U.S. patent application number 15/271369 was filed with the patent office on 2017-03-23 for satiation peptide administration.
This patent application is currently assigned to University of Florida Research Foundation, Inc.. The applicant listed for this patent is University of Florida Research Foundation, Inc.. Invention is credited to Andres Acosta, Sergei Zolotukhin.
Application Number | 20170080056 15/271369 |
Document ID | / |
Family ID | 42542599 |
Filed Date | 2017-03-23 |
United States Patent
Application |
20170080056 |
Kind Code |
A1 |
Zolotukhin; Sergei ; et
al. |
March 23, 2017 |
SATIATION PEPTIDE ADMINISTRATION
Abstract
Disclosed herein are compositions and methods for treating
obesity involving satiation gut peptide administration to the mouth
of a subject for a predetermined dose and frequency. In other
embodiments, materials and methods of treating certain
psychological disorders are disclosed involving satiation gut
peptides. In exemplary embodiments, the satiation gut peptide
pertains to PYY.
Inventors: |
Zolotukhin; Sergei;
(Gainesville, FL) ; Acosta; Andres; (Rochester,
MN) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
University of Florida Research Foundation, Inc. |
Gainesville |
FL |
US |
|
|
Assignee: |
University of Florida Research
Foundation, Inc.
Gainesville
FL
|
Family ID: |
42542599 |
Appl. No.: |
15/271369 |
Filed: |
September 21, 2016 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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13145660 |
Oct 31, 2011 |
9492505 |
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PCT/US2010/021677 |
Jan 21, 2010 |
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15271369 |
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61146287 |
Jan 21, 2009 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61K 9/0056 20130101;
C12N 2799/025 20130101; A61K 9/006 20130101; A61K 48/005 20130101;
A61P 3/04 20180101; A61K 9/0058 20130101; A61P 3/00 20180101; A61P
25/22 20180101; A61P 25/24 20180101; C07K 14/575 20130101; A61K
9/0019 20130101; A61K 38/22 20130101; A61K 48/0075 20130101 |
International
Class: |
A61K 38/22 20060101
A61K038/22; A61K 9/68 20060101 A61K009/68; A61K 48/00 20060101
A61K048/00; A61K 9/00 20060101 A61K009/00 |
Claims
1-24. (canceled)
25. A pharmaceutical composition comprising an active
pharmaceutical agent, wherein said active pharmaceutical agent
comprises a satiation gut peptide, wherein said pharmaceutical
composition is for local oral delivery, and wherein said satiation
gut peptide is unmodified Peptide YY (PYY).
26. The pharmaceutical composition of claim 25, wherein said
pharmaceutical composition comprises a lozenge.
27. The pharmaceutical composition of claim 26, wherein said
lozenge comprises a dissolvable material.
28. The pharmaceutical composition of claim 27, wherein said
lozenge comprises a dissolvable planar sheet, or solid or
semi-solid candy.
29. The pharmaceutical composition of claim 25, wherein said
composition is in the form of chewing gum.
30. The pharmaceutical composition of claim 25, wherein said
composition is a liquid formulation, wherein said liquid
formulation is selected from the group consisting of: an emulsion,
a syrup, an elixir, a suspension or a solution.
31. The pharmaceutical composition of claim 30, wherein said liquid
composition is in the form of a spray for oral administration.
32. The pharmaceutical composition of claim 30, wherein said liquid
composition is in the form of drops for oral administration.
33. A pharmaceutical composition comprising, an active
pharmaceutical agent, wherein said active pharmaceutical agent
comprises a satiation gut peptide, wherein said pharmaceutical
composition is for local oral delivery, and wherein said satiation
gut peptide consists essentially of Peptide YY (PYY).
34. The pharmaceutical composition of claim 33, wherein said
pharmaceutical composition comprises a lozenge.
35. The pharmaceutical composition of claim 34, wherein said
lozenge comprises a dissolvable material.
36. The pharmaceutical composition of claim 35, wherein said
lozenge comprises a dissolvable planar sheet, or solid or
semi-solid candy.
37. The pharmaceutical composition of claim 33, wherein said
composition is in the form of chewing gum.
38. The pharmaceutical composition of claim 33, wherein said
composition is a liquid formulation, wherein said liquid
formulation is selected from the group consisting of: an emulsion,
a syrup, an elixir, a suspension or a solution.
39. The pharmaceutical composition of claim 38, wherein said liquid
composition is in the form of a spray for oral administration.
40. The pharmaceutical composition of 38, wherein said liquid
composition is in the form of drops for oral administration.
41. A pharmaceutical composition comprising a vector, wherein said
vector comprises an expression cassette that includes a
polynucleotide sequence that encodes unmodified satiation gut
peptide Peptide YY (PYY).
42. The pharmaceutical composition of claim 41, wherein said
composition is suitable for injection.
43. The pharmaceutical composition of claim 41, wherein said
composition comprises a lozenge.
44. The pharmaceutical composition of claim 43, wherein said
lozenge comprises a dissolvable material.
45. The pharmaceutical composition of claim 44, wherein said
lozenge comprises a dissolvable planar sheet, or solid or
semi-solid candy.
46. The pharmaceutical composition of claim 41, wherein said
composition is in the form of chewing gum.
47. The pharmaceutical composition of claim 41, wherein said
composition is a liquid formulation, wherein said liquid
formulation is selected from the group consisting of: an emulsion,
a syrup, an elixir, a suspension or a solution.
48. The pharmaceutical composition of claim 47, wherein said liquid
composition is in the form of a spray for oral administration.
49. The pharmaceutical composition of 47, wherein said liquid
composition is in the form of drops for oral administration.
50. A pharmaceutical composition comprising a vector, wherein said
vector consists essentially of an expression cassette that includes
a polynucleotide sequence that encodes satiation gut peptide
Peptide YY (PYY).
51. The pharmaceutical composition of claim 50, wherein said
composition is suitable for injection.
52. The pharmaceutical composition of claim 50, wherein said
composition comprises a lozenge.
53. The pharmaceutical composition of claim 52, wherein said
lozenge comprises a dissolvable material.
54. The pharmaceutical composition of claim 52, wherein said
lozenge comprises a dissolvable planar sheet, or solid or
semi-solid candy.
55. The pharmaceutical composition of claim 50, wherein said
composition is in the form of chewing gum.
56. The pharmaceutical composition of claim 50, wherein said
composition is a liquid formulation, wherein said liquid
formulation is selected from the group consisting of: an emulsion,
a syrup, an elixir, a suspension or a solution.
57. The pharmaceutical composition of claim 56, wherein said liquid
composition is in the form of a spray for oral administration.
58. The pharmaceutical composition of 56, wherein said liquid
composition is in the form of drops for oral administration.
59. A pharmaceutical composition comprising an active
pharmaceutical agent, wherein said active pharmaceutical agent is
selected from the group consisting of: SEQ ID NO: 1 and SEQ ID NO:
2.
60. The pharmaceutical composition of claim 59, wherein said
pharmaceutical composition comprises a lozenge.
61. The pharmaceutical composition of claim 60, wherein said
lozenge comprises a dissolvable material.
62. The pharmaceutical composition of claim 61, wherein said
lozenge comprises a dissolvable planar sheet, or solid or
semi-solid candy.
63. The pharmaceutical composition of claim 59, wherein said
composition is in the form of chewing gum.
64. The pharmaceutical composition of claim 59, wherein said
composition is a liquid formulation, and wherein said liquid
formulation is selected from the group consisting of: an emulsion,
a syrup, an elixir, a suspension or a solution.
65. The pharmaceutical composition of claim 64, wherein said liquid
composition is in the form of a spray for oral administration.
66. The pharmaceutical composition of 64, wherein said liquid
composition is in the form of drops for oral administration.
67. A pharmaceutical composition consisting essentially of an
active pharmaceutical agent, wherein said active pharmaceutical
agent is selected from the group consisting of: SEQ ID NO: 1 and
SEQ ID NO: 2.
68. The pharmaceutical composition of claim 67, wherein said
pharmaceutical composition comprises a lozenge.
69. The pharmaceutical composition of claim 68, wherein said
lozenge comprises a dissolvable material.
70. The pharmaceutical composition of claim 69, wherein said
lozenge comprises a dissolvable planar sheet, or solid or
semi-solid candy.
71. The pharmaceutical composition of claim 67, wherein said
composition is in the form of chewing gum.
72. The pharmaceutical composition of claim 67, wherein said
composition is a liquid formulation, wherein said liquid
formulation is selected from the group consisting of: an emulsion,
a syrup, an elixir, a suspension or a solution.
73. The pharmaceutical composition of claim 72, wherein said liquid
composition is in the form of a spray for oral administration.
74. The pharmaceutical composition of 72, wherein said liquid
composition is in the form of drops for oral administration.
Description
RELATED APPLICATIONS
[0001] This application claims priority to U.S. Ser. No.61/146,287
filed Jan. 21, 2009, which is incorporated herein in its
entirety.
INTRODUCTION
[0002] Satiation gut peptides are secreted from the small intestine
and colon in response to food intake. Penetrating from plasma
through the blood-brain barrier, they act by activating specific
receptors in the satiety center of the hypothalamus thus inducing
satiation. The most important satiation gut peptides are Peptide
YY, Glucagon-like Peptide 1, Oxyntomodulin, and Cholecystokinin.
Acute supplemental therapy with satiation gut peptides reduces food
intake and body weight in obese animal models as well as in lean
and obese human subjects. Several clinical trials utilizing
satiation peptide supplement therapy are currently under way. In
these trials, the tested peptide is administered by iv injections
30 min prior to the meal. It is widely acknowledged that satiation
gut peptides would not be effective through ingested oral
administration since enzymes and acids in the gut would degrade
them prior to reaching the blood.
BRIEF DESCRIPTION OF THE DRAWINGS
[0003] FIG. 1: rAAV-PYY vector plasmid: TR (terminal repeat), CMV
(cytomegalovirus) enhancer, CBA (Chicken B actin) promoter.
[0004] FIG. 2: Food intake per week in 8 months-old DIO mice
injected with rAAV-PYY vs. rAAV-GFP*P<0.05
[0005] FIG. 3: Body weight change in 8 months-old diet-induced
obese (DIO)-mice injected with rAAV-PYY vs. rAAV-GFP (controls).
*P<0.05
[0006] FIG. 4: Effects of Peptide YY Mouth Spray. A) One hour food
intake after one spray with PYY, 5 ug per 100 g of body weight vs.
spray with sterile H.sub.2O. B) Difference in one hour food intake
after PYY mouth spray vs. Sterile H20, shown are individual
animals. C) Dose response of PYY mouth spray on FI as measured
after one hour. D) 24 hours food intake after PYY mouth spray vs.
sterile H.sub.2O. *P<0.05, **P<0.01.
[0007] FIG. 5: relates to effects of extended PYY administration on
behavior of mice concerning (A) attack frequency (B) threat
frequency (C) chase frequency and (D) frequency.
[0008] FIG. 6: shows example sequences pertaining to a) Human
Peptide YY amino acid sequence, b) a portion of human PYY, c)
Oxyntomodulin polypeptide, d) Glucagon-like Peptide 1, and e)
cholecystokinin related sequences.
DETAILED DESCRIPTION
[0009] The present application is based on the inventors' work
toward establishing either a stable and longer term delivery of
satiation gut peptides and/or administration of satiation gut
peptides intended for targeting specific areas of the body which
have now been identified as effecting an unexpectedly favorable
satiation response. According to certain embodiments, the invention
pertains to compositions and methods for treating obesity involving
satiation gut peptide administration to the mouth of a subject for
a predetermined dose and frequency. According to specific
embodiment, the subject invention pertains to providing a long-term
increase of satiation peptides in the saliva by targeting salivary
gland with vectors, including, but not limited to, recombinant
Adeno-associated viral (rAAV) vector, adenoviral vector, or other
suitable vectors for transfection of cells in a human or non-human
animal, harboring the respective gene, for introduction and
expression in targeted cells.
[0010] In another embodiment, the invention pertains to a method of
inducing satiation in a subject that includes applying to at least
a portion of the mouth of the subject a composition comprising a
satiation gut peptide at a time period prior to eating
(pre-prandial). The time period may be 5 seconds or more. In a
specific embodiment, the time period is 5-360 min prior to eating.
In a more specific embodiment, the time period is 30-120 min prior
to eating.
[0011] Another embodiment relates to a container that comprises a
solid (e.g. powder), fluid or semi-fluid composition that comprises
satiation gut peptide and a pharmaceutically acceptable carrier. In
a specific embodiment the container comprises a nozzle for ejecting
the composition into the mouth of a subject. The container may be
under pressure and/or be equipped with a pump nozzle.
[0012] Another embodiment relates to a mouth applicable article
loaded with a satiation gut peptide. The article may be chewing gum
loaded with peptide; a lozenge (e.g. a dissolvable solid or
semi-solid object intended to hold in the mouth for a period of
time) loaded with peptide, or a permeable pouch or sponge loaded
with peptide. The article is designed for extended delivery of
peptide to the mouth and/or pharynx, as opposed to conventional
oral administration that involves the immediate swallowing of a
pill, table or fluid composition as is conventionally understood as
oral adminstration. In particular, the article is designed for
delivery to the tongue.
[0013] According to another embodiment, cells related to the mouth
such as mucosal or salivary gland cells are transformed with
vectors engineered to express and release a satiation gut
peptide.
[0014] In a specific embodiment, the peptide is delivered to the
mouth and/or pharynx to a subject according to a generally
continuous time period of at least 5, 10, 15 or more seconds. In
another embodiment, the delivery is for 0.1-120 mins, including any
specific 0.1 minute increment within such range. In a specific
embodiment, the inventors have found that administration of the
peptide such that it is in prolonged contact with the tongue is
optimal.
[0015] As described herein, the invention includes embodiments that
utilize nucleotides encoding satiation gut peptides, or peptides
alone. Satiation gut peptides include peptides relating to Peptide
YY, Glucagon-like Peptide 1, Oxyntomodulin, and cholecystokinin.
Nucleotides and peptides having substantial identity to the
nucleotide and amino acid sequences relating to Peptide YY,
Glucagon-like Peptide 1, Oxyntomodulin, and cholecystokinin also
are contemplated for use in accordance with the teachings herein.
Sequence information is provided in FIG. 6.
[0016] The proteins and polypeptide sequences, as well as
polynucleotides encoding the same, having substantial identity with
the sequences specifically described herein may be used in
conjunction with present invention. Here "substantial identity"
means that two sequences, when optimally aligned such as by the
programs GAP or BESTFIT (peptides) using default gap weights, or as
measured by computer algorithms BLASTX or BLASTP, share at least
50%, preferably at least 75%, and most preferably at least 95%
sequence identity, or sequence identity of any integer percentage
between 50% and 99.9%. Preferably, residue positions which are not
identical differ by conservative amino acid substitutions. For
example, the substitution of amino acids having similar chemical
properties such as charge or polarity are not likely to effect the
properties of a protein. Non-limiting examples include glutamine
for asparagine or glutamic acid for aspartic acid.
[0017] The term "variant" as used herein refers to nucleotide and
polypeptide sequences wherein the nucleotide or amino acid sequence
exhibits substantial identity with the nucleotide or amino acid
sequence SEQ ID NOS, preferably 75% sequence identity and most
preferably 90-95% sequence identity to the sequences of the present
invention: provided said variant has a biological activity as
defined herein. The variant may be arrived at by modification of
the native nucleotide or amino acid sequence by such modifications
as insertion, substitution or deletion of one or more nucleotides
or amino acids or it may be a naturally occurring variant. The term
"variant" also includes homologous sequences which hybridise to the
sequences of the invention under standard or preferably stringent
hybridisation conditions familiar to those skilled in the art.
Examples of the in situ hybridisation procedure typically used are
described in (Tisdall et al., 1999); (Juengel et al., 2000). Where
such a variant is desired, the nucleotide sequence of the native
DNA is altered appropriately. This alteration can be made through
elective synthesis of the DNA or by modification of the native DNA
by, for example, site-specific or cassette mutagenesis. Preferably,
where portions of cDNA or genomic DNA require sequence
modifications, site-specific primer directed mutagenesis is
employed, using techniques standard in the art.
[0018] In specific embodiments, a variant of a polypeptide is one
having at least about 80% amino acid sequence identity with the
amino acid sequence of a native sequence full length sequence of
satiation gut peptides as taught herein and known in the art. Such
variant polypeptides include, for instance, polypeptides wherein
one or more amino acid residues are added, or deleted, at the N-
and/or C-terminus, as well as within one or more internal domains,
of the full-length amino acid sequence. Fragments of the peptides
are also contemplated. Ordinarily, a variant polypeptide will have
at least about 80% amino acid sequence identity, more preferably at
least about 81% amino acid sequence identity, more preferably at
least about 82% amino acid sequence identity, more preferably at
least about 83% amino acid sequence identity, more preferably at
least about 84% amino acid sequence identity, more preferably at
least about 85% amino acid sequence identity, more preferably at
least about 86% amino acid sequence identity, more preferably at
least about 87% amino acid sequence identity, more preferably at
least about 88% amino acid sequence identity, more preferably at
least about 89% amino acid sequence identity, more preferably at
least about 90% amino acid sequence identity, more preferably at
least about 91% amino acid sequence identity, more preferably at
least about 92% amino acid sequence identity, more preferably at
least about 93% amino acid sequence identity, more preferably at
least about 94% amino acid sequence identity, more preferably at
least about 95% amino acid sequence identity, more preferably at
least about 96% amino acid sequence identity, more preferably at
least about 97% amino acid sequence identity, more preferably at
least about 98% amino acid sequence identity and yet more
preferably at least about 99% amino acid sequence identity with a
polypeptide encoded by a nucleic acid molecule shown in Attachment
B or a specified fragment thereof. Ordinarily, variant polypeptides
are at least about 10 amino acids in length, often at least about
20 amino acids in length, more often at least about 30 amino acids
in length, more often at least about 40 amino acids in length, more
often at least about 50 amino acids in length, more often at least
about 60 amino acids in length, more often at least about 70 amino
acids in length, more often at least about 80 amino acids in
length, more often at least about 90 amino acids in length, more
often at least about 100 amino acids in length, or more.
[0019] "Stringency" of hybridization reactions is readily
determinable by one of ordinary skill in the art, and generally is
an empirical calculation dependent upon probe length, washing
temperature, and salt concentration. In general, longer probes
require higher temperatures for proper annealing, while shorter
probes need lower temperatures. Hybridization generally depends on
the ability of denatured DNA to re-anneal when complementary
strands are present in an environment below their melting
temperature. The higher the degree of desired identity between the
probe and hybridizable sequence, the higher the relative
temperature which can be used. As a result, it follows that higher
relative temperatures would tend to make the reaction conditions
more stringent, while lower temperatures less so. For additional
details and explanation of stringency of hybridization reactions,
see Ausubel et al., Current Protocols in Molecular Biology, Wiley
Interscience Publishers, (1995).
[0020] "Stringent conditions" or "high stringency conditions", as
defined herein, are identified by those that: (1) employ low ionic
strength and high temperature for washing, 0.015 M sodium
chloride/0.0015 M sodium citrate/0.1% sodium dodecyl sulfate at
50.degree. C.; (2) employ during hybridization a denaturing agent,
50% (v/v) formamide with 0.1% bovine serum albumin/0.1% Ficoll/0.1%
polyvinylpyrrolidone/50 mM sodium phosphate buffer at pH 6.5 with
750 mM sodium chloride, 75 mM sodium citrate at 42 degrees C.; or
(3) employ 50% formamide, 5.times.SSC (0.75 M NaCl, 0.075 M sodium
citrate), 50 mM sodium phosphate (pH 6.8), 0.1% sodium
pyrophosphate, 5.times. Denhardt's solution, sonicated salmon sperm
DNA (50 .mu.g/ml), 0.1% SDS, and 10% dextran sulfate at 42 degrees
C., with washes at 42 degrees C. in 0.2.times.SSC (sodium
chloride/sodium citrate) and 50% formamide at 55 degrees C.,
followed by a high-stringency wash consisting of 0.1.times.SSC
containing EDTA at 55 degrees C.
[0021] "Moderately stringent conditions" are identified as
described by Sambrook et al., Molecular Cloning: A Laboratory
Manual, New York: Cold Spring Harbor Press, 1989, and include the
use of washing solution and hybridization conditions (e.g.,
temperature, ionic strength and % SDS) less stringent that those
described above. An example of moderately stringent conditions is
overnight incubation at 37.degree. C. in a solution comprising: 20%
formamide, 5.times.SSC (150 mM NaCl, 15 mM trisodium citrate), 50
mM sodium phosphate (pH 7.6), 5.times. Denhardt's solution, 10%
dextran sulfate, and 20 mg/ml denatured sheared salmon sperm DNA,
followed by washing the filters in 1.times.SSC at about 37-50
degrees C. The skilled artisan will recognize how to adjust the
temperature, ionic strength, etc. as necessary to accommodate
factors such as probe length and the like.
[0022] An oral liquid formulation may, for example, be a
pharmaceutically acceptable emulsion, syrup, elixir, suspension,
solution and the like, which may contain a pharmaceutically
customary inert diluent such as water and if desired, additives.
Such an oral liquid formulation can be produced by mixing an active
ingredient, inert diluent and other additives if necessary in
accordance with a customary method. An oral formulation usually
contain about 0.01 to 99% by weight, preferably about 0.1 to 90% by
weight, usually about 0.5 to 50% by weight of an inventive active
compound, although the amount may vary depending on the dosage
form.
[0023] In certain embodiments, a formulation is prepared for
spraying into the mouth. The composition may be placed in a
container equipped with a sprayer nozzle and either ejected through
a pump motion or by release of pressure.
[0024] In another embodiment, the composition is combined and
provided in the form of a chewing gum.
EXAMPLE 1
PYY Gene Therapy
[0025] Peptide YY (PYY) is a satiation gut peptide secreted from
the neuro-endocrine L cells from the small intestine and colon
epithelia. PYY is secreted into the blood stream and subsequently
activates Y receptors in the arcuate nucleus of the hypothalamus
thus inducing satiation. In the pilot study, in addition to the
plasma, we have also detected PYY in saliva in naive, untreated
mice, while at the same time identifying the respective Y2 receptor
in the tongue epithelia. To the inventors' knowledge, these are
novel findings which lead to the following hypothesis: long-term
expression of genes coding for satiation peptide in salivary gland
will reduce food intake and body weight in obese animal.
[0026] In order to overexpress PYY, a rAAV vector was constructed
harboring the pre-pro-Peptide YY gene (FIG. 1). rAAV-PYY was
administered into the salivary glands through the salivary ducts.
Injection of rAAV-PYY resulted in a long-term (up to 6 months)
expression of Peptide YY as measured by the respective ELISA assay
(not shown).
[0027] The ectopic expression of PYY transgene in lean as well as
in diet-induced obese mice produced a significant decrease in food
intake and body weight compared to control group injected with
reporter vector rAAV-GFP (FIGS. 2 and 3). The results of the
inventors demonstrated that long-term expression of peptide YY
transgene delivered by a viral vector is a viable therapy for the
treatment of obesity.
EXAMPLE 2
Long-Term Peptide YY Gene Therapy: Addressing Existing
Controversy
[0028] Peptide YY (PYY) is a satiation gut hormone released
postprandially mainly by the gut. The effects of acute and chronic
administration of PYY are controversial. Several groups have found
a significant decrease in food intake (FI) and body weight (BW) in
animal experiments and in human trials, while other groups have
been unable to reproduce this data. The controversy can be related
to several behavioral factors including acclimatization and stress,
as well as varying experimental conditions. To eliminate these
factors and to address the effect of long-term overexpression of
PYY we have develop animal models, C57BL/6 mice, with either
homotopic or ectopic expression of pre-pro-PYY transgene delivered
by a single injection of a viral vector. For the enhanced homotopic
expression, the vector was delivered through superior mesenteric
artery (SMA) to target the colon and small intestine where PYY is
normally produced. For the ectopic expression, the vector had been
delivered either into the 3.sup.rd ventricle in the brain targeting
hypothalamus, or into the salivary ducts to target submandibular
salivary glands to induce PYY secretion in to saliva. All treated
mice were fed high fat diet (60% fat) ad libitum, FI and BW were
measured once a week for 30 weeks. In SMA-injected mice, we
documented a sustained two-fold increase of PYY in plasma during
fasting and ten-fold increase one hour after feeding. In spite of
the significant increase of systemic PYY, no differences in BW or
FI were documented at 30 weeks post-injection. On the contrary, in
mice with PYY-encoding vector injected either centrally or in the
salivary glands, the concentration of plasma PYY remained
unchanged. However, centrally-injected mice exhibited significant
increase in both BW and FI, while the long-term effect was opposite
in salivary gland-treated animals. In satiation behavioral studies,
neither treated group show a significant difference in FI after 16,
or 24 hrs fasting. Our results suggest that the long-term
overexpression of PYY have differential effect dependent on the
targeted site. Physiological tests and hormonal profiles in mice
from all groups will be presented and the possible mechanism of
action of the exogenous PYY will be discussed.
EXAMPLE 3
Administration of Satiation Gut Peptides to Mouth
Introduction
[0029] Satiation gut peptides are secreted into the bloodstream
from the small intestine and colon in response to food intake (FI).
Their main effect is to induce satiety by activation their specific
receptors in the satiety center in the hypothalamus. The most
important satiation gut peptides are Peptide YY (PYY),
Glucagon-like Peptide 1 (GLP-1), Oxyntomodulin (OXM), and
Cholecystokinin (CCK). Acute supplemental therapy with satiation
gut peptides reduces FI and body weight (BW) in obese animal models
as well as in lean and obese human subjects. Several clinical
trials utilizing satiation peptide supplement therapy are currently
under way. Unfortunately, the delivery methods of these peptides
(iv injections) showed significant side effects and poor adherence.
In the pilot study, in addition to the plasma, we have also
detected PYY in saliva in naive, untreated mice, while at the same
time identifying the respective Y2 receptor in the tongue
epithelia. Based on these novel findings, the inventors have
developed a non-invasive, easy-to-use mouth spray to deliver these
peptides. The aim is to reduce voluntary FI by inducing an early
satiation effect mediated by an increased concentration of these
peptides in the saliva. Incremental reduction in FI over the
prolonged period of time will result in reduced BW and improved
health.
Materials and Methods:
[0030] Synthetic PYY was purchased from Bachem, Inc USA (Cat #
H-6042) and diluted in sterile H.sub.2O. Sterile un-used perfume
sample vials (Saphora) were utilized to administer PYY in the form
of a mouth spray. It was estimated that the volume of one spray
approximates to about 25 I.
[0031] Mice were conditioned three times to 24 hours fasting
starting at the beginning of the dark cycle and ending at the end
of the light cycle. At the end of the fasting cycle and as a part
of conditioned routine, a sterile water spray had been administered
into the mouth. All the experiments were done during the first hour
of the dark cycle after fasting. Once the dark cycle started, mice
were sprayed once with either PYY or sterile H.sub.2O in a total
volume of 25 I per spray. After the treatment, mice were returned
to their cages and ten minutes later pre-weighted chow was
provided. One hour later, the amount of consumed chow had been
recorded by measuring the leftover amount. When the experiments
were repeated, mice were fasted only once a week with the control
and experimental groups rotated.
Results:
[0032] Mice sprayed with PYY consumed significantly (P=0.03) less
food (15% on average) compared to the control group sprayed with
H.sub.2O (FIG. 4A, 4B). We also documented a significant PYY dose
response effect to FI (FIG. 4C). After PYY mouth spray, there was a
pronounced early satiety effect followed by compensatory higher
food intake resulting in similar overall 24 hr period FI for both
experimental and control groups (FIG. 4D). This data correlates
with previously published observation showing no difference in FI
during 24 hours after IP or IV injections. This data, however,
reflect the ad libitum pattern of food consumption in mice. In
humans, with a defined pattern of three meals per day, with PYY
spray application prior to each meal, the treatment is anticipated
to reduce overall FI over 24 hrs period.
Conclusions:
[0033] The increase in PYY concentration delivered by mouth spray
has a potential to be utilized as a treatment for obesity by
reducing voluntary FI. Attachment A in U.S. Provisional Application
No. 61/146287 sets forth data demonstrating the successful
expression of Peptide YY and the use for modulating BMI and FI.
EXAMPLE 4
Long-Term Salivary PYY3-36 Treatment Modulates Aggressive
Behavior
[0034] The NPY pathway modulates food intake, body weight, energy
expenditure, blood pressure, cortical excitability, circadian
rhythms, stress response, emotions, memory, attention, learning,
aggression, ethanol susceptibility and pain processing. The NPY
pathway has also been related to the mechanism of epilepsy,
neurogenesis, neuroprotection, analgesia, anxiety and depression
(1, 2). The widespread effects of NPY are mediated by G-protein
coupled receptors Y1, Y2, Y4, Y5 and Y6.
[0035] Components of the Neuropeptide Y (NPY) expressed widely in
the CNS have been linked to aggression, anxiety and depression. For
example, NPY Y1 and Y4 receptor knockout mice exhibit abnormally
aggressive behavior (1). Furthermore, both pharmacological
inhibition of NPY Y2 receptor and NPY Y2 receptor knockout show an
anxiolytic, antidepressant phenotypes with reduced attention and
increased impulsivity (3, 4)(5). However, so far little is known
about the role of NPY Y2 receptors in aggressive behavior.
[0036] NPY Y2 receptors endogenous agonist is PYY.sub.3-36.
Recently, we reported that augmentation of salivary PYY.sub.3-36
modifies feeding behavior in mice. The long-term increase of
salivary PYY.sub.3-36 by using a recombinant Adeno-associated virus
(rAAV-PYY), produced a significant decrease in body weight and food
intake in obese mice. Unexpectedly, in addition to modulating the
feeding behavior, the long term over-expression of salivary
PYY.sub.3-36 also appears to modulate aggressive behavior.
[0037] Data presented in this report indicate that long-term
expression of Peptide YY.sub.3-36, an agonist of NPY Y receptors
with higher affinity for the Y2 receptor, abolish aggressive
behavior in mice. To test these observations, we used the
territorial Resident/Intruder (R/I) aggressive paradigm (6), a
standard test for evaluating rodent aggressive behavior. The test
was applied on three different occasions using different intruders.
Tests were recorded and analyzed in a blind manner using the
Observer v5.0 software (Noldus Information Technology) (see videos,
Supplementary data) (7).
[0038] The aggressive behavior was analyzed by the frequency,
duration and latency of attacks, threats and chase from the
resident to the intruder mice. PYY.sub.3-36 treated mice displayed
a 44-fold decrease in the number of attack events compare to
controls [PYY.sub.3-360.07.+-.0.067 events per 10 min, vs. Controls
3.07.+-.1.74 events in 10 min, n=5, p<0.05) (FIG. 5A). Likewise,
PYY.sub.3-36 treated mice had a significant decrease in attack
duration and a significant increase in attack latency. Similarly,
PYY.sub.3-36 treated mice had a significant decrease in threat
events and duration compare to controls (FIG. 5B) and a decrease in
chase events and duration compare to control mice (FIG. 5C).
Interestingly, even though an aggressive behavior was almost
completely abrogated, the normal social interactions manifested by
sniffing did not change (FIG. 5D).
[0039] These dramatic changes in territorial aggression suggest
that the long-term treatment with NPY Y2 receptors agonists such as
PYY.sub.3-36 modulates both feeding and aggressive behaviors.
Because PYY.sub.3-36 has recently been tested in clinical trials
for weight loss in obese adult subjects, the unintended while
favorable effects shown here must be taken in consideration before
such agonists are approved for the long-term treatment of obesity.
This is especially important in light of the Y receptors cross talk
and interactions as shown in genetically modified mice models (8).
Further studies are needed to understand the long-term effect of Y
receptors agonists in feeding and aggressive behavior, as well as
in depression and anxiety.
Supplemental material: [0040] Methods
[0041] Vector design: A recombinant adeno-associated virus encoding
murine pre-pro-PYY (rAAV-PYY) under the control of a strong
constitutive CMV/-actin promoter and the control rAAV-GFP were
pseudotyped into rAAV serotype 5 capsids as having higher
transduction in salivary glands (SG) (9). The production,
purification and titration of the viral vectors were performed as
described previously (10). [0042] Mouse studies: This study was
approved by the Animals Care and Use Committee of The National
Institute of Dental and Craniofacial research and by the Biosafety
Committee of the National Institute of Health (Bethesda, Md.). All
mice procedures were done in accordance with the principles of the
National Research Council's guide for the Care and Use of
Laboratory Animals. Studies were done in male Balb/c (Harlan
Sprague Dawley, Walkersville, Md.) mice housed at 22-24.degree. C.
in a 12 hours light/dark cycle (lights off at 1800). Forty five
days old male Balb/C mice (n=5) were administered a single dose of
(100 I, 10.sup.10 vector genomes) rAAV-PYY, rAAV-GFP or saline
control bi-laterally into the orifice of the submandibular salivary
gland as described by Katano et al (9).
[0043] Metabolic profile: Mice had free access to water and food
(normal chow). Food intake and body weight were measured weekly for
24 weeks.
[0044] Behavioral studies: Aggression territorial-Intruder test
were performed on week 24 after the treatment (6). Briefly, PYY-,
or GFP-treated resident mice were individually housed for at least
two weeks prior to testing. Bedding from cages was not changed
during the testing period to avoid unnecessary stress. On the day
of the experiment, a smaller size intruder was placed into the
resident cage for 10 minutes and the resident's behavior was
recorded with a video camera. Each experiment was repeated 3 times
on three different occasions and with different intruders. The
videos from the experiments were analyzed for non-aggressive and
aggressive behavior by an expert in a blind manner using The
Observer v5.0 software (Noldus Information Technology) (7).
[0045] Statistical analysis: Statistical analysis was conducted
using un-paired Student's t-test or by a Mann-Whitney test with
significance at P<0.05. Data was reported in mean.+-.SEM. [0046]
Results:
[0047] Metabolic Profile: rAAV-PYY treated mice weekly caloric
intake was significantly lower than rAAV-GFP control mice (rAAV-PYY
95.53.+-.2.35 kcal vs. rAAV-GFP 107.44.+-.3.22 kcal, p<0.002).
Twenty two weeks after vector delivery, the rAAV-PYY treated mice
gained significantly less weight than the controls mice (rAAV-PYY
5.33.+-.0.63 g vs. rAAV-GFP 6.28.+-.0.68 g, p<0.05). These data
suggest that long-term chronic elevation of PYY.sub.3-36 in saliva
of lean mice modulates feeding behavior by decreasing food intake
and body weight.
REFERENCES CITED FOR EXAMPLE 4
[0048] 1. T. Karl, H. Herzog, Peptides 28, 326 (February, 2007).
[0049] 2. E. E. Benarroch, Neurology 72, 1016 (Mar. 17, 2009,
2009). [0050] 3. A. Tschenett et al., Eur J Neurosci 18, 143 (July,
2003). [0051] 4. J. P. Redrobe, Y. Dumont, H. Herzog, R. Quirion,
Behav Brain Res 141, 251 (May 15, 2003). [0052] 5. B. Greco, M.
Carli, Behav Brain Res 169, 325 (May 15, 2006). [0053] 6. T. Karl
et al., Proc Natl Acad Sci U S A 101, 12742 (Aug. 24, 2004). [0054]
7. A. M. Muehlmann, B. D. Brown, D. P. Devine, J Pharmacol Exp Ther
324, 214 (Jan. 1, 2008, 2008). [0055] 8. W. Wittmann, S. Loacker,
I. Kapeller, H. Herzog, C. Schwarzer, Neuroscience 136, 241 (2005).
[0056] 9. H. Katano et al., Gene Ther 13, 594 (April, 2006). [0057]
10. S. Zolotukhin et al., Methods 28, 158 (October, 2002).
[0058] The teachings of the references cited throughout the
specification are incorporated herein in their entirety by this
reference to the extent they are not inconsistent with the
teachings herein. It should be understood that the examples and the
embodiments described herein are for illustrative purposes only and
that various modifications or changes in light thereof will be
suggested to persons skilled in the art and are to be included
within the spirit and purview of this application.
Sequence CWU 1
1
9197PRTHomo sapiens 1Met Val Phe Val Arg Arg Pro Trp Pro Ala Leu
Thr Thr Val Leu Leu 1 5 10 15 Ala Leu Leu Val Cys Leu Gly Ala Leu
Val Asp Ala Tyr Pro Ile Lys 20 25 30 Pro Glu Ala Pro Gly Glu Asp
Ala Ser Pro Glu Glu Leu Asn Arg Tyr 35 40 45 Tyr Ala Ser Leu Arg
His Tyr Leu Asn Leu Val Thr Arg Gln Arg Tyr 50 55 60 Gly Lys Arg
Asp Gly Pro Asp Thr Leu Leu Ser Lys Thr Phe Phe Pro 65 70 75 80 Asp
Gly Glu Asp Arg Pro Val Arg Ser Arg Ser Glu Gly Pro Asp Leu 85 90
95 Trp 234PRTHomo sapiens 2Ile Lys Pro Glu Ala Pro Gly Glu Asp Ala
Ser Pro Glu Glu Leu Asn 1 5 10 15 Arg Tyr Tyr Ala Ser Leu Arg His
Tyr Leu Asn Leu Val Thr Arg Gln 20 25 30 Arg Tyr 337PRTHomo sapiens
3His Ser Gln Gly Thr Phe Thr Ser Asp Tyr Ser Lys Tyr Leu Asp Ser 1
5 10 15 Arg Arg Ala Gln Asp Phe Val Gln Trp Leu Met Asn Thr Lys Arg
Asn 20 25 30 Lys Asn Asn Ile Ala 35 4115PRTHomo sapiens 4Met Asn
Ser Gly Val Cys Leu Cys Val Leu Met Ala Val Leu Ala Ala 1 5 10 15
Gly Ala Leu Thr Gln Pro Val Pro Pro Ala Asp Pro Ala Gly Ser Gly 20
25 30 Leu Gln Arg Ala Glu Glu Ala Pro Arg Arg Gln Leu Arg Val Ser
Gln 35 40 45 Arg Thr Asp Gly Glu Ser Arg Ala His Leu Gly Ala Leu
Leu Ala Arg 50 55 60 Tyr Ile Gln Gln Ala Arg Lys Ala Pro Ser Gly
Arg Met Ser Ile Val 65 70 75 80 Lys Asn Leu Gln Asn Leu Asp Pro Ser
His Arg Ile Ser Asp Arg Asp 85 90 95 Tyr Met Gly Trp Met Asp Phe
Gly Arg Arg Ser Ala Glu Glu Tyr Glu 100 105 110 Tyr Pro Ser 115
5851DNAHomo sapiens 5cacttcaacc ggttgtcgcc ccagtggccg ccctctgagc
acgtgttact gccagtctgc 60gtcagcgttg ggtaaataca tgactggccg acgccgccgg
gcggggctat ttaagagaca 120gccgcccgct ggtcctccct gaacttggct
cagctgccgg gctgctccgg ttggaaacgc 180caagccagct gcgtcctaat
ccaaaagcca tgaacagcgg cgtgtgcctg tgcgtgctga 240tggcggtact
ggcggctggc gccctgacgc agccggtgcc tcccgcagat cccgcgggct
300ccgggctgca gcgggcagag gaggcgcccc gtaggcagct gagggtatcg
cagagaacgg 360atggcgagtc ccgagcgcac ctgggcgccc tgctggcaag
atacatccag caggcccgga 420aagctccttc tggacgaatg tccatcgtta
agaacctgca gaacctggac cccagccaca 480ggataagtga ccgggactac
atgggctgga tggattttgg ccgtcgcagt gccgaggagt 540atgagtaccc
ctcctagagg acccagccgc catcagccca acgggaagca acctcccaac
600ccagaggagg cagaataaga aaacaatcac actcataact cattgtctgt
ggagtttgac 660attgtatgta tctatttatt aagttctcaa tgtgaaaaat
gtgtctgtaa gattgtccag 720tgcaaccaca cacctcacca gaattgtgca
aatggaagac aaaatgtttt cttcatctgt 780gactcctggt ctgaaaatgt
tgttatgcta ttaaagtgat ttcattctga aaaaaaaaaa 840aaaaaaaaaa a
8516348DNAHomo sapiens 6atgaacagcg gcgtgtgcct gtgcgtgctg atggcggtac
tggcggctgg cgccctgacg 60cagccggtgc ctcccgcaga tcccgcgggc tccgggctgc
agcgggcaga ggaggcgccc 120cgtaggcagc tgagggtatc gcagagaacg
gatggcgagt cccgagcgca cctgggcgcc 180ctgctggcaa gatacatcca
gcaggcccgg aaagctcctt ctggacgaat gtccatcgtt 240aagaacctgc
agaacctgga ccccagccac aggataagtg accgggacta catgggctgg
300atggattttg gccgtcgcag tgccgaggag tatgagtacc cctcctag
348736PRTHomo sapiens 7Tyr Pro Ile Lys Pro Glu Ala Pro Gly Glu Asp
Ala Ser Pro Glu Glu 1 5 10 15 Leu Asn Arg Tyr Tyr Ala Ser Leu Arg
His Tyr Leu Asn Leu Val Thr 20 25 30 Arg Gln Arg Tyr 35
81069DNAHomo sapiens 8gcccctggag gaactgaacc cactatcggt catggggccg
agactaaatg tggcgggttg 60tctttaatct gctgccaaga ggaaactcat tcaggcaagt
tcagcccttt atgaggaatt 120cccctgtggt cacattccaa ttcctggacc
tgctgccacc ctcagaactg catgctcctt 180cttcagactt tctaagaatg
actcaggtca ttggtggagt gaagtcaaga tttccaactc 240agtcacctga
agagatggag ataccattca tggagctgga ggtccctgga gatttgggaa
300ttcagataac aagctaagat aaggagtttg cctacctctg tcctagagcg
aagcctgagc 360cttgggcgcg cagcacacca caagtatctg ttactgtgtt
ttgcagaagc ttcaggcggg 420gatataagcc ccacaaggaa agcgctgagc
agaggaggcc tcagcttgac ctgcggcagt 480gcagcccttg ggacttccct
cgccttccac ctcctgctcg tctgcttcac aagctatcgc 540tatggtgttc
gtgcgcaggc cgtggcccgc cttgaccaca gtgcttctgg ccctgctcgt
600ctgcctaggg gcgctggtcg acgcctaccc catcaaaccc gaggctcccc
gcgaagacgc 660ctcgccggag gagctgaacc gctactacgc ctccctgcgc
cactacctca acctggtcac 720ccggcagcgg tatgggaaaa gagacggccc
ggacacgctt ctttccaaaa cgttcttccc 780cgacggcgag gaccgccccg
tcaggtcgcg gtcggagggc ccagacctgt ggtgaggacc 840cctgaggcct
cctgggagat ctgccaacca cgcccacgtc atttgcatac gcactcccga
900ccccagaaac ccggattctg cctcccgacg gcggcgtctg ggcagggttc
gggtgcggcc 960ctccgcccgc gtctcggtgc ccccgccccc tgggctggag
ggctgtgtgt ggtccttccc 1020tggtcccaaa ataaagagca aattccacag
aaaaaaaaaa aaaaaaaaa 1069997PRTHomo sapiens 9Met Val Phe Val Arg
Arg Pro Trp Pro Ala Leu Thr Thr Val Leu Leu 1 5 10 15 Ala Leu Leu
Val Cys Leu Gly Ala Leu Val Asp Ala Tyr Pro Ile Lys 20 25 30 Pro
Glu Ala Pro Arg Glu Asp Ala Ser Pro Glu Glu Leu Asn Arg Tyr 35 40
45 Tyr Ala Ser Leu Arg His Tyr Leu Asn Leu Val Thr Arg Gln Arg Tyr
50 55 60 Gly Lys Arg Asp Gly Pro Asp Thr Leu Leu Ser Lys Thr Phe
Phe Pro 65 70 75 80 Asp Gly Glu Asp Arg Pro Val Arg Ser Arg Ser Glu
Gly Pro Asp Leu 85 90 95 Trp
* * * * *