U.S. patent application number 16/288491 was filed with the patent office on 2019-11-21 for uses of modified mullerian inhibiting substance (mis) proteins for the treatment of neurodegenerative diseases.
This patent application is currently assigned to THE GENERAL HOSPITAL CORPORATION. The applicant listed for this patent is THE GENERAL HOSPITAL CORPORATION, MASSACHUSETTS EYE AND EAR INFIRMARY, UNIVERSITY OF MASSACHUSETTS. Invention is credited to Robert H. BROWN, Patricia K. DONAHOE, Guangping GAO, Mien Van HOANG, David PEPIN, Demetrios VAVVAS.
Application Number | 20190351026 16/288491 |
Document ID | / |
Family ID | 52689241 |
Filed Date | 2019-11-21 |
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United States Patent
Application |
20190351026 |
Kind Code |
A1 |
DONAHOE; Patricia K. ; et
al. |
November 21, 2019 |
USES OF MODIFIED MULLERIAN INHIBITING SUBSTANCE (MIS) PROTEINS FOR
THE TREATMENT OF NEURODEGENERATIVE DISEASES
Abstract
The present invention relates to methods to treat a
neurodegenerative disease or disorder, e.g., a motor neuron disease
in a subject, whereby the subject is administered a recombinant
human Mullerian Inhibiting Substance (MIS) protein as disclosed
herein, wherein the recombinant human MIS protein comprises a
modified Kex cleavage site for increased cleavage. The recombinant
human MIS protein can be produced from a pre-proprotein comprising
a non-MIS leader sequence or a functional fragment thereof in place
of the MIS leader sequence.
Inventors: |
DONAHOE; Patricia K.;
(Boston, MA) ; VAVVAS; Demetrios; (Boston, MA)
; PEPIN; David; (Somerville, MA) ; HOANG; Mien
Van; (Braintree, MA) ; BROWN; Robert H.;
(Worcester, MA) ; GAO; Guangping; (Worcester,
MA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
THE GENERAL HOSPITAL CORPORATION
MASSACHUSETTS EYE AND EAR INFIRMARY
UNIVERSITY OF MASSACHUSETTS |
Bostpn
Boston
Boston |
MA
MA
MA |
US
US
US |
|
|
Assignee: |
THE GENERAL HOSPITAL
CORPORATION
Boston
MA
MASSACHUSETTS EYE AND EAR INFIRMARY
Boston
MA
UNIVERSITY OF MASSACHUSETTS
Boston
MA
|
Family ID: |
52689241 |
Appl. No.: |
16/288491 |
Filed: |
February 28, 2019 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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15023044 |
Mar 18, 2016 |
10258668 |
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PCT/US2014/024187 |
Mar 12, 2014 |
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16288491 |
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61881719 |
Sep 24, 2013 |
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61880451 |
Sep 20, 2013 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
C07K 14/575 20130101;
C12N 2750/14143 20130101; A61K 38/22 20130101; C12N 15/86 20130101;
A61K 48/0058 20130101; A61K 48/0066 20130101; C07K 14/765 20130101;
C12N 7/00 20130101; C07K 16/26 20130101 |
International
Class: |
A61K 38/22 20060101
A61K038/22; C07K 16/26 20060101 C07K016/26; C07K 14/575 20060101
C07K014/575; A61K 48/00 20060101 A61K048/00; C12N 15/86 20060101
C12N015/86; C07K 14/765 20060101 C07K014/765; C12N 7/00 20060101
C12N007/00 |
Goverment Interests
GOVERNMENT SUPPORT
[0002] This invention was made with government support under grant
Number CA17393 awarded by the National Institutes of Health (NIH).
The Government has certain rights in the invention.
Claims
1. A method for treating a subject with a neurodegenerative disease
or disorder, comprising administering a composition comprising a
recombinant Mullerian Inhibiting Substance (MIS) protein, wherein
the recombinant MIS protein comprises at least one of: (i) a
modification of amino acid 450 of SEQ ID NO: 1 from Q to R to
increase cleavage as compared to in the absence of such a
modification, and (ii) a modification of amino acid 452 of SEQ ID
NO: 1 from S to R to increase cleavage as compared to in the
absence of such a modification, and wherein the vector does not
include a nucleic acid encoding a FLAG tag.
2.-4. (canceled)
5. The method of claim 1, wherein one or more neurons from the
subject express the MIS type II receptor or a homologue or
functional fragment thereof.
6. (canceled)
7. The method of claim 1, wherein the neurodegenerative disease is
selected from the group of: amyotrophic lateral sclerosis (ALS),
progressive bulbar palsy, pseudobulbar palsy; primary lateral
sclerosis (PLS); progressive muscular atrophy; spinal muscular
atrophy (SMA, including SMA type I, SMA type II, and SMA type III);
Fazio-Londe disease; progressive spinobulbar muscular atrophy;
congenital SMA with arthrogryposis or post-polio syndrome
(PPS).
8. The method of claim 1, wherein the neurodegenerative disease is
selected from the group of: Alzheimer's disease (AD), Parkinson's
disease (PD), Huntington's disease (HD), Friedreich's ataxia,
cerebellar ataxia, other brain disorders such as bipolar disorder,
epilepsy, schizophrenia, depression, mania, autism, ADHD, brain
trauma injuries or stroke.
9.-24. (canceled)
25. The method of claim 1, wherein the recombinant MIS protein is
encoded by a viral vector or expression vector.
26. (canceled)
27. (canceled)
28. The method of claim 25, wherein the viral vector is selected
from the group consisting of an adenoviral vector, adeno-associated
vector (AAV), a poxvirus vector or a lentiviral vector.
29. (canceled)
30. The method of claim 28, wherein the adeno-associated vector
(AAV) is AAV9.
31. The method of claim 25, wherein the vector comprises a nucleic
acid sequence that has at least 95% sequence identity to the
nucleic acid sequence of SEQ ID NO: 4 or SEQ ID NO: 5, wherein the
nucleic acid sequence is operatively linked to a tissue- or
cell-type specific promoter.
32.-44. (canceled)
45. The method of claim 31, wherein the nucleic acid encodes a
non-MIS leader sequence in place of the MIS leader sequence of
amino acids 1-25 of SEQ ID NO: 1.
46. The method of claim 45, wherein the non-MIS leader sequence
comprises at least 10 amino acids of SEQ ID NO: 6 or a variant that
is at least 80% homologous thereto.
47. The method vector of claim 25, wherein the vector comprises a
nucleic acid sequence of nucleotides 79-1680 of SEQ ID NO: 4.
48. The method of claim 31, wherein the nucleic acid sequence
comprises SEQ ID NO: 4.
49. The method of claim 1, wherein the recombinant MIS protein
comprises the amino acid residues 25-559 of SEQ ID NO: 2.
50. The method of claim 45, wherein the non-MIS leader sequence is
selected from any in the group consisting of: a human serum albumin
(HSA) leader sequence, an immunoglobulin signal peptide fused to a
tissue-type plasminogen activator propeptide (IgSP-tPA), murine
immunoglobulin signal peptide (IgSP), a MPIF-1 signal sequence
(MKVSVAALSCLMLVTALGSQA (SEQ ID NO: 15)); a stanniocalcin signal
sequence (MLQNSAVLLLLVISASA (SEQ ID NO:16)); an invertase signal
sequence (MLLQAFLFLLAGFAAKISA (SEQ ID NO:17)); a yeast mating
factor alpha signal sequence (K. lactis killer toxin leader
sequence); a hybrid signal sequence (MKWVSFISLLFLFSSAYSRSLEKR, (SEQ
ID NO:18)); a HSA/MF.alpha.-1 hybrid signal sequence
(MKWVSFISLLFLFSSAYSRSLDKR (SEQ ID NO:19)); a K. lactis
killer/MF.alpha.-1 fusion leader sequence (MNIFYIFLFLLSFVQGSLDKR
(SEQ ID NO:20)); an immunoglobulin Ig signal sequence
(MGWSCIILFLVATATGVHS (SEQ ID NO:21)); a Fibulin B precursor signal
sequence (MERAAPSRRVPLPLLLLGGLALLAAGVDA (SEQ ID NO:22)); a
clusterin precursor signal sequence (MMKTLLLFVGLLLTWESGQVLG (SEQ ID
NO: 23)); and the insulin-like growth factor-binding protein 4
signal sequence (MLPLCLVAALLLAAGPGPSLG (SEQ ID NO:24)).
51. The method of claim 50, wherein a HSA leader sequence is
selected from the group consisting of: MKWVTFISLLFLFSSAYS (SEQ ID
NO: 13); MKWVTFISLLFLFSSAYSRGVFRR (SEQ ID NO: 6);
MKWVSFISLLFLFSSAYS (SEQ ID NO: 14).
Description
CROSS-REFERENCE TO RELATED APPLICATION
[0001] This application is a Continuation of U.S. application Ser.
No. 15/023,044 filed Mar. 18, 2016, which is a 371 National Phase
Entry of International Patent Application No. PCT/US2014/024187
filed on Mar. 12, 2014, which claims benefit under 35 U.S.C. .sctn.
119(e) of U.S. Provisional Application No. 61/880,451 filed Sep.
20, 2013, and U.S. Provisional Application No. 61/881,719 filed
Sep. 24, 2013, the contents of each of which are incorporated
herein by reference in their entireties.
SEQUENCE LISTING
[0003] The instant application contains a Sequence Listing which
has been submitted electronically in ASCII format and is hereby
incorporated by reference in its entirety. Said ASCII copy, created
on Mar. 12, 2014, is named 030258-076965-PCT_SL.txt and is 28,165
bytes in size.
FIELD OF THE INVENTION
[0004] The present invention relates to modified recombinant human
MIS protein which has improved cleavage and increased bioactivity
and increased potency as compared to wild-type human MIS protein.
In some aspects, the recombinant human MIS protein comprises at
least one of the following: a modified Kex cleavage site for
increased cleavage, a FLAG Tag, and a non-MIS leader sequence in
place of the normal MIS leader sequence. Other aspects of the
invention relate to methods, uses and kits comprising a recombinant
human MIS protein for the treatment of cancers, such as those that
expresses the MIS receptor type II (MISRII) or for the treatment of
a disease characterized by excess androgen.
BACKGROUND OF THE INVENTION
[0005] Mullerian Inhibiting Substance (MIS) also known as
anti-Mullerian hormone (AMH), is a 140-kDa disulfide-linked
homodimer glycoprotein member of the large transforming growth
factor-.beta. (TGF.beta.) multigene family of glycoproteins. The
proteins in this gene family are all produced as dimeric precursors
and undergo posttranslational processing for activation, requiring
cleavage and dissociation to release bioactive C-terminal
fragments. Similarly, the 140 kilodalton (kDa) disulfide-linked
homodimer of MIS is proteolytically cleaved to generate its active
C-terminal fragments.
[0006] MIS, is a reproductive hormone produced in fetal testes,
which inhibits the development of female secondary sexual
structures in males. Before sexual differentiation, the fetus is
bipotential, and the developmental choice of male Wolffian ducts
(i.e. prostate, vas deferens) over female Mullerian ducts (i.e.
Fallopian tubes, uterus, vagina) in the male is controlled in part
by MIS.
[0007] The human MIS gene is located on chromosome 19, and its
expression is sexually dimorphic. In males, MIS expression begins
at 9 weeks gestation in the fetal testes and continues at high
levels until puberty, when expression levels fall dramatically. In
females, MIS is produced only postnatally in granulosa cells from
prepuberty through menopause at levels similar to adult males,
after which expression ceases. In male fetuses MIS causes
regression of the Mullerian ducts, the precursors to the Fallopian
tubes, uterus, cervix, and upper third of the vagina.
[0008] MIS exerts its biologic effect after binding to a
heterodimer of type I and type II single transmembrane spanning
serine threonine kinase receptors, leading to cross phosphorylation
of the GS box kinase domain of the type I receptor by the type II
receptor. Subsequently, SMAD 1, 5 and 8 (but predominantly SMAD 8)
are activated and, together with SMAD 4, regulate gene
transcription. Only one MIS receptor type II (MISRII) gene has been
identified in mice, rats, and rabbits, where in humans its gene
localizes to chromosome 12. It is a 65-kDa protein which has been
detected in embryonic and adult Mullerian structures, breast
tissue, prostatic tissue, the gonads, motor neurons, and brain. In
the fetus, mesoepithelial cells expressing MISRII in the coelomic
epithelium covering the urogenital ridge migrate into and become
part of the mesenchymal cells surrounding the Mullerian duct
epithelium. Expression is also detected in the gonads, as wells as
in the ovarian coelomic epithelium. Type I MIS receptors have been
identified in mammals, with activin receptor-like kinase (ALK) 2
and 3 being the most likely candidates, depending upon animal
species and the tissue examined.
[0009] In addition to its well established role in the regression
of Mullerian ducts, MIS inhibits the proliferation of various human
cancer cell lines in vitro and in vivo. The cell lines showing
inhibition were derived from ovarian, cervical, endometrial,
prostate, uterine, Fallopian and breast cancers. Toxicity has not
been observed in vivo even when high concentrations of MIS are
maintained systemically in rodents or in human patients with tumors
secreting MIS for prolonged periods of time. These findings of
relatively restricted receptor expression, anti-proliferative
activity against cancer cells expressing the MIS RI and RII, and
its apparent non-toxicity, taken together, make MIS an ideal
reagent for use in combination with existing chemotherapeutic drugs
for the treatment of ovarian cancer, which are known to become
resistant to these conventional agents.
[0010] MIS acts through MIS Type II receptor cells to serve as a
potent tumor suppressor of ovarian cancer initiation (Teixeira et
al, unpublished). MIS can also target, as a receptor mediated event
the stem/progenitor population of the ovarian cancer cell line
(Meirelles et al, 2012; Wei et al, 2010). MIS can be used for the
treatment of cancers, for example, expressing MISRII. MISRII is
expressed in the majority of epithelial ovarian cancers (Masiakos
et al. 1999; Bakkum-Gamez et al. 2008; Song et al. 2009).
[0011] MIS also inhibits growth of a variety of cancers in vitro
and in vivo, without obvious toxicity after prolonged therapy in
vivo (Pieretti-Vanmarcke et al. 2006b). Epithelial ovarian cancer
recapitulates the original histology of the embryonic Mullerian
ducts and its various subtypes (Scully 1977); for example, serous
cystadenocarcinoma resembles embryonic Fallopian tube, endometrioid
carcinoma, the endometrium, and mucinous carcinoma, the cervix.
Also, MIS acts synergistically or additively with commonly used
cancer drugs to control tumor growth (Pieretti-Vanmarcke et al.
2006a).
[0012] It has been previously reported that chemotherapeutic agents
select for ovarian cancer stem cells, which are typically
multi-drug resistant, and/or resistant to chemotherapeutics. In
particular, there is a growing body of research reporting that
ovarian cancers and cell lines are heterogeneous, with ovarian
cancer stem cell populations that are resistant to chemotherapeutic
drugs but remain responsive to MIS. MIS particularly targets
ovarian cancer side population cells and a population of CD44+,
CD24+, EpCam+ and E-Cadherin-negative cells that are ovarian cancer
progenitor cells with stem/progenitor characteristics that respond
poorly to chemotherapeutic agents currently in clinical use for
ovarian cancer (Wei et al, 2010). In particular, MIS has been shown
to inhibit ovarian cancer cells both in-vitro and in-vivo and can
specifically target and inhibit the growth of an ovarian cancer
progenitor cell population enriched by the CD44+, CD24+, Ep-CAM+
and E-cadherin-cell surface markers. In order to accommodate
clinical testing of MIS in ovarian cancer patients, the production
of recombinant human MIS must be optimized to increase yield and
purity.
[0013] MIS belongs to the TGF-.beta. superfamily, a class of
proteins involved in many pathologies including cancer. Recombinant
TGF-.beta. proteins have been very difficult to produce because
they require complex maturation process involving pre-pro protein
cleavage, dimerization, and glycosylation and disulfide bonding for
activity. Previous attempts have been plagued by low production,
limited cleavage, and lack of homogeneity, even in mammalian cells.
In particular, MIS can only be feasibly produced in mammalian
cells, and not E coli or yeast, where production yields are much
higher, and industrial scaling more straightforward. In mammalian
cells, yields and homogeneity of the product can be significant
barriers to industrial scaling and ultimate entry into clinical
trials. For example, proteolytic degradation was a contributing
factor to the failure of topical TGF-.beta.3 in early clinical
trials against chemotherapy-induced oral mucositis in patients with
lymphomas and solid tumors. Recombinant BMP-2 in a paste form
remains the only TGF-.beta. family ligand used in the clinic, and
is limited to the specific indication of autologous bone grafting.
Progress in the technology of production and purification of
TGF-.beta. recombinant proteins could help many candidates to
achieve their therapeutic potential in the clinic.
[0014] Accordingly, the preparation resulting from purification of
native or wild-type MIS is complex and the yield is low.
Furthermore, the cleavage necessary to produce the active fragment
of MIS is also inefficient. Human MIS protein is produced from a
pre-proprotein, which comprises a leader sequence. The leader
sequence (amino acids 1-25 of SEQ ID NO: 1) is cleaved off and the
remaining preprotein (often called "holo-human MIS") must be
post-translationally cleaved to result in a N-terminal and
C-terminal domain. These covalently linked N-terminal and
C-terminal domains form a monomer, and two identical monomers
(comprising the N- and C-terminal domains) form together to
generate a homodimer. Holo-human MIS is cleaved into its N- and
C-terminal domains most likely by means of furin or a related
prohormone convertase PC5, expressed in the gonads. Cleavage occurs
primarily at a kex-like site characterized by R.sup.-4 XXR.sup.-1
with a serine in the +1 site, which makes the MIS cleavage site
monobasic. The purified C-terminal domain is the biologically
active moiety and cleavage is required for biological activity. A
secondary cleavage site, whose significance is unknown, is observed
less frequently at residues 229-230 (which corresponds to amino
acid residues 254-255 of SEQ ID NO:1). Non-cleavable mutants of MIS
are not biologically active and mutations in the human gene that
truncate the carboxy-terminal domain lead to persistent Mullerian
duct syndrome. The role of the amino-terminal domain in vivo may be
to assist in protein folding and to facilitate delivery of the
C-terminal peptide to its receptor. In one study (Cate, Pepinsky,
et al.) addition of the N-terminal peptide was shown to enhance the
biological activity of the C-terminal moiety in vitro, but the
mechanism was unclear. The cleavage of recombinant MIS expressed by
CHO cells is incomplete, thus cleavage with an exogenous serine
protease such as plasmin is required to enhance bioactivity.
[0015] Accordingly, there is a need for a more efficient method to
produce high concentrations of human MIS protein for use as a
therapeutic biologic agent.
SUMMARY OF THE INVENTION
[0016] The present invention relates to modified recombinant human
MIS protein which has improved cleavage and increased bioactivity
and increased potency as compared to wild-type human MIS protein,
where the recombinant human MIS protein comprises a combination of
the following: a modified Kex cleavage site for increased cleavage,
and a non-MIS leader sequence in place of the normal MIS leader
sequence, to improve the yield of bioactive protein with or without
an, internal label, or Tag to facilitate its purification.
[0017] In order to accommodate clinical testing of MIS in patients,
e.g., for the treatment of neurodegenerative diseases, the
production of recombinant human MIS must be optimized to increase
yield and purity. Here, the inventors have demonstrated that the
substitution of the MIS leader sequence to that of human serum
albumin, combined with a modification of the endogenous cleavage
site from RAQR/S (SEQ ID NO: 26) to a furin/kex2 RARR/S (SEQ ID NO:
27) consensus site results in high expression, increased c-terminus
cleavage and a reduction in unwanted cryptic internal cleavage
products when produced in CHO cells. Purified MIS containing these
alterations retains its capacity to induce regression of the
Mullerian duct in fetal rat embryonic urogenital ridge assays.
[0018] Accordingly, the inventors have demonstrated herein that
modifications to the MIS protein sequence at the activating
cleavage site of MIS enhances maturation into the active form, and
the addition of a leader sequence from albumin, the most highly
secreted protein in the blood, results in higher production yield
of cleaved active MIS which does not suffer from unwanted
proteolytic degradation. Furthermore, the inventors not only
demonstrate herein that the modifications in MIS allows for
production of high levels of this protein, but unexpectedly the
modifications increase activating cleavage of MIS while improving
the homogeneity of the product, all of which are useful for
translation of production of MIS for clinical use. Importantly, the
inventors suprisingly discovered that the enhanced cleavage of MIS
results in a much greater activity when it was tested for its
ability to induce Mullerian duct regression ex vivo. These
modifications can be incorporated in other technologies such as
viral vectors for gene therapy, for example, for the treatment of
neurodegenerative diseases.
[0019] Accordingly, herein the inventors have engineered changes to
the native human MIS amino acid sequence to do a combination of the
following: (i) modify the primary cleavage site to increase
cleavage and thus increase the potency and bioactivity of MIS,
without insertion of a tag to facilitate its purification, and (ii)
modify the endogenous leader sequence of MIS to increase yield of
bioactive protein. Surprisingly, the addition of the leader
sequence in combination with a modified primary cleavage site
significantly increased both the yield of protein produced and the
amount of cleavage from the primary cleavage site of the
recombinant MIS protein. Furthermore, there is an unmet need to
have a form of bioactive MIS that is labeled for use in receptor
and other binding studies that will be very important both for the
selection of patients for treatment and for addressing molecular
mechanistic questions regarding the interaction of MIS in various
receptor bearing tissues. In addition, the labeled ligand will be
essential to determine if another receptor or other binding
proteins exist in various tissues. Herein, the inventors
demonstrate the production of an internally epitope tagged MIS that
retains full bioactivity in the Mullerian duct regression assay. In
one embodiment, the tag is a "FLAG" tag because of the availability
of high quality reagents used for its detection and
purification.
[0020] The inventors also demonstrate that substitution of the MIS
leader sequence to that of human serum albumin (HSA), combined with
a modification of the primary endogenous cleavage site from RAQR/S
(SEQ ID NO: 26) to RARR/S (SEQ ID NO: 27) results in greater
expression, increased c-terminus cleavage and a reduction in
unwanted cryptic internal cleavage when produced in CHO cells.
Purified MIS containing these alterations retains its capacity to
induce regression of the Mullerian duct in fetal rat embryonic
urogenital ridge assays, and shows increased potency.
[0021] In another embodiment, the recombinant human MIS is
engineered with a more efficient cleavage site at the
carboxy-terminal end of the N-terminal domain, thereby eliminating
the need for exogenous cleavage. This recombinant MIS protein can
be used both as a therapeutic and as a probing molecule, without a
tag for identification.
[0022] Importantly, the change in the endogenous leader sequence
with another leader sequence, e.g., a human serum albumin (HSA)
leader sequence increased production of the MIS protein.
Surprisingly, the inventors demonstrate that the combination of the
leader sequence and modified cleavage site increases cleavage from
the primary cleavage site from 37% to over 80% which was
unexpected, as an increase in protein yield is normally associated
with decreased post-translational processing, including cleavage,
because increased protein production typically saturates the
available or endogeneous cleavage enzymes.
[0023] In some embodiments, the recombinant human MIS protein
(e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof, can be used to treat a
neurodegenerative disease, such as a motor neuron degenerative
disease such as amyotrophic lateral sclerosis (ALS), spinal
muscular atrophy (SMA), Primary lateral sclerosis (PLS) and other
motor neuron degenerative diseases.
[0024] Accordingly, one aspect of the present invention relates to
a recombinant Mullerian Inhibiting Substance (MIS) protein
comprising a combination of a non-MIS leader sequence or a
functional fragment thereof in place of the MIS leader sequence of
amino acids 1-25 of SEQ ID NO: 1, and a modification of at least
one amino acid between residues 448-452 of SEQ ID NO: 1 to increase
cleavage as compared to in the absence of a modification, wherein
the recombinant MIS protein has increased cleavage and increased
yield of production in vitro as compared to wild-type MIS protein
corresponding to amino acid residues of SEQ ID NO: 1. In some
embodiments, the recombinant MIS protein lacks a leader sequence.
In these embodiments, the recombinant MIS protein can be produced
from a pre-proprotein comprising a non-MIS leader sequence or a
functional fragment thereof in place of the MIS leader sequence of
amino acids 1-25 of SEQ ID NO: 1, wherein the leader sequence is
cleaved off during production. In some embodiments, the recombinant
MIS protein further comprises a Tag protein.
[0025] In some embodiments, a non-MIS leader sequence is an albumin
leader sequence or a functional fragment thereof, for example, a
human serum albumin (HSA) leader sequence or a fragment thereof. In
some embodiments, the HSA leader sequence comprises the amino acid
sequence of SEQ ID NO: 6 or a variant that is at least 80%
homologous thereto, or a functional fragment, e.g., a fragment of
the HSA sequence comprising at least 10 amino acids, or at least
about 11, or at least 15 amino acids of SEQ ID NO: 6 or a variant
that is at least 80% homologous thereto. In some embodiments, a
fragment of the HSA leader sequence is selected from the group
consisting of: MKWVTFISLLFLFSSAYS (SEQ ID NO: 13);
MKWVTFISLLFLFSSAYSRGVFRR (SEQ ID NO: 6); MKWVSFISLLFLFSSAYS (SEQ ID
NO:14).
[0026] In some embodiments, a non-MIS leader sequence is selected
from a group consisting of: immunoglobulin signal peptide fused to
a tissue-type plasminogen activator propeptide (IgSP-tPA), murine
immunoglobulin signal peptide (IgSP), a MPIF-1 signal sequence
(MKVSVAALSCLMLVTALGSQA (SEQ ID NO: 15); a stanniocalcin signal
sequence (MLQNSAVLLLLVISASA (SEQ ID NO:16); an invertase signal
sequence (MLLQAFLFLLAGFAAKISA (SEQ ID NO:17); a yeast mating factor
alpha signal sequence (K. lactis killer toxin leader sequence); a
hybrid signal sequence (MKWVSFISLLFLFSSAYSRSLEKR (SEQ ID NO:18)); a
HSA/MF.alpha.-1 hybrid signal sequence (MKWVSFISLLFLFSSAYSRSLDKR
(SEQ ID NO:19)); a K. lactis killer/MF.alpha.-1 fusion leader
sequence (MNIFYIFLFLLSFVQGSLDKR (SEQ ID NO:20)); an immunoglobulin
Ig signal sequence (MGWSCIILFLVATATGVHS (SEQ ID NO:21)); a Fibulin
B precursor signal sequence (MERAAPSRRVPLPLLLLGGLALLAAGVDA (SEQ ID
NO:22)); a clusterin precursor signal sequence
(MMKTLLLFVGLLLTWESGQVLG (SEQ ID NO: 23)); and the insulin-like
growth factor-binding protein 4 signal sequence
(MLPLCLVAALLLAAGPGPSLG (SEQ ID NO:24)) or a functional fragment
thereof.
[0027] In some embodiments, a modification of amino acid 450 of SEQ
ID NO: 1 from Q to R increases the cleavage from the primary
cleavage site in MIS as compared to the amount of cleavage in the
absence of such a modification. In some embodiments, a recombinant
MIS further comprises a modification of amino acid 452 of SEQ ID
NO: 1 from S to R to increase cleavage as compared to in the
absence of such a modification.
[0028] In some embodiments, the recombinant MIS protein disclosed
herein comprises a tag which is a FLAG tag, for example, amino acid
sequence DYKDDDDK (SEQ ID NO: 8), or a functional derivative or
variant thereof. In some embodiments, a tag, e.g., FLAG tag is
located after amino acid residue 452 of SEQ ID NO: 1 and before
amino acid residue 453 of SEQ ID NO: 1. In some embodiments, the
location of the tag, e.g., Flag Tag is between amino acid residue
452 and 453 of SEQ ID NO: 1. In some embodiments, the tag is
located at the N-terminus of the C-terminal domain of MIS. In some
embodiments, the tag is no longer than 50 amino acids, for example,
no longer than about 50, or about 40, or about 30, or about 20, or
about 10 amino acids in length or about 7 amino acids in
length.
[0029] In some embodiments, a recombinant MIS protein described
herein comprises the amino acid sequence of SEQ ID NO: 2 or SEQ ID
NO: 3 or a functional fragment thereof, which can be encoded by
nucleic acid sequences SEQ ID NO: 4 and 5 respectively.
[0030] Another aspect of the present invention relates to a
pharmaceutical composition comprising a recombinant MIS protein as
discussed herein and a pharmaceutically acceptable carrier.
[0031] Another aspect of the present invention relates to a
polynucleotide encoding the recombinant MIS protein as discussed
herein, e.g., where the polynucleotide corresponds to SEQ ID NO: 4
or SEQ ID NO: 5 or a nucleotide which has at least 95% sequence
identity to the nucleic acid sequence of SEQ ID NO: 4 or SEQ ID NO:
5 respectively. Another aspect of the technology described herein
relates to a vector comprising the polynucleotide of SEQ ID NO: 4
or SEQ ID NO: 5 or a nucleotide which has at least 95% sequence
identity to the nucleic acid sequence of SEQ ID NO: 4 or SEQ ID NO:
5 respectively. In some embodiments, a vector is a viral vector or
an expression vector, e.g., pcDNA 3.1, or alternative vectors for
E. Coli or bacteriophage. In some embodiments, a viral vector is
selected from the group consisting of an adenoviral vector, a
poxvirus vector and a lentiviral vector. In some embodiments, a
viral vector is adeno-associated virus (AAV), for example,
recombinant AAV serotype 9 (rAAV9) as disclosed herein.
[0032] In some embodiments, a vector comprises a nucleic acid
sequence which encodes a recombinant MIS protein or fragment
thereof which has at least 95% sequence identity to the nucleic
acid sequence of SEQ ID NO: 4 or SEQ ID NO: 5, and where the
nucleic acid sequence is operatively linked to tissue- or cell-type
specific promoter. In some embodiments, a host cell comprising such
a vector is also encompassed in the present invention.
[0033] In some embodiments, the vector comprising the
polynucleotides as discussed herein can express the recombinant MIS
protein at a constant level over a desired period of time.
[0034] Another aspect of the present invention relates to a human
MIS protein produced by post-translational processing of the
recombinant human MIS protein as discussed herein.
[0035] Another aspect of the technology discussed herein relates to
a pharmaceutical composition comprising the vector as discussed
herein and a pharmaceutically acceptable carrier. Another aspect of
the technology discussed herein relates a purified preparation, or
substantially purified human MIS protein produced from the
recombinant human MIS protein as discussed herein.
[0036] In some embodiments, the recombinant human MIS protein
(e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof, can be used to treat a
neurodegenerative disease, such as a motor neuron degenerative
disease such as amyotrophic lateral sclerosis (ALS), spinal
muscular atrophy (SMA), Primary lateral sclerosis (PLS) and other
motor neuron degenerative diseases.
[0037] Other aspects of the technology as disclosed herein relates
to a method to treat a neurodegenerative disease, such as a motor
neuron degenerative disease such as amyotrophic lateral sclerosis
(ALS), spinal muscular atrophy (SMA), Primary lateral sclerosis
(PLS) in a subject, the method comprising administering an
effective amount of a recombinant MIS protein, wherein the
recombinant MIS protein comprises a modification of amino acid 450
of SEQ ID NO: 1 from Q to R, where the recombinant MIS optionally
comprises a tag, and wherein the recombinant MIS protein results in
at least one of the following; increases the motor neuron survival,
prevents or decreases the rate of motor neuron degeneration,
prevents or reduces the decrease in muscle strength, promotes
muscle strength, decreases or prevents the activation of astrocytes
and/or microglia in the spinal cord in the subject. In some
embodiments, the recombinant MIS protein is produced from a
pre-proprotein comprising a non-MIS leader sequence or a functional
fragment thereof in place of the MIS leader sequence of amino acids
1-25 of SEQ ID NO: 1.
[0038] In some embodiments, the recombinant MIS protein comprises
the amino acid residues 25-559 of SEQ ID NO: 2 or a functional
fragment thereof.
[0039] In some embodiments, the recombinant MIS protein comprises
the amino acid residues 25-567 of SEQ ID NO: 3 or a functional
fragment thereof.
[0040] In some embodiments, a recombinant MIS can be administered
by any route, e.g., via intravenous, intradermal, intramuscular,
intraarterial, intralesional, percutaneous, or subcutaneous, or by
aerosol administration. In some embodiments, administration is
therapeutic or prophylactic administration. In all aspects as
discussed herein, a subject is a mammal, e.g., a human. In some
embodiments, a viral vector, such as, for example but not limited
to AAV, comprising a nucleic acid encoding the recombinant MIS as
disclosed herein can be administered by any of the routes described
above.
[0041] In some embodiments, at least one additional agent is
administered to the subject in combination with (e.g., before,
during or after) administration of the recombinant human MIS, such
as a therapeutic agent.
[0042] Another aspect of the present invention relates to an
article of manufacture comprising packaging material and a
pharmaceutical composition comprising the recombinant MIS protein
as discussed herein, wherein the packaging material comprises a
label which indicates the pharmaceutical composition may be
administered, for a sufficient term at an effective dose, for
treating or reducing the risk of a neurodegenerative disease by
targeting cells that express a Mullerian Inhibiting Substance (MIS)
receptor.
[0043] Other aspects of the technology as disclosed herein relates
to a method of treating a subject affected with a neurodegenerative
disease, for which the clinician directs the subject to be treated
with pharmaceutical composition comprising a recombinant MIS
protein as disclosed herein.
[0044] Other aspects of the technology as disclosed herein relates
to a kit comprising a recombinant MIS protein as discussed herein,
or preparation of a MIS protein produced by the post-translational
processing of a recombinant MIS protein discussed herein, and a
pharmaceutically acceptable carrier. In some embodiments, the kit
comprises a viral vector which expresses a recombinant MIS protein
as discussed herein. In some embodiments, the viral vector is AAV
and expresses recombinant MIS protein as discussed herein. In some
embodiments, a kit can optionally comprise instructions of use of
the recombinant MIS protein for the treatment of a
neurodegenerative disease, e.g., a motor neuron disease.
BRIEF DESCRIPTION OF THE DRAWINGS
[0045] FIGS. 1A-1B are schematic drawings showing the design of new
recombinant MIS constructs with the albumin leader sequence. FIG.
1A shows the leader sequence of MIS (25 amino acids) and albumin
(24 amino acids) have 20% identity and 5 conserved amino acids.
FIG. 1B is a schematic drawing showing the design of the RF
(modified cleavage site plus Flag tag), LRF (leader sequence plus
modified cleavage site plus Flag tag), and LR (leader sequence plus
modified cleavage site) constructs including the placement of the
flag tag (F), the modified cleavage site (R), and the albumin
leader (L).
[0046] FIGS. 2A-2B show MIS production and cleavage in CHOK1 clones
stably transfected with recombinant human LR-MIS and LRF-MIS
constructs in conditioned media and screening by western blot.
Western blot of 4% reduced SDS gels of media supernatant after 72
hours in culture using an anti-MIS goat polyclonal antibody
targeting the c-terminus of MIS (1:200). Purified RF-MIS, CHO93
media and B9 media shown as positive controls. MIS production and
cleavage in CHOK1 clones stably transfected with LR-MIS and LRF-MIS
constructs. FIG. 2A shows a western blot of media (10% serum)
supernatant after 72 h in culture using an anti-MIS goat polyclonal
antibody targeting the holo and N-terminus of MIS (1:200). FIG. 2B
shows a western blot of media supernatant after 24 h in culture in
serum-free media, using an anti-MIS goat polyclonal antibody
targeting the C-terminus of MIS (1:200). Purified RF-MIS is shown
as a positive control.
[0047] FIGS. 3A-3C show purified recombinant MIS analyzed by
western blot of reduced SDS gels to estimate the amount of
cleavage. Purified WT-MIS, LR-MIS and LRF-MIS and RF-MIS is
compared: FIG. 3A shows a western blot of 0.1 .mu.g of each of
purified recombinant RF-MIS, LRF-MIS and WT-MIS is compared using
an antibody against the N-terminus (MGH 4) which can recognize
holoenzyme MIS monomer, the cleaved N-terminus, and cryptic
cleavage products containing part of the N-terminus. FIG. 3B shows
a western blot of 0.1 .mu.g of each of purified recombinant RF-MIS,
LRF-MIS and WT-MIS using an antibody against the C-terminus which
can recognize holo MIS monomer, the cleaved C-terminus, and cryptic
cleavage products containing part of the C-terminus. FIG. 3C shows
staining a polyacrilamide gel after electrophoresis with 1 .mu.g of
each type of MIS with a non-specific protein stain
(Lumitein.TM.).
[0048] FIGS. 4A-4C show the comparison of 1, 3 and 5 ug/ml (35 uM)
of WT-MIS, RF-MIS, LRF-MIS and LR-MIS recombinant MIS variants in a
Mullerian duct regression bioassay. Recombinant human MIS produces
was incubated for 72 h with fetal rat uro-genital ridges. FIG. 4A
shows representative sections from both the treated ridge and the
untreated contralateral control ridge are compared for Mullerian
duct regression, and the scores are indicated at the bottom left
corner of each picture, with 5 being full regression and 0 no
regression. FIG. 4B shows dilutions of recombinant LR-MIS in a
Mullerian duct regression bioassay. MIS was incubated 72 h with
fetal rat urogenital ridges at concentrations of 0.2 .mu.g/ml and
0.5 .mu.g/ml. The bioassay score is displayed on the bottom left of
each panel with 5 being full regression and 0 no regression. FIG.
4C is a histogram showing the frequency distribution of those
scores in FIG. 4A. (LRF-MIS N=6, RF-MIS N=39). W, Wolffian duct; M,
Mullerian duct. Microscopy pictures were taken with a 200.times.
objective.
[0049] FIGS. 5A-5B show the amino acid of wild-type MIS protein
(SEQ ID NO: 1) with the corresponding amino acid residues using
conventional nomenclature of amino acid labeling (where the first
numbered amino acid begins after the leader sequence). FIG. 5A
shows the amino acid sequence of wild-type MIS protein of SEQ ID
NO: 1, showing the leader sequence (in bold) and the primary and
secondary cleavage sites highlighted. The corresponding amino acid
numbering using conventional numbering is shown in brackets. FIG.
5B shows a Table indicating features on amino acid residues on SEQ
ID NO: 1 which correspond with the amino acid residues using normal
nomenclature of MIS (where the first numbered amino acid begins
after the leader sequence). FIG. 5B discloses "RAQR/S" as SEQ ID
NO: 26.
[0050] FIG. 6 shows the effect of AAV9 expressing MIS protein on
the survival of a mouse model of ALS. The Kaplan-Meyer survival
curves of ALS mice intravenously administeredAAV9-mMIS at post
natal day 1 (P1) as compared to control treated ALS mice
demonstrate that rAAV9-mMIS mice have a 19 day increase in the
average lifespan (approximately 12% increase in lifespan) as
compared to control treated ALS mice injected with PBS. N=4 for PBS
treated controls, n=9 for AAV-mMIS treated ALS mice. The age for
50% survival for AAV-mMIS is 172 days as compared to 153 days for
PBS control treated ALS mice (p=0.013). Data from injection of
rAAV9-mMIS on P7 and P28 was also significant (data not shown).
[0051] FIGS. 7A-7C show expression of AAV9-mMIS in ALS mouse brain,
liver and spinal cord of ALS mice. FIG. 7A shows detection of mMIS
expression by RT-PCR (normalized to beta-actin loading control)
showing expression of MIS in the liver and brain of ALS mice after
i.v. administration of AAV9-mMIS at P1 and P7 days old. FIG. 7B
shows detection of mMIS expression by western blot after
intravenous administration of rAAV9-mMIS in various tissues at ALS
disease endpoint. Mouse MIS protein was detected in the muscle (M),
liver (L), brain (B) and spinal cord (SC) of ALS mice intravenously
administered rAAV9-mMIS, demonstrating that the AAV9 crosses the
blood brain barrier. FIG. 7C shows results from a q-PCR assay for
the amount of viral genome in the brain and liver of rAAV9-mMIS
treated mice administered rAAV-mMIS at age P28. Each symbol
represents one mouse.
[0052] FIGS. 8A-8D show immunostaining of the lumbar ventral horn
of the spinal cord of rAAV9-mMIS treated ALS mice. FIG. 8A shows
immunostaining of SMI-31 motor neuron marker of PBS control treated
ALS mice, FIG. 8B shows immunostaining of the motor neuron marker
of SMI-31 of rAAV9-mMIS treated ALS mice, demonstrating the
increase in number of surviving motor neurons (and neuronal
protection) as compared to the control treated mice shown in FIG.
8A. FIG. 8C shows immunostaining with anti-MIS antibody of the
spinal cord of rAAV9-mMIS treated ALS mice, and FIG. 8D shows the
merged image of the immunostaining with the motor neuron marker of
SMI-31 and an anti-MIS antibody, showing co-localization of MIS and
SMI-31 demonstrating that mMIS expressed from the AAV9 is expressed
in surviving motor neurons.
[0053] FIGS. 9A-9B show astroglia and microglia immunostaining of
the ventral horn of the spinal cord of rAAV9-mMIS treated ALS mice.
FIG. 9A shows immunostaining with an astrocyte marker GFAP in the
spinal cord of PBS control treated ALS mice (left panel) or
rAAV9-mMIS treated ALS mice (middle and right panel) demonstrating
significantly decreased expression of GFAP and thus less astrocyte
activation in the spinal cord of rAAV9-mMIS treated ALS mice. FIG.
9B is a histogram showing the fraction of the spinal cord with
activated astrocytes in PBS and rAAV9-mMIS treated ALS mice, as
compared to normal wild-type (non-ALS) mice, demonstrating that
intravenous administration of rAAV9-mMIS decreases the activated
astrocytes to a level which is close to that of wild-type mice.
[0054] FIGS. 10A-10B show rAAV vector genomes expressing WT-MIS or
modified MIS. FIG. 10A shows a shematic of a construct of native
mouse MIS and FIG. 10B shows an AAV9 construct of mutated mouse MIS
with its cleavage site ablated as a negative control vector.
[0055] FIGS. 11A-11C show rAAV vector genomes expressing 3
different modified hMIS variants. FIG. 11A shows a schematic of an
AAV9 construct expressing LRF: rAAV expressing human MIS with a
modified cleavage site, a leader peptide and Flag tag added. FIG.
11B shows a schematic of a AAV9 construct expressing LR: rAAV
expressing human MIS, with a modified cleavage site and a leader
peptide added. FIG. 11C shows a schematic of an AAV9 construct
expressing RF: rAAV expressing human MIS with a modified cleavage
site and a flag tag.
[0056] FIG. 12 shows expression of MIS in serum of blood in vivo.
MIS concentration, as determined by ELISA was present in the serum
of nude mice injected at 5-6 weeks of age with 1.times.10.sup.11
AAV9-hMIS carrying LFR, LR and RF. AAV9-LR-hMIS resulted in highest
amount of MIS in the serum in vivo.
[0057] FIG. 13 shows a reduction of tumor volume of OVCAR5
xenograft cells in nude mice treated with AAV9-LR-hMIS in vivo. At
3 weeks of age, 1 million human ovarian cancer cells from OVCAR5
cell line were xenografted subcutaneously in the flank of nude mice
injected at 5-6 weeks of age with 1.times.10.sup.11 AAV9-hMIS
carrying LR. Tumor growth was significantly inhibited in
AAV9-LR-hMIS treated mice as compared to AAV9-GFP treated
controls.
[0058] FIG. 14 shows immunofluorescence for GFP in the muscle of
AAV9-GFP treated mice. The GFP vector demonstrated fluorescence in
the muscle cell wall and liver (data not shown).
[0059] FIGS. 15A-15B show rAAV vector genomes expressing 2
different modified LR-hMIS variants. FIG. 15A shows a schematic of
an AAV9 construct expressing LR; with human MIS with a modified
cleavage site and a leader peptide added and FIG. 15B shows mutated
human MIS with leader peptide added, but cleavage site mutated.
DETAILED DESCRIPTION OF THE INVENTION
[0060] The present invention relates to modified recombinant human
MIS protein which has at least one of the following
characteristics; improved cleavage, increased bioactivity,
increased potency and can be produced at high yield as compared to
the wild-type human MIS protein, where the recombinant human MIS
protein comprises a combination of the following: a modified Kex
cleavage site for increased cleavage and a non-MIS leader sequence
in place of the normal MIS leader sequence, to improve the yield of
bioactive protein. In some embodiments, this modified MIS is with
or without an internal label, or Tag, to facilitate its
purification.
[0061] Accordingly, herein the inventors have engineered changes to
the native human sequence to increase endogenous cleavage and thus
the potency of MIS. The inventors have also, optionally, inserted a
tag to facilitate its purification.
[0062] The inventors have also additionally modified recombinant
human MIS protein to comprise a non-MIS leader sequence instead of
the 25 amino acid MIS leader sequence of amino acids 1-25 of SEQ ID
NO:1. In some embodiments, the leader sequence comprises an albumin
leader sequence, such as a human serum albumin sequence (HSA) or a
functional fragment or variant thereof. In some embodiments, the
leader sequence comprises 24 amino acids of SEQ ID NO: 6 or a
functional fragment thereof, and replaces amino acid residues 1-25
of SEQ ID NO: 1. This addition, surprisingly, has further increased
cleavage of the recombinant MIS protein. This combination has led
to higher yield of a product that is more homogeneous, with
increased potency due to increased cleavage. This combination of
changes yields a recombinant human MIS variant that can meet a
previously unmet need to have a form of bioactive MIS that is
labeled for use in receptor and other binding studies that will be
very important both for the selection of patients for treatment and
for addressing molecular mechanistic questions regarding the
interaction of MIS in various receptor bearing tissues. In
addition, the labeled ligand will be essential to determine if
another receptor or other binding proteins exist in various
tissues. Herein, the inventors demonstrate the production of an
internally epitope tagged MIS that retains full bioactivity in the
Mullerian duct regression assay. In one embodiment, the tag is a
"FLAG" tag because of the availability of high quality reagents
used for its detection and purification.
[0063] As discussed herein, the present invention provides a method
for treating a variety of conditions by administering an effective
amount of a recombinant human MIS protein and functional fragments
and derivatives thereof as disclosed herein to a subject in need
thereof. Conditions that may be treated by the compounds of this
invention, or a pharmaceutical composition containing the same,
include any condition which is treated or reduces the symptoms by
administration of human MIS or activation of MIS signaling or
activation of MISRII, and thereby benefit from administration of a
a recombinant human MIS protein and functional fragments and
derivatives thereof. Representative conditions in this regard
include, for example, but not limited to, neurodegenerative
diseases, cancers that express MIS receptors, for example cancer
that express MISRII, for example, but not limited to ovarian,
cervical and endometrial cancer. Other conditions which can be
treated with MIS or activation of MIS signalling reduces the
symptoms are proliferative diseases such as cancer, or abnormally
high androgen stages such as polycysic ovarian disease, precocious
puberty, and other hyperandrogen disorders, such as testotoxicosis,
or any androgen-dependent tumor such as prostate cancer.
Definitions
[0064] For convenience, certain terms employed in the entire
application (including the specification, examples, and appended
claims) are collected here. Unless defined otherwise, all technical
and scientific terms used herein have the same meaning as commonly
understood by one of ordinary skill in the art to which this
invention belongs.
[0065] The term "Mullerian Inhibiting Substance" and "MIS" are used
interchangeably herein and is also known as anti-Mullerian hormone
or AMH, refer to compounds and materials which are structurally
similar to MIS. By "MIS" or "Mullerian Inhibiting Substance" is
meant a polypeptide having an amino acid sequence at least about
60%, or at least about 70%, or at least about 80%, or at least
about 90%, or at least about 95%, or at least about 96%, or at
least about 97%, or at least about 98%, or at least about 99%
identical to amino acid residues 26-560 of SEQ ID NO: 1. The
present invention is intended to include mutant forms of
recombinant human MIS which have substantially the same, or greater
biological activity as wild-type MIS. Examples of such mutant MIS
molecules carrying a deletion, insertion, or alteration in the
amino acid sequence of wild-type MIS (e.g., amino acid residues
26-560 of SEQ ID NO:1). Other forms of include substances are for
example, salts, functional derivatives and aglycone forms of
wild-type MIS and recombinant human MIS. Additionally, human
recombinant MIS protein can be obtained using recombinant DNA
technology, or from chemical synthesis of the MIS protein. For
reference purposes only, the wild-type human MIS nucleic acid
corresponds to Ref Seq No: NM_000479, which are incorporated herein
by reference.
[0066] The term "Mullerian Inhibiting Substance type II receptor"
or "MISRII" are used interchangeably herein refer to the type II
receptor for MIS. The term MISRII is intended to encompass all MIS
receptors substantially homologous to MISRII and functional
derivatives of MISRII. MISRII is also known by the alias as AMHR2,
and for reference purposes, the nucleic acid sequence of human
MISRII corresponds to NM_020547 and GenBank No: AF172932 which are
incorporated herein by reference
[0067] The term "wild type" refers to the naturally-occurring
polynucleotide sequence encoding a protein, or a portion thereof,
or protein sequence, or portion thereof, respectively, as it
normally exists in vivo. Accordingly, as disclosed herein, the wild
type amino acid sequence for the pre-proprotein of human MIS
corresponds to SEQ ID NO: 1, where amino acid residues 1-25
correspond to the leader sequence. The proprotein of MIS comprises
amino acid residues 26-560 of SEQ ID NO: 1 (e.g., lacking the 1-25
leader sequence), which is then post-translationally processed by
cleavage as discussed herein to form a bioactive MIS homodimer.
[0068] The term "soluble MIS polypeptide" as used herein refers to
a MIS polypeptide that does not comprise at least part of, or all
of, the amino acids which allow it to functionally bind to the
membrane.
[0069] By a "polynucleotide encoding MIS" is meant a polynucleotide
encoding a polypeptide having at least about 60%, or at least about
70%, or at least about 80%, or at least about 90%, or at least
about 95%, or at least about 96%, or at least about 97%, or at
least about 98%, or at least about 99% sequence identity to any of
the amino acid sequences corresponding to amino acid residues
26-560 of SEQ ID NO: 1.
[0070] The term "mutant" refers to any change in the genetic
material of an organism, in particular a change (i.e., deletion,
substitution, addition, or alteration) in a wild-type
polynucleotide sequence or any change in a wild-type protein
sequence. The term "variant" is used interchangeably with "mutant".
Although it is often assumed that a change in the genetic material
results in a change of the function of the protein, the terms
"mutant" and "variant" refer to a change in the sequence of a
wild-type protein regardless of whether that change alters the
function of the protein (e.g., increases, decreases, imparts a new
function), or whether that change has no effect on the function of
the protein (e.g., the mutation or variation is silent). The term
mutation is used interchangeably herein with polymorphism in this
application.
[0071] The term "agent" or "compound" as used herein refers to a
chemical entity or biological product, or combination of chemical
entities or biological products, administered to a subject to treat
or prevent or control a disease or condition. The chemical entity
or biological product is preferably, but not necessarily a low
molecular weight compound, but may also be a larger compound, or
any organic or inorganic molecule, including modified and
unmodified nucleic acids such as antisense nucleic acids, RNAi,
such as siRNA or shRNA, peptides, peptidomimetics, receptors,
ligands, and antibodies, aptamers, polypeptides, nucleic acid
analogues or variants thereof. For example, an oligomer of nucleic
acids, amino acids, or carbohydrates including without limitation
proteins, oligonucleotides, ribozymes, DNAzymes, glycoproteins,
siRNAs, lipoproteins, aptamers, and modifications and combinations
thereof.
[0072] The term "nucleic acid" is well known in the art. A "nucleic
acid" as used herein will generally refer to a molecule (i.e.,
strand) of DNA, RNA or a derivative or analog thereof, comprising a
nucleobase. A nucleobase includes, for example, a naturally
occurring purine or pyrimidine base found in DNA (e.g. an adenine
"A," a guanine "G." a thymine "T" or a cytosine "C") or RNA (e.g.
an A, a G. an uracil "U" or a C). The term "nucleic acid"
encompasses the terms "oligonucleotide" and "polynucleotide," each
as a subgenus of the term "nucleic acid." The term
"oligonucleotide" refers to a molecule of between about 3 and about
100 nucleobases in length. The term "polynucleotide" refers to at
least one molecule of greater than about 100 nucleobases in length.
The term "nucleic acid" also refers to polynucleotides such as
deoxyribonucleic acid (DNA), and, where appropriate, ribonucleic
acid (RNA). The term should also be understood to include, as
equivalents, analogs of either RNA or DNA made from nucleotide
analogs, and, as applicable to the embodiment being described,
single (sense or antisense) and double-stranded polynucleotides.
The terms "polynucleotide sequence" and "nucleotide sequence" are
also used interchangeably herein.
[0073] As used herein, the term "gene" refers to a nucleic acid
comprising an open reading frame encoding a polypeptide, including
both exon and (optionally) intron sequences. A "gene" refers to
coding sequence of a gene product, as well as non-coding regions of
the gene product, including 5'UTR and 3'UTR regions, introns and
the promoter of the gene product. These definitions generally refer
to a single-stranded molecule, but in specific embodiments will
also encompass an additional strand that is partially,
substantially or fully complementary to the single-stranded
molecule. Thus, a nucleic acid may encompass a double-stranded
molecule or a double-stranded molecule that comprises one or more
complementary strand(s) or "complement(s)" of a particular sequence
comprising a molecule. As used herein, a single stranded nucleic
acid may be denoted by the prefix "ss", a double stranded nucleic
acid by the prefix "ds", and a triple stranded nucleic acid by the
prefix "is." The term "gene" refers to the segment of DNA involved
in producing a polypeptide chain, it includes regions preceding and
following the coding region as well as intervening sequences
(introns) between individual coding segments (exons). A "promoter"
is a region of a nucleic acid sequence at which initiation and rate
of transcription are controlled. It may contain elements at which
regulatory proteins and molecules may bind, such as RNA polymerase
and other transcription factors, to initiate the specific
transcription of a nucleic acid sequence. The term "enhancer"
refers to a cis-acting regulatory sequence involved in the
transcriptional activation of a nucleic acid sequence. An enhancer
can function in either orientation and may be upstream or
downstream of the promoter.
[0074] As used herein, the term "gene product(s)" is used to refer
to include RNA transcribed from a gene (e.g., mRNA), or a
polypeptide encoded by a gene or translated from RNA.
[0075] The terms "polypeptide" and "protein" are used
interchangeably to refer to a polymer of amino acid residues, and
are not limited to a minimum length. Peptides, oligopeptides,
dimers, multimers, and the like, are also composed of linearly
arranged amino acids linked by peptide bonds, and whether produced
biologically, recombinantly, or synthetically and whether composed
of naturally occurring or non-naturally occurring amino acids, are
included within this definition. Both full-length proteins and
fragments thereof are encompassed by the definition. The terms also
include co-translational (e.g., leader sequence cleavage of amino
acids 1-25 of SEQ ID NO:1) and post-translational modifications of
the polypeptide, such as, for example, disulfide-bond formation,
glycosylation, acetylation, phosphorylation, proteolytic cleavage
(e.g., cleavage by furins or metalloproteases and prohormone
convertases (PCs)), and the like. Furthermore, for purposes of the
present invention, a "polypeptide" encompasses a protein that
includes modifications, such as deletions, additions, and
substitutions (generally conservative in nature as would be known
to a person in the art), to the native sequence, as long as the
protein maintains the desired activity. These modifications can be
deliberate, as through site-directed mutagenesis, or can be
accidental, such as through mutations of hosts that produce the
proteins, or errors due to PCR amplification or other recombinant
DNA methods. Polypeptides or proteins are composed of linearly
arranged amino acids linked by peptide bonds, but in contrast to
peptides, has a well-defined conformation. Proteins, as opposed to
peptides, generally consist of chains of 50 or more amino acids.
For the purposes of the present invention, the term "peptide" as
used herein typically refers to a sequence of amino acids of made
up of a single chain of D- or L-amino acids or a mixture of D- and
L-amino acids joined by peptide bonds. Generally, peptides contain
at least two amino acid residues and are less than about 50 amino
acids in length.
[0076] The incorporation of non-natural amino acids, including
synthetic non-native amino acids, substituted amino acids, or one
or more D-amino acids into the peptides (or other components of the
composition, with exception for protease recognition sequences) is
desirable in certain situations. D-amino acid-containing peptides
exhibit increased stability in vitro or in vivo compared to L-amino
acid-containing forms. Thus, the construction of peptides
incorporating D-amino acids can be particularly useful when greater
in vivo or intracellular stability is desired or required. More
specifically, D-peptides are resistant to endogenous peptidases and
proteases, thereby providing better oral trans-epithelial and
transdermal delivery of linked drugs and conjugates, improved
bioavailability of membrane-permanent complexes (see below for
further discussion), and prolonged intravascular and interstitial
lifetimes when such properties are desirable. The use of D-isomer
peptides can also enhance transdermal and oral trans-epithelial
delivery of linked drugs and other cargo molecules. Additionally,
D-peptides cannot be processed efficiently for major
histocompatibility complex class II-restricted presentation to T
helper cells, and are therefore less likely to induce humoral
immune responses in the whole organism. Peptide conjugates can
therefore be constructed using, for example, D-isomer forms of cell
penetrating peptide sequences, L-isomer forms of cleavage sites,
and D-isomer forms of therapeutic peptides. In some embodiments, a
recombinant human MIS protein is comprised of D- or L-amino acid
residues, as use of naturally occurring L-amino acid residues has
the advantage that any break-down products should be relatively
non-toxic to the cell or organism.
[0077] In yet a further embodiment, a recombinant human MIS protein
or fragments or derivatives thereof can be a retro-inverso
peptides. A "retro-inverso peptide" refers to a peptide with a
reversal of the direction of the peptide bond on at least one
position, i.e., a reversal of the amino- and carboxy-termini with
respect to the side chain of the amino acid. Thus, a retro-inverso
analogue has reversed termini and reversed direction of peptide
bonds while approximately maintaining the topology of the side
chains as in the native peptide sequence. The retro-inverso peptide
can contain L-amino acids or D-amino acids, or a mixture of L-amino
acids and D-amino acids, up to all of the amino acids being the
D-isomer. Partial retro-inverso peptide analogues are polypeptides
in which only part of the sequence is reversed and replaced with
enantiomeric amino acid residues. Since the retro-inverted portion
of such an analogue has reversed amino and carboxyl termini, the
amino acid residues flanking the retro-inverted portion are
replaced by side-chain-analogous .alpha.-substituted
geminal-diaminomethanes and malonates, respectively. Retro-inverso
forms of cell penetrating peptides have been found to work as
efficiently in translocating across a membrane as the natural
forms. Synthesis of retro-inverso peptide analogues are described
in Bonelli, F. et al., Int J Pept Protein Res. 24(6):553-6 (1984);
Verdini, A and Viscomi, G. C., J. Chem. Soc. Perkin Trans.
1:697-701 (1985); and U.S. Pat. No. 6,261,569, which are
incorporated herein in their entirety by reference. Processes for
the solid-phase synthesis of partial retro-inverso peptide
analogues have been described (EP 97994-B) which is also
incorporated herein in its entirety by reference.
[0078] The term "fragment" of a peptide, polypeptide or molecule as
used herein refers to any contiguous polypeptide subset of the
molecule. The term "protein fragment" as used herein includes both
synthetic and naturally-occurring amino acid sequences derivable
from the naturally occurring amino acid sequence of MIS (SEQ ID
NO:1). The protein is said to be "derivable from the
naturally-occurring amino acid sequence of a recombinant human MIS
protein" if it can be obtained by fragmenting the recombinant human
MIS protein, or if it can be synthesized based upon a knowledge of
the sequence of the naturally occurring amino acid sequence or of
the genetic material (DNA or RNA) which encodes this sequence.
Accordingly, a "fragment" of a molecule, is meant to refer to any
polypeptide subset of the molecule. In some embodiments, a
functional fragment of recombinant human MIS comprises at least the
C-terminal domain and at least the N-terminal domain. In some
embodiments, a functional fragment comprises a portion of the
C-terminal and/or a portion (e.g., fragment) of the N-terminal
domain of the recombinant human MIS protein. Fragments of a
recombinant human MIS protein which have the activity at least or
greater than the wildtype MIS protein of SEQ ID NO: 1 as disclosed
herein and which are soluble are also encompassed for use in the
present invention.
[0079] Fragments of a recombinant human MIS protein, for example
functional fragments of SEQ ID NO: 2 or 3 useful in the methods as
disclosed herein have at least 30% the activity as that of a
polypeptide of SEQ ID NO: 2 or 3 in vivo, e.g., to cause Mullerian
duct regression in an Mullerian duct regression bioassay as
disclosed herein in the Examples. Stated another way, a functional
fragment of a recombinant human MIS protein is a fragment of any of
SEQ ID NO: 2 or 3 which, alone or as a fusion protein can result in
at least 30% of the same activity as compared to SEQ ID NO: 2 or 3
to bind and activate MISRII, or cause Mullerian duct regression in
a Mullerian duct regression bioassay as disclosed herein (see FIG.
4). Fragments as used herein can be soluble (i.e. not membrane
bound). A "fragment" can be at least about 6, at least about 9, at
least about 15, at least about 20, at least about 30, least about
40, at least about 50, at least about 100, at least about 250, at
least about 300 nucleic or amino acids, and all integers in
between. Exemplary fragments include C-terminal truncations,
N-terminal truncations, or truncations of both C- and N-terminals
(e.g., deletions of, for example, at least 1, at least 2, at least
3, at least 4, at least 5, at least 8, at least 10, at least 15, at
least 20, at least 25, at least 40, at least 50, at least 75, at
least 100 or more amino acids deleted from the N-termini, the
C-termini, or both). One of ordinary skill in the art can create
such fragments by simple deletion analysis. Such a fragment of SEQ
ID NO:2 or 3 can be, for example, 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10
amino acids or more than 10 amino acids, such as 15, 30, 50, 100 or
more than 100 amino acids deleted from the N-terminal and/or
C-terminal of SEQ ID NO: 2 or 3, respectively. Persons of ordinary
skill in the art can easily identify the minimal peptide fragment
of SEQ ID NO: 2 or 3 useful in the methods and compositions as
disclosed herein, or fusion proteins as disclosed herein, by
sequentially deleting N- and/or C-terminal amino acids from SEQ ID
NO: 2 or 3, or sequentially deleting N- and C-terminal amino acids
from recombinant human MIS protein and assessing the function of
the resulting peptide fragment, alone or when it is cleaved. One
can create functional fragments with multiple smaller fragments.
These can be attached by bridging peptide linkers. One can readily
select linkers to maintain wild type conformation. One of ordinary
skill in the art can easily assess the function of recombinant
human MIS protein as disclosed herein to activate MISRII or in the
Mullerian duct regression bioassay, as disclosed herein as compared
to a recombinant human MIS protein corresponding to SEQ ID NO: 2 or
3. Using such an in vivo assay, if the fragment of the recombinant
human MIS protein has at least 30% of the biological activity of
the recombinant human MIS protein corresponding to SEQ ID NO:2 or 3
as disclosed herein, then the fragment is considered a valid
recombinant human MIS protein-fragment and can used in the
compositions and methods as disclosed herein. In some embodiments,
a fragment of SEQ ID NO: 2 or 3 can be less than 200, or less than
150 or less than 100, or less than 50, or less than 20 amino acids
of SEQ ID NO: 2 or 3. In some embodiments, a fragment of SEQ ID NO:
2 or 3 is less than 100 peptides in length. However, as stated
above, the fragment must be at least 6 amino acids, at least about
9, at least about 15, at least about 20, at least about 30, at
least about 40, at least about 50, at least about 100, at least
about 250, at least about 500 nucleic acids or amino acids, or any
integers in between.
[0080] The term "derivative" as used herein refers to peptides
which have been chemically modified, for example but not limited to
by techniques such as ubiquitination, labeling, pegylation
(derivatization with polyethylene glycol) or addition of other
molecules. A molecule also a "derivative" of another molecule when
it contains additional chemical moieties not normally a part of the
molecule. Such moieties can improve the molecule's solubility,
absorption, biological half life, etc. The moieties can
alternatively decrease the toxicity of the molecule, eliminate or
attenuate any undesirable side effect of the molecule, etc.
Moieties capable of mediating such effects are disclosed in
Remington's Pharmaceutical Sciences, 18th edition, A. R. Gennaro,
Ed., MackPubl., Easton, Pa. (1990).
[0081] The term "functional" when used in conjunction with
"derivative" or "variant" or "fragment" refers to a polypeptide
which possess a biological activity (either functional or
structural) that is substantially similar to a biological activity
of the polypeptide which it is a functional derivative, variant or
functional fragment thereof. The term functional derivative is
intended to include the fragments, analogues or chemical
derivatives of a molecule. By "substantially similar" in this
context is meant that the biological activity, e.g., activation of
MISRII is at 25% or at least 35%, or at least 50% as active as a
reference polypeptide, e.g., a corresponding wild-type MIS
polypeptide or recombinant human MIS protein, and preferably at
least 60% as active, 70% as active, 80% as active, 90% as active,
95% as active, 100% as active or even higher (i.e., the variant or
derivative has greater activity than the wild-type), e.g., 110% as
active, 120% as active, or more. Stated another way, a
"substantially similar" functional fragment of a recombinant human
MIS protein in this context is meant that at least 25%, at least
35%, at least 50% of the relevant or desired biological activity of
a corresponding recombinant human MIS protein is retained. In the
instance of a functional fragment or peptide of a recombinant human
MIS protein as disclosed herein (e.g., SEQ ID NO: 2 or 3), a
functional fragment of SEQ ID NO: 2 or 3 would be a protein or
peptide comprising a portion of SEQ ID NO: 2 or 3 which retained an
activity to activate MISRII, or in the Mullerian duct regression
bioassay, as disclosed herein in the Examples; preferably the
fragment of SEQ ID NO: 2 or 3 that retains at least 25%, at least
35%, at least 50% at least 60%, at least 70%, at least 80%, at
least 90%, at least 95%, at least 100% or even higher (i.e., the
variant or derivative has greater activity than the wild-type MIS
of SEQ ID NO: 1 or of a recombinant human MIS protein of SEQ ID NO
2 or 3), e.g., at least 110%, at least 120%, or more activity
compared to the full length SEQ ID NO: 2 or 3 to activate MISRII or
cause Mullerian duct regression in the Mullerian duct regression
bioassay as disclosed herein. As another example, in the instance
of a fragment of MIS (e.g., amino acids 26-560 of SEQ ID NO: 1)
would be a protein or peptide comprising a portion of amino acids
26-560 of SEQ ID NO: 1 which retained an activity for Mullerian
duct regression, preferably the fragment of amino acids 26-560 of
SEQ ID NO: 1 retains at least 25%, at least 35%, at least 50% at
least 60%, at least 70%, at least 80%, at least 90%, at least 95%,
at least 100% or even higher (i.e., the variant or derivative has
greater activity than the wild-type), e.g., at least 110%, at least
120%, or more activity compared to the full length amino acids
26-560 of SEQ ID NO: 1 to cause Mullerian duct regression in an
mullerian duct regression bioassay as disclosed herein in the
Examples. As an alternative example, a fragment of a HSA leader
sequence of SEQ ID NO: 6 would be a protein or peptide comprising a
portion of SEQ ID NO: 6 which retained at least 25%, at least 35%,
at least 50% at least 60%, at least 70%, at least 80%, at least
90%, at least 95%, at least 100% or even higher (i.e., the variant
or derivative has greater activity than the wild-type HSA
sequence), e.g., at least 110%, at least 120%, or more activity
compared to the full length HSA sequence of SEQ ID NO: 6, as
determined by an assay, for example as disclosed in U.S. Pat. No.
5,759,802 which is incorporated herein in its entirety by
reference.
[0082] The term "functional derivative" and "mimetic" or
"biologically active variant" or "biologically active fragment" are
used interchangeably, and refers to a compound which possess a
biological activity (either functional or structural) that is
substantially similar to a biological activity of the entity or
molecule its is a functional derivative of (e.g., the recombinant
human MIS protein). The term functional derivative is intended to
include the fragments, variants, analogues or chemical derivatives
of a molecule.
[0083] The term "functional derivatives" is intended to include the
"fragments," "variants," "analogs," or "chemical derivatives" of a
molecule. A molecule is said to be "substantially similar" to
another molecule if both molecules have substantially similar
structures or if both molecules possess a similar biological
activity. Thus, provided that two molecules possess a similar
activity, they are considered variants as that term is used herein
even if the structure of one of the molecules not found in the
other, or if the sequence of amino acid residues is not identical.
An "analog" of a recombinant human MIS protein is meant to refer to
a molecule substantially similar in function to either the entire
molecule or to a fragment thereof. As used herein, a molecule is
said to be a "chemical derivative" of another molecule when it
contains additional chemical moieties not normally a part of the
molecule. Such moieties can improve the molecule's solubility,
absorption, biological half life, etc. The moieties can
alternatively decrease the toxicity of the molecule, eliminate or
attenuate any undesirable side effect of the molecule, etc.
Moieties capable of mediating such effects are disclosed in
Remington's Pharmaceutical Sciences, 18th edition, A. R. Gennaro,
Ed., MackPubl., Easton, Pa. (1990).
[0084] A "variant" of a recombinant human MIS protein is meant to
refer to a molecule substantially similar in structure and function
to either the entire molecule, or to a fragment thereof.
Accordingly, the term "variant" as used herein refers to a peptide
or nucleic acid that differs from the naturally occurring
polypeptide or nucleic acid by one or more amino acid or nucleic
acid deletions, additions, substitutions or side-chain
modifications, yet retains one or more specific functions or
biological activities of the naturally occurring molecule. Amino
acid substitutions include alterations in which an amino acid is
replaced with a different naturally-occurring or a non-conventional
amino acid residue. Such substitutions may be classified as
"conservative", in which case an amino acid residue contained in a
polypeptide is replaced with another naturally occurring amino acid
of similar character either in relation to polarity, side chain
functionality or size. Substitutions encompassed by the present
invention may also be "non conservative", in which an amino acid
residue which is present in a peptide is substituted with an amino
acid having different properties, such as naturally-occurring amino
acid from a different group (e.g., substituting a charged or
hydrophobic amino; acid with alanine), or alternatively, in which a
naturally-occurring amino acid is substituted with a
non-conventional amino acid. In some embodiments amino acid
substitutions are conservative. Also encompassed within the term
variant when used with reference to a polynucleotide or
polypeptide, refers to a polynucleotide or polypeptide that can
vary in primary, secondary, or tertiary structure, as compared to a
reference polynucleotide or polypeptide, respectively (e.g., as
compared to a wild-type polynucleotide or polypeptide). A "variant"
of a recombinant human MIS protein is meant to refer to a molecule
substantially similar in structure and function, i.e. where the
function is the ability to activate MISRII.
[0085] For example, a variant of a recombinant human MIS protein
can contain a mutation or modification that differs from a
reference amino acid in SEQ ID NO: 2 or 3. In some embodiments, a
variant of SEQ ID NO: 2 or 3 is a fragment of SEQ ID NO: 2 or 3 as
disclosed herein. In some embodiments, a variant can be a different
isoform of SEQ ID NO: 2 or 3 or can comprise different isomer amino
acids. Variants can be naturally-occurring, synthetic, recombinant,
or chemically modified polynucleotides or polypeptides isolated or
generated using methods well known in the art. Variants can include
conservative or non-conservative amino acid changes, as described
below. Polynucleotide changes can result in amino acid
substitutions, additions, deletions, fusions and truncations in the
polypeptide encoded by the reference sequence. Variants can also
include insertions, deletions or substitutions of amino acids,
including insertions and substitutions of amino acids and other
molecules) that do not normally occur in the peptide sequence that
is the basis of the variant, for example but not limited to
insertion of ornithine which do not normally occur in human
proteins.
[0086] The term "conservative substitution," when describing a
polypeptide, refers to a change in the amino acid composition of
the polypeptide that does not substantially alter the polypeptide's
activity. For example, a conservative substitution refers to
substituting an amino acid residue for a different amino acid
residue that has similar chemical properties. Conservative amino
acid substitutions include replacement of a leucine with an
isoleucine or valine, an aspartate with a glutamate, or a threonine
with a serine. "Conservative amino acid substitutions" result from
replacing one amino acid with another having similar structural
and/or chemical properties, such as the replacement of a leucine
with an isoleucine or valine, an aspartate with a glutamate, or a
threonine with a serine. Thus, a "conservative substitution" of a
particular amino acid sequence refers to substitution of those
amino acids that are not critical for polypeptide activity or
substitution of amino acids with other amino acids having similar
properties (e.g., acidic, basic, positively or negatively charged,
polar or non-polar, etc.) such that the substitution of even
critical amino acids does not reduce the activity of the peptide,
(i.e. the ability of the peptide to reduce T-reg cells and/or
decrease inflammatory cytokines as disclosed herein). Conservative
substitution tables providing functionally similar amino acids are
well known in the art. For example, the following six groups each
contain amino acids that are conservative substitutions for one
another: 1) Alanine (A), Serine (S), Threonine (T); 2) Aspartic
acid (D), Glutamic acid (E); 3) Asparagine (N), Glutamine (Q); 4)
Arginine (R), Lysine (K); 5) Isoleucine (I), Leucine (L),
Methionine (M), Valine (V); and 6) Phenylalanine (F), Tyrosine (Y),
Tryptophan (W). (See also Creighton, Proteins, W. H. Freeman and
Company (1984).) In some embodiments, individual substitutions,
deletions or additions that alter, add or delete a single amino
acid or a small percentage of amino acids can also be considered
"conservative substitutions" is the change does not reduce the
activity of the MIS protein (i.e. the ability of a recombinant
human MIS protein or variant to cause Mullerian duct regression in
vivo, which can be determined using the Mullerian Duct regression
bioassay as disclosed herein). Insertions or deletions are
typically in the range of about 1 to 5 amino acids. The choice of
conservative amino acids may be selected based on the location of
the amino acid to be substituted in the peptide, for example if the
amino acid is on the exterior of the peptide and expose to
solvents, or on the interior and not exposed to solvents.
[0087] In alternative embodiments, one can select the amino acid
which will substitute an existing amino acid based on the location
of the existing amino acid, i.e. its exposure to solvents (i.e. if
the amino acid is exposed to solvents or is present on the outer
surface of the peptide or polypeptide as compared to internally
localized amino acids not exposed to solvents). Selection of such
conservative amino acid substitutions are well known in the art,
for example as disclosed in Dordo et al, J. Mol Biol, 1999, 217,
721-739 and Taylor et al, J. Theor. Biol. 119(1986); 205-218 and S.
French and B. Robson, J. Mol. Evol. 19(1983)171. Accordingly, one
can select conservative amino acid substitutions suitable for amino
acids on the exterior of a protein or peptide (i.e. amino acids
exposed to a solvent), for example, but not limited to, the
following substitutions can be used: substitution of Y with F, T
with S or K, P with A, E with D or Q, N with D or G, R with K, G
with N or A, T with S or K, D with N or E, I with L or V, F with Y,
S with T or A, R with K, G with N or A, K with R, A with S, K or
P.
[0088] In alternative embodiments, one can also select conservative
amino acid substitutions encompassed suitable for amino acids on
the interior of a protein or peptide, for example one can use
suitable conservative substitutions for amino acids is on the
interior of a protein or peptide (i.e. the amino acids are not
exposed to a solvent), for example but not limited to, one can use
the following conservative substitutions: where Y is substituted
with F, T with A or S, I with L or V, W with Y, M with L, N with D,
G with A, T with A or S, D with N, I with L or V, F with Y or L, S
with A or T and A with S, G, T or V. In some embodiments,
non-conservative amino acid substitutions are also encompassed
within the term of variants. A variant of a recombinant human MIS
protein, for example a variant of SEQ ID NO: 2 or 3 is meant to
refer to any molecule substantially similar in structure and
function to either the entire molecule of SEQ ID NO:2 or 3, or to a
fragment thereof.
[0089] The terms "homology", "identity" and "similarity" refer to
the degree of sequence similarity between two peptides or between
two optimally aligned nucleic acid molecules. Homology and identity
can each be determined by comparing a position in each sequence
which can be aligned for purposes of comparison. For example, it is
based upon using a standard homology software in the default
position, such as BLAST, version 2.2.14. When an equivalent
position in the compared sequences is occupied by the same base or
amino acid, then the molecules are identical at that position; when
the equivalent site occupied by similar amino acid residues (e.g.,
similar in steric and/or electronic nature such as, for example
conservative amino acid substitutions), then the molecules can be
referred to as homologous (similar) at that position. Expression as
a percentage of homology/similarity or identity refers to a
function of the number of similar or identical amino acids at
positions shared by the compared sequences, respectfully. A
sequence which is "unrelated" or "non-homologous" shares less than
40% identity, though preferably less than 25% identity with the
sequences as disclosed herein.
[0090] As used herein, the term "sequence identity" means that two
polynucleotide or amino acid sequences are identical (i.e., on a
nucleotide-by-nucleotide or residue-by-residue basis) over the
comparison window. The term "percentage of sequence identity" is
calculated by comparing two optimally aligned sequences over the
window of comparison, determining the number of positions at which
the identical nucleic acid base (e.g., A, T. C, G. U. or I) or
residue occurs in both sequences to yield the number of matched
positions, dividing the number of matched positions by the total
number of positions in the comparison window (i.e., the window
size), and multiplying the result by 100 to yield the percentage of
sequence identity.
[0091] The terms "substantial identity" as used herein denotes a
characteristic of a polynucleotide or amino acid sequence, wherein
the polynucleotide or amino acid comprises a sequence that has at
least 85% sequence identity, preferably at least 90% to 95%
sequence identity, more usually at least 99% sequence identity as
compared to a reference sequence over a comparison window of at
least 18 nucleotide (6 amino acid) positions, frequently over a
window of at least 24-48 nucleotide (8-16 amino acid) positions,
wherein the percentage of sequence identity is calculated by
comparing the reference sequence to the sequence which can include
deletions or additions which total 20 percent or less of the
reference sequence over the comparison window. The reference
sequence can be a subset of a larger sequence. The term
"similarity", when used to describe a polypeptide, is determined by
comparing the amino acid sequence and the conserved amino acid
substitutes of one polypeptide to the sequence of a second
polypeptide.
[0092] As used herein, the terms "homologous" or "homologues" are
used interchangeably, and when used to describe a polynucleotide or
polypeptide, indicates that two polynucleotides or polypeptides, or
designated sequences thereof, when optimally aligned and compared,
for example using BLAST, version 2.2.14 with default parameters for
an alignment (see herein) are identical, with appropriate
nucleotide insertions or deletions or amino-acid insertions or
deletions, in at least 70% of the nucleotides, usually from about
75% to 99%, and more preferably at least about 98 to 99% of the
nucleotides. The term "homolog" or "homologous" as used herein also
refers to homology with respect to structure and/or function. With
respect to sequence homology, sequences are homologs if they are at
least 50%, at least 60 at least 70%, at least 80%, at least 90%, at
least 95% identical, at least 97% identical, or at least 99%
identical. Determination of homologs of the genes or peptides of
the present invention can be easily ascertained by the skilled
artisan.
[0093] The term "substantially homologous" refers to sequences that
are at least 90%, at least 95% identical, at least 96%, identical
at least 97% identical, at least 98% identical or at least 99%
identical. Homologous sequences can be the same functional gene in
different species. Determination of homologs of the genes or
peptides of the present invention can be easily ascertained by the
skilled artisan.
[0094] A molecule is said to be "substantially similar" to another
molecule if both molecules have substantially similar structures or
if both molecules possess a similar biological activity, for
example if both molecules are able to activate MISRII. Thus,
provided that two molecules possess a similar activity, (i.e. a
variant of a recombinant human MIS protein which can activate
MISRII similar to that of the MIS protein which corresponds to SEQ
ID NO: 1, or recombinant human MIS protein which corresponds to SEQ
ID NO: 2 or 3) are considered variants and are encompassed for use
as disclosed herein, even if the structure of one of the molecules
not found in the other, or if the sequence of amino acid residues
is not identical. Thus, provided that two molecules possess a
similar biological activity, they are considered variants as that
term is used herein even if the structure of one of the molecules
not found in the other, or if the sequence of amino acid residues
is not identical. In particular, the term "substantially similar",
when used to define a recombinant human MIS protein comprising a
functional variant of recombinant human MIS protein as compared to
the recombinant human MIS protein encoded by SEQ ID NO:2 or 3,
means that a particular subject sequence, for example, a
recombinant human MIS protein variant or derivative sequence,
varies from the sequence of the natural (or wild-type) MIS of SEQ
ID NO: 1 or recombinant human MIS protein (i.e. encoded by SEQ ID
NO: 2 or 3), by one or more substitutions, deletions, or additions,
although the net effect of which is to retain at least some of the
biological activity found in the recombinant human MIS protein as
disclosed herein. As such, nucleic acid and amino acid sequences
having lesser degrees of similarity but comparable biological
activity to recombinant human MIS protein are considered to be
equivalents. In determining polynucleotide sequences, all subject
polynucleotide sequences capable of encoding substantially similar
amino acid sequences are considered to be substantially similar to
a reference polynucleotide sequence, regardless of differences in
codon sequence. A nucleotide sequence is "substantially similar" to
a specific nucleic acid sequence of SEQ ID NO:4 or 5 as disclosed
herein if: (a) the nucleotide sequence is hybridizes to the coding
regions of the natural MIS nucleic acid, or (b) the nucleotide
sequence is capable of hybridization to nucleotide sequence of a
recombinant human MIS protein encoded by SEQ ID NO: 4 or 5 under
moderately stringent conditions and has biological activity similar
to the recombinant human MIS protein; or (c) the nucleotide
sequences which are degenerative as a result of the genetic code to
the nucleotide sequences defined in (a) or (b). Substantially
similar proteins will typically be greater than about 80% similar
to the corresponding sequence of the native protein.
[0095] The term "substantial similarity" in the context of
polypeptide sequences, indicates that the polypeptide comprises a
sequence with at least 60% sequence identity to a reference
sequence, or 70%, or 80%, or 85% sequence identity to the reference
sequence, or most preferably 90% identity over a comparison window
of about 10-20 amino acid residues. In the context of amino acid
sequences, "substantial similarity" further includes conservative
substitutions of amino acids. Thus, a polypeptide is substantially
similar to a second polypeptide, for example, where the two
peptides differ by one or more conservative substitutions.
[0096] In one embodiment, the term "human homolog" to a gene
transcript refers to a DNA sequence that has at least about 55%
homology to the full length nucleotide sequence of the sequence of
a recombinant human MIS protein gene as encoded by the genome of
humans or an animal, for example mouse or transgenic animal. In one
embodiment, the term "human homolog" to a protein identified as
associated with a recombinant human MIS protein refers to an amino
acid sequence that has 40% homology to the full length amino acid
sequence of the protein identified as associated with a recombinant
human MIS protein as encoded by the genome of the transgenic animal
of the present invention, more preferably at least about 50%, still
more preferably, at least about 60% homology, still more
preferably, at least about 70% homology, even more preferably, at
least about 75% homology, yet more preferably, at least about 80%
homology, even more preferably at least about 85% homology, still
more preferably, at least about 90% homology, and more preferably,
at least about 95% homology. As discussed above, the homology is at
least about 50% to 100% and all intervals in between (i.e., 55%,
60%, 70%, 75%, 80%, 85%, 90%, 95%, 98%, etc.). Determination of the
human homologs of the genes of the present invention may be easily
ascertained by the skilled artisan.
[0097] The term "conservative substitution," when describing a
polypeptide, refers to a change in the amino acid composition of
the polypeptide that does not substantially alter the polypeptide's
activity. Thus, a "conservative substitution" of a particular amino
acid sequence refers to substitution of those amino acids that are
not critical for polypeptide activity or substitution of amino
acids with other amino acids having similar properties (e.g.,
acidic, basic, positively or negatively charged, polar or
non-polar, etc.) such that the substitution of even critical amino
acids does not substantially alter activity. Conservative
substitution tables providing functionally similar amino acids are
well known in the art. For example, the following six groups each
contain amino acids that are conservative substitutions for one
another: 1) Alanine (A), Serine (S), Threonine (T); 2) Aspartic
acid (D), Glutamic acid (E); 3) Asparagine (N), Glutamine (Q); 4)
Arginine (R), Lysine (K); 5) Isoleucine (I), Leucine (L),
Methionine (M), Valine (V); and 6) Phenylalanine (F), Tyrosine (Y),
Tryptophan (W). (See also Creighton, Proteins, W. H. Freeman and
Company (1984).) In addition, individual substitutions, deletions
or additions that alter, add or delete a single amino acid or a
small percentage of amino acids in an encoded sequence are also
"conservative substitutions."
[0098] As used herein, the term "nonconservative" refers to
substituting an amino acid residue for a different amino acid
residue that has different chemical properties. The nonconservative
substitutions include, but are not limited to aspartic acid (D)
being replaced with glycine (G); asparagine (N) being replaced with
lysine (K); or alanine (A) being replaced with arginine (R).
[0099] For sequence comparison, typically one sequence acts as a
reference sequence, to which test sequences are compared. When
using a sequence comparison algorithm, test and reference sequences
are input into a computer, subsequence coordinates are designated,
if necessary, and sequence algorithm program parameters are
designated. The sequence comparison algorithm then calculates the
percent sequence identity for the test sequence(s) relative to the
reference sequence, based on the designated program parameters.
[0100] Optimal alignment of sequences for comparison can be
conducted, for example, by the local homology algorithm of Smith
and Waterman (Adv. Appl. Math. 2:482 (1981), which is incorporated
by reference herein), by the homology alignment algorithm of
Needleman and Wunsch (J. Mol. Biol. 48:443-53 (1970), which is
incorporated by reference herein), by the search for similarity
method of Pearson and Lipman (Proc. Natl. Acad. Sci. USA 85:2444-48
(1988), which is incorporated by reference herein), by computerized
implementations of these algorithms (e.g., GAP, BESTFIT, FASTA, and
TFASTA in the Wisconsin Genetics Software Package, Genetics
Computer Group, 575 Science Dr., Madison, Wis.), or by visual
inspection. (See generally Ausubel et al. (eds.), Current Protocols
in Molecular Biology, 4th ed., John Wiley and Sons, New York
(1999)).
[0101] One example of a useful algorithm is PILEUP. PILEUP creates
a multiple sequence alignment from a group of related sequences
using progressive, pairwise alignments to show the percent sequence
identity. It also plots a tree or dendogram showing the clustering
relationships used to create the alignment. PILEUP uses a
simplification of the progressive alignment method of Feng and
Doolittle (J. Mol. Evol. 25:351-60 (1987), which is incorporated by
reference herein). The method used is similar to the method
described by Higgins and Sharp (Comput. Appl. Biosci. 5:151-53
(1989), which is incorporated by reference herein). The program can
align up to 300 sequences, each of a maximum length of 5,000
nucleotides or amino acids. The multiple alignment procedure begins
with the pairwise alignment of the two most similar sequences,
producing a cluster of two aligned sequences. This cluster is then
aligned to the next most related sequence or cluster of aligned
sequences. Two clusters of sequences are aligned by a simple
extension of the pairwise alignment of two individual sequences.
The final alignment is achieved by a series of progressive,
pairwise alignments. The program is run by designating specific
sequences and their amino acid or nucleotide coordinates for
regions of sequence comparison and by designating the program
parameters. For example, a reference sequence can be compared to
other test sequences to determine the percent sequence identity
relationship using the following parameters: default gap weight
(3.00), default gap length weight (0.10), and weighted end
gaps.
[0102] Another example of an algorithm that is suitable for
determining percent sequence identity and sequence similarity is
the BLAST algorithm, which is described by Altschul et al. (J. Mol.
Biol. 215:403-410 (1990), which is incorporated by reference
herein). (See also Zhang et al., Nucleic Acid Res. 26:3986-90
(1998); Altschul et al., Nucleic Acid Res. 25:3389-402 (1997),
which are incorporated by reference herein). Software for
performing BLAST analyses is publicly available through the
National Center for Biotechnology Information internet web site.
This algorithm involves first identifying high scoring sequence
pairs (HSPs) by identifying short words of length W in the query
sequence, which either match or satisfy some positive-valued
threshold score T when aligned with a word of the same length in a
database sequence. T is referred to as the neighborhood word score
threshold (Altschul et al. (1990), supra). These initial
neighborhood word hits act as seeds for initiating searches to find
longer HSPs containing them. The word hits are then extended in
both directions along each sequence for as far as the cumulative
alignment score can be increased. Extension of the word hits in
each direction is halted when: the cumulative alignment score falls
off by the quantity X from its maximum achieved value; the
cumulative score goes to zero or below, due to the accumulation of
one or more negative-scoring residue alignments; or the end of
either sequence is reached. The BLAST algorithm parameters W, T,
and X determine the sensitivity and speed of the alignment. The
BLAST program uses as defaults a wordlength (W) of 11, the BLOSUM62
scoring matrix (see Henikoff and Henikoff, Proc. Natl. Acad. Sci.
USA 89:10915-9 (1992), which is incorporated by reference herein)
alignments (B) of 50, expectation (E) of 10, M=5, N=-4, and a
comparison of both strands.
[0103] In addition to calculating percent sequence identity, the
BLAST algorithm also performs a statistical analysis of the
similarity between two sequences (see, e.g., Karlin and Altschul,
Proc. Natl. Acad. Sci. USA 90:5873-77 (1993), which is incorporated
by reference herein). One measure of similarity provided by the
BLAST algorithm is the smallest sum probability (P(N)), which
provides an indication of the probability by which a match between
two nucleotide or amino acid sequences would occur by chance. For
example, a nucleic acid is considered similar to a reference
sequence if the smallest sum probability in a comparison of the
test nucleic acid to the reference nucleic acid is less than about
0.1, more typically less than about 0.01, and most typically less
than about 0.001.
[0104] The term "insertions" or "deletions" are typically in the
range of about 1 to 5 amino acids. The variation allowed can be
experimentally determined by producing the peptide synthetically
while systematically making insertions, deletions, or substitutions
of nucleotides in the sequence using recombinant DNA
techniques.
[0105] The term "substitution" when referring to a peptide, refers
to a change in an amino acid for a different entity, for example
another amino acid or amino-acid moiety. Substitutions can be
conservative or non-conservative substitutions.
[0106] An "analog" of a molecule such as a recombinant human MIS
protein, for example SEQ ID NO: 2 or 3 refers to a molecule similar
in function to either the entire molecule or to a fragment thereof.
The term "analog" is also intended to include allelic, species and
induced variants. Analogs typically differ from naturally occurring
peptides at one or a few positions, often by virtue of conservative
substitutions. Analogs typically exhibit at least 80 or 90%
sequence identity with natural peptides. Some analogs also include
unnatural amino acids or modifications of N or C terminal amino
acids. Examples of unnatural amino acids are, for example but not
limited to; acedisubstituted amino acids, N-alkyl amino acids,
lactic acid, 4-hydroxyproline, .gamma.-carboxyglutamate,
.epsilon.-N,N,N-trimethyllysine, .epsilon.-N-acetyllysine,
O-phosphoserine, N-acetylserine, N-formylmethionine,
3-methylhistidine, 5-hydroxylysine, .sigma.-N-methylarginine.
Fragments and analogs can be screened for prophylactic or
therapeutic efficacy in transgenic animal models as described
below.
[0107] By "covalently bonded" is meant joined either directly or
indirectly (e.g., through a linker) by a covalent chemical
bond.
[0108] The term "fusion protein" as used herein refers to a
recombinant protein of two or more proteins. Fusion proteins can be
produced, for example, by a nucleic acid sequence encoding one
protein is joined to the nucleic acid encoding another protein such
that they constitute a single open-reading frame that can be
translated in the cells into a single polypeptide harboring all the
intended proteins. The order of arrangement of the proteins can
vary. As a non-limiting example, the nucleic acid sequence encoding
the recombinant human MIS-fusion protein is derived from the
nucleotide sequence of encoding a recombinant human MIS protein or
a functional derivative fragment or variant thereof, fused in frame
to an end, either the 5' or the 3' end, of a gene encoding a first
fusion partner, such as a IgG1 Fc fragment. In this manner, on
expression of the gene, the recombinant human MIS protein or
functional derivative fragment or variant thereof is functionally
expressed and fused to the N-terminal or C-terminal end of the IgG1
Fc. In certain embodiments, modification of the polypeptide probe
is such that the functionality of the recombinant human MIS protein
or a functional derivative fragment or variant thereof remains
substantially unaffected in terms of its biological activity by
fusion to the first fusion partner, such as IgG1 Fc.
[0109] By "specifically binds" or "specific binding" is meant a
compound or antibody that recognizes and binds a desired
polypeptide but that does not substantially recognize and bind
other molecules in a sample, for example, a biological sample,
which naturally includes a polypeptide of the invention.
[0110] By "substantially pure" or is meant a nucleic acid,
polypeptide, or other molecule that has been separated from the
components that naturally accompany it. Typically, a polypeptide is
substantially pure when it is at least about 60%, or at least about
70%, at least about 80%, at least about 90%, at least about 95%, or
even at least about 99%, by weight, free from the proteins and
naturally-occurring organic molecules with which it is naturally
associated. For example, a substantially pure polypeptide may be
obtained by extraction from a natural source, by expression of a
recombinant nucleic acid in a cell that does not normally express
that protein, or by chemical synthesis.
[0111] By "enhanced proteolytic stability" is meant a reduction of
in the rate or extent of proteolysis of a peptide sequence by at
least about 2%, at least about 5%, at least about 10%, at least
about 20%, at least about 30%, at least about 40%, at least about
50%, at least about 60%, at least about 70%, at least about 80%, at
least about 85%, at least about 90%, at least about 95%, at least
about 98%, or at least about 99% as compared to a control sequence
under the same conditions (e.g., in vivo or in an in vitro system
such as in a cell or cell lysate). A peptide with enhanced
proteolytic stability may contain any modification, for example,
insertions, deletions, or point mutations which reduce or eliminate
a site subject to proteolytic cleavage at a particular site. Sites
of proteolytic cleavage may be identified based on known target
sequences or using computer software (e.g., software described by
Gasteiger et al., Protein Identification and Analysis Tools on the
ExPASy Server. In John M. Walker, ed. The Proteomics Protocols
Handbook, Humana Press (2005)). Alternatively, proteolytic sites
can be determined experimentally, for example, by Western blot for
the protein following expression or incubation in a cellular system
or cellular lysate, followed by sequencing of the identified
fragments to determine cleavage sites.
[0112] The term "recombinant" as used herein to describe a nucleic
acid molecule, means a polynucleotide of genomic, cDNA, viral,
semisynthetic, and/or synthetic origin, which, by virtue of its
origin or manipulation, is not associated with all or a portion of
the polynucleotide with which it is associated in nature. The term
recombinant as used with respect to a protein or polypeptide, means
a polypeptide produced by expression of a recombinant
polynucleotide. The term recombinant as used with respect to a host
cell means a host cell into which a recombinant polynucleotide has
been introduced. Recombinant is also used herein to refer to, with
reference to material (e.g., a cell, a nucleic acid, a protein, or
a vector) that the material has been modified by the introduction
of a heterologous material (e.g., a cell, a nucleic acid, a
protein, or a vector).
[0113] The terms "subject" and "individual" are used
interchangeably herein, and refer to an animal, for example a
human, to whom treatment, including prophylactic treatment, with
the pharmaceutical composition according to the present invention,
is provided. The term "subject" as used herein refers to human and
non-human animals. The term "non-human animals" and "non-human
mammals" are used interchangeably herein includes all vertebrates,
e.g., mammals, such as non-human primates, (particularly higher
primates), sheep, dog, rodent (e.g. mouse or rat), guinea pig,
goat, pig, cat, rabbits, cows, and non-mammals such as chickens,
amphibians, reptiles etc. In one embodiment, the subject is human.
In another embodiment, the subject is an experimental animal or
animal substitute as a disease model. The term does not denote a
particular age or sex. Thus, adult and newborn subjects, as well as
fetuses, whether male or female, are intended to be covered.
Examples of subjects include humans, dogs, cats, cows, goats, and
mice. The term subject is further intended to include transgenic
species. The term subject also encompasses a mammal, for example, a
human, to whom treatment, such as therapeutic treatment and/or
prophylactic treatment with a composition comprising a recombinant
human MIS protein as disclosed herein is provided.
[0114] The term "tissue" is intended to include intact cells,
blood, blood preparations such as plasma and serum, bones, joints,
muscles, smooth muscles, and organs.
[0115] The term "disease" or "disorder" is used interchangeably
herein, refers to any alternation in state of the body or of some
of the organs, interrupting or disturbing the performance of the
functions and/or causing symptoms such as discomfort, dysfunction,
distress, or even death to the person afflicted or those in contact
with a person. A disease or disorder can also related to a
distemper, ailing, ailment, amlady, disorder, sickness, illness,
complaint, inderdisposion, affection.
[0116] The term "malignancy" and "cancer" are used interchangeably
herein, refers to diseases that are characterized by uncontrolled,
abnormal growth of cells. Cancer cells can spread locally or
through the bloodstream and lymphatic system to other parts of the
body. The term is also intended to include any disease of an organ
or tissue in mammals characterized by poorly controlled or
uncontrolled multiplication of normal or abnormal cells in that
tissue and its effect on the body as a whole. Cancer diseases
within the scope of the definition comprise benign neoplasms,
dysplasias, hyperplasias as well as neoplasms showing metastatic
growth or any other transformations like e.g. leukoplakias which
often precede a breakout of cancer.
[0117] As used herein, the term "tumor" refers to a mass of
transformed cells that are characterized, at least in part, by
containing angiogenic vasculature. The transformed cells are
characterized by neoplastic uncontrolled cell multiplication which
is rapid and continues even after the stimuli that initiated the
new growth has ceased. The term "tumor" is used broadly to include
the tumor parenchymal cells as well as the supporting stroma,
including the angiogenic blood vessels that infiltrate the tumor
parenchymal cell mass. Although a tumor generally is a malignant
tumor, i.e., a cancer having the ability to metastasize (i.e. a
metastatic tumor), a tumor also can be nonmalignant (i.e.
non-metastatic tumor). Tumors are hallmarks of cancer, a neoplastic
disease the natural course of which is fatal. Cancer cells exhibit
the properties of invasion and metastasis and are highly
anaplastic.
[0118] As used herein, the term "metastases" or "metastatic tumor"
refers to a secondary tumor that grows separately elsewhere in the
body from the primary tumor and has arisen from detached,
transported cells, wherein the primary tumor is a solid tumor. The
primary tumor, as used herein, refers to a tumor that originated in
the location or organ in which it is present and did not
metastasize to that location from another location. As used herein,
a "malignant tumor" is one having the properties of invasion and
metastasis and showing a high degree of anaplasia. Anaplasia is the
reversion of cells to an immature or a less differentiated form,
and it occurs in most malignant tumors.
[0119] The term "therapy resistant cancer" as used herein refers to
a cancer present in a subject which is resistant to, or refractory
to at least two different anti-cancer agents such as chemotherapy
agents, which means, typically a subject has been treated with at
least two different anti-cancer agents that did not provide
effective treatment as that term is defined herein.
[0120] The term `sensitize` or `sensitizes` used interchangeably
herein, refers to making the cell sensitive, or susceptible to
other secondary agents, for example other pro-drugs or other
environmental effects such as radiation etc.
[0121] The term "disease" or "disorder" is used interchangeably
herein, and refers to any alteration in state of the body or of
some of the organs, interrupting or disturbing the performance of
the functions and/or causing symptoms such as discomfort,
dysfunction, distress, or even death to the person afflicted or
those in contact with a person. A disease or disorder can also
relate to a distemper, ailing, ailment, malady, disorder, sickness,
illness, complaint, inderdisposion or affectation.
[0122] The term "neurodegenerative disease" as used herein refers
to a varied assortment of central and peripheral nervous system
disorders characterized by gradual and progressive loss of neural
tissue and/or neural tissue function. A neurodegenerative disease
is characterized by an increase in neuronal cell death or
impairment, or an increase in dysfunctional or degenerating
neurons. A neurodegenerative disease is a class of neurological
disorders or diseases, and where the neurological disease is
characterized by a gradual and progressive loss of neural tissue,
and/or altered neurological function, typically reduced
neurological function as a result of a gradual and progressive loss
of neural tissue. Examples of neurodegenerative diseases include
for example, but are not limited to, conditions where neurons are
dysfunctional and/or degenerating, including but not limited to,
neurodegenerative diseases such as amyotrophic lateral sclerosis
(ALS), primary lateral sclerosis (PLS), spinal muscular atrophy
(SMA), Alzheimer's disease (AD), Parkinson's disease (PD),
Huntington's disease (HD), Friedreich's ataxia, cerebellar ataxia,
other brain disorders such as bipolar disorder, epilepsy,
schizophrenia, depression, mania, autism, ADHD, brain trauma
injuries and stroke.
[0123] In some embodiments, the present invention provides a method
of treatment, or prevention or diagnosis of conditions where
neurons are dysfunctional and/or degenerating, including but not
limited to, neurodegenerative diseases such as amyotrophic lateral
sclerosis (ALS), primary lateral sclerosis (PLS), spinal muscular
atrophy (SMA), Alzheimer's disease (AD), Parkinson's disease (PD),
Huntington's disease (HD), Friedreich's ataxia, cerebellar ataxia,
other brain disorders such as bipolar disorder, epilepsy,
schizophrenia, depression, mania, autism, ADHD, brain trauma
injuries and stroke
[0124] The phrase "motor neuron disease" or "MND" as used herein,
refers to a neurological disorder that selectively destroys motor
neurons, the cells that control voluntary muscle activity including
speaking, walking, swallowing, and general movement of the body.
MNDs are generally progressive in nature, and cause increasingly
debilitating disability and, eventually, death. Encompassed in the
term motor neuron diseases include, but are not limited to,
Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig's
Disease, primary lateral sclerosis (PLS), progressive muscular
atrophy (PMA), pseudobulbar palsy, progressive bulbar palsy, lower
motor neuron disease and spinal muscular atrophy 1 The term "motor
neuron disease" applies to disorders which affect either upper
motor neurons (UMN) in the brain or lower motor neurons (LMN) in
the spinal cord, or both. Motor neuron diseases which affect the
UMN only, include, for example, Primary lateral sclerosis (PLS),
Pseudobulbar palsy and Hereditary spastic paraplegia. Motor neurons
which affect the LMN only include, for example, Distal hereditary
motor neuropathies, Spinal muscular atrophies (SMA SMAX1 SMAX2
DSMA1 Congenital DSMA SMA-PCH SMA-LED SMA-PME), Progressive
muscular atrophy, progressive bulbar palsy (Fazio-Londe and
Infantile progressive bulbar palsy). Motor neurons which affect
both the UMN and LMN include, but is not limited to Amyotrophic
lateral sclerosis (ALS). The term motor neuron disease also
encompasses spinal muscular atrophies, such as spinal muscular
atrophy (SMA) (SMA1, Werdnig-Hoffmann Disease), Spinal Muscular
Atrophy Type 2 (SMA2) and Spinal Muscular Atrophy Type 3 (SMA3,
Kugelberg-Welander Disease), spinobulbar muscular atrophy and
Charcot-Marie-Tooth Disorders.
[0125] The term "motor neuron" also referred to as a "motoneuron"
refers to a neuron that sends electrical output signals to a
muscle, gland, or other effector tissues.
[0126] As used herein, the term "diagnosing" refers to classifying
a pathology (e.g., a disease, disorder, syndrome, medical condition
and/or a symptom thereof), determining a severity of the pathology,
monitoring the progression of a pathology, forecasting an outcome
of the pathology and/or prospects of recovery (e.g.,
prognosis).
[0127] As used herein, the terms "treat" or "treatment" or
"treating" refers to both therapeutic treatment and prophylactic or
preventative measures, wherein the object is to prevent or slow the
development of the disease, such as, in cancer, slow down the
development of a tumor, prevent or decrease the spread of cancer,
or reducing at least one effect or symptom of a condition, disease
or disorder associated with inappropriate proliferation or a cell
mass, for example cancer, or in neurodegenerative diseases, slow or
decrease the rate of degeneration, impairment or cell death of
neurons, or prevent neuronal cell death from occurring. Treatment
is generally "effective" if one or more symptoms or clinical
markers are reduced as that term is defined herein. Alternatively,
treatment is "effective" if the progression of a disease is reduced
or halted. That is, "treatment" includes not just the improvement
of symptoms or markers, but also a measurable lessening of one or
more symptoms or measurable markers of a disease or disorder (e.g.,
cancer) and/or a cessation of at least slowing of progress or
worsening of symptoms that would be expected in absence of
treatment. Measurable lessening includes any statistically
significant decline in a measurable marker or symptom. Beneficial
or desired clinical results include, but are not limited to,
alleviation of one or more symptom(s), diminishment of extent of
disease, stabilized (i.e., not worsening) state of disease, delay
or slowing of disease progression, amelioration or palliation of
the disease state, and remission (whether partial or total),
whether detectable or undetectable. "Treatment" can also mean
prolonging survival as compared to expected survival if not
receiving treatment. Those in need of treatment include those
already diagnosed with cancer, as well as those likely to develop
secondary tumors due to metastasis. Those in need of treatment
include those already diagnosed with a neurodegenerative disease or
disorder, as well as those likely to develop a neurodegenerative
disease or disorder, e.g., a subject having a genetic mutation
which increases the predisposition to a neurodegenerative disease
or disorder. For example, a subject with a mutation in the SOD1
gene. Accordingly, in some embodiments, where the subject is likely
to get cancer, or has a mutation in a gene that increases their
likelihood to develop a neurodegenerative disease or disorder such
as ALS, HD or AD, the treatment can be prophylactic treatment.
[0128] Thus, one of skill in the art realizes that a treatment with
a recombinant MIS as disclosed herein may improve the disease
condition, but may not be a complete cure for the disease. In some
embodiments, treatment can be "prophylaxic treatment, where the
subject is administered a composition as disclosed herein (e.g., a
recombinant MIS protein or viral vector encoding the same) to a
subject at risk of developing a motor neuron disease as disclosed
herein. In some embodiments, treatment is "effective" if the
progression of a disease is reduced or halted. Those in need of
treatment include those already diagnosed with a neurodegenerative
disease or disorder, or motor neuron disease or disorder, e.g., ALS
or SMA, as well as those likely to develop a neurodegenerative
disease or motor neuron disease or disorder due to genetic
susceptibility or other factors such as family history of motor
neuron disease, exposure to susceptibility factors, weight, diet
and health.
[0129] As used herein, the term "treating" when used in reference
to a cancer treatment is used to refer to the reduction of a
symptom and/or a biochemical marker of cancer, for example a
significant reduction in at least one biochemical marker of cancer
would be considered an effective treatment. Examples of such
biochemical markers of cancer include CD44, telomerase,
TGF-.alpha., TGF-.beta., erbB-2, erbB-3, MUC1, MUC2, CK20, PSA,
CA125 and FOBT. A reduction in the rate of proliferation of the
cancer cells by at least about 10% would also be considered
effective treatment by the methods as disclosed herein. As
alternative examples, a reduction in a symptom of cancer, for
example, a slowing of the rate of growth of the cancer by at least
about 10% or a cessation of the increase in tumor size, or a
reduction in the size of a tumor by at least about 10% or a
reduction in the tumor spread (i.e. tumor metastasis) by at least
about 10% would also be considered as affective treatments by the
methods as disclosed herein. In some embodiments, it is preferred,
but not required that the therapeutic agent actually kill the
tumor.
[0130] With reference to the treatment of a subject with a cancer
with a pharmaceutical composition comprising at least one
recombinant human MIS protein as disclosed herein, the term
"therapeutically effective amount" refers to the amount that is
safe and sufficient to prevent or delay the development and further
growth of a tumor or the spread of metastases in cancer patients.
The amount can thus cure or cause the cancer to go into remission,
slow the course of cancer progression, slow or inhibit tumor
growth, slow or inhibit tumor metastasis, slow or inhibit the
establishment of secondary tumors at metastatic sites, or inhibit
the formation of new tumor metastases. The effective amount for the
treatment of cancer depends on the tumor to be treated, the
severity of the tumor, the drug resistance level of the tumor, the
species being treated, the age and general condition of the
subject, the mode of administration and so forth. Thus, it is not
possible to specify the exact "effective amount". However, for any
given case, an appropriate "effective amount" can be determined by
one of ordinary skill in the art using only routine
experimentation. The efficacy of treatment can be judged by an
ordinarily skilled practitioner, for example, efficacy can be
assessed in animal models of cancer and tumor, for example
treatment of a rodent with a cancer, and any treatment or
administration of the compositions or formulations that leads to a
decrease of at least one symptom of the cancer, for example a
reduction in the size of the tumor or a slowing or cessation of the
rate of growth of the tumor indicates effective treatment. In
embodiments where the compositions are used for the treatment of
cancer, the efficacy of the composition can be judged using an
experimental animal model of cancer, e.g., wild-type mice or rats,
or preferably, transplantation of tumor cells. When using an
experimental animal model, efficacy of treatment is evidenced when
a reduction in a symptom of the cancer, for example a reduction in
the size of the tumor or a slowing or cessation of the rate of
growth of the tumor occurs earlier in treated, versus untreated
animals. By "earlier" is meant that a decrease, for example in the
size of the tumor occurs at least 5% earlier, but preferably more,
e.g., one day earlier, two days earlier, 3 days earlier, or
more.
[0131] The term "effective amount" as used herein refers to the
amount of a recombinant human MIS protein as disclosed herein, to
alleviate at least one or more symptom of the disease or disorder,
and relates to a sufficient amount of pharmacological composition
to provide the desired effect. The phrase "therapeutically
effective amount" as used herein, e.g., a pharmaceutical
composition comprising at least one recombinant human MIS protein
as disclosed herein means a sufficient amount of the composition to
treat a disorder, at a reasonable benefit/risk ratio applicable to
any medical treatment. The term "therapeutically effective amount"
therefore refers to an amount of the composition as disclosed
herein that is sufficient to effect a therapeutically or
prophylactically significant reduction in a symptom or clinical
marker associated with a cancer or a cancer-mediated condition.
[0132] A therapeutically or prophylactically significant reduction
in a symptom is, e.g. at least about 10%, at least about 20%, at
least about 30%, at least about 40%, at least about 50%, at least
about 60%, at least about 70%, at least about 80%, at least about
90%, at least about 100%, at least about 125%, at least about 150%
or more in a measured parameter as compared to a control or
non-treated subject. Measured or measurable parameters include
clinically detectable markers of disease, for example, elevated or
depressed levels of a biological marker, as well as parameters
related to a clinically accepted scale of symptoms or markers for a
disease or disorder. It will be understood, however, that the total
daily usage of the compositions and formulations as disclosed
herein will be decided by the attending physician within the scope
of sound medical judgment. The exact amount required will vary
depending on factors such as the type of disease being treated.
[0133] The term "prophylactically effective amount" refers to an
amount of a recombinant human MIS protein or functional fragment or
variant thereof which is effective, at dosages and for periods of
time necessary, to achieve the desired prophylactic result, e.g.,
to prevent the onset of cancer in a subject who is at risk of
developing cancer, or to prevent the onset of muscle weakness
and/or decrease in neurological function in a subject who is at
risk of developing a neurodegenerative disease or motor neuron
disease. Typically, since a prophylactic dose of a recombinant
human MIS protein or functional fragment or variant thereof is
administered to a subject prior to, or at an earlier stage of a
cancer or neurodegenerative disease, or to a subject who has a
genetic predisposition to get cancer or a neurodegenerative
disease, for example, but by no way a limitation, to a subject that
has a mutation in a gene which increases the likelihood of the
subject getting cancer, e.g., ovarian cancer such as a mutation in
the BRCA1 and/or BRAC2 gene, or a subject who has a mutation in a
gene which increases the likelihood of the subject getting a
neurodegenerative disease, such as ALS, e.g., a subject who has
mutation in the SOD1 gene. In some embodiments, a prophylactically
effective amount is less than the therapeutically effective amount.
A prophylactically effective amount of a recombinant human MIS
protein or functional fragment or variant thereof is also one in
which any toxic or detrimental effects of the compound are
outweighed by the beneficial effects.
[0134] As used herein, the terms "prevent," "preventing" and
"prevention" refer to the avoidance or delay in manifestation of
one or more symptoms or measurable markers of a disease or
disorder, e.g., of an autoimmune disease. A delay in the
manifestation of a symptom or marker is a delay relative to the
time at which such symptom or marker manifests in a control or
untreated subject with a similar likelihood or susceptibility of
developing the disease or disorder. The terms "prevent,"
"preventing" and "prevention" include not only the avoidance or
prevention of a symptom or marker of the disease, but also a
reduced severity or degree of any one of the symptoms or markers of
the disease, relative to those symptoms or markers in a control or
non-treated individual with a similar likelihood or susceptibility
of developing the disease or disorder, or relative to symptoms or
markers likely to arise based on historical or statistical measures
of populations affected by the disease or disorder. By "reduced
severity" is meant at least a 10% reduction in the severity or
degree of a symptom or measurable disease marker, relative to a
control or reference, e.g., at least 15%, 20%, 30%, 40%, 50%, 60%,
70%, 80%, 90%, 95%, 99% or even 100% (i.e., no symptoms or
measurable markers).
[0135] As used herein, the terms "administering," and "introducing"
are used interchangeably herein and refer to the placement of the
recombinant MIS protein, or an agent or vector expressing the
recombinant MIS protein as disclosed herein into a subject by a
method or route which results in at least partial localization of a
recombinant human MIS protein at a desired site. The compounds of
the present invention can be administered by any appropriate route
which results in an effective treatment in the subject. In some
embodiments, for the treatment of a cancer, the recombinant human
MIS protein can be placed directly at, or near the site of the
tumor or alternatively administered systemically. In some
embodiments, for the treatment of a neurodegenerative disease or
disorder, the recombinant human MIS protein can be placed directly
in the spinal cord or in the cerebellum, or alternatively be
administered by any appropriate route which results in delivery to
a desired location in the subject where the recombinant human MIS
protein can be delivered to the degenerating neurons, e.g., such as
intravenous administration of AAV expressing the recombinant human
MIS protein enables recombinant human MIS protein expression in the
brain and spinal cord.
[0136] A "composition" or "pharmaceutical composition" are used
interchangeably herein refers to a composition that usually
contains an excipient, such as a pharmaceutically acceptable
carrier that is conventional in the art and that is suitable for
administration to cells. The cells may be part of a subject, for
example for therapeutic, diagnostic, or prophylactic purposes. The
cells may also be cultured, for example cells as part of an assay
for screening potential pharmaceutical compositions, and the cells
may be part of a transgenic animal for research purposes. The
composition can also be a cell culture, in which a polypeptide or
polynucleotide encoding a metabolic regulator of the present
invention is present in the cells and/or in the culture medium. In
addition, compositions for topical (e.g., oral mucosa, respiratory
mucosa) and/or oral administration can form solutions, suspensions,
tablets, pills, capsules, sustained-release formulations, oral
rinses, or powders, as known in the art and described herein. The
compositions also can include stabilizers and preservatives. For
examples of carriers, stabilizers and adjuvants, University of the
Sciences in Philadelphia (2005) Remington: The Science and Practice
of Pharmacy with Facts and Comparisons, 21st Ed.
[0137] The phrases "parenteral administration" and "administered
parenterally" as used herein means modes of administration other
than enteral and topical administration, usually by injection, and
includes, without limitation, intravenous, intramuscular,
intraarterial, intrathecal, intraventricular, intracapsular,
intraorbital, intracardiac, intradermal, intraperitoneal,
transtracheal, subcutaneous, subcuticular, intraarticular, sub
capsular, subarachnoid, intraspinal, intracerebro spinal, and
intrasternal injection and infusion. The phrases "systemic
administration," "administered systemically", "peripheral
administration" and "administered peripherally" as used herein mean
the administration of a recombinant human MIS protein such that it
enters the animal's system and, thus, is subject to metabolism and
other like processes, for example, subcutaneous administration.
[0138] The phrase "pharmaceutically acceptable" is employed herein
to refer to those compounds, materials, compositions, and/or dosage
forms which are, within the scope of sound medical judgment,
suitable for use in contact with the tissues of human beings and
animals without excessive toxicity, irritation, allergic response,
or other problem or complication, commensurate with a reasonable
benefit/risk ratio.
[0139] The phrase "pharmaceutically acceptable carrier" as used
herein means a pharmaceutically acceptable material, composition or
vehicle, such as a liquid or solid filler, diluent, excipient,
solvent or encapsulating material, involved in maintaining the
activity of or carrying or transporting the subject agents from one
organ, or portion of the body, to another organ, or portion of the
body. In addition to being "pharmaceutically acceptable" as that
term is defined herein, each carrier must also be "acceptable" in
the sense of being compatible with the other ingredients of the
formulation. The pharmaceutical formulation contains a compound of
the invention in combination with one or more pharmaceutically
acceptable ingredients. The carrier can be in the form of a solid,
semi-solid or liquid diluent, cream or a capsule. These
pharmaceutical preparations are a further object of the invention.
Usually the amount of active compounds is between 0.1-95% by weight
of the preparation, preferably between 0.2-20% by weight in
preparations for parenteral use and preferably between 1 and 50% by
weight in preparations for oral administration. For the clinical
use of the methods of the present invention, targeted delivery
composition of the invention is formulated into pharmaceutical
compositions or pharmaceutical formulations for parenteral
administration, e.g., intravenous; mucosal, e.g., intranasal;
enteral, e.g., oral; topical, e.g., transdermal; ocular, e.g., via
corneal scarification or other mode of administration. The
pharmaceutical composition contains a compound of the invention in
combination with one or more pharmaceutically acceptable
ingredients. The carrier can be in the form of a solid, semi-solid
or liquid diluent, cream or a capsule.
[0140] The term "oncogene" as used herein refers to a nucleic acid
sequence encoding, or polypeptide, of a mutated and/or
overexpressed version of a normal gene that in a dominant fashion
can release the cell from normal restraints on growth and thus
alone or in concert with other changes, contribute to a cells
tumorigenicity. Examples of oncogenes include; gp40 (v-fms); p21
(ras); p55 (v-myc); p65 (gag-jun); pp60 (v-src); v-abl; v-erb;
v-erba; v-fos etc. A proto-oncogene refers to the normal expression
of a nucleic acid expressing the normal, cellular equivalent of an
oncogene, typically these genes are usually a gene involved in the
signaling or regulation of cell growth.
[0141] The term "regeneration" means regrowth of a cell population,
organ or tissue, and in some embodiments after disease or
trauma.
[0142] The term "vectors" refers to a nucleic acid molecule capable
of transporting another nucleic acid to which it has been linked; a
plasmid is a species of the genus encompassed by "vector". The term
"vector" typically refers to a nucleic acid sequence containing an
origin of replication and other entities necessary for replication
and/or maintenance in a host cell. Vectors capable of directing the
expression of genes and/or nucleic acid sequence to which they are
operatively linked are referred to herein as "expression vectors".
In general, expression vectors of utility are often in the form of
"plasmids" which refer to circular double stranded DNA loops which,
in their vector form are not bound to the chromosome, and typically
comprise entities for stable or transient expression or the encoded
DNA. Other expression vectors can be used in the methods as
disclosed herein for example, but are not limited to, plasmids,
episomes, bacterial artificial chromosomes, yeast artificial
chromosomes, bacteriophages or viral vectors, and such vectors can
integrate into the host's genome or replicate autonomously in the
particular cell. A vector can be a DNA or RNA vector. Other forms
of expression vectors known by those skilled in the art which serve
the equivalent functions can also be used, for example self
replicating extrachromosomal vectors or vectors which integrates
into a host genome. Preferred vectors are those capable of
autonomous replication and/or expression of nucleic acids to which
they are linked. Vectors capable of directing the expression of
genes to which they are operatively linked are referred to herein
as "expression vectors". Expression vectors can result in stable or
transient expression of the DNA. An exemplary expression vector for
use in the present invention is pcDNA3.1.
[0143] The term "viral vectors" refers to the use as viruses, or
virus-associated vectors as carriers of the nucleic acid construct
into the cell. Constructs may be integrated and packaged into
non-replicating, defective viral genomes like Adenovirus,
Adeno-associated virus (AAV), or Herpes simplex virus (HSV) or
others, including reteroviral and lentiviral vectors, for infection
or transduction into cells. The vector may or may not be
incorporated into the cells genome. The constructs may include
viral sequences for transfection, if desired. Alternatively, the
construct may be incorporated into vectors capable of episomal
replication, e.g., EPV and EBV vectors.
[0144] As used herein, a "promoter" or "promoter region" or
"promoter element" used interchangeably herein, refers to a segment
of a nucleic acid sequence, typically but not limited to DNA or RNA
or analogues thereof, that controls the transcription of the
nucleic acid sequence to which it is operatively linked. The
promoter region includes specific sequences that are sufficient for
RNA polymerase recognition, binding and transcription initiation.
This portion of the promoter region is referred to as the promoter.
In addition, the promoter region includes sequences which modulate
this recognition, binding and transcription initiation activity of
RNA polymerase. These sequences may be cis-acting or may be
responsive to trans-acting factors. Promoters, depending upon the
nature of the regulation may be constitutive or regulated.
[0145] The term "regulatory sequences" is used interchangeably with
"regulatory elements" herein refers element to a segment of nucleic
acid, typically but not limited to DNA or RNA or analogues thereof,
that modulates the transcription of the nucleic acid sequence to
which it is operatively linked, and thus act as transcriptional
modulators. Regulatory sequences modulate the expression of gene
and/or nucleic acid sequence to which they are operatively linked.
Regulatory sequence often comprise "regulatory elements" which are
nucleic acid sequences that are transcription binding domains and
are recognized by the nucleic acid-binding domains of
transcriptional proteins and/or transcription factors, repressors
or enhancers etc. Typical regulatory sequences include, but are not
limited to, transcriptional promoters, inducible promoters and
transcriptional elements, an optional operate sequence to control
transcription, a sequence encoding suitable mRNA ribosomal binding
sites, and sequences to control the termination of transcription
and/or translation. Regulatory sequences can be a single regulatory
sequence or multiple regulatory sequences, or modified regulatory
sequences or fragments thereof. Modified regulatory sequences are
regulatory sequences where the nucleic acid sequence has been
changed or modified by some means, for example, but not limited to,
mutation, methylation etc.
[0146] The term "operatively linked" as used herein refers to the
functional relationship of the nucleic acid sequences with
regulatory sequences of nucleotides, such as promoters, enhancers,
transcriptional and translational stop sites, and other signal
sequences. For example, operative linkage of nucleic acid
sequences, typically DNA, to a regulatory sequence or promoter
region refers to the physical and functional relationship between
the DNA and the regulatory sequence or promoter such that the
transcription of such DNA is initiated from the regulatory sequence
or promoter, by an RNA polymerase that specifically recognizes,
binds and transcribes the DNA. In order to optimize expression
and/or in vitro transcription, it may be necessary to modify the
regulatory sequence for the expression of the nucleic acid or DNA
in the cell type for which it is expressed. The desirability of, or
need of, such modification may be empirically determined Enhancers
need not be located in close proximity to the coding sequences
whose transcription they enhance. Furthermore, a gene transcribed
from a promoter regulated in trans by a factor transcribed by a
second promoter may be said to be operatively linked to the second
promoter. In such a case, transcription of the first gene is said
to be operatively linked to the first promoter and is also said to
be operatively linked to the second promoter.
[0147] As used herein, the term "biological sample" also refers to
a cell or population of cells or a quantity of tissue or fluid from
a subject. Most often, the sample has been removed from a subject,
but the term "biological sample" can also refer to cells or tissue
analyzed in vivo, i.e. without removal from the subject. Often, a
"biological sample" will contain cells from a subject, but the term
can also refer to non-cellular biological material, such as
non-cellular fractions of blood, saliva, or urine, that can be used
to measure protein phosphorylation levels. In some embodiments, a
"biological sample" or "tissue sample" refers to a sample of tissue
or fluid isolated from an individual, including but not limited to,
for example, blood, plasma, serum, tumor biopsy, urine, stool,
sputum, spinal fluid, pleural fluid, nipple aspirates, lymph fluid,
the external sections of the skin, respiratory, intestinal, and
genitourinary tracts, tears, saliva, milk, cells (including but not
limited to blood cells), tumors, organs, and also samples of in
vitro cell culture constituent. In some embodiments, a biological
sample is from a resection, bronchoscopic biopsy, or core needle
biopsy of a primary, secondary or metastatic tumor, or a cellblock
from pleural fluid. In addition, fine needle aspirate biological
samples are also useful. In some embodiments, a biological sample
is primary ascite cells. Samples can be fresh, frozen, fixed or
optionally paraffin-embedded, frozen or subjected to other tissue
preservation methods, including for example methods to preserve the
phosphorylation status of polypeptides in the biological sample. A
biological sample can also mean a sample of biological tissue or
fluid that comprises protein or cells. Such samples include, but
are not limited to, tissue isolated from subjects or animals.
Biological samples may also include sections of tissues such as
biopsy and autopsy samples, frozen sections taken for histological
purposes, blood, plasma, serum, sputum, stool, tears, mucus, hair,
and skin. Biological samples also include explants and primary
and/or transformed cell cultures derived from patient tissues. A
biological sample may be provided by removing a sample of cells
from subject, but can also be accomplished by using previously
isolated cells (e.g., isolated by another person, at another time,
and/or for another purpose), or by performing the methods of the
invention in vivo. Archival tissues, such as those having treatment
or outcome history may also be used. Biological samples include,
but are not limited to, tissue biopsies, scrapes (e.g. buccal
scrapes), whole blood, plasma, serum, urine, saliva, cell culture,
or cerebrospinal fluid. Biological samples also include tissue
biopsies, cell culture. The biological sample can be obtained by
removing a sample of cells from a subject, but can also be
accomplished by using previously isolated cells (e.g. isolated by
another person), or by performing the methods of the invention in
vivo. Such samples include, but are not limited to, whole blood,
cultured cells, primary cell preparations, sputum, amniotic fluid,
tissue or fine needle biopsy samples, peritoneal fluid, and pleural
fluid, among others. In some embodiments a biological sample is
taken from a human patient, and in alternative embodiments the
biological sample is taken from any mammal, such as rodents, animal
models of diseases, commercial animals, companion animals, dogs,
cats, sheep, cattle, and pigs, etc. The biological sample can be
pretreated as necessary for storage or preservation, by dilution in
an appropriate buffer solution or concentrated, if desired. Any of
a number of standard aqueous buffer solutions, employing one of a
variety of buffers, such as phosphate, Tris, or the like, at
physiological pH can be used. The biological sample can in certain
circumstances be stored for use prior to use in the assay as
disclosed herein. Such storage can be at +4 C or frozen, for
example at -20 C or -80 C, provided suitable cryopreservation
agents are used to maintain cell viability once the cells are
thawed.
[0148] The term "reduced" or "reduce" or "decrease" or "lower" as
used herein generally means a decrease by a statistically
significant amount relative to a reference. However, for avoidance
of doubt, "reduced" means statistically significant decrease of at
least 10% as compared to a reference level, for example a decrease
by at least 20%, at least 30%, at least 40%, at least t 50%, or
least 60%, or least 70%, or least 80%, at least 90% or more, up to
and including a 100% decrease (i.e. absent level as compared to a
reference sample), or any decrease between 10-100% as compared to a
reference level, as that term is defined herein. The term
"decrease" or "inhibition" used in the context of the level of
expression or activity of a gene refers to a reduction in protein
or nucleic acid level or activity in a cell, a cell extract, or a
cell supernatant. For example, such a decrease may be due to
reduced RNA stability, transcription, or translation, increased
protein degradation, or RNA interference. Preferably, this decrease
is at least about 5%, at least about 10%, at least about 25%, at
least about 50%, at least about 75%, at least about 80%, or even at
least about 90% of the level of expression or activity under
control conditions.
[0149] The term "low" as used herein generally means lower by a
statically significant amount; for the avoidance of doubt, "low"
means a statistically significant value at least 10% lower than a
reference level, for example a value at least 20% lower than a
reference level, at least 30% lower than a reference level, at
least 40% lower than a reference level, at least 50% lower than a
reference level, at least 60% lower than a reference level, at
least 70% lower than a reference level, at least 80% lower than a
reference level, at least 90% lower than a reference level, up to
and including 100% lower than a reference level (i.e. absent level
as compared to a reference sample).
[0150] The terms "increased" or "increase" as used herein generally
mean an increase by a statically significant amount; for the
avoidance of doubt, "increased" means a statistically significant
increase of at least 10% as compared to a reference level,
including an increase of at least 20%, at least 30%, at least 40%,
at least 50%, at least 60%, at least 70%, at least 80%, at least
90%, at least 100% or more, including, for example at least 2-fold,
at least 3-fold, at least 4-fold, at least 5-fold, at least 10-fold
increase or greater as compared to a reference level, as that term
is defined herein. The term an "increase" as used in the context of
the expression or activity of a gene or protein is meant a positive
change in protein or nucleic acid level or activity in a cell, a
cell extract, or a cell supernatant. For example, such a increase
may be due to increased RNA stability, transcription, or
translation, or decreased protein degradation. Preferably, this
increase is at least 5%, at least about 10%, at least about 25%, at
least about 50%, at least about 75%, at least about 80%, at least
about 100%, at least about 200%, or even about 500% or more over
the level of expression or activity under control conditions.
[0151] The term "high" as used herein generally means a higher by a
statically significant amount relative to a reference; for the
avoidance of doubt, "high" means a statistically significant value
at least 10% higher than a reference level, for example at least
20% higher, at least 30% higher, at least 40% higher, at least 50%
higher, at least 60% higher, at least 70% higher, at least 80%
higher, at least 90% higher, at least 100% higher, at least 2-fold
higher, at least 3-fold higher, at least 4-fold higher, at least
5-fold higher, at least 10-fold higher or more, as compared to a
reference level.
[0152] The articles "a" and "an" are used herein to refer to one or
to more than one (i.e., to at least one) of the grammatical object
of the article. By way of example, "an element" means one element
or more than one element.
[0153] Other than in the operating examples, or where otherwise
indicated, all numbers expressing quantities of ingredients or
reaction conditions used herein should be understood as modified in
all instances by the term "about." The term "about" when used in
connection with percentages can mean.+-.1%. The present invention
is further explained in detail by the following examples, but the
scope of the invention should not be limited thereto.
[0154] It should be understood that this invention is not limited
to the particular methodology, protocols, and reagents, etc.,
described herein and as such can vary. The terminology used herein
is for the purpose of describing particular embodiments only, and
is not intended to limit the scope of the present invention, which
is defined solely by the claims. Other features and advantages of
the invention will be apparent from the following Detailed
Description, the drawings, and the claims.
Mullerian Inhibiting Substance (MIS)
[0155] Without wishing to be bound by theory, the Mullerian
Inhibiting Substance (MIS) is a member of the TGF.beta. multigene
family of glycoproteins. The proteins in this gene family are all
produced as dimeric precursors and undergo posttranslational
processing for activation, requiring cleavage and dissociation to
release bioactive C-terminal fragments. MIS is a 140-kDa dimer
which consists of identical 70 kDa disulfide-linked monomers, each
composed of a 57 kDa N-terminal domain and a 12.5 kDa
carboxyl-terminal (C-terminal). Thus, MIS comprises 2 identical
monomers (and thus is termed a "homodimer"), each monomer
comprising two domains, the N-terminal and C-terminal domain, which
are held in non-covalent association. The purified C-terminal
domain is the biologically active moiety and cleavage is required
for activity. The N-terminal domain may assist with protein folding
in vivo and facilitate delivery of the C-terminal peptide to its
receptor, e.g., MISRI and MISRII. A non-cleavable mutant of MIS is
biologically inactive.
[0156] The carboxy-terminal active domain shares amino acid
homology with other TGFb family members, such as TGF-B 1, 2, and 3,
inhibin, activin, and bone morphogenetic proteins, as well as a
member of Growth and Differentiation Factors (GDFs). The structure
of the MIS carboxy-terminal domain is supported by seven cysteines
involved both in intra- and intermolecular disulfides bridges that
lead to its structural stability, as revealed by homology to the
three dimensional structure of TGFb using molecular modeling
(Lorenzo, Donahoe, et al., unpublished data).
[0157] Like other TGFb family members, MIS can be cleaved by
plasmin which generates its amino- and carboxy-terminal domains.
This proteolytic process is required for its physiological activity
and occurs at a site in a position similar to the dibasic cleavage
site found in the sequence of TGFb. The resultant products are
tightly associated in a non-covalent complex that dissociates at
low pH; therefore, technically complex and time-demanding protocols
with plasmin treatment and molecular size exclusion chromatography
are required to enhance or complete the separation of the carboxy
terminus from the amino terminus.
[0158] MIS contains two major cleavage sites that are sensitive to
plasmin; the primary monobasic site which is located at amino acid
position 426-427 of human wild-type MIS (corresponding to amino
acid 451-452 of SEQ ID NO:1 herein). Cleavage at this site, which
releases the active carboxy-terminal domain of MIS, resembles a
consensus furin cleavage site. A secondary cleavage site (referred
to as "12/S"), identified by amino-terminal sequencing of MIS
fragments is located at residues 229-230 in the amino-terminal
domain of wild-type MIS (corresponding to amino acids 254-255 of
SEQ ID NO: 1). This site contains an R/S, but otherwise does not
follow the consensus Arg-X-(Arg/Lys)-Arg for furin cleavage.
Separation of purified carboxy-terminal from amino-terminal MIS
after digestion with exogenous plasmin previously used molecular
size-exclusion chromatography under acidic conditions. This
technique requires extreme care to control MIS digestion, since
long incubations of MIS in plasmin produced the carboxy-terminal
MIS domain plus other fragments of 22 and 34 kDa, due to cleavage
both at the primary and secondary sites, are extremely difficult to
separate from one another by size exclusion. Since all fragments
generated after plasmin digestion are glycosylated, except the
carboxy-terminal domain, wheat-germ lectin affinity can be used as
an alternative to size chromatography separation to purify the
carboxy-terminal domain of MIS. After plasmin cleavage, the
resulting fragments can be loaded onto a wheat germ lectin column
at pH 3.5 in order to dissociate the amino- and carboxy-terminal
domains, as disclosed in Lorenzo et al., J. Chromatography, (2001),
776; 89-98, which is incorporated herein its entirety by
reference.
[0159] Accordingly, to overcome several issues with respect to
avoiding the production of fragments of MIS, e.g., both the
carboxy-terminal MIS domain plus a 22 and 34 kDa fragments due to
cleavage both at the primary and secondary sites, the inventors
have modified the primary cleavage site at amino acid position
426-427 of human wild-type MIS (corresponding to amino acid 451-452
of SEQ ID NO:1 herein). To aid the purification of the C-terminal
domain without the need for complicated methods using wheat-germ
lectin affinity or size chromatography columns, the most flexible
domain of the C-terminus, the inventors have included a tag at the
N-terminus of the C-terminal domain.
[0160] Furthermore, the wild-type MIS protein is produced as a
prohormone comprising a N-terminal leader sequence, which
corresponds to amino acid residues 1-25 of SEQ ID NO: 1. Processing
of the mature hormone MIS protein can involve the proteolytic
cleavage and removal of the leader sequence (e.g., amino acids 1-25
of SEQ ID NO: 1), the cleavage of the MIS protein at the primary
site to generate the N-terminal and C-terminal domains, and the
formation of these domains into a monomer, which is disulfide
linked by inter- and intrachain disulfide bonds to an identical
monomer to form the bioactive homodimer MIS protein.
Leader Sequences
[0161] Without wishing to be bound by theory, leader sequences
improve expression and/or secretion of a polypeptide of interest in
a host cell, and are useful for the recombinant production of
proteins. Generally, as an efficient method for secreting a desired
protein by a genetic engineering procedure, a method is known
wherein a fused protein comprising the desired protein (e.g., MIS)
and a prepropeptide (signal peptide+propeptide) is expressed in a
host cell and then intracellularly cleaved (processed) by enzymes
of the host, and then, extracellularly secreted. According to this
process, however, the fused protein must be cleaved twice by
enzymes of the host to be a mature protein, resulting in lower
yield of the mature protein and contamination of the mature protein
with residual fused protein.
[0162] Accordingly, secreted proteins are expressed initially
inside the cell in a precursor form containing a leader sequence
ensuring entry into the secretory pathway. Such leader sequences,
also referred to as signal peptides, direct the expressed product
across the membrane of the endoplasmic reticulum (ER). Signal
peptides are generally cleaved off by signal peptidases during
translocation to the ER. Once entered in the secretory pathway, the
protein is transported to the Golgi apparatus. From the Golgi the
protein can follow different routes that lead to compartments such
as the cell vacuole or the cell membrane, or it can be routed out
of the cell to be secreted to the external medium (Pfeffer and
Rothman (1987) Ann. Rev. Biochem. 56:829-852).
[0163] For Industrial production of a secreted protein, the protein
to be produced needs to be secreted efficiently from the host cell
or the host organism. The signal peptide may be, e.g., the native
signal peptide of the protein to be produced, a heterologous signal
peptide, or a hybrid of native and heterologous signal peptide.
However, several problems are encountered with the use of currently
known signal peptides. One problem often encountered when producing
a human protein from a non-human host cell or organism is that the
native signal peptide does not ensure efficient translocation
and/or cleavage of the signal peptide. This leads to low rates of
protein secretion and/or to secretion of mature proteins that
display N-terminal extensions due to an incorrect cleavage of the
signal peptide. Thus the choice of the signal peptide is of great
importance for industrial production of a protein.
[0164] In addition of leader sequences directing the secretion of
the protein, a precursor form can comprise supplemental leader
sequences that are cleaved during maturation. These supplemental
leader peptides, named propeptides, usually follow the signal
peptide. Virtually all peptide hormones, numerous bioactive protein
(for example, growth factors, receptors and cell-adhesion
molecules, and including MIS), and many bacterial toxins and viral
envelope glycoproteins comprise a propeptide that is
post-translationally excised to generate the mature and
biologically active protein (Seidah and Chretien (1999) Brain Res.
848:45-62).
[0165] Peptides are further cleaved by enzymes named proprotein
convertases. Mammalian proprotein convertases include, e.g., the
subtilisin convertases PCSK1, PCSK2 and furin. Furin is
ubiquitously expressed and located in the trans-Golgi network.
Furin proteolytically activates large numbers of proproteins
substrates in secretory pathway compartments. (Thomas (2002) Nat
Rev Mol Cell Biol. 3:753-766). More specifically, furin localizes
to the Trans Golgi Network, a late Golgi structure that is
responsible for sorting secretory pathway proteins to their final
destinations, including the cell surface, endosomes, lysosomes and
secretory granules. The site that furin cleaves has been
extensively studied. The cleavage site is positioned after the
carboxyl-terminal arginine of the consensus sequence R-X-L/R-R,
wherein X may represent any amino acid (Nakayama (1997) Biochem. J
327:625-635). The cleavage efficiency is increased when X is a
lysine, a valine, an isoleucine or an alanine (Watanabe et al
(1992) J Biol. Chem. 267:8270-8274).
[0166] In some embodiments, the recombinant human MIS protein
comprises a modified leader sequence in place of the wild-type
leader sequence of the MIS protein of SEQ ID NO:1. In some
embodiments, the native leader sequence of amino acid residues 1-25
of SEQ ID NO: 1 is replaced with a non-MIS leader sequence, for
example, but not limited to an albumin leader sequence, or
functional fragment thereof. In some embodiments, the non-MIS
leader sequence is a human serum albumin sequence (HSA), for
example, a leader sequence corresponding to SEQ ID NO:6, which is
encoded by nucleic acids corresponding to SEQ ID NO: 7.
[0167] In some embodiments, a HSA sequence is a functional fragment
of SEQ ID NO: 6, for example, or at least 23, or at least 22, or at
least 21, or at least 20, or at least 19, or at least 18, or at
least 17, or at least 16, or at least 15, or at least 14, or at
least 13, or at least 12, or at least 11, or at least 10, or less
than 10 consecutive or non-consecutive amino acids of SEQ ID NO:6.
Modified versions of HSA leader sequence are also encompassed for
use in the present invention and are disclosed in U.S. Pat. No.
5,759,802 which is incorporated herein in its entirety by
reference. In some embodiments, a functional fragment of HSA leader
sequence is MKWVTFISLLFLFSSAYS (SEQ ID NO: 13) or variations
therefor, which are disclosed in EP patent EP2277889 which is
incorporated herein in its entirety. Variants of the pre-pro region
of the HSA signal sequence (e.g., MKWVTFISLLFLFSSAYSRGVFRR, SEQ ID
NO: 6) include fragments, such as the pre region of the HSA signal
sequence (e.g., MKWVTFISLLFLFSSAYS, SEQ ID NO:13) or variants
thereof, such as, for example, MKWVSFISLLFLFSSAYS, (SEQ ID
NO:14).
[0168] In some embodiments, the leader sequence is a leader
sequence is at least about 60%, or at least about 70%, or at least
about 80%, or at least about 90%, or at least about 95%, or at
least about 96%, or at least about 97%, or at least about 98%, or
at least about 99% identical to amino acid residues of SEQ ID NO:
6.
[0169] The HSA leader sequence as used herein resulted in an
expected increased yield (both higher concentration and higher
production) of the recombinant human MIS protein (see FIGS. 2 and
3). However, the presence of the HSA leader sequence also resulted
in a surprising and unexpected increase in cleavage from the
primary cleavage site (corresponding to cleavage at 451/452 of SEQ
ID NO: 1 (or 426/427 of conventional amino acid nomenclature of
wild-type human MIS protein) (see FIGS. 2 and 3). This increased
yield and increased cleavage was surprising because with an
increased yield (and therefore more protein produced by the cell),
one would expect a decreased cleavage as the activity of the
available cleavage enzymes becomes saturated and overextended.
However, this was not the case--in fact the exact opposite occurred
where with increased protein production there was increased
cleavage from the primary cleavage site.
[0170] Other leader sequences are encompassed for use in a
recombinant human MIS protein as disclosed herein, e.g., to replace
amino acids 1-25 of SEQ ID NO: 1. Such leader sequences are well
known in the art, and include the leader sequences comprising an
immunoglobulin signal peptide fused to a tissue-type plasminogen
activator propeptide (IgSP-tPA), as disclosed in US 2007/0141666,
which is incorporated herein in its entirety by reference. Numerous
other signal peptides are used for production of secreted proteins.
One of them is a murine immunoglobulin signal peptide (IgSP, EMBL
Accession No. M13331). IgSP was first identified in 1983 by Loh et
al. (Cell. 33:85-93). IgSP is known to give a good expression in
mammalian cells. For example. EP patent No. 0382762 discloses a
method of producing horseradish peroxidase by constructing a fusion
polypeptide between IgSP and horseradish peroxidase.
[0171] Other leader sequences include, for example, but not limited
to, the MPIF-1 signal sequence (e.g., amino acids 1-21 of GenBank
Accession number AAB51134) MKVSVAALSCLMLVTALGSQA (SEQ ID NO: 15);
the stanniocalcin signal sequence (MLQNSAVLLLLVISASA, SEQ ID
NO:16); the invertase signal sequence (e.g., MLLQAFLFLLAGFAAKISA,
SEQ ID NO:17); the yeast mating factor alpha signal sequence (e.g.,
K. lactis killer toxin leader sequence); a hybrid signal sequence
(e.g., MKWVSFISLLFLFSSAYSRSLEKR, SEQ ID NO:18); an HSA/MF.alpha.-1
hybrid signal sequence (also known as HSA/kex2) (e.g.,
MKWVSFISLLFLFSSAYSRSLDKR, SEQ ID NO:19); a K. lactis
killer/MF.alpha.-1 fusion leader sequence (e.g.,
MNIFYIFLFLLSFVQGSLDKR, SEQ ID NO:20); the Immunoglobulin Ig signal
sequence (e.g., MGWSCIILFLVATATGVHS, SEQ ID NO:21); the Fibulin B
precursor signal sequence (e.g., MERAAPSRRVPLPLLLLGGLALLAAGVDA, SEQ
ID NO:22); the clusterin precursor signal sequence (e.g.,
MMKTLLLFVGLLLTWESGQVLG, SEQ ID NO: 23); and the insulin-like growth
factor-binding protein 4 signal sequence (e.g.,
MLPLCLVAALLLAAGPGPSLG, SEQ ID NO:24).
[0172] Where it is desirable to produce recombinant MIS in a
bacterial system, leader sequences can include bacterial leader
sequences as disclosed in US Application 2011/0020868. A number of
other secretion signals have been described for use in expressing
recombinant polypeptides or proteins. See, for example, U.S. Pat.
Nos. 5,914,254; 4,963,495; European Patent No. 0 177 343; U.S. Pat.
No. 5,082,783; PCT Publication No. WO 89/10971; U.S. Pat. Nos.
6,156,552; 6,495,357; 6,509,181; 6,524,827; 6,528,298; 6,558,939;
6,608,018; 6,617,143; 5,595,898; 5,698,435; and 6,204,023;
6,258,560; PCT Publication Nos. WO 01/21662, WO 02/068660 and U.S.
Application Publication 2003/0044906; U.S. Pat. No. 5,641,671; and
European Patent No. EP 0 121 352, which are incorporated herein in
their entirety by reference.
Modified Cleavage Sites
[0173] As discussed herein, the preparation of a MIS protein for
preclinical use is complex and inefficient. Human MIS protein is
produced from a pre-proprotein, which comprises a leader sequence.
The leader sequence (amino acids 1-25 of SEQ ID NO: 1) is cleaved
off and the remaining protein (often called "holo-human MIS"), and
corresponding to amino acid residues 26-560 of SEQ ID NO:1, must be
additionally post-translationally cleaved to result in an
N-terminal and an C-terminal domain. These N-terminal and
C-terminal domains form a monomer, and two identical monomers
(comprising the N- and C-terminal domains) form together to
generate a homodimer. Holo-human MIS is cleaved into its N- and
C-terminal domains most likely by means of furin or a related
prohormone convertase PCS, expressed in the gonads. Cleavage occurs
primarily at a kex-like site characterized by R.sup.-4 XXR.sup.-1
with a serine in the +1 site, which makes the MIS cleavage site
monobasic, but more furin/hex consensus. The purified C-terminal
domain is the biologically active moiety and cleavage is required
for biological activity. A secondary cleavage site, whose
significance is unknown, is observed less frequently at residues
229-230 (which correspond to amino acids 254-255 of SEQ ID NO: 1).
Non-cleavable mutants of MIS are not biologically active and
mutations in the human gene that truncate the carboxy-terminal
domain lead to persistent Mullerian duct syndrome. The cleavage of
recombinantly expressed MIS protein by CHO cells is incomplete and
inefficient, thus cleavage with an exogenous serine protease such
as plasmin is required to enhance bioactivity.
[0174] Herein, the inventors have modified the kex-like site
characterized by R.sup.-4 XXR.sup.-1 with an R in the -2 site,
which makes the monobasic MIS cleavage site more like a consensus
Kex/Furin recognition site. In particular, in one embodiment, the
recombinant human MIS is produced from a proprotein where the amino
acid residue at position 450 of SEQ ID NO: 1 has been changed from
a Q (glutamine or Gln) to a R (arginine, or Arg). This mutation is
can be referred to as Q450R of SEQ ID NO:1. This corresponds to a
change in amino acid residue 425 (Q425R) of MIS which is numbered
with conventional protein numbering, where the first numbered amino
acid begins after the leader sequence.
[0175] This change in amino acid sequence of Q450R of SEQ ID NO:1
allows for production of a highly purified cleaved preparation of
human MIS protein which has full bioactivity.
[0176] In alternative embodiments, the primary cleavage site in the
MIS protein, e.g., the monobasic site which is located at amino
acid position 426-427 of human wild-type MIS (corresponding to
amino acid 451-452 of SEQ ID NO:1 herein) can be modified to an
amino acid recognition site which is recognized by a different
cleavage enzyme. For example, the primary cleavage site in the MIS
protein, e.g., the monobasic site which is located at amino acid
position 426-427 can be modified to an amino acid sequence which is
recognized by a protease or peptidase, such as pro-hormone
convertases (PC's), or other cleaving agents expressed by a cell
and found in surrounding tissue, or produced by a microbe capable
of establishing an infection in a mammal. Enzyme-cleavable peptides
can, but are not required to, contain one or more amino acids in
addition to the amino acid recognition sequence; additional amino
acids can be added to the amino terminal, carboxy terminal, or both
the amino and carboxy terminal ends of the recognition sequence.
Means of adding amino, acids to an amino acid sequence, e.g., in an
automated peptide synthesizer, as well as means of detecting
cleavage of a peptide, e.g., by chromatographic analysis for the
amino acid products of such cleavage, are well known to ordinarily
skilled artisans given the teachings of this invention.
[0177] Prohormone protein convertases constitute a family of serine
proteases structurally related to bacterial subtilisins and to
yeast kexin. Several eukaryotic members of this family are
currently known. Pro-hormone Convertases (PC's) cleave precursor
polypeptides at specific basic residues, most often after selected
paired basic residues, to generate bioactive peptide and proteins.
Many members of the insulin family of proteins (e.g. Insulin,
Igf-1) are substrates for PC's.
Tags to Enhance Purification
[0178] In some embodiments, a recombinant MIS protein comprises at
least one internal label or "tag". In some embodiments the tag can
be, for example, a c-myc, poly histidine, or FLAG tag. In some
embodiments, the tag is a FLAG tag, for example, a FLAG tag of SEQ
ID NO:8. A FLAG tag can be encoded by the nucleic acid of SEQ ID NO
9.
[0179] In some embodiments, the tag on the recombinant human MIS
protein is internal at the carboxy terminus immediately downstream
from the cleavage site. As it is the most flexible part of the
C-terminus and not involved in binding to receptor and rendering
specificity, as are the "fingertips" of the C-terminus (Papakostas
et al, 2010, Lorenzo et al, 2002). In some embodiments, the
labeling at this site is most likely to preserve biologic activity.
In some embodiments, a tag, e.g., a FLAG tag is located after the
primary cleavage site, e.g., after amino acid 452 of SEQ ID NO: 1
(corresponding to amino acid residue 427 of conventional protein
nomenclature). In some embodiments, a tag is located between amino
acid residues 452 and 453 of SEQ ID NO: 1 (which corresponds with
amino acid residues 427 and 428 under normal amino acid
nomenclature of MIS protein).
[0180] In alternative embodiments, the tag or label is located at
any position between sequence 450 and 560 of SEQ ID NO: 1. In some
embodiments, the tag is inserted 2 amino acid residues after the
modified amino acid at position 450 of SEQ ID NO: 1. However, a
position of the tag at the N-terminus of the C-terminal domain of
MIS is preferred, as it location at the C-terminus of the
C-terminal domain renders the C-terminal domain totally inactive,
significantly reducing the bioactivity of the MIS protein.
[0181] In some embodiments, a recombinant MIS protein comprises
more than one tag, e.g., for example, at least 2 or at least 3, or
at least 4 or more than 4 tags. In some embodiments, the tags are
sequential (e.g., one after another) and in some embodiments, they
are dispersed (e.g., intermittent) in the recombinant human MIS
protein. Preferably, the tags do not interfere or substantially
affect the bioactivity of the recombinant MIS protein function at
binding and activating MISRII. In some embodiments, where the
recombinant MIS protein comprises more than one tag, the tags are
the same tag. In alternative embodiments, where the recombinant MIS
protein comprises more than one tag, the tags are different tags,
for example, a recombinant MIS protein can comprise a FLAG tag and
a histidine tag. The small size of the Flag tag allows it to be
contained in the flexible, non binding N-terminal domain of the
C-terminus. Accordingly, in some embodiments, any tag known to a
person of ordinary skill in the art can be used in place of the
Flag Tag, for example a tag of between about 5-10 amino acids, or
between about 10-15 amino acids, or a tag between about 15-20 amino
acids, or a tag between 20-30 amino acids, or a tag between about
30-50 amino acids. In some embodiments, a tag greater than 50 amino
acids in length is not recommended, as the tag may sterically
hinder the flexible N-terminus of the C-terminal domain, and thus
inhibit the bioactivity of the recombinant MIS protein.
[0182] In some embodiments, a tag-labeled, e.g., FLAG tagged
recombinant human MIS protein, such as the LRF recombinant human
MIS protein as disclosed herein (see FIG. 1) can be eluted by a
single step to produce highly purified efficiently cleaved
preparation with full bioactivity. When scaled-up, this
purification of recombinant human MIS protein will be suitable for
clinical applications; furthermore it will be useful for various
binding assays in both clinical and experimental settings. Internal
labeling of MIS during translation has proved to be more effective
than labeling after purification of the protein as iodination or
biotinylation greatly reduced MIS bioactivity. Surprisingly, the
inventors have discovered that the LRF recombinant human MIS
protein construct is more bioactive than the wild-type MIS.
Inserting the FLAG tag sequence has several other distinct
advantages. First, its unique amino acid domain is not present in
any other gene (except for mouse brain phosphatase), thus making
the anti-FLAG antibody very specific. Second, the elution of the
protein with the 3.times. FLAG peptide is specific for the FLAG MIS
and not other proteins that bind non-specifically to the agarose
beads.
[0183] Surprisingly, a FLAG-tagged, cleavage optimized recombinant
human MIS (e.g., a RF recombinant human MIS or RARR/S (SEQ ID NO:
27) FLAG MIS) was bioactive whereas a FLAG-tagged, non-cleavage
optimized recombinant human MIS (e.g., RAQR/R (SEQ ID NO: 28) FLAG
MIS) was not when compared to native human MIS or to the previously
prepared untagged RAQR/R (SEQ ID NO: 28) MIS. As it is likely that
the presence of the acidic FLAG tag so close to the cleavage site
may impair the degree of cleavage, thus causing loss of activity.
Thus, the inventors did not anticipate enhanced cleavage with the
addition of the Flag tag. Moreover, the holo RAQR/RFLAG MIS
("RAQR/R" disclosed as SEQ ID NO: 28) preparation in CHO (or HEK)
cells is not bioactive, as no endogenous processing occurs with the
RAQR/R (SEQ ID NO: 28) cleavage site in contrast to what was
reported by Kurian (Cancer Res., 1995. 1; 343-349) when the
construct lacked the FLAG tag. On the other hand, the retention of
the serine at position 428 and the conversion of the monobasic site
to dibasic (corresponding to Q>R at amino acid position 425
using conventional protein nomenclature), or Q>R at position 450
of SEQ ID NO: 1) makes the endogenous cleavage more efficient and
very specific. Furthermore, a tag such as a FLAG MIS is a powerful
tool for binding studies, and can be used to immunoprecipitate the
endogenous MISRII without crosslinking. Accordingly, in some
embodiments, a labeled recombinant human MIS protein, e.g., a MIS
with an internal FLAG is useful in an efficient method for
producing a highly pure and biologically active internally labeled
form of MIS, which can be used for scale-up for preclinical and
clinical use, for the study of MIS binding proteins and for
tracking in pharmacokinetic studies.
[0184] Variants of a Human Recombinant MIS Protein.
[0185] In some embodiments, a recombinant human MIS protein as
disclosed can have a modification in the core MIS protein sequence,
e.g., amino acids residues 26-560 of SEQ ID NO: 1 (including a
modification of amino acid residue 450 from Q to R of SEQ ID NO: 1)
and/or the insertion of a tag at the beginning of the C-terminal
domain). Such variants are considered to be homologous to wild-type
MIS protein.
[0186] As used herein, the term "polypeptide" refers to a polymer
of amino acids and its equivalent and does not refer to a specific
length of the product; thus, peptides, oligopeptides and proteins
are included within the definition of a polypeptide. A derivative
is a polypeptide having conservative amino acid substitutions, as
compared with another sequence. Derivatives further include other
modifications of proteins, including, for example, modifications
such as glycosylations, acetylations, phosphorylations, and the
like.
[0187] In some embodiments, a recombinant human MIS protein is at
least 75%, at least 80%, at least 85%, at least 90% or at least 95%
similar to the homologous recombinant human MIS protein. As used
herein, "similarity" or "percent similarity" in the context of two
or polypeptide sequences, refer to two or more sequences or
subsequences that are the same or have a specified percentage of
amino acid residues or conservative substitutions thereof, that are
the same, when compared and aligned for maximum correspondence, as
measured using one of the following sequence comparison algorithms,
or by visual inspection. By way of example, a first amino acid
sequence can be considered similar to a second amino acid sequence
when the first amino acid sequence is at least 50%, 60%, 70%, 75%,
80%, 90%, or even 95% identical, or conservatively substituted, to
the second amino acid sequence when compared to an equal number of
amino acids as the number contained in the first sequence, or when
compared to an alignment of polypeptides that has been aligned by a
computer similarity program known in the art, as discussed
below.
[0188] Homologues and functional derivatives and functional
fragments of MIS of SEQ ID NO: 1 are also encompassed for use in
the present invention, and can also be identified, for example, by
expression of MIS from an expression library. (See, e.g., Sambrook
et al. (2001). Molecular cloning: a laboratory manual, 3rd ed.
(Cold Spring Harbor, N.Y., Cold Spring Harbor Laboratory Press);
Ausubel et al., supra.) A mutated endogenous gene sequence can be
referred to as a heterologous transgene; for example, a transgene
encoding a mutation in MIS which is not known in
naturally-occurring genomes is a heterologous transgene with
respect to murine and non-murine, e.g., human species. A MIS
protein, such as, for example, those disclosed in U.S. Pat. Nos.
5,427,780, 5,359,033 and 5,661,126 (the disclosures of which are
incorporated by reference herein).
[0189] The variation in primary structure of core human MIS protein
sequence (e.g., amino acids residues 26-560 of SEQ ID NO: 1
(including a modification of amino acid residue 450 from Q to R of
SEQ ID NO: 1) and/or the insertion of a tag at the beginning of the
N-terminal domain of the C-terminal domain), or functional
fragment, or a homologue are encompassed for use in the present
invention, for instance, may include deletions, additions and
substitutions. The substitutions may be conservative or
non-conservative. The differences between a recombinant human MIS
protein and a variant generally conserve desired properties,
mitigate or eliminate undesired properties and add desired or new
properties. For example, variants of a recombinant human MIS
protein can have superior activity as compared to wild-type MIS
protein.
[0190] It will be appreciated by those of skill that the core human
MIS protein sequence (e.g., amino acids residues 26-560 of SEQ ID
NO: 1) of a recombinant human MIS protein as disclosed herein can
be readily manipulated to alter the amino acid sequence of a
protein. A gene encoding the MIS protein or a functional fragment,
homologue or variant thereof, can be manipulated by a variety of
well known techniques for in vitro mutagenesis, among others, to
produce variants of the naturally occurring human protein or
fragment thereof, herein referred to as variants or muteins, may be
used in accordance with the invention.
Other Modifications to a Recombinant Human MIS Protein
[0191] The recombinant human MIS protein useful in the present
invention can also be modified at their amino termini, for example,
so as to increase their hydrophilicity. Increased hydrophobicity
enhances exposure of the peptides on the surfaces of lipid-based
carriers into which the parent peptide-lipid conjugates have been
incorporated. Polar groups suitable for attachment to peptides so
as to increase their hydrophilicity are well known, and include,
for example and without limitation: acetyl ("Ac"),
3-cyclohexylalanyl ("Cha"), acetyl-serine ("Ac Ser"),
acetyl-seryl-serine ("Ac-Ser-Ser-"), succinyl ("Suc"),
succinyl-serine ("Suc-Ser"), succinyl-seryl-serine ("Suc-Ser-Ser"),
methoxy succinyl ("MeO-Suc"), methoxy succinyl-serine
("MeO-Suc-Ser"), methoxy succinyl-seryl-serine ("MeO-Suc-Ser-Ser")
and seryl-serine ("Ser-Ser-") groups, polyethylene glycol ("PEG"),
polyacrylamide, polyacrylomorpholine, polyvinylpyrrolidine, a
polyhydroxyl group and carboxy sugars, e.g., lactobionic, N-acetyl
neuraminic and sialic acids, groups. The carboxy groups of these
sugars would be linked to the N-terminus of the peptide via an
amide linkage. Presently, the preferred N-terminal modification is
a methoxy-succinyl modification.
[0192] In some embodiments, a recombinant human MIS protein can be
fused to one or more fusion partners. In certain embodiments, one
of the fusion partners is the Fc protein (e.g., mouse Fc or human
Fc). The fusion protein may further include a second fusion partner
such as a purification or detection tag, for example, proteins that
may be detected directly or indirectly such as green fluorescent
protein, hemagglutinin, or alkaline phosphatase), DNA binding
domains (for example, GAL4 or LexA), gene activation domains (for
example, GAL4 or VP16), purification tags, or secretion signal
peptides (e.g., preprotyrypsin signal sequence).
[0193] In one embodiment, a recombinant human MIS protein fusion
protein useful in the methods and compositions as disclosed herein
can comprise a human Fc protein or a functional fragment thereof.
Accordingly, in one embodiment, a recombinant human MIS protein
fusion protein useful in the methods and compositions as disclosed
herein can comprises a human Fc molecule as the first fusion
partner, where the Fc fragment can be SEQ ID NO: 10 or functional
variants or functional derivatives thereof, where SEQ ID NO: 10 is
as follows:
TABLE-US-00001 LELVPRGSGDPIEGRGGGGGDPKSCDKPHTCPLCPAPELLGGPSVFLF
PPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKP
REEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKA
KGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQP
ENNYKATPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNH YTQKSLSLSPGK
[0194] Variations and modifications to a recombinant human MIS
protein and vectors can be used to increase or decrease recombinant
human MIS protein expression, and to provide means for targeting.
For example, a recombinant human MIS protein can be linked with a
molecular targeting molecule for targeting cancer cells or ovarian
cells, to make the recombinant human MIS protein specific for
cancers or tissue specific to the ovary, respectively.
[0195] In one embodiment, a recombinant human MIS protein is fused
to a second fusion partner, such as a carrier molecule to enhance
its bioavailability. Such carriers are known in the art and include
poly (alkyl) glycol such as poly ethylene glycol (PEG). Fusion to
serum albumin can also increase the serum half-life of therapeutic
polypeptides.
[0196] In some embodiments, a recombinant human MIS protein can
also be fused to a second fusion partner, for example, to a
polypeptide that targets the product to a desired location, or, for
example, a tag that facilitates its purification, if so desired. In
some embodiments, tags and fusion partners can be designed to be
cleavable, if so desired. Another modification specifically
contemplated is attachment, e.g., covalent attachment, to a
polymer. In one aspect, polymers such as polyethylene glycol (PEG)
or methoxypolyethylene glycol (mPEG) can increase the in vivo
half-life of proteins to which they are conjugated. Methods of
PEGylation of polypeptide agents are well known to those skilled in
the art, as are considerations of, for example, how large a PEG
polymer to use.
[0197] In some embodiments, a recombinant human MIS protein or
functional fragment thereof is modified to achieve adequate
circulating half-lives, which impact dosing, drug administration
and efficacy. Many approaches have been undertaken with the aim to
increase the half-life of biotherapeutics. Small proteins below 60
kD are cleared rapidly by the kidney and therefore do not reach
their target. This means that high doses are needed to reach
efficacy. The modifications to a recombinant human MIS protein and
fragments encompassed in the methods of the present invention to
increase the half-life of proteins in circulation include:
PEGylation; conjugation or genetic fusion with proteins, e.g.,
transferrin (WO06096515A2), albumin, growth hormone
(US2003104578AA); conjugation with cellulose (Levy and Shoseyov,
2002); conjugation or fusion with Fc fragments; glycosylation and
mutagenesis approaches (Carter, 2006), which are incorporated
herein by reference.
[0198] In the case of PEGylation, polyethylene glycol (PEG) is
conjugated to a recombinant human MIS protein or fragment, which
can be for example a plasma protein, antibody or antibody fragment.
The first studies regarding the effect of PEGylation of antibodies
were performed in the 1980s. The conjugation can be done either
enzymatically or chemically and is well established in the art
(Chapman, 2002; Veronese and Pasut, 2005). With PEGylation the
total size can be increased, which reduces the chance of renal
filtration. PEGylation further protects from proteolytic
degradation and slows the clearance from the blood. Further, it has
been reported that PEGylation can reduce immunogenicity and
increase solubility. The improved pharmacokinetics by the addition
of PEG is due to several different mechanisms: increase in size of
the molecule, protection from proteolysis, reduced antigenicity,
and the masking of specific sequences from cellular receptors. In
the case of antibody fragments (Fab), a 20-fold increase in plasma
half-life has been achieved by PEGylation (Chapman, 2002).
[0199] To date there are several approved PEGylated drugs, e.g.,
PEG-interferon alpha2b (PEG-INTRON) marketed in 2000 and alpha2a
(Pegasys) marketed in 2002. A PEGylated antibody fragment against
TNF alpha, called Cimzia or Certolizumab Pegol, was filed for FDA
approval for the treatment of Crohn's disease in 2007 and has been
approved on Apr. 22, 2008. A limitation of PEGylation is the
difficulty in synthesizing long monodisperse species, especially
when PEG chains over 1000 kD are needed. For many applications,
polydisperse PEG with a chain length over 10000 kD is used,
resulting in a population of conjugates having different length PEG
chains, which need extensive analytics to ensure equivalent batches
between productions. The different length of the PEG chains may
result in different biological activities and therefore different
pharmacokinetics. Another limitation of PEGylation is a decrease in
affinity or activity as it has been observed with alpha-interferon
Pegasys, which has only 7% of the antiviral activity of the native
protein, but has improved pharmacokinetics due to the enhanced
plasma half-life.
[0200] In some embodiments, a recombinant human MIS protein or
fragment thereof is conjugated with a long lived protein, e.g.
albumin, which is 67 kD and has plasma half-life of 19 days in
human (Dennis et al., 2002). Albumin is the most abundant protein
in plasma and is involved in plasma pH regulation, but also serves
as a carrier of substances in plasma. In the case of CD4, increased
plasma half-life has been achieved after fusing it to human serum
albumin (Yeh et al., 1992). Other examples for fusion proteins are
insulin, human growth hormone, transferrin and cytokines (Ali et
al., 1999; Duttaroy et al., 2005; Melder et al., 2005; Osborn et
al., 2002a; Osborn et al., 2002b; Sung et al., 2003) and see
(US2003104578A1, WO06096515A2, and WO07047504A2, herein
incorporated in entirety by reference).
[0201] The effect of glycosylation on plasma half-life and protein
activity has also been extensively studied. In the case of tissue
plasminogen activator (tPA) the addition of new glycosylation sites
decreased the plasma clearance, and improved the potency (Keyt et
al., 1994). Glycoengineering has been successfully applied for a
number of recombinant proteins and immunoglobulins (Elliott et al.,
2003; Raju and Scallon, 2007; Sinclair and Elliott, 2005; Umana et
al., 1999). Further, glycosylation influences the stability of
immunoglobulins (Mimura et al., 2000; Raju and Scallon, 2006).
[0202] In some embodiments, a recombinant human MIS protein or
fragments thereof can be fused to the Fc fragment of an IgG
(Ashkenazi and Chamow, 1997). The Fc fusion approach has been
utilized, for example in the Trap Technology developed by Regeneron
(e.g. IL1 trap and VEGF trap). The use of albumin to extend the
half-life of peptides has been described in US2004001827A1.
Positive effects of albumin have also been reported for Fab
fragments and scFv-HSA fusion protein (Smith et al., 2001). It has
been demonstrated that the prolonged serum half-life of albumin is
due to a recycling process mediated by the FcRn (Anderson et al.,
2006; Chaudhury et al., 2003; Smith et al., 2001).
[0203] In some embodiments, a recombinant human MIS protein is
conjugated to a biotinylated Fc protein, as disclosed in US
application 2010/0209424, which is incorporated herein in its
entirety by reference.
[0204] As used herein, the term "conjugate" or "conjugation" refers
to the attachment of two or more entities to form one entity. For
example, the methods of the present invention provide conjugation
of a recombinant human MIS protein (i.e. SEQ ID NO: 2 or 3 or
fragments or derivatives or variants thereof) joined with another
entity, for example a moiety such as a first fusion partner that
makes the recombinant human MIS protein stable, such as Ig carrier
particle, for example IgG1 Fc. The attachment can be by means of
linkers, chemical modification, peptide linkers, chemical linkers,
covalent or non-covalent bonds, or protein fusion or by any means
known to one skilled in the art. The joining can be permanent or
reversible. In some embodiments, several linkers can be included in
order to take advantage of desired properties of each linker and
each protein in the conjugate. Flexible linkers and linkers that
increase the solubility of the conjugates are contemplated for use
alone or with other linkers as disclosed herein. Peptide linkers
can be linked by expressing DNA encoding the linker to one or more
proteins in the conjugate. Linkers can be acid cleavable,
photocleavable and heat sensitive linkers. Methods for conjugation
are well known by persons skilled in the art and are encompassed
for use in the present invention.
[0205] According to the present invention, a recombinant human MIS
protein (i.e. SEQ ID NO: 2 or 3 or fragments, derivatives or
variants thereof), can be linked to the first fusion partner via
any suitable means, as known in the art, see for example U.S. Pat.
Nos. 4,625,014, 5,057,301 and 5, 514,363, which are incorporated
herein in their entirety by reference. For example, a recombinant
human MIS protein can be covalently conjugated to the IgG1 Fc,
either directly or through one or more linkers. In one embodiment,
a recombinant human MIS protein as disclosed herein is conjugated
directly to the first fusion partner (e.g. Fc), and in an
alternative embodiment, a recombinant human MIS protein as
disclosed herein can be conjugated to a first fusion partner (such
as IgG1 Fc) via a linker, e.g. a transport enhancing linker.
[0206] A large variety of methods for conjugation of a recombinant
human MIS protein as disclosed herein with a first fusion partner
(e.g. Fc) are known in the art. Such methods are e.g. described by
Hermanson (1996, Bioconjugate Techniques, Academic Press), in U.S.
Pat. Nos. 6,180,084 and 6,264,914 which are incorporated herein in
their entirety by reference and include e.g. methods used to link
haptens to carriers proteins as routinely used in applied
immunology (see Harlow and Lane, 1988, "Antibodies: A laboratory
manual", Cold Spring Harbor Laboratory Press, Cold Spring Harbor,
N.Y.). It is recognized that, in some cases, a recombinant human
MIS protein can lose efficacy or functionality upon conjugation
depending, e.g., on the conjugation procedure or the chemical group
utilized therein. However, given the large variety of methods for
conjugation the skilled person is able to find a conjugation method
that does not or least affects the efficacy or functionality of the
entities, such as a recombinant human MIS protein to be
conjugated.
[0207] Suitable methods for conjugation of a recombinant human MIS
protein as disclosed herein with a first fusion partner (e.g. Fc)
include e.g. carbodimide conjugation (Bauminger and Wilchek, 1980,
Meth. Enzymol. 70: 151-159). Alternatively, a moiety can be coupled
to a targeting agent as described by Nagy et al., Proc. Natl. Acad.
Sci. USA 93:7269-7273 (1996), and Nagy et al., Proc. Natl. Acad.
Sci. USA 95:1794-1799 (1998), each of which are incorporated herein
by reference. Another method for conjugating one can use is, for
example sodium periodate oxidation followed by reductive alkylation
of appropriate reactants and glutaraldehyde crosslinking.
[0208] One can use a variety of different linkers to conjugate a
recombinant human MIS protein as disclosed herein with a first
fusion partner (e.g. Fc), for example but not limited to
aminocaproic horse radish peroxidase (HRP) or a heterobiofunctional
cross-linker, e.g. carbonyl reactive and sulfhydryl-reactive
cross-linker. Heterobiofunctional cross linking reagents usually
contain two reactive groups that can be coupled to two different
function targets on proteins and other macromolecules in a two or
three-step process, which can limit the degree of polymerization
often associated with using homobiofunctional cross-linkers. Such
multi-step protocols can offer a great control of conjugate size
and the molar ratio of components.
[0209] The term "linker" refers to any means to join two or more
entities, for example a recombinant human MIS protein as disclosed
herein with a first fusion partner (e.g. Fc). A linker can be a
covalent linker or a non-covalent linker. Examples of covalent
linkers include covalent bonds or a linker moiety covalently
attached to one or more of the proteins to be linked. The linker
can also be a non-covalent bond, e.g. an organometallic bond
through a metal center such as platinum atom. For covalent
linkages, various functionalities can be used, such as amide
groups, including carbonic acid derivatives, ethers, esters,
including organic and inorganic esters, amino, urethane, urea and
the like. To provide for linking, the effector molecule and/or the
probe can be modified by oxidation, hydroxylation, substitution,
reduction etc. to provide a site for coupling. It will be
appreciated that modification which do not significantly decrease
the function of a recombinant human MIS protein as disclosed herein
or the first fusion partner (e.g. Fc) are preferred.
[0210] Targeting.
[0211] In some embodiments, a recombinant human MIS protein, or
functional fragment, or a homologue for use in the methods and
compositions as disclosed herein can be targeted to a cancer or
ovarian cells via a targeting ligand. A targeting ligand is a
molecule, e.g., small molecule, protein or fragment thereof that
specifically binds with high affinity to a target, e.g., a
cell-surface marker on a pre-selected cell, such as a surface
protein such as a receptor that is present to a greater degree on
the pre-selected cell target than on any other body tissue.
Accordingly, in some embodiments, a recombinant human MIS protein
for use in the compositions and methods as disclosed herein can be
fused to a Fc and/or optionally also to a targeting molecule. In
some embodiments, a nucleic acid encoding a targeting ligand can be
fused to a nucleotide encoding a recombinant human MIS protein or
fragment or homologue or variant thereof. Another example of a
targeting ligand is a group of cadherin domains from a human
cadherin. A targeting ligand component attached to a recombinant
human MIS protein can include a naturally occurring or recombinant
or engineered ligand, or a fragment thereof, capable of binding the
pre-selected target cell.
[0212] Further examples of targeting ligands also include, but are
not limited to, antibodies and portions thereof that specifically
bind a pre-selected cell surface protein with high affinity. By
"high affinity" is meant an equilibrium dissociation constant of at
least molar, as determined by assay methods known in the art, for
example, BiaCore analysis. In one embodiment, the targeting ligand
may also comprise one or more immunoglobulin binding domains
isolated from antibodies generated against a selected
tissue-specific surface protein or target tissue-specific receptor.
The term "immunoglobulin or antibody" as used herein refers to a
mammalian, including human, polypeptide comprising a framework
region from an immunoglobulin gene or fragments thereof that
specifically binds and recognizes an antigen, which, in the case of
the present invention, is a tissue-specific surface protein, a
target tissue-specific receptor, or portion thereof. If the
intended targeting fusion polypeptide will be used as a mammalian
therapeutic, immunoglobulin binding regions should be derived from
the corresponding mammalian immunoglobulins. If the targeting
fusion polypeptide is intended for non-therapeutic use, such as for
diagnostics and ELISAs, the immunoglobulin binding regions may be
derived from either human or non-human mammals, such as mice. The
human immunoglobulin genes or gene fragments include the kappa,
lambda, alpha, gamma, delta, epsilon, and mu constant regions, as
well as the myriad immunoglobulin variable region genes. Light
chains are classified as either kappa or lambda. Heavy chains are
classified as gamma, mu, alpha, delta, or epsilon, which in turn
define the immunoglobulin classes, lgG, lgM, IgA, IgD, and IgE,
respectively. Within each lgG class, there are different isotypes
(e.g. lgG1, lgG2, etc.). Typically, the antigen-binding region of
an antibody will be the most critical in determining specificity
and affinity of binding.
[0213] An exemplary immunoglobulin (antibody) structural unit of
human lgG, comprises a tetramer. Each tetramer is composed of two
identical pairs of polypeptide chains, each pair having one light
chain (about 25 kD) and one heavy chain (about 50-70 kD). The
N-terminus of each chain defines a variable region of about 100-110
or more amino acids primarily responsible for antigen recognition.
The terms "variable light chain" (VL) and variable heavy chain (VH)
refer to these light and heavy chains respectively. Antibodies
exist as intact immunoglobulins, or as a number of
well-characterized fragments produced by digestion with various
peptidases. For example, pepsin digests an antibody below the
disulfide linkages in the hinge region to produce F(ab)'2, a dimer
of Fab which itself is a light chain joined to VH-CH by a disulfide
bond. The F(ab)'2 may be reduced under mild conditions to break the
disulfide linkage in the hinge region, thereby converting the
F(ab)'2 dimer into an Fab' monomer. The Fab' monomer is essentially
Fab with part of the hinge region. While various antibody fragments
are defined in terms of the digestion of an intact antibody, one of
skill will appreciate that such fragments may be synthesized de
novo either chemically or by using recombinant DNA methodology.
Thus, the terms immunoglobulin or antibody, as used herein, also
includes antibody fragments either produced by the modification of
whole antibodies, or those synthesized de novo using recombinant
DNA methodologies (e.g., single chain Fv) (scFv)) or those
identified using phase display libraries (see, for example,
McCafferty et al. (1990) Nature 348:552-554). In addition, the
fusion polypeptides of the invention include the variable regions
of the heavy (VH) or the light (VL) chains of immunoglobulins, as
well as tissue-specific surface protein and target receptor-binding
portions thereof. Methods for producing such variable regions are
described in Reiter, et al. (1999) J. Mo!. Biol. 290:685-698.
[0214] Methods for preparing antibodies are known to the art. See,
for example, Kohler & Milstein (1975) Nature 256:495-497;
Harlow & Lane (1988) Antibodies: a Laboratory Manual, Cold
Spring Harbor Lab., Cold Spring Harbor, N.Y.). The genes encoding
the heavy and light chains of an antibody of interest can be cloned
from a cell, e.g., the genes encoding a monoclonal antibody can be
cloned from a hybridoma and used to produce a recombinant
monoclonal antibody. Gene libraries encoding heavy and light chains
of monoclonal antibodies can also be made from hybridoma or plasma
cells. Random combinations of the heavy and light chain gene
products generate a large pool of antibodies with different
antigenic specificity. Techniques for the production of single
chain antibodies or recombinant antibodies (U.S. Pat. Nos.
4,946,778; 4,816,567) can be adapted to produce antibodies used in
the fusion polypeptides and methods of the instant invention. Also,
transgenic mice, or other organisms such as other mammals, may be
used to express human or humanized antibodies. Alternatively phage
display technology can be used to identify antibodies, antibody
fragments, such as variable domains, and heteromeric Fab fragments
that specifically bind to selected antigens.
[0215] Screening and selection of preferred immunoglobulins (e.g.,
antibodies) can be conducted by a variety of methods known to the
art: Initial screening for the presence of monoclonal antibodies
specific to a tissue-specific or target receptor may be conducted
through the use of ELISA-based methods or phage display, for
example. A secondary screen is preferably conducted to identify and
select a desired monoclonal antibody for use in construction of the
tissue-specific fusion polypeptides of the invention. Secondary
screening may be conducted with any suitable method known to the
art. One method, termed "Biosensor Modification-Assisted Profiling"
("BiaMAP") (US patent publication 2004/101920), allows rapid
identification of hybridoma clones producing monoclonal antibodies
with desired characteristics. More specifically, monoclonal
antibodies are sorted into distinct epitope-related groups based on
evaluation of antibody: antigen interactions.
Production of Recombinant Human MIS Proteins
[0216] Recombinant human MIS proteins as disclosed herein, and
functional fragments and derivatives thereof can be obtained by any
suitable method. For example, polypeptides can be produced using
conventional recombinant nucleic acid technology such as DNA or
RNA, preferably DNA. Guidance and information concerning methods
and materials for production of polypeptides using recombinant DNA
technology can be found in numerous treatises and reference
manuals. See, e.g., Sambrook et al, 1989, Molecular Cloning--A
Laboratory Manual, 2nd Ed., Cold Spring Harbor Press; Ausubel et
al. (eds.), 1994, Current Protocols in Molecular Biology, John
Wiley & Sons, Inc.; Innis et al. (eds.), 1990 PCR Protocols,
Academic Press.
[0217] Alternatively, recombinant human MIS proteins or functional
fragments thereof can be obtained directly by chemical synthesis,
e.g., using a commercial peptide synthesizer according to vendor's
instructions. Methods and materials for chemical synthesis of
polypeptides are well known in the art. See, e.g., Merrifield,
1963, "Solid Phase Synthesis," J. Am. Chem. Soc. 83:2149-2154.
[0218] In some embodiments, a recombinant human MIS protein, or
functional fragment or derivative or variant thereof can be
expressed in the cell following introduction of a DNA encoding the
protein, e.g., a nucleic acid encoding recombinant human MIS
proteins or homologues or functional derivatives thereof, e.g., in
a conventional expression vector as disclosed herein or by a
catheter or by cells transformed with the nucleic acid ex vivo and
transplanted into the subject.
Assays to Determine the Activity of the Recombinant Human MIS
Protein
[0219] In one embodiment, an Organ Culture Assay System can be used
to assay the bioactivity of a human recombinant MIS protein as
disclosed herein. The assay system used was described by Donahoe et
al, J. Surg. Res., 23, 141-148, 1977 which is the Mullerian
regression organ culture assay. The urogenital ridge was dissected
from the 14-day female rat embryo and transferred to an organ
culture dish (Falcon, 3010). Specimens were placed on
stainless-steel grids coated with a thin layer of 2% agar and
incubated for 72 hr at 37 .degree. C. in 5% CO.sub.2 and 95% air
over 2 ml of culture medium [CMRL 1066 containing 10% fetal calf
serum, 1% penicillin (10,000 units/ml)] or a 1:1 mixture of culture
medium and the supernatant or gradient fraction to be tested. The
incubated tissue was then coated with a mixture of 2% agar and
albumin at 44 .degree. C., fixed in buffered formaldehyde,
dehydrated in ethanol, cleaned in xylene, and embedded in paraffin.
Eight-micrometer serial sections were stained with hematoxylin and
eosin for viewing by light microscopy. Sections from the cephalic
end of the Mullerian duct were assigned a coded number and graded
for regression (Donahoe et al, Biol. Reprod., 15, 329-334, 1976) on
a scale of 0 to V. Five slides with six to eight sections per slide
were read for each assay. A grade of activity was listed as the
nearest whole number to the mean. A test group for the
fractionation procedures represents at least 10 assays. If the mean
fell midway between two numbers, then both numbers were listed.
Grade 0 refers to no regression. The Mullerian duct, which is lined
with columnar epithelial cells whose nuclei have a basilar
orientation, has a widely patent lumen. Grade I is minimal
regression. The duct is slightly smaller, and either the
surrounding mesenchyme is condensed around the duct as seen in
plastic sections or there is a clear area around the duct as seen
in paraffin sections. Grade II refers to mild regression. The duct
is smaller, and the mesenchymal condensation or the clear area
around the duct is more pronounced. The nucleii of the shorter
epithelial cells loose their basilar orientation. Grade III is
moderate regression. The duct is very small and disorganized. The
tip of the urogenital ridge develops poorly distal to the Wolffian
duct. Grade IV is severe regression. The duct is replaced by a
whorl of cells. Grade V refers to complete regression. No remnant
of the duct can be detected. Positive tissue controls, using fetal
testis, and negative tissue controls, where the Mullerian ducts
were incubated alone or with muscle were included in each
experiment. Mullerian ducts exposed to extracts from nontesticular
tissue, to inactive testicular fractions, or to saline served as
biochemical controls. Aliquots of all fractions were dialyzed
against distilled water and freeze-dried, and protein content was
measured.
Delivery of Recombinant Human MIS Protein
[0220] Methods known in the art for the therapeutic delivery of a
recombinant human MIS protein and/or nucleic acids encoding the
same can be used for treating a disease or disorder, such as cancer
in a subject, e.g., cellular transfection, gene therapy, direct
administration with a delivery vehicle or pharmaceutically
acceptable carrier, indirect delivery by providing recombinant
cells comprising a nucleic acid encoding a targeting fusion
polypeptide of the invention.
[0221] In some embodiments, the recombinant human MIS protein is
cleaved in vitro to form a bioactive halo-dimer of MIS, comprising
two identical monomers, each consisting of the N-terminal domain
and the C-terminal domain, and then administered to a subject.
[0222] Various delivery systems are known and can be used to
administer a recombinant human MIS protein (before or after it has
been cleaved into its bioactive form) to a subject, e.g.,
encapsulation in liposomes, microparticles, microcapsules,
recombinant cells capable of expressing the compound,
receptor-mediated endocytosis (see, e.g., Wu and Wu, 1987, J. Biol.
Chem. 262:4429-4432), construction of a nucleic acid as part of a
retroviral or other vector, etc. Methods of introduction can be
enteral or parenteral and include but are not limited to
intradermal, intramuscular, intraperitoneal, intravenous,
subcutaneous, pulmonary, intranasal, intraocular, epidural, and
oral routes. A recombinant human MIS protein can be administered by
any convenient route, for example by infusion or bolus injection,
by absorption through epithelial or mucocutaneous linings (e.g.,
oral mucosa, rectal and intestinal mucosa, etc.) and may be
administered together with other biologically active agents.
Administration can be systemic or local. In addition, it may be
desirable to introduce the pharmaceutical compositions comprising a
recombinant human MIS protein, before or after cleavage into its
bioactive form, into the central nervous system by any suitable
route, including intraventricular and intrathecal injection;
intraventricular injection may be facilitated by an
intraventricular catheter, for example, attached to a reservoir,
such as an Ommaya reservoir. Pulmonary administration can also be
employed, e.g., by use of an inhaler or nebulizer, and formulation
with an aerosolizing agent.
Methods to Treat Proliferative Diseases and Cancer
[0223] One aspect of the present invention provides methods for
treating cancers, e.g., cancers which express MISRII in a subject.
Accordingly, one aspect of the present invention relates generally
to a method of treating a proliferative disease or disorder in a
subject, where the proliferative disease or disorder is associated
with cells that express a MIS receptor, for example cells
expressing MISRII. In some embodiments, the proliferative disease
or disorder is cancer, where the cancer or cancer cells express at
least one MIS receptor, for example cancer or cancer cells
expressing MISRII. The method of the present invention comprises
the administration of an effective amount of a recombinant human
MIS protein as disclosed herein or a functional fragment or
derivative thereof to a subject in with a proliferative disorder,
where the cells associated with the proliferative disorder express
at least one MIS receptors, for example the cells express MISRII.
For example, an effective amount of a recombinant human MIS protein
as disclosed herein or a functional fragment is administered to a
subject with a cancer expressing at least one MIS receptors, for
example expressing MISRII. Thus, by using the methods of the
present invention, one can intervene in the proliferative disease,
for example cancer, ameliorate the symptoms, and in some cases cure
the disease. In some embodiments, the recombinant human MIS protein
that can be used for treating proliferative diseases and cancer
comprises the amino acid residues 25-559 of SEQ ID NO: 2 or a
functional fragment thereof.
[0224] Examples of such diseases where proliferation of cells
expressing at least one MIS receptors, for example expressing
MISRII is the cause of disease are cancers, for example cervical
cancer and ovarian cancer. In some embodiments, the cancer
expressing at least one MIS receptor, for example MISRII is a
cancer cell. In some embodiments, such a cancer cell expressing at
least one MIS receptors, for example expressing MISRII is, for
example but not limited to, an ovarian cancer cell, vulvar
epidermal carcinoma cell, cervical carcinoma cell, endometrial
edenocarinaoma cell, ovarian adenocarcinoma.
[0225] In alternative embodiments, the cancer expressing at least
one MIS receptor, for example cancers expressing MISRII are for
example but not limited to; breast cancer, lung cancer, head and
neck cancer, bladder cancer, stomach cancer, cancer of the nervous
system, bone cancer, bone marrow cancer, brain cancer, colon
cancer, esophageal cancer, endometrial cancer, gastrointestinal
cancer, genital-urinary cancer, stomach cancer, lymphomas,
melanoma, glioma, bladder cancer, pancreatic cancer, gum cancer,
kidney cancer, retinal cancer, liver cancer, nasopharynx cancer,
ovarian cancer, oral cancers, bladder cancer, hematological
neoplasms, follicular lymphoma, cervical cancer, multiple myeloma,
osteosarcomas, thyroid cancer, prostate cancer, colon cancer,
prostate cancer, skin cancer, stomach cancer, testis cancer, tongue
cancer, or uterine cancer.
[0226] In alternative embodiments, the present invention relates to
the use of a recombinant human MIS protein as disclosed herein or a
functional fragment or derivative or variant thereof for the
treatment of any disorder where administration of the MIS protein
or a nucleic acid encoding MIS protein or activation MISRII is
whole or part of the therapeutic regime.
[0227] In some embodiments, the cancer is a MIS-responsive cancer,
for example but not limited ovarian cancer and cervical cancer. In
some embodiments, the cancer expresses MISRII, for example but not
limited ovarian cancer and cervical cancer. In some embodiments,
the disorder is a disorder associated with excess androgen states,
for example as disclosed in U.S. Pat. No. 6,673,352, which is
incorporated in its entirety herein by reference. In some
embodiments, the methods of the present invention are used in the
treatment of prostatic cancer, polycysic ovarian disease, benign
prostatic hypertrophy and precocious puberty.
[0228] In a related embodiment, a tissue to be treated is a tumor
tissue expressing at least one MIS receptor, for example expressing
MISRII of a subject, for example the tumor tissue is, but not
limited to a solid tumor, a metastases, a skin cancer, a breast
cancer, an ovarian cancer, an cervical cancer, a hemangioma or
angiofibroma and the like cancer. Typical solid tumor tissues
treatable by the pharmaceutical composition of the invention,
includes for example, but not limited to tumors of the lung,
pancreas, breast, colon, laryngeal, ovarian, and the like tissues.
In some embodiment, the solid tumor tissue treatable by the present
methods include thyroid, and the cancer type is medullary thyroid
cancer.
[0229] In a related embodiment, the invention contemplates the
practice of the method of administering a composition comprising a
recombinant human MIS protein as disclosed herein or a functional
fragment in conjunction with other therapies such as conventional
chemotherapy directed against solid tumors and for control of
establishment of metastases. The administration of the compounds
described herein is typically conducted prior to and/or at the same
time and/or after chemotherapy, although it is also encompassed
within the present invention to inhibit cell proliferation after a
regimen of chemotherapy at times where the tumor tissue will be
responding to the toxic assault by inducing angiogenesis to recover
by the provision of a blood supply and nutrients to the tumor
tissue. In addition, the pharmaceutical compositions of the
invention for the treatment of proliferative disorders, for example
cancer, can be administrated prophylatically and/or before the
development of a tumor, if the subject has been identified as to
have a risk of developing cancer, for example to subjects that are
positive for biomarkers of cancer cells or tumors. Insofar as the
present methods apply to inhibition of cell proliferation, the
methods can also apply to inhibition of tumor tissue growth, to
inhibition of tumor metastases formation, and to regression of
established tumors.
[0230] The presence of MISRII in the cells in fluids such as blood
may be indicative of the presence of cancer. The presence of MISRII
in fluids or sites not near a tumor may be indicative of
metastasis. In some such embodiments, the compounds of the present
invention are administered to the subject, and in some embodiments
the compounds of the present invention are administered to the
subject in a pharmaceutical composition comprising one or more
additional therapies.
[0231] The inventive methods disclosed herein provide for the
parenteral and oral administration of a recombinant human MIS
protein as disclosed herein or a functional fragment or derivative
thereof, in combination with other pharmaceutical compositions to
subjects in need of such treatment. Parenteral administration
includes, but is not limited to, intravenous (IV), intramuscular
(IM), subcutaneous (SC), intraperitoneal (IP), intranasal, and
inhalant routes. In the method of the present invention, a
recombinant human MIS protein as disclosed herein or a functional
fragment or analogs thereof are preferably administered orally. IV,
IM, SC, and IP administration may be by bolus or infusion, and may
also be by slow release implantable device, including, but not
limited to pumps, slow release formulations, and mechanical
devices. The formulation, route and method of administration, and
dosage will depend on the disorder to be treated and the medical
history of the subject. In general, a dose that is administered by
subcutaneous injection will be greater than the
therapeutically-equivalent dose given intravenously or
intramuscularly. Preferably, the dose of compounds of the present
invention will be administered at doses from about 0.1 mg to about
250 mg. In some embodiments, the dose of compounds of the present
invention will be from about 1 mg to about 60 mg.
[0232] The methods of the present invention for treating cancer
expressing at least one MIS receptor, for example expressing
MISRII, are useful for treatment of proliferation-related diseases
or cancer, which is associated with cells expressing at least one
MIS receptor, for example MISRII, comprising contacting a tissue in
which proliferation is occurring, or is at risk for occurring, with
a composition comprising a therapeutically effective amount of a
recombinant human MIS protein as disclosed herein or a functional
fragment or functional derivatives thereof.
[0233] In some embodiments, the subject treated by the methods of
the present invention in its many embodiments is a human subject,
although it is to be understood that the principles of the
invention indicate that the invention is effective with respect to
all mammals. In this context, a mammal is understood to include any
mammalian species in which treatment of diseases associated with
cancer or a proliferative-related disorder is desirable,
particularly agricultural and domestic mammalian species, as well
as transgenic animals.
Methods to Treat Neurodegenerative Diseases and Disorders
[0234] According to one aspect of the present invention there is
provided a method of treating a condition or disease characterized
by neuronal cell death or impairment in a patient in need thereof,
said method comprising administering to said patient an effective
amount of at least one the recombinant human MIS protein (e.g., the
polypeptide and/or the nucleic acid encoding a recombinant human
MIS protein) as disclosed herein, or a functional fragment or
derivative or variant thereof.
[0235] In some embodiments, the recombinant human MIS protein
(e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof, can be used to treat a
neurodegenerative disease or disorder, such as a motor neuron
degenerative disease such as amyotrophic lateral sclerosis (ALS),
spinal muscular atrophy (SMA), Primary lateral sclerosis (PLS) and
other motor neuron degenerative diseases. In some embodiments, the
recombinant human MIS protein that can be used for treating
neurodegenerative diseases comprises the amino acid residues 25-559
of SEQ ID NO: 2 or a functional fragment thereof.
[0236] Other aspects of the technology as disclosed herein relates
to a method to treat a neurodegenerative disease, such as a motor
neuron degenerative disease such as amyotrophic lateral sclerosis
(ALS), spinal muscular atrophy (SMA), Primary lateral sclerosis
(PLS) in a subject, the method comprising administering an
effective amount of a recombinant MIS protein, wherein the
recombinant MIS protein comprises a modification of amino acid 450
of SEQ ID NO: 1 from Q to R, where the recombinant MIS optionally
comprises a tag, and wherein the recombinant MIS protein results in
at least one of the following; increases the motor neuron survival,
prevents or decreases the rate of motor neuron degeneration,
prevents or reduces the decrease in muscle strength, promotes
muscle strength, decreases or prevents the activation of astrocytes
and/or microglia in the spinal cord in the subject.
[0237] In one embodiment, the neurodegenerative disease or disorder
is characterized by neuronal cell death, and in some embodiments,
by motor neuron death or a decrease in the numbers of motor neurons
in the subject. In some embodiments, the subject has a decrease in
the numbers of upper motor neurons (UMNs) or lower motor neurons
(LMNs) or both UMNs and LMNs. Typically, MNDs are progressive,
degenerative disorders that affect nerves in the upper or lower
parts of the body. Generally, motor neuron diseases (MNDs) strike
in middle age. Symptoms may include difficulty swallowing, limb
weakness, slurred speech, impaired gait, facial weakness and muscle
cramps. Respiration may be affected in the later stages of these
diseases. The cause(s) of most MNDs are not known, but
environmental, toxic, viral or genetic factors are all suspects.
Motor neurons, including upper motor neurons and lower motor
neurons, affect voluntary muscles, stimulating them to contract.
Upper motor neurons originate in the cerebral cortex and send
fibers through the brainstem and the spinal cord, and are involved
in controlling lower motor neurons. Lower motor neurons are located
in the brainstem and the spinal cord and send fibers out to
muscles. Lower motor neuron diseases are diseases involving lower
motor neuron degeneration. When a lower motor neuron degenerates,
the muscle fibers it normally activates become disconnected and do
not contract, causing muscle weakness and diminished reflexes. Loss
of either type of neurons results in weakness, muscle atrophy
(wasting) and painless weakness are the clinical hallmarks of
MND.
[0238] In some embodiments, the recombinant human MIS protein
(e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof is useful for the
treatment of motor neuron diseases (MNDs) or disorders including
but not limited to: amyotrophic lateral sclerosis (ALS), also
called Lou Gehrig's disease or classical motor neuron disease;
progressive bulbar palsy, also called progressive bulbar atrophy;
pseudobulbar palsy; primary lateral sclerosis (PLS); progressive
muscular atrophy; spinal muscular atrophy (SMA, including SMA type
I, also called Werdnig-Hoffmann disease, SMA type II, and SMA type
III, also called Kugelberg-Welander disease); Fazio-Londe disease;
Kennedy disease, also known as progressive spinobulbar muscular
atrophy; congenital SMA with arthrogryposis or post-polio syndrome
(PPS).
[0239] Although the inventors have demonstrated that MIS has been
reported to act as a motor neuron survival factor in vitro (Wang et
al., PNAS, 2005; 102 (45); 16421-16425). This was also disclosed in
US application US2009/304675. However, Wang et al., and the '675
application did not demonstrate or suggest or provide motivation
for using a modified version of the MIS protein as disclosed
herein. Furthermore, as disclosed herein, the recombinant MIS
protein as disclosed herein is suprizingly more stable and has
improved cleavage, increased yield, increased bioactivity and
increased potency as compared to wild-type human MIS protein. There
is no suggestion in Wang et al., and the '675 application to make
such modifications to human MIS to treat neurogenerative disease or
disorders, such as, for example, motor neuron diseases including
ALS.
[0240] Amyotrophic lateral sclerosis (ALS) is a progressive, fatal
degenerative disorder mainly, but not exclusively, affecting motor
neurons. ALS is characterized by a loss of pyramidal cells in the
cerebral motor cortex (i.e., giant Betz cells), neurons located in
the anterior horn of the spinal cord and the cortical neurons that
provide their afferent input, anterior spinal motor neurons and
brain stem motor neurons, and degeneration thereof into pyramidal
cells. Sensory function generally is spared, as is cognitive
function and oculomotor activity. ALS shows, from a clinical
aspect, both upper motor neurons and lower motor neurons signs,
including progressive muscle weakness, atrophy and spasticity, and
shows rapid clinical deterioration after onset of the disease, thus
leading to death from respiratory failure, usually within three to
five years from the onset of symptoms.
[0241] Most patients suffer from the sporadic form of this disease,
while approximately 10% (about 10%-15%) have familial (an inherited
form) ALS. Mutations in several genes are known to cause this
hereditary form. Genetic epidemiology of ALS has revealed at least
six chromosome locations accountable for the inheritance of disease
(ALS1 to ALS6). Among these, three genes have been identified. The
first was identified in 1993 as the cytosolic Cu/Zn superoxide
dismutase (SOD-1) gene that accounts for 20% of the autosomal
dominant form of ALS (Rosen et al., Nature, 1993 Mar. 4;
362(6415):59-62). The discovery of this primary genetic cause of
ALS has provided a basis for generating mouse models for this
disease. These models are useful for testing therapies that might
aid in the treatment of ALS. The second gene discovered associated
with ALS was named as Alsin (ALS2), a potential guanine-nucleotide
exchange factor (GEF) responsible for the juvenile recessive form
of ALS. The third gene associated with inherited ALS is ALS4 that
encodes for a DNA/RNA helicase domain containing protein called
Senataxin identified to be linked to the autosomal dominant form of
juvenile ALS. Most recently, a mutation in the vesicle associated
membrane protein/synaptobrevin associated membrane protein B (VAPB)
in a new locus called ALS8, was reported to be associated with an
atypical form of ALS. Mutations in ALS6 (fused in sarcoma) is also
associated with 5% of ALS cases. Mutations in the gene encoding
optineurin (OPTN) have also been associated with familial ALS
(FALS). Mutations in VCP (valosin-containing protein) account for 1
percent to 2 percent of cases of familial ALS and affects the
cell's energy factories, called mitochondria. ALS-causing mutations
in VCP severely reduced the amount of ATP, an energy transfer
molecule, made by the mitochondria. The reduction in ATP left the
cells more vulnerable to stresses and increased their death. VCP
mutations are also responsible for diseases affecting muscle, bone,
and the brain's frontal cortex, likely indicating the widespread
effects of reduced energy production. Mutations in superoxide
dismutase 1 (SOD1), TA-DNA binding protein (TARDBP) and fused in
sarcoma/translated in liposarcoma (FUS also known as TLS or ALS6),
and hexanucleotide repeat expansions in C9orf72 are the most
prevalent.
TABLE-US-00002 TABLE 1 shows a list of genes associated with ALS:
Locus Gene Gene name Chromosome ALS 1 SOD1 Cu/Zn superoxide
dismutase 1, soluble (amyotrophic 21q22.11 lateral sclerosis 1
(adult)) ALS 2 ALS2 amyotrophic lateral sclerosis 2 (juvenile)
homolog 2q33.2 (human). Alsin ALS 3 ALS3 Unknown 18q21 ALS 4 SETX
Senataxin 9q34.13 ALS 5 SPAST Spastin 2p24 ALS 6 FUS fusion
(involved in t(12;16) in malignant liposarcoma) 16p11.2 ALS 7 ALS7
Unknown 20p13 ALS 8 VAPB Vesicle-associated membrane
protein-associated protein B 20q13.33 ALS 9 ANG Angiogenin 14q11.1
ALS 10 TARDBP TAR DNA binding protein 1p36.22 ALS 11 FIG4 FIG4
homolog, SAC1 lipid phosphatase domain 6q21 containing (S.
cerevisiae) ALS 12 OPTN optineurin 10p13 ALS 13 ATXN2 ataxin 2
12q23-q24.1 ALS 14 VCP valosin-containing protein 9p13 ALS 15
UBQLN2 ubiquilin 2 Xp11.21 ALS 16 SIGMAR1 sigma non-opioid
intracellular receptor 1 9p13 ALS 17 ALS17 Unknown 3p11.2 ALS 18
PFN1 profilin 1 17p13.3 ALS- ALS- Unknown 9q21-q22 FTD 1 FTD1 ALS-
C9orf72 chromosome 9 open reading frame 72 9p21.2 FTD 2 ALS- CHMP2B
chromatin modifying protein 2B 3p12.1 FTD 3 ALS UNC13A unc-13
homolog A (C. elegans) 19p13.12 ALS DAO D-amino-acid oxidase 12q24
ALS DCTN1 Dynactin 2p13 ALS NEFH neurofilament, heavy polypeptide
200 kDa, heavy chain 22q12.1-q13.1 ALS PRPH peripherin 12q12 ALS
SQSTM1 sequestosome 1 5q35 ALS TAF15 TAF15 RNA polymerase II, TATA
box binding protein 17q11.1-q11.2 (TBP)-associated factor, 68 kDa
ALS SPG11 spastic paraplegia 11 (autosomal recessive) 15q14 ALS
ELP3 elongation protein 3 homolog (S. cerevisiae) 8p21.1
[0242] Although survival of ALS patients is only three to five
years on average, variability of disease duration is quite large,
ranging from a few months only to several decades. Even survival of
patients with the same mutation in the same gene in the same family
is very variable. Similarly, age of onset can range from second to
ninth decade of life. Genetic factors are expected to explain this
variability by modifying the phenotype both in sporadic and
familial ALS. Small animal models such as flies, worms and
zebrafish and mouse and animal rat models are very useful for
compound screening, and thus can be used for assessing the efficacy
of a recombinant human MIS protein (e.g., the polypeptide and/or
the nucleic acid encoding a recombinant human MIS protein) as
disclosed herein, or a functional fragment or derivative or variant
thereof for the effective treatment of a motor neuron disease. Such
in vivo animal models are well known to one of ordinary skill in
the art, which include the SOD1.sup.G93A mutant mouse as disclosed
herein in the Examples, and other transgenic mice expressing human
SOD1 with different mutations, and a zebrafish models for ALS as
disclosed in International patent application WO2012156351, where
overexpressing mutant SOD1 or TDP-43 in zebrafish embryos induces a
motor axonopathy, characterized by shorter and aberrantly branched
motor axons. Transgenic animals (e.g. mice) that serve as models
for MNDs, include but are not limited to, the SOD1.sup.G93A mutant
mouse or Tg(Hlxb9-GFP)1Tmj Tg(SMN2)89Ahmb Smn1tm1Msd/J mouse
(Jackson lab stock number 006570).
[0243] In some embodiments, the neurodegenerative disease or
disorder is characterized by neuronal cell impairment, for example,
but not limited to, decreased axonal transport, decreased
mitochondria or decreased mitochondrial function, an increase in
protein aggregation and the like.
[0244] Another aspect of invention provides a method of modulating
neuronal cell function in a subject in need thereof, the method
comprising the step of administering to said patient an effective
amount of at least one recombinant human MIS protein (e.g., the
polypeptide and/or the nucleic acid encoding a recombinant human
MIS protein) as disclosed herein, or a functional fragment or
derivative or variant thereof. In some embodiments, the
administering is administering a virus vector expressing the
recombinant human MIS variant as disclosed herein. In some
embodiments, the virus vector is an adeno-associated virus
(AAV).
[0245] According to another aspect there is provided a method of
enhancing neuronal cell survival in a subject in need thereof, the
method comprising the step of administering to said patient an
effective amount of at least one recombinant human MIS protein
(e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof. In some embodiments, the
administering is administering a virus vector expressing the
recombinant human MIS variant as disclosed herein. In some
embodiments, the virus vector is an AAV.
[0246] In some embodiments, the at least one recombinant human MIS
protein (e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof may induce neuronal cell
differentiation and prevent the death and/or degeneration of
neuronal cells both in vitro and in vivo.
[0247] In some embodiments, the at least one recombinant human MIS
protein (e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof can also modulate
neuronal cell function in neurons that are dysfunctional.
[0248] In some embodiments, the at least one recombinant human MIS
protein (e.g., the polypeptide and/or the nucleic acid encoding a
recombinant human MIS protein) as disclosed herein, or a functional
fragment or derivative or variant thereof can decrease the level of
activated astrocytes and/or microglia in neuronal tissues, e.g.,
the spinal cord and/or brain of subjects.
[0249] In some embodiments, the present invention provides a method
of treatment, or prevention or diagnosis of conditions where
neurons are dysfunctional and/or degenerating, including but not
limited to, neurodegenerative diseases such as amyotrophic lateral
sclerosis (ALS), primary lateral sclerosis (PLS), spinal muscular
atrophy (SMA), Alzheimer's disease (AD), Parkinson's disease (PD),
Huntington's disease (HD), Friedreich's ataxia, cerebellar ataxia,
other brain disorders such as bipolar disorder, epilepsy,
schizophrenia, depression, mania, autism, ADHD, brain trauma
injuries and stroke.
[0250] In one embodiment, the neurons are located in the ventral
horn of the spinal cord, or in regions of the brain comprising the
cerebellum including but not limited to purkinje cells, the
midbrain including but not limited to the substantia nigra, the
forebrain including by not limited to the cerebral cortex,
including but not limited to the caudate and putamen, the cerebrum,
the hippocampus, the hypothalamus and the thalamus.
[0251] In some embodiment, the at least one one recombinant human
MIS protein (e.g., the polypeptide and/or the nucleic acid encoding
a recombinant human MIS protein) as disclosed herein, or a
functional fragment or derivative or variant thereof is
administered in conjunction with at least one additional active
compound. In some embodiments, the additional compound is selected
from the list comprising neurotrophic factors including but not
limited to glial cell line-derived neurotrophic factor (GDNF),
brain derived neurotrophic factor (BDNF), ciliary derived
neurotrophic factor (CNTF), glutamate, and gonadal hormones
including but not limited to estrogen, progesterone, androgen and
synthetic equivalents thereof. In some embodiments, the active
compound is a therapeutic agent used in the treatment of a
neurodegenerative disease or disorder, e.g., the treatment of a
motor neuron disease, and can be selected from the group consisting
of: riluzole (RILUTEK.TM.), baclofen or diazepam (to help control
spasticity), Gabapentin (to help control pain) and Trihexyphenidyl
or amitriptyline (to help patients swallow saliva), as well as
nucleic acid inhibitors to mutant proteins which are associated
with ALS (e.g., siRNA SOD1).
[0252] Another aspect of the present invention relates to the use
of at least at least one recombinant human MIS protein (e.g., the
polypeptide and/or the nucleic acid encoding a recombinant human
MIS protein) as disclosed herein, or a functional fragment or
derivative or variant thereof in the manufacture of a medicament
for treating a condition or disease characterized by neuronal cell
death or impairment in a patient in need thereof.
[0253] Another aspect of the present invention relates to the use
of at least at least one recombinant human MIS protein (e.g., the
polypeptide and/or the nucleic acid encoding a recombinant human
MIS protein) as disclosed herein, or a functional fragment or
derivative or variant thereof in the manufacture of a medicament
for modulating neuronal cell function in a patient in need
thereof.
[0254] Another aspect of the present invention relates to the use
of at least at least one recombinant human MIS protein (e.g., the
polypeptide and/or the nucleic acid encoding a recombinant human
MIS protein) as disclosed herein, or a functional fragment or
derivative or variant thereof in the manufacture of a medicament
for enhancing neuronal cell survival in a patient in need thereof.
In some embodiments, the medicament is for enhancing motor neuron
survival in a subject with a neurodegenerative disease, e.g., a
motor neuron disease.
[0255] In some embodiments the recombinant human MIS protein (e.g.,
the polypeptide and/or the nucleic acid encoding a recombinant
human MIS protein) as disclosed herein, or a functional fragment or
derivative or variant thereof or medicament comprising the same is
formulated for simultaneous, separate or sequential administration
with at least one additional active compound selected from the list
comprising neurotrophic factors including but not limited to glial
cell line-derived neurotrophic factor (GDNF), brain derived
neurotrophic factor (BDNF), ciliary derived neurotrophic factor
(CNTF), glutamate, and gonadal hormones including but not limited
to estrogen, progesterone, androgen and synthetic equivalents
thereof.
[0256] Another aspect of the present invention relates to a
pharmaceutical composition comprising at least at least one
recombinant human MIS protein (e.g., the polypeptide and/or the
nucleic acid encoding a recombinant human MIS protein) as disclosed
herein, or a functional fragment or derivative or variant thereof
that modulates neuronal cell function and/or promotes neuronal
survival in a patient in need thereof, together with a
pharmaceutically acceptable carrier or excipient.
[0257] Another aspect of the present invention relates to a
pharmaceutical composition comprising at least at least one
recombinant human MIS protein (e.g., the polypeptide and/or the
nucleic acid encoding a recombinant human MIS protein) as disclosed
herein, or a functional fragment or derivative or variant thereof
that enhances neuronal cell survival in a patient in need thereof,
together with a pharmaceutically acceptable carrier or
excipient.
[0258] In one embodiment the pharmaceutical composition comprising
at least one recombinant human MIS protein (e.g., the polypeptide
and/or the nucleic acid encoding a recombinant human MIS protein)
as disclosed herein, or a functional fragment or derivative or
variant thereof is formulated for simultaneous, separate or
sequential administration with at least one additional active
compound selected from the list comprising neurotrophic factors
including but not limited to glial cell line-derived neurotrophic
factor (GDNF), brain derived neurotrophic factor (BDNF), ciliary
derived neurotrophic factor (CNTF), glutamate, and gonadal hormones
including but not limited to estrogen, progesterone, androgen and
synthetic equivalents thereof.
[0259] Suitable routes of administration for treatment of a
neurodegenerative disease or disorder include, for example, include
oral, rectal, transmucosal, especially transnasal, intestinal or
parenteral delivery, including intramuscular, subcutaneous and
intramedullary injections as well as intrathecal, direct
intraventricular, intracardiac, e.g., into the right or left
ventricular cavity, into the common coronary artery, intravenous,
intraperitoneal, intranasal, or intraocular injections.
[0260] Conventional approaches for drug delivery to the central
nervous system (CNS) include: neurosurgical strategies (e.g.,
intracerebral injection or intracerebroventricular infusion);
molecular manipulation of the agent (e.g., production of a chimeric
fusion protein that comprises a transport peptide that has an
affinity for an endothelial cell surface molecule in combination
with an agent that is itself incapable of crossing the blood-brain
barrier (BBB)) in an attempt to exploit one of the endogenous
transport pathways of the BBB; pharmacological strategies designed
to increase the lipid solubility of an agent (e.g., conjugation of
water-soluble agents to lipid or cholesterol carriers); and the
transitory disruption of the integrity of the BBB by hyperosmotic
disruption (resulting from the infusion of a mannitol solution into
the carotid artery or the use of a biologically active agent such
as an angiotensin peptide). However, each of these strategies has
limitations, such as the inherent risks associated with an invasive
surgical procedure, a size limitation imposed by a limitation
inherent in the endogenous transport systems, potentially
undesirable biological side effects associated with the systemic
administration of a chimeric molecule comprised of a carrier motif
that could be active outside of the CNS, and the possible risk of
brain damage within regions of the brain where the BBB is
disrupted, which renders it a suboptimal delivery method. In some
embodiments, at least one recombinant human MIS protein (e.g., the
polypeptide and/or the nucleic acid encoding a recombinant human
MIS protein) as disclosed herein, or a functional fragment or
derivative or variant thereof is administered systemically, e.g.,
by intravenous administration in the form of a vector, e.g., a
viral vector, such as, but not limited to AAV.
[0261] Alternately, one may administer the pharmaceutical
composition in a local rather than systemic manner, for example,
via injection of the pharmaceutical composition directly into a
tissue region of a patient.
Uses
[0262] In another embodiment, the present invention provides a
method for treating a variety of conditions by administering an
effective amount of a recombinant human MIS protein or functional
derivatives thereof of the invention to a subject in need thereof.
Conditions that may be treated by the compounds of this invention,
or a pharmaceutical composition containing the same, include any
condition which is treated or reduces the symptoms by
administration of MIS or activation of MIS signaling or activation
of MISRII, and thereby benefit from administration of a recombinant
human MIS protein or functional derivatives thereof. Representative
conditions in this regard include, for example, but not limited to,
cancers that express MIS receptors, for example cancer that express
MISRII, for example, but not limited to ovarian, cervical and
endometrial cancer. Other conditions which can be treated with MIS
or activation of MIS signalling reduces the symptoms are, for
example, rheumatoid arthritis, proliferative diseases such as
cancer, treatment of prostatic cancer, polycysic ovarian disease,
benign prostatic hypertrophy and precocious puberty and other
hyperandrogen disorders such as testotoxicosis.
[0263] Accordingly, the present invention relates to the use of a
recombinant human MIS protein or functional derivatives thereof for
the treatment of any disorder where administration of the MIS
protein or a nucleic acid encoding MIS protein or a functional
derivative of MIS or activation MISRII is whole, or part, of the
therapeutic regime.
[0264] In some embodiments, the methods of the present invention
are directed to use of a recombinant human MIS protein or
functional derivatives thereof with other therapeutic agents, for
example chemotherapy agents, wherein the chemotherapy agents, for
example paclitaxel or MIS can be used at a lower dose that results
in decreased side effects.
Uses of a Recombinant Human MIS Protein or Functional Derivatives
or Analogues Thereof for the Treatment of Excess Androgen
States
[0265] In another embodiment, a recombinant human MIS protein or
functional derivatives or analogues thereof, can be used for the
treatment of a disorder associated with excess androgen production
in a subject. The inventors have previously demonstrated that the
administration of MIS protein and/or MIS nucleic acid decreases
levels of androgen in a subject, and decreases serum levels of
androgen in a subject, as disclosed in U.S. Pat. No. 6,673,352 and
U.S. patent application Ser. No. 10/683,346, which are incorporated
herein in their entirety by reference. Transgenic mice that
overexpress MIS have also shown to have decreased serum
testosterone concentrations, and administration of MIS results in
decreased serum testosterone levels (Sriraman et al., J Androl.
2001, 22(5):750-8 and Trbovich et al., PNAS, 2001 Mar. 13;
98(6):3393-7). MIS has also been demonstrated to suppress both
androgen-stimulated growth and androgen-independent survival of
cells, and MIS regulates prostate growth by suppressing testicular
testosterone synthesis also direct regulates androgen-induced gene
expression and growth in the prostate at the cellular level (Trann
et al, Mol Endocrinol. 2006, 20(10):2382-91).
[0266] Androgen stimulates or controls the development and
maintenance of masculine characteristics in vertebrates by binding
to androgen receptors. Androgens are also known as androgenic
hormones or testoids, and are also the precursor of all estrogens,
the female sex hormones. The primary and most well-known androgen
is testosterone.
[0267] Without wishing to be bound by theory, excessive androgen
production by the adrenal glands and/or the ovary, results in
androgen excess and can result from increased local tissue
sensitivity to circulating androgens. Androgen excess affects
different tissues and organ systems, causing clinical conditions
ranging from acne to hirsutism to frank virilization.
[0268] Hyperandrogenism, which refers to the excess production and
secretion of androgens and precursors, is a common and sometimes
serious endrocrinopathy for women of reproductive age. The excess
androgens and precursors originate from the adrenal glands and
ovaries in various proportions and manifest in varying effects
depending on the amount of excess androgen. Clinical manifestations
range from hirsutism (excessive hair growth of male pattern,
sometimes accompanied by acne) to virilization (clitorimegaly,
temporal balding, deepening of voice, or enhanced musculature).
[0269] Hyperandrogenism occurs as part of a wide spectrum of
disease manifestations, including polycystic ovary syndrome (PCOS)
which is a variable combination of hirsutism, infertility, obesity,
insulin resistance and polycystic ovaries, the HAIR-AN syndrome
(hyperandrogenism, insulin resistance and acanthosis nigricans),
ovarian hyperthecosis (HAIR-AN with hyperplasia of luteinized theca
cells in ovarian stroma), and other manifestations of high
intraovarian androgen concentrations (e. g., follicular maturation
arrest, atresia, anovulation, dysmenorrhea, dysfunctional uterine
bleeding, infertility), androgenproducing tumors (virilizing
ovarian or adrenal tumors).
[0270] Hirsutism is excessive recognizable hair growth
characterized by an increase in the number and length of terminal
hairs in androgen-sensitive areas. Racial, familial, genetic, and
ethnic differences all affect the occurrence of hirsutism.
Hirsutism is difficult to quantitate. The entire body needs to be
inspected and the findings must be documented carefully. Particular
attention should be directed to the chin, lip, sideburns, breasts,
and sternum, the midline between the umbilicus and the pubis and
the thigh.
[0271] Ferriman and Gallwey published a rating scale for grading
hirsutism and is commonly known by persons of ordinary skill in the
art. This scale allows the physician to measure a response to
therapy objectively. This system is the most widely used and
evaluates body areas for absent-to-severe hirsutism with scores of
0-4, respectively. Scores of 8 and higher are consistent with a
diagnosis of hirsutism. This scale does not measure the thickness
of the hair, which is another way of objectively assessing excess
hair. Scoring systems are a useful aid in quantifying hirsutism and
in evaluating treatment response. Even with scores greater than 8,
the patient provides the definition. From a clinical standpoint,
the patient can determine if he or she notices a difference.
Photographs are helpful for documentation and for following the
progress of therapy.
[0272] Virilization is relatively uncommon; it occurs with extreme
hyperandrogenism. Virilization is characterized by temporal
balding, breast atrophy, androgenic muscle development, clitoral
hypertrophy, amenorrhea, deepening of the voice, and extreme
hirsutism.
[0273] Current medical therapies for women are directed against the
adrenals, the ovaries or the androgen receptor. Glucocorticoid
therapy is directed against the adrenal glands but is limited, in
some cases, by unwanted suppression of cortisol synthesis. GnRH
therapy is directed against the ovaries, but is expensive, and its
long-term effects are unknown. Further, therapy using oral
contraceptives may be unsuitable because most contain progestins
with androgenic activity.
[0274] Because the abnormal production of androgens is implicated
in the pathways of many diseases and/or disorders for which there
are no acceptable treatments, a need exists to find small molecules
to inhibit the production of gonadotropins and/or androgens in
mammals for their treatment and/or prophylaxis.
[0275] Accordingly, in one embodiment, a recombinant human MIS
protein or functional derivatives or analogues thereof, can be used
for the treatment of a disorder associated with excess androgen
production in a subject. In some embodiments, the recombinant human
MIS protein that can be used comprises the amino acid residues
25-559 of SEQ ID NO: 2 or a functional fragment thereof.
[0276] The term "androgen" is used herein to mean steroids that
encourage the development of male sex characteristics and include
the steroid derivatives of androstane including, testosterone,
androstenedione, and analogs.
[0277] As used herein, a disease state or disorder characterized by
"androgenic dependency" is a disease state which is exacerbated by,
or caused by, insufficient, excessive, inappropriate or unregulated
androgen production. Examples of such diseases in men include, but
are not limited to, BPH, metastatic prostatic carcinoma, testicular
cancer, androgen dependent acne, male pattern baldness and
precocious puberty in boys. Examples of such diseases in women
include, but are not limited to, hyperandrogenism, hirsutism,
virilization, POCS, HAIR-AN syndrome, ovarian hyperthecosis,
follicular maturation arrest, atresia, anovulation, dysmenorrhea,
dysfunctional uterine bleeding, infertility, androgen-producing
tumors.
[0278] As used herein, "androgen inhibiting" refers to an effective
amount of an the pyrazoloanthrone or functional derivatives or
analogues thereof as defined herein, such as SP600125, which will
cause a decrease in the in vivo levels of the androgen to normal or
sub-normal levels, when administered to a subject for the
prophylaxis or treatment of a disease state which is exacerbated
by, or caused by, excessive or unregulated androgen production.
[0279] In some embodiments, a recombinant human MIS protein or
functional derivatives or analogues thereof as disclosed herein,
can be used to treat prostate cancer. The impact of androgens on
prostate carcinoma is known, as is the treatment of prostate cancer
by androgen deprivation, including androgen blockade and inhibition
of androgen synthesis (Huggins et al., Archs. Surg., Vol. 43, pp.
209-223 (1941)). J. Steroid Biochem. Molec. Biol., Vol. 37, pp.
349-362 (1990)). In addition, steroid hormones are widely used as
contraceptives. Anti-spermatogenic agents are male contraceptives
that inhibit spermatogenesis, the process leading to mature
spermatazoa. Drugs that interfere in this process include androgens
and anti-androgens. Since the anti-androgenic effects of a
recombinant human MIS protein or functional derivatives or
analogues thereof as disclosed herein are reversible, the
recombinant human MIS protein can also be used as a male
contraceptive agent. Korolkovas, A., Essentials Of Medicinal
Chemistry, Second Edition, pp. 1032 (1988).
[0280] In some embodiments, other agents can be used in combination
with the pharmaceutical compositions comprising a recombinant human
MIS protein or functional derivatives or analogues thereof as
disclosed herein for the treatment of excess androgen in a subject.
In some embodiments, the agents function to lower the serum-free
androgen levels and blocking the peripheral androgen action.
Examples of such agents include, but are not limited to,
suppression of ovarian androgens by administration of estrogens
and/or progestins (i.e., contraceptive pill) or GnRH agonist and
add-back estrogen therapy; suppression of adrenal androgens by
administration of glucocorticoids (such as dexamethasone,
prednisolone), antiandrogens (such as spironolactone, flutamide,
cyproterone acetate), 5.alpha.-reductase inhibitor (such as
finasteride), bromocriptine, and insulin-sensitizing drugs (such as
metformin, thiazolidinediones).
[0281] Subjects amenable to treatment with a recombinant human MIS
protein or functional derivatives or analogues thereof by the
methods as disclosed herein are subjects that have been identified
with a disease or disorder associated with excess androgen levels,
such as, for example disorders such as, but not limited to BPH,
prostate carcinoma, benign prostic hypertrophy, testicular cancer,
androgen dependent acne, male pattern baldness, precocious puberty,
hyperandrogenism, hirsutism, virilization, POCS, HIAR-AN syndrome,
ovarian hyperthecosis, follicular maturation arrest, atresia,
anovulation, dysmenorrheal, dysfunctional uterine bleeding,
infertility and androgen-producing tumors.
[0282] In some embodiments, subjects amenable to treatment with a
recombinant human MIS protein or functional derivatives or
analogues thereof by the methods as disclosed herein are subjects
with congenical adrenal hyperplasma (CAH), which can be commonly
identified by one of ordinary skill in the art. CAH is most
typically an autosomal recessive disorder where the enzyme
21-hydrolase is missing or functionally deficient. Alternatively
subjects with CAH can have a loss and/or reduction in the function
of 11.alpha.-hydroxylase enzyme and/or a 3.alpha.-hydroxy-steroid
dehydrogenase enzyme. When these enzymes are missing or functioning
at low levels, the body cannot make adequate amounts of the adrenal
steroid hormones cortisol and aldosterone. High levels of ACTH that
stimulate adrenal hyperplasia and hypersecretion of androgen
precursors for cortisol and aldosterone synthesis ensue. CAH can
appear in utero or develop postnatally. Pseudohermaphroditism may
be present at birth.
[0283] The 21-hydroxylase deficiency is the most common
autosomal-recessive disorder (more common than cystic fibrosis) and
manifests itself with elevated levels of 17-hydroxyprogesterone.
The 11.alpha.-hydroxylase deficiency is characterized by elevated
levels of 11-deoxy-cortisol (compound S) and results in elevated
levels of deoxycorticosterone (DOC), a mineralocorticoid.
Hypertension and hypokalemia can be a prominent feature of
11.alpha.-hydroxylase deficiency. Another form of CAH,
3a-hydroxy-steroid dehydrogenase deficiency, results in elevated
levels of pregnenolone, 17-hydroxy-pregnenolone, and DHEA. This
condition is lethal if not detected because no corticosteroids are
synthesized.
[0284] A partial defect in the above enzymes that manifests after
puberty results in elevated levels of adrenal steroids via the same
mechanism. The elevations are not as marked as they are with the
congenital condition and this condition is referred to as
nonclassical (maturity-onset or late-onset) CAH. Accordingly, in
some embodiments, subjects amenable to treatment with a recombinant
human MIS protein or functional derivatives or analogues thereof by
the methods as disclosed herein are subjects with nonclassical
(maturity-onset or late onset) CAH.
[0285] In some embodiments, subjects amenable to treatment with a
recombinant human MIS protein or functional derivatives or
analogues thereof by the methods as disclosed herein are female
subjects with testosterone levels about or exceeding 2.0 ng/mL (200
ng/dL, 8.92 nmol/L) or at least about 2.5 times the upper limit of
the reference range. In some embodiments, such subjects have
Sertoli-Leydig cell tumors, hilus cell tumors, and lipoid cell
(adrenal rest) tumors are the most common. Sertoli-Leydig cell
tumors reach palpable size at the time of clinical diagnosis,
whereas hilar cell and lipoid cell tumors are difficult to detect
by any means because of their small size.
[0286] In some embodiments, subjects amenable to treatment with a
recombinant human MIS protein or functional derivatives or
analogues thereof by the methods as disclosed herein are subjects
with tumors of the adrenal glands (adenomas, carcinomas), which
secrete elevated levels of androgens. In such embodiments, such
subjects amenable to treatment by the methods as disclosed herein
can be identified by having a DHEAS level of about or exceeding 7
.mu.g/mL (18 .mu.mol/L).
[0287] Other subjects that are amenable to the methods of treatment
of excess androgen states as disclosed herein include, for example,
classical and nonclassical (late-onset) CAH, cushing syndrome,
where subjects with Cushing syndrome secrete elevated androgens,
Hyperandrogenic, insulin resistance, and acanthosis nigricans
(HAIR-AN) syndrome. In some embodiments, other subjects amenable to
the methods of treatment of excess androgen states as disclosed
herein include, for example, subjects with mild androgenic
disorders, such as, but not limited to, Ovulatory PCOS (Ovulatory
hyperandrogenic subjects with polycystic ovary at ultrasonography),
Idiopathic hyperandrogenism (an Ovulatory hyperandrogenic subject
but with normal ovaries at ultrasonography); Idiopathic hirsutism
(subjects with an androgenic phenotype with normal androgens).
[0288] Reference testosterone levels and DHEAS levels are commonly
known by persons of ordinary skill in the art, and are disclosed in
Guay et al, International Journal of Impotence Research (2004) 16,
112-120, which is incorporated herein in its entirety by reference.
Briefly, normal androgen levels in women between the ages of 20 and
49 years range between; DHEAS; about 195.6-140.4 ug/dl; serum
testosterone about 51.5-33.7 ng/dl and free testosterone 1.51-1.03
pg/ml. Accordingly, subjects amenable to the treatment of the
pyrazoloanthrone or functional derivatives or analogues thereof by
the methods as disclosed herein have at least about a 20%, or at
least about a 30% or at least about a 40% or at least about a 50%,
or at least about a 60% or at least about a 70%, or at least about
a 80%, or at least about a 90%, or at least about a 100% or greater
increase in DHEAS or serum testosterone, or free testosterone
levels as compared to the highest range value of the normal value
for DHEAS (195.6 .mu.g/dl), serum testosterone (51.5 ng/dl), free
testostereone (1.51 pg/ml). In some embodiments, subjects amenable
to the treatment of the pyrazoloanthrone or functional derivatives
or analogues thereof by the methods as disclosed herein have at
least about a 2-fold, or at least about a 3-fold, or at least about
a 4-fold, or at least about a 5-fold, or at least about a 10-fold
or greater increase in DHEAS or serum testosterone, or free
testosterone levels as compared to the highest range value of the
normal value for DHEAS (195.6 .mu.g/dl), serum testosterone (51.5
ng/dl), free testostereone (1.51 pg/ml).
[0289] DHEAS can be measured by one of ordinary skill in the art
using a kit from by Diagnostic Products Corporation of Los Angeles,
Calif., USA. Cross-reactivity has previously been determined as
being 100% for DHEAS and 0.121% with androstenedione, 15% with
9-hydroxyandrostenedione, 0.046% with estrone 3 sulfate, 0.55% with
androsterone sulfate, 0.5% with DHEA and negligible for all other
steroids tested. Free Testosterone can be measured by one of
ordinary skill in the art using was measured using the Coat a Count
Kits of Diagnostic Products Corporation, Los Angeles, Calif., USA.
Cross-reactivity has previously been determined to be 0.41% for
dihydrotestosterone, 0.01% for androstenedione, 0.10% for methyl
testosterone ando0.01% for all other steroids tested. Total serum
testosterone levels can be measured by one of ordinary skill in the
art using with the Immunochem serum testosterone kit of ICN
Biomedicals Inc., Diagnostic Division of Costa Mesa, Calif.,
USA.
[0290] The assays to determine serum pregnenolone and
17-hydroxypregnenolone can be performed by one of ordinary skill in
the art from the kit from Quest Laboratory in Tarzana, Calif., USA.
Free Androgen Index (FAI) can be calculated using the following
formula: (Total testosterone ng/dl x 0.0347)/(SHBG
nmol/1).times.100=FAI.
Administration of Pharmaceutical Compositions
[0291] A recombinant human MIS protein or derivative or functional
fragment thereof can be administered by any route known in the art
or described herein, for example, oral, parenteral (e.g.,
intravenously or intramuscularly), intraperitoneal, rectal,
cutaneous, nasal, vaginal, inhalant, skin (patch), or ocular. The
recombinant human MIS protein or derivative or functional fragment
protein may be administered in any dose or dosing regimen.
[0292] With respect to the therapeutic methods of the invention, it
is not intended that the administration of a recombinant human MIS
protein or polynucleotide encoding such a recombinant human MIS
protein or functional fragment thereof be limited to a particular
mode of administration, dosage, or frequency of dosing; the present
invention contemplates all modes of administration, including
intramuscular, intravenous, intraperitoneal, intravesicular,
intraarticular, intralesional, subcutaneous, or any other route
sufficient to provide a dose adequate to treat an autoimmune
disease or immune-related disorder as disclosed herein. An
effective amount, e.g., a therapeutically effective dose of a
recombinant human MIS protein may be administered to the patient in
a single dose or in multiple doses. When multiple doses are
administered, the doses may be separated from one another by, for
example, one hour, three hours, six hours, eight hours, one day,
two days, one week, two weeks, or one month. For example, a
composition comprising a recombinant human MIS protein agent can be
administered for, e.g., 2, 3, 4, 5, 6, 7, 8, 10, 15, 20, or more
weeks. It is to be understood that, for any particular subject,
specific dosage regimes should be adjusted over time according to
the individual need and the professional judgment of the person
administering or supervising the administration of the
compositions. For example, the dosage of the therapeutic can be
increased if the lower dose does not provide sufficient therapeutic
activity.
[0293] While the attending physician ultimately will decide the
appropriate amount and dosage regimen, an effective amounts of a
recombinant human MIS protein or derivative or functional fragment
thereof can provided at a dose of 0.0001, 0.01, 0.01 0.1, 1, 5, 10,
25, 50, 100, 500, or 1,000 mg/kg. Effective doses may be
extrapolated from dose-response curves derived from in vitro or
animal model test bioassays or systems. In some embodiments, doses
of a recombinant human MIS protein are about 1 pg/kg to 10 mg/kg
(body weight of patient) although lower and higher doses can also
be administered.
[0294] In some embodiments, reference ranges for doses of
recombinant human MIS are estimated from reference groups in the
United States, and are disclosed in Antimullerian Hormone (AMH),
Serum from Mayo Medical Laboratories. Retrieved April 2012. In some
embodiments, female subjects can be administered the following
doses of recombinant human MIS: females younger than 24 months:
Less than 5 ng/mL; females 24 months to 12 years: Less than 10
ng/mL; females 13-45 years: 1 to 10 ng/mL; females older than 45
years: Less than 1 ng/mL. In some embodiments, male subjects can be
administered the following doses of recombinant human MIS; males
younger than 24 months: 15 to 500 ng/m; males between 24 months to
12 years: 7 to 240 ng/mL; males older than 12 years: 0.7 to 20
ng/mL. It is noted that MIS measurements may be less accurate if
the person being measured is vitamin D deficient.
[0295] Additionally, as additivity, synergy, or competition has
been demonstrated with MIS and rapamycin, AzadC, doxorubicin,
cisplatin, and paclitaxel, recombinant human MIS as disclosed
herein can be administered in combination with selective targeted
therapies, for example to achieve greater activity against ovarian
cancer than the use of recombinant human MIS or the
chemotherapeutic agent used alone.
[0296] Dosages for a particular patient or subject can be
determined by one of ordinary skill in the art using conventional
considerations, (e.g. by means of an appropriate, conventional
pharmacological protocol). A physician may, for example, prescribe
a relatively low dose at first, subsequently increasing the dose
until an appropriate response is obtained. The dose administered to
a patient is sufficient to effect a beneficial therapeutic response
in the patient over time, or, e.g., to reduce symptoms, or other
appropriate activity, depending on the application. The dose is
determined by the efficacy of the particular formulation, and the
activity, stability or serum half-life of a recombinant human MIS
protein or functional derivatives or functional fragments thereof
as disclosed herein, and the condition of the patient, the
autoimmune disease to be treated, as well as the body weight or
surface area of the patient to be treated. The size of the dose is
also determined by the existence, nature, and extent of any adverse
side-effects that accompany the administration of a particular
vector, formulation, or the like in a particular subject.
Therapeutic compositions comprising a recombinant human MIS protein
or functional derivatives or functional fragments thereof are
optionally tested in one or more appropriate in vitro and/or in
vivo animal models of disease, such a an Mullerian duct regression
bioassay as disclosed herein in the Examples, and known to persons
of ordinary skill in the art, to confirm efficacy, tissue
metabolism, and to estimate dosages, according to methods well
known in the art. In particular, dosages can be initially
determined by activity, stability or other suitable measures of
treatment vs. non-treatment (e.g., comparison of treated vs.
untreated cells or animal models), in a relevant assay.
Formulations are administered at a rate determined by the LD50 of
the relevant formulation, and/or observation of any side-effects of
a recombinant human MIS protein or functional derivatives or
functional fragments thereof at various concentrations, e.g., as
applied to the mass and overall health of the patient.
Administration can be accomplished via single or divided doses.
[0297] In determining the effective amount of a recombinant human
MIS protein or functional derivatives or functional fragments
thereof to be administered in the treatment or prophylaxis of a
disease, the physician evaluates circulating plasma levels,
formulation toxicities, and progression of the disease. The
selected dosage level will also depend upon a variety of factors
including the activity of the particular compound of the present
invention employed, or the ester, salt or amide thereof, the route
of administration, the time of administration, the rate of
excretion of the particular compound being employed, the duration
of the treatment, other drugs, compounds and/or materials used in
combination with the particular compound employed, the age, sex,
weight, condition, general health and prior medical history of the
patient being treated, and like factors well known in the medical
arts.
[0298] In some embodiments, a recombinant human MIS protein as
disclosed herein can be administered at a dose in accordance with
good medical practice, taking into account the clinical condition
of the individual patient, the site and method of administration,
scheduling of administration, patient age, sex, body weight and
other factors known to medical practitioners.
[0299] Dosage regimens of a composition comprising a recombinant
human MIS protein or functional fragment or variant thereof as
disclosed herein can be adjusted to provide the optimum desired
response (e.g. a therapeutic or prophylactic response). For
example, a single bolus can be administered, several divided doses
may be administered over time or the dose may be proportionally
reduced or increased as indicated by the exigencies of the
therapeutic situation. It is especially advantageous to formulate
parenteral compositions in dosage unit form for ease of
administration and uniformity of dosage.
[0300] Furthermore, actual dosage levels of a recombinant human MIS
protein in a pharmaceutical composition can be varied so as to
obtain an amount of the active ingredient which is effective to
achieve the desired therapeutic response for a particular subject,
composition, and mode of administration, without being toxic to the
subject. A pharmaceutical composition comprising a recombinant
human MIS protein or functional fragment or variant thereof as
disclosed herein can be a "therapeutically effective amount" and/or
a "prophylactically effective amount". In general, a suitable daily
dose of a composition comprising a recombinant human MIS protein or
functional fragment or variant thereof as disclosed herein will be
that amount of the a recombinant human MIS protein which is the
lowest dose effective to produce a therapeutic effect, such as a
reduction of a symptom of a proliferative disorder or cancer as
disclosed herein. Such an effective dose will generally depend upon
the factors described above.
[0301] If desired, the effective daily dose of a composition
comprising a recombinant human MIS protein or functional fragment
or variant thereof can be administered as two, three, four, five,
six or more sub-doses administered separately at appropriate
intervals throughout the day, optionally, in unit dosage forms.
[0302] The dosage level administered to a subject can be constant
over a desired period of time, for example, at least 1 week, at
least 2 weeks, at least 3 weeks, at least 1 month, at least 2
months, at least 3 months, at least 6 months, at least 1 year, or
at least 5 years. Alternatively, the dosage level administered to a
subject can vary depending on the progression of the condition
being treated.
[0303] It is to be noted that dosage values may vary with the type
and severity of the cancer to be alleviated. It is to be further
understood that for any particular subject, specific dosage
regimens should be adjusted over time according to the individual
need and the professional judgment of the person administering or
supervising the administration of the compositions, and that dosage
ranges set forth herein are exemplary only and are not intended to
limit the scope or practice of the claimed composition.
[0304] The efficacy and toxicity of the compound can be determined
by standard pharmaceutical procedures in cell cultures or
experimental animals, e.g., ED50 (the dose is effective in 50% of
the population) and LD50 (the dose is lethal to 50% of the
population). The dose ratio of toxic to therapeutic effects is the
therapeutic index, and it can be expressed as the ratio, LD50/ED50.
Pharmaceutical compositions which exhibit large therapeutic indices
are preferred. An appropriate experimental model which can be used
includes determining a the dose can be use of the mullerian duct
regression bioassay as disclosed herein in the examples, or a in
vivo cancer model which is commonly known by ordinary skill in the
art. In vivo cancer models are discussed in Frese et al.,
"Maximizing mouse cancer models" Nat Rev Cancer. 2007 September;
7(9):645-58 and Santos et al., Genetically modified mouse models in
cancer studies. Clin Transl Oncol. 2008 December; 10(12):794-803,
and "Cancer stem cells in mouse models of cancer", 6th Annual MDI
Stem Cell Symposium, MDI Biological Lab, Salisbury Cove, Me., Aug.
10-11, 2007'' which are incorporated herein in their entirety by
reference.
[0305] For example, a therapeutically effective amount can be
estimated initially either in cell culture assays or in animal
models, usually mice, rabbits, dogs, or pigs. The animal model is
also used to achieve a desirable concentration range and route of
administration. Such information can then be used to determine
useful doses and routes for administration in other subjects.
Generally, the therapeutically effective amount is dependent of the
desired therapeutic effect. For example, the therapeutically
effective amount of a recombinant human MIS protein can be assessed
in a mouse model of cancer, or using the Mullerian Duct Regression
bioassay as disclosed herein in the Examples and FIG. 4.
[0306] A physician or veterinarian having ordinary skill in the art
can readily determine and prescribe the effective amount of the
pharmaceutical composition required. For example, the physician or
veterinarian could start doses of the compounds of the invention
employed in the pharmaceutical composition at levels lower than
that required in order to achieve the desired therapeutic effect
and gradually increase the dosage until the desired effect is
achieved. It is also noted that humans are treated generally longer
than the mice or other experimental animals exemplified herein,
which treatment has a length proportional to the length of the
disease process and drug effectiveness. The doses may be single
doses or multiple doses over a period of several days, but single
doses are preferred.
[0307] In some embodiments, a recombinant human MIS protein (e.g.,
proteins or nucleic acids encoding a recombinant human MIS protein
or fragments thereof) can be administered to humans and other
animals for therapy by any suitable route of administration,
including orally, nasally, as by, for example, a spray, rectally,
intravaginally, parenterally, intracisternally and topically, as by
powders, ointments or drops, including buccally and
sublingually.
[0308] After formulation with an appropriate pharmaceutically
acceptable carrier in a desired dosage, a pharmaceutical
composition comprising a recombinant human MIS protein or
functional fragment or variant thereof as disclosed herein can be
administered to a subject. A pharmaceutical a composition
comprising a recombinant human MIS protein or functional fragment
or variant thereof can be administered to a subject using any
suitable means. In general, suitable means of administration
include, but are not limited to, topical, oral, parenteral (e.g.,
intravenous, subcutaneous or intramuscular), rectal,
intracisternal, intravaginal, intraperitoneal, ocular, or nasal
routes.
[0309] In a specific embodiment, it may be desirable to administer
the pharmaceutical composition comprising a recombinant human MIS
protein locally to the area in need of treatment; this may be
achieved, for example, and not by way of limitation, by local
infusion during surgery, topical application, e.g., by injection,
by means of a catheter, or by means of an implant, the implant
being of a porous, non-porous, or gelatinous material, including
membranes, such as sialastic membranes, fibers, or commercial skin
substitutes. In some embodiments, a recombinant human MIS protein
as disclosed herein can be applied to the muscle using topical
creams, patches, intramuscular injections and the like.
[0310] In some embodiments, a recombinant human MIS protein can be
administered to a subject orally (e.g., in capsules, suspensions or
tablets) or by parenteral administration. Conventional methods for
oral administration include administering a recombinant human MIS
protein in any one of the following; tablets, suspensions,
solutions, emulsions, capsules, powders, syrups and the like are
usable. Known techniques that deliver a recombinant human MIS
protein orally or intravenously and retain the biological activity
are preferred. Parenteral administration can include, for example,
intramuscular, intravenous, intraarticular, intraarterial,
intrathecal, subcutaneous, or intraperitoneal administration. A
recombinant human MIS protein can also be administered orally,
transdermally, topically, by inhalation (e.g., intrabronchial,
intranasal, oral inhalation or intranasal drops) or rectally.
Administration can be local or systemic as indicated. Agents, e.g.,
nucleic acid agents which encode a recombinant human MIS protein or
functional fragment thereof can also be delivered using a vector,
e.g., a viral vector by methods which are well known to those
skilled in the art.
[0311] When administering a composition comprising a recombinant
human MIS protein or functional fragment or variant thereof as
disclosed herein parenterally, it will generally be formulated in a
unit dosage injectable form (e.g., solution, suspension, emulsion).
The pharmaceutical formulations suitable for injection include
sterile aqueous solutions or dispersions and sterile powders for
reconstitution into sterile injectable solutions or dispersions.
The carrier can be a solvent or dispersing medium containing, for
example, water, ethanol, polyol (e.g., glycerol, propylene glycol,
liquid polyethylene glycol), suitable mixtures thereof, and
vegetable oils.
[0312] The term "Dosage unit" form as used herein refers to
physically discrete units suited as unitary dosages for the
mammalian subjects to be treated; each unit containing a
predetermined quantity of active compound calculated to produce the
desired therapeutic effect in association with the required
pharmaceutical carrier. The specification for the dosage unit forms
of the invention are dictated by and directly dependent on (a) the
unique characteristics of the a recombinant human MIS protein or
functional fragment or variant thereof as disclosed herein and the
particular therapeutic or prophylactic effect to be achieved, and
(b) the limitations inherent in the art of compounding a
recombinant human MIS protein an active agent for the treatment of
sensitivity in individuals.
[0313] The pharmaceutically acceptable compositions comprising a
recombinant human MIS protein or functional fragment or variant
thereof as disclosed herein can be suspended in aqueous vehicles
and introduced through conventional hypodermic needles or using
infusion pumps.
Pharmaceutical Compositions
[0314] In some embodiments, a composition comprising a recombinant
human MIS protein or functional fragment or variant thereof as
disclosed herein can be formulated in any suitable means, e.g., as
a sterile injectable solution, e.g., which can be prepared by
incorporating the recombinant human MIS protein in the required
amount of the appropriate solvent with various of the other
ingredients, as desired.
[0315] A pharmacological formulation of a composition comprising a
recombinant human MIS protein or functional fragment or variant
thereof as disclosed herein can be administered to the patient in
an injectable formulation containing any compatible carrier, such
as various vehicles, adjuvants, additives, and diluents; or the
compounds utilized in the present invention can be administered
parenterally to the patient in the form of slow-release
subcutaneous implants or targeted delivery systems such as
monoclonal antibodies, vectored delivery, iontophoretic, polymer
matrices, liposomes, and microspheres. Examples of delivery systems
useful in the present invention include those presented in U.S.
Pat. Nos. 5,225,182; 5,169,383; 5,167,616; 4,959,217; 4,925,678;
4,487,603; 4,486,194; 4,447,233; 4,447, 224; 4,439,196 and
4,475,196. Other such implants, delivery systems, and modules are
well known to those skilled in the art.
[0316] Proper fluidity can be maintained, for example, by the use
of a coating such as lecithin, by the maintenance of the required
particle size in the case of dispersion and by the use of
surfactants. Non-aqueous vehicles such a cottonseed oil, sesame
oil, olive oil, soybean oil, corn oil, sunflower oil, or peanut oil
and esters, such as isopropyl myristate, may also be used as
solvent systems for compound compositions. Additionally, various
additives which enhance the stability, sterility, and isotonicity
of the compositions, including antimicrobial preservatives,
antioxidants, chelating agents, and buffers, can be added.
Prevention of the action of microorganisms can be ensured by
various antibacterial and antifungal agents, e.g., parabens,
chlorobutanol, phenol and sorbic acid. In many cases, it will be
desirable to include isotonic agents, for example, sugars, sodium
chloride, and the like. Prolonged absorption of the injectable
pharmaceutical form can be brought about by the use of agents
delaying absorption, for example, aluminum monostearate and
gelatin. According to the present invention, however, any vehicle,
diluent, or additive used would have to be compatible with the
compounds.
[0317] In another embodiment, a composition comprising a
recombinant human MIS protein or functional fragment or variant
thereof as disclosed herein can comprise lipid-based formulations.
Any of the known lipid-based drug delivery systems can be used in
the practice of the invention. For instance, multivesicular
liposomes, multilamellar liposomes and unilamellar liposomes can
all be used so long as a sustained release rate of the encapsulated
active compound can be established. Methods of making controlled
release multivesicular liposome drug delivery systems are described
in PCT Application Publication Nos: WO 9703652, WO 9513796, and WO
9423697, the contents of which are incorporated herein by
reference.
[0318] The composition of the synthetic membrane vesicle is usually
a combination of phospholipids, usually in combination with
steroids, especially cholesterol. Other phospholipids or other
lipids may also be used. Examples of lipids useful in synthetic
membrane vesicle production include phosphatidylglycerols,
phosphatidylcholines, phosphatidylserines,
phosphatidylethanolamines, sphingolipids, cerebrosides, and
gangliosides, with preferable embodiments including egg
phosphatidylcholine, dipalmitoylphosphatidylcholine,
distearoylphosphatidyleholine, dioleoylphosphatidylcholine,
dipalmitoylphosphatidylglycerol, and
dioleoylphosphatidylglycerol.
[0319] In preparing lipid-based vesicles containing a recombinant
human MIS protein or functional fragment or variant thereof, such
variables as the efficiency of active compound encapsulation,
labiality of the active compound, homogeneity and size of the
resulting population of vesicles, active compound-to-lipid ratio,
permeability, instability of the preparation, and pharmaceutical
acceptability of the formulation should be considered.
[0320] In another embodiment, a recombinant human MIS protein can
be delivered in a vesicle, in particular a liposome (see Langer
(1990) Science 249:1527-1533). In yet another embodiment, a
recombinant human MIS protein can be delivered in a controlled
release system. In one embodiment, a pump may be used (see Langer
(1990) supra). In another embodiment, polymeric materials can be
used (see Howard et al. (1989) J. Neurosurg. 71:105). In another
embodiment where the active agent of the invention is a nucleic
acid encoding a recombinant human MIS protein, the nucleic acid can
be administered in vivo to promote expression of its encoded
protein, by constructing it as part of an appropriate nucleic acid
expression vector and administering it so that it becomes
intracellular, e.g., by use of a retroviral vector (see, for
example, U.S. Pat. No. 4,980,286), or by direct injection, or by
use of microparticle bombardment (e.g., a gene gun; Biolistic,
Dupont), or coating with lipids or cell-surface receptors or
transfecting agents, or by administering it in linkage to a
homeobox-like peptide which is known to enter the nucleus (see
e.g., Joliot et al., 1991, Proc. Natl. Acad. Sci. USA
88:1864-1868), etc. Alternatively, a nucleic acid can be introduced
intracellularly and incorporated within host cell DNA for
expression, by homologous recombination.
[0321] Prior to introduction, a composition comprising a
recombinant human MIS protein or functional fragment or variant
thereof as disclosed herein can be sterilized, by any of the
numerous available techniques of the art, such as with gamma
radiation or electron beam sterilization.
[0322] In another embodiment of the invention, a composition
comprising a recombinant human MIS protein or functional fragment
or variant thereof as disclosed herein, can be administered and/or
formulated in conjunction (e.g., in combination) with any other
therapeutic agent. For purpose of administration, a recombinant
human MIS protein or functional fragment or variant thereof as
disclosed herein is preferably formulated as a pharmaceutical
composition. Pharmaceutical compositions of the present invention
comprise a compound of this invention and a pharmaceutically
acceptable carrier, wherein the compound is present in the
composition in an amount which is effective to treat the condition
of interest. Appropriate concentrations and dosages can be readily
determined by one skilled in the art.
[0323] Pharmaceutically acceptable carriers are familiar to those
skilled in the art. For compositions formulated as liquid
solutions, acceptable carriers include saline and sterile water,
and may optionally include antioxidants, buffers, bacteriostats and
other common additives. The compositions can also be formulated as
pills, capsules, granules, or tablets which contain, in addition to
a compound of this invention, diluents, dispersing and surface
active agents, binders, and lubricants. One skilled in this art may
further formulate the compounds of this invention in an appropriate
manner, and in accordance with accepted practices, such as those
disclosed in Remington's Pharmaceutical Sciences, Gennaro, Ed.,
Mack Publishing Co., Easton, Pa. 1990.
[0324] The compositions of the present invention can be in any
form. These forms include, but are not limited to, solutions,
suspensions, dispersions, ointments (including oral ointments),
creams, pastes, gels, powders (including tooth powders),
toothpastes, lozenges, salve, chewing gum, mouth sprays, pastilles,
sachets, mouthwashes, aerosols, tablets, capsules, transdermal
patches, that comprise one or more resolvins and/or protectins or
their analogues of the invention.
[0325] Formulations of a composition comprising a recombinant human
MIS protein or functional fragment or variant thereof as disclosed
herein can be prepared by a number or means known to persons
skilled in the art. In some embodiments the formulations can be
prepared for administration as an aerosol formulation, e.g., by
combining (i) a recombinant human MIS protein or functional
fragment or variant thereof as disclosed herein in an amount
sufficient to provide a plurality of therapeutically effective
doses; (ii) the water addition in an amount effective to stabilize
each of the formulations; (iii) the propellant in an amount
sufficient to propel a plurality of doses from an aerosol canister;
and (iv) any further optional components e.g. ethanol as a
cosolvent; and dispersing the components. The components can be
dispersed using a conventional mixer or homogenizer, by shaking, or
by ultrasonic energy. Bulk formulation can be transferred to
smaller individual aerosol vials by using valve to valve transfer
methods, pressure filling or by using conventional cold-fill
methods. It is not required that a stabilizer used in a suspension
aerosol formulation be soluble in the propellant. Those that are
not sufficiently soluble can be coated onto the drug particles in
an appropriate amount and the coated particles can then be
incorporated in a formulation as described above.
[0326] In certain embodiments, a composition comprising a
recombinant human MIS protein as disclosed herein can be
administered to a subject as a pharmaceutical composition with a
pharmaceutically acceptable carrier. In certain embodiments, these
pharmaceutical compositions optionally further comprise one or more
additional therapeutic agents. In certain embodiments, the
additional therapeutic agent or agents are autoimmune disease or
drugs, such as immune suppressants and the like. In some
embodiments, an additional therapeutic agent is a cortiosteriod. In
some embodiments, an additional therapeutic agent is selected from
the group consisting of Prednisone, methylprednisolone, Kenalog,
Medrol Oral, Medrol (Pak) Oral, Depo-Medrol Inj, prednisolone Oral,
Solu-Medrol Inj, hydrocortisone Oral, Cortef Oral, Solu-Medrol IV,
cortisone Oral, Celestone Soluspan Inj, Orapred ODT Oral, Orapred
Oral, Prelone Oral, methylprednisolone acetate Inj, Prednisone
Intensol Oral, betamethasone acet & sod phos Inj, Veripred,
Celestone Oral, methylprednisolone sodium succ IV,
methylprednisolone sodium succ Inj, Millipred Oral, Solu-Medrol
(PF) Inj, Solu-Cortef Inj, Aristospan Intra-Articular Inj,
hydrocortisone sod succinate Inj, prednisolone sodium phosphate
Oral, methylprednisolone sod suc(PF) IV, Solu-Medrol (PF) IV,
triamcinolone hexacetonide Inj, A-Hydrocort Inj, A-Methapred Inj,
Millipred DP Oral, Flo-Pred Oral, Aristospan Intralesional Inj,
betamethasone Oral, methylprednisolone sod suc(PF) Inj,
hydrocortisone sod succ (PF) Inj, Solu-Cortef (PF) Inj,
prednisolone acetate Oral, dexamethasone in 0.9% NaCl IV, Rayos,
levothyroxine. Of course, such therapeutic agents are which are
known to those of ordinary skill in the art can readily be
substituted as this list should not be considered exhaustive or
limiting.
[0327] Wetting agents, emulsifiers and lubricants, such as sodium
lauryl sulfate and magnesium stearate, as well as coloring agents,
release agents, coating agents, sweetening, flavoring and perfuming
agents, preservatives and antioxidants can also be present in the
compositions. Examples of pharmaceutically acceptable antioxidants
include: water soluble antioxidants, such as ascorbic acid,
cysteine hydrochloride, sodium bisulfate, sodium metabisulfate,
sodium sulfite and the like; oil-soluble antioxidants, such as
ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated
hydroxytoluene (BHT), lecithin, propyl gallate, alpha-tocopherol,
and the like; and metal chelating agents, such as citric acid,
ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid,
phosphoric acid, and the like.
[0328] Formulations of the present invention include those suitable
for intravenous, oral, nasal, topical, transdermal, buccal,
sublingual, rectal, vaginal and/or parenteral administration. The
formulations may conveniently be presented in unit dosage form and
may be prepared by any methods well known in the art of pharmacy.
The amount of active ingredient which can be combined with a
carrier material to produce a single dosage form will generally be
that amount of the compound which produces a therapeutic effect.
Generally, out of one hundred percent, this amount will range from
about 1 percent to about ninety-nine percent of active ingredient,
preferably from about 5 percent to about 70 percent, most
preferably from about 10 percent to about 30 percent.
[0329] Formulations of the invention suitable for oral
administration may be in the form of capsules, cachets, pills,
tablets, lozenges (using a flavored basis, usually sucrose and
acacia or tragacanth), powders, granules, or as a solution or a
suspension in an aqueous or non-aqueous liquid, or as an
oil-in-water or water-in-oil liquid emulsion, or as an elixir or
syrup, or as pastilles (using an inert base, such as gelatin and
glycerin, or sucrose and acacia) and/or as mouth washes and the
like, each containing a predetermined amount of a compound of the
present invention as an active ingredient. A compound of the
present invention may also be administered as a bolus, electuary or
paste.
[0330] In solid dosage forms of the invention for oral
administration (capsules, tablets, pills, dragees, powders,
granules and the like), the active ingredient is mixed with one or
more pharmaceutically acceptable carriers, such as sodium citrate
or dicalcium phosphate, and/or any of the following: fillers or
extenders, such as starches, lactose, sucrose, glucose, mannitol,
and/or silicic acid; binders, such as, for example,
carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone,
sucrose and/or acacia; humectants, such as glycerol; disintegrating
agents, such as agar-agar, calcium carbonate, potato or tapioca
starch, alginic acid, certain silicates, and sodium carbonate;
solution retarding agents, such as paraffin; absorption
accelerators, such as quaternary ammonium compounds; wetting
agents, such as, for example, cetyl alcohol and glycerol
monostearate; absorbents, such as kaolin and bentonite clay;
lubricants, such a talc, calcium stearate, magnesium stearate,
solid polyethylene glycols, sodium lauryl sulfate, and mixtures
thereof; and coloring agents. In the case of capsules, tablets and
pills, the pharmaceutical compositions may also comprise buffering
agents. Solid compositions of a similar type may also be employed
as fillers in soft and hard-filled gelatin capsules using such
excipients as lactose or milk sugars, as well as high molecular
weight polyethylene glycols and the like.
[0331] A tablet may be made by compression or molding, optionally
with one or more accessory ingredients. Compressed tablets may be
prepared using binder (for example, gelatin or hydroxypropylmethyl
cellulose), lubricant, inert diluent, preservative, disintegrant
(for example, sodium starch glycolate or cross-linked sodium
carboxymethyl cellulose), surface-active or dispersing agent.
Molded tablets may be made by molding in a suitable machine a
mixture of the powdered compound moistened with an inert liquid
diluent.
[0332] The tablets, and other solid dosage forms of the
pharmaceutical compositions of the present invention, such as
dragees, capsules, pills and granules, may optionally be scored or
prepared with coatings and shells, such as enteric coatings and
other coatings well known in the pharmaceutical-formulating art.
They may also be formulated so as to provide slow or controlled
release of the active ingredient therein using, for example,
hydroxypropylmethyl cellulose in varying proportions to provide the
desired release profile, other polymer matrices, liposomes and/or
microspheres. They may be sterilized by, for example, filtration
through a bacteria-retaining filter, or by incorporating
sterilizing agents in the form of sterile solid compositions which
can be dissolved in sterile water, or some other sterile injectable
medium immediately before use. These compositions may also
optionally contain opacifying agents and may be of a composition
that they release the active ingredient(s) only, or preferentially,
in a certain portion of the gastrointestinal tract, optionally, in
a delayed manner. Examples of embedding compositions which can be
used include polymeric substances and waxes. The active ingredient
can also be in micro-encapsulated form, if appropriate, with one or
more of the above-described excipients.
[0333] Liquid dosage forms for oral administration of the compounds
of the invention include pharmaceutically acceptable emulsions,
microemulsions, solutions, suspensions, syrups and elixirs.
[0334] In addition to the active ingredient, the liquid dosage
forms may contain inert diluents commonly used in the art, such as,
for example, water or other solvents, solubilizing agents and
emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl
carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate,
propylene glycol, 1,3-butylene glycol, oils (in particular,
cottonseed, groundnut, corn, germ, olive, castor and sesame oils),
glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty
acid esters of sorbitan, and mixtures thereof. Besides inert
diluents, the oral compositions can also include adjuvants such as
wetting agents, emulsifying and suspending agents, sweetening,
flavoring, coloring, perfuming and preservative agents.
[0335] Suspensions, in addition to the active compounds, may
contain suspending agents as, for example, ethoxylated isostearyl
alcohols, polyoxyethylene sorbitol and sorbitan esters,
microcrystalline cellulose, aluminum metahydroxide, bentonite,
agar-agar and tragacanth, and mixtures thereof.
[0336] In some instances, a composition comprising a recombinant
human MIS protein or functional fragment or variant thereof as
disclosed herein can be in a formulation suitable for rectal or
vaginal administration, for example as a suppository, which may be
prepared by mixing one or more compounds of the invention with one
or more suitable nonirritating excipients or carriers comprising,
for example, cocoa butter, polyethylene glycol, a suppository wax
or a salicylate, and which is solid at room temperature, but liquid
at body temperature and, therefore release the active compound.
Suitable carriers and formulations for such administration are
known in the art.
[0337] Dosage forms for the topical or transdermal administration
of a recombinant human MIS protein of this invention, e.g., for
muscular administration include powders, sprays, ointments, pastes,
creams, lotions, gels, solutions, patches and inhalants. A
recombinant human MIS protein or functional fragment or variant
thereof as disclosed herein may be mixed under sterile conditions
with a pharmaceutically acceptable carrier, and with any
preservatives, buffers, or propellants which may be required.
[0338] The ointments, pastes, creams and gels may contain, in
addition to an active compound of this invention, excipients, such
as animal and vegetable fats, oils, waxes, paraffins, starch,
tragacanth, cellulose derivatives, polyethylene glycols, silicones,
bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
Powders and sprays can contain, in addition to a compound of this
invention, excipients such as lactose, talc, silicic acid, aluminum
hydroxide, calcium silicates and polyamide powder, or mixtures of
these substances. Sprays can additionally contain customary
propellants, such as chlorofluorohydrocarbons and volatile
unsubstituted hydrocarbons, such as butane and propane.
[0339] Transdermal patches have the added advantage of providing
controlled delivery of a recombinant human MIS protein of the
present invention to the body. Such dosage forms can be made by
dissolving or dispersing the compound in the proper medium.
Absorption enhancers can also be used to increase the flux of the
compound across the skin. The rate of such flux can be controlled
by either providing a rate controlling membrane or dispersing the
active compound in a polymer matrix or gel.
[0340] Pharmaceutical compositions of this invention suitable for
parenteral administration comprise one or more compounds of the
invention in combination with one or more pharmaceutically
acceptable sterile isotonic aqueous or nonaqueous solutions,
dispersions, suspensions or emulsions, or sterile powders which may
be reconstituted into sterile injectable solutions or dispersions
just prior to use, which may contain antioxidants, buffers,
bacteriostats, solutes which render the formulation isotonic with
the blood of the intended recipient or suspending or thickening
agents.
[0341] Examples of suitable aqueous and nonaqueous carriers which
may be employed in the pharmaceutical compositions of the invention
include water, ethanol, polyols (such as glycerol, propylene
glycol, polyethylene glycol, and the like), and suitable mixtures
thereof, vegetable oils, such as olive oil, and injectable organic
esters, such as ethyl oleate. Proper fluidity can be maintained,
for example, by the use of coating materials, such as lecithin, by
the maintenance of the required particle size in the case of
dispersions, and by the use of surfactants.
[0342] These compositions may also contain adjuvants such as
preservatives, wetting agents, emulsifying agents and dispersing
agents. Prevention of the action of microorganisms may be ensured
by the inclusion of various antibacterial and antifungal agents,
for example, paraben, chlorobutanol, phenol sorbic acid, and the
like. It may also be desirable to include isotonic agents, such as
sugars, sodium chloride, and the like into the compositions. In
addition, prolonged absorption of the injectable pharmaceutical
form may be brought about by the inclusion of agents which delay
absorption such as aluminum monostearate and gelatin.
[0343] In some cases, in order to prolong the effect of a drug, it
is desirable to slow the absorption of the drug from subcutaneous
or intramuscular injection. This may be accomplished by the use of
a liquid suspension of crystalline or amorphous material having
poor water solubility. The rate of absorption of the drug then
depends upon its rate of dissolution which, in turn, may depend
upon crystal size and crystalline form. Alternatively, delayed
absorption of a parenterally-administered drug form is accomplished
by dissolving or suspending the drug in an oil vehicle.
[0344] Injectable depot forms are made by forming microencapsulated
matrices of the subject compounds in biodegradable polymers such as
polylactide-polyglycolide. Depending on the ratio of drug to
polymer, and the nature of the particular polymer employed, the
rate of drug release can be controlled. Examples of other
biodegradable polymers include poly(orthoesters) and
poly(anhydrides). Depot injectable formulations are also prepared
by entrapping the drug in liposomes or microemulsions which are
compatible with body tissue.
[0345] In certain embodiments, a recombinant human MIS protein or
functional fragment or variant thereof can be isolated and/or
purified or substantially purified by one or more purification
methods described herein or known by those skilled in the art.
Generally, the purities are at least 90%, in particular 95% and
often greater than 99%. In certain embodiments, the naturally
occurring compound is excluded from the general description of the
broader genus.
[0346] In some embodiments, the composition comprises at least one
a recombinant human MIS protein in combination with a
pharmaceutically acceptable carrier. Some examples of materials
which can serve as pharmaceutically acceptable carriers include,
without limitation: sugars, such as lactose, glucose and sucrose;
starches, such as corn starch and potato starch; cellulose, and its
derivatives, such as sodium carboxymethyl cellulose, ethyl
cellulose and cellulose acetate; powdered tragacanth; malt;
gelatin; talc; excipients, such as cocoa butter and suppository
waxes; oils, such as peanut oil, cottonseed oil, safflower oil,
sesame oil, olive oil, corn oil and soybean oil; glycols, such as
propylene glycol; polyols, such as glycerin, sorbitol, mannitol and
polyethylene glycol; esters, such as ethyl oleate and ethyl
laurate; agar; buffering agents, such as magnesium hydroxide and
aluminum hydroxide; alginic acid; pyrogen-free water; isotonic
saline; Ringer's solution; ethyl alcohol; phosphate buffer
solutions; and other non-toxic compatible substances employed in
pharmaceutical formulations.
[0347] In certain embodiments, a composition comprising a
recombinant human MIS protein or functional fragment or variant
thereof as disclosed herein can contain one or more acidic
functional groups and, thus, are capable of forming
pharmaceutically acceptable salts with pharmaceutically acceptable
bases. The term "pharmaceutically acceptable salts, esters, amides,
and prodrugs" as used herein refers to those carboxylate salts,
amino acid addition salts, esters, amides, and prodrugs of the
compounds of the present invention which are, within the scope of
sound medical judgment, suitable for use in contact with the
tissues of patients without undue toxicity, irritation, allergic
response, and the like, commensurate with a reasonable benefit/risk
ratio, and effective for their intended use of the compounds of the
invention. The term "salts" refers to the relatively non-toxic,
inorganic and organic acid addition salts of compounds of the
present invention.
[0348] These salts can be prepared in situ during the final
isolation and purification of the compounds or by separately
reacting the purified compound in its free base form with a
suitable organic or inorganic acid and isolating the salt thus
formed. These may include cations based on the alkali and alkaline
earth metals, such as sodium, lithium, potassium, calcium,
magnesium and the like, as well as non-toxic ammonium, quaternary
ammonium, and amine cations including, but not limited to ammonium,
tetramethylammonium, tetraethylammonium, methylamine,
dimethylamine, trimethylamine, triethylamine, ethylamine, and the
like. (See, for example, Berge S. M., et al., "Pharmaceutical
Salts," J. Pharm. Sci., 1977; 66:1-19 which is incorporated herein
by reference).
[0349] The term "pharmaceutically acceptable esters" refers to the
relatively non-toxic, esterified products of the compounds of the
present invention. These esters can be prepared in situ during the
final isolation and purification of the compounds, or by separately
reacting the purified compound in its free acid form or hydroxyl
with a suitable esterifying agent. Carboxylic acids can be
converted into esters via treatment with an alcohol in the presence
of a catalyst. The term is further intended to include lower
hydrocarbon groups capable of being solvated under physiological
conditions, e.g., alkyl esters, methyl, ethyl and propyl
esters.
[0350] As used herein, "pharmaceutically acceptable salts or
prodrugs" are salts or prodrugs that are, within the scope of sound
medical judgment, suitable for use in contact with the tissues of
patients without undue toxicity, irritation, allergic response, and
the like, commensurate with a reasonable benefit/risk ratio, and
effective for their intended use. These compounds include the
zwitterionic forms, where possible, of r compounds of the
invention.
[0351] The term "salts" refers to the relatively non-toxic,
inorganic and organic acid addition salts of compounds of the
present invention. These salts can be prepared in situ during the
final isolation and purification of the compounds or by separately
reacting the purified compound in its free base form with a
suitable organic or inorganic acid and isolating the salt thus
formed. These may include cations based on the alkali and alkaline
earth metals, such as sodium, lithium, potassium, calcium,
magnesium and the like, as well as non-toxic ammonium, quaternary
ammonium, and amine cations including, but not limited to ammonium,
tetramethylanunonium, tetraethyl ammonium, methyl amine, dimethyl
amine, trimethylamine, triethylamine, ethylamine, and the like
(see, e.g., Berge S. M., et al. (1977) J. Pharm. Sci. 66, 1, which
is incorporated herein by reference).
[0352] The term "prodrug" refers to compounds or agents that are
rapidly transformed in vivo to yield the active recombinant human
MIS protein, e.g., a biologically active or functional active MIS
protein or nucleic acid (e.g., mRNA, DNA, MOD-RNA) which encodes a
functionally active MIS protein. In some embodiments, a recombinant
human MIS protein prodrug can be activated by hydrolysis in blood,
e.g., via cleavage of a leader sequence, and or cleavage at the
primary cleavage site to result in the N-terminal and C-terminal
domains for production of a bioactive MIS protein, similar to how
insulin is activated from its proprotein into an active insulin
protein. A thorough discussion is provided in T. Higachi and V.
Stella, "Pro-drugs as Novel Delivery Systems," Vol. 14 of the
A.C.S. Symposium Series, and in Bioreversible Carriers in: Drug
Design, ed. Edward B. Roche, American Pharmaceutical Association
and Pergamon Press, 1987, both of which are hereby incorporated by
reference. As used herein, a prodrug is a compound that, upon in
vivo administration, is metabolized or otherwise converted to the
biologically, pharmaceutically or therapeutically active form of
the compound. The prodrug may be designed to alter the metabolic
stability or the transport characteristics of a recombinant human
MIS protein, to mask side effects or toxicity, or to alter other
characteristics or properties of the recombinant human MIS
protein.
[0353] By virtue of knowledge of pharmacodynamic processes and drug
metabolism or post-translational protein processing of MIS in vivo,
once a pharmaceutically active compound is identified, those of
skill in the pharmaceutical art generally can design a recombinant
human MIS protein prodrug which can be activated in vivo to
increase levels of a bioactive MIS protein in the subject (see,
e.g., Nogrady (1985) Medicinal Chemistry A Biochemical Approach,
Oxford University Press, N.Y., pages 388-392). Conventional
procedures for the selection and preparation of suitable prodrugs
are described, for example, in "Design of Prodrugs," ed. H.
Bundgaard, Elsevier, 1985. Suitable examples of prodrugs include
methyl, ethyl and glycerol esters of the corresponding acid.
[0354] As discussed herein, in some embodiments a composition
comprising a recombinant human MIS protein or functional fragment
or variant thereof as disclosed herein can be conjugated or
covalently attached to a targeting agent to increase their tissue
specificity and targeting to a cell, for example a muscle cells.
Targeting agents can include, for example without limitation,
antibodies, cytokines and receptor ligands, as discussed in the
section entitled "targeting." In some embodiments, the targeting
agent is overexpressed on the cells to be targeted, for example the
muscle cells as compared to non-muscle cells.
[0355] Regardless of the route of administration selected, the
compounds of the present invention, which may be used in a suitable
hydrated form, and/or the pharmaceutical compositions of the
present invention, are formulated into pharmaceutically acceptable
dosage forms by conventional methods known to those of ordinary
skill in the art.
Gene Therapy
[0356] In some embodiments, a nucleic acid encoding a recombinant
human MIS protein or functional fragment thereof as disclosed
herein, can be suitably administered as a vector, e.g., a viral
vector.
[0357] In some embodiments, a nucleic acid encoding a recombinant
human MIS protein can be effectively used in treatment by gene
therapy. See, generally, for example, U.S. Pat. No. 5,399,346,
which is incorporated herein by reference. The general principle is
to introduce the polynucleotide into a target cell in a patient,
and where it is transcribed into the protein.
[0358] Entry into the cell can be facilitated by suitable
techniques known in the art such as providing the polynucleotide in
the form of a suitable vector, or encapsulation of the
polynucleotide in a liposome.
[0359] A desired mode of gene therapy is to provide the
polynucleotide in such a way that it will replicate inside the
cell, enhancing and prolonging the desired effect. Thus, the
polynucleotide is operably linked to a suitable promoter, such as
the natural promoter of the corresponding gene, a heterologous
promoter that is intrinsically active in liver, neuronal, bone,
muscle, skin, joint, or cartilage cells, or a heterologous promoter
that can be induced by a suitable agent.
[0360] Expression vectors compatible with eukaryotic cells,
preferably those compatible with vertebrate cells, can be used to
produce recombinant constructs for the expression of a recombinant
human MIS protein or a functional derivative or functional variant
or functional fragment thereof as disclosed herein. Eukaryotic cell
expression vectors are well known in the art and are available from
several commercial sources. Typically, such vectors are provided
containing convenient restriction sites for insertion of the
desired DNA segment. These vectors can be viral vectors such as
adenovirus, adeno-associated virus, pox virus such as an orthopox
(vaccinia and attenuated vaccinia), avipox, lentivirus, murine
moloney leukemia virus, etc.
[0361] Alternatively, in some embodiments, a plasmid expression
vector can be used. Plasmid expression vectors include, but are not
limited to, pcDNA3.1, pET vectors (Novagen 0), pGEX vectors (GE
Life Sciences), and pMAL vectors (New England labs. Inc.) for
protein expression in E. coli host cell such as BL21, BL21(DE3) and
AD494(DE3)pLysS, Rosetta (DE3), and Origami(DE3) ((Novagen 0); the
strong CMV promoter-based pcDNA3.1 (Invitrogen.TM. Inc.) and pCIneo
vectors (Promega) for expression in mammalian cell lines such as
CHO, COS, HEK-293, Jurkat, and MCF-7; replication incompetent
adenoviral vector vectors pAdeno X, pAd5F35, pLP-Adeno-X-CMV
(Clontech 0), pAd/CMV/V5-DEST, pAd-DEST vector (Invitrogen.TM.
Inc.) for adenovirus-mediated gene transfer and expression in
mammalian cells; pLNCX2, pLXSN, and pLAPSN retrovirus vectors for
use with the Retro-X.TM. system from Clontech for
retroviral-mediated gene transfer and expression in mammalian
cells; pLenti4N5-DESTTm, pLenti6N5-DESTTm, and pLenti6.2N5-GW/lacZ
(INVITROGEN.TM. Inc.) for lentivirus-mediated gene transfer and
expression in mammalian cells; adenovirus-associated virus
expression vectors such as pAAV-MC and pAAV-IRES-hrGFP for
adeno-associated virus-mediated gene transfer and expression in
mammalian cells; BACpak6 baculovirus (Clontech.RTM.) and
pFastBac.TM. HT (Invitrogen.TM. Inc.) for the expression in
Spodopera frugiperda 9 (Sf9) and Sf11 insect cell lines;
pMT/BiPN5-His (Invitrogen.TM. Inc.) for the expression in
Drosophila Schneider S2 cells; Pichia expression vectors
pPICZ.alpha., pPICZ, pFLD.alpha. and pFLD (Invitrogen.TM. Inc.) for
expression in Pichia pastoris and vectors pMET.alpha. and pMET for
expression in P. methanolica; pYES2/GS and pYD1 (Invitrogen.TM.
Inc.) vectors for expression in yeast Saccharomyces cerevisiae.
Recent advances in the large scale expression heterologous proteins
in Chlamydomonas reinhardtii are described by Griesbeck C. et. al.
2006 Mol. Biotechnol. 34:213-33 and Fuhrmann M. 2004, Methods Mol
Med. 94:191-5. Foreign heterologous coding sequences are inserted
into the genome of the nucleus, chloroplast and mitochodria by
homologous recombination. The chloroplast expression vector p64
carrying the most versatile chloroplast selectable marker
aminoglycoside adenyl transferase (aadA), which confer resistance
to spectinomycin or streptomycin, can be used to express foreign
protein in the chloroplast. Biolistic gene gun method is used to
introduced the vector in the algae. Upon its entry into
chloroplasts, the foreign DNA is released from the gene gun
particles and integrates into the chloroplast genome through
homologous recombination.
[0362] Viral vector systems which can be utilized in the present
invention include, but are not limited to, (a) adenovirus vectors;
(b) retrovirus vectors; (c) adeno-associated virus vectors; (d)
herpes simplex virus vectors; (e) SV 40 vectors; (f) polyoma virus
vectors; (g) papilloma virus vectors; (h) picornavirus vectors; (i)
pox virus vectors such as an orthopox, e.g., vaccinia virus vectors
or avipox, e.g. canary pox or fowl pox; and (j) a helper-dependent
or gutless adenovirus. In a preferred embodiment, the vector is an
adenovirus. Replication-defective viruses can also be
advantageous.
[0363] The vector may or may not be incorporated into the cells
genome. The constructs may include viral sequences for
transfection, if desired. Alternatively, the construct may be
incorporated into vectors capable of episomal replication, e.g.,
EPV and EBV vectors.
[0364] Constructs for the expression of a nucleic acid encoding a
recombinant human MIS protein as disclosed herein., e.g., DNA,
MOD-RNA or RNAa, can generally be operatively linked to regulatory
elements, e.g., promoters, enhancers, etc., to ensure the
expression of the construct in target cells. Other specifics for
vectors and constructs are described in further detail below.
[0365] Typical regulatory sequences include, but are not limited
to, transcriptional promoters, inducible promoters and
transcriptional elements, an optional operate sequence to control
transcription, a sequence encoding suitable mRNA ribosomal binding
sites, and sequences to control the termination of transcription
and/or translation. Included in the term "regulatory elements" are
nucleic acid sequences such as initiation signals, enhancers, and
promoters, which induce or control transcription of protein coding
sequences with which they are operatively linked. In some examples,
transcription of a recombinant gene is under the control of a
promoter sequence (or other transcriptional regulatory sequence)
which controls the expression of the recombinant gene in a
cell-type in which expression is intended. It will also be
understood that the recombinant gene can be under the control of
transcriptional regulatory sequences which are the same or which
are different from those sequences which control transcription of
the naturally-occurring form of a protein. In some instances the
promoter sequence is recognized by the synthetic machinery of the
cell, or introduced synthetic machinery, required for initiating
transcription of a specific gene.
[0366] Regulatory sequences can be a single regulatory sequence or
multiple regulatory sequences, or modified regulatory sequences or
fragments thereof. Modified regulatory sequences are regulatory
sequences where the nucleic acid sequence has been changed or
modified by some means, for example, but not limited to, mutation,
methylation etc. Regulatory sequences useful in the methods as
disclosed herein are promoter elements which are sufficient to
render promoter-dependent gene expression controllable for cell
type-specific, tissue-specific or inducible by external signals or
agents (e g enhancers or repressors); such elements may be located
in the 5' or 3' regions of the native gene, or within an
intron.
[0367] As used herein, the term "tissue-specific promoter" means a
nucleic acid sequence that serves as a promoter, i.e., regulates
expression of a selected nucleic acid sequence operably linked to
the promoter, and which selectively affects expression of the
selected nucleic acid sequence in specific cells of a tissue, such
as cells of ovarian origin.
[0368] The term "constitutively active promoter" refers to a
promoter of a gene which is expressed at all times within a given
cell. Exemplary promoters for use in mammalian cells include
cytomegalovirus (CMV), and for use in prokaryotic cells include the
bacteriophage T7 and T3 promoters, and the like. The term
"inducible promoter" refers to a promoter of a gene which can be
expressed in response to a given signal, for example addition or
reduction of an agent. Non-limiting examples of an inducible
promoter are "tet-on" and "tet-off" promoters, or promoters that
are regulated in a specific tissue type.
[0369] In a specific embodiment, viral vectors that contain nucleic
acid sequences e.g., DNA, MOD-RNA or RNAa encoding a recombinant
human MIS protein or functional fragment thereof as disclosed
herein can be used. For example, a retroviral vector can be used
(see Miller et al., Meth. Enzymol. 217:581-599 (1993)). These
retroviral vectors contain the components necessary for the correct
packaging of the viral genome and integration into the host cell
DNA. The nucleic acid sequences encoding a recombinant human MIS
protein are cloned into one or more vectors, which facilitates
delivery of the gene into a patient. More detail about retroviral
vectors can be found in Boesen et al., Biotherapy 6:291-302 (1994),
which describes the use of a retroviral vector to deliver the mdrl
gene to hematopoietic stem cells in order to make the stem cells
more resistant to chemotherapy. Other references illustrating the
use of retroviral vectors in gene therapy are: Clowes et al., J.
Clin. Invest. 93:644-651 (1994); Kiem et al., Blood 83:1467-1473
(1994); Salmons and Gunzberg, Human Gene Therapy 4:129-141 (1993);
and Grossman and Wilson, Curr. Opin. in Genetics and Devel.
3:110-114 (1993).
[0370] The production of a recombinant retroviral vector carrying a
gene of interest is typically achieved in two stages. First,
sequence encoding a recombinant human MIS protein or a functional
derivative or functional variant or functional fragment thereof,
alone or fused to -Fc can be inserted into a retroviral vector
which contains the sequences necessary for the efficient expression
of the metabolic regulators (including promoter and/or enhancer
elements which can be provided by the viral long terminal repeats
(LTRs) or by an internal promoter/enhancer and relevant splicing
signals), sequences required for the efficient packaging of the
viral RNA into infectious virions (e.g., a packaging signal (Psi),
a tRNA primer binding site (-PBS), a 3' regulatory sequence
required for reverse transcription (+PBS)), and a viral LTRs). The
LTRs contain sequences required for the association of viral
genomic RNA, reverse transcriptase and integrase functions, and
sequences involved in directing the expression of the genomic RNA
to be packaged in viral particles.
[0371] Following the construction of the recombinant retroviral
vector, the vector DNA is introduced into a packaging cell line.
Packaging cell lines provide viral proteins required in trans for
the packaging of viral genomic RNA into viral particles having the
desired host range (e.g., the viral-encoded core (gag), polymerase
(pol) and envelope (env) proteins). The host range is controlled,
in part, by the type of envelope gene product expressed on the
surface of the viral particle. Packaging cell lines can express
ecotrophic, amphotropic or xenotropic envelope gene products.
Alternatively, the packaging cell line can lack sequences encoding
a viral envelope (env) protein. In this case, the packaging cell
line can package the viral genome into particles which lack a
membrane-associated protein (e.g., an env protein). To produce
viral particles containing a membrane-associated protein which
permits entry of the virus into a cell, the packaging cell line
containing the retroviral sequences can be transfected with
sequences encoding a membrane-associated protein (e.g., the G
protein of vesicular stomatitis virus (VSV)). The transfected
packaging cell can then produce viral particles which contain the
membrane-associated protein expressed by the transfected packaging
cell line; these viral particles which contain viral genomic RNA
derived from one virus encapsidated by the envelope proteins of
another virus are said to be pseudotyped virus particles.
[0372] Adenoviruses are other viral vectors that can be used in
gene therapy. Adenoviruses are especially attractive vehicles for
delivering genes to respiratory epithelia. Adenoviruses naturally
infect respiratory epithelia where they cause a mild disease. Other
targets for adenovirus-based delivery systems are liver, the
central nervous system, endothelial cells, and muscle. Adenoviruses
have the advantage of being capable of infecting non-dividing
cells. Kozarsky and Wilson, Current Opinion in Genetics and
Development 3:499-503 (1993) present a review of adenovirus-based
gene therapy. Bout et al., Human Gene Therapy 5:3-10 (1994)
demonstrated the use of adenovirus vectors to transfer genes to the
respiratory epithelia of rhesus monkeys. Another preferred viral
vector is a pox virus such as a vaccinia virus, for example an
attenuated vaccinia such as Modified Virus Ankara (MVA) or NYVAC,
an avipox such as fowl pox or canary pox. Other instances of the
use of adenoviruses in gene therapy can be found in Rosenfeld et
al., Science 252:431-434 (1991); Rosenfeld et al., Cell 68:143-155
(1992); Mastrangeli et al., J. Clin. Invest. 91:225-234 (1993); PCT
Publication WO94/12649; and Wang, et al., Gene Therapy 2:775-783
(1995). In another embodiment, lentiviral vectors are used, such as
the HIV based vectors described in U.S. Pat. Nos. 6,143,520;
5,665,557; and 5,981,276, which are herein incorporated by
reference. In some embodiments, a viral vector such as an
Adeno-associated virus (AAV) vector is used. Exemplary AAV vectors
are disclosed in Walsh et al., Proc. Soc. Exp. Biol. Med.
204:289-300 (1993); U.S. Pat. No. 5,436,146 which is incorporated
herein by reference; Gao et al., Gene Therapy 2005, 5, 285-297;
Vandenberghe et al., Gene Therapy 2009, 16, 311-319; Gao et al.,
PNAS 2002, 99, 11854-11859; Gao et al., PNAS 2003, 100, 6081-6086;
Gao et al., J. of Virology 2004, 78, 6381-6388; Molecular Cloning:
A Laboratory Manual (4.sup.th edition) ed. by M. Green and J.
Sambrook. In some embodiments, the AAV vector is an AAV1, AAV2,
AAV4, AAV5, AAV6, AAV7, AAV8, AAV9, AAVrh.10, AAV2.5. It should be
noted that the selection of a particular type of AAV vectors can
depend on the target tissue.
[0373] In some embodiments, when a recombinant human MIS protein
encoded by a viral vector is expressed endogenously in a subject,
the expression level of the recombinant human MIS protein disclosed
herein can be constant over a desired period of time, for example,
at least 1 week, at least 2 weeks, at least 3 weeks, at least 1
month, at least 2 months, at least 3 months, at least 6 months, at
least 1 year, or at least 5 years. In some embodiments, the
expression of the recombination human MIS protein disclosed herein
can be sustained at or above a therapeutically effective dosage
level over a desired period of time.
[0374] Another approach to gene therapy involves transferring a
gene to cells in tissue culture by such methods as electroporation,
lipofection, calcium phosphate mediated transfection, or viral
infection. Usually, the method of transfer includes the transfer of
a selectable marker to the cells. The cells are then placed under
selection to isolate those cells that have taken up and are
expressing the transferred gene. Those cells are then delivered to
a patient.
[0375] U.S. Pat. No. 5,676,954 (which is herein incorporated by
reference) reports on the injection of genetic material, complexed
with cationic liposome carriers, into mice. U.S. Pat. Nos.
4,897,355, 4,946,787, 5,049,386, 5,459,127, 5,589,466, 5,693,622,
5,580,859, 5,703,055, and international publication NO: WO 94/9469
(which are herein incorporated by reference) provide cationic
lipids for use in transfecting DNA into cells and mammals. U.S.
Pat. Nos. 5,589,466, 5,693,622, 5,580,859, 5,703,055, and
international publication NO: WO 94/9469 (which are herein
incorporated by reference) provide methods for delivering
DNA-cationic lipid complexes to mammals. Such cationic lipid
complexes or nanoparticles can also be used to deliver protein.
[0376] A gene or nucleic acid sequence can be introduced into a
target cell by any suitable method. For example, a recombinant
human MIS protein construct can be introduced into a cell by
transfection (e.g., calcium phosphate or DEAE-dextran mediated
transfection), lipofection, electroporation, microinjection (e.g.,
by direct injection of naked DNA), biolistics, infection with a
viral vector containing a muscle related transgene, cell fusion,
chromosome-mediated gene transfer, microcell-mediated gene
transfer, nuclear transfer, and the like. A nucleic acid encoding a
recombinant human MIS protein can be introduced into cells by
electroporation (see, e.g., Wong and Neumann, Biochem. Biophys.
Res. Commun. 107:584-87 (1982)) and biolistics (e.g., a gene gun;
Johnston and Tang, Methods Cell Biol. 43 Pt A:353-65 (1994); Fynan
et al., Proc. Natl. Acad. Sci. USA 90:11478-82 (1993)).
[0377] In certain embodiments, a gene or nucleic acid sequence
encoding a recombinant human MIS protein can be introduced into
target cells by transfection or lipofection. Suitable agents for
transfection or lipofection include, for example, calcium
phosphate, DEAE dextran, lipofectin, lipfectamine, DIMRIE C,
Superfect, and Effectin (Qiagen), unifectin, maxifectin, DOTMA,
DOGS (Transfectam; dioctadecylamidoglycylspermine), DOPE
(1,2-dioleoyl-sn-glycero-3-phosphoethanolamine), DOTAP
(1,2-dioleoyl-3-trimethylammonium propane), DDAB (dimethyl
dioctadecylammonium bromide), DHDEAB
(N,N-di-n-hexadecyl-N,N-dihydroxyethyl ammonium bromide), HDEAB
(N-n-hexadecyl-N,N-dihydroxyethylammonium bromide), polybrene,
poly(ethylenimine) (PEI), and the like. (See, e.g., Banerjee et
al., Med. Chem. 42:4292-99 (1999); Godbey et al., Gene Ther.
6:1380-88 (1999); Kichler et al., Gene Ther. 5:855-60 (1998);
Birchaa et al., J. Pharm. 183:195-207 (1999)).
[0378] Methods known in the art for the therapeutic delivery of
agents such as proteins and/or nucleic acids can be used for the
delivery of a polypeptide or nucleic acid encoding a recombinant
human MIS protein to a subject, e.g., cellular transfection, gene
therapy, direct administration with a delivery vehicle or
pharmaceutically acceptable carrier, indirect delivery by providing
recombinant cells comprising a nucleic acid encoding a targeting
fusion polypeptide of the invention.
[0379] Various delivery systems are known and can be used to
directly administer therapeutic polypeptides such as a recombinant
human MIS protein and/or a nucleic acid encoding a recombinant
human MIS protein as disclosed herein, e.g., encapsulation in
liposomes, microparticles, microcapsules, recombinant cells capable
of expressing the compound, and receptor-mediated endocytosis (see,
e.g., Wu and Wu, 1987, J. Biol. Chem. 262:4429-4432). Methods of
introduction can be enteral or parenteral and include but are not
limited to intradermal, intramuscular, intraperitoneal,
intravenous, subcutaneous, pulmonary, intranasal, intraocular,
epidural, and oral routes. The agents may be administered by any
convenient route, for example by infusion or bolus injection, by
absorption through epithelial or mucocutaneous linings (e.g., oral
mucosa, rectal and intestinal mucosa, etc.) and may be administered
together with other biologically active agents. Administration can
be systemic or local.
[0380] In a specific embodiment, it may be desirable to administer
the pharmaceutical compositions of the invention locally to the
area in need of treatment; this may be achieved, for example, and
not by way of limitation, by local infusion during surgery, topical
application, e.g., by injection, by means of a catheter, or by
means of an implant, the implant being of a porous, non-porous, or
gelatinous material, including membranes, such as sialastic
membranes, fibers, or commercial skin substitutes.
[0381] In another embodiment, the active agent can be delivered in
a vesicle, in particular a liposome (see Langer (1990) Science
249:1527-1533). In yet another embodiment, the active agent can be
delivered in a controlled release system. In one embodiment, a pump
may be used (see Langer (1990) supra). In another embodiment,
polymeric materials can be used (see Howard et al. (1989) J.
Neurosurg. 71:105).
[0382] Thus, a wide variety of gene transfer/gene therapy vectors
and constructs are known in the art. These vectors are readily
adapted for use in the methods of the present invention. By the
appropriate manipulation using recombinant DNA/molecular biology
techniques to insert an operatively linked recombinant human MIS
protein encoding nucleic acid segment into the selected
expression/delivery vector, many equivalent vectors for the
practice of the methods described herein can be generated.
[0383] It will be appreciated by those of skill that cloned genes
readily can be manipulated to alter the amino acid sequence of a
protein. The cloned gene for recombinant human MIS protein can be
manipulated by a variety of well known techniques for in vitro
mutagenesis, among others, to produce variants of the naturally
occurring human protein, herein referred to as muteins or variants
or mutants of a recombinant human MIS protein, which may be used in
accordance with the methods and compositions described herein.
[0384] The variation in primary structure of muteins of a
recombinant human MIS protein useful in the invention, for
instance, may include deletions, additions and substitutions. The
substitutions may be conservative or non-conservative. The
differences between the natural protein and the mutein generally
conserve desired properties, mitigate or eliminate undesired
properties and add desired or new properties.
[0385] Remington's Pharmaceutical sciences Ed. Germany, Merk
Publishing, Easton, Pa., 1 995 (the contents of which are hereby
incorporated by reference), discloses various carriers used in
formulating pharmaceutical compositions and known techniques for
the preparation thereof. Some examples of materials which can serve
as pharmaceutically acceptable carriers include, but are not
limited to, sugars such as lactose, glucose and sucrose; starches
such as corn starch and potato starch; cellulose and its
derivatives such as sodium carboxymethyl cellulose, ethyl cellulose
and cellulose acetate; malt; gelatin; talc; excipients such as
cocoa butter and: suppository waxes; oils such as peanut oil,
cottonseed oil; safflower oil; sesame oil; olive oil; corn oil and
soybean oil; glycols; such a propylene glycol; esters such as ethyl
oleate and ethyl laurate; agar; buffering agents such as magnesium
hydroxide and aluminum hydroxide; water; isotonic saline; Ringer's
solution, ethyl alcohol, and phosphate buffer solutions, as well as
other non-toxic compatible lubricants such as sodium lauryl sulfate
and magnesium sulfate, as well as coloring agents, releasing
agents, coating agents, sweetening, flavoring and perfuming agents,
preservatives and antioxidants can also be present in the
composition, according to the judgment of the formulator.
Kits
[0386] The invention also provides kits or pharmaceutical packages
that comprise a recombinant human MIS protein or functional variant
or functional fragment or fusion protein thereof for use in the
prevention and/or treatment of a proliferative disease or disorder,
e.g., cancer or a neurodegenerative disease such as a motor neuron
disease or disease of excess androgen as disclosed herein. The kit
can comprise a recombinant human MIS protein composition as
disclosed herein in the form of, for example, tablets, capsules, or
lyophilized powders, and can optionally include instructions for
using a recombinant human MIS protein for the treatment of cancer,
or a neurodegenerative disease such as a motor neuron disease, or
disease associated with androgen dependency. A composition
comprising a recombinant human MIS protein or functional variant or
functional fragment or fusion protein thereof can be provided in
the kits or packages in a bottle or another appropriate form (e.g.,
a blister pack). Optionally, the kits or pharmaceutical packages
can also include other pharmaceutically active agents (see, e.g.,
the agents listed above, such as other agents used for treatment of
autoimmune diseases and disorders), and/or materials used in
administration of the drug(s), such as diluents, needles, syringes,
applicators, and the like.
[0387] Various embodiments of the disclosure could also include
permutations of the various elements recited in the claims as if
each dependent claim was a multiple dependent claim incorporating
the limitations of each of the preceding dependent claims as well
as the independent claims. Such permutations are expressly within
the scope of this disclosure.
[0388] While the invention has been particularly shown and
described with reference to a number of embodiments, it would be
understood by those skilled in the art that changes in the form and
details may be made to the various embodiments disclosed herein
without departing from the spirit and scope of the invention and
that the various embodiments disclosed herein are not intended to
act as limitations on the scope of the claims. All references cited
herein are incorporated in their entirety by reference.
[0389] Each of the applications and patents cited in this text, as
well as each document or reference cited in each of the
applications and patents (including during the prosecution of each
issued patent; "application cited documents"), and each of the PCT
and foreign applications or patents corresponding to and/or
claiming priority from any of these applications and patents, and
each of the documents cited or referenced in each of the
application cited documents, are hereby expressly incorporated
herein by reference and may be employed in the practice of the
invention. More generally, documents or references are cited in
this text, either in a Reference List before the claims, or in the
text itself; and, each of these documents or references ("herein
cited references"), as well as each document or reference cited in
each of the herein cited references (including any manufacturer's
specifications, instructions, etc.), is hereby expressly
incorporated herein by reference.
[0390] Some embodiments of the invention are listed in the
following paragraphs: [0391] 1. A method for treating a subject
with a neurodegenerative disease or disorder, comprising
administering a composition comprising a recombinant Mullerian
Inhibiting Substance (MIS) protein, wherein the recombinant MIS
protein comprises a modification of at least one amino acid between
residues 448-452 of SEQ ID NO: 1. [0392] 2. The method of paragraph
1, wherein the modification increases cleavage as compared to in
the absence of the modification, wherein the recombinant MIS
protein has increased cleavage and increased yield of production in
vitro as compared to wild-type MIS protein corresponding to amino
acid residues of SEQ ID NO: 1. [0393] 3. The method of paragraph 1,
wherein the recombinant MIS protein is produced from a
pre-proprotein comprising a non-MIS leader sequence or a functional
fragment thereof in place of the MIS leader sequence of amino acids
1-25 of SEQ ID NO: 1. [0394] 4. The method of paragraph 1, wherein
one or more neurons from the subject express an MIS receptor.
[0395] 5. The method of paragraph 4, wherein the MIS receptor is
MIS type II receptor or a homologue or functional fragment thereof.
[0396] 6. The method of paragraph 1, wherein the neurodegenerative
disorder is a motor neuron disease. [0397] 7. The method of
paragraph 6, wherein the motor neuron disease is selected from the
group of: amylotrophic lateral sclerosis (ALS), progressive bulbar
palsy, pseudobulbar palsy; primary lateral sclerosis (PLS);
progressive muscular atrophy; spinal muscular atrophy (SMA,
including SMA type I, SMA type II, and SMA type III); Fazio-Londe
disease; progressive spinobulbar muscular atrophy; congenital SMA
with arthrogryposis or post-polio syndrome (PPS). [0398] 8. The
method of paragraph 1, wherein the neurodegenerative disease is
selected from the group of: amyotrophic lateral sclerosis (ALS),
primary lateral sclerosis (PLS), spinal muscular atrophy (SMA),
Alzheimer's disease (AD), Parkinson's disease (PD), Huntington's
disease (HD), Friedreich's ataxia, cerebellar ataxia, other brain
disorders such as bipolar disorder, epilepsy, schizophrenia,
depression, mania, autism, ADHD, brain trauma injuries and stroke.
[0399] 9. The method of paragraph 1, wherein the recombinant MIS
protein further comprises a Tag protein. [0400] 10. The method of
paragraph 3, wherein the non-MIS leader sequence is an albumin
leader sequence or a functional fragment thereof. [0401] 11. The
method of paragraph 10, wherein the albumin leader sequence is a
human serum albumin (HSA) leader sequence or a fragment thereof.
[0402] 12. The method of paragraph 11, wherein the HSA leader
sequence comprises the amino acid sequence of SEQ ID NO: 6 or a
variant that is at least 80% homologous thereto. [0403] 13. The
method of paragraph 11, wherein a fragment of the HSA leader
sequence comprises at least 10 amino acids of SEQ ID NO: 6 or a
variant that is at least 80% homologous thereto. [0404] 14. The
method of paragraph 11, wherein the HSA leader sequence comprises
at least 15 amino acids of SEQ ID NO: 6, or a variant that is at
least 80% homologous thereto. [0405] 15. The method of paragraph
11, wherein the HSA leader sequence comprises at least 11 amino
acids of SEQ ID NO: 6, or a variant that is at least 80% homologous
thereto. [0406] 16. The method of paragraph 11, wherein a fragment
of the HSA leader sequence is selected from the group consisting
of: MKWVTFISLLFLFSSAYS (SEQ ID NO: 13); MKWVTFISLLFLFSSAYSRGVFRR
(SEQ ID NO: 6); MKWVSFISLLFLFSSAYS (SEQ ID NO:14). [0407] 17. The
method of paragraph 3, wherein the non-MIS leader sequence is
selected from a group consisting of: immunoglobulin signal peptide
fused to a tissue-type plasminogen activator propeptide (IgSP-tPA),
murine immunoglobulin signal peptide (IgSP), a MPIF-1 signal
sequence (MKVSVAALSCLMLVTALGSQA (SEQ ID NO: 15)); a stanniocalcin
signal sequence (MLQNSAVLLLLVISASA (SEQ ID NO:16)); an invertase
signal sequence (MLLQAFLFLLAGFAAKISA (SEQ ID NO:17)); a yeast
mating factor alpha signal sequence (K. lactis killer toxin leader
sequence); a hybrid signal sequence (MKWVSFISLLFLFSSAYSRSLEKR, (SEQ
ID NO:18)); a HSA/MF.alpha.-1 hybrid signal sequence
(MKWVSFISLLFLFSSAYSRSLDKR (SEQ ID NO:19)); a K. lactis
killer/MF.alpha.-1 fusion leader sequence (MNIFYIFLFLLSFVQGSLDKR
(SEQ ID NO:20)); an immunoglobulin Ig signal sequence
(MGWSCIILFLVATATGVHS (SEQ ID NO:21)); a Fibulin B precursor signal
sequence (MERAAPSRRVPLPLLLLGGLALLAAGVDA (SEQ ID NO:22)); a
clusterin precursor signal sequence (MMKTLLLFVGLLLTWESGQVLG (SEQ ID
NO: 23)); and the insulin-like growth factor-binding protein 4
signal sequence (MLPLCLVAALLLAAGPGPSLG (SEQ ID NO:24)) or a
functional fragment thereof [0408] 18. The method of paragraph 1,
wherein the recombinant MIS protein comprises a modification of
amino acid 450 of SEQ ID NO: 1 from Q to R to increase cleavage as
compared to in the absence of such a modification. [0409] 19. The
method of paragraph 1, wherein the recombinant MIS protein
comprises a modification of amino acid 452 of SEQ ID NO: 1 from S
to R to increase cleavage as compared to in the absence of such a
modification. [0410] 20. The method of paragraph 9, wherein the tag
is a FLAG tag comprising amino acid sequence of SEQ ID NO: 8 or a
functional fragment thereof [0411] 21. The method of paragraph 20,
wherein the FLAG tag is located after amino acid residue 452 of SEQ
ID NO: 1 and before amino acid residue 453 of SEQ ID NO: 1. [0412]
22. The method of paragraph 20, wherein the FLAG tag is located
between amino acid residue 452 and 453 of SEQ ID NO: 1. [0413] 23.
The method of paragraph 1, wherein the recombinant MIS protein
comprises the amino acid residues 25-559 of SEQ ID NO: 2 or a
functional fragment thereof. [0414] 24. The method of paragraph 1,
wherein the recombinant MIS protein comprises the amino acid
residues 25-567 of SEQ ID NO: 3 or a functional fragment thereof.
[0415] 25. The method of paragraph 1, wherein the recombinant MIS
protein is encoded by a vector. [0416] 26. The method of paragraph
25, wherein the vector is a viral vector or an expression vector.
[0417] 27. The method of paragraph 26, wherein the expression
vector is pcDNA 3.1 or cDNA or genome vector for bacteria (e.g., e
coli) or bacteriophage. [0418] 28. The method of paragraph 26,
wherein the viral vector is selected from the group consisting of
an adenoviral vector, a poxvirus vector and a lentiviral vector.
[0419] 29. The method of paragraph 26, wherein the viral vector is
an adeno-associated vector (AAV). [0420] 30. The method of
paragraph 29, wherein the adeno-associated vector (AAV) is AAV9.
[0421] 31. The method of any of paragraphs 25 to 30, wherein the
vector encodes a recombinant MIS protein or fragment thereof which
has at least 95% sequence identity to the nucleic acid sequence of
SEQ ID NO: 4 or SEQ ID NO: 5, wherein the nucleic acid sequence is
operatively linked to a tissue- or cell-type specific promoter.
[0422] 32. The method of any of paragraphs 25 to 31, wherein the
vector expresses the recombinant MIS protein at a constant level
over a period of time. [0423] 33. The method of paragraph 1,
wherein administering is intravenous, intrapsinal, intradermal,
intramuscular, intraarterial, intralesional, percutaneous, or
subcutaneous, or by aerosol. [0424] 34. The method of paragraph 1,
wherein administering is prophylactic administration. [0425] 35.
The method of paragraph 1, wherein administering is therapeutic
administration. [0426] 36. The method of paragraph 1, wherein the
subject is a mammal. [0427] 37. The method of paragraph 36, wherein
the mammal is a human. [0428] 38. The method of paragraph 1,
wherein at least one additional agent is administered to the
subject in combination with (e.g., before, during or after)
administration of the recombinant human MIS. [0429] 39. The method
of paragraph 38, wherein the additional agent is a therapeutic
agent or neurotrophic factor selected from the group consisting of;
riluzole, glial cell line-derived neurotrophic factor (GDNF), brain
derived neurotrophic factor (BDNF), ciliary derived neurotrophic
factor (CNTF), glutamate, and gonadal hormone. [0430] 40. Use of
recombinant MIS protein for the manufacture of a medicament for a
neurodegenerative disease or disorder, wherein the recombinant MIS
protein comprises a modification of amino acid 450 of SEQ ID NO: 1
from Q to R. [0431] 41. The use of paragraph 40, wherein the
recombinant MIS protein further comprises a Tag protein. [0432] 42.
The use of paragraph 41, wherein the tag is a FLAG tag comprising
amino acid sequence of SEQ ID NO: 8 or a functional fragment
thereof [0433] 43. The use of paragraph 40, wherein the recombinant
MIS protein is encoded by a vector. [0434] 44. The use of paragraph
40, wherein the MIS receptor is MIS type II receptor or a homologue
or functional fragment thereof.
[0435] The invention can be understood more fully by reference to
the following detailed description and illustrative examples, that
are intended to exemplify non-limiting embodiments of the
invention.
EXAMPLES
[0436] The following examples are provided for illustrative
purposes only and are not intended to limit the scope of the
invention.
[0437] The description of the present invention has been presented
for purposes of illustration and description, but is not intended
to be exhaustive or limiting of the invention to the form
disclosed. The scope of the present invention is limited only by
the scope of the following claims. Many modifications and
variations will be apparent to those of ordinary skill in the art.
The embodiment described and shown in the Figs. was chosen and
described in order to best explain the principles of the invention,
the practical application, and to enable others of ordinary skill
in the art to understand the invention for various embodiments with
various modifications as are suited to the particular use
contemplated.
[0438] Materials and Methods
[0439] Constructs and Plasmid Cloning.
[0440] WT-MIS: pBG311 Vector with Genomic Sequence of MIS.
[0441] The vector was constructed as previously described (Cate et
al, 1986). Briefly, the genomic sequence of human MIS was
sub-cloned into a pBG311 expression vector from chMIS33 which was
isolated from a human cosmid library using a bovine cDNA probe
(Cate et al. 1986).
[0442] RF-MIS: pcDNA 3.1 and pAAV-IRES-NEO Vectors Containing MIS
cDNA with Native MIS Leader Sequence, Modified Cleavage Site (R),
and Flag Tag (F).
[0443] The coding sequence of MIS, present in a pcDNA3.1 vector
containing a FLAG-labeled full-length human MIS cDNA sequence
previously described (Papakostas et al, 2010) was subcloned into a
pAAV-IRES-Neo expression vector at an ECORV site. This coding
sequence contains a FLAG-epitope inserted after a modified cleavage
site at position 428 (RARR/S) (SEQ ID NO: 27) FLAG (Papakostas et
al, 2010).
[0444] LR-MIS: pcDNA 3.1 Vector Containing MIS cDNA with Human
Serum Albumin Leader Sequence (L) and Modified Cleavage Site
(R).
[0445] The pcDNA3.1 vector containing a full-length human MIS cDNA
sequence containing a modified cleavage site, as previously
described (Papakostas et al, 2010) was used to incorporate the
albumin leader sequence. The albumin leader was cloned in the place
of the MIS leader using a forward primer containing an EcoRV site:
CGAGATACATGAAGTGGGTGAGCTTCATCAGCCTGCTGTTCCTGTTCAGCAGCGCTTA
CTCCCGCGGTGTGTTCCGGCGCAGAGCAGAGGAGCCAGCTGTG (SEQ ID NO: 11) (with
the nucleic acid encoding the leader sequence highlighted in bold)
and a backward primer at position 451-432 of MIS
GCTCCTGGAACCTCAGCGAG (SEQ ID NO: 12).
[0446] LRF-MIS: pcDNA 3.1 Vector Containing MIS cDNA with Human
Serum Albumin Leader Sequence (L), Modified Cleavage Site (R) and
Flag Tag (F).
[0447] The pcDNA3.1 vector containing a full-length human MIS cDNA
sequence containing a modified cleavage site and a flag tag, as
previously described (Papakostas et al, 2010) was used to
incorporate the albumin leader sequence as described above.
[0448] Transfections and Cloning:
[0449] Wild-type MIS (WT-MIS). The WT-MIS construct (pBG311) along
with pSV2DHFR was previously transfected in DHFR-CHO cells and the
B9 clone was selected as the highest expresser as previously
described (Cate et al, 1986).
[0450] RARR/S-Flag MIS (RF-MIS) ("RARR/S" Disclosed as SEQ ID NO:
27):
[0451] The RF-MIS construct (in pAAV-IRES-NEO) was transfected in
CHO-S cells using Fugene 6 (Roche) according to the manufacturer's
protocol and the CHO93 stably expressing clone was selected under
geneticin selection (550 ug/ml) as the highest expresser determined
by western blot.
[0452] LR-MIS.
[0453] The LR-MIS construct (in pcDNA3.1) was transfected in CHO-K1
cells using lipofectamine 2000 (invitrogen), according to the
manufacturer's protocol. Clones were selected in 800 ug/ml of
geneticin, and the highest expressers as determined by western blot
(LR8, 11 and 22) were chosen for further study.
[0454] LRF-MIS.
[0455] The LRF-MIS construct (in pcDNA3.1) was transfected in
CHO-K1 cells using lipofectamine 2000 (invitrogen), according to
the manufacturer's protocol. Clones were selected in 800 ug/ml of
geneticin (G418), and the highest expressers as determined by
western blot (LRF8, 18 and 22) were chosen for further study.
[0456] Media and Culture Conditions:
[0457] WT-MIS; B9 Clone.
[0458] B9 is grown in roller bottles (1700 cm.sup.2) with 250 ml of
alpha MEM-supplemented with 5% female fetal calf serum (FFCS)
(Biologos), 0.24 .mu.M methotrexate, 2 nM glutamine, 100 U/ml
penicillin and 100 ug/ml streptomycin (Invitrogen) maintained
confluent for several months in 5% CO2, at 37 C while media is
collected every 3-4 days. Media is screened by western and MIS
ELISA to monitor and measure production.
[0459] RF-MIS: CHO93 clone.
[0460] CHO93 is grown in roller bottles (1700 cm.sup.2) with 250 ml
of DMEM:F12 supplemented with 10% FFCS, 550 ug/ml of geneticin, 2
nM glutamine, 100 U/ml penicillin and 100 ug/ml streptomycin
(Invitrogen) maintained confluent for several months in 5% CO2, at
37 C while media is collected every 3-4 days. Media is screened by
western and MIS ELISA to monitor and measure production.
[0461] LR-MIS and LRF-MIS: LR8, 11, 22 and LRF8, 18, 22 Clones.
[0462] Both LR-MIS and LRF-MIS clones are grown in roller bottles
(1700 cm.sup.2) with 250 ml of DMEM supplemented with 10% FFCS, 800
ug/ml of geneticin, 2 nM glutamine, 100 U/ml penicillin and 100
ug/ml streptomycin (Invitrogen) maintained confluent for several
months in 5% CO2, at 37 C while media is collected every 7 days.
Media is screened by western and MIS ELISA to monitor and measure
production.
[0463] Purification of MIS.
[0464] Purification Using Immunoaffinity Anti-Flag Beads.
[0465] RF-MIS and LRF-MIS, which contain a flag tag, are isolated
from serum-containing media collected from roller bottles of stably
expressing clones of CHO (CHO93, LRF8, LRF18, LRF22) as described
above. Collected media is spun down to discard dead cells and the
supernatant is collected into 500 ml containers and stored in -20 C
until purification. For purification, media is thawed at 4 C
overnight and then incubated with anti-FLAG agarose beads (SIGMA,
500 .mu.l packed beads/500 ml media), mixing with rotation
overnight at 4 C. Subsequently, the beads are precipitated at 13000
rpm, for 10 seconds and washed extensively (7.times.) with cold
1.times. Tris Buffered Saline (TBS) (SIGMA). All reagents are kept
on ice. RF-MIS and LRF-MIS is eluted with 50 .mu.g of 3.times. FLAG
peptide (SIGMA)/500 .mu.l beads in 1.times.TBS at 25 C for 45
minutes with rotation. The beads are spun down at 13000 rpm, for 10
seconds at room temperature and the supernatant containing the FLAG
MIS is collected, aliquoted, and stored in low protein binding
Eppendorf tubes (VWR) at -80 C for subsequent use.
[0466] Immunoaffinity Purification Using Anti-MIS 6E11
Immunoaffinity Column.
[0467] The 6E11 MIS monoclonal antibody column was produced as
previously described (Ragin et al, 1992). Briefly, a 5 ml
immunoaffinity column was constructed using approximately 50 mg of
protein A--sepharose (Sigma Chemical Co., St Louis, Mo.)--purified
mouse monoclonal anti-human rhMIS antibody, as previously
described. [Ragin 1992, Hudson 1990], covalently attached to 5 ml
packed Affigel-10 agarose resin (Biorad Laboratories, Richmont,
Calif.) per manufacturer's instructions (approximately 80% coupling
efficiency). The column was blocked with ethonalamine and
equilibrated with 50 ml of 20 mM
4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (Hepes), pH 7.4
and 200 ml concentrated (10.times., serum free) conditioned media
loaded at 1 column vol/h at 4.degree. C. After loading, the column
was washed with 10 column volumes of 20 mM Hepes, pH 7.4. A
pre-elution step employed 1 column volume containing 0.5M NaCl in
20 mM Hepes, pH 7.4. Elution of bound rhMIS was achieved using 1M
Acetic Acid in 20 mM Hepes, pH 3.0. The majority of the rhMIS
eluted in a 2-5 ml fraction, post 2 ml void volume fraction. Eluted
rhMIS was immediately neutralized with NaOH to a pH between 7.0 and
7.4. The acid eluted fractions were dialyzed overnight versus 0.02M
Hepes, pH7.4. The resulting rhMIS was analyzed for total protein by
Bradford method (Bradford, 1976) and for rhMIS concentrations by an
enzyme-linked immunoassay (Hudson 1990) and examined by
polyacrylamide gel electrophoresis (Weber 1969), Western blot
analysis (Towbin 1979), in vitro Mullerian duct regression
bioassays and tumor antiproliferative assays (Chin 1991).
[0468] ELISA
[0469] ELISAs were performed using the antibody "sandwich" method
using plates coated with anti-holo MIS 6E11 mouse monoclonal
antibody (which recognizes cleaved and uncleaved products) and the
MGH6 rabbit polyclonal anti holo-MIS (which recognizes cleaved and
uncleaved products) as reported previously 5. In detail, Dynatech
Immulon 2HB Elisa 96-well flat bottom plates (Thermoscientific,
Rochester, N.Y.) were coated overnight at 4 C with mouse monoclonal
6E11 anti-hrMIS antibody (described above) in 0.05M sodium
bicarbonate buffer pH 9.6 (5 .mu.g/ml; 50 .mu.l/well). The plates
were washed five times with washing buffer (phosphate buffered
saline (PBS)/0.1% Tween 20) (150 .mu.l/well) and blocked with 1%
BSA in PBS (IgG-free, protease-free) (Jackson ImmunoResearch
Laboratories, West Grove, Pa.) for 2 hours at room temperature or
overnight at 4 C. This blocking buffer was used for all subsequent
dilutions wherever mentioned. Plates were sealed to prevent
dehydration. The blocking buffer was discarded and the plates were
washed with washing buffer. The concentration of the MIS standards
were determined by Bradford. MIS standards or unknowns were diluted
in blocking buffer and were incubated overnight at 4 C. All sample
incubations were done at a volume of 500 per well. After five
washes with washing buffer, the rabbit polyclonal anti MIS antibody
(MGH6; developed in our laboratories) was added at 1:4000 dilution
in blocking buffer and was incubated for 1 hour at room
temperature. The plates were washed five times with washing buffer.
Donkey anti rabbit IgG conjugated to HRP (Jackson ImmunoResearch
Laboratories, West Grove, Pa.) was added at 1:70000 dilution in
PBS, and the plates were incubated for 1 hour at 4 C. After five
washes with washing buffer, 500 of 0.42 mM TMB in 0.1M sodium
acetate citric acid (citrate buffer) pH 4.9/0.044% H2O2 was added
to each well and the reaction was monitored 12.5 minutes at room
temperature in the dark. The reactions were quenched by the
addition of 2N sulfuric acid, and absorbances were read at 595 nm
on a microplate reader (Victor2 1420, Perkin Elmer Lifesciences,
Shelton, Conn.). The ELISA of the LR and LRF clones was performed
on the media of confluent plates incubated for 24 hours, after
which the number of cells was counted to estimate the production
(pg/cell/day) which was displayed as the mean of 5 experiments.
[0470] Electrophoresis and Western Blotting
[0471] Samples for gel electrophoresis were reduced with 100 mM
Dithiothreitol in 1.times. Laemmli buffer (0.0625 mM Tris pH 6.8,
2% (w/v) SDS stock, 10% (v/v) glycerol, 0.002% (w/v) bromophenol
blue) and heat denatured on a thermoblock at 70.degree. C. for 10
min. Samples were run on a 4-12% Tris-Bis NuPage Novex "mini" gel
(Invitrogen) at 130V with 1.times. (N-morpholino)ethanesulfonic
acid (MES) running buffer (Invitrogen). Gels were stained with
LUMITEIN.TM. (Biotium) or coomassie stain (0.3% Brilliant Blue
R-250, 45% Methanol, 10% Acetic Acid in H.sub.2O) for 15 min at
room temperature with agitation. Subsequently, they were agitated
overnight at room temperature in de-staining solution (20%
methanol, 10% acetic acid in H.sub.2O) with agitation.
[0472] For Western blot analysis, gels were transferred onto PVDF
(Millipore) membranes, previously equilibrated in 1.times. NuPage
transfer buffer (Invitrogen) containing 12% (v/v) methanol, at 25V
for 45 min and at 35V for another 45 min. Membranes were blocked
with 1.times.PBS, 0.1% Tween-20 containing 5% nonfat dry milk for
30 min at room temperature and probed with horseradish peroxidase
conjugated mouse monoclonal anti-FLAG M2 antibody (SIGMA) (1:1000),
goat C20 anti-MIS c-terminus antibody (Santa Cruz) (1:200) or
rabbit MGH4 anti-MIS n-terminus MIS antibody (custom) (1:1000).
Blots were washed two times 5 min each at room temperature with
1.times.PBS, Tween-20 0.1%, and incubated with appropriate
secondary antibody if necessary, and washed three times (5 mins).
Proteins bands were visualized with the ECL kit detection system
(Perkin-Elmer) onto Kodak Biomax MR film. ImageJ (NIH, see world
wide web at: "imagej.nih.gov/ij/") was used to perform densitometry
to quantify the protein bands to compare cleavage of different
constructs which was averaged over at least three independent
western blots.
[0473] Animals and Organ Cultures:
[0474] The standard organ culture bioassay for Mullerian Inhibiting
Substance (MIS) was performed as described previously (Donahoe,
1977). Briefly, female urogenital ridges from timed pregnant rats
at E14.5 (Harlan) were dissected and cultured on agar coated
stainless steel grids mounted above fortified Cambridge Medical
Research Laboratories (CMRL) 1066 media (Life Technologies)
supplemented with 10% FFCS (to avoid an effect of bovine MIS in
male serum), 1% penicillin/streptomycin, 1% L-Glutamine, 1%
Fungizone (Invitrogen), and 1 nM testosterone (Sigma). After
incubation for 72 hours in humidified 5% CO2 at 37.degree. C., the
specimens were fixed in Zamboni buffer (15% formaldehyde solution,
and 5% picric acid), and embedded in paraffin, and 8-um sections of
the cephalic end were stained with hematoxylin and eosin. The
sections were then scored from 0 (no regression) to 5 (complete
regression), by two experienced observers. Cultures were carried
out with conditioned media (mock) and with replicates (N of at
least 3) of purified RF-MIS, LRF-MIS, LR-MIS, or WT-MIS at a final
concentration of 5 .mu.g/ml and at lower doses of 3 .mu.g/ml, and 1
.mu.g/ml. LR-MIS was also tested at concentrations of 0.5 .mu.g/ml
and 0.2 .mu.g/ml.
[0475] Administration of rAAV9-mMIS In Vivo
[0476] rAAV9-mMIS (mouse) was prepared using methods as disclosed
herein and commonly known to persons of ordinary skill in the art
and rAAV9-mMIS administered at day 1 after birth (P1) using the
facial vein. The dose is scaled by weight of the recipient mice to
4.times.10.sup.14 rAAV9-mMIS genomes/kg, at a concentration of
4.times.10.sup.9/.mu.l. Thus, for a newborn mouse the typical dose
is 4.times.10.sup.11 genomes in 100 .mu.l. Control mice were
injected with empty rAAV9 at the same dose and concentration. The
recipient SOD1G93A mutant mice can be obtained from Jackson Labs.
The inventors elected to use the congenic SOD1G93A all B6 strain
for two reasons. First, mice within this congenic strain should be
genotypically identical; avoiding some of the inter-individual
variability inherent in using the more frequently studied hybrid
B6SJL SOD1G93A ALS mice. And, second, the ALS trait in the congenic
B6 strain is associated with a slightly longer survival (.about.160
days) as compared to the SJL-B6 strain (.about.135 days). This
slightly milder phenotype enhances the likelihood of detecting
benefit from AAV9-mMIS intervention.
[0477] Analysis of ALS disease phenotype in ALS mice
[0478] All mice were evaluated twice weekly from 50 days of age
onward; in each of these initial evaluations the weight and results
of the leg extension test are tested. Briefly, at each evaluation a
neurological score is assigned on a scale of 0 to 4 (Jackson
Laboratory Manual on ALS Mice), for which 0 is normal; 1
corresponds to limb trembling or partial collapse of the
outstretched limbs toward the midline; 2 represents dragging of a
limb; 3 is paralysis or foot dragging; and 4 is the end-stage at
which the animal cannot right itself in 30 seconds after being
placed on its side. The onset of the motor neuron disease is
defined as the time point at which the mice either show a score of
neuroscore of 1 two days in a row or develop weight loss of 5% from
an apparent peak weight. After onset, the mice were examined every
other day, still obtaining weights and a neuroscore. Motor function
is recorded using grip strength and rotorod on a weekly basis. Mice
were followed until the neuroscore is 4, at which point they are
euthanized. At death, and for cohorts of control and treated mice
at two specific times point mid-way in the disease (110 and 130
days for the B6 ALS mice), a series of quantitative histological
studies are performed, which include western blot of MIS expression
in vivo from the i.v. injection of AAV9-MIS, analysis of
neuromuscular junction architecture, electromyography testing to
assess motor unit size (MUS) and motor unit number estimates
(MUNE), and ventral root counts, as well as copy number and
expression analysis of SOD1. All mouse studies were performed in a
blinded manner by an experienced mouse technician.
Example 1
[0479] Purification of Mullerian Inhibiting Substance (MIS) protein
for preclinical efficacy (Pieretti-Vanmarcke et al. 2006), has
predominantly been done from conditioned media from CHO cells
transfected with a genomic clone (Cate et al. 1986). The media was
then immunoaffinity purified (Ragin et al. 1992) using a mouse
monoclonal antibody (Hudson et al. 1990) or purified by serial
chromatography (Lorenzo et al. 2002). Biologic activity was
detected in an embryonic organ culture Mullerian duct regression
assay (Donahoe et al. 1977) and immunoactivity detected by an ELISA
(Hudson et al. 1990) using monoclonal and polyclonal antibodies
raised to human MIS. The transfected CHO cells were subsequently
adapted to serum free conditions and suspension culture
(MacLaughlin/Stafford/Dean, Donahoe unpublished), clonally
selected, scaled, and purified as above. Western analysis confirmed
25-30% cleavage to yield the homodimerized C-terminus bioactive
moeity which was held in noncovalent association with the
homodimerized N terminus, with cleavage at the Kex-like, primary
cleavage site at amino acid residues 426-427, and secondary
cleavage at amino acid positions 229-230. Bands on reduced
electrophoretic gels at 70, 55, 34, 24, and 12.5 kDa were all MIS
fragments, as determined by amino acid sequencing (Ragin et al.
1992; Lorenzo et al. 2002), and representative of predicted Kex and
dibasic cleavage products.
[0480] To optimize cleavage and the primary cleavage site at amino
acid position 428, the recognition sequence was mutagenized to
create a dibasic cleavage site; the RAQR/R (SEQ ID NO: 28) variant
was bioactive (Kurian et al, 1994). Position 425 (corresponding to
amino acid residue 450 of SEQ ID NO: 1) was then mutagenized to
create a more consensus Kex cleavage site (Nachtigal & Ingraham
1996)(Hosaka et al. 1991), RARR/S (SEQ ID NO: 27), and an 8 amino
acid Flag (DYKDDDDK) (SEQ ID NO:8) tag was added just downstream of
the first serine in the C-terminus to aid in detection and
purification. Expression of this variant resulted in improved
cleavage and increased bioactivity. By comparison, when the
C-terminal arginine (Kurian et al 1994) was followed by Flag, the
protein produced by this construct was bioinactive (Papakostas et
al 2010); thus, the serine appeared to be important for
preservation of bioactivity. The RARR/S (SEQ ID NO: 27) Flag
construct (Papakostas et al 2010) was transfected into CHO cells
and improved cleavage and preservation of bioactivity confirmed
(Papakostas et al, 2010). The modification of the cleavage site
increased the cleavage to over 50-60% (Papakostas et al, 2010).
[0481] To scale expression, the MIS RARR/S (SEQ ID NO: 27) Flag
construct was further modified to substitute the endogenous MIS
leader sequence with that of human serum albumin (HSA). HSA is the
most abundant protein in plasma and is produced at a very high rate
by the liver to achieve a blood concentration ranging from 3.4 to
5.4 g/dL (Farrugia 2010). The production and processing of HSA is
finely tuned to allow efficient maturation and secretion of the
protein. HSA, like MIS is synthesized as a prepro-protein, which
contains a leader sequence that is subsequently cleaved during
maturation. This HSA leader sequence consists of only 24 AA, is not
immunogenic in humans, and is removed during protein processing.
Here the inventors demonstrate that substitution of the MIS leader
sequence with that of HSA increases production, and unexpectedly,
cleavage, which correlates with increased potency of the
recombinant human MIS product.
Example 2
[0482] Design of Novel Recombinant MIS Constructs, and Isolation of
CHO Clones.
[0483] The inventors have developed new constructs using the human
cDNA sequence of MIS to improve upon the original wild type (WT)
genomic MIS constructs in an effort to increase production of
recombinant MIS with a sequence size more amenable to other
applications such as viral gene therapy. Three modifications were
evaluated herein: a Q425R amino acid substitution in the c-terminal
maturation cleavage site annotated as "R", the addition of a
FLAG-tag on the N-terminus of the c-terminal mature peptide at
amino acid (AA) position 428 annotated as "F", and a substitution
of the endogenous MIS leader peptide with the human serum albumin
leader (HSAL) peptide directly upstream of AA position 0 annotated
as "L" (Table 2 and FIG. 1A). The resulting constructs which
incorporate these modifications are thus referred to as RF-MIS
(566AA), LRF-MIS (567AA) and LR-MIS (559AA) (FIG. 1B). The 1AA
difference between RF-MIS and LRF-MIS results from the fact that
the HSAL peptide is IAA longer than that of MIS, which otherwise
shares 20% identity (FIG. 1A). Both the WT genomic MIS, referred to
as "WT-MIS", and the RF-MIS constructs have been previously
described (Papakostas et al, 2010). The novel LR-MIS and LRF-MIS
transgenes were cloned in a pcDNA3.1 mammalian expression vector,
and stably transfected into CHO-K1 cells (Table 3). The three
highest expressing clones for the LR-MIS construct (LR8, LR11,
LR18), and the LRF-MIS construct (LRF8, LRF18, LRF22) were selected
from hundreds of screened clones by comparing MIS level in the
media of each clone by western blot (data not shown).
[0484] By substituting the modified RARR/S (SEQ ID NO: 27) for the
endogenous RAQR/S (SEQ ID NO: 26) (noted as R in constructs), and
inserting a Flag tag immediately downstream of the cleavage site
(noted as F in construct) (Table 2). (FIG. 1B), the inventors
demonstrated increased cleavage of the tagged C-terminus
(Papakostas et al, 2010). Furthermore, the recombinant RARR/S-Flag
MIS ("RARR/S" disclosed as SEQ ID NO: 27) (referred to herein as
"RF-MIS") protein retained bioactivity in the fetal rat urogenital
ridge assay (Papakostas et al, 2010). To overcome low expression
yields, the backbone vector of RF-MIS was switched to
pAAV-IRES-Neo, and cloned into CHO-S cells, and screened under high
Geneticin concentration. The resulting expression vector is
polycistronic and includes an internal ribosomal entry site (IRES)
driving expression of the neomycin resistance cassette downstream
of MIS, allowing for better selection of high expressers. The
highest expressing clone, CHO93, was subsequently scaled up for
production using roller bottles and recombinant RF-MIS was purified
using anti-flag M2 immunoaffinity beads (Table 3). However, while
RF-MIS has increased cleavage of the active C-terminus, and
importantly, less internal cryptic cleavage (FIG. 2) (FIG. 3), the
yield and production of the cDNA clone CHO93 (0.16 pg/cell/day)
remains much lower than that of the genomic clone B9 (10.59
pg/cell/day)(Table 4A), although it is unclear whether this is due
to the expression vector, the CHO cells, the nature of the drug
selection, or the type of message produced (cDNA versus genomic
MIS).
[0485] To improve production, the original R-MIS and RF-MIS
construct in pcDNA3.1 vectors were modified by substituting the
25AA MIS leader sequence (pre-pro peptide) with the 24 AA of the
human serum albumin (HSA) leader sequence (herein noted as L in
constructs) to create the "LR" and "LRF" constructs (Table 2) (FIG.
1A).
TABLE-US-00003 TABLE 2 List of modifications to the MIS wild-type
sequence and corresponding nomenclature. Position (AA) Position on
Modification (shown in (normal protein SEQ ID Notation Native BOLD)
nomenclature) NO: 1 Purpose R RAQR/S RARR/S (SEQ ID NO: 27) 423-427
448-452 Furin/Kex2 census (SEQ ID site for improved NO: 26)
cleavage F n/a FLAG Tag Located Located C-terminus FLAG (DYKDDDDK)
(SEQ ID between 427- between tag for easier NO: 8) 428 452-453 of
purification and SEQ ID tracking. NO: 1 L MIS Human serum albumin
1-25 1-25 Increased Leader (HSA) Leader Sequence production,
secretion Sequence (MKWVTFISLLFLFSSA and cleavage. YSRGVFRR) (SEQ
ID NO: 6)
[0486] HSA leader sequence fusion has been shown to increase
production of recombinant interleukins (Carter et al, 2010) and
TNF-alpha (Maeda Y et al 1997), and has been suggested as a way to
produce proteins otherwise difficult to express and to scale.
Furthermore, HSA is known to also enhance secretion of fused
proteins such as human lysozyme in yeast expression system with
Pichia pastoris (Xiong et al, 2008). The three highest stably
expressing clones in CHOK1 were selected for further analysis:
LR8/11/18 and LRF8/18/22 (FIG. 2). Both cloning efficiency and
expression levels were greater for the LR clones than the LRF
clones, demonstrating that the FLAG tag may make expression less
efficient. Similarly to CHO93, all LR and LRF clones have reduced
peptide fragments resulting from internal cryptic cleavage at
position 229, when compared to the wild type (WT-MIS) protein
produced by B9. Unexpectedly, they also appear to have greater
proportion of cleaved C-terminus (FIGS. 2 and 3). This increased
cleavage could be explained by the strong evolutionary pressures on
the albumin leader for efficient processing in the trans-golgi
network and transport to secretory vesicles, since albumin is
endogenously secreted at much higher rate than MIS (Rothschild et
al. 1988). LRF18 was chosen for characterization since it is the
highest expressing LRF clone, and can be purified and tracked using
the Flag tag (Table 3).
TABLE-US-00004 TABLE 3 List of constructs and cell line clones
producing MIS and corresponding purification methods. Construct
Clones Vector Cell Line Purification MIS B9 MIS WT genomic CHO
cells lacking Immunoaffinity using sequence in pBG311 the DHFR
gene. 6E11 monoclonal plasmid. antibody against MIS or serial
chromatography. RF-MIS CHO93 MIS cDNA sequence CHO-S Immunoaffinity
using M2 inserted into pAAV- monoclonal antibody IRES-Neo plasmid.
against FLAG tag. LR-MIS LR8 MIS cDNA sequence CHO-K1
Immunoaffinity using LR11 inserted into 6E11 monoclonal LR18
pcDNA3.1plasmid. antibody against MIS or serial chromatography.
LRF-MIS LRF8 MIS cDNA sequence CHO-K1 Immunoaffinity using M2 LRF18
inserted into monoclonal antibody LRF22 pcDNA3.1plasmid. against
FLAG tag.
[0487] When cultured for 24 hours in flasks, the concentration of
MIS, as detected by ELISA, is greater in the media of B9 (WT-MIS)
(15 .mu.g/ml) than in the media of clones (LR8: 3.04 .mu.g/ml;
LR11: 11.66 .mu.g/ml; LR22: 6.28 .mu.g/ml) (Table 3). The highest
producing clone of LR, LR11 secretes 3.24 pg/cell/day of MIS while
the WT clone B9 produces 10.58 pg/cell/day, however, LR11 cells
grow much more compact fashion, conversely, the highest expressing
clone of LRF, LRF18 has both higher concentration (1.1 .mu.g/ml)
and higher production (0.26 pg/cell/day) than RF-MIS (CHO93) with
(0.67 .mu.g/ml) and (0.15 pg/cell/day) (Table 4A).
[0488] The data for expression of clones WT-MIS (B9), RF-MIS
(CHO93), and the highest expressing clones for LR-MIS (LR11) and
LFR-MIS (LRF18) in serum-containing and serum-free media is
summarized in Table 4B. When corrected for the number of cells, the
highest producing clone of LR-MIS (LR11), secretes 1.142+/-0.482
pg/cell/day of MIS, significantly less (p=0.01) than the WT-MIS
clone (B9) with 7.597+/-1.378 pg/cell/day in serum containing
media. Furthermore, the highest expressing clone of LRF, LRF18, has
both a significantly higher concentration, 2.149+/-0.479 .mu.g/ml
(p=0.03), and a significantly higher production, 0.430+/-0.177
pg/cell/day (p=0.04), than the RF clone CHO93 with 1.236+/-0.772
.mu.g/ml and 1.236+/-0.772 pg/cell/day respectively in serum
containing media. These trends of expression as detected by ELISA
are recapitulated in larger culture vessels (200 ml roller
bottles), and are consistent with the amount of c-terminal MIS
observed in the media by western blot (FIG. 2), with the highest
MIS concentrations achieved in roller bottles attaining up to 20
.mu.g/ml for B9, 25 .mu.g/ml for LR11, 4 .mu.g/ml for LRF18, and 2
.mu.g/ml for CHO93.
[0489] Thus, the addition of the HSA leader increases the
production of the flag-tagged MIS product but not the untagged
product. However, as the flag-tagged constructs clearly do not
produce as much as the untagged ones, the flag tag may be
interfering with protein stability or expression. Coomassie stains
and western blot show that the product purified from LRF18 by
anti-flag immunoaffinity purification has fewer bands
representative of internal cleavage (Ragin 1992) than the MIS
purified from WT-MIS (B9) using anti-MIS affinity purification
(FIG. 3).
TABLE-US-00005 TABLE 4A Purification yield from MIS from various
constructs. WT-MIS RF-MIS LRF-MIS (B9) (CHO93) (LFR18) LR-MIS
(LR11) MIS 15 0.67 1.10 11.67 concentration (.mu.g/ml) at 24 hours
Production 10.59 0.15 0.26 3.24 (pg/cell/day) Purification yield
15% 20% 20% 15% (% w/w) Percent cleavage 20% 50% 90% 90%
TABLE-US-00006 TABLE 4B yield of expression of clones WT-MIS (B9),
RF-MIS (CHO93), and the highest expressing clones for LR-MIS (LR11)
and LFR-MIS (LRF18) in serum-containing and serum-free media.
RF-MIS LRF-MIS LR-MIS WT-MIS (B9) (CHO93) (LFR18) (LR11) MIS
concentration (.mu.g/ml) 16.821 .+-. 3.393 1.236 .+-. 0.772 2.149
.+-. 0.479 4.866 .+-. 1.238 at 24 h in serum-containing media
Production of MIS 7.597 .+-. 1.378 0.254 .+-. 0.184 0.430 .+-.
0.177 1.142 .+-. 0.482 (pg/cell/day) in serum- containing media MIS
concentration (.mu.g/ml) 1.528 .+-. 0.105 0.223 .+-. 0.063 0.457
.+-. 0.254 1.411 .+-. 0.249 at 24 h in serum-free media Percent
cleavage at 24 h in 25 .+-. 5 50 .+-. 19 37 .+-. 28 79 .+-. 5
serum-free media (%) Purification Yield (% w/w) 15 20 20 15
[0490] Taken together, the inventors demonstrate herein that the
LR-MIS results in a greater yield of production with increased
cleavage and higher bioactivity or potency. Accordingly, the
inventors demonstrate that the HSA leader sequence surprisingly
resulted in an increased yield (both higher concentration and
higher production) of the recombinant human MIS protein (see FIGS.
2 and 3).
Comparison of Cleavage in MIS-Producing Clones.
[0491] To estimate the amount of cleavage of the C-terminal MIS,
MIS-producing clones were grown in serum-free media since the
albumin in the serum interferes with the detection of holo-MIS by
western blot (FIG. 2B). When examining the ratio of bands using a
C-terminus antibody by densitometry analysis of Western blot of
conditioned serum free media, the LR-MIS clone LR11 displays over
79% cleavage, while WT-MIS produced by clone B9 shows only 25%.
Comparatively, the Flag-containing clones LRF18 and CHO93 have 37%
and 50% cleavage respectively (Table 4B). The cleavage was
calculated using at least 4 independent experiments by western blot
and indicates that the cleavage of LR11 is significantly higher
than that of B9 or LRF18 (p<0.01). The cleavage of MIS in the
media translates into an increase in cleaved c-terminal MIS, and a
complete absence of unwanted internal cryptic cleavage product in
the immunoaffinity purified recombinant LR-MIS and LRF-MIS as
observed by western blot analysis of 0.1 .mu.g of purified
material, or in gel electrophoresis with non-specific protein
staining using 1 .mu.g of purified material (FIG. 3B).
[0492] Accordingly, the presence of the HSA leader sequence also
resulted in an unexpectedly increase in cleavage from the primary
cleavage site (corresponding to cleavage at 451/452 of SEQ ID NO: 1
(or 426/427 of conventional amino acid nomenclature of wild-type
human MIS protein) (see FIGS. 2A-2B and 3B). This increased yield
and increased cleavage was surprising because with an increased
yield (and therefore more protein produced by the cell), one would
expect a decreased cleavage as the activity of the available
cleavage enzymes becomes saturated and overextended. However, this
was not the case--in fact the exact opposite occurred where with
increased protein production there was increased cleavage from the
primary cleavage site.
[0493] This is particularly unexpected as the effect of the leader
sequence, which is not located anywhere near the cleavage site of
the primary cleavage site of MIS, was not expected to have an
effect on increased cleavage as the leader sequence is typically
cleaved first before the post-translation cleavage of the
proprotein MIS.
[0494] Furthermore, the leader sequence also resulted in less
cleavage from the secondary cleavage site (located between amino
acid residues 229/230 of normal wild-type MIS numbering or
corresponding to residues 254/255 of SEQ ID NO: 1). This is also
surprising, considering that there was not a modification to the
secondary cleavage site.
[0495] Additionally, the presence of the leader sequence also
increased the production and yield even when a FLAG tag is present
in the recombinant human MIS protein. (The FLAG tag significantly
decreases the yield as shown in Table 4A and 4B). This again was a
surprising discovery, as the leader sequence is not located
anywhere near the FLAG tag and it would not be expected that such a
modification to the leader sequence would increase the production
yield of a protein comprising a FLAG tag.
[0496] Bioactivity of Purified MIS.
[0497] Since the C-terminus of MIS has previously been shown to be
the active moiety (Pepinski 1988, Maclaughlin et al 1992),
increased cleavage should correlate with greater bioactivity in the
rat UGR assay. To verify that the modifications to the protein
sequence do not interfere with the activity of MIS, purified MIS
was tested in an ex-vivo urogenital ridge culture assay. The
ridges, dissected from female rat fetuses of E14.5 of age, contain
gonadal tissue, Mullerian and Wolffian ducts, and much smaller
mesonephric ducts. Ridges are incubated 72 h at the air/media
interface on grids containing an agarose substrate; the media is
supplemented with 1, 3, or 5 .mu.g/ml of MIS (FIG. 4A), or down to
0.5 and 0.2 .mu.g/ml for LR-MIS (FIG. 4B) for the treated ridge
while the contralateral ridge is left untreated to use as a
control. Using this gold standard bioassay, regression of the
Mullerian duct is qualitatively measured and scored on a scale of
0-5, where 0 represents no regression, while 5 is complete
regression. Using this bioassay, the inventors tested MIS purified
from media of CHO93 (RF-MIS), and LRF18 (LRF-MIS) using anti-flag
immunoaffinity, or MIS purified from media of LR11 (LR-MIS), and B9
(WT-MIS) using anti-MIS 6E11 immunoaffinity. All four preparations
of WT-MIS, LR-MIS, RF-MIS, and LRF-MIS retain their ability to
induce regression of the Mullerian duct at 5 .mu.g/ml and at 3
.mu.g/ml, whereas only LR-MIS still displays significant regression
at 1 .mu.g/ml with a score of 4 (FIG. 4A). Activity of LR-MIS was
preserved down to concentrations of 0.5 .mu.g/ml with a score of 4,
and still had residual activity at 0.2 .mu.g/ml with a score of 3
(FIG. 4B).
[0498] Accordingly, the inventors demonstrate that that LRF-MIS is
able to fully regress the Mullerian duct at 5 .mu.g/ml (35 .mu.M)
and 3 .mu.g/ml and show greater activity than RF-MIS and WT-MIS at
these concentrations (FIG. 4A). Furthermore LRF-MIS continues to
display full regression even at lower doses, down to 2 .mu.g/ml, a
dose at which WT-MIS no longer shows any activity (data not shown).
Accordingly, the presence of the leader sequence (L) in the LRF-MIS
recombinant human MIS protein results in a dose-dependently
decrease the regression of the Mullerian ducts, as compared to the
RF-MIS construct, indicating that this construct has a higher
potency and is more active than the RF-MIS construct.
Example 3
[0499] MIS was initially cloned by the inventors. The inventors,
together with colleagues in New Zealand, subsequently observed that
MIS and its Type I (MISRI) and Type II (MISRII) receptors are
expressed in motor neurons (Wang et al, 2005, PNAS, 2005; 102;
16421-16425) and that MIS directly enhances survival of motor
neurons in vitro. Moreover, it was subsequently reported that
knockout of male specific MIS or its Type II receptor reduced the
number of male motor neurons, which are normally a third higher
than in the female (Wang et al, 2009, PNAS, 106(17);
7203-7208).
[0500] Accordingly, the inventors demonstrated that the modified
MIS as disclosed herein would have a salutary effect in amyotrophic
lateral sclerosis (ALS) mice harboring the SOD1G93A mutation. ALS
is a progressive, degenerative disorder affecting motor neurons in
the spinal cord, brain stem, and motor cortex, resulting in muscle
atrophy, paralysis, and death by respiratory failure, with survival
of less than five years (Pasinelli and Brown, 2006). About 25% of
familial cases (which are 10% of all ALS) have mutations in the
SOD1 gene (Rosen et al, 1993) that lead, as in the transgenic mice,
to relentless motor neuron degeneration.
[0501] Accordingly, the inventors demonstrate that the modified MIS
variant as disclosed herein can be used as a potential ALS
treatment, thereby responding to a compelling unmet need in
neurology. ALS is among the most devastating disorders in medicine;
it remains uniformly fatal.
[0502] The inventors demonstrate in FIG. 6 that the survival data
after MIS therapy in ALS mice demonstrated a 15 day benefit, which
is distinctly unusual in this ALS model.
[0503] Additionally, the present results as demonstrated herein
also is indicate that the neuroprotective action of the MIS variant
is beneficial in ALS will have therapeutic indications in many
areas including not only neurodegeneration but also head trauma and
stroke. Further, the inventors have also demonstrated the
feasibility of intravenous, AAV-mediated delivery of MIS, a
strategy that may ultimately be applicable to treating ALS and
other MIS-responsive disorders (e.g. ovarian cancer, excess
androgen states and another highly lethal disorder for which potent
therapies are conspicuously lacking).
[0504] A mouse MIS (mMIS) cDNA was incorporated into an AAV9 virus
construct. After confirmation that plasmids containing the MIS cDNA
successfully transfected HEK 293, the AAV9mMIS vector was delivered
as a single IV injection into C57/B16-tgSOD1G93A mice on postnatal
Day 1 (P1) (n=9), P7 (n=7), and P28 (n=4). The impact of this
intervention on survival was compared to that in control mice
injected with PBS. Typically, the untreated congenic
C57/B16-tgSOD1G93A strains survive to -155 days. By contrast,
transgenic ALS mice injected at P1 suprizingly had a mean 19 day
extension of life (FIG. 6). When mice from the 3 injection times
were combined, the average survival benefit or extension of life
was 15 days compared to mice injected with PBS (all p values
significant). This improvement surpasses that of the only
FDA-approved ALS drug (Riluzole) in these ALS mice.
[0505] At disease endpoint, AAV9-mMIS genome was detected in both
the brain and liver (FIG. 7C). MIS protein protein expressed from
AAV9-mMIS was detected muscle (Mu), liver (L), brain (B), and
spinal cord (SC) by Western blot analysis using a goat polyclonal
antibody to MIS (FIGS. 7B and 7C). Thus, the AAV9-mMIS virus
injected by tail vein appears to cross the blood brain barrier
(FIG. 7C) as previously shown (Duque et al, 2009; Foust et al,
2009; Zhang et al, 2011).
[0506] A critical pathological hallmark of neurodegeneration in ALS
in humans and in transgenic mice is an exuberant inflammatory
process characterized by astrogliosis and microgliosis. Therefore
the inventors assessed whether the apparent benefit of AAV9-mMIS on
survival correlated with a blunting or decrease of
neuroinflammation. For this purpose, the inventors used the high
copy number mutant SJL/B6 SOD1G93A strain of mice which succumb die
due to ALS by .about.120-125 days. AAV9mMIS treated or untreated
mice were sacrificed at 105 days to compare histological features
of motor neurons stained with antibodies to phosphorylated
neurofilament H (SMI-32) and choline acetyl transferase (ChAT).
Astrocytes were targeted by an antibody to glial fibrillary acidic
protein (GFAP), and microglial cells with anti-CD68 antibody.
Spinal cords were fixed after cardiac perfusion, harvested, and
sectioned, then immunostained to detect expression the SMI32 marker
and proteins of mMIS in the ventral horns of the lumbar spinal cord
(using antibodies to MIS produced or validated in the Donahoe
laboratory). Motor neuron loss observed in the PBS injected
SOD1G93A (controls, n=3 litters) (FIG. 8A) was attenuated in the
AAV9 mMIS injected mice (n=3 litters) (FIG. 8B) as determined by
anti-SMI-32 and anti-MIS immunostaining (FIGS. 8B, 8C and 8D). The
virus appears to infect motor neurons in the merged images (FIG.
8D).
[0507] In addition, these studies demonstrated that the marked
astrocytosis (GFAP) of untreated animals was markedly reduced in
the ventral horns of three litters treated with AAV9-mMIS (FIG.
9A), as quantified in FIG. 9B. Accordingly, the inventors
demonstrate that the reduction of GFAP astrogliosis is biologically
significant, given that activated astrocytes are the pathogenic
hallmark of post-mortem spinal cords, in familial and sporadic ALS
patients and in transgenic mice (Haidet-Phillips, 2011; Maniatis,
2013).
[0508] In further studies, the inventors also injected the
AAV9-mMIS and a control vector into a large cohort of the congenic
C57/B16 SOD1 mutant mice for analysis of both histology at 100 or
115 days (PBS=9; mMIS=10) and survival (155 days for controls)
(PBS=15; mMIS=15).
Example 4
[0509] Design and Creation of AAV Constructs Expressing the MIS
Variants.
[0510] In parallel with these studies, the inventors generated the
appropriate human MIS constructs in order to translate the mouse
AAV9-mMIS studies to human trials. The inventors prepared AAV9
constructs incorporating modified human MIS as disclosed herein,
with three modifications for comparison; to increase cleavage of
human recombinant MIS, improve protein production, and create size
restricted inserts compatible with expression in AAV vectors. Three
modified human MIS cDNAs were created, first modifying the primary
prohormone cleavage site at p426-427, necessary for bioactivity, to
a consensus Kex/Furin site, then adding a Flag tag for detection,
and, finally, substituting a human serum albumin leader with and
without the Flag tag (FIG. 1B). All three human constructs,
importantly, eliminate internal cleavage products observed after
purification of wild type MIS (Lorenzo et al, 2002; MacLaughlin,
unpublished).
[0511] Adeno-associated virus (AAV) is a small nonpathogenic and
helper-dependent DNA virus containing a 4.7 kb single-stranded
viral genome. One of the limitations with AAV vector is its small
packaging size. However, the rAAV vector genome can readily be
packaged with the relatively small MIS cDNA (1.7 kb). To ensure
high level expression of MIS proteins, the inventors have generated
an expression cassette driven by strong CMV-enhanced chicken
.beta.-actin promoter (CB); this includes a synthetic intron that
boosts transgene expression further (FIGS. 10A and 10B). Shown in
FIGS. 10A-10B are the designs of two vector genomes expressing
AAV9-mMIS and AAV-R mMIS, with a modified cleavage site. FIG. 10A
shows the vector expressing the transgene of interest, native wild
type. Each of these constructs were tested after transfection and
selection (neomycin) in CHO cells and scaled for production of the
human MIS protein. More than 250 novel primate AAVs serotypes
exist, some of which are the most common AAV serotypes currently
used for gene transfer applications in vivo. Among them,
systemically delivered rAAV9 stands out for its strong ability to
cross vasculature by transcytosis and transduce the liver, heart,
muscle, pancreas, and CNS. To generate high levels of mMIS or human
MIS (hMIS) protein in blood circulation and to maximize its
anti-oncogenic effect on the tumor tissue, the inventors have
elected to package the rAAV-MIS constructs using the capsid from
AAV9. Accordingly, after systemic delivery by systemic injection,
the vectors will effectively target the liver, heart, pancreas,
muscle, and CNS and achieve high level of mMIS or hMIS protein
expression from all targeted tissues through the ubiquitous CB
promoter.
[0512] rAAV9-mMIS (mouse) was prepared using methods as disclosed
herein and commonly known to persons of ordinary skill in the art
and rAAV9-mMIS administered at day 1 after birth (P1) using the
facial vein. The dose is scaled by weight of the recipient mice to
4.times.10'.sup.4 rAAV9-mMIS genomes/kg, at a concentration of
4.times.10.sup.9/.mu.l. Thus, for a newborn mouse the typical dose
is 4.times.10.sup.11 genomes in 100 .mu.l. Control mice were
injected with empty rAAV9 at the same dose and concentration. The
recipient SOD1G93A mutant mice can be obtained from Jackson Labs.
The inventors elected to use the congenic SOD1G93A all B6 strain
for two reasons. First, mice within this congenic strain should be
genotypically identical; avoiding some of the inter-individual
variability inherent in using the more frequently studied hybrid
B6SJL SOD1G93A ALS mice. And, second, the ALS trait in the congenic
B6 strain is associated with a slightly longer survival (.about.160
days) as compared to the SJL-B6 strain (.about.135 days). This
slightly milder phenotype enhances the likelihood of detecting
benefit from AAV9-mMIS intervention.
[0513] After confirming bioactivity in the organ culture bioassay
for Mullerian duct regression (FIG. 4A), the transfected CHO cells
were expanded in roller bottles and media purified (Lorenzo et al,
2002) by immunoaffinity (Ragin et al, 1992) chromatography and
sequence confirmed. These constructs were cloned and each packaged
an rAAV backbone. The rAAV9hMIS vectors were assessed in the mouse
model of ALS expressing the SOD1G93A mutation.
[0514] Design and Testing of AAV9 Viral Vectors of Modified hMIS
for In Vivo Delivery.
[0515] To incorporate 3 different version of modified human MIS
gene into rAAV genome, the same vector genome design and capsid
selection was used as for AAV9-mMIS used since all 3 versions of
the AAV9 genomes comprising modified hMIS sequences are around 3.3
kb and readily packable into AAV9 capsid (FIGS. 11A-11C).
[0516] Injection of AAV9 virus in nude mice: The AAV9 hMIS vectors
carrying LFR, LR, and RF MIS as well as GFP control were injected
i.p. at a 3.times.10.sup.11 titer in nude mice of 5-6 weeks of age
(5 mice per group). The serum was collected weekly, and MIS
concentration was determined by ELISA. The serum concentrations
from the three MIS groups rises steadily during the first three
weeks and reaches a plateau, whereas GFP controls have no
detectable hMIS (FIG. 12). Interestingly, as in CHO cells, the
LR-MIS is produced at higher levels than the two other constructs,
which was confirmed at eight weeks by MIS ELISA (FIG. 12).
[0517] At week 3, one million human ovarian cancer cells from the
OVCAR5 cell line were xenografted subcutaneously in the flank of
these mice injected with AAV9 hMIS carrying either LFR, LR, and RF
MIS variants, and tumor growth was monitored at least twice per
week with caliper measurements. Interestingly, only the AAV9-LR-MIS
vector significantly inhibited the growth of these tumors (FIG.
13), demonstrating that it has increased potency compared to the
other MIS variants, likely due to increased cleavage and/or the
absence of the FLAG tag, which interferes with activity in vivo.
The levels of MIS protein from AAV9-LR-MIS, as detected by ELISA,
were higher in serum than mice injected with AAV9 expressing either
LRF or RF and the cleavage was improved from 25 to 80% (Table
5).
TABLE-US-00007 TABLE 5 Serum Enzyme levels. ALT and AST are liver
enzymes, CK = creatine kinase, a muscle enzyme. ALT AST CK
AAV9-LR-MIS 39.2 123.4 649.5 AAV9-GFP 32.6 112.0 771.3 Normal range
10-190 10-380 249-1013
[0518] Accordingly, the inventors have demonstrated a statistically
significant difference in biological response favoring LR human MIS
over RF and LRF in in vivo assays of inhibition of OVCAR5 tumors
implanted in nude mice for 39 days, and have demonstrated higher
sustained levels of LR-MIS after 60 days (3 weeks preimplantation
and 39 days post-tumor implantation) in the mice which were
injected with LR vector. Furthermore, the AAV9-LR-MIS demonstrated
with tumor inhibition. Accordingly, LR-MIS was scaled-up for
protein production and for use as the optimal construct for
delivery via AAV9 vector.
[0519] Additionally, the inventors demonstrate that AAV9-GFP
resulted in fluorescence in vivo of the muscle in the body wall
(FIG. 14) and liver (data not shown). Furthermore, the inventors
observed good weight gain and no obvious toxicity after 60 days
after injection of the AAV9-LR-MIS into mice (data not shown) with
an ELISA toxicity screen performed to assay liver enzymes (ALT/AST,
n=5), and muscle creatine kinase (CK, n=2). Table 5 indicates that
these enzyme levels are within normal range.
[0520] Assessment of AAV9-hMIS In Vivo.
[0521] The inventors next ascertained whether human MIS (hMIS)
variants can rescue motor neurons and prolong survival in the
SOD1G93A ALS mice. As the inventors demonstate herein in Example 3
in a proof of principal experiment, that MIS can be used to treat
neurodegenerative diseases, e.g., ALS, as AAV9-mMIS was
demonstrated to prolong the survival of ALS mice, increase motor
neuron survival in vivo and decrease astrogliosis, and as there is
good homology between the mouse and human MIS proteins (74.0% at
protein level; 75.6% at DNA level), a AAV9-hMIS construct will
likely similarly be used to treat neurodegenerative diseases, e.g.,
to prolong the survival of ALS mice, increase motor neuron survival
in vivo and decrease astrogliosis. Moreover, the major MIS
receptors on mouse motor neurons (Misr2) shares close homology to
the human homologues (80.6% at the protein level and 83.2 at the
DNA level). To confirm that hMIS can reproduce the neuroprotective
effects of mMIS in vivo, hMIS constructs shown in FIG. 11A-11C, in
particular AAV9-LR-MIS was assessed after intrathecal (i.t) and
intravenous (i.v) delivery.
[0522] As a proof of principal experiment, the inventors have
previously demonstrated that one can prolong survival in the
SOD1G93A transgenic ALS mice by intrathecally delivered rAAV9
bearing a microRNA to attenuate expression of SOD1 (Wang, H. et al.
Widespread spinal cord transduction by intrathecally injected rAAV
delivers efficacious RNAi therapy for amyotrophic lateral
sclerosis. in press (2013).). As also reported in that study, IT
delivery achieves comparable widespread cord delivery of rAAV-GFP
in a small, non-human, adult primate (marmoset) prescreened to be
negative for anti-AAV antibodies. As referenced above, other
investigators have recently also demonstrated that IT
administration can effectively deliver AAV to the spinal cord
(Federici, T. et al. Gene Ther 19, 852-859, (2012); Gray, et al.,
Gene Ther 20, 450-459, (2013); Samaranch, L. et al. Hum Gene Ther
23, 382-389, (2012)). Accordingly, the two vectors (rAAV9-hMIS LR;
rAAV9-hMIS LR mutated, FIG. 15) were assessed in the SOD1G93A
mouse. These were delivered intrathecally at 2.4.times.10.sup.10
viral genomes in 5 .mu.l injected via a catheter into the lumbar
intrathecal space at 60 days.
Example 5
[0523] LR11 is grown in 5 layer flask with 250 ml of DMEM or in 10
layer flasks (1700 cm.sup.2) with 500 ml media supplemented with
10% FFCS, 800 ug/ml of geneticin, 2 nM glutamine, 100 U/ml
penicillin and 100 ug/ml streptomycin (Invitrogen) maintained
confluent for several months in 5% CO2, at 37 C. Once a week, the
media is replaced with a serum-free media which omits FFCS and
replaces it with non-essential amino acids (NEAA) and ITS (insulin,
transferring, selenium) supplements for 72 h. The media is then
concentrated 10.times. using tangential flow osmosis membranes.
Using these methods media of 4-5 ug/ml is concentrated to 25-50
ug/ml, and effective purification yield of LR-MIS rises to
approximately 30%.
TABLE-US-00008 TABLE 6 Purification yield from MIS from various
constructs using a new serum-free media purification protocol.
WT-MIS RF-MIS LRF-MIS LR-MIS MIS 16.821 1.236 2.149 4.866
concentration (.mu.g/ml) at 24 hours Production 7.597 0.254 0.430
1.142 (pg/cell/day) Concentration in 1.528 0.223 0.457 1.411
serum-free media at 24 h Purification yield 15% 20% 20% 30% (% w/w)
Percent cleavage 25% 50% 37% 79% in serum-free media
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applications and patents (including during the prosecution of each
issued patent; "application cited documents"), and each of the PCT
and foreign applications or patents corresponding to and/or
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each of the documents cited or referenced in each of the
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invention. More generally, documents or references are cited in
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TABLE-US-00009 [0550] SEQUENCE LISTING: SEQ ID NO: 1 MIS (560AA) -
amino acid sequence (underlined identifies native MIS leader
sequence) mrdlpltsla lvlsalgall gtealraeep avgtsglifr edldwppgsp
qeplclvalg gdsngssspl rvvgalsaye qaflgavqra rwgprdlatf gvcntgdrqa
alpslrrlga wlrdpggqrl vvlhleevtw eptpslrfqe pppggagppe lallvlypgp
gpevtvtrag lpgagslcps rdtrylvlav drpagawrgs glaltlqprg edsrlstarl
qallfgddhr cftrmtpall llprsepapl pahgqldtvp fppprpsael eesppsadpf
letltrlvra lrvpparasa prlaldpdal agfpqglvnl sdpaalerll dgeeplllll
rptaattgdp aplhdptsap watalarrva aelqaaaael rslpglppat apllarllal
cpggpgglgd plrallllka lqglrvewrg rdprgpgra rsagataadg pcalrelsvd
lraersvlip etyqanncqg vcgwpqsdrn prygnhvvll lkmqvrgaal arppccvpta
yagkllisls eerisahhvp nmvatecgcr SEQ ID NO: 2 LR (559AA) BOLD
indicates albumin leader sequence; UNDERLINED identifies the
Modified cleavage site mkwvtfisll flfssaysrg vfrr raeep avgtsglifr
edldwppgsp qeplclvalg gdsngssspl rvvgalsaye qaflgavqra rwgprdlatf
gvcntgdrqa alpslrrlga wlrdpggqrl vvlhleevtw eptpslrfqe pppggagppe
lallvlypgp gpevtvtrag lpgaqslcps rdtrylvlav drpagawrgs glaltlqprg
edsrlstarl qallfgddhr cftrmtpall llprsepapl pahgqldtvp fppprpsael
eesppsadpf letltrlvra lrvpparasa prlaldpdal agfpqglvnl sdpaalerll
dgeep11111 rptaattgdp aplhdptsap watalarrva aelqaaaael rslpglppat
apllarllal cpggpgglgd plrallllka lqglrvewrg rdprgpgraR rsagataadg
pcalrelsvd lraersvlip etyqanncqg vcgwpqsdrn prygnhvvll lkmqvrgaal
arppccvpta yagkllisls eerisahhvp nmvatecgcr SEQ ID NO: 3 LRF
(567AA) Italicized indicates Flag tag (DYKDDDDK(SEQ ID NO: 8))
mkwvtfisll flfssaysrg vfrr raeep avgtsglifr edldwppgsp geplclvalg
gdsngssspl rvvgalsaye qaflgavqra rwgprdlatf gvcntgdrqa alpslrrlga
wlrdpggqrl vvlhleevtw eptpslrfqe pppggagppe lallvlypgp gpevtvtrag
lpgaqslcps rdtrylvlav drpagawrgs glaltlqprg edsrlstarl qallfgddhr
cftrmtpall llprsepapl pahgqldtvp fppprpsael eesppsadpf letltrlvra
lrvpparasa prlaldpdal agfpqglvnl sdpaalerll dgeeplllll rptaattgdp
aplhdptsap watalarrva aelqaaaael rslpglppat apllarllal cpggpgglgd
plrallllka lqglrvewrg rdprgpgraR rs agataadg pcalrelsvd lraersvlip
etyqanncqg vcgwpqsdrn prygnhvvll lkmqvrgaal arppccvpta yagkllisls
eerisahhvp nmvatecgcr SEQ ID NO: 4 LR - nucleic acid sequence
GAGGAGCCAGCTGTGGGCACCAGTGGCCTCATCTTCCGAGAAGACTTGGACTGGCCTCCA
GGCAGCCCACAAGAGCCTCTGTGCCTGGTGGCACTGGGCGGGGACAGCAATGGCAGCAGCTCCCCCCTG
CGGGTGGTGGGGGCTCTAAGCGCCTATGAGCAGGCCTTCCTGGGGGCCGTGCAGAGGGCCCGCTGGGGC
CCCCGAGACCTGGCCACCTTCGGGGTCTGCAACACCGGTGACAGGCAGGCTGCCTTGCCCTCTCTACGG
CGGCTGGGGGCCTGGCTGCGGGACCCTGGGGGGCAGCGCCTGGTGGTCCTACACCTGGAGGAAGTGACC
TGGGAGCCAACACCCTCGCTGAGGTTCCAGGAGCCCCCGCCTGGAGGAGCTGGCCCCCCAGAGCTGGCG
CTGCTGGTGCTGTACCCTGGGCCTGGCCCTGAGGTCACTGTGACGAGGGCTGGGCTGCCGGGTGCCCAG
AGCCTCTGCCCCTCCCGAGACACCCGCTACCTGGTGTTAGCGGTGGACCGCCCTGCGGGGGCCTGGCGC
GGCTCCGGGCTGGCCTTGACCCTGCAGCCCCGCGGAGAGGACTCCCGGCTGAGTACCGCCCGGCTGCAG
GCACTGCTGTTCGGCGACGACCACCGCTGCTTCACACGGATGACCCCGGCCCTGCTCCTGCTGCCGCGG
TCCGAGCCCGCGCCGCTGCCTGCGCACGGCCAGCTGGACACCGTGCCCTTCCCGCCGCCCAGGCCATCC
GCGGAACTCGAGGAGTCGCCACCCAGCGCAGACCCCTTCCTGGAGACGCTCACGCGCCTGGTGCGGGCG
CTGCGGGTCCCCCCGGCCCGGGCCTCCGCGCCGCGCCTGGCCCTGGATCCGGACGCGCTGGCCGGCTTC
CCGCAGGGCCTAGTCAACCTGTCGGACCCCGCGGCGCTGGAGCGCCTACTCGACGGCGAGGAGCCGCTG
CTGCTGCTGCTGAGGCCCACTGCGGCCACCACCGGGGATCCTGCGCCCCTGCACGACCCCACGTCGGCG
CCGTGGGCCACGGCCCTGGCGCGCCGCGTGGCTGCTGAACTGCAAGCGGCGGCTGCCGAGCTGCGAAGC
CTCCCGGGTCTGCCTCCGGCCACAGCCCCGCTGCTGGCGCGCCTGCTCGCGCTCTGCCCAGGTGGCCCC
GGCGGCCTCGGCGATCCCCTGCGAGCGCTGCTGCTCCTGAAGGCGCTGCAGGGCCTGCGCGTGGAGTGG
CGCGGGCGGGATCCGCGCGGGCCGGGTCGGGCACGGCGCAGCGCGGGGGCCACCGCCGCCGACGGGCCG
TGCGCGCTGCGCGAGCTCAGCGTAGACCTCCGCGCCGAGCGCTCCGTACTCATCCCCGAGACCTACCAG
GCCAACAATTGCCAGGGCGTGTGCGGCTGGCCTCAGTCCGACCGCAACCCGCGCTACGGCAACCACGTG
GTGCTGCTGCTGAAGATGCAGGCCCGTGGGGCCGCCCTGGCGCGCCCACCCTGCTGCGTGCCCACCGCC
TACGCGGGCAAGCTGCTCATCAGCCTGTCGGAGGAGCGCATCAGCGCGCACCACGTGCCCAACATGGTG
GCCACCGAGTGTGGCTGCCGGTGA SEQ ID NO: 5 LRF - nucleic acid sequence
ATGAAGTGGGTGAGCTTCATCAGCCTGCTGTTCCTGTTCAGCAGCGCTTACTCCCGCGGTGTGTTCCGC
CGCAGAGCAGAGGAGCCAGCTGTGGGCACCAGTGGCCTCATCTTCCGAGAAGACTTGGACTGGCCTCCA
GGCAGCCCACAAGAGCCTCTGTGCCTGGTGGCACTGGGCGGGGACAGCAATGGCAGCAGCTCCCCCCTG
CGGGTGGTGGGGGCTCTAAGCGCCTATGAGCAGGCCTTCCTGGGGGCCGTGCAGAGGGCCCGCTGGGGC
CCCCGAGACCTGGCCACCTTCGGGGTCTGCAACACCGGTGACAGGCAGGCTGCCTTGCCCTCTCTACGG
CGGCTGGGGGCCTGGCTGCGGGACCCTGGGGGGCAGCGCCTGGTGGTCCTACACCTGGAGGAAGTGACC
TGGGAGCCAACACCCTCGCTGAGGTTCCAGGAGCCCCCGCCTGGAGGAGCTGGCCCCCCAGAGCTGGCG
CTGCTGGTGCTGTACCCTGGGCCTGGCCCTGAGGTCACTGTGACGAGGGCTGGGCTGCCGGGTGCCCAG
AGCCTCTGCCCCTCCCGAGACACCCGCTACCTGGTGTTAGCGGTGGACCGCCCTGCGGGGGCCTGGCGC
GGCTCCGGGCTGGCCTTGACCCTGCAGCCCCGCGGAGAGGACTCCCGGCTGAGTACCGCCCGGCTGCAG
GCACTGCTGTTCGGCGACGACCACCGCTGCTTCACACGGATGACCCCGGCCCTGCTCCTGCTGCCGCGG
TCCGAGCCCGCGCCGCTGCCTGCGCACGGCCAGCTGGACACCGTGCCCTTCCCGCCGCCCAGGCCATCC
GCGGAACTCGAGGAGTCGCCACCCAGCGCAGACCCCTTCCTGGAGACGCTCACGCGCCTGGTGCGGGCG
CTGCGGGTCCCCCCGGCCCGGGCCTCCGCGCCGCGCCTGGCCCTGGATCCGGACGCGCTGGCCGGCTTC
CCGCAGGGCCTAGTCAACCTGTCGGACCCCGCGGCGCTGGAGCGCCTACTCGACGGCGAGGAGCCGCTG
CTGCTGCTGCTGAGGCCCACTGCGGCCACCACCGGGGATCCTGCGCCCCTGCACGACCCCACGTCGGCG
CCGTGGGCCACGGCCCTGGCGCGCCGCGTGGCTGCTGAACTGCAAGCGGCGGCTGCCGAGCTGCGAAGC
CTCCCGGGTCTGCCTCCGGCCACAGCCCCGCTGCTGGCGCGCCTGCTCGCGCTCTGCCCAGGTGGCCCC
GGCGGCCTCGGCGATCCCCTGCGAGCGCTGCTGCTCCTGAAGGCGCTGCAGGGCCTGCGCGTGGAGTGG
CGCGGGCGGGATCCGCGCGGGCCGGGTCGGGCACGGCGCAGC GCG
GGGGCCACCGCCGCCGACGGGCCGTGCGCGCTGCGCGAGCTCAGCGTAGACCTCCGCGCCGAGCGCTCC
GTACTCATCCCCGAGACCTACCAGGCCAACAATTGCCAGGGCGTGTGCGGCTGGCCTCAGTCCGACCGC
AACCCGCGCTACGGCAACCACGTGGTGCTGCTGCTGAAGATGCAGGCCCGTGGGGCCGCCCTGGCGCGC
CCACCCTGCTGCGTGCCCACCGCCTACGCGGGCAAGCTGCTCATCAGCCTGTCGGAGGAGCGCATCAGC
GCGCACCACGTGCCCAACATGGTGGCCACCGAGTGTGGCTGCCGGTGA SEQ ID NO: 6 HSA
Leader Sequence (amino acid sequence): mkwvtfisll flfssaysrg vfrr
SEQ ID NO: 7 - HSA Leader Sequence (nucleic acid sequence): SEQ ID
NO: 8 - FLAG tag (amino acid sequence): SEQ ID NO: 9 - FLAG tag
(nucleic acid sequence): gactacaaggatgacgacgacaag
Sequence CWU 1
1
281560PRTHomo sapiens 1Met Arg Asp Leu Pro Leu Thr Ser Leu Ala Leu
Val Leu Ser Ala Leu1 5 10 15Gly Ala Leu Leu Gly Thr Glu Ala Leu Arg
Ala Glu Glu Pro Ala Val 20 25 30Gly Thr Ser Gly Leu Ile Phe Arg Glu
Asp Leu Asp Trp Pro Pro Gly 35 40 45Ser Pro Gln Glu Pro Leu Cys Leu
Val Ala Leu Gly Gly Asp Ser Asn 50 55 60Gly Ser Ser Ser Pro Leu Arg
Val Val Gly Ala Leu Ser Ala Tyr Glu65 70 75 80Gln Ala Phe Leu Gly
Ala Val Gln Arg Ala Arg Trp Gly Pro Arg Asp 85 90 95Leu Ala Thr Phe
Gly Val Cys Asn Thr Gly Asp Arg Gln Ala Ala Leu 100 105 110Pro Ser
Leu Arg Arg Leu Gly Ala Trp Leu Arg Asp Pro Gly Gly Gln 115 120
125Arg Leu Val Val Leu His Leu Glu Glu Val Thr Trp Glu Pro Thr Pro
130 135 140Ser Leu Arg Phe Gln Glu Pro Pro Pro Gly Gly Ala Gly Pro
Pro Glu145 150 155 160Leu Ala Leu Leu Val Leu Tyr Pro Gly Pro Gly
Pro Glu Val Thr Val 165 170 175Thr Arg Ala Gly Leu Pro Gly Ala Gln
Ser Leu Cys Pro Ser Arg Asp 180 185 190Thr Arg Tyr Leu Val Leu Ala
Val Asp Arg Pro Ala Gly Ala Trp Arg 195 200 205Gly Ser Gly Leu Ala
Leu Thr Leu Gln Pro Arg Gly Glu Asp Ser Arg 210 215 220Leu Ser Thr
Ala Arg Leu Gln Ala Leu Leu Phe Gly Asp Asp His Arg225 230 235
240Cys Phe Thr Arg Met Thr Pro Ala Leu Leu Leu Leu Pro Arg Ser Glu
245 250 255Pro Ala Pro Leu Pro Ala His Gly Gln Leu Asp Thr Val Pro
Phe Pro 260 265 270Pro Pro Arg Pro Ser Ala Glu Leu Glu Glu Ser Pro
Pro Ser Ala Asp 275 280 285Pro Phe Leu Glu Thr Leu Thr Arg Leu Val
Arg Ala Leu Arg Val Pro 290 295 300Pro Ala Arg Ala Ser Ala Pro Arg
Leu Ala Leu Asp Pro Asp Ala Leu305 310 315 320Ala Gly Phe Pro Gln
Gly Leu Val Asn Leu Ser Asp Pro Ala Ala Leu 325 330 335Glu Arg Leu
Leu Asp Gly Glu Glu Pro Leu Leu Leu Leu Leu Arg Pro 340 345 350Thr
Ala Ala Thr Thr Gly Asp Pro Ala Pro Leu His Asp Pro Thr Ser 355 360
365Ala Pro Trp Ala Thr Ala Leu Ala Arg Arg Val Ala Ala Glu Leu Gln
370 375 380Ala Ala Ala Ala Glu Leu Arg Ser Leu Pro Gly Leu Pro Pro
Ala Thr385 390 395 400Ala Pro Leu Leu Ala Arg Leu Leu Ala Leu Cys
Pro Gly Gly Pro Gly 405 410 415Gly Leu Gly Asp Pro Leu Arg Ala Leu
Leu Leu Leu Lys Ala Leu Gln 420 425 430Gly Leu Arg Val Glu Trp Arg
Gly Arg Asp Pro Arg Gly Pro Gly Arg 435 440 445Ala Gln Arg Ser Ala
Gly Ala Thr Ala Ala Asp Gly Pro Cys Ala Leu 450 455 460Arg Glu Leu
Ser Val Asp Leu Arg Ala Glu Arg Ser Val Leu Ile Pro465 470 475
480Glu Thr Tyr Gln Ala Asn Asn Cys Gln Gly Val Cys Gly Trp Pro Gln
485 490 495Ser Asp Arg Asn Pro Arg Tyr Gly Asn His Val Val Leu Leu
Leu Lys 500 505 510Met Gln Val Arg Gly Ala Ala Leu Ala Arg Pro Pro
Cys Cys Val Pro 515 520 525Thr Ala Tyr Ala Gly Lys Leu Leu Ile Ser
Leu Ser Glu Glu Arg Ile 530 535 540Ser Ala His His Val Pro Asn Met
Val Ala Thr Glu Cys Gly Cys Arg545 550 555 5602559PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
2Met Lys Trp Val Thr Phe Ile Ser Leu Leu Phe Leu Phe Ser Ser Ala1 5
10 15Tyr Ser Arg Gly Val Phe Arg Arg Arg Ala Glu Glu Pro Ala Val
Gly 20 25 30Thr Ser Gly Leu Ile Phe Arg Glu Asp Leu Asp Trp Pro Pro
Gly Ser 35 40 45Pro Gln Glu Pro Leu Cys Leu Val Ala Leu Gly Gly Asp
Ser Asn Gly 50 55 60Ser Ser Ser Pro Leu Arg Val Val Gly Ala Leu Ser
Ala Tyr Glu Gln65 70 75 80Ala Phe Leu Gly Ala Val Gln Arg Ala Arg
Trp Gly Pro Arg Asp Leu 85 90 95Ala Thr Phe Gly Val Cys Asn Thr Gly
Asp Arg Gln Ala Ala Leu Pro 100 105 110Ser Leu Arg Arg Leu Gly Ala
Trp Leu Arg Asp Pro Gly Gly Gln Arg 115 120 125Leu Val Val Leu His
Leu Glu Glu Val Thr Trp Glu Pro Thr Pro Ser 130 135 140Leu Arg Phe
Gln Glu Pro Pro Pro Gly Gly Ala Gly Pro Pro Glu Leu145 150 155
160Ala Leu Leu Val Leu Tyr Pro Gly Pro Gly Pro Glu Val Thr Val Thr
165 170 175Arg Ala Gly Leu Pro Gly Ala Gln Ser Leu Cys Pro Ser Arg
Asp Thr 180 185 190Arg Tyr Leu Val Leu Ala Val Asp Arg Pro Ala Gly
Ala Trp Arg Gly 195 200 205Ser Gly Leu Ala Leu Thr Leu Gln Pro Arg
Gly Glu Asp Ser Arg Leu 210 215 220Ser Thr Ala Arg Leu Gln Ala Leu
Leu Phe Gly Asp Asp His Arg Cys225 230 235 240Phe Thr Arg Met Thr
Pro Ala Leu Leu Leu Leu Pro Arg Ser Glu Pro 245 250 255Ala Pro Leu
Pro Ala His Gly Gln Leu Asp Thr Val Pro Phe Pro Pro 260 265 270Pro
Arg Pro Ser Ala Glu Leu Glu Glu Ser Pro Pro Ser Ala Asp Pro 275 280
285Phe Leu Glu Thr Leu Thr Arg Leu Val Arg Ala Leu Arg Val Pro Pro
290 295 300Ala Arg Ala Ser Ala Pro Arg Leu Ala Leu Asp Pro Asp Ala
Leu Ala305 310 315 320Gly Phe Pro Gln Gly Leu Val Asn Leu Ser Asp
Pro Ala Ala Leu Glu 325 330 335Arg Leu Leu Asp Gly Glu Glu Pro Leu
Leu Leu Leu Leu Arg Pro Thr 340 345 350Ala Ala Thr Thr Gly Asp Pro
Ala Pro Leu His Asp Pro Thr Ser Ala 355 360 365Pro Trp Ala Thr Ala
Leu Ala Arg Arg Val Ala Ala Glu Leu Gln Ala 370 375 380Ala Ala Ala
Glu Leu Arg Ser Leu Pro Gly Leu Pro Pro Ala Thr Ala385 390 395
400Pro Leu Leu Ala Arg Leu Leu Ala Leu Cys Pro Gly Gly Pro Gly Gly
405 410 415Leu Gly Asp Pro Leu Arg Ala Leu Leu Leu Leu Lys Ala Leu
Gln Gly 420 425 430Leu Arg Val Glu Trp Arg Gly Arg Asp Pro Arg Gly
Pro Gly Arg Ala 435 440 445Arg Arg Ser Ala Gly Ala Thr Ala Ala Asp
Gly Pro Cys Ala Leu Arg 450 455 460Glu Leu Ser Val Asp Leu Arg Ala
Glu Arg Ser Val Leu Ile Pro Glu465 470 475 480Thr Tyr Gln Ala Asn
Asn Cys Gln Gly Val Cys Gly Trp Pro Gln Ser 485 490 495Asp Arg Asn
Pro Arg Tyr Gly Asn His Val Val Leu Leu Leu Lys Met 500 505 510Gln
Val Arg Gly Ala Ala Leu Ala Arg Pro Pro Cys Cys Val Pro Thr 515 520
525Ala Tyr Ala Gly Lys Leu Leu Ile Ser Leu Ser Glu Glu Arg Ile Ser
530 535 540Ala His His Val Pro Asn Met Val Ala Thr Glu Cys Gly Cys
Arg545 550 5553567PRTArtificial SequenceDescription of Artificial
Sequence Synthetic polypeptide 3Met Lys Trp Val Thr Phe Ile Ser Leu
Leu Phe Leu Phe Ser Ser Ala1 5 10 15Tyr Ser Arg Gly Val Phe Arg Arg
Arg Ala Glu Glu Pro Ala Val Gly 20 25 30Thr Ser Gly Leu Ile Phe Arg
Glu Asp Leu Asp Trp Pro Pro Gly Ser 35 40 45Pro Gln Glu Pro Leu Cys
Leu Val Ala Leu Gly Gly Asp Ser Asn Gly 50 55 60Ser Ser Ser Pro Leu
Arg Val Val Gly Ala Leu Ser Ala Tyr Glu Gln65 70 75 80Ala Phe Leu
Gly Ala Val Gln Arg Ala Arg Trp Gly Pro Arg Asp Leu 85 90 95Ala Thr
Phe Gly Val Cys Asn Thr Gly Asp Arg Gln Ala Ala Leu Pro 100 105
110Ser Leu Arg Arg Leu Gly Ala Trp Leu Arg Asp Pro Gly Gly Gln Arg
115 120 125Leu Val Val Leu His Leu Glu Glu Val Thr Trp Glu Pro Thr
Pro Ser 130 135 140Leu Arg Phe Gln Glu Pro Pro Pro Gly Gly Ala Gly
Pro Pro Glu Leu145 150 155 160Ala Leu Leu Val Leu Tyr Pro Gly Pro
Gly Pro Glu Val Thr Val Thr 165 170 175Arg Ala Gly Leu Pro Gly Ala
Gln Ser Leu Cys Pro Ser Arg Asp Thr 180 185 190Arg Tyr Leu Val Leu
Ala Val Asp Arg Pro Ala Gly Ala Trp Arg Gly 195 200 205Ser Gly Leu
Ala Leu Thr Leu Gln Pro Arg Gly Glu Asp Ser Arg Leu 210 215 220Ser
Thr Ala Arg Leu Gln Ala Leu Leu Phe Gly Asp Asp His Arg Cys225 230
235 240Phe Thr Arg Met Thr Pro Ala Leu Leu Leu Leu Pro Arg Ser Glu
Pro 245 250 255Ala Pro Leu Pro Ala His Gly Gln Leu Asp Thr Val Pro
Phe Pro Pro 260 265 270Pro Arg Pro Ser Ala Glu Leu Glu Glu Ser Pro
Pro Ser Ala Asp Pro 275 280 285Phe Leu Glu Thr Leu Thr Arg Leu Val
Arg Ala Leu Arg Val Pro Pro 290 295 300Ala Arg Ala Ser Ala Pro Arg
Leu Ala Leu Asp Pro Asp Ala Leu Ala305 310 315 320Gly Phe Pro Gln
Gly Leu Val Asn Leu Ser Asp Pro Ala Ala Leu Glu 325 330 335Arg Leu
Leu Asp Gly Glu Glu Pro Leu Leu Leu Leu Leu Arg Pro Thr 340 345
350Ala Ala Thr Thr Gly Asp Pro Ala Pro Leu His Asp Pro Thr Ser Ala
355 360 365Pro Trp Ala Thr Ala Leu Ala Arg Arg Val Ala Ala Glu Leu
Gln Ala 370 375 380Ala Ala Ala Glu Leu Arg Ser Leu Pro Gly Leu Pro
Pro Ala Thr Ala385 390 395 400Pro Leu Leu Ala Arg Leu Leu Ala Leu
Cys Pro Gly Gly Pro Gly Gly 405 410 415Leu Gly Asp Pro Leu Arg Ala
Leu Leu Leu Leu Lys Ala Leu Gln Gly 420 425 430Leu Arg Val Glu Trp
Arg Gly Arg Asp Pro Arg Gly Pro Gly Arg Ala 435 440 445Arg Arg Ser
Asp Tyr Lys Asp Asp Asp Asp Lys Ala Gly Ala Thr Ala 450 455 460Ala
Asp Gly Pro Cys Ala Leu Arg Glu Leu Ser Val Asp Leu Arg Ala465 470
475 480Glu Arg Ser Val Leu Ile Pro Glu Thr Tyr Gln Ala Asn Asn Cys
Gln 485 490 495Gly Val Cys Gly Trp Pro Gln Ser Asp Arg Asn Pro Arg
Tyr Gly Asn 500 505 510His Val Val Leu Leu Leu Lys Met Gln Val Arg
Gly Ala Ala Leu Ala 515 520 525Arg Pro Pro Cys Cys Val Pro Thr Ala
Tyr Ala Gly Lys Leu Leu Ile 530 535 540Ser Leu Ser Glu Glu Arg Ile
Ser Ala His His Val Pro Asn Met Val545 550 555 560Ala Thr Glu Cys
Gly Cys Arg 56541680DNAArtificial SequenceDescription of Artificial
Sequence Synthetic polynucleotide 4atgaagtggg tgagcttcat cagcctgctg
ttcctgttca gcagcgctta ctcccgcggt 60gtgttccgcc gcagagcaga ggagccagct
gtgggcacca gtggcctcat cttccgagaa 120gacttggact ggcctccagg
cagcccacaa gagcctctgt gcctggtggc actgggcggg 180gacagcaatg
gcagcagctc ccccctgcgg gtggtggggg ctctaagcgc ctatgagcag
240gccttcctgg gggccgtgca gagggcccgc tggggccccc gagacctggc
caccttcggg 300gtctgcaaca ccggtgacag gcaggctgcc ttgccctctc
tacggcggct gggggcctgg 360ctgcgggacc ctggggggca gcgcctggtg
gtcctacacc tggaggaagt gacctgggag 420ccaacaccct cgctgaggtt
ccaggagccc ccgcctggag gagctggccc cccagagctg 480gcgctgctgg
tgctgtaccc tgggcctggc cctgaggtca ctgtgacgag ggctgggctg
540ccgggtgccc agagcctctg cccctcccga gacacccgct acctggtgtt
agcggtggac 600cgccctgcgg gggcctggcg cggctccggg ctggccttga
ccctgcagcc ccgcggagag 660gactcccggc tgagtaccgc ccggctgcag
gcactgctgt tcggcgacga ccaccgctgc 720ttcacacgga tgaccccggc
cctgctcctg ctgccgcggt ccgagcccgc gccgctgcct 780gcgcacggcc
agctggacac cgtgcccttc ccgccgccca ggccatccgc ggaactcgag
840gagtcgccac ccagcgcaga ccccttcctg gagacgctca cgcgcctggt
gcgggcgctg 900cgggtccccc cggcccgggc ctccgcgccg cgcctggccc
tggatccgga cgcgctggcc 960ggcttcccgc agggcctagt caacctgtcg
gaccccgcgg cgctggagcg cctactcgac 1020ggcgaggagc cgctgctgct
gctgctgagg cccactgcgg ccaccaccgg ggatcctgcg 1080cccctgcacg
accccacgtc ggcgccgtgg gccacggccc tggcgcgccg cgtggctgct
1140gaactgcaag cggcggctgc cgagctgcga agcctcccgg gtctgcctcc
ggccacagcc 1200ccgctgctgg cgcgcctgct cgcgctctgc ccaggtggcc
ccggcggcct cggcgatccc 1260ctgcgagcgc tgctgctcct gaaggcgctg
cagggcctgc gcgtggagtg gcgcgggcgg 1320gatccgcgcg ggccgggtcg
ggcacggcgc agcgcggggg ccaccgccgc cgacgggccg 1380tgcgcgctgc
gcgagctcag cgtagacctc cgcgccgagc gctccgtact catccccgag
1440acctaccagg ccaacaattg ccagggcgtg tgcggctggc ctcagtccga
ccgcaacccg 1500cgctacggca accacgtggt gctgctgctg aagatgcagg
cccgtggggc cgccctggcg 1560cgcccaccct gctgcgtgcc caccgcctac
gcgggcaagc tgctcatcag cctgtcggag 1620gagcgcatca gcgcgcacca
cgtgcccaac atggtggcca ccgagtgtgg ctgccggtga 168051704DNAArtificial
SequenceDescription of Artificial Sequence Synthetic polynucleotide
5atgaagtggg tgagcttcat cagcctgctg ttcctgttca gcagcgctta ctcccgcggt
60gtgttccgcc gcagagcaga ggagccagct gtgggcacca gtggcctcat cttccgagaa
120gacttggact ggcctccagg cagcccacaa gagcctctgt gcctggtggc
actgggcggg 180gacagcaatg gcagcagctc ccccctgcgg gtggtggggg
ctctaagcgc ctatgagcag 240gccttcctgg gggccgtgca gagggcccgc
tggggccccc gagacctggc caccttcggg 300gtctgcaaca ccggtgacag
gcaggctgcc ttgccctctc tacggcggct gggggcctgg 360ctgcgggacc
ctggggggca gcgcctggtg gtcctacacc tggaggaagt gacctgggag
420ccaacaccct cgctgaggtt ccaggagccc ccgcctggag gagctggccc
cccagagctg 480gcgctgctgg tgctgtaccc tgggcctggc cctgaggtca
ctgtgacgag ggctgggctg 540ccgggtgccc agagcctctg cccctcccga
gacacccgct acctggtgtt agcggtggac 600cgccctgcgg gggcctggcg
cggctccggg ctggccttga ccctgcagcc ccgcggagag 660gactcccggc
tgagtaccgc ccggctgcag gcactgctgt tcggcgacga ccaccgctgc
720ttcacacgga tgaccccggc cctgctcctg ctgccgcggt ccgagcccgc
gccgctgcct 780gcgcacggcc agctggacac cgtgcccttc ccgccgccca
ggccatccgc ggaactcgag 840gagtcgccac ccagcgcaga ccccttcctg
gagacgctca cgcgcctggt gcgggcgctg 900cgggtccccc cggcccgggc
ctccgcgccg cgcctggccc tggatccgga cgcgctggcc 960ggcttcccgc
agggcctagt caacctgtcg gaccccgcgg cgctggagcg cctactcgac
1020ggcgaggagc cgctgctgct gctgctgagg cccactgcgg ccaccaccgg
ggatcctgcg 1080cccctgcacg accccacgtc ggcgccgtgg gccacggccc
tggcgcgccg cgtggctgct 1140gaactgcaag cggcggctgc cgagctgcga
agcctcccgg gtctgcctcc ggccacagcc 1200ccgctgctgg cgcgcctgct
cgcgctctgc ccaggtggcc ccggcggcct cggcgatccc 1260ctgcgagcgc
tgctgctcct gaaggcgctg cagggcctgc gcgtggagtg gcgcgggcgg
1320gatccgcgcg ggccgggtcg ggcacggcgc agcgactaca aggatgacga
cgacaaggcg 1380ggggccaccg ccgccgacgg gccgtgcgcg ctgcgcgagc
tcagcgtaga cctccgcgcc 1440gagcgctccg tactcatccc cgagacctac
caggccaaca attgccaggg cgtgtgcggc 1500tggcctcagt ccgaccgcaa
cccgcgctac ggcaaccacg tggtgctgct gctgaagatg 1560caggcccgtg
gggccgccct ggcgcgccca ccctgctgcg tgcccaccgc ctacgcgggc
1620aagctgctca tcagcctgtc ggaggagcgc atcagcgcgc accacgtgcc
caacatggtg 1680gccaccgagt gtggctgccg gtga 1704624PRTHomo sapiens
6Met Lys Trp Val Thr Phe Ile Ser Leu Leu Phe Leu Phe Ser Ser Ala1 5
10 15Tyr Ser Arg Gly Val Phe Arg Arg 20778DNAHomo sapiens
7atgaagtggg tgagcttcat cagcctgctg ttcctgttca gcagcgctta ctcccgcggt
60gtgttccgcc gcagagca 7888PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 8Asp Tyr Lys Asp Asp Asp Asp
Lys1 5924DNAArtificial SequenceDescription of Artificial Sequence
Synthetic oligonucleotide 9gactacaagg atgacgacga caag
2410252PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 10Leu Glu Leu Val Pro Arg Gly Ser Gly Asp Pro
Ile Glu Gly Arg Gly1 5 10 15Gly Gly Gly Gly Asp Pro Lys Ser Cys Asp
Lys Pro His Thr Cys Pro 20 25 30Leu Cys Pro Ala Pro Glu Leu Leu Gly
Gly Pro Ser Val Phe Leu Phe 35 40 45Pro Pro Lys Pro Lys Asp Thr Leu
Met Ile Ser Arg Thr Pro Glu Val 50 55 60Thr Cys Val Val Val Asp Val
Ser His Glu Asp Pro
Glu Val Lys Phe65 70 75 80Asn Trp Tyr Val Asp Gly Val Glu Val His
Asn Ala Lys Thr Lys Pro 85 90 95Arg Glu Glu Gln Tyr Asn Ser Thr Tyr
Arg Val Val Ser Val Leu Thr 100 105 110Val Leu His Gln Asp Trp Leu
Asn Gly Lys Glu Tyr Lys Cys Lys Val 115 120 125Ser Asn Lys Ala Leu
Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala 130 135 140Lys Gly Gln
Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg145 150 155
160Asp Glu Leu Thr Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly
165 170 175Phe Tyr Pro Ser Asp Ile Ala Val Glu Trp Glu Ser Asn Gly
Gln Pro 180 185 190Glu Asn Asn Tyr Lys Ala Thr Pro Pro Val Leu Asp
Ser Asp Gly Ser 195 200 205Phe Phe Leu Tyr Ser Lys Leu Thr Val Asp
Lys Ser Arg Trp Gln Gln 210 215 220Gly Asn Val Phe Ser Cys Ser Val
Met His Glu Ala Leu His Asn His225 230 235 240Tyr Thr Gln Lys Ser
Leu Ser Leu Ser Pro Gly Lys 245 25011101DNAArtificial
SequenceDescription of Artificial Sequence Synthetic polynucleotide
11cgagatacat gaagtgggtg agcttcatca gcctgctgtt cctgttcagc agcgcttact
60cccgcggtgt gttccggcgc agagcagagg agccagctgt g
1011220DNAArtificial SequenceDescription of Artificial Sequence
Synthetic primer 12gctcctggaa cctcagcgag 201318PRTHomo sapiens
13Met Lys Trp Val Thr Phe Ile Ser Leu Leu Phe Leu Phe Ser Ser Ala1
5 10 15Tyr Ser1418PRTHomo sapiens 14Met Lys Trp Val Ser Phe Ile Ser
Leu Leu Phe Leu Phe Ser Ser Ala1 5 10 15Tyr
Ser1521PRTUnknownDescription of Unknown MPIF-1 signal sequence
15Met Lys Val Ser Val Ala Ala Leu Ser Cys Leu Met Leu Val Thr Ala1
5 10 15Leu Gly Ser Gln Ala 201617PRTUnknownDescription of Unknown
Stanniocalcin signal sequence 16Met Leu Gln Asn Ser Ala Val Leu Leu
Leu Leu Val Ile Ser Ala Ser1 5 10 15Ala1719PRTUnknownDescription of
Unknown Invertase signal sequence 17Met Leu Leu Gln Ala Phe Leu Phe
Leu Leu Ala Gly Phe Ala Ala Lys1 5 10 15Ile Ser
Ala1824PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 18Met Lys Trp Val Ser Phe Ile Ser Leu Leu Phe Leu
Phe Ser Ser Ala1 5 10 15Tyr Ser Arg Ser Leu Glu Lys Arg
201924PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 19Met Lys Trp Val Ser Phe Ile Ser Leu Leu Phe Leu
Phe Ser Ser Ala1 5 10 15Tyr Ser Arg Ser Leu Asp Lys Arg
202021PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 20Met Asn Ile Phe Tyr Ile Phe Leu Phe Leu Leu Ser
Phe Val Gln Gly1 5 10 15Ser Leu Asp Lys Arg
202119PRTUnknownDescription of Unknown Immunoglobulin Ig signal
sequence 21Met Gly Trp Ser Cys Ile Ile Leu Phe Leu Val Ala Thr Ala
Thr Gly1 5 10 15Val His Ser2229PRTUnknownDescription of Unknown
Fibulin B precursor signal sequence 22Met Glu Arg Ala Ala Pro Ser
Arg Arg Val Pro Leu Pro Leu Leu Leu1 5 10 15Leu Gly Gly Leu Ala Leu
Leu Ala Ala Gly Val Asp Ala 20 252322PRTUnknownDescription of
Unknown Clusterin precursor signal sequence 23Met Met Lys Thr Leu
Leu Leu Phe Val Gly Leu Leu Leu Thr Trp Glu1 5 10 15Ser Gly Gln Val
Leu Gly 202421PRTUnknownDescription of Unknown Insulin-like growth
factor-binding protein 4 signal sequence 24Met Leu Pro Leu Cys Leu
Val Ala Ala Leu Leu Leu Ala Ala Gly Pro1 5 10 15Gly Pro Ser Leu Gly
202525PRTHomo sapiens 25Met Arg Asp Leu Pro Leu Thr Ser Leu Ala Leu
Val Leu Ser Ala Leu1 5 10 15Gly Ala Leu Leu Gly Thr Glu Ala Leu 20
25265PRTHomo sapiens 26Arg Ala Gln Arg Ser1 5275PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 27Arg
Ala Arg Arg Ser1 5285PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 28Arg Ala Gln Arg Arg1 5
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