therapeutic moiety (Benhar and Pastan, 1997). Immunoconjugates, in
the broadest definition, may utilize mAb, mAb fragments, hormones,
peptides or growth factors to selectively localize cytotoxic drugs,
plant and bacterial toxins, enzymes, radionuclide,
photosensitizers, or cytokines to antigens expressed on tumor cells
or on cells of the tumor neovasculature (White et al., 2001).
[0006] Another approach for controlling drug delivery includes
targeted drug activation, i.e. the use of prodrugs, wherein the
drug composition is inactive when administered, but is converted to
active form in vivo through exposure to a particular physiologic
environment or metabolic process. In some cases, the drug is linked
to a masking moiety rendering it inactive, by means of a linker
that can be, for example, acid-labile or enzyme-cleavable (Ulbrich
and Subr, 2004). Examples for the use of this approach are WO
00/33888 and US 20041014652.
[0007] Other approaches for controlling drug delivery include the
use of carriers, such as liposomes, microspheres and dendrimers, to
alter the physico-chemical qualities of a drug, thus controlling
its distribution and half-life.
[0008] These and other studies possess several advantages over the
use of traditional drug formulations, but each methodology is
limited by its own shortcomings, aside from technical challenges
related to tissue penetration, stability and immunogenicity. For
example, the extent to which drug disposition can be controlled
through nonselective mechanisms, such as carriers and prodrugs, is
limited. In addition, the drug carrying capacity of existing
targeted therapies is a key issue in their potency, as some of the
putative targeted molecules are only expressed in a limited copy
number on the target cell.
[0009] Thus, attempts at providing targeted drug delivery methods
combining the benefits of the different approaches are being made.
For example, conjugation schemes, such as the use of dendrimers and
branched linkers were devised to maximize the drug payload per
targeting molecule that binds a target site. Other approaches
include directed micelles, liposomes or polymers (see, for example,
WO 03/035611, WO 00/53236, US 2004/11648 and U.S. Pat. No.
6,387,397), some of them utilizing viral components for target
recognition and/or structural purposes (Felnerova et al., 2004,
Garcea et al., 2004). However, despite the recent advances made in
the field of targeted drug delivery, the need remains for
developing new effective target-specific drug delivery methods.
[0010] Drug Resistant Bacteria
[0011] The increasing development of bacterial resistance to
traditional antibiotics has reached alarming levels, thus
necessitating the strong need to develop new antimicrobial agents.
The use of antimicrobial drugs for prophylactic or therapeutic
purposes in humans, or for veterinary or agricultural purposes, has
provided the selective pressure favoring the survival and spread of
resistant organisms. Because of more intensive antibiotic use in
hospitals as compared with the community, higher rates of
resistance are noted in hospital pathogens, especially in the
intensive care unit where infections caused by Gram-positive
bacteria are increasing.
[0012] Attempts at discovering totally new agents effective in the
treatment of bacterial disease caused by resistant organisms are
currently being made. The large majority of marketed antibacterials
have been targeted against the bacterial cell wall or
macromolecular biosynthesis (DNA, RNA or protein). Bacteria have,
however, developed defenses, either by mutation or by acquiring new
genes from other bacteria.
[0013] These defenses have included acquiring enzymes to deactivate
the drugs, alteration in permeability of cell walls, efflux
proteins to pump antibacterial rapidly out of cells and alteration
of target molecules in order to protect them against attack by
antibacterials. However, for the first time in several years, new
classes of compounds designed to avoid defined resistance
mechanisms are undergoing clinical evaluation. Classical short-term
approaches include chemical modification of existing agents to
improve potency or spectrum. Long-term approaches are relying on
bacterial and phage genomics to discover new antibiotics that
attack new protein targets which are essential to bacterial
survival and therefore with no known resistance. The rationale of
such approaches is that the only certain way to avoid encountering
previously generated resistance is to seek new antibiotic
targets.
[0014] In both traditional and newly developed antibiotics, the
target selectivity lies in the drug itself, in its ability to
affect a mechanism that is unique to the target microorganism and
absent in its host. As a result, a vast number of potent drugs have
been excluded from use as therapeutics due to low selectivity, i.e.
toxicity to the host as well as to the pathogen.
[0015] Therapeutic Use of Bacteriophages
[0016] Bacteriophages (phages) are a phylum of viruses that infect
bacteria, and are distinct from plant or animal viruses. Upon
infection of a corresponding host bacterium, the phages may undergo
a "lytic" life cycle, a "lysogenic" life cycle that can potentially
become lytic, or a "non-lytic" life cycle. Virulent Phages
replicate through the lytic cycle, causing lysis of the host
bacterial cell as a normal part of their life cycles. Temperate
phages can undergo either a "lysogenic" life cycle, in which the
phage may be integrated into the bacterial host DNA to persist as a
prophage, or replicate by means of the lytic life cycle and cause
lysis of the host bacterium. The natural capability of phages to
selectively infect a host bacterium and to kill it is the basic
concept upon which "phage therapy" was built. Phage therapy was
pioneered by D' herelle, who recognized bacteriophages as epizootic
infections of bacteria. Phages were almost immediately deployed for
antibacterial therapy and prophylaxis by D' herelle, and later on
by others. Although many early phage therapy trials were reported
successful, and many of the major pharmaceutical firms sold phage
preparations (e.g., Parke-Davis and Lilly in the United States),
there were also failures. The early trials of bacteriophage therapy
for infectious diseases were thus confounded, because the
biological nature of bacteriophage was poorly understood.
Therefore, the advent of antibiotics resulted in the absence of
rigorous evaluations of phage therapy until very recently. However,
recent laboratory and animal studies, exploiting current
understandings of phage biology, suggest that phages may be useful
as antibacterial agents in certain conditions (reviewed in Summers,
2001).
[0017] The therapeutic application of phages as antibacterial
agents is still impeded by several factors: (1) the failure to
recognize the relatively narrow host range of phages; (ii) the
presence of toxins in crude phage lysates; and (iii) a lack of
appreciation for the capacity of mammalian host defense systems,
particularly the organs of the reticuloendothelial system, to
remove phage particles from the circulatory system (Merril et al.,
1996). Solutions to the latter problem were proposed in the form of
selecting long-circulating phage mutants that escape or even repel
the host defense system (Merril et al., 1996) or modifying the
phage coat with i.e. polyethylene glycol to "shield it" from host
defense surveillance mechanisms (US patent application
2004/0161431).
[0018] To date, most attempts at anti bacterial phage therapy still
rely on the exquisite specificity of phages to infect (and kill) a
unique host bacterium (for example U.S. Pat. No. 6,485,902, PCT
application WO 2004/052274 and references therein), although a few
attempts at creating bacteriophages with a broader host spectrum as
an anti-bacterial therapy have been reported (US 2002/0044922 and
US 2003/216338).
[0019] WO 2004/062677 discloses compositions for treating a
bacterial biofilm, comprising a first bacteriophage that is capable
of infecting a bacterium within said biofilm, and a first
polysaccharide lyase enzyme that is capable of degrading a
polysaccharide within said biofilm. The composition preferably
further comprises a pharmaceutically-acceptable antimicrobial
agent, and may also include a DNase.
[0020] The growing use of bacteriophages as molecular biology tools
has led to the development of another therapeutic use for phages,
namely phage-mediated gene delivery to mammalian cells. This
technology was developed following discoveries by several groups
that identified "internalizing phages" while searching for
cell-surface molecules that could be used as targets in targeted
immunotherapy. Antibodies that bind cell surface receptors in a
manner whereby they are endocytosed are useful molecules for the
delivery of drugs, toxins, or DNA into the cytosol of mammalian
cells for therapeutic applications. Traditionally, internalizing
antibodies have been identified by screening hybridomas. Several
groups turned to phage display as an alternative approach. In a
pioneering work from the Marks group, an anti ErbB2 antibody was
used to determine the feasibility of directly selecting
internalizing antibodies from phage libraries and to identify the
most efficient display format. Using a known antibody in a scFv
format, displayed monovalently on a phagemid, they demonstrated
that anti-ErbB2 phage antibodies can undergo receptor-mediated
endocytosis. This study also defined the role of affinity, valency,
and display format on the efficiency of phage endocytosis and
identified the factors that led to the greatest enrichment for
internalization. This work demonstrated that phages displaying
bivalent scFvs (diabodies) or multiple copies of the scFv were more
efficiently endocytosed than phage displaying monomeric scFv
(Becerril at al., 1999).
[0021] Subsequent studies have further demonstrated the use of
internalizing phages as gene delivery vessels. Vectors based on
filamentous phages, lambdoid phages or phagemids, carrying
antibodies or ligands of mammalian internalizing cell surface
receptors, have been reported (see, for example, Kassner et al.,
1999, Poul and Marks, 1999, Larocca and Baird, 2001, Larocca et
al., 2001, Urbanelli et al., 2001, U.S. Pat. Nos. 6,451,527,
6,448,083, and International Application WO 98/05344).
[0022] Additional phage-based therapeutic approaches use whole
phage particles for vaccination. Initially, phage lysates were used
as immunogens with the aim of eliciting immune response against
components of the phage bacterial host that are present in the
lysate. Following the utilization of phage display for the
identification of antibody epitopes and mimotopes, several groups
used the peptide-displaying phages as immunogens to elicit an
immune response against the original pathogen or diseased tissue
from which the epitope originated, which met with limited success
(Meola et al., 1995; Bastien et al., 1997; Delmastro et al., 1997;
Phalipon et al., 1997; Menendez et al., 2001). With the advent of
DNA vaccination, phages were adapted as carriers of DNA for similar
purposes. This fledgling field was developed as an outgrowth of
phage-mediated gene delivery approaches following the
identification of cell-internalizing phages (Becerril et al., 1999;
Poul and Marks, 1999; Poul et al., 2000). Recent studies have shown
that bacteriophage-mediated DNA vaccination consistently gave
better antibody responses when compared to naked DNA. Although a
strong antibody response was also seen against the carrier phage
coat proteins, this may actually enhance the efficiency of the
delivery system, since the formation of immune complexes should
more effectively target APCs following boosting (Clark and March,
2004, WO 02/076498, US 2004/0121974).
[0023] Several reports disclose bacteriophages linked to haptens
for experimental purposes. For example, Haimovich and colleagues
(Haimovich and Sela, 1969; Sulica et al., 1971) report the
generation of protein-bacteriophage conjugates useful in detection
of antibodies and antigens. These studies did not teach or disclose
pharmaceutical compositions comprising protein-bacteriophage
conjugates.
[0024] Other studies disclose particles of bacteriophage components
that contain or enclose drugs for therapeutic uses. Brown et al.
(2002) discloses a virus-like particle comprising recombinant MS2
coat proteins and a toxin molecule conjugated to an RNA molecule.
U.S. Pat. No. 6,159,728 discloses a delivery system comprising a
capsid formed from a coat protein of a bacteriophage selected from
the group consisting of MS-2, R17, fr, GA, Q.beta., and SP and a
foreign moiety enclosed in the capsid, wherein the foreign moiety
is of a size sufficiently small to be enclosed in the capsid and
wherein the foreign moiety is linked to a RNA sequence comprising a
translational operator of the bacteriophage, which translational
operator binds to the coat protein during formation of the
capsid.
[0025] However, none of the background art discloses pharmaceutical
compositions having high drug-binding ratios on bacteriophage-based
drug carriers suitable for targeted drug delivery. The development
of an efficient, high-capacity system for drug delivery would be
highly advantageous in the treatment of various diseases, such as
cancer, bacterial and viral infections and any disease expressing
specific and targetable markers.
SUMMARY OF THE INVENTION
[0026] The present invention provides bacteriophage-drug conjugates
having improved drug loading capacity. The present invention
further provides bacteriophage-drug conjugates that comprise an
exogenous targetor. The exogenous targetor can be advantageously
expressed in genetically modified bacteriophages, or can be linked
to an anchor on the bacteriophage. The present invention further
provides pharmaceutical compositions comprising a bacteriophage
useful in targeted drug delivery, the bacteriophage conjugated to a
drug, either directly or via a linker, and optionally displays a
targeting moiety.
[0027] The invention provides a novel and unexpectedly effective
means of delivering drugs specifically to target cells. The
invention demonstrates for the first time the efficacy of targeted
bacteriophage-drug conjugates wherein the therapeutic drug is
linked to the outer surface of the bacteriophage. The drug-carrying
capacity of the novel bacteriophage carriers of the invention is
thus significantly higher than that of hitherto known viral-based
vectors, as it is not limited by the size of the capsid vessel.
Advantageously, according to some currently preferred embodiments
of the invention the bacteriophages may be filamentous phages that
offer a large number of sites for binding the drug molecules. For
example, about 10.sup.3 drug molecules or more may be delivered by
a single filamentous phage to each target site at the target cell.
As a result, even drugs that lack organism selectivity and have
been thus far excluded from use, or drugs with narrow therapeutic
windows as are most current anti-cancer drugs, could be used while
harm to the treated individual is minimized.
[0028] In contradistinction to previously reported viral-based
vessels, efficient drug delivery according to the invention does
not necessitate the internalization of the bacteriophage carrier.
Therefore, the target-cell binding entities displayed on the
surface of the bacteriophage may be directed to a cellular target
selected from a broad array of possible targets.
[0029] According to a first aspect, the invention provides a
bacteriophage conjugated to a drug or isotope, wherein the drug or
isotope is linked to the outer surface of the bacteriophage. In one
embodiment, the bacteriophage-drug conjugates of the invention
comprise an average of at least about 1,000, preferably at least
about 3,000, more preferably at least about 5,000, and most
preferably at least about 10,000 drug molecules linked to each
bacteriophage. In one embodiment, the drug molecules are covalently
linked to said bacteriophage.
[0030] In one embodiment, the bacteriophage is a filamentous phage.
In a preferred embodiment, the filamentous phage is selected from a
group consisting of Escherichia coli infecting phages m13, Fd, and
fl. In another embodiment, the bacteriophage is a lambdoid phage.
In another embodiment, the phage particle carries a genetically
modified phage genome vector. In another embodiment, the phage
particle carries a genetically modified hybrid vector
(phagemid).
[0031] In one embodiment, the drug is a compound that upon its
accumulation in the target cell results in the killing of said
target cell or retardation of its growth or replication. In another
embodiment, the drug is selected from a group consisting of: an
antibacterial agent, an antibiotic, an anti fungal drug, an anti
viral drug, a parasiticide, a compound that kills mammalian cells
or inhibits their growth, and isotopes (including, but not limited
to: halogens, metals and radioactive isotopes). In other
embodiments, the drug is a compound useful for the treatment of a
disease or disorder e.g. metabolic, psychiatric, hormonal or organ
specific compounds. In yet another embodiment, the bacteriophage is
linked to a combination of multiple drugs.
[0032] The drug may be conjugated to the bacteriophage by a stable
or labile linker. In the latter case, the drug may effectively be
kept in an inactive prodrug state that is released as an active
drug at the target. Optionally, branched linkers or dendrimers
facilitate high-load conjugation of hydrophobic drugs and enable
simultaneous delivery of multiple compounds to the target cell,
allowing drug synergy. The solubility as well as the
pharmacokinetic and pharmacodynamic behavior of a conjugated drug
differ significantly from those of the corresponding free drug,
enabling the use of poorly soluble drugs for human and livestock
therapy. The invention may further possess additional advantages,
as it allows utilization of the natural anti-bacterial abilities of
bacteriophages, as well as their ability to mediate targeted gene
delivery.
[0033] In another embodiment, the bacteriophage is conjugated to
the drug via a linker. In one embodiment, the linker is a stable
linker. In another embodiment, the linker is a labile linker,
allowing controlled release of the drug at the target site. In
another embodiment, the drug is conjugated to the bacteriophage in
an inactive prodrug form, and released as an active drug upon the
cleavage of the linker at the target site. According to various
embodiments, the labile linker may be enzyme-cleavable,
acid-labile, or comprise a disulfide bond. In one embodiment, the
release of the drug is facilitated by an enzymatic activity present
on the surface of the target cell. In another embodiment, the
release of the drug is facilitated by an enzymatic activity present
inside the target cell. In yet another embodiment, the release of
the drug is facilitated by an enzymatic activity present in bodily
fluids such as serum. In a further embodiment, the release of the
drug is facilitated by the administration of an exogenous enzyme.
In a different embodiment, the release of the drug is facilitated
by acidic pH. In another embodiment, the release of the drug is
facilitated by an enzyme encoded by a nucleic acid delivered to the
target cell by the bacteriophage. In various embodiments, the
release of the drug is facilitated by at least one enzyme selected
from the group consisting of: proteases, peptidases, esterases,
amidases, glycosidases and lipases. In one particular embodiment,
the release of the drug is facilitated by an esterase (e.g. a serum
esterase).
[0034] In another embodiment, the linker is selected from the group
consisting of branched linkers and dendrimers. In one particular
embodiment, the linker is an aminoglycoside (e.g. hygromycin and
kanamycin).
[0035] In another embodiment, the bacteriophage-drug conjugate of
the invention displays an exogenous targeting moiety that
selectively binds a target molecule on a target cell.
[0036] In one embodiment, the bacteriophage is genetically modified
to selectively bind a target cell. In one embodiment, the genetic
modification results in the display of a ligand on the phage coat.
In a preferred embodiment, the genetic modification is in the form
of a targeting moiety-coding DNA sequence fused to a gene coding
for a coat protein of the phage. In a preferred embodiment, the
ligand is displayed by its fusion to the major coat protein
(protein VIII) of a filamentous phage. In another preferred
embodiment, the ligand is displayed by its fusion to the minor coat
protein (protein III) of a filamentous phage.
[0037] In another embodiment, the targeting moiety is linked to the
phage by means of chemical conjugation.
[0038] In one embodiment, the ligand is a peptide endowed with
binding specificity towards the target cell. In another embodiment,
the ligand is a short peptide selected from a library of short
peptide sequences that is endowed with binding specificity towards
the target cell. In another embodiment, the ligand is an antibody
or an antibody fragment that is endowed with binding specificity
towards the target cell.
[0039] In another embodiment, the ligand is the ZZ domain derived
from Staphylococcus aureus protein A that binds an antibody that is
endowed with binding specificity towards the target cell, or an
analog or derivative thereof. In one particular embodiment, the ZZ
domain is fused to the coat protein of a filamentous bacteriophage.
In another particular embodiments, coat protein is the minor coat
protein of the bacteriophage. In another particular embodiment,
there is provided a bacteriophage comprising a coat protein having
an amino acid sequence as set forth in SEQ ID NO:1 and analogs
thereof. In another particular embodiment, the coat protein is
encoded by a nucleotide sequence having nucleic acid sequence as
set forth in SEQ ID NO:2 and homologs thereof.
[0040] In another embodiment, the ligand is avidin or streptavidin
that binds a biotinylated ligand that is endowed with binding
specificity towards the target cell. In other embodiments, the
ligand is a polypeptide, a carbohydrate, a lipid, a glycolipid, a
saccharide, a nucleic acid and the like, which is able to
selectively bind a target molecule on a target cell.
[0041] In yet another aspect, the ligand displayed by the targeted
bacteriophage-drug conjugate of the invention is selected such that
the conjugate is able to selectively bind a target cell involved in
a disease or disorder in a subject in need thereof. In one
embodiment, the target cell is a bacterial cell. In another
embodiment, the target cell is a fungal cell. In another
embodiment, the target cell is a yeast cell. In another embodiment,
the target cell is a unicellular parasite (e.g. protozoa) cell. In
another embodiment, the target cell is a multicellular parasite
(e.g. helminth) cell. In another embodiment, the target cell is a
virus-infected mammalian cell. In another embodiment, the target
cell is a mammalian cell infected by a microorganism. In another
embodiment, the target cell is a mammalian cell infected by a
parasite. In another embodiment, the target cell is a tumor cell
(for example, tumor cells wherein the target molecule to which the
targeting moiety is directed is a tumor associated antigen such as
MUC-1 and Tac). In another embodiment, the target cell is a cell
that supports tumor growth such as tumor neovasculature. In another
embodiment, the target cell is a diseased cell such as an outgrowth
of muscle cells at a restenotic plaque, an epithelial cell in
psoriasis, an immune cell involved in the development of an
autoimmune disease, and any diseased or malfunctioning cell that
may be targeted through a distinct surface molecule. In some cases,
the cells to be treated may be selected based on cosmetic rather
than strictly medical criteria, e.g. destruction of adipocytes to
treat obesity.
[0042] In one embodiment, the subject in need thereof is a human
subject. In another embodiment, the subject in need thereof is a
mammal. In another embodiment, the subject in need thereof is a
non-mammalian animal.
[0043] In another aspect, the invention provides pharmaceutical
compositions comprising the bacteriophage-drug conjugates of the
invention and optionally at least one pharmaceutically acceptable
carrier, excipient or diluent.
[0044] In another aspect, the invention provides a method of
treating a disease or disorder in a subject in need thereof,
comprising administering to the subject a therapeutically effective
amount of a pharmaceutical composition comprising a
bacteriophage-drug conjugate of the invention.
[0045] In one embodiment, the disease or disorder includes, but is
not limited to: hyperproliferative disorders; tumors; autoimmune
diseases; restenosis; angiogenesis-dependent diseases; and
infectious diseases caused by bacteria, viruses, yeast, fungi, and
parasites.
[0046] In another aspect, the invention provides a method of
treating a bacterial infestation, comprising exposing the bacteria
to a pharmaceutical composition comprising a bacteriophage-drug
conjugate. In one embodiment, the bacteriophage is capable of
lysing said bacteria.
[0047] In yet another aspect, the invention provides a method of
treating a disease or disorder in a subject in need thereof,
comprising administering to the subject a therapeutically
acceptable amount of a pharmaceutical composition comprising a
bacteriophage-drug conjugate of the invention, wherein the
bacteriophage comprises a nucleic acid molecule comprising an
exogenous nucleic acid sequence that is expressible in the target
cell.
[0048] In one embodiment, the exogenous nucleic acid sequence
encodes an enzyme that is capable of cleaving the linker connecting
the drug to the bacteriophage, thereby releasing the drug. In
another embodiment, the exogenous gene encodes an antimicrobial
peptide, an antibiotic, a toxin, an enzyme or a cytotoxic
agent.
[0049] In another aspect, the invention is directed to the use of a
pharmaceutical composition of the invention for the preparation of
a medicament.
[0050] In another aspect, the invention is directed to the use of a
bacteriophage-drug conjugate of the invention for the preparation
of a pharmaceutical composition useful for the treatment of a
disease or disorder selected from the group consisting of:
hyperproliferative disorders; tumors; autoimmune diseases;
restenosis; angiogenesis-dependent diseases; and infectious
diseases caused by bacteria, viruses, yeast, fungi, and
parasites.
[0051] In another aspect, the present invention provides a kit for
generating a targeted bacteriophage-drug conjugate, comprising: (i)
a bacteriophage-drug conjugate displaying a ligand capable of
binding a targeting moiety that selectively binds a target molecule
on a target cell; and (ii) instructions for linking the targeting
moiety to the ligand. In certain particular embodiments, the ligand
is selected from: the ZZ domain derived from Staphylococcus aureus
protein A, avidin, streptavidin, biotin and analogs and derivatives
thereof.
[0052] These and other embodiments of the present invention will
become apparent in conjunction with the figures, description and
claims that follow.
BRIEF DESCRIPTION OF THE DRAWINGS
[0053] FIG. 1. Synthesis of CAM-liker adduct for conjugation to
lysine groups. (A) Two chemical steps were used to modify
chloramphenicol: In the first step (1), the chloramphenicol primary
OH group was reacted with glutaric anhydride to create an ester
linkage. In the second step (2), the free carboxyl group was
activated with NHS to allow subsequent linkage to amine groups such
as on lysines. At this stage the chloramphenicol-prodrug is not
toxic and is ready for conjugation to proteins (3). The labile
ester bond is marked by a circle.
[0054] FIG. 2. CAM release rate from its linker in 99% horse serum.
(A) Reverse phase HPLC was used to measure the breakdown rate
following the incubation for the indicated time periods in 99%
horse serum at 37.degree. C. Free chloramphenicol (marked by black
arrows) is eluted 9 min after sample loading while intact
chloramphenicol-linker adduct (marked by gray arrows) is eluted 16
min after sample loading. (B) release rate of chloramphenicol from
its linker in 10% horse serum (gray bars) or without serum (in PBS,
black bars) was evaluated by HPLC as in A, the % released
chloramphenicol was calculated by dividing the area of the 9 min
peak by the total peak area of all relevant peaks.
[0055] FIG. 3. Identification of peptide-displaying phages that
bind H23 scFv. Dot-Blot analysis of phages from the first (A) and
second (B) Reverse DIP selection cycles. Affinity-selected phages
were applied as dots onto nitrocellulose filters and reacted with
10 .mu.g/ml HumH23-MBP-scFv. A mouse anti-MBP mAb and
HRP-conjugated goat anti mouse antibodies were used as first and
secondary antibodies, respectively. The membranes was developed
using ECL reagents and exposure to x-ray film (Mazor et al.,
2005).
[0056] FIG. 4. Separation of conjugated phages from unconjugated
drug. Gel filtration chromatography was used to separate the CAM
conjugated phages from the excess of unconjugated CAM-linker
adduct. A 10 cm long, 1 cm diameter Sepharcyl 5200 column was
developed at a flow rate of 2 ml/min. The analyzed materials were
loaded in 2 ml into the column and 2 ml fractions were
collected.
[0057] FIG. 5. Phage targeting effect evaluated in E. coli O78 H23
antibody model system. Phages of clone MucC5 (displaying the H23
epitope, peptide QRGPDTRPVIAAG, SEQ ID NO:5 on the major coat
protein p8) were conjugated to CAM and mixed at various ratios with
.about.10.sup.7 O78 E. coli cells that display the H23 single-chain
antibody (scFv) (empty diamonds) on their surface or with non
displaying cells (full squares) used as negative control. Control
cells were grown without adding serum. Cells were incubated in 100
ml of SOB medium containing 25% horse serum in a flat-bottom 96
well plate shaking at 200 RPM for 6 hours. Growth was recorded
after 6 hr at 600 nm.
[0058] FIG. 6. Binding of O78 E. coli cells in ELISA.
Affinity-selected peptide-displaying phages (10.sup.1.degree./well)
were applied onto wells that were coated with .about.10.sup.7
bacteria in PBS. After extensive washing, bound phages were
detected using HRP-conjugated anti M13 antibodies followed by
developing with the HRP substrate TMB. The reaction was stopped
with 1M H.sub.2SO.sub.4 and color was recorded at 450 nm.
[0059] FIG. 7. Phage targeting effect on "genuine" target cells.
Growth curves of O78-H23(scFv)-displaying E, coli cells treated
with various CAM-conjugated phages. The indicated time is the
recording following dilution of the treated phages into 3 ml SOB
medium.
[0060] FIG. 8. Inhibition of bacterial growth by controlled CAM
release. Growth of E. coli O78 cells treated with various
CAM-conjugated phages in the presence of esterases.
[0061] FIG. 9. Binding of peptide-displaying phages to SA
(Staphylococcus aureus).
[0062] (A) Affinity-selected peptide-displaying phages
(1.times.10.sup.10/well, names shown in inset) were applied onto
wells pre-coated with .about.10.sup.7. After extensive washing,
bound phages were detected using HRP-conjugated anti M13 antibodies
followed by development with the HRP substrate TMB. Optical density
was recorded at 450 nm. (B) Phage-peptide A12C targeting effect
evaluated in SA (Staphylococcus aureus) native system. Absorbance
at 450 nm.
[0063] FIG. 10. Evaluation of ZZ domain display on phage and the
effect of drug conjugation on the ZZ domain IgG binding capacity.
(A) Evaluation of ZZ domain display by an immunoblot. The upper
arrow marks the position of the ZZ-P3 fusion, while the lower arrow
marks the position of wild-type P3 coat protein. (B) Comparison of
the binding capacity of phage displayed ZZ domain to HRP conjugated
rabbit IgG that yields a color signal with the substrate TMB at 450
nm. fUSE50ZZ phages were evaluated before conjugation (black bars),
following conjugation to the chloramphenicol prodrug (striped
bars), or following conjugation to the chloramphenicol prodrug
while protected by complexed IgG (gray bars). Error bars represent
the standard deviation of the data.
[0064] FIG. 11. The effect of drug-carrying peptide-displaying
phages on the growth of Staphylococcus aureus. (A) Growth curves of
SA cells treated with SA-specific chloramphenicol
prodrug-conjugated phage A12C (triangles), chloramphenicol
prodrug-conjugated irrelevant phage F2b (circles), non conjugated
SA-specific phage A12C as negative control (squares). (B) Growth
curves of SA cells treated with SA-specific chloramphenicol
prodrug-conjugated phage A12C (triangles) or various concentration
of free chloramphenicol: 0.533 .mu.g/ml (large filled circles),
1.0625 .mu.g/ml (small open circles), 2.125 .mu.g/ml (large open
circles) or cells grown without any growth inhibitor (filled
squares). Error bars represent the standard deviation of the
data.
[0065] FIG. 12. The effect of drug-carrying, antibody-targeted
ZZ-displaying phages on the growth of Staphylococcus aureus. Growth
curves of SA cells treated with chloramphenicol prodrug-conjugated
phage fUSE5-ZZ targeted by anti SA antibodies (triangles),
chloramphenicol prodrug-conjugated phage fUSE5-ZZ blocked by
control IgG (circles), or cells grown without any growth inhibitor
(squares). Error bars represent the standard deviation of the
data.
[0066] FIG. 13. Scheme of the first method for
aminoglycoside-mediated linking of a drug to a bacteriophage
carrier. The conjugation (and solubilization of the otherwise
poorly soluble drug) is achieved by initial conjugation of
hydrophobic drug to the aminoglycoside (kanamycin is presented as
an example) followed by EDC conjugation to free carboxyl residues
of the bacteriophage carrier.
[0067] FIG. 14. Model of the phage P8 coat protein monomer. A
structural model of a monomer of filamentous phage p8 major coat
protein is shown with the positions of amine containing side chains
(marked by arrows) and carboxyl containing side chains (circled)
that are available to chemical modification highlighted. The coat
of each phage particle is composed of some 3000 copies of P8. Based
on PDB file 2COX.
DETAILED DESCRIPTION OF THE INVENTION
[0068] The present invention relates to the field of drug delivery.
More specifically, the invention relates to the preparation and use
of genetically modified bacteriophages that display a ligand on
their coat endowing them with specificity towards target cells.
These bacteriophages are conjugated through a labile/non labile
linker or directly to at least 1,000 drug molecules, such that the
drug molecules are linked to the outer surface of each
bacteriophage, and are thus useful as targeted drug delivery
vessels for the treatment of various pathological conditions.
[0069] Bacteriophages
[0070] The terms "bacteriophage" and "phage" are used
interchangeably herein to indicate a bacterial virus which forms a
package consisting of a protein coat containing nucleic acid
required for its replication. The nucleic acid may be DNA or RNA,
either double or single stranded, linear or circular. Unless
otherwise noted, the terms "bacteriophage" and "phage" also
encompass "phagemid", i.e., a bacteriophage the genome of which
includes a plasmid that can be excised and packaged by co-infection
of a host with a helper phage.
[0071] According to a first aspect, the invention provides a
bacteriophage conjugated to a drug. In one embodiment, said
bacteriophage is covalently linked to the drug. In another
embodiment, the bacteriophage is a filamentous phage. In a
preferred embodiment, the filamentous phage is an Escherichia coli
(E. coli) male-specific filamentous phage including, but not
limited to: m13, Fd, and fl. In another embodiment, the
bacteriophage is a lambdoid phage. In another embodiment, the phage
particle carries a genetically modified phage genome vector. In
another embodiment, the phage particle carries a genetically
modified hybrid vector (phagemid). A large array of phage, phagemid
and helper vectors are known to those of skill in the art (see, for
example, Kay et al., 1996; Berdichevsky et al., 1999; Benhar,
2001).
[0072] The bacteriophage-drug conjugates of the invention comprise
at least about 1,000, preferably at least about 3,000, more
preferably at least about 5,000, and most preferably at least about
10,000 drug molecules conjugated to a bacteriophage. It should be
explicitly understood that these numbers represent an average
number of drug molecules per phage in the entire bacteriophage
population. For example, a filamentous phage, as exemplified herein
by m13 and fd, carries about 3,000 copies of its major coat protein
p8, each containing about eight amine-containing residues that may
be available for chemical conjugation. The present invention
demonstrates the production of bacteriophage-drug conjugates having
a drug carrying capacity at least about tenfold higher than
hitherto known targeted drug delivery vessels. Similarly, any
bacteriophage or virus expressing multiple copies of coat proteins
on its surface, either naturally or by means of genetic
modification, may be utilized for the production of conjugates
according to the invention, so long as the drug carrying capacity
of the conjugates of the invention is retained.
[0073] According to certain embodiments, the phage genome is
genetically modified to display a targeting ligand, as will be
described hereinbelow. In other embodiments, the genetic
modification may serve properties unrelated to targeting. In a
preferred embodiment said modification will serve to increase the
viral genome size thereby increasing the virus size and the
resulting number of conjugation sites per phage (the length of
filamentous phage is dependent on the size of the packaged genome).
In another preferred embodiment said modification will serve to
enable the phage to delay inactivation by any and all of the host
defense systems (see, e.g. U.S. Pat. No. 5,766,892). In other
embodiments, the genetic modification allows the delivery and
expression of genes in the target cell, as described hereinbelow.
Methods for creating genetically modified phages are well known in
the art (see, e.g., Sambrook et al., 1989).
[0074] For the construction of targeted bacteriophage-drug
conjugates, phages may be propagated and maintained by methods well
known in the art (Sambrook et al., 1989, Kay et al., 1996 and the
Examples herein). For commercial scale production of these
conjugates, large-scale bacteriophage production methods may be
used (see, for example, WO 2004/052274).
[0075] Drugs
[0076] As used herein, the term "drug" refers to chemical and
biological compounds, mixtures and materials, derivable from
natural or artificial sources, which exert a therapeutic effect on
a target disorder or condition. The active substance can be soluble
or insoluble in water. The term "therapeutic effect" refers to an
effect which reverses, arrests, slows the progression of,
ameliorates or relieves symptoms of a target disorder or
condition.
[0077] The drug molecules constituting the conjugates of the
invention are linked to the outer surface of the bacteriophage. In
other words, the drug is exposed to the external environment and
not enclosed inside a viral capsid or a virus-like particle. In
certain embodiments, the drug is covalently linked to the outer
surface of a coat protein of a bacteriophage. By means of a
non-limitative example, FIG. 14 illustrates particular side chains
of the fd p8 protein that are available for conjugating a drug via
chemical modification: amine residues at N-terminus (alpha amine)
and Lys 8 and carboxyl residues at Glu 2, Asp 4, Asp 5 and Asp
12.
[0078] According to certain embodiments, a bacteriophage-drug
conjugate is administered to a subject in need thereof. In one
embodiment, the drug is a compound that upon its accumulation in
the target cell results in the killing of said target cell or
inhibition of its growth or proliferation. In another embodiment,
the drug is selected from a group consisting of: an antibacterial
agent, an antibiotic, an anti fungal drug, an anti viral drug, a
parasiticide, a compound that kills mammalian cells or inhibits
their growth. In another embodiment, the bacteriophage is
conjugated to an isotope including, but not limited to: halogens,
metals and radioactive isotopes. In yet another embodiment, the
bacteriophage is linked to a combination of multiple drugs.
[0079] Other non-limitative examples of drugs that can be used are
psychotherapeutic and psychotropic drugs, ion channel blockers,
hormones (e.g. insulin) enzymes (e.g. thrombin, collagenase and
components of the complement system) and any metaboloic or organ
specific agent (e.g. statin).
[0080] For certain applications, the drug is a cytotoxic or
pharmacological agent, particularly cytotoxic agent (able to kill
the target cell) or a cytostatic agent (having the ability to
suppress the growth or cell division of the target cell). Exemplary
anti-cellular agents include chemotherapeutic agents, as well as
cytotoxins. Chemotherapeutic agents that may be used include:
hormones, such as steroids; anti-metabolites, such as cytosine
arabinoside; adriamycin, 5-fluorouracil (5FU), etoposide (VP-16),
camptothecin, actinomycin-D, mitomycin C, cisplatin (CDDP),
doxorubicin, etoposide, verapamil, podophyllotoxin, carboplatin,
procarbazine, mechlorethamine, cyclophosphamide, ifosfamide,
melphalan, chlorambucil, bisulfan, nitrosurea, dactinomycin,
daunorubicin, bleomycin, plicomycin, mitomycin, tamoxifen, taxol,
transplatinum, vincristin, vinblastin and methotrexate. Additional
antineoplastic agents include those disclosed in Chapter 52,
"Antineoplastic Agents" (Calabresi, P. and Chabner, B. A.), and the
introduction thereto, pp. 1202-1263, of Goodman and Gilman, The
Pharmacological Basis of Therapeutics, Eighth Edition, 1990,
McGraw-Hill. Inc, (Health Professions Division). Other embodiments
may include agents such as cytokines. In another embodiment the
drug is a toxin including, but not limited to bacterial toxins
(e.g. diphtheria toxin), plant toxins (e.g. ricin from jack bean),
toxins of eukaryotic origin and other naturally occurring and
man-made toxins.
[0081] In another embodiment the drug is an antimicrobial agent
including, but not limited to: chloramphenicol (CAM), penicillin
and drugs of the penicillin family of antimicrobial drugs,
including but not limited to penicillin-G, penicillin-V,
phenethicillin, ampicillin, amoxicillin, cyclacillin,
bacampicillin, hetacillin, cloxacillin, dicloxacillin, methicillin,
nafcillin, oxacillin, azlocillin, carbenicillin, mezlocillin,
piperacillin, ticaricillin, and imipenim; cephalosporin and drugs
of the cephalosporin family, including but not limited to
cefadroxil, cefazolin, caphalexn, cephalothin, cephapirin,
cephradine, cefaclor, cefamandole, cefonicid, cefoxin, cefuroxime,
ceforanide, cefotetan, cefmetazole, cefoperazone, cefotaxime,
ceftizoxime, ceftizone, moxalactam, ceftazidime, and cefixime;
aminoglycoside drugs and drugs of the aminoglycoside family,
including but not limited to streptomycin, neomycin, kanamycin,
gentamycin, tobramycin, amikacin, and netilmicin; macrolide and
drugs of the macrolide family, exemplified by azithromycin,
clarithromycin, roxithromycin, erythromycin, lincomycin, and
clindamycin; tetracyclin and drugs of the tetracyclin family, for
example, tetracyclin, oxytetracyclin, democlocyclin, methacyclin,
doxycyclin, and minocyclin; quinolones, quinoline and
quinoline-like drugs, such as, for example, naladixic acid,
cinoxacin, norfloxacin, ciprofloxacin, ofloxicin, enoxacin, and
pefloxacin; antimicrobial peptides, including but not limited to
polymixin B, colistin, and bacatracin, as well as other
antimicrobial peptides such as defensins, magainins, cecropins, and
others, provided as naturally-occurring or as the result of
engineering to make such peptides resistant to the action of
pathogen-specific proteases and other deactivating enzymes; other
antimicrobial drugs, including vancomycin, rifampicin,
metronidazole, ethambutol, pyrazinamide, sulfonamides, isoniazid,
and erythromycin.
[0082] In another embodiment, the drug is an anti viral drug,
including but not limited to acyclovir, gangcyclovir,
azidothymidine, cytidine arabinoside, ribavirin, amantadine,
iododeoxyuridine, poscarnet, and trifluridine.
[0083] In another embodiment, the drug is an anti fungal drug
including, but not limited to: nystatin, amphotericin, flucytosine,
ketoconazole, miconazole, itraconazole, fluconazole, griseofulvin,
clotrimazole, econazole, butoconazole, ciclopirox olamine,
haloprogin, tolnaftate, naftifine, arnphoteracin B, triazoles,
papulocandins, pneumocandins, echinocandins, polyoxins,
nikkomycins, pradimicins, benanomicins, natamycin, sulconazole
nitrate, terbinafine HCl, terconazole, tioconazole and undecenoic
acid.
[0084] In another embodiment, the drug is a parasiticide,
including, but not limited to: albendazole, amphotericin B,
benznidazole, bithionol, chloroquine HCl, chloroquine phosphate,
clindamycin, dehydroemetine, diethylcarbamazine, diloxanide
furoate, eflornithine, furazolidaone, glucocorticoids,
halofantrine, ivermectin, mebendazole, mefloquine, meglumine
antimoniate, melarsoprol, metrifonate, metronidazole, niclosamide,
nifurtImox, oxamniquine, paromomycin, pentamidine isethionate,
piperazine, praziquantel, primaquine phosphate, proguanil, pyrantel
pamoate, pyrimethamine-sulfonamides, pyrimethanmine-sulfadoxine,
quinacrine HCl, quinine sulfate, quinidine gluconate, spiramycin,
stibogluconate sodium (sodium antimony gluconate), suramin,
tetracycline, doxycycline, thiabendazole, tinidazole,
trimethroprim-sulfamethoxazole, and tryparsamide.
[0085] For certain applications, a combination of drugs is carried
together on the phage carrier. By means of a non-limitative
example, aminoglycoside antibiotic drugs may be used as linkers for
increasing the drug-carrying capacity of the phage anchor the
solubility of other hydrophobic drugs, as described hereinbelow.
Thus, for example, an aminoglycoside antibiotic drug (e.g.
kanamycin) may be conjugated to the phage via a labile bond, and a
second antibiotic drug (e.g. chloramphenicol) may be linked to the
aminoglycoside via a second labile bond. In such a case where the
aminoglycoside is tethered to the phage by a labile linker, as is
the drug linked to the aminoglycoside, both may be released at or
within the target cell, allowing additive or synergistic effect of
the drugs.
[0086] Linkers and Conjugation Methods
[0087] In another embodiment, the bacteriophage is conjugated to a
drug via a linker. In one embodiment, the linker is a stable
linker. In another embodiment, the linker is a labile linker,
allowing controlled release of the drug at the target site. In
another embodiment, the drug is conjugated to the bacteriophage in
an inactive prodrug form, and released as an active drug upon the
cleavage of the linker at the target site. As used herein, the term
"prodrug" denotes a species that exerts reduced pharmacological
activity compared to the active compound. Preferably, the prodrug
or precursor form exerts significantly reduced, or more preferably,
negligible, pharmacological activity in comparison to the "native"
or parent form. In another embodiment, the bacteriophage is
covalently linked to the drag via the linker.
[0088] According to various embodiments, the labile linker may be
enzyme-cleavable, acid-labile, or comprise a disulfide bond. In one
embodiment, the release of the drug is facilitated by an enzymatic
activity present on the surface of the target cell. In another
embodiment, the release of the drug is facilitated by an enzymatic
activity present inside the target cell. In yet another embodiment,
the release of the drug is facilitated by a combination of
enzymatic activities and physiological conditions (e.g. reduced pH,
reducing conditions) present inside an intracellular compartments
of the target cell. In yet another embodiment, the release of the
drug is facilitated by an enzymatic activity present in bodily
fluids such as serum. In a further embodiment, the release of the
drug is facilitated by the administration of an exogenous enzyme.
The release of the drug may be facilitated by various enzymes,
including, but not limited to proteases, peptidases, esterases,
amidases, glycosidases, lipases and the like. In a different
embodiment, the release of the drug is facilitated by acidic pH.
Methods for generating acid-labile linkers and prodrugs thereof are
available in the art, for example see U.S. Pat. Nos. 6,030,997,
4,631,190, 4,997,913 and 5,140,013.
[0089] In another embodiment, the release of the drug is
facilitated by an enzyme encoded by a nucleic acid delivered to the
target cell by the bacteriophage. Methods for using bacteriophages
to deliver genes and express them in prokaryotic or eukaryotic
cells are known in the art, as will be discussed hereinbelow.
[0090] The coat proteins of a bacteriophage, preferably a
filamentous bacteriophage, may be conjugated to a drug using
heterobifunctional crosslinking reagents. An exemplary conjugation
method is described in Examples 1 and 2 herein. Other methods for
chemical conjugation are available in the art, for example by using
heterobifunctional linkers including, but not limited to
N-succinimidyl 3-(2-pyridyl dithio)propionate (SPDP)
maleimidobenzoyl-N-hydroxysulfosuccinimide ester, and
N-succinimidyl-(4-iodoacetyl) amino-benzoate (See, e.g., published
UK Pat. App. Nos. GB 2268492, 2253626, and 2257431). Such
heterobifunctional crosslinking reagents can also be used to link
the drug to the coat proteins of the bacteriophage via a linker
such as a peptide, a polypeptide, a peptide derivative, an
oligonucleotide, a lipid, a glycolipid, an oligosaccharide and the
like.
[0091] It should be explicitly understood, that the linker may also
comprise non-covalent bonds either within the linker, or between
the linker and the phage and/or the drug. Thus, for example, such
linkers and/or drugs may be conjugated to the bacteriophage by
means of an avidin/biotin complex. As used herein, "avidin" or
"avidin peptide" refers to an avidin molecule, a streptavidin
molecule, or a fragment or variant thereof that binds to biotin
with an affinity that is approximately the same (i.e., within 10%)
or greater than the affinity with which streptavidin binds to
biotin. According to this embodiment, the bacteriophage is modified
to express on its surface avidin or a portion thereof that
selectively binds to biotin with the requisite binding affinity.
Modification of the bacteriophage to express avidin is most easily
accomplished by inserting the nucleic acid encoding avidin or a
functionally active portion thereof into the bacteriophage genome
such that the avidin or avidin portion is expressed on the
bacteriophage surface. In this manner, an avidin-expressing
bacteriophage is produced which serves as an intermediate for
attachment of a biotinylated drug or ligand to the bacteriophage
surface. Alternatively, avidin or a functionally active portion
thereof can be chemically coupled to the bacteriophage surface
using standard cross-linking chemistries, such as those described
above. The avidin-labeled bacteriophage permits non-covalent, yet
high affinity, attachment of pre-selected biotinylated drugs or
ligands to the bacteriophage surface for targeted drug delivery to
the target cell. Alternatively, the bacteriophage can be
biotinylated and an avidin-labeled drug or ligand can be used to
form the targeted drug bacteriophages conjugates described herein.
The term "conjugated" thus explicitly includes both covalent and
non-covalent links between the phage and the drug molecules.
[0092] In another embodiment, the bacteriophage is conjugated to
other moieties modulating the immunogenicity, pharmacokinetics
and/or pharmacodinamics of the bacteriophage-drug conjugate. As a
non-limitative example, the bacteriophage-drug conjugate may be
pegylated (i.e. conjugated to polyethylene glycol), resulting in
reduced immunogenicity (see, for example, US patent application
2004/0161431). Such conjugations may be done prior or following the
conjugation to the drug, and typically involve a different
conjugation method than that used for conjugating the drug to the
bacteriophage. For example, drugs are conjugated to an amino group
of the coat protein while surface-modifiers are be conjugated to a
thiol group engineered into the coat protein, by methods well known
in the art. Such dual conjugation chemistries may also be used for
conjugating a plurality of drugs to the bacteriophage.
[0093] In other embodiments, the linker is a branched linker or a
dendrimer. The term "dendrimer" refers to a three-dimensionally
branched, multi-branched compound, and generally refers to all of
hyper-branched polymer having a low regularity and dendrimers
having a high regularity.
[0094] In certain embodiments, a branched linker suitable for
linking drugs to the bacteriophage carrier by means of chemical
conjugation contains at least two reactive residues that may be
used for conjugation. In one embodiment, the residues are selected
from the group consisting of amine, carboxyl, hydroxyl and
sulfhydryl residues. In certain preferable embodiments, the
branched linker has high water solubility, and is thus useful for
conjugating hydrophobic drugs.
[0095] In one particular embodiment, the linker is an
aminoglycoside. The aminoglycoside antibiotics are highly
hydrophilic substances, which are naturally produced by the
actinomycetes. Most of the molecules in the group comprise multiple
amino sugars. The aminoglycosides vary in the form and quanta of
amine residues within the molecules, which range between 1-7 amine
residues per molecule. The chemical structure of the aminoglycoside
antibiotic drug kanamycin, which comprises three amine sugars and
four amine residues, is illustrated in FIG. 13.
[0096] As demonstrated herein, the use of aminoglycoside linkers
provides for enhancing drug carrying capacity and allows
conjugation of poorly soluble drugs at a high drug/phage ratio.
[0097] According to certain embodiments of the present invention,
amplification of the drug-carrying capacity of the targeted drug
carriers is facilitated by chemical conjugation of a single amine
from an aminoglycoside molecule to a carboxyl residue of the
carrier, thereby converting the single carboxyl residue to an amine
branched linker.
[0098] Preferably, suitable aminoglycoside molecules have two or
more reactive residues. Exemplary aminoglycosides include, but are
not limited to, hygromycin, kanamycin, gentamycin, amikacin,
neomycin, pardomycin, tobramycin and viomycin.
[0099] By means of a non-limitative example, amine conjugation
methods well-known in the art may be used to conjugate
aminoglycosides to the phage carrier and to the drug molecules,
including, but not limited to, NHS chemistry, paranitophenyl
phosphate (PNP) chemistry, isothiocyanate chemistry and
N-(3-dimethylaminopropyl)-N'-ethycarbodiimide (EDC) chemistry.
Non-limitative examples of such conjugation processes are presented
in Example 8 and FIG. 13.
[0100] In other embodiments, the linker, or a component thereof,
may be displayed on the phage as a result of genetic modification.
In certain embodiments, a peptide linker may be fused to a coat
protein of a bacteriophage, to which the drug may be linked by
means of chemical conjugation or genetic modification. By means of
a non-limitative example, a peptide comprising a side chain
suitable for chemical conjugation of the drug (e.g. a cystein
residue suitable for thiol chemistry) and a protease cleavage site
(e.g. the di-peptide Phe-Lys cleavable by endosomal Cathepsin-B) is
fused to the N' of a coat protein of the phage, such that the drug
is released upon internalization of the phage.
[0101] Ligands and Target Cells
[0102] In another aspect, the invention provides a
bacteriophage-drug conjugate displaying an exogenous targeting
moiety that selectively binds a target molecule on a target cell.
The term displaying an "exogenous targeting moiety" as used herein
encompasses targeting moieties that are not naturally expressed or
displayed on a bacteriophage coat, which are either expressed by a
genetically-modified bacteriophage or linked to the bacteriophage
by means of genetic modification, chemical conjugation or both. The
targeting moiety and its manner of expression or linkage is
designed to facilitate the bacteriophage-drug conjugate to
selectively bind a target cell. This term further includes a
targeting moiety comprising a ligand conjugated to the phage that
binds non-covalently to a second targetor molecule capable of
binding the target cell.
[0103] In one embodiment, the bacteriophage is genetically modified
to selectively bind a target cell. In another embodiment, the
genetic modification results in the display of a ligand on the
phage coat. In a preferred embodiment, the genetic modification is
in the form of a targeting moiety-coding DNA sequence fused to a
gene coding for a coat protein of the phage. Phages that display
foreign proteins or peptides as a fusion with a phage coat protein
are well known to those familiar with the art. A variety of phages
and coat proteins may be used, including, but not limited to: M13
protein III, M13 protein VII, M13 protein VI, M13 protein VI, M13
protein IX, fd minor coat protein pIII (Saggio et al., 1995; Uppala
and Koivunen, 2000), lambda D protein (Sternberg and Hoess, 1995;
Mikawa et al., 1996), lambda phage tail protein pV (Maruyama et
al., 1994), fr coat protein (WO 96/11947), 129 tail protein gp9
(Lee and Guo, 1995), MS2 coat protein (Heal et al., 1999), T4 SOC,
HOC, IPIII and fibritin proteins (Hong and Black, 1993; Efimov et
al., 1995; Ren and Black, 1998), PRD-1 gene III, Qb3 capsid protein
and p22 tailspike protein (Carbonell and Villaverde, 1996). In the
preferred filamentous phage system, a large array of vectors are
available (see Kay et al., 1996; Berdichevsky et al., 1999; Benhar,
2001). In a preferred embodiment, the ligand is displayed by its
fusion to the major coat protein (protein VIII) of a filamentous
phage. In another preferred embodiment, the ligand is displayed by
its fusion to the minor coat protein (protein III) of a filamentous
phage.
[0104] In another embodiment, the targeting moiety is linked to the
phage by the methods of chemical conjugation described above for
chemically conjugating drugs to bacteriophages. Ligands to be
chemically conjugated may be isolated from natural sources or made
synthetically, such as by recombinant means or chemical synthesis,
by methods well known to the skilled artisan.
[0105] An isolated nucleic acid sequence encoding a targeting
moiety can be obtained from its natural source, either as an entire
(i.e., complete) gene or a portion thereof. A nucleic acid molecule
can also be produced using recombinant DNA technology (e.g.,
polymerase chain reaction (PCR) amplification, cloning) or chemical
synthesis. Nucleic acid sequences include natural nucleic acid
sequences and homologs thereof, including, but not limited to,
natural allelic variants and modified nucleic acid sequences in
which nucleotides have been inserted, deleted, substituted, and/or
inverted in such a manner that such modifications do not
substantially interfere with the nucleic acid molecule's ability to
encode a functional targeting moiety of the present invention. A
nucleic acid molecule homolog can be produced using a number of
methods known to those skilled in the art (see, for example,
Sambrook et al., 1989). Methods for inserting foreign coding
sequences into a phage gene are well known (see e.g., Sambrook et
al., 1989; Brent et al., 2003). Certain non-limitative examples of
genetically modifying a bacteriophage to express exogenous
targeting moieties are presented in the Examples below.
[0106] Alternatively, a targeting moiety of the invention may be
synthesized using any recombinant or synthetic method known in the
art, including, but not limited to, solid phase (e.g. Boc or f-Moc
chemistry) and solution phase synthesis methods. The term "analogs"
relates to peptides or polypeptides obtained by replacement,
deletion or addition of amino acid residues to the sequence,
optionally including the use of a chemically derivatized residue in
place of a non-derivatized residue, as long as they retain their
capability to bind the desired target molecule.
[0107] The targeting moiety is any biological substance endowed
with specific binding properties towards a selected target cell. In
one preferred embodiment, the targeting moiety is an antibody-based
moiety, including, but not limited to: monoclonal antibodies,
polyclonal antibodies, and antibody fragments such as recombinant
antibody fragments, single-chain antibodies (scFv), single antibody
variable domains, and the like (Borrebaeck, 1995; Lo, 2003),
Single-chain antibodies are small recognition units consisting of
the variable regions of the immunoglobulin heavy (V.sub.H) and
light (V.sub.L) chains which are connected by a synthetic linker
sequence. Single antibody domain proteins (dAbs) are minimized
antibody fragments comprising either an individual V.sub.L domain
or an individual V.sub.H domain.
[0108] Methods of generating monoclonal and polyclonal antibodies
are well known in the art. Antibodies may be generated via any one
of several known methods, which may employ induction of in vivo
production of antibody molecules, screening of immunoglobulin
libraries, or generation of monoclonal antibody molecules by
continuous cell lines in culture. These include, but are not
limited to, the hybridoma technique, the human B-cell hybridoma
technique, and the Epstein-Barr virus (EBV)-hybridoma technique.
Antibody fragments may be obtained using methods well known in the
art, including, but not limited to by proteolytic hydrolysis of the
antibody or by expression in E. coli or mammalian cells (e.g.,
Chinese hamster ovary (CHO) cell culture or other protein
expression systems) of DNA encoding the fragment. (Fab').sub.2
antibody fragments can be produced by enzymatic cleavage of
antibodies with pepsin to provide a 5S fragment. This fragment can
be further cleaved using a thiol reducing agent, and optionally a
blocking group for the sulfhydryl groups resulting from cleavage of
disulfide linkages, to produce 3.5S Fab' monovalent fragments.
Alternatively, enzymatic cleavage using pepsin produces two
monovalent Fab' fragments and an Fc fragment directly. Other
methods of cleaving antibodies, such as separation of heavy chains
to form monovalent light-heavy chain fragments, further cleavage of
fragments, or other enzymatic, chemical, or genetic techniques may
also be used, so long as the fragments retain the ability to bind
to the antigen that is recognized by the intact antibody. An Fv is
composed of paired heavy chain variable and light chain variable
domains. This association may be non-covalent. Alternatively, as
described hereinabove, the variable domains may be linked to
generate a single-chain Fv by an intermolecular disulfide bond, or
alternately such chains may be cross-linked by chemicals such as
glutaraldehyde. Preferably, the Fv is a single-chain Fv.
Single-chain Fvs are prepared by constructing a structural gene
comprising DNA sequences encoding the heavy chain variable and
light chain variable domains connected by an oligonucleotide
encoding a peptide linker. The structural gene is inserted into an
expression vector, which is subsequently introduced into a host
cell such as E. coli. The recombinant host cells synthesize a
single polypeptide chain with a linker peptide bridging the two
variable domains. In addition, techniques may be utilized to change
a "murine" antibody to a "human" antibody, without altering the
binding specificity of the antibody.
[0109] In another preferred embodiment, the targeting moiety is a
peptide endowed with binding specificity towards the target cell
(linear, circularly constrained or cyclic) or a short peptide
selected from a library of short peptide sequences that is endowed
with binding specificity towards the target cell (Kay or al.,
1996). Methods for constructing libraries and using them for
screening for ligands having an affinity to a selected target
molecule or cell are known in the art (see, e.g. Kay et al., 1996).
See also certain non-imitative methods of using peptide libraries
to select targetor peptides having an affinity to a desired target
in the Examples hereinbelow.
[0110] In other embodiments, the ligand is a polypeptide, a
carbohydrate, a lipid, a glycolipid, a saccharide, a nucleic acid
and the like, which is able to selectively bind a target molecule
on a target cell. For instance, the ligand may include known
ligands of cell surface receptors, or any natural or synthetic
derivative thereof.
[0111] In another embodiment, the bacteriophage-drug conjugate
displays a ligand capable of binding a targetor that selectively
binds a target molecule on a target cell. Examples of such ligands
include, but are not limited to: the ZZ domain derived from
Staphylococcus aureus protein A, which binds an antibody that is
endowed with binding specificity towards the target cell (Nilsson
et al., 1987), and avidin or streptavidin based sequences which may
bind biotinylated antibodies endowed with binding specificity
towards the target cell, as described above. Such ligands may be
used for the construction of a kit for generating a targeted
bacteriophage-drug conjugate, comprising: (i) a bacteriophage-drug
conjugate displaying a ligand capable of binding a targeting moiety
that selectively binds a target molecule on a target cell; and (ii)
instructions for linking the targeting moiety to the ligand. The
kit may also contain reagents for linking the targeting moiety to
the ligand, a targeting moiety to be linked to the ligand, and
optionally other tools or containers. These kits may be used to
linking a bacteriophage-drug conjugate of the invention to the
desired targeting moiety (e.g. an antibody directed to a target
molecule of choice), enabling a selective delivery of the drug to
any target cell of interest.
[0112] In certain particular embodiments, the ZZ domain is fused to
a coat protein of the phage. In various embodiments, the ZZ domain
may be fused to the major coat protein, or, in alternate
embodiments, the minor coat protein of a filamentous bacteriophage.
A bacteriophage may display the ZZ domain on all its coat proteins
or on a portion of its coat proteins.
[0113] According to certain embodiments, the invention provides a
filamentous bacteriophage displaying the 7Z domain on some or all
copies of its minor coat protein. In one embodiment, the ZZ domain
is fused to the N terminus of the coat protein. In certain
particular embodiments, the modified coat protein has an amino acid
sequence as set forth in SEQ ID NO:1 and analogs thereof, as long
as the analog retains its ability to serve as a functional coat
protein and bind to IgG Antibodies. In other particular
embodiments, said coat protein is encoded by a nucleotide sequence
having a nucleic acid sequence as set forth in SEQ ID NO:2 and
homologs thereof, as long as the homolog retains its ability to
encode a functional coat protein and bind to IgG Antibodies. This
bacteriophage may be linked to a drug as detailed above and used as
a targeted drug carrier of the invention. Thus, according to a
particular embodiment of the present invention there are provided
bacteriophage-drug conjugates wherein the bacteriophage has a coat
protein having an amino acid sequence as set forth in SEQ ID NO:1
and analogs thereof.
[0114] The ligand is chosen according to the specific drug, target
cell and disorder to be addressed. For certain applications,
ligands are chosen such that they are internalized by the target
cell upon binding the target molecule, thereby enabling the
internalization of the drug-carrying bacteriophage. Methods of
constructing and selecting for internalizing phages are known in
the art (see, for example, Becerril et al., 1999, Kassner et al.,
1999, Poul and Marks, 1999, Larocca and Baird, 2001, Larocca et
al., 2001, Urbanelli et al., 2001, U.S. Pat. Nos. 6,451,527,
6,448,083, and International Application WO 98/05344). For other
applications, the bacteriophage-drug conjugate is not internalized,
and the drug either penetrates the cell upon the cleavage of the
linker, or act in the extracellular compartment.
[0115] The ligands used in the context of this invention do not
necessarily retain any of their in vivo biological activities,
other than binding a target molecule on a target cell. However, it
may be desirable in certain contexts that a ligand exerts certain
of its biological activities. In certain embodiments, the ligand
may act as an agonist, or alternatively as an antagonist, upon
binding a cell surface receptor.
[0116] As the drug molecules are conjugated to the outer surface of
the phage, its delivery to the target cell does not necessitate the
internalization of the bacteriophage-drug-conjugate. Therefore,
ligands capable of binding a large array of target molecules on
various target cells may be used for preparing the conjugates of
the present invention.
[0117] The ligand displayed by the targeted bacteriophage-drug
conjugate of the invention is selected so as to facilitate
selective binding of the conjugate to a target cell involved in a
disease or disorder in a subject in need thereof. In one
embodiment, the target cell is a bacterial cell. In another
embodiment, the target cell is a fungal cell. In another
embodiment, the target cell is a yeast cell. In another embodiment,
the target cell is a unicellular parasite (e.g. protozoa) cell. In
another embodiment, the target cell is a multicellular parasite
(e.g. helminth) cell. In another embodiment, the target cell is a
virus-infected mammalian cell. In another embodiment, the target
cell is a mammalian cell infected by a microorganism. In another
embodiment, the target cell is a mammalian cell infected by a
parasite. In another embodiment, the target cell is a tumor cell.
In another embodiment, the target cell is a cell that supports
tumor growth such as tumor neovasculature. In another embodiment,
the target cell is a diseased cell such as an outgrowth of muscle
cells at a restenotic plaque, an epithelial cell in psoriasis, an
immune cell involved in the development of an autoimmune disease,
and any diseased or malfunctioning cell that may be targeted
through a distinct surface molecule. In some cases, the cells to be
treated may be selected based on cosmetic rather than strictly
medical criteria, e.g. destruction of adipocytes to treat
obesity.
[0118] In one embodiment, the subject in need thereof is a human
subject. In another embodiment, the subject in need thereof is a
mammal. In another embodiment, the subject in need thereof is a
non-mammalian animal.
[0119] Pharmaceutical Compositions
[0120] The invention provides pharmaceutical compositions
comprising the bacteriophage-drug conjugates of the invention. The
term pharmaceutical composition as used herein also includes
compositions suitable for veterinary use. Anti-microbial
compositions for decontamination or prevention of bacterial
infestation are further contemplated.
[0121] Pharmaceutical compositions according to the present
invention can be prepared by admixing a quantity of a purified
targeted drug-carrying bacteriophage with a pharmaceutically
acceptable carrier. For example, the compositions of the present
invention may be administered in the form of injectable
compositions. A typical composition for such purpose comprises a
pharmaceutically acceptable carrier. For instance, the composition
may contain human serum albumin and phosphate buffer containing
NaCl. Other pharmaceutically acceptable carriers include aqueous
solutions, non-toxic excipients, including salts, preservatives,
buffers and the like, as described in Remington's Pharmaceutical
Sciences, 15.sup.th Ed. Easton: Mack Publishing Co. pp 1405-1412
and 1461-1487 (1975) And The National Formulary XIV., 14.sup.th Ed,
Washington: American Pharmaceutical Association (1975), the
contents of which are hereby incorporated by reference. Examples of
non-aqueous solvents include propylene glycol, polyethylene glycol,
vegetable oil and injectable organic esters such as ethyloleate.
Aqueous carriers can include water, alcoholic/aqueous solutions,
saline solutions, parenteral vehicles such as sodium chloride,
Ringer's dextrose, and the like. Intravenous vehicles include fluid
and nutrient replenishers. Preservatives include antimicrobials,
anti-oxidants, chelating agents and inert gases. The pH and exact
concentration of the various components of the bacteriophage
pharmaceutical compositions of the invention can be adjusted
according to routine known in the art. See Goodman And Gilman's The
Pharmacological Basis For Therapeutics (7th ed.).
[0122] Due to the stability of phages in the gastrointestinal
tract, they are also suitable as drug delivery vessels in oral
formulations, e.g. for the treatment of systemic infections. Oral
compositions will generally include an inert diluent or an edible
carrier and may be compressed into tablets or enclosed in gelatin
capsules. Tablets, pills, capsules, troches and the like can
contain any of the following ingredients, or compounds of a similar
nature: a binder, such as microcrystalline cellulose, gum
tragacanth and gelatin; an excipient such as starch and lactose, a
disintegrating agent such as, but not limited to, alginic acid and
corn starch; a lubricant such as, but not limited to, magnesium
stearate; a glidant, such as, but not limited to, colloidal silicon
dioxide; a sweetening agent such as sucrose or saccharin; and a
flavoring agent such as peppermint, methyl salicylate, and fruit
flavoring. When the dosage unit form is a capsule, it can contain,
in addition to material of the above type, a liquid carrier such as
a fatty oil. Alternatively, the pharmaceutical compositions of the
present invention can be in the form of liposomes, lipophilic
microcapsules, dendrimers or the like for oral administration.
Those skilled in the art are capable of preparing the bacteriophage
compositions of the present invention in the form of a lipophilic
microcapsule, a dendrimer or a liposome using conventional
techniques known in the art. The bacteriophage-drug preparations of
the invention may also be administered with food.
[0123] The skilled artisan also is capable of providing a
bacteriophage composition that can be administered intranasally,
rectally, transdermally, topically, or other known routes of
administration of medicaments. Solutions or suspensions used for
parenteral, intradermal, subcutaneous, or topical application can
include any of the following components: a sterile diluent, such as
water for injection, saline solution, fixed oil, polyethylene
glycol, glycerin, propylene glycol or other synthetic solvent;
anti-microbial agents, such as benzyl alcohol and methyl parabens;
antioxidants, such as ascorbic acid and sodium bisulfite; chelating
agents, such as ethylenediaminetetraacetic acid (EDTA); buffers,
such as acetates, citrates and phosphates; and agents for the
adjustment of toxicity such as sodium chloride or dextrose.
Parental preparations can be enclosed in ampoules, disposable
syringes or multiple dose vials made of glass, plastic or other
suitable material.
[0124] The phage can also be mixed with other active materials that
do not impair the desired action or with materials that supplement
the desired action.
[0125] Therapeutic Use
[0126] The conjugates and complexes provided herein are useful in
the treatment and prevention of various diseases, syndromes and
disorders, including, but not limited to: hyperproliferative
disorders such as restenosis; other smooth muscle cell diseases;
tumors, such as melanomas, ovarian cancers, neuroblastomas,
pterygii, secondary lens clouding and the like; autoimmune
diseases; and infectious diseases caused by bacteria, viruses,
yeast, fungi, and parasites. Other disorders that may be treated by
the conjugates of the invention include, but are not limited to,
disorders such as psychotropic and psychiatric disorders, metabolic
disorders cholesterol balance disorders and diabetes. As used
herein, "treatment" means any manner in which the symptoms of a
condition, disorder or disease are ameliorated or otherwise
beneficially altered. Treatment also encompasses any pharmaceutical
use of the compositions herein. As used herein, "amelioration" of
the symptoms of a particular disease or disorder refers to any
lessening, whether permanent or temporary, lasting or transient,
that can be attributed to or associated with administration of the
composition.
[0127] In one embodiment, the targeted bacteriophage-drug
conjugates of the present invention may be used to treat tumors. In
these diseases, cell growth is excessive or uncontrolled. Tumors
suitable for treatment within the context of this invention
include, but are not limited to, breast tumors, gliomas, melanomas,
prostate cancer, hepatomas, sarcomas, lymphomas, leukemias, ovarian
tumors, thymomas, nephromas, pancreatic cancer, colon cancer, head
and neck cancer, stomach cancer, lung cancer, mesotheliomas,
myeloma, neuroblastoma, retinoblastoma, cervical cancer, uterine
cancer, and squamous cell carcinoma of skin. For such treatments,
ligands can be chosen to bind to cell surface receptors that are
generally preferentially expressed in tumors (e.g. MUC-1 and Tac).
Through delivery of the compositions of the present invention,
unwanted growth of cells may be slowed or halted, thus ameliorating
the disease. The methods utilized herein specifically target and
kill or halt proliferation of tumor cells having receptors for the
ligand on their surfaces.
[0128] The bacteriophage-drug conjugates may also be used to treat
or prevent atherosclerosis and stenosis, a process and the
resulting condition that occurs following angioplasty in which the
arteries become reclogged. Generally, treatment of atherosclerosis
involves widening a stenotic vascular lumen, permitting greater
blood flow and oxygenation to the distal tissue. Unfortunately,
these procedures induce a normal wound healing response in the
vasculature that results in restenosis. Of the three components to
the normal vascular response to injury, thrombosis, elastic recoil
and smooth muscle cell proliferation, anti-thrombotics/platelet
inhibitors and vascular stents effectively address acute/subacute
thrombosis and elastic recoil, respectively. However, no therapy
can modify the vascular remodeling that is due to proliferation of
smooth muscle cells at the lesion, their deposition of
extracellular matrix and the subsequent formation of a neointima.
Accordingly, bacteriophage-drug conjugates could be used to deliver
therapeutic drugs that would inhibit restenosis.
[0129] In one embodiment of the invention, the compositions are
useful for treating autoimmune diseases, i.e. diseases in which the
immune system functions inappropriately and reacts to a component
of the host as if it were, in fact, foreign. Such a response
results in an autoimmune disease, in which cells of the host's
immune system attacks the host's own tissue. Autoimmune diseases
that may be treated by the bacteriophage-drug conjugates of the
invention include, but are not limited to: multiple sclerosis,
autoimmune neuritis, systemic lupus erythematosus (SLE), psoriasis.
Type I diabetes (IDDM), Sjogren's disease, thyroid disease,
myasthenia gravis, sarcoidosis, autoimmune uveitis, inflammatory
bowel disease (Crohn's and ulcerative colitis) autoimmune hepatitis
and rheumatoid arthritis.
[0130] In certain embodiments, the compositions of the present
invention may be used to treat angiogenesis-dependent diseases. In
these diseases, vascular growth is excessive or allows unwanted
growth of other tissues by providing blood supply. These diseases
include angiofibroma, arteriovenous malformations, arthritis,
atherosclerotic plaques, corneal graft neovascularization, delayed
wound healing, diabetic retinopathy, granulations due to burns,
hemangiomas, hemophilic joints, hypertrophic scars, neovascular
glaucoma, nonunion fractures, Osler-weber syndrome, psoriasis,
pyogenic granuloma, retrolental fibroplasia, scleroderma, solid
tumors, trachoma, and vascular adhesions. By inhibiting vessel
formation (angiogenesis), unwanted growth may be slowed or halted,
thus ameliorating the disease. In a normal vessel, a single layer
of endothelial cells lines the lumen, and growth of the vessel
requires proliferation of endothelial cells and smooth muscle
cells.
[0131] The compositions of the present invention can also be used
to treat a subject having an infection, including, but not limited
to: a bacterial infection, a viral infection, a yeast infection, a
fungal infection, and a parasitical infection. Suitable
bacteriophage-containing compositions can be prepared that will be
effective in killing, obliterating or reducing the quantity of any
of the microorganisms or parasites using the guidelines presented
above.
[0132] The compositions of the present invention preferably are
administered intravenously, intranasally, orally, topically etc.,
in an amount and for a period of time effective to treat the
infection. The expression "treating an infections", as it is used
throughout this description, denotes either (i) killing or
obliterating sufficient microorganisms or parasites to render the
microorganisms or parasites ineffective in infecting the host, or
(ii) reducing a sufficient quantity of microorganisms or parasites
so as the render the microorganisms or parasites more susceptible
to treatment using conventional antibiotics or drugs.
[0133] Determining an effective amount of host-specific, non-toxic
purified bacteriophage-drug conjugate composition to be
administered in accordance with the present invention entails
standard evaluations. An assessment in this regard would generate
data concerning bioavailability, absorption, metabolism, serum and
tissue levels and excretion, as well as microorganism or parasite
levels, markers, and cultures. The appropriate dosage and duration
of treatment can be ascertained by those skilled in the art using
known techniques.
[0134] According to one embodiment, bacteriophage-drug conjugate
compositions prepared according to the present invention can be
used to reduce but not entirely obliterate the population of
microorganisms or parasites, thereby rendering the infectious focus
more susceptible to other chemotherapeutic antibiotics and thus
reducing in combination therapy duration, side effects, and risks
of the latter. Thus, for example, the bacteriophage pharmaceutical
compositions of the present invention can be used in combination
with known antibiotics such as aminoglycosides, cephalosporins,
macrolides, erythromycin, monobactams, penicillins, quinolones,
sulfonamides, tetracycline, and various anti-infective agents.
Those skilled in the art can refer to the Physician's Desk
Reference, 50.sup.th Ed (Medical Economics (1996)), or similar
reference manuals for a more complete listing of known antibiotics
which could be used in combination with the bacteriophage
compositions. For example, a bacteriophage composition effective
against various strains of Staphylococcus could be used in
combination with a cephalosporin such as Keflex.TM. or Keftab.TM.
(both from Cephalexin). Those skilled in the art, using the
guidelines provided herein, are capable of designing an effective
treatment regimen by either using the bacteriophage-drug conjugate
composition alone or using a bacteriophage-drug conjugate
composition in combination with antibiotics.
[0135] Similarly, bacteriophage-drug conjugate compositions for the
treatment of other infectious or non-infectious diseases and
conditions, such as those described above, may be used alone or in
combination with one or more therapeutic agents, administered
together or separately, e.g., prior to, concurrently with or
following the administration of the pharmaceutical compositions the
invention. For example, bacteriophage-drug conjugate compositions
for the treatment of neoplasms can be used in combination with
additional chemotherapeutic drugs or other anti-cancer agents well
known in the art.
[0136] In one aspect, the invention provides a method of treating a
disease or disorder in a subject in need thereof, comprising
administering to the subject a therapeutically effective amount of
a pharmaceutical composition comprising a bacteriophage-drug
conjugate of the invention.
[0137] In one embodiment, the subject is a mammal. In another
embodiment, the subject is human. In another embodiment, the
subject is a non-mammalian animal.
[0138] In another aspect, the invention provides a method of
treating a bacterial infection or infestation, comprising
contacting the bacteria with a bacteriophage-drug conjugate of the
invention. In one embodiment, the bacteriophage is capable of
infecting and killing the bacteria. In another particular
embodiment, the bacteria belong to the Staphylococcus family (e.g.
Staphylococcus Aureus).
[0139] In yet another aspect, the invention provides a method of
treating a disease or disorder in a subject in need thereof,
comprising administering to the subject a therapeutically effective
amount of a pharmaceutical composition comprising a
bacteriophage-drug conjugate, wherein the bacteriophage comprises a
nucleic acid molecule comprising an exogenous nucleic acid sequence
that is expressible in the target cell. As used herein, "exogenous
genetic material" refers to a polynucleotide (e.g., nucleic acid or
oligonucleotide), either natural or synthetic, that is not
naturally found in a bacteriophage, or if it is naturally found in
the bacteriophage, it is not transcribed or expressed at
biologically significant levels by the bacteriophage, "Exogenous
genetic material" includes a non-naturally occurring polynucleotide
that can be transcribed into an antisense RNA, as well as all or
part of a "heterologous gene" (i.e., a gene encoding a protein
which is not expressed or is expressed at biologically
insignificant levels in a naturally-occurring bacteriophage). Thus,
for example, the present invention embraces the introduction into a
target cell of an expression cassette including a recombinant gene
containing an inducible promoter operably linked to a coding
sequence of a therapeutic polynucleotide or oligonucleotide. In the
preferred embodiments, the exogenous genetic material of the
bacteriophage can be both transcribed and translated in the target
cell. For suitable methods of generating such vectors and
expression cassettes, see e.g. Sambrook at al., 1989; Ausubel et
al., 1994.
[0140] In one embodiment, the exogenous nucleic acid sequence
encodes an enzyme that is capable of cleaving the linker connecting
the drug to the bacteriophage, thereby releasing the drug. In
another embodiment, the exogenous gene encodes an antimicrobial
peptide, an antibiotic, a toxin, an enzyme or a cytotoxic
agent.
[0141] Methods for the construction and use of vectors for phage
mediated gene delivery to both prokaryotic and eukaryotic cells are
known in the art; see, for example, WO 2004/062677, WO 98/05344 and
U.S. Pat. No. 6,448,083, among many others.
[0142] In another aspect, the invention is directed to the use of a
bacteriophage-drug conjugate of the invention for the preparation
of a pharmaceutical composition for the treatment of a disease or
disorder as specified above.
[0143] The following examples are presented in order to more fully
illustrate some embodiments of the invention. They should, in no
way be construed, however, as limiting the broad scope of the
invention.
EXAMPLES
Materials and Methods
[0144] All the chemicals used were of analytical grade and were
purchased from Sigma (Israel). Unless stated otherwise, reactions
were carried out at roam temperature (about 25.degree. C.).
Preparation of Phages for Drug Conjugation
[0145] Filamentous Phages were Routinely propagated in DH5-.alpha.
F' cells using standard phase techniques as described
(Enshell-Seijffers et al., 2002). Phages were usually recovered
from overnight 1 liter cultures of carrying bacteria. The bacteria
were removed by centrifugation and the phage-containing supernatant
was filtered through a 0.22 .mu.m filter. The phages were
precipitated by addition of 20% (w/v) polyethylene glycol 8000
PEG/2.5M NaCl followed by centrifugation as described
(Enshell-Seijffers et al., 2002). The phage pellet was suspended in
sterile miliQ double-distilled water at a concentration of
10.sup.13 cfu/ml and stored at 4.degree. C.
Example 1
Preparation and Evaluation of Chloramphenicol-Linker Adduct
[0146] Chloramphenicol (CAM) was chemically modified in two
synthetic steps to create an ester bond between CAM and a linker
(originated in glutaric-anhydride). The linker CAM prodrug complex
was activated for further lysine conjugation by the NHS procedure
as done in biotinylation procedure. The overall conjugation scheme
is described in FIG. 1.
[0147] In the first step, the primary OH group of chloramphenicol
was reacted with glutaric anhydride to create an ester linkage. The
reaction was done in a solution of dry THF (5, 6, 7,
8-tetrahydrofolic acid) and DMAP (.gamma.-(dimethylamino) propanol)
with equal molar equivalents of the three reactants: triethylamine,
glutaric anhydrid and chloramphenicol. The result of this step was
a chloramphenicol-linker adduct. In the second step, the free
carboxyl group of the chloramphenicol-linker adduct was activated
to allow subsequent linkage to amine groups such as on lysines.
Specifically, the reaction was done in a solution of
CH.sub.2Cl.sub.2 (di-chloromethane) with a combination of the
reactants listed: of DCC (1,3-dicyclohexylcarbodiimide,
carbodicyclohexylimide); NHS (N-Hydroxysuccinimide) and the
chloramphenicol-linker adduct from the first step at molar
equivalents 1.5; 1.5; 1, respectively.
[0148] The chloramphenicol-prodrug did not inhibit the growth of
susceptible bacteria at concentrations up to .times.100 of the free
chloramphenicol IC.sub.50, showing that, indeed, the
chloramphenicol was concerted to a prodrug.
[0149] The release of CAM from the linker was found to be dependent
on serum esterases that cleave the ester bond between CAM and the
linker (that is connected to the primary hydroxyl). The CAM-linker
adduct was found to be stable at pH values between 6-8. However,
the CAM could be liberated by incubation in the presence of horse
serum as a source for esterases. To test the CAM release rate, a
reverse phase HPLC analysis was done based on the fact that elution
time of free CAM is about 9 min while the CAM-linker adduct is
eluted about 16 min after sample injection into a reverse phase C18
column. This was done as follows: reverse phase HPLC was used to
measure the chloramphenicol release rate following the incubation
of chloramphenicol-prodrug in 10% or in 99% horse serum, or without
serum, all in PBS. A reverse phase C-18 column was used on a
LabChrom L7400 MERCK HITACHI machine with acetonitrile:water
(30:70) in the mobile phase at 1 ml/min flow rate. Under these
conditions, free chloramphenicol is eluted 9 min after sample
loading while the intact chloramphenicol-prodrug is eluted 16 min
after sample loading. The % of released chloramphenicol was
calculated by dividing the area of the 9 min peak by the total peak
area of all relevant peaks and multiplying by 100.
[0150] The amount of the released CAM was calculated from the peaks
area. As shown in FIG. 2A, about 15% of CAM was released from the
linker after 1 hr incubation in 99% horse serum at 37.degree. C.
with linear kinetics. A similar release rate was found after the
chloramphenicol-prodrug was conjugated to phages followed by
release with serum. The stability of the chloramphenicol-prodrug
was evaluated by a more prolonged incubation, where release rate
was monitored over 48 hours in the presence of 10% horse serum, or
without serum. As shown in FIG. 2B, the release rate followed the
same linear kinetics as with the 99% serum (after correcting for
the concentration difference). The spontaneous hydrolysis rate of
the ester bond in PBS alone was less than 5% over the entire 48 h
period.
Example 2
Filamentous Phage as a Targeted Drug Carrier Using a Surrogate
Antibody-Antigen System
[0151] In the set of experiments described below, the pathogen
(target cell) is an E. coli strain of the serotype O78, an avian
pathogen causing septicemia (Babai et al., 1997). A model targeting
moiety-target system for the application of targeted phages as drug
carriers was constructed. In this model, the humanized single-chain
antibody (scFv) H23 was introduced into on E. coli O78 cells for
surface display, using our recently described Lpp-ompA' system
(Benhar et al., 2000; Mazor et al., 2005). The scFv-displaying
cells are the target cells while the targeted drug carriers were
H23-specific phages that display a 7 amino acids (aa) peptide that
was found as the epitope bound by the 1-123 scFv. The phage was
isolated by panning a 7-mer linear library of random peptides
displayed using a 8+8 system (Enshell-Seijffers et al., 2001) on
H23 scFv displaying E. coli cells, a process we named "reverse DIP"
as described (Mazor et al., 2005). The ability of the peptide to
bind H23 scFv is demonstrated in FIG. 3. The phage clone MucC5 that
was used in the present study is circled.
[0152] The particular peptide on phage MucC5, with the sequence
QRGPDTRPVIAAG (shown here with 3 p8 flanking residues an each side
of the 7 mer peptide, SEQ ID NO:5) is not supposed to be harmed by
the conjugation process (that targets primarily epsilon amines of
lysine residues) since it lacks lysine residues. The filamentous
phage major coat protein p8 is a 60 residues protein with each
monomer containing 8 lysines. The phage coat is assembled by
wrapping of the single-stranded DNA genome by 2500-3000 p8
molecules (the number may further defer according to the size of
the packaged genome (Smith et al., 1998), and may be manipulated
based on modifications or mutagenesis of the coat protein (Malik et
al., 1996; Sidhu, 2001; Held and Sidhu, 2004)). Of these 8 lysines,
about 3 may be available to chemical conjugation. Since a single
M13 phage contains about 3000 copies of Protein VIII it means a
theoretical potential of .about.10000 drug molecules to a single
phage, as was evaluated by conjugating biotin to intact phages
(Nakamura et al., 2001; Nakamura et al., 2002).
[0153] The CAM-linker adduct (example 1) was conjugated to the
phages by mixing an excess amount of NHS activated CAM with about
10.sup.13 phages in 1 ml of phosphate buffered saline at 4.degree.
C. overnight. Three consecutive conjugation cycles were performed.
The reaction mixture was separated by gel filtration using a 10 cm
long, 1 cm diameter Sephacryl 5200 column that was developed at 2
ml/min with PBS and 2 ml fractions were collected. Unconjugated
phages and free CAM-liker adduct were analyzed separately for
comparison. As shown in FIG. 4, the phages eluted in the first five
2 ml fractions while the free CAM-linker adduct eluted starting at
the 6.sup.th fraction. By releasing the phage conjugated drug and
ultrafiltration we found that 10,000-30,000 molecules of CAM were
linked to each phage. Phages that eluted in fraction 3 were
collected for further use.
[0154] To test the targeting effect of the CAM-conjugated phages, a
dilution of CAM-phages were added to an identical number of O78 E.
coli (non-target) bacteria in comparison with same number of O78
H23(Fv)-displaying (target) bacteria. As shown in FIG. 5, a clear
effect could be seen at a low dilution while at higher dilution the
targeting effect vanished. It can be seen that in low dilution of
phages there are visible effect of targeting while in higher
dilutions this effect was lost. This demonstrates that the phages
carry and release enough drug to retard the growth of the cells on
one hand, and a targeting effect by more efficient killing of the
target cells compared to the cells that do not express the target
molecule.
Example 3
Filamentous Phage as a Targeted Drug Carrier Using a Genuine
Cell-Surface Molecule as a Target
[0155] Two random peptide libraries, a 7-mer and a disulfide-bond
constrained 12-mer combinatorial phage-peptide were designed on the
fth1 `type 88` expression vector (Enshell-Seijffers et al., 2001),
each contains >10.sup.9 random peptides displayed on the
N-terminus of the major coat protein p8 of the Fd filamentous
bacteriophage. E. coli K91K cells (Smith and Scott, 1993) were used
for phage propagation. The peptide library phages were affinity
selected on E. coli O78 cells, as follows: cells were grown in 2XYT
medium supplemented with 12.5 .mu.g/ml tetracycline at 30.degree.
C. The cells (10.sup.9 cells) were collected by centrifugation and
washed twice with 1 ml of chilled PBST. Washed cells were
re-suspended with 1 ml 1% (v/v) non-fat milk in PBS containing
10.sup.11 cfu of the peptide library phages and left on ice for 1
h. The cells were then washed three times (1 ml each wash) with
PBST and three times with PBS (Benhar and Reiter, 2001). The
selecting O78 cells were then mixed with 10.sup.9 of K91K E. coli
cells in 1 ml that were grown in 2XYT medium supplemented with 50
.mu.g/ml kanamycin with vigorous shaking at 37.degree. C. These
cells express the F' pilus that serves as the phage receptor and
are infected by the selected phage output. The mixed cultures was
incubated for 30 at 37.degree. C. without shaking followed by
incubation for 30 min at 37.degree. C. with gentle shaking that
enables the selected phages to infect the K91K bacteria. Aliquots
were taken for determination of phage panning output and the rest
of the culture was either plated on 2XYT plates containing 20
.mu.g/ml tetracycline and 50 .mu.g/ml kanamycin to obtain single
colonies for immunoscreening or amplified to obtain a phage stock
to be used as input for the next selection cycle.
[0156] Randomly selected single colonies of K91K cells infected
with phage output after the fourth cycle were picked and used to
inoculate 200 .mu.l of 2XYT medium supplemented with 20 .mu.g/ml
tetracycline per well in U-bottom 96-well plates. After overnight
growth at 37.degree. C. with shaking at 150 rpm, the plates were
centrifuged and the supernatant from each well was mixed at 1:1
ratio with PBST and tested for binding to O78 cells that were
coated onto well of 96/well polystyrene ELISA plates (about
10.sup.7 cell/well). The K12 E. coli strain MC4100 and Salmonella
(ST1) were used as a negative control.
[0157] Eight phage clones were identified as specific O78 binders
using phage ELISA essentially as described (Benhar and Reiter,
2001). As shown in FIG. 6, they bound the O78 bacteria but not the
control bacteria.
[0158] Phages C2b and D1a, together with the H23 scFv-binding phage
MucC5 were chosen to assess the targeting effect of CAM-conjugated
O78-specific phages. The phages were conjugated as described above.
10.sup.8 O78-H23(scFv) displaying bacteria were mixed with
5.times.10.sup.12 phages in 110 .mu.l and rotated for 1 hr at room
temperature. The cells were collected by centrifugation and the
unbound phages were removed. The cells were re-suspended in 200
.mu.l horse serum and left at room temperature for 3 hr. The cells
were then diluted into 3 ml of SOB medium and grown at 37.degree.
C. shaking at 250 RPM in 13 ml polystyrene tubes. Bacterial growth
was determined by reading absorbance at 600 nm.
[0159] As shown in FIG. 7, the growth of the bacteria was retarded
following treatment with the CAM-conjugated O78-specific phages and
by the H23(scFv)-specific phage MucC5. Moreover, when treated with
a combination of C2b (O78-specific) and MucC5 (H23(scFv)-specific)
phages, the growth was retarded even more, suggesting that a
combination of drug-carrying phages may be advantageous for
treatment.
Example 4
Controlled Drug Release from CAM Conjugated Phages by Added
Esterases
[0160] In the above-described examples, the CAM that was linked to
the linker via a labile ester bond was released in the presence of
horse serum. To demonstrate controlled release of the drug, the
following experiment was carried out: the effect of added
CAM-conjugated phages on the growth of O78 E. coli cells was tested
in the absence of serum. Rather, Hog liver esterase (Sigma, Israel)
or butyryl-choline esterase (Sigma, Israel) were added. 100 .mu.l
of culture was placed in each well of a flat bottom 96/well plate.
The culture contained about 10.sup.7 bacteria/ml, serial dilution
of CAM-conjugated O78-specific peptide-displaying phages of clone
C2 (see above) in SOB medium. To the bacteria/phage mix we added
the esterase to a final concentration of 12 units/ml, or only
buffer as control. The plates were shaken at 37'C, 240 RPM and
growth was recorded after 5 hr at 630 nm as described above. As
shown in FIG. 8, the addition of both esterases resulted in release
of the CAM that retarded the growth of the O78 E. coli
bacteria.
Example 5
Isolation of Staphylococcus aureus-Binding Phages
[0161] A phage peptide display library of about 10.sup.9 clones of
disulfide-bond constrained 12-mer random peptides was affinity
selected on live SA cells as follows: we used a random 12-mer
peptide combinatorial phage-display library, based on the fth1
`type 88` expression vector (Enshell-Seijffers et al., 2001), which
contains >10.sup.9 random clones. In this library, the peptides
are displayed on the N-terminus of the major coat protein p8 of the
Fd filamentous bacteriophage. E. coli K91K cells (Smith et al.,
1993) were used for phage propagation. The library phages were
affinity selected on Staphylococcus aureus (SA) cells, as follows:
SA were grown in Tryptic soy broth (TSB, Difco, USA) medium at
37.degree. C. The cells were collected by centrifugation and washed
twice with 1 ml of chilled phosphate-buffered saline (PBS)
containing 0.05% (v/v) tween 20 (PBST). 10.sup.9 washed cells were
re-suspended with 1 ml of 1% (v/v) non-fat milk in PBS containing
10.sup.11 cfu of peptide library phages and left on ice for 1 h.
The cells were then washed three times (1 ml each wash) with PBST
and three times with PBS (Benhar et al., 2002). The selecting SA
cells were then mixed with 10.sup.9 of E. coli K91K cells in 1 ml
that were grown in 2XYT medium (Benhar et al., 2002) supplemented
with 50 .mu.g/ml kanamycin with vigorous shaking at 37.degree. C.
The mixed cultures was incubated for 30 min at 37.degree. C.
without shaking followed by incubation for 30 min at 37.degree. C.
with gentle shaking that enables the selected phages to infect the
K91K E. coli bacteria. Aliquots were taken for determination of
phage output and the rest of the culture was either plated on 2XYT
plates (Benhar et al., 2002) containing 20 .mu.g/ml tetracycline
and 50 .mu.g/ml kanamycin to obtain single colonies for
immunoscreening, or amplified to obtain a phage stock to be used as
input for the next affinity selection cycle.
[0162] After the fourth affinity selection cycle, randomly selected
single colonies of K91K cells infected with phage output were
picked and used to inoculate 200 of 2XYT medium supplemented with
20 .mu.g/ml tetracycline per well in U-bottom 96-well plates. After
overnight growth at 37.degree. C. with shaking at 150 rpm, the
plates were centrifuged and the phage-containing supernatant from
each well was mixed at 1:1 ratio with PBST and tested for binding
to SA cells by phage ELISA.
[0163] Following four selection cycles, random clones were screened
for binding to immobilized SA cells by phage ELISA, as follows: SA
cells were coated onto wells of 96/well polystyrene ELISA plates as
described below. Serial dilutions of the tested phages were added
to the wells and allowed to bind for 1 h. Following the 1 h
incubation with phages, the plates were washed .times.3 with PBST
and HRP-conjugated rabbit anti M13 antibody (Amersham Biosciences,
USA) diluted .times.5000 in PBST was added (100 .mu.l/well) and
incubated for 1 h. The plates were washed .times.3 with PBST and
development was done with 100 .mu.l/well of the HRP substrate TMB
(Dako, USA). Following color development, the reaction was
terminated with 50 .mu.l/well of 1M H.sub.2SO.sub.4. The color
signal was recorded at 450 nm.
[0164] ELISA plates (Flat bottom, Nunc, Sweden) were coated with
bacteria as follows: cells from a fresh overnight culture were
collected by centrifugation and suspended in PBS at about 10.sup.8
cells/ml. An aliquot of 100 .mu.l of the cell suspension was
applied into each well of the plate that was spun in a centrifuge
at 4000 RPM for 5 min at 4.degree. C. The supernatant was carefully
removed and 100 .mu.l of 3% glutaraldehyde in PBS were added to
each well and left to fix the cells for 1 h. Next, the plate was
blocked with 3% (w/v) skim milk powder in PBS and 5% rabbit serum
(a crucial step for blocking the IgG binding capacity of SA because
of their own protein A). The E. coli strain O78 cells were used as
a negative control.
[0165] The binding signals of four such clones and the deduced
sequences of the peptides they display are shown in FIG. 9A and
Table 1:
TABLE-US-00001 TABLE 1 Sequences of the peptides displayed on SA-
specific binders and the number of duplicates that were identified
in the initial screen by phage ELISA. Lysines that may be
vulnerable to amine conjugation chemistry are in bold. SEQ No. of
OD on Clone ID duplicates OD on E. coli name NO: Sequence
identified SA cells cells C10D 6 SPGHYWDTKLVD 3 1.05 0.275 H5D 7
TYFPTMGTSFKI 4 1.003 0.3 F1 8 TFLRGPSSPLVS 2 0.97 0.24 A12C 9
VHMVAGPGREPT 1 1.2 0.007
[0166] As shown, higher ELISA signals were obtained on the SA
target cells in comparison to the control E. coli cells. As
frequently happens following several affinity selection cycles,
some of the clones were isolated more than once Table 1. Phage A12C
that yielded the highest binding signal difference between the
target to the control cells, and that displays a lysine-less
peptide (and should not be harmed by the drug conjugation) was
chosen for further evaluation as a targeted drug carrier.
[0167] A12C phages were conjugated to the chloramphenicol-prodrug
and their capacity to bind SA was compared to non-conjugated
phages.
[0168] The phages were conjugated as follows: A stock solution of
10.sup.13 CFU/ml phages and a stock solution of 100 .mu.M
chloramphenicol-prodrug were used. A constant molar ratio of
3.times.10.sup.5 for the chloramphenicol-prodrug molecules/phage
was used. The reaction was mixed overnight. Next, phage
precipitates were removed by centrifugation for 15 min at 14,000
RPM at 4.degree. C. in a microfuge. Soluble phages were
precipitated with PEG/NaCl as described above.
[0169] To evaluate the number of chloramphenicol molecules that
could be conjugated to a single phage, we liberated the drug by
prolonged incubation with serum and separated the drug from the
phages by ultrafiltration, as follows: a similar number of
chloramphenicol-conjugated phages as well as non-conjugated phages
as a reference were incubated for 48 hr in the presence of 10%
Rabbit serum (Sigma, Israel) at 37.degree. C. The phage solutions
were ultra-filtered using a 10 kDa cutoff ultrafiltration microcon
cartridge (Millipore, USA) to eliminate the phages as well as other
large proteins and contaminants. The filtrate optical absorbance
was recorded at 280 nm and the number of released chloramphenicol
molecules was calculated by using a calibration curve of free
chloramphenicol absorbance was recorded at 280 nm. The
concentration of the liberated chloramphenicol was calculated by
comparing its optical absorbance at 280 nm to a calibration curve.
We found (Table 2) that several consecutive conjugation steps are
required to achieve a maximal coverage of the phages with drug, at
>20000 molecules/phage. However, at this conjugation level, most
of the phages were lost due to precipitation. Therefore, a single
conjugation cycle resulting in 2000-4000 drug molecules/phage was
performed.
TABLE-US-00002 TABLE 2 number of chloramphenicol molecules
conjugated/phage in consecutive conjugation cycles. No. of
chloramphenicol Conjugation cycle molecules/phage 1 3600 2 17000 3
24000
[0170] As shown in FIG. 9B, the SA binding capacity of the phages
was not affected by drug conjugation.
Example 6
Isolation of ZZ Domain-Displaying Phages
[0171] Phage fUSE5-ZZ, for polyvalent display of the ZZ domain on
all copies of the P3 minor coat protein was constructed as follows:
The IgG-binding ZZ domain (SEQ ID NO:3, encoded by SEQ ID NO:4) was
initially cloned for monovalent display on the filamentous phage p3
coat protein as follows: the DNA fragment carrying the ZZ domain
open reading frame was recovered by PCR using plasmid pSD-ZZ
(Freeman et al., 2004) as template with primers
CCGCTTCCATGGTAGACAACAAATTCAACAAAG (SEQ NO:10) and
GGGTTTAGCGGCCGCTTTCGGCGCCTGAGCATCATTTAG (SEQ ID NO:11). The PCR
product was digested with restriction enzymes NcoI and NotI
(restriction sites underlined in the primer sequences) and cloned
into a vector fragment that was isolated from phagemid vector
pCANTAB5E (Berdichevsky et al., 1999) by digestion with the same
enzymes. The resulting plasmid was named pCANTAB-ZZ. The
IgG-binding ZZ domain was further cloned for polyvalent display on
all copies of the filamentous phage p3 coat protein as follows.
Initially, phage vector fUSE5
(http://www.biosci.missouri.edu/smithgp/PhageDisplayWebsite/vectors.doc)
was modified to accept single chain antibodies as NcoI-NotI
fragments. The anti-Tac scFv coding DNA was recovered by PCR using
pCANTAB5E-anti-Tac (Benhar et al., 2000) as template with primers
AATTTCGGCCGACGTGGCCATGGCCCAGGTCAAACT (SEQ ID NO:12) and
TATTCACAAACGAATGGATCC (SEQ ID NO:13). The PCR product was digested
with restriction enzymes SfiI and BamHI (restriction sites
underlined in the primer sequences) and cloned into a vector
fragment that was isolated from fUSE5 DNA by digestion with the
same enzymes. The resulting phage vector was named fUSE5-anti-Tac.
The ZZ domain was subcloned into the fUSE5 backbone by replacing
the NcoI and NotI scFv fragment of fUSE5-anti-Tac with NcoI and
NotI scFv ZZ domain fragment of pCANTAB-ZZ, resulting in phage
fUSE5-ZZ. The resulting phage p3 protein has an amino acid sequence
as set forth in SEQ ID NO:1, and is encoded by a nucleic acid
sequence as set forth in SEQ ID NO:2.
[0172] To compare monovalent to polyvalent display of the ZZ
domain, an immunoblot analysis was carried out. In the immunoblot
we compared the P3 protein of M13KO7 helper phage (where only the
WT protein is incorporated in the phage coat), that of pCANTAB-ZZ
following its rescue by M13KO7 helper phage (where both the
ZZ-fused P3 and the WT protein provided by the helper are
incorporated in the phage coat), and fUSE5-ZZ (to determine whether
it has only the ZZ-fused P3 incorporated in the phage coat). This
was performed as follows: 10.sup.11 phage particles were separated
by electrophoresis on a 12% SDS-polyacrylamide gel. The gel was
electroblotted onto a nitrocellulose membrane which was developed
using an anti P3 monoclonal antibody (Lab collection) followed by
an HRP-conjugated rabbit anti mouse antibody (Jackson
ImmunoResearch Laboratories, USA). The membrane was developed by
using ECL reagents as described. As shown in FIG. 10A, the fUSE5-ZZ
phages demonstrated polyvalent display of ZZ on their coat.
[0173] The phages were conjugated to the chloramphenicol-prodrug as
described in Example 5 and their capacity to bind IgG was
evaluated, as follows: IgG binding capacity was evaluated by
incubating 10.sup.12 CFU of fUSE5-ZZ phages, before or following
conjugation to the chloramphenicol-prodrug, with .times.10,000
dilution of HRP-conjugated rabbit anti mouse IgG (Jackson
ImmunoResearch Laboratories, USA) in 1 ml PBS for 1 hr. Next,
phages and phage-IgG complexes were precipitated with PEG/NaCl as
described above. The pellets were suspended in 1 ml of PBS and
.times.3 dilutions were made in an ELISA plate containing 100 .mu.l
PBS at each well prior to addition of phages. Development was done
by addition of 50 .mu.l the HRP substrate TMB (Dako, USA).
Following color development, the reaction was terminated with 50
.mu.l/well of 1M H.sub.2SO.sub.4. The color signal was recorded at
450 nm. The possibility of protecting the ZZ domain from
conjugation-induced deterioration was evaluated as follows:
fUSE5-ZZ was "protected" by complexation with human protein
A-purified IgG prior to chloramphenicol conjugation. A total of
10.sup.13 fUSE5-ZZ phages in 1 ml PBS were complexed with 15 .mu.g
human IgG for 1 h. Complexation was followed conjugation with the
chloramphenicol prodrug as described above. Precipitates were
removed by centrifugation for 15 min at 14,000 RPM at 4.degree. C.
in a microfuge. Next, the protecting human IgG was released from
the ZZ domain by lowering the pH to 2.5 by adding 500 .mu.l of 50
mM Glycine/HCl pH 2.2 (resulting in pH.about. 2.5) and incubating
for 20 min PEG/NaCl precipitation was used to precipitate and
separate the fUSE5-77 phages from the free human IgG. The IgG
binding capacity was evaluated by incubating the phages with
HRP-conjugated rabbit anti mouse IgG as described above.
[0174] As shown in FIG. 10B, at this conjugation level, the ZZ
domain lost about 50% of its IgG binding capacity. However,
protection of the ZZ domain could be achieved by complexation with
human IgG prior to drug conjugation.
Example 7
The Effect of Targeted Drug-Carrying Phages on the Growth of
Staphylococcus aureus
[0175] Phage A12C was chosen to assess the targeting effect of
chloramphenicol-conjugated S. aureus-specific peptide-displaying
phages. Conjugates were evaluated for their effect on bacterial
growth as follows: an overnight bacterial culture was diluted
.times.100 in PBS. 1 ml of diluted bacteria was collected by
centrifugation at 14,000 RPM and pellet re-suspended in 100 .mu.l
PBS. 10 .mu.l of this bacterial suspension was mixed with 100 .mu.l
of 10.sup.12 phages in ml PBS, and then incubated for 1 hr. The
incubation of the cells with the phages was followed by incubation
with 50% rabbit serum for 1 hr, after which they were diluted
directly into 2 ml of TSB medium 20% rabbit serum in 13 ml tubes
shaking at 250 RPM at 37.degree. C. Growth was recorded after
dilution into the TSB medium by recording the optical density (OD)
at 600 nm.
[0176] As shown in FIG. 11A, the growth of the SA bacteria was
retarded following treatment with the chloramphenicol-conjugated
SA-targeted phages in comparison to SA treated with targeted phages
that do not carry drug. The control phages that display an
irrelevant peptide also retarded the bacterial growth, but to a
lesser extent. The equivalent concentration of free chloramphenicol
did not retard the bacterial growth. In FIG. 11B, is shown a
comparison of growth curves obtained in the presence of varying
concentrations of free chloramphenicol to growth in the presence of
targeted drug-carrying A12C phages. Under these experimental
conditions, the targeted A12C phages release the equivalent of 0.96
.mu.g/ml chloramphenicol. As shown, the phages retarded SA growth
as efficiently as .times.20 higher concentration of free
chloramphenicol.
[0177] When fUSE5-ZZ was evaluated, all the binding/targeting
studies with S. aureus were done following blocking of the bacteria
own cell-surface protein A with 20% rabbit serum prior to addition
of the specific antibodies. Phage fUSE5-ZZ was conjugated to the
chloramphenicol prodrug as described and evaluated for targeted
drug delivery as follows: an overnight bacterial culture was
diluted .times.100 in PBS. 1 ml of diluted bacteria was incubated
with human polyclonal anti SA IgG for 1 hr at RT. Next, the cells
were collected by centrifugation and re-suspended in 100 p. 1 PBS.
10 p. 1 of this bacterial stock was mixed with 10.sup.12 CFU of
fUSE5-ZZ phages in 1 ml of PBS, and then further incubated for 1 h.
The tested phages were as follow: 1. chloramphenicol conjugated
fUSE5-ZZ phages 2. chloramphenicol-conjugated fUSE5-ZZ phages that
were blocked by incubation with normal (non immune) Human IgG
(Jackson ImmunoResearch Laboratories, USA), as negative control. 3.
fUSE5-ZZ phages without drug as an additional negative control.
Cells were incubated with the phages for 1 h followed by incubation
with 50% rabbit serum for 1 hr, after which they were diluted
directly into 2 ml of TSB medium 20% rabbit serum in 13 ml tubes
shaking at 250 RPM at 37.degree. C. Growth was recorded after
dilution into the TSB medium by recording the optical density (OD)
at 600 nm.
[0178] As shown (FIG. 12), chloramphenicol-carrying fUSE5-7.7
phages retarded the growth of the target SA bacteria after they
were incubated with SA-specific human antiserum (bound through the
displayed ZZ domain) and to a lesser extent when the phages were
complexed with a non-immune human IgG that doesn't bind the blocked
SA bacteria. In these experiments, targeted fUSE5-ZZ retarded SA
growth as effectively as .times.10 higher concentration of free
chloramphenicol.
Example 8
Aminoglycosides as Drug Solubilization and Bridging Moieties
[0179] A. Two alternative synthesis routes were applied for
conjugation via an aminoglycoside bridge:
[0180] For conjugating a hydrophobic cargo, the drug, activated for
amine conjugation (in the following experiments, NHS and
isothiocynate chemistries were used) was initially reacted in an
aqueous solution (NaHCO.sub.3 0.1 M pH=8.5) of an aminoglycoside at
a concentration lower than the number of available amine groups (to
leave one amine available for the subsequent conjugation to the
carrier). The reaction was stirred gently for overnight at room
temperature. Then the solution was titrated with HCl and Na-citrate
buffer was added to final concentration of 0.1 M (pH-5.5). This
solution was brought to a final molar concentration of 0.75 M NaCl
and finally the carrier bacteriophages was added followed by
immediate addition of EDC at concentration of .times.100 molar
excess over the target carboxyl side chains of the targeted drug
carrier. This reaction was stirred gently for 1-2 hours at room
temperature, followed by exhaustive dialysis against PBS/0.3 M
NaCl. This process is illustrated in FIG. 13.
[0181] For conjugating a hydrophilic drug or a drug with moderate
solubility in aqueous buffers, the aminoglycoside moiety was
conjugated first to the targeted phages and then the
carrier-aminoglycoside complex was reacted with the excess amount
of drug that was activated for amine conjugation. Briefly: The
solution was titrated with HCl and Na-citrate buffer is added to a
final concentration of 0.1 M (pH=5.5). To this solution, a solution
of 5M NaCl was added to a final molar concentration 0.75 M and
finally the carrier protein was added followed by immediate
addition of EDC at concentration of .times.100 molar excess of the
carboxyl side chains of the carrier. This reaction was stirred
gently for 1-2 hours at room temperature, followed by overnight
dialysis against a solution of NaHCO.sub.3 0.1 M pH=8.5, which was
followed by same dialysis procedure for 3 hours. Next, the
carrier-aminoglycoside molecules complex was reacted toward an
amine conjugation activated drug. Drug concentration is .times.100
molar excess over the carrier amine side chains available for
conjugation.
[0182] B. Conjugation of FITC to phage fUSE5-ZZ through a
hygromycin bridge.
[0183] EDC mediated conjugation of aminoglycosides was first
accomplished by using hygromycin as a model linker. hygromycin
contains only two primary amines, one for drug conjugation and the
other for conjugation to a carrier. Hygromycin was initially
conjugated to FITC as described above. Briefly, a molar ratio of 10
hygromycin molecules:1 FITC molecule led to a 10% labeling
efficiency and immediate solubilization of FITC. This is an
important observation, since the addition of FITC stock solution
(38.9 mg/ml in DMSO) to an equal volume of buffer without
aminoglycosides results in immediate formation of precipitate.
[0184] The product of the FITC-hygromycin conjugate was then
divided to two tubes; both were mixed with 1.times.10.sup.12
fUSE5-ZZ phage particles. EDC was added to the first tube while the
second was used as negative control ("background"). The reaction
was mixed for one hour as described above and then dialyzed
extensively against PBS. The resulted product was read by
fluorometer (excitation wavelength 488 nm and emission filter 533
nm) and the amount of conjugated drug was calculated using
calibration curve free FITC. A number of .about.10,000 hygromycin
molecules/phage was calculated. This number is about the potential
carrying capacity of carboxyl attachment since from total amount of
5 carboxyl residues within major coat protein only 3 located to the
N-terminus see model structure FIG. 14. The direct conjugation of
FITC to phages using identical condition except for the
aminoglycoside bridge yielded .about.800 Fluorescein molecules
linked to the phage coat amine groups. Thus, although hygromycin
can not be considered "a branched linker" because it has only two
modifiable amines, it provided for improved water solubility of the
otherwise poorly soluble FITC on one hand, and for increased
carrying potential of the phages because of the exploitation of the
carboxyl groups on the phage coat protein for conjugation on the
other.
[0185] C. Conjugation of chloramphenicol to phage fUSE5-ZZ ZZ
through a kanamycin bridge.
[0186] As describe above, two conjugation methods were applied: in
the first, the drug was initially conjugated to aminoglycoside and
then the complex was conjugated to the carrier by EDC chemistry. In
the second, the aminoglycoside was initially conjugated to carboxyl
side chains of the carrier, multiplying amine side chains available
for drug conjugation.
[0187] Both methods were applied to conjugate chloramphenicol to
fUSE5-ZZ phages essentially as described above. The aminoglycoside
kanamycin that was chosen as a solubilizing branched linker
contains 4 primary amines, 3 may be used for drug conjugation and
the fourth for conjugation to the carrier. The antibiotic drug
chloramphenicol was activated to amine conjugation by ester
conjugation to a linker ended by NHS ester, and then conjugated to
kanamycin using both methods. Quantification of total conjugated
chloramphenicol was done by serum esterases-mediated release of
free chloramphenicol. Briefly, the conjugated phages were mixed at
1:1 v:v ratio with horse serum and incubated for 40 hours at
37.degree. C. The resulted product was then ultra-filtered. The
filtrate was read by spectrophotometer at 280 nm and free drug was
calculated by a calibration curve of optical density as a function
of free chloramphenicol concentration.
[0188] An amount of .about.35,000 chloramphenicol molecules per
phage particle was measured. In comparison, a direct
chloramphenicol conjugation without the assistance of the
aminoglycoside (as described in Example 4) led to a lower number of
a .about.5000 chloramphenicol molecules per phage particle. Both
conjugation methods yielded a similar number of conjugated drug
molecules/phage. In addition, no loss of phage was recorded during
the conjugation process.
Example 9
Phage Toxicity
[0189] In previous publications, phage preparations were reported
to be contaminated with toxic substances originating from lysed
bacterial hosts. Our preparations of unmodified and drug-carrying
phages were tested for toxicity by IV injection of 10.sup.12
plaque-forming units (PFU) in PBS of 8 weeks-old female Balb/C
mice. The mice tolerated the injected phages with no signs of
illness or weight loss in comparison to PBS injected control
mice.
Example 10
Phage Immunogenicity
[0190] In previous reports, peptide-displaying phages were used to
immunize female Balb/C mice with the objective of obtaining
anti-peptide immunity. Mice were immunized IV or IP, 3 times with
10.sup.11 PFU phages in PBS per injection at 14-day intervals.
Seven days after the third injection, mice were bled and their sera
examined by ELISA for peptide and anti phage antibody titer. In all
these experiments, the anti phage titer after the third injection
exceeded 10.sup.5 (Haus-Cohen et al., 2004).
[0191] Herein, fD phages were modified by NHS conjugation and
examined by ELISA essay. The results demonstrated that following
NHS conjugation, fD phages were no longer recognized by a
commercial anti ID phage antibody (Pharmacia) that bind to p8.
[0192] Targeted drug-conjugated phages (Examples 5 and 6), or
native phages as a control, are used to immunize Balb/C mice as
described above. Mice sera are examined by ELISA for anti phage
antibody titer using standard procedure.
Example 11
Evaluation of Targeted Drug-Carrying Bacteriophages In Vivo
[0193] The targeted drug-carrying bacteriophages of the invention
are examined in several in vivo model systems of bacterial
infection and tumors.
[0194] The Gram-positive pathogenic bacterium Staphylococcus aureus
has the ability to cause a wide variety of human diseases ranging
from superficial abscesses and wound infections to deep and
systemic infections, such as osteomyelitis, endocarditis, and
septicemia. S. aureus is a major cause for nocosomial infections
and acquires drug resistance at an alarming pace. Peptide and
scFv-displaying phages that recognize S. aureus are isolated, and
protein-A purified anti-S. aureus polyclonal rabbit serum is used
with the ZZ domain-displaying phages described above. These phages
are conjugated to chloramphenicol as described above and tested in
two mouse models: a systemic infection model (Mazmanian et al.,
2000) where delaying or preventing bacterial colonization of the
kidneys or bacteria-induced death as an endpoint, and a superficial
skin abscess model (Horsburgh et al., 2002) where limiting the size
of the lesion and the number of colonizing S. aureus is the
endpoint.
[0195] The systemic infection experiments are performed as follows:
Staphylococci are grown overnight in tryptic soy broth (TSB),
diluted into fresh medium, grown for 3 h at 37.degree. C. to OD600
0.5, and washed and diluted in PBS. Six-to eight-week-old C57BLy6
mice or Swiss-Webster mice are inoculated with 500 ml of
Staphylococcal suspension into the tail vein. 10.sup.12
CAM-conjugated phages as described in Examples 6 and 7, and serial
.times.10 dilutions thereof, are administered IV, once every two
days. Five days after infection, mice are euthanized with CO.sub.2.
Kidneys are excised, weighed, and homogenized in 0.5% Triton X-100.
Staphylococci are counted by dilution and colony formation. All
experiments used staphylococcal strains that are subjected to
animal passage and isolated from the kidneys of infected mice.
[0196] The skin abscess experiments are performed as follows: S.
aureus strains are grown to the stationary phase in BHI medium (15
h) and then harvested by centrifugation and Washed twice in
phosphate-buffered saline (PBS). The cell concentrations are
adjusted to 5.times.10.sup.8 CFU ml.sup.-1, and then 200 .mu.l
portions of a cell suspension are injected subcutaneously into
female 6-to 8-week-old BALB/c mice. An ointment comprising
10.sup.12 drug conjugated phages as described above is placed onto
the lesion. After 7 clays the mice are euthanized with CO.sub.2,
and skin lesions are aseptically removed and stored frozen in
liquid nitrogen. The lesions are weighed, chopped, and homogenized
in a mini-blender in 2.5 ml of ice-cold PBS. After 1 h of
incubation on ice, the lesions are homogenized again before serial
dilution of the suspension, and the total number of bacteria is
counted by growth on BHI agar.
[0197] The tumor-associated antigen MUC1 is a unique membrane-bound
mucin antigen containing a cytoplasmic, transmembrane and an
extracellular domain. MUC1 has received considerable interest as a
tumor associated antigen target for several immunotherapeutic
modalities. Recently, the inventors cloned and humanized the potent
Muc1-specific mAb H23 in the form of a recombinant scFv (Mazor et
al., 2005). H23-expressing phages are produced and linked to the
drug hygromycin as described above. These targeted drug-carrying
phages are evaluated using cultured Muc1-expressing, transformed
cell lines (MDA-MB231 and T47D) and tumor xenografts of the same
cell lines in nude mice as described below.
[0198] IL2R.alpha. (Tac) overexpression is a hallmark of
hematological malignancies and is used as a target molecule for
targeted immunotherapy. Anti-Tac IgG (Benhar et al., 2000) are used
as targetors with the ZZ domain-displaying phages of the invention.
In other experiments, anti-Tac scFv derivatives (Benhar et al.,
2000) displaying phages are generated as described above, and
peptide-displaying anti-Tac phages are isolated. These phages are
conjugated to the drug hygromycin as described above.
Tac-expressing ATAC4 cells and tumor xenografts of these cells in
nude mice (Reiter et al., 1994; Lev et al., 2002) are used to
examine these targeted drug-carrying phages.
[0199] These experiments are performed as follows: To establish
tumor xenografts, female BALB/c athymic nude mice (6-8 weeks old,
.about.20 g) 3-5 mice per group are injected sub-cutaneously with
1.5.times.10.sup.6 ATAC-4 cells (for the anti-Tac model) or T47D
cells (for the H23 model) suspended in 0.2 ml PBS. By day 4-9 post
injection, after tumors of about 30-40 mm.sup.3 have formed, mice
are treated every other day by i.v. injections of different doses
of drug-carrying phages diluted in PBS (starting with 10.sup.12
phages as the maximal dose, 3-5 doses are given). Tumors are
measured with a caliper at 3-day intervals, and the tumor volumes
are calculated according to the formula:
volume=(length).times.(width).sup.2.times.(0.4). Animals are
sacrificed when tumors reach 2 cm in diameter or when animals
appeared to be in distress.
[0200] Pharmacokinetics and biodistribution studies are carried out
in mice essentially as described (Yip et al., 1999; Zou et al.,
2004) with the exception that tumor-bearing mice are examined as
well. This is done as follows: mice are injected in the tail vein
with 1.5.times.10.sup.10 TU phages, either conjugated or
non-conjugated to the drug in a total volume of 150 .mu.l in PBS.
The phage are allowed to circulate in the mice for 5, 15, 30, 60
min and 24, 48, and 72 h. The mice are then sacrificed by cervical
dislocation. Blood is collected and the mice are perfused with 90
ml of sterile PBS prior to organ and tissue retrieval. The organs
and tissue are removed, weighed, and stored at -80.degree. C. A
portion of the tissue is formalin fixed. The distribution of the
phage in the organs and tissues is determined after chopping the
frozen tissue with a razor blade followed by douncing in a 2 ml
Kontes dounce homogenizer in 500 .mu.l of Dulbecco's Modified
Eagles Medium+protease inhibitor+0.25% BSA (DMPB). The tissues are
washed three times with 1 ml DMPB. The final tissue pellet is
weighed and 500 .mu.l of DMPB containing 0.25%
3-[(3-cholamidopropyl)-dimethylammonio]-1-propanesulfonate (CHAPS)
is added to facilitate phage extraction.
[0201] The samples are placed on a rotator at 4.degree. C. for 1 h.
These mixtures are used to infect E. coli cells concurrently with
appropriate controls to account for variability in phage
infectivity. The amount of infectious phage particles in the blood
is determined by incubating 50 .mu.l of blood with 500 .mu.l DMPB
containing 0.25% CHAPS, rotating at 4.degree. C. for 1 h, prior to
infecting the E. coli.
[0202] The foregoing description of the specific embodiments will
so fully reveal the general nature of the invention that others
can, by applying current knowledge, readily modify and/or adapt for
various applications such specific embodiments without undue
experimentation and without departing from the generic concept,
and, therefore, such adaptations and modifications should and are
intended to be comprehended within the meaning and range of
equivalents of the disclosed embodiments. Although the invention
has been described in conjunction with specific embodiments
thereof, it is evident that many alternatives, modifications and
variations will be apparent to those skilled in the art.
Accordingly, it is intended to embrace all such alternatives,
modifications and variations that fall within the spirit and broad
scope of the appended claims.
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Sequence CWU 1
1
131525PRTArtificial SequenceSynthetic 1Met Val Asp Asn Lys Phe Asn
Lys Glu Gln Gln Asn Ala Phe Tyr Glu1 5 10 15Ile Leu His Leu Pro Asn
Leu Asn Glu Glu Gln Arg Asn Ala Phe Ile 20 25 30Gln Ser Leu Lys Asp
Asp Pro Ser Gln Ser Ala Asn Leu Leu Ala Glu 35 40 45Ala Lys Lys Leu
Asn Asp Ala Gln Ala Pro Lys Val Asp Asn Lys Phe 50 55 60Asn Lys Glu
Gln Gln Asn Ala Phe Tyr Glu Ile Leu His Leu Pro Asn65 70 75 80Leu
Asn Glu Glu Gln Arg Asn Ala Phe Ile Gln Ser Leu Lys Asp Asp 85 90
95Pro Ser Gln Ser Ala Asn Leu Leu Ala Glu Ala Lys Lys Leu Asn Asp
100 105 110Ala Gln Ala Pro Lys Ala Ala Ala Glu Thr Val Glu Ser Cys
Leu Ala 115 120 125Lys Pro His Thr Glu Asn Ser Phe Thr Asn Val Trp
Lys Asp Asp Lys 130 135 140Thr Leu Asp Arg Tyr Ala Asn Tyr Glu Gly
Cys Leu Trp Asn Ala Thr145 150 155 160Gly Val Val Val Cys Thr Gly
Asp Glu Thr Gln Cys Tyr Gly Thr Trp 165 170 175Val Pro Ile Gly Leu
Ala Ile Pro Glu Asn Glu Gly Gly Gly Ser Glu 180 185 190Gly Gly Gly
Ser Glu Gly Gly Gly Ser Glu Gly Gly Gly Thr Lys Pro 195 200 205Pro
Glu Tyr Gly Asp Thr Pro Ile Pro Gly Tyr Thr Tyr Ile Asn Pro 210 215
220Leu Asp Gly Thr Tyr Pro Pro Gly Thr Glu Gln Asn Pro Ala Asn
Pro225 230 235 240Asn Pro Ser Leu Glu Glu Ser Gln Pro Leu Asn Thr
Phe Met Phe Gln 245 250 255Asn Asn Arg Phe Arg Asn Arg Gln Gly Ala
Leu Thr Val Tyr Thr Gly 260 265 270Thr Val Thr Gln Gly Thr Asp Pro
Val Lys Thr Tyr Tyr Gln Tyr Thr 275 280 285Pro Val Ser Ser Lys Ala
Met Tyr Asp Ala Tyr Trp Asn Gly Lys Phe 290 295 300Arg Asp Cys Ala
Phe His Ser Gly Phe Asn Glu Asp Pro Phe Val Cys305 310 315 320Glu
Tyr Gln Gly Gln Ser Ser Asp Leu Pro Gln Pro Pro Val Asn Ala 325 330
335Gly Gly Gly Ser Gly Gly Gly Ser Gly Gly Gly Ser Glu Gly Gly Gly
340 345 350Ser Glu Gly Gly Gly Ser Glu Gly Gly Gly Ser Glu Gly Gly
Gly Ser 355 360 365Gly Gly Gly Ser Gly Ser Gly Asp Phe Asp Tyr Glu
Lys Met Ala Asn 370 375 380Ala Asn Lys Gly Ala Met Thr Glu Asn Ala
Asp Glu Asn Ala Leu Gln385 390 395 400Ser Asp Ala Lys Gly Lys Leu
Asp Ser Val Ala Thr Asp Tyr Gly Ala 405 410 415Ala Ile Asp Gly Phe
Ile Gly Asp Val Ser Gly Leu Ala Asn Gly Asn 420 425 430Gly Ala Thr
Gly Asp Phe Ala Gly Ser Asn Ser Gln Met Ala Gln Val 435 440 445Gly
Asp Gly Asp Asn Ser Pro Leu Met Asn Asn Phe Arg Gln Tyr Leu 450 455
460Pro Ser Leu Pro Gln Ser Val Glu Cys Arg Pro Tyr Val Phe Gly
Ala465 470 475 480Gly Lys Pro Tyr Glu Phe Ser Ile Asp Cys Asp Lys
Ile Asn Leu Phe 485 490 495Arg Gly Val Phe Ala Phe Leu Leu Tyr Val
Ala Thr Phe Met Tyr Val 500 505 510Phe Ser Thr Phe Ala Asn Ile Leu
Arg Asn Lys Glu Ser 515 520 52521578DNAArtificial SequenceSynthetic
2atggtagaca acaaattcaa caaagaacaa caaaacgcgt tctatgagat cttacattta
60cctaacttaa acgaagaaca acgaaacgcc ttcatccaaa gtttaaaaga tgacccaagc
120caaagcgcta accttttagc agaagctaaa aagctaaatg atgctcaggc
gccgaaagta 180gacaacaaat tcaacaaaga acaacaaaac gcgttctatg
agatcttaca tttacctaac 240ttaaacgaag aacaacgaaa cgccttcatc
caaagtttaa aagatgaccc aagccaaagc 300gctaaccttt tagcagaagc
taaaaagcta aatgatgctc aggcgccgaa agcggccgca 360gaaactgttg
aaagttgttt agcaaaacct catacagaaa attcatttac taacgtctgg
420aaagacgaca aaactttaga tcgttacgct aactatgagg gctgtctgtg
gaatgctaca 480ggcgttgtgg tttgtactgg tgacgaaact cagtgttacg
gtacatgggt tcctattggg 540cttgctatcc ctgaaaatga gggtggtggc
tctgagggtg gcggttctga gggtggcggt 600tctgagggtg gcggtactaa
acctcctgag tacggtgata cacctattcc gggctatact 660tatatcaacc
ctctcgacgg cacttatccg cctggtactg agcaaaaccc cgctaatcct
720aatccttctc ttgaggagtc tcagcctctt aatactttca tgtttcagaa
taataggttc 780cgaaataggc agggtgcatt aactgtttat acgggcactg
ttactcaagg cactgacccc 840gttaaaactt attaccagta cactcctgta
tcatcaaaag ccatgtatga cgcttactgg 900aacggtaaat tcagagactg
cgctttccat tctggcttta atgaggatcc attcgtttgt 960gaatatcaag
gccaatcgtc tgacctgcct caacctcctg tcaatgctgg cggcggctct
1020ggtggtggtt ctggtggcgg ctctgagggt ggcggctctg agggtggcgg
ttctgagggt 1080ggcggctctg agggtggcgg ttccggtggc ggctccggtt
ccggtgattt tgattatgaa 1140aaaatggcaa acgctaataa gggggctatg
accgaaaatg ccgatgaaaa cgcgctacag 1200tctgacgcta aaggcaaact
tgattctgtc gctactgatt acggtgctgc tatcgatggt 1260ttcattggtg
acgtttccgg ccttgctaat ggtaatggtg ctactggtga ttttgctggc
1320tctaattccc aaatggctca agtcggtgac ggtgataatt cacctttaat
gaataatttc 1380cgtcaatatt taccttcttt gcctcagtcg gttgaatgtc
gcccttatgt ctttggcgct 1440ggtaaaccat atgaattttc tattgattgt
gacaaaataa acttattccg tggtgtcttt 1500gcgtttcttt tatatgttgc
cacctttatg tatgtatttt cgacgtttgc taacatactg 1560cgtaataagg agtcttaa
15783117PRTArtificial SequenceSynthetic 3Met Val Asp Asn Lys Phe
Asn Lys Glu Gln Gln Asn Ala Phe Tyr Glu1 5 10 15Ile Leu His Leu Pro
Asn Leu Asn Glu Glu Gln Arg Asn Ala Phe Ile 20 25 30Gln Ser Leu Lys
Asp Asp Pro Ser Gln Ser Ala Asn Leu Leu Ala Glu 35 40 45Ala Lys Lys
Leu Asn Asp Ala Gln Ala Pro Lys Val Asp Asn Lys Phe 50 55 60Asn Lys
Glu Gln Gln Asn Ala Phe Tyr Glu Ile Leu His Leu Pro Asn65 70 75
80Leu Asn Glu Glu Gln Arg Asn Ala Phe Ile Gln Ser Leu Lys Asp Asp
85 90 95Pro Ser Gln Ser Ala Asn Leu Leu Ala Glu Ala Lys Lys Leu Asn
Asp 100 105 110Ala Gln Ala Pro Lys 1154351DNAArtificial
SequenceSynthetic 4atggtagaca acaaattcaa caaagaacaa caaaacgcgt
tctatgagat cttacattta 60cctaacttaa acgaagaaca acgaaacgcc ttcatccaaa
gtttaaaaga tgacccaagc 120caaagcgcta accttttagc agaagctaaa
aagctaaatg atgctcaggc gccgaaagta 180gacaacaaat tcaacaaaga
acaacaaaac gcgttctatg agatcttaca tttacctaac 240ttaaacgaag
aacaacgaaa cgccttcatc caaagtttaa aagatgaccc aagccaaagc
300gctaaccttt tagcagaagc taaaaagcta aatgatgctc aggcgccgaa a
351513PRTArtificial SequenceSynthetic 5Gln Arg Gly Pro Asp Thr Arg
Pro Val Ile Ala Ala Gly1 5 10612PRTArtificial SequenceSynthetic
6Ser Pro Gly His Tyr Trp Asp Thr Lys Leu Val Asp1 5
10712PRTArtificial SequenceSynthetic 7Thr Tyr Phe Pro Thr Met Gly
Thr Ser Phe Lys Ile1 5 10812PRTArtificial SequenceSynthetic 8Thr
Phe Leu Arg Gly Pro Ser Ser Pro Leu Val Ser1 5 10912PRTArtificial
SequenceSynthetic 9Val His Met Val Ala Gly Pro Gly Arg Glu Pro Thr1
5 101033DNAArtificial SequenceSynthetic 10ccgcttccat ggtagacaac
aaattcaaca aag 331139DNAArtificial SequenceSynthetic 11gggtttagcg
gccgctttcg gcgcctgagc atcatttag 391236DNAArtificial
SequenceSynthetic 12aatttcggcc gacgtggcca tggcccaggt caaact
361321DNAArtificial SequenceSynthetic 13tattcacaaa cgaatggatc c
21
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References