U.S. patent application number 14/556890 was filed with the patent office on 2015-10-29 for tumor-specific delivery of therapeutic agents via liposomase/us.
The applicant listed for this patent is The Johns Hopkins University. Invention is credited to Ian Cheong, Kenneth W. Kinzler, Bert Vogelstein, Shibin Zhou.
Application Number | 20150306184 14/556890 |
Document ID | / |
Family ID | 38834068 |
Filed Date | 2015-10-29 |
United States Patent
Application |
20150306184 |
Kind Code |
A1 |
Cheong; Ian ; et
al. |
October 29, 2015 |
Tumor-Specific Delivery of Therapeutic Agents via Liposomase/US
Abstract
Clostridium novyi is an obligate anaerobe that can infect
hypoxic regions within experimental tumors. We found that mice
bearing large, established tumors were often cured when treated
with C. novyi plus a single dose of liposomal doxorubicin. The
secreted factor responsible for this phenomenon was identified and,
surprisingly, proved to be a member of the lipase family. The gene
encoding this protein, called liposomase, has the potential to be
incorporated into diverse therapeutic methods to deliver
specifically a variety of chemotherapeutic agents to tumors.
Inventors: |
Cheong; Ian; (Singapore,
SG) ; Zhou; Shibin; (Owings Mills, MD) ;
Kinzler; Kenneth W.; (Baltimore, MD) ; Vogelstein;
Bert; (Baltimore, MD) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
The Johns Hopkins University |
Baltimore |
MD |
US |
|
|
Family ID: |
38834068 |
Appl. No.: |
14/556890 |
Filed: |
December 1, 2014 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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13963387 |
Aug 9, 2013 |
8901100 |
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14556890 |
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13692064 |
Dec 3, 2012 |
8568708 |
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13963387 |
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12304178 |
Aug 20, 2009 |
8444963 |
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PCT/US2007/014274 |
Jun 19, 2007 |
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13692064 |
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60814546 |
Jun 19, 2006 |
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Current U.S.
Class: |
424/450 ;
424/130.1; 424/94.6 |
Current CPC
Class: |
A61K 31/4745 20130101;
A61K 47/64 20170801; A61K 9/1278 20130101; A61K 31/4745 20130101;
A61K 31/713 20130101; A61K 31/4545 20130101; C12Y 301/01003
20130101; A61K 38/465 20130101; A61K 9/1271 20130101; A61P 43/00
20180101; A61K 35/742 20130101; A61K 31/704 20130101; C12N 9/20
20130101; A61P 35/00 20180101; A61K 31/704 20130101; A61K 2300/00
20130101; A61K 2300/00 20130101; A61K 2300/00 20130101; A61K 35/742
20130101; A61K 39/39558 20130101 |
International
Class: |
A61K 38/46 20060101
A61K038/46; A61K 9/127 20060101 A61K009/127; A61K 31/713 20060101
A61K031/713; A61K 31/704 20060101 A61K031/704; A61K 39/395 20060101
A61K039/395; A61K 31/4745 20060101 A61K031/4745 |
Goverment Interests
[0001] The U.S. Government retains certain rights in the invention
according to the provisions of a grant from the NIH, CA 62924.
Claims
1-54. (canceled)
55. A kit comprising: a Clostridium novyi liposomase according to
SEQ ID NO: 1 with a substitution mutation in the GXSXG lipase motif
at residues 160-164; and a liposome comprising an anti-tumor drug
or biological agent.
56. The kit of claim 55 wherein the anti-tumor drug or biological
agent is doxorubicin.
57. The kit of claim 55 wherein the anti-tumor drug or biological
agent is irinotecan.
58. The kit of claim 55 wherein the anti-tumor drug or biological
agent is an antibody.
59. The kit of claim 55 wherein the anti-tumor drug or biological
agent is a polynucleotide.
60. The kit of claim 55 wherein the anti-tumor drug or biological
agent is a polynucleotide in a viral vector.
61. The kit of claim 55 wherein the anti-tumor drug or biological
agent is a polynucleotide in a non-viral vector.
62. A method of treating a tumor bearing mammal, comprising:
administering to the tumor bearing mammal a first agent which is a
Clostridium novyi liposomase according to SEQ ID NO: 1 with a
substitution mutation in the GXSXG lipase motif at residues 160-164
and a second agent which is a liposome comprising an anti-tumor
drug or biological agent, whereby the tumor regresses or its growth
is slowed or arrested.
63. The method of claim 62 wherein the first agent and the second
agent are administered sequentially.
64. The method of claim 62 wherein the first agent and the second
agent are administered simultaneously.
65. The method of claim 62 wherein the anti-tumor drug or
biological agent is doxorubicin.
66. The method of claim 62 wherein the anti-tumor drug or
biological agent is irinotecan.
67. The method of claim 62 wherein the anti-tumor drug or
biological agent is an antibody.
68. The method of claim 62 wherein the anti-tumor drug or
biological agent is a polynucleotide.
69. The method of claim 62 wherein the anti-tumor drug or
biological agent is a polynucleotide in a viral vector.
70. The method of claim 62 wherein the anti-tumor drug or
biological agent is a polynucleotide in a non-viral vector.
71. The method of claim 62 wherein the administration is
intratumoral.
72. The method of claim 62 wherein the tumor bearing mammal is a
human.
73. The method of claim 62 wherein the tumor bearing mammal is a
pet.
74. The method of claim 62 wherein the tumor bearing mammal is an
agricultural animal.
75. The method of claim 62 wherein the tumor bearing mammal is a
laboratory animal.
76. The method of claim 73 wherein the pet is a dog.
77. A composition comprising an isolated and purified Clostridium
novyi liposomase protein according to SEQ ID NO: 1 with a
substitution mutation in the GXSXG lipase motif at residues
160-164.
Description
TECHNICAL FIELD OF THE INVENTION
[0002] This invention is related to the area of oncology. In
particular, it relates to treatment of tumors which enhance the
selective toxicity of anti-cancer agents.
BACKGROUND OF THE INVENTION
[0003] There is no dearth of drugs that can kill cancer cells. The
challenge is achieving specificity, i.e., killing the cancer cells
while sparing the normal cells. There are three basic strategies
now used to accomplish this specificity. One (selective toxicity)
employs drugs that have more potent growth-inhibitory effects on
tumor cells than on normal cells (1, 2) This strategy underlies the
success of conventional chemotherapeutic agents as well as those of
newer targeted therapies such as imatinib. The second strategy
(delivery) employs agents such as antibodies or genes that
specifically react with tumor cells or are predominantly expressed
within tumor cells, respectively (3, 4). The third strategy
(angiogenic) exploits abnormal aspects of tumor vasculature with
agents such as Avastin (5, 6) or drugs incorporated into liposomes
(7). Liposomes are relatively large particles that can penetrate
through the fenestrated endothelium present in tumors and a few
other organs (8, 9). Once they gain access to tumors, they persist
and eventually release their contents and raise local drug
concentrations through the enhanced permeabilization and retention
(EPR) effect (10). Though each of these strategies has proven
merit, the therapeutic results achieved are usually less than
desired. The problems arise, in part, because the achieved
specificity with any one of them is imperfect, limiting the amount
of drug that can be safely administered without causing systemic
toxicity.
[0004] There is a continuing need in the art to develop treatments
for cancers that are more effective and less toxic.
SUMMARY OF THE INVENTION
[0005] According to one embodiment of the invention a composition
is provided, useful for delivering therapeutic agents. The
composition comprises toxin-defective Clostridium novyi spores; and
a liposome comprising an anti-tumor drug or biological agent.
[0006] According to another embodiment of the invention another
composition is provided. The composition comprises a
toxin-defective Clostridium novyi liposomase according to SEQ ID
NO: 1 or according to SEQ ID NO: 1 with a substitution mutation in
the GXSXG lipase motif (residues 160-164 of SEQ ID NO: 1) and a
liposome comprising an anti-tumor drug or biological agent.
[0007] Another aspect of the invention is a kit. The kit comprises
a toxin-defective Clostridium novyi liposomase according to SEQ ID
NO: 1 or according to SEQ ID NO: 1 with a substitution mutation in
the GXSXG lipase motif; and a liposome comprising an anti-tumor
drug or biological agent.
[0008] Still another aspect of the invention is a kit. The kit
comprises toxin-defective Clostridium novyi spores; and a liposome
comprising an anti-tumor drug or biological agent.
[0009] Yet another embodiment of the invention is a method of
treating a cancer patient. A first agent which is toxin-defective
Clostridium novyi spores and a second agent which is a liposome
comprising an anti-tumor drug or biological agent are administered
to the cancer patient. The tumor thereby regresses or its growth is
slowed or arrested.
[0010] An additional aspect of the invention is a method of
treating a cancer patient in which a first agent and a second agent
are administered to the cancer patient. The first agent is a
toxin-defective Clostridium novyi liposomase according to SEQ ID
NO: 1 or according to SEQ ID NO: 1 with a substitution mutation in
the GXSXG lipase motif, and the second agent is a liposome
comprising an anti-tumor drug or biological agent. The tumor
thereby regresses or its growth is slowed or arrested.
[0011] Also provided by the present invention is a method of
treating a cancer patient in which a first and a second agent are
administered to the cancer patient. The first agent is a vector
encoding toxin-defective Clostridium novyi liposomase according to
SEQ ID NO: 1 or according to SEQ ID NO: 1 with a substitution
mutation in the GXSXG lipase motif, and a second agent is a
liposome comprising an anti-tumor drug or biological agent. The
tumor thereby regresses or its growth is slowed or arrested.
[0012] The present invention also provides a composition comprising
an isolated and purified toxin-defective Clostridium novyi
liposomase protein according to SEQ ID NO: 1 or according to SEQ ID
NO: 1 with a substitution mutation in the GXSXG lipase motif.
[0013] The invention further provides a conjugate protein
comprising a toxin-defective Clostridium novyi liposomase protein
according to SEQ ID NO: 1 or according to SEQ ID NO: 1 with a
substitution mutation in the GXSXG lipase motif; and a polypeptide
ligand which binds to a receptor on a tumor cell. A polynucleotide
which encodes the conjugate protein is also provided.
[0014] The invention still further provides a composition
comprising an isolated and purified polynucleotide encoding a
toxin-defective Clostridium novyi liposomase protein according to
SEQ ID NO: 1 or according to SEQ ID NO: 1 with a substitution
mutation in the GXSXG lipase motif.
[0015] These and other embodiments which will be apparent to those
of skill in the art upon reading the specification provide the art
with a set of tools for treating cancers that can have widespread
applicability across a range of tumors and a range of therapeutic
agents.
BRIEF DESCRIPTION OF THE DRAWINGS
[0016] FIG. 1A-1D. Effects of treatment with C. novyi-NT plus
Doxil. Mice bearing the indicated tumors were treated on day 0 with
various combinations of the indicated agents. Free doxorubicin plus
C. novyi-NT spores resulted in deaths of all animals within two
weeks and is not shown. Means and standard errors of data collected
from at least five mice per group are illustrated. The differences
between C. novyi-NT plus Doxil and the other groups were
significant (p<0.0006, log-rank test). FIGS. 1A and 1B show
effect on CT26 tumors. FIGS. 1C and 1D show effect on HT116 tumors.
FIGS. 1A and 1C show tumor volume and FIGS. 1B and 1D show percent
survival.
[0017] FIG. 2A-2B. Pharmacokinetic distribution of Doxil after
treatment with C. novyi-NT. (FIG. 2A) At 0 hours, Doxil was
administered to athymic nude mice bearing tumors of .about.300
mm.sup.3 in size. Another group of mice was intravenously injected
with C. novyi-NT spores 16 hours prior to Doxil. Mice were
sacrificed at the indicated time points and doxorubicin extracted
from tissues and measured by fluorometry. Means and standard
deviations from three mice per time point are shown. (FIG. 2B)
Tumors were snap-frozen 16 hr after injection with Doxil and
cryostat sections from the central regions examined using a
fluorescence microscope. The fluorescence signal from doxorubicin
in liposomes is quenched (see Supplementary Materials and Methods),
while released doxorubicin emits fluorescence at 590 nm.
Colocalization of the doxorubicin fluorescence and nuclear DNA,
stained with DAPI, is observed in the tumors treated with C.
novyi-NT spores.
[0018] FIG. 3A-3C. Biochemical purification and Identification of
Liposome-Disrupting activity. (FIG. 3A) C. novyi-NT was grown in
medium until late log phase and the medium cleared of cells through
centrifugation. Following precipitation with 40% saturated ammonium
sulfate, ion exchange chromatography was performed and fractions
evaluated for liposome-disrupting activity. (FIG. 3B) The peak
fractions (30-31) from (FIG. 3A) were pooled and fractionated by
gel filtration chromatography. (FIG. 3C) The peak fractions (29-30)
from (FIG. 3B) were fractionated by SDS-polyacrylamide gel
electrophoresis.
[0019] FIG. 4A-4D. Functional analysis of liposomase. Plasmids
carrying the wt or mutant forms of the NT01CX2047 gene were
introduced into E. coli. "Cured" bacteria represent those
originally containing the wt gene and grown in the absence of
selective antibiotics until the plasmid was lost. Cellular lysates
from three independent clones of each bacterial strain were
generated after induction of expression by IPTG and used for the
following: (FIG. 4A) Western blotting with an antibody to
oligohistidine confirmed the presence of similar amounts of wt and
mutant proteins in the bacteria. (FIG. 4B) Lipase activity was
analyzed using the fluorescent lipase substrate,
1,2-dioleoyl-3-pyrenedecanoyl-rac-glycerol. (FIG. 4C)
Liposome-disrupting activity was assessed using Doxil. (FIG. 4D)
Liposome-disrupting activity of lipases purified from ten different
organisms were assessed using Doxil. Means and standard deviations
of data from at least two independent experiments are shown in
(FIG. 4B) to (FIG. 4D).
[0020] FIG. 5A-5D. Effects of treatment with C. novyi-NT plus
liposomal CPT-11. Mice bearing the indicated tumors (FIG. 5A-5B:
CT26; FIG. 5C-5D: HCT116) were treated on day 0 with various
combinations of the indicated agents. FIGS. 5A and 5C show tumor
volume as a function of time. FIGS. 5B and 5D show survival as a
function of time. Means and standard errors of data calculated from
at least five mice per group are shown. The differences between C.
novyi-NT plus Doxil and the other groups were significant
(p<0.0003, log-rank test).
[0021] FIG. 6A-6B. Liposome-disrupting activity. (FIG. 6A) Time
course of doxorubicin release from Doxil in the presence of growth
medium from C. novyi-NT cultures ("conditioned medium"). C.
novyi-NT was grown until late log phase and the medium cleared of
cells via centrifugation. Significant liposome-disrupting activity
was noted (red symbols) while no increase in fluorescence was
observed in the indicated controls. (FIG. 6B) Liposome-disrupting
activity as a function of growth time in culture. C. novyi-NT
spores were inoculated in growth medium and harvested at various
times thereafter. Following clearance of bacterial cells,
liposome-disrupting activity was measured in the supernatant and
correlated with absorbance at 600 nm. Means and standard deviations
of data from at least two independent assays of liposome-disrupting
activity are shown. Standard deviations are not visible when the
bars representing them are smaller than the symbol of the
corresponding data point.
DETAILED DESCRIPTION OF THE INVENTION
[0022] The inventors have developed methods for treating tumors.
The methods enhance the tumor specificity of treatments, thereby
reducing systemic toxicities. Using a combination of a protein made
by C. novyi-NT and liposome encapsulated drugs or biological
agents, the efficacy of tumor elimination is greatly increased. The
protein, while having lipase enzymatic activity appears to function
non-enzymatically as a liposome disrupter. The lipase enzyme
activity is not necessary for the liposome disrupting activity.
Thus both wild-type and lipase-negative mutants can be used for
this function. Moreover, the liposome-disrupting function can be
delivered by the protein as elaborated in situ by live C. novyi-NT,
or by a cell-free preparation of the protein itself. Furthermore,
the protein can be delivered as part of a conjugate or fusion
protein which provides additional desirable functionality to the
liposomase protein.
[0023] One of the potential advantages of the approach described
here is that it is generally applicable to any chemotherapeutic
drug or biological agent that can be encapsulated in a liposome.
These include drugs of the following categories as examples:
topoisomerase inhibitors, DNA synthesis inhibitors, cell division
inhibitors, angiogenesis inhibitors, and microtubule inhibitors.
Antibodies and antibody conjugates, such as rituxan, herceptin and
erbitux, can also be encapsulated in a liposome. Further, cytokines
and other bioactive proteins which may enhance the patient's
endogenous tumor-fighting systems may be used. Such cytokines can
include, without limitation: IL-2 and interferon-alfa 2b and
GM-CSF. Particular drugs, cytokines, and antibodies which can be
used without limitation include: abarelix; aldesleukin;
Alemtuzumab; alitretinoin; allopurinol; altretamine; amifostine;
anakinra; anastrozole; arsenic trioxide; asparaginase; azacitidine;
BCG Live; bevacizumab; bexarotene capsules; bexarotene gel;
bleomycin; bortezombi; bortezomib; busulfan; calusterone;
capecitabine; carboplatin; carmustine; celecoxib; cetuximab;
chlorambucil; cisplatin; cladribine; clofarabine; cyclophosphamide;
cytarabine; dacarbazine; dactinomycin, actinomycin D; dalteparin
sodium; darbepoetin alfa; dasatinib; daunorubicin; daunomycin;
decitabine; denileukin; Denileukin diftitox; dexrazoxane;
dexrazoxane; docetaxel; doxorubicin; dromostanolone propionate;
eculizumab; Elliott's B Solution; epirubicin; epirubicin hcl;
epoetin alfa; erlotinib; erlotinib; estramustine; etoposide
phosphate; etoposide, VP-16; exemestane; fentanyl citrate;
Filgrastim; floxuridine; fludarabine; fluorouracil, 5-FU;
fulvestrant; gefitinib; gemcitabine; gemcitabine hcl; gemicitabine;
gemtuzumab ozogamicin; goserelin acetate; histrelin acetate;
hydroxyurea; Ibritumomab Tiuxetan; idarubicin; ifosfamide; imatinib
mesylate; Interferon alfa-2a; Interferon alfa-2b; irinotecan;
lapatinib ditosylate; lenalidomide; letrozole; leucovorin;
leucovorin; leucovorin; leucovorin; Leuprolide Acetate; levamisole;
lomustine, CCNU; meclorethamine, nitrogen mustard; megestrol
acetate; melphalan, L-PAM; mercaptopurine, 6-MP; mesna;
methotrexate; methoxsalen; mitomycin C; mitotane; mitoxantrone;
nandrolone phenpropionate; nelarabine; Nofetumomab; Oprelvekin;
oprelvekin; oxaliplatin; paclitaxel; paclitaxel protein-bound
particles; palifermin; pamidronate; panitumumab; pegademase;
pegaspargase; Pegfilgrastim; Peginterferon alfa-2b; pemetrexed
disodium; pentostatin; pipobroman; plicamycin, mithramycin;
porfimer sodium; procarbazine; quinacrine; Rasburicase; Rituximab;
sargramostim; sorafenib; streptozocin; sunitinib; sunitinib
maleate; talc; tamoxifen; temozolomide; teniposide, VM-26;
testolactone; thalidomide; thioguanine, 6-TG; thiotepa; topotecan;
topotecan hcl; toremifene; Tositumomab; Tositumomab/I-131
tositumomab; trastuzumab; tretinoin, ATRA; Uracil Mustard;
valrubicin; vinblastine; vincristine; vinorelbine; vorinostat;
zoledronate; and zoledronic acid.
[0024] The gene encoding the liposomase has a sequence as shown in
accession no. CP000382 of GenBank (SEQ ID NO: 2). The protein has a
sequence as shown in accession no. ABK60711 (SEQ ID NO: 1). The
first 35 amino acids are predicted to be cleaved as a signal
sequence. Mutants having amino acid substitutions in the
highly-conserved GXSXG lipase motif (residues 160-164 of SEQ ID NO:
1) also retain liposomase activity and can be used. For example,
the S127G mutant (mutation at serine 162 in SEQ ID NO: 1) can be
used to provide liposomase activity. Other lipase-defective mutants
can be used as well. Other substitutions of Serine-127 (residue 162
in SEQ ID NO: 1) can be with amino acids A, C, D, E, F, G, H, I, K,
L, M, N, P, Q, R, T, V, W, or Y.
[0025] Compositions according to the invention can be made before
or after administration to a human or other mammal. Thus,
components of the compositions can be administered separately or
mixed. If separately, the components can be administered in any
order. The components may form the composition when they are within
a patient or other mammal. The components of the compositions can
be packaged together or separately in a kit. Thus multiple vessels
or containers within a single package may be provided to an
end-user. The end user may administer the components separately or
mixed, at one time or at more then one time.
[0026] Kits comprising the useful components for practicing the
anti-tumor methods of the present invention can be packaged in a
divided or undivided container, such as a carton, bottle, ampule,
tube, etc. The spores, liposomase, and anti-tumor agents can be
packaged in, e.g., dried, lyophilized, or liquid form. Additional
components provided can include vehicles for reconsititution of
dried components. Preferably all such vehicles are sterile and
apyrogenic so that they are suitable for injection into a mammal
without causing adverse reactions. The anti-tumor agents other than
the spores are also preferably sterile. The spores are preferably
microbiologically pure, i.e., containing no other bacteria other
than the desired spore-forming anaerobe.
[0027] Methods for making liposomes are well known in the art. See
for example, Mozafari, Cell Mol Biol Lett. 2005; 10(4):711-9;
Andresen et al., Prog Lipid Res. 2005 January; 44(1):68-97; Jensen
et al., Mol Cancer Ther. 2004 November; 3(11):1451-8; Pupo et al.,
J Control Release. 2005 May 18; 104(2):379-96p; Brandl, Biotechnol
Annu Rev. 2001; 7:59-85. Any technique known in the art for making
liposomes may be used.
[0028] C. novyi spores can be prepared as is known in the art.
Preferably the spores will be from a toxin-defective strain. See
for example, U.S. Patent Application 20050079157, the contents of
which are expressly incorporated herein. Toxin can be eliminated by
a process of curing of a bacteriophage or plasmid. A C. novyi
useful as a starting material (ATCC 19402) can be obtained from the
American Type Culture Collection, 10801 University Boulevard,
Manassas, Va., 20110-2209.
[0029] While strains need not be totally non-toxigenic, it is
desirable that at least one of the toxin genes be mutated, deleted,
or otherwise inactivated to render the bacteria less harmful to the
host. If a toxin gene is episomal or on a phage, then curing of the
episome or phage can be used to eliminate the toxin gene.
Techniques are well known in the art for mutagenesis and screening
of mutants and for curing episomes.
[0030] Isolated and bacteriologically pure vegetative bacteria or
spores, according to the invention are those which are not
contaminated with other bacteria or spores. Microbiological
techniques for obtaining such pure cultures are will known in the
art. Typically single colonies are picked and spread upon an agar
nutrient medium, separating colonies so that new colonies arise
that are the progeny of single cells. This process is typically
repeated to ensure pure cultures. Alternatively, liquid cultures
can be serially diluted and plated for single colony formation.
Serial repetition is desirable to ensure colony formation from
single cells. See, e.g., J. H. Miller, Experiments in Molecular
Genetics, Cold Spring Harbor Laboratory, NY, 1972.
[0031] Spores, liposomase, liposomase conjugates, and nucleic acids
encoding liposomase or fusion proteins of it, can be administered
to a tumor-bearing mammal by any means which will afford access to
the tumor. Spores can be injected intravenously, intradermally,
subcutaneously, intramuscularly, intraperitoneally,
intratrumorally, intrathecally, surgically, etc. Preferred
techniques are intravenous and intratumoral injections. Tumor
bearing mammals can be, for example, humans, pets, such as dogs and
cats, agricultural animals such as cows, sheep, goats and pigs, and
laboratory animals, such as rats, hamsters, monkeys, mice, and
rabbits.
[0032] The present delivery system is useful for protein therapy or
gene therapy or a combination thereof. Thus the liposomase can be
provided as a protein or as a polynucleotide encoding lipsomase.
Similarly, the anti-tumor drug or biological agent may be a protein
or a polynucleotide, as well as a small chemical entity, for
example, not a biological polymer. Polynucleotides can be provided
in a viral or non-viral vector. Any vectors which are known in the
art can be used, without limitation. The vector constructs may
contain a tumor-specific promoter to enhance the specificity of the
treatment. Examples of such promoters are known in the art. CXCR4
promoter is tumor-specific in melanomas; Hexokinase type II
promoter is tumor-specific in lung cancer; TRPM4 (Transient
Receptor Potential-Melastatin 4) promoter is preferentially active
in prostate cancer. The anti-tumor drug may be one that directly or
indirectly affects the tumor. Thus, for example, it can be a
protein which stimulates the native immune response to the tumor.
Alternatively, it can be an antibody which mobilizes other immune
system components to destroy tumor cells. Still other agents may be
toxic to tumor cells. The choice of agent is well within the skill
of the artisan.
[0033] Conjugate proteins are post-translationally linked proteins;
they may be linked by chemical linking of two polypeptides,
directly or through an intermediate. Alternatively, the proteins
may be linked via co-translation of two coding regions within a
single open reading frame. Any means for joining two polypeptides
that are not linked in nature may be used. One type of conjugate
which can be used utilizes an antibody molecule or portion thereof
as a second protein. Thus, as an example, liposomase can be linked
to a variable region of an antibody thus providing the liposomase
with a means of targeting to a particular site in the body which
expresses the antigen to which the antibody binds. Linkers may be
used between portions of the conjugate proteins as desired.
[0034] Isolated and purified liposomase protein according to the
invention is a preparation in which the liposomase activity
comprises at least 10%, 25%, 40%, 55%, 70%, 85%, or 95% of the
protein in a composition. Isolated and purified liposomase-encoding
polynucleotide is one which is separated from other genes of the C.
novyi genome. Thus it is separated from the genome-adjacent
sequences encoding hypothetical proteins NT01CX.sub.-- 2046 and
NT01CX.sub.-- 2048. The complete genome of C. novyi-NT has been
determined and is available at NCBI as NC.sub.--008593. It is a
circular DNA of 2,5478,720 nt.
[0035] The methods and compositions of the present invention can be
applied to any tumor type. The principles upon which the invention
relies (such as the selective ability of liposomes to penetrate
through the fenestrated endothelium present in tumors and a few
other organs (8, 9), and the enhanced release of contents from a
liposome in the presence of liposomase,) apply to any tumor. Thus
the present invention can be used to treat tumors of the
gastrointestinal tract, such as stomach, intestine, colon, rectum,
esophagus, tumors of the kidney, breast, lung, liver, head and
neck, and brain.
[0036] The above disclosure generally describes the present
invention. All references disclosed herein are expressly
incorporated by reference. A more complete understanding can be
obtained by reference to the following specific examples which are
provided herein for purposes of illustration only, and are not
intended to limit the scope of the invention.
Example 1
Materials and Methods
[0037] Cell Lines.
[0038] HCT116 (CCL-247, human colorectal carcinoma) and CT26
(CRL-2638, murine colorectal adenocarcinoma) were purchased from
the American Type Culture Collection. Both lines were grown in
McCoy's 5A Medium (Invitrogen) supplemented with 5% FBS (Hyclone)
at 37.degree. C. in 5% CO.sub.2
[0039] Reagents.
[0040] Doxorubicin was purchased from Bedford Laboratories,
Bedford, Ohio. PEGylated liposomal doxorubicin (DOXIL.RTM.) was
purchased from Tibotec Therapeutics, Raritan, N.J. Chicken Egg
L-.alpha.-Phosphatidylcholine (EPC), Hydrogenated Chicken Egg
L-.alpha.-Phosphatidylcholine (HEPC),
1,2-Distearoyl-sn-Glycero-3-Phosphoethanolamine-N-[Methoxy(Polyethylene
glycol)-2000] (DSPE-PEG.sub.2000) and Cholesterol (Chol) were
purchased from Avanti Polar Lipids, Alabaster, Ala. Irinotecan HCl
(Camptosar) was purchased from Pharmacia & Upjohn Co.,
Kalamazoo, Mich. Calcimycin A23187 and Triolein were obtained from
Sigma (St. Louis, Mo.). 1,2-dioleoyl-3-pyrenedecanoyl-rac-glycerol
(DPG) was obtained from MarkerGene Technologies (Eugene, Oreg.). A
set of nine purified lipases were purchased from Fluka,
Switzerland. C. novyi-NT spores were prepared as previously
described (1).
[0041] Preparation of Liposomes.
[0042] A mixture of HEPC:Chol:DSPE-PEG.sub.2000 at a molar ratio of
50:45:5 was solubilized in chloroform and dried to a thin film
under rotary evaporation then further dried under vacuum for 2
hours. The film was hydrated with 300 mM MnSO.sub.4 and submerged
in a 65.degree. C. sonication bath Bransonic, Danbury, Conn.) to
form Large Multilamellar Vesicles (MLVs). This lipid suspension was
extruded 10 times through a double stack of 0.1 um Nuclepore
filters (Whatman, Florham Park, N.J.) using a Lipex Thermobarrel
Extruder (Northern Lipids, Vancouver, BC, Canada). The resulting
colloidal suspension of Single Unilamellar Vesicles (SUV) was
filter-sterilized then dialysed against 300 mM sucrose at 4.degree.
C. to exchange the external milieu of the liposomes. The mean size
of the SUVs was 100.2 nm (polydispersity index=0.129) as determined
by quasi-elastic light scattering using a Malvern Zetasizer 3000
(Malvern, Worcestershire, UK),
[0043] Liposomal CPT-11.
[0044] CPT-11 was actively loaded into liposomes using a MnSO.sub.4
pH gradient loading method (2-4). Irinotecan was mixed with
liposomes at a drug:lipid molar ratio of 1:3 and incubated at
65.degree. C. for 10 min. Calcimycin was then added at a ratio of 1
.mu.g Calcimycin:10 .mu.mol lipids and the suspension incubated at
65.degree. C. for 45 min. The drug-loaded liposomes were then
filter-sterilized and dialyzed against 300 mM sucrose at 4.degree.
C. to remove unencapsulated CPT-11. Dialysis was performed in the
dark to minimize photo-degradation of the drug. Encapsulation
efficiency was typically >99% as determined by disruption of
liposomes with 1-butanol and fluorometric measurement (excitation
at 390 nm, emission at 460 nm) using a fluorescence plate reader
(Fluostar Galaxy, BMG LabTech, GmbH). Concentrations were derived
by reference to a CPT-11 standard curve.
[0045] Animal Models.
[0046] All animal experiments were overseen and approved by the
Animal Welfare Committee of Johns Hopkins University and were in
compliance with University standards. Six- to 8-week old mice
purchased from Harlan Breeders, IN, were used for tumor
implantation studies. Balb/c mice were used to establish CT26
tumors and athymic nu/nu mice were used to establish HCT116
xenografts. A minimum of five animals were used for each
experimental arm. Five million tumor cells were injected
subcutaneously into the right flank of each mouse and allowed to
grow for .about.10 days before randomization and treatment. C.
novyi-NT spores were administered as a bolus tail vein injection of
300 million spores suspended in 0.2 ml phosphate buffered saline.
Free and liposomal drugs in the relevant arms were administered 16
hours later via the same route. The doses of Doxil, doxorubicin,
liposomal irinotecan and irinotecan were 10 mg/kg and 25 mg/kg,
respectively. Tumor volume was calculated as
length.times.width.times.0.5.
[0047] Pharmacokinetic Study.
[0048] HCT116 xenografts were established in athymic nu/nu mice and
treated as described above. Tissue samples were harvested at
various times after treatment, suspended in 70% ethanol, 0.3 N HCl
and homogenized (Ultra-Turrax.RTM. T25 Basic, IKA, NC) to extract
doxorubicin. Following centrifugation, doxorubicin fluorescence
(excitation at 470 nm, emission at 590 nm) in the supernatant was
measured with a fluorescence plate reader (FluoStar Galaxy, BMG
LabTech, GmbH). Concentrations were derived by reference to a
doxorubicin standard curve.
[0049] Liposome-Disruption Assay.
[0050] Samples were mixed with Doxil (100 .mu.l sample+5 .mu.l
Doxil in a 96-well plate or 50 .mu.l sample+2 .mu.l DOXIL in a
384-well plate). Increase in fluorescence caused by the dequenching
of released doxorubicin was kinetically measured over 30-60 minutes
using excitation at 470 nm and emission at 590 nm (5). All
measurements were performed at 37.degree. C. in a fluorescence
plate reader. A typical readout is shown in FIG. 51.
Liposome-disrupting activity was defined as the maximum slope of
the release curve.
[0051] Biochemical Purification.
[0052] C. novyi-NT spores were inoculated into 20 ml Bagadi Medium
(6) and incubated in an anaerobic chamber (Type A, Coy Labs, Grass
Lake, Mich.) at 37.degree. C. for .about.16 hr. One ml of this
starter culture was used to inoculate 100 ml Bagadi Medium that had
been pre-equilibrated in the anaerobic chamber. This culture was
grown to late log phase then centrifuged at 5,000 g to remove
bacteria. The supernatant was precipitated with 50% saturated
ammonium sulfate at 4.degree. C. for 1 hour, then centrifuged at
5,000 g. After discarding the supernatant, the pellet was
solubilized in TN buffer (100 mM Tris-HCl, pH 7.5, 0.1 M NaCl) and
filter-sterilized. All subsequent chromatography was performed on
an AKTA Purifier FPLC system (Amersham Biosciences, Piscataway,
N.J.). The filtered sample was loaded onto a mono Q 5/50 GL
(Amersham) column equilibrated in TN buffer. The proteins were
eluted with a linear gradient of ten column volumes formed from TN
buffer and 100 mM Tris-HCl 7.5, 1 M NaCl. The fractions collected
were assayed for doxorubicin releasing activity as described above.
The two most active fractions from the mono Q column were pooled
and loaded onto a HiLoad 16/60 Superdex 200 (Amersham) column
equilibrated in 100 mM Tris-HCl pH 7.5, 0.5 M NaCl. The column was
isocratically eluted with the same buffer over 1.5 column volumes.
The fractions were assayed for doxorubicin disrupting activity as
described above. Proteins in the two most active fractions were
separated by electrophoresis through an SDS-polyacrylamide gel and
silver-stained using the SilverSNAP Stain Kit II (Pierce, Rockford,
Ill.). The single dominant band (.apprxeq.45 kD) was excised for
analysis by LC/MS/MS.
[0053] LC/MS/MS Peptide Analysis. The excised protein band was
digested in-gel with trypsin, and analyzed as previously described
(7). In brief, purified tryptic fragments were injected onto a
150.times.0.3 mm Vydac reverse phase column at 10 .mu.L/min for 5
min in 5% buffer B using an Agilent 1100 Series Capillary-LC
system. Buffers A (0.1% acetic acid) and B (99.9% acetonitrile and
0.1% acetic acid) were employed in the liquid chromatography (LC)
step of the LC/MS/MS analysis. Peptides were eluted from the column
with a 10-65% buffer B gradient over 90 minutes at a rate of 2
.mu.L/min. Eluted peptides were detected by a LCQ DECA XP mass
spectrometer (Thermo, MA), equipped with an electrospray ionization
source, a low flow metal needle assembly operating in data
dependent mode. The method consisted of two scan events, a full
scan and a second data dependent MS/MS scan. The dynamic mass range
of the full scan was set at 300 to 3000 m/z. The resulting MS/MS
data dependent scan rejected known `contaminant` masses of 371.0,
391.0, 445.0, 462.0, 1221.89, 1321.9, 1421.9, 1521.8, 1521.9,
1621.9, 1721.9 and 1821.9 m/z. Other method settings included a
default charge state set to 4, dynamic exclusion with repeat count
set to 2, repeat duration 1 min, an exclusion list size of 25 and
exclusion duration 3 min. All other method parameters were default
values set by the Xcaliber software v.1.2 (Thermo, MA).
[0054] Cloning of Oligohistidine-Fusion Proteins.
[0055] The coding sequence of NT01CX2047, devoid of its N-terminal
secretion signal (as predicted by SignalP 3.0) was PCR-amplified
with Phusion Taq Polymerase (Finnzymes, Espoo, Finland) using
forward primer
5'-TGCACCACCACCACCACCACAAAGAAAATCAAAAAGTATCACAAAATAAT
TATCCTATAATACTTTGTCATGG (SEQ ID NO: 3) and reverse primer
5'-CTGACCGGTTTATTATTCAGTTACAGGAAGATTT CTAAGCATTTGAGCC (SEQ ID NO:
4). The (CAC).sub.6 sequence in the forward primer added six
histidine residues at the N-terminus of the encoded protein. This
PCR product was digested with Age I to create an insert with one
sticky end. The cloning vector pCR2.1/T7-GFP (Invitrogen, Carlsbad,
Calif.) was digested with Nde I, blunted with T4 DNA polymerase,
then digested with Age I to create a single sticky end. The vector
and insert were ligated to create pLip. The expected sequences of
the inserts were verified by DNA sequencing.
[0056] Cloning of S127G and S127X Variants.
[0057] The pLip plasmid was digested with SnaB I to excise a 45 bp
fragment containing the serine residue to be mutated. The
pLip(S127G) plasmid was generated by blunt-end ligating the
digested plasmid with a replacement 45 bp double-stranded
oligonucleotide of sequence 5'-GTAAAGTTCATTTAATAGGACACGGTCAA
GGTGGACAAACTATAC (SEQ ID NO: 5). The plasmid pLip(S127X) plasmid
was generated in the same fashion using the double-stranded
oligonucleotide 5'-GTAAAGTTCATTTAATAGGACA CTAATAAGGTGGACAAACTATAC
(SEQ ID NO: 6). The targeted alterations (underlined above) and
orientation of the inserts were verified by DNA sequencing.
[0058] Protein Expression.
[0059] The expression vectors described above were transformed by
heat shock into the Rosetta-gami(DE3)pLysS strain of E. coli
(Novagen, Madison, Wis.). Three clones per expression construct
were picked and each was cultured in 20 ml HyperBroth (AthenaES,
Baltimore, Md.) under antibiotic selection (100 .mu.g/m1
ampicillin+34 .mu.g/ml chloramphenicol) at room temperature. As a
negative control, bacteria carrying the pLip plasmid were "cured"
of their plasmid through growth in the absence of selective
antibiotics. Loss of plasmid was verified by PCR. Expression was
induced using IPTG for 1 hour, reaching an OD.sub.600.apprxeq.0.2,
after which the bacteria were pelleted by centrifugation and
resuspended in 100 mM Tris-HCl, pH 7.5. Lysates were prepared by
sonication in a Bioruptor sonicating bath (Diagenode, Belgium) and
centrifugation at .about.14,000 g was performed to remove insoluble
matter. Western Blotting using an .alpha.-polyHistidine mouse mAb
(R&D Systems, MN) was used to confirm the presence of the
expected proteins.
[0060] Lipase Assay.
[0061] EPC:Triolein:DPG in a molar ratio of 2:5:1 were mixed in
chloroform and dried to a thin lipid film under rotary evaporation,
then dried further under high vacuum for 2 hours. The film was
hydrated with 100 mM glycine buffer, pH 9.5, 19 mM sodium
deoxycholate to yield a final DPG concentration of 1 mM. This
suspension was vortexed vigorously to form an emulsion for use as a
substrate. Samples were mixed with this substrate (30 .mu.l
sample+5 .mu.l sample) in a 384-well plate). Increase in
fluorescence caused by catalytic release of pyrenedecanoic acid was
kinetically measured over 2 hours using excitation at 320 nm and
emission at 405 nm. All measurements were performed at 37.degree.
C. in a FluoStar Galaxy fluorescence plate reader. Lipase Activity
units were derived by reference to a Pseudomonas cepacia lipase
standard curve. 1 unit (U) corresponds to the equivalent amount of
P. cepacia lipase activity which liberates 1 .mu.mol per minute of
oleic acid from triolein.
[0062] Lipase Panel Experiment.
[0063] Purified NT01CX2047 enzyme and nine other purified lipases
were dissolved in 100 mM Tris-HCl, pH 7.5 to a concentration of 1
mg/ml. Fifty .mu.l of Assay Buffer (100 mM Tris-HCl pH 7.5+0.125M
NaCl) was pipetted into 384-well plates, followed by 2 .mu.l of the
relevant lipase and 1 .mu.l of DOXIL. Samples were assayed in
duplicate for liposome-disrupting activity as described above.
Example 2
Spores Plus Liposomes In Vivo in First Model
[0064] We used syngeneic CT26 colorectal tumors in BALB/c mice. C.
novyi-NT spores were injected intravenously, and once germination
had begun in the tumors (.about.16 hr after injection) a single
dose of Doxil, at 10 mg/kg, was administered through the tail vein.
Doxil is a liposomal formulation which encapsulates doxorubicin, a
DNA-damaging agent and widely used chemotherapeutic agent.
Liposome-encapsulated doxorubicin has been shown to result in
improved outcomes compared to unencapsulated doxorubicin in a
variety of experimental and clinical studies (18-21). The liposomes
in Doxil are surface modified by PEGylation to increase their
circulation time (18). As previously documented (11, 12), treatment
with C. novyi-NT spores alone resulted in germination and necrosis
within the centrally hypoxic region of the tumor, but left a
well-oxygenated viable rim that eventually regrew (FIG. 1A).
Neither doxorubicin nor Doxil alone resulted in prolonged
therapeutic effects in these mice. When Doxil was combined with C.
novyi-NT spores, however, the effects were remarkable, resulting in
complete regression of tumors in all mice (FIG. 1A) and cures in
more than half of them (FIG. 1B). Notably, mice treated with C.
novyi-NT and free doxorubicin at the same dose exhibited dramatic
morbidity, with 100% of mice dying within 2 weeks, emphasizing the
crucial role of liposomal encapsulation in reducing systemic
toxicity (18).
Example 3
Spores Plus Liposomes In Vivo in Second Model
[0065] To determine whether these pronounced anti-tumor effects
could be observed in other tumor model systems, we treated human
colorectal cancer xenografts [HCT116] growing in nude mice in the
same way. As shown in FIGS. 1C and D, C. novyi-NT spores, when used
in combination with Doxil, resulted in HCT116 tumor regressions
similar to those observed with CT26 tumors. The dose of liposomal
doxorubicin used in these tumor models was matched to those
currently used in the clinic to treat cancer patients (19-21).
Example 4
Distribution of Doxil In Vivo
[0066] The synergistic effects observed in the experiments
described above were presumably due to an increased concentration
of doxorubicin in tumors as a result of C. novyi-NT infection. To
substantiate this conjecture, the distribution of doxorubicin in
mice receiving Doxil alone was compared with that in mice treated
with Doxil plus C. novyi-NT spores. As shown in FIG. 2A, there was
a remarkable increase in the intratumoral concentration of
doxorubicin when Doxil was administered in the presence of C.
novyi-NT. In contrast, the levels of doxorubicin in the heart,
liver, spleen, kidney and muscle were similar in the presence or
absence of spores (FIG. 2A). The doxorubicin found in infected
tumors had been released from liposomes and was bound to tumor cell
nuclei, as revealed by immunofluorescence (FIG. 2B). Note that the
concentration of doxorubicin in conventionally-treated tumors was
previously shown to be higher and more stable after administration
of Doxil than after administration of doxorubicin (22). In effect,
the administration of C. novyi-NT spores plus Doxil resulted in a
greater than 100-fold increase in tumor drug exposure compared to
that achieved with an equivalent dose of free doxorubicin, without
increasing drug concentrations in normal tissues.
Example 5
Attempted Identification of Likely Liposome-Disrupting Factor
[0067] We next attempted to identify the mechanism underlying the
ability of C. novyi-NT to release doxorubicin in tumors following
injection of Doxil. We found that culture medium conditioned by the
growth of C. novyi-NT contained a robust liposome-disrupting factor
and that the concentration of this factor was maximum in late log
phase (FIG. 6). We anticipated that this factor would be a
phospholipase, as these enzymes are known to disrupt the lipid
bilayers of liposomes as well as those of erythrocytes (17). Two
phospholipase C enzymes have been purified from C. novyi and one of
them possesses hemolytic activity (23-25). The C. novyi-NT genome
contains four genes predicted to encode phospholipases (26). One of
these four genes (NT01CX0979) encoded an extracellular
phospholipase C protein (23, 25) which was expressed at high levels
in growing bacteria (26).
[0068] Because C. novyi-NT has so far proved recalcitrant to
transformation by exogenous DNA, we resorted to a different
strategy to test the hypothesis that the liposome-disrupting factor
was the phospholipase C NT01CX0979. Following MNNG-mediated
mutagenesis, we plated .about.10,000 bacteria on blood-agar plates
and identified one colony which reproducibly lacked hemolytic
activity. This clone was demonstrated by DNA sequencing to possess
a 971G>A transition within the NT01CX0979 phospholipase C gene,
resulting in a mutation from a well-conserved glycine to a
glutamine (25). Surprisingly, the growth media of this
hemolysis-negative clone retained its liposome-disrupting activity,
indicating that this activity was not the result of NT01CX0979 or
indeed of any other enzyme sufficient for hemolysis.
Example 6
Identification of Liposome-Disrupting Factor and its Coding
Sequence
[0069] To identify the liposome-disrupting factor, we fractionated
the growth medium from late log-phase C. novyi-NT via a combination
of ammonium sulfate precipitation, ion exchange chromatography and
gel filtration. A single, major peak of liposome-disrupting
activity was observed (FIG. 3A, B). SDS-polyacrylamide gel
electrophoresis revealed a predominant silver-staining band in the
active fractions (FIG. 3C). This band was purified, digested by
trypsin, and analyzed by liquid chromatography-tandem mass
spectrometry. Using the C. novyi-NT genome as the reference, the
polypeptide was found to be encoded by NT01CX2047, a putative
lipase. The two extracellular lipases identified in the C. novyi-NT
genome (NT01CX0630 and NT01CX2047) were not highly homologous to
each other (47% aa identity) or to their closest counterparts in
other bacteria (50.about.55% aa identity to a C. tetani lipase).
The identification of the liposome-disrupting factor as the product
of NT01CX2047 was consistent with information from the genomic
analysis of C. novyi-NT, which revealed that NT01CX2047 was
preferentially expressed in late log phase, was predicted to be
extracellular, and was highly expressed in tumors after infection
with C. novyi-NT (26).
Example 7
Cloning of ORF of Liposome-Disrupting Factor
[0070] To examine the properties of the protein encoded by
NT01CX2047, we cloned its ORF into an inducible expression vector
which was then introduced into a genetically modified E. coli
strain that permitted expression of C. novyi-NT genes (which have a
codon usage very different than that of E. coli). Following
induction of protein expression by IPTG, the transformed E. coli
cells grew poorly, presumably because the gene product was toxic.
Lysates from these cells were tested for lipase activity as
measured by hydrolysis of
1,2-dioleoyl-3-pyrenedecanoyl-rac-glycerol. The
NT01CX2047-expressing clones exhibited lipase activity, whereas
clones cured of the vector (described below) did not (FIG. 4B). As
a further control, a derivative was generated in which a stop codon
was substituted for the serine residue at amino acid 127 (S127X).
We also generated a mutant in which the serine at residue 127 was
replaced by glycine (S127G). 5127 is found within the
highly-conserved GXSXG lipase motif and was predicted to be the
essential catalytic serine responsible for lipase activity (27).
Accordingly, both the S127G missense mutant and the S127X
truncation mutant were devoid of lipase activity though each
produced similar amounts of NT01CX2047 polypeptide (FIG. 4A, B).
Interestingly, the non-catalytic S127G mutant exhibited the same
poor growth as wild-type NT01CX2047, whereas the S127X mutant grew
much more robustly. The apparent toxicity of the S127G mutant,
which had no lipase activity, was puzzling but was illuminated by
the experiments described below.
Example 8
Genetic Separation of Lipase Activity and Liposome-Disrupting
Activity
[0071] To test the liposome-disrupting activity of the lysates
described above, we incubated them with liposomal doxorubicin. The
strains containing the wild-type form of NT01CX2047 possessed
potent activity in this assay (FIG. 4C). When this strain was
cultured without selective antibiotics until the bacteria lost the
expression vector by random segregation, the liposome-disrupting
activity was lost (FIG. 4C). Moreover, the cells that had lost the
plasmid were able to grow as robustly as the parental E. coli and
the S127X mutant. As expected, the S127X truncation mutant had no
detectable liposome-disrupting activity (FIG. 4C). Surprisingly,
however, the S127G mutant, which was devoid of lipase activity,
retained substantial liposome-disrupting activity (FIG. 4C). To
determine whether the ability to disrupt liposomes was particular
to the NT01CX2047 lipase of C. novyi-NT, we tested the
liposome-disrupting activities of nine commercially available
enzymes with well-defined lipase activity; none had significant
liposome-disrupting activity (FIG. 4D).
Example 9
Liposomes with Other Agents Also Effective
[0072] Accordingly, we tested liposomes containing CPT-11
(irinotecan), a topoisomerase inhibitor that, like doxorubicin, is
widely used in cancer therapy. Single doses of liposomal CPT-11
were injected alone or 16 hours after C. novyi-NT administration,
just as in the Doxil experiments. Both tumor types (CT26 in
syngeneic mice and human colorectal cancer cell xenografts in nude
mice) were relatively resistant to liposomal CPT-11 when injected
alone. However, in the presence of spores, all tumors regressed and
long-term cures were achieved in >60% of the mice (FIG. 5).
[0073] It was also notable in these and the liposomal doxorubicin
experiments that the liposomase strategy was effective in small as
well as in large tumors, with cures observed in tumors as small as
136 mm.sup.3 in volume. In previous studies, small tumors proved to
be resistant to bacteriolytic therapies because of the relatively
small regions of necrosis within them (11). We suspect that
liposomal drugs and C. novyi-NT spores are effective in combination
because they mutually reinforce one another: the cytotoxic drug
accumulated in the tumor through the EPR effect leads to necrosis
and hypoxia, which leads to C. novyi-NT germination, which leads in
turn to more release of the drug through liposomase.
[0074] Part of the release of doxorubicin from Doxil in tumors
(FIG. 2) could theoretically be due to other enzymes released from
C. novyi-NT or infected tumor cells. However, the major
Doxil-disrupting factor secreted from C. novyi-NT is liposomase
(FIG. 3) and its gene is expressed at high levels in infected
tumors (26), suggesting that liposomase significantly contributes
to the in vivo effects. Moreover, now that liposomase has been
identified and cloned, it can be incorporated into other
anti-cancer strategies. These strategies include cancer gene
therapy employing viral or non-viral delivery systems and
antibody-directed enzyme prodrug therapy (3, 4, 31, 32). In the
past, such approaches have been limited by the small repertoire of
prodrugs available and the necessity of getting the drug
metabolized within a cell to exert a bystander effect on other
tumor cells (31, 32). With liposomase, a large variety of
"prodrugs" are already commercially available, as any
chemotherapeutic agent that can be encapsulated in a liposome could
theoretically be used. Multi-drug therapy, with each drug combined
in a separate liposome, can also be envisaged. Finally, because
liposomase is secreted and liposomes are external to the tumor
cells, substantial bystander effects are to be expected.
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Res 66, 970 (Jan. 15, 2006). [0113] 38. H. O. Bagadi, M. M. Sewell,
Res Vet Sci 15, 53 (1973). [0114] 39. A. Shevchenko, M. Wilm, O.
Vorm, M. Mann, Anal Chem 68, 850 (Mar. 1, 1996).
Sequence CWU 1
1
61443PRTClostridium novyi 1Met Gln Ser Lys Leu Lys Lys Phe Ile Ser
Thr Ile Ser Val Ser Leu1 5 10 15 Phe Thr Leu Ala Ser Val Leu Thr
Phe Ser Met Ala Lys Pro Val Asn 20 25 30 Ala Phe Ala Lys Glu Asn
Gln Lys Val Ser Gln Asn Asn Tyr Pro Ile 35 40 45 Ile Leu Cys His
Gly Cys Asn Gly Trp Gly Arg Thr Glu Asn Phe Gly 50 55 60 Thr Val
Ala Phe Gly Ala Arg Tyr Tyr Trp Gly Gly Asn Val Asp Leu65 70 75 80
Gln Gln Lys Leu Ile Glu Asn Gly Phe Thr Thr Tyr Thr Ala Ala Val 85
90 95 Gly Pro Leu Ser Ser Asn Trp Asp Arg Ala Cys Glu Leu Tyr Ala
Gln 100 105 110 Ile Lys Gly Gly Arg Val Asp Tyr Gly Glu Ala His Ala
Lys Lys His 115 120 125 Gly His Ser Arg Tyr Gly Arg Tyr Tyr Arg Gly
Phe Tyr Pro Glu Trp 130 135 140 Gly Thr Lys Asp Glu Asn Gly Asn Ile
Arg Lys Val His Leu Ile Gly145 150 155 160 His Ser Gln Gly Gly Gln
Thr Ile Arg Met Leu Thr Thr Leu Leu Gly 165 170 175 Gln Gly Lys Gln
Glu Glu Ile Ser Ala Thr Gly Glu Asn Thr Asn Glu 180 185 190 Leu Phe
Lys Gly Gly His Asp Trp Val Ser Gly Leu Ile Thr Leu Ala 195 200 205
Ser Pro His Asp Gly Thr Thr Leu Ala Asp Met Lys Gly Thr Asp Ala 210
215 220 Ala Ala Ala Ile Gly Ile Gly Ala Val Gly Ser Met Leu Gly Asn
Ile225 230 235 240 Ser Asn Ser Asp Ile Ile Phe Asp Leu Lys Val Asp
Gln Trp Gly Leu 245 250 255 Lys Arg Lys Pro Ser Glu Ser Phe Ile Ser
Tyr Phe Asn Arg Cys Ala 260 265 270 Thr Ser Lys Met Trp Asn Ser Lys
Asp Ile Cys Ser Val Asp Leu Ser 275 280 285 Thr Asn Gly Ala Val Glu
Gln Asn Lys Trp Val Lys Ala Gln Pro Asn 290 295 300 Val Tyr Tyr Phe
Ser Trp Ala Cys Cys Gly Thr Ile Arg Asn Pro Ile305 310 315 320 Ser
Ile Phe Gly His His Met Ala Ser Pro Ile Arg Met Ser Asp Lys 325 330
335 Gly Leu Tyr Asn Val Gln Trp Ala Leu Gln Ala Gln Leu Met Gly Thr
340 345 350 Tyr Ser Arg Asn Asn Pro Arg Arg Ala Ile Pro Val Ile Asp
Ser Lys 355 360 365 Trp Trp Pro Asn Asp Gly Tyr Val Asn Thr Ile Ser
Glu Asn Gly Pro 370 375 380 Lys Ala Gly Ser Thr Asp Glu Ile Val Asn
Tyr Asn Gly Thr Pro Gln385 390 395 400 Ile Gly Lys Trp Asn Phe Met
Gly Val Lys Asp Met Asp His Glu Asp 405 410 415 Ile Ile Gly Arg His
Trp Asn Gly Ala Pro Asn Phe Phe Ile Asp Met 420 425 430 Ala Gln Met
Leu Arg Asn Leu Pro Val Thr Glu 435 440 21332DNAClostridium novyi
2atgcaatcga agcttaaaaa atttatttca acaatctctg tatctttatt tactttagct
60tctgtgttaa cgttttcaat ggcgaagccg gtgaatgcat ttgctaaaga aaatcaaaaa
120gtatcacaaa ataattatcc tataatactt tgtcatggat gtaatggatg
gggtagaact 180gaaaacttcg gaacagttgc ttttggagca agatattact
ggggtggaaa tgttgactta 240caacaaaagc ttattgaaaa tggatttaca
acttatacag cagctgtagg accactttcg 300agtaactggg acagagcttg
tgaactttat gctcaaatta aaggtggaag ggttgactat 360ggtgaagctc
atgctaaaaa acatggacac tctagatatg gaagatatta cagaggtttt
420tatccagaat ggggaacaaa ggatgaaaac ggcaatatac gtaaagttca
tttaatagga 480cacagccaag gtggacaaac tatacgtatg ttaactactc
ttcttggtca aggtaaacaa 540gaagaaatat cagcaacagg agaaaatact
aacgaattat ttaaaggtgg acatgattgg 600gtttcaggac taataacatt
agcatcacca catgacggaa ctactttagc tgatatgaaa 660ggtacagatg
ctgcagcagc aattggtata ggtgcagtgg gatcaatgct aggaaatata
720tctaattcag atataatatt tgatttaaag gttgatcaat ggggacttaa
gagaaaacct 780tcagaatcat ttataagcta ttttaataga tgtgctacaa
gtaaaatgtg gaactcaaaa 840gatatttgtt cagtagattt aagtaccaat
ggtgctgtag aacaaaacaa atgggtaaag 900gcccaaccaa atgtatacta
cttctcatgg gcatgttgtg gaactataag aaatccaatt 960agcatatttg
gacatcatat ggcaagtcct ataagaatga gtgacaaggg actatataat
1020gttcaatggg cattacaagc tcaattaatg ggaacatata gcagaaataa
tcctcgtcgt 1080gcaatacctg taattgatag taaatggtgg ccaaatgatg
gatatgtaaa tactatttct 1140gaaaatggac ctaaagctgg atcaactgat
gaaattgtaa attataatgg aacacctcaa 1200ataggtaaat ggaactttat
gggtgttaaa gacatggatc acgaagatat aataggaaga 1260cactggaatg
gagcacctaa cttctttata gacatggctc aaatgcttag aaatcttcct
1320gtaactgaat aa 1332373DNAClostridium novyi 3tgcaccacca
ccaccaccac aaagaaaatc aaaaagtatc acaaaataat tatcctataa 60tactttgtca
tgg 73449DNAClostridium novyi 4ctgaccggtt tattattcag ttacaggaag
atttctaagc atttgagcc 49545DNAClostridium novyi 5gtaaagttca
tttaatagga cacggtcaag gtggacaaac tatac 45645DNAClostridium novyi
6gtaaagttca tttaatagga cactaataag gtggacaaac tatac 45
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