Note: Descriptions are shown in the official language in which they were submitted.
CA 02410699 2002-12-11
WO 99/04806 PCT/US98115228
METHODS AND CUMPOSITIUNS FUR IN1~IBITING ANGIOGENESIS
STATEMENT AS TO RIGHTS TO INVENTIONS MADE UNDER
FEDERALLY SPONSORED RESEARCH AND DEVELOPMENT
This invention was made with Government support under Grant Number
CA52750 and C'A64?39 awarded by the National Institutes of Health. The United
States Government may have certain rights in this invention.
TECHNICAL FIELD OF THE INVENTION
The present invention relates to methods and compositions for inhibiting
angiogenesis.
BACKGROUND OF THE INVENTION
Angiogenesis is the fundamental process by which new blood vessels are
IS formed. Z~he process involves the migration of vascular endothelial cells
into
tissue, followed by the condensation of such endothelial cells into vessels.
Angiogenesis may be induced by an angiogenic agent or be the result of a
natural
condition. The process is essential to a variety of normal body activities,
such as
reproduction, development and wound repair. Although the process is not
completely understood, it involves a complex interplay of molecules that
stimulate
and molecules that inhibit the growth and migration of endothelial cells. the
primary cells of the capillary blood vessels. Under normal conditions, these
molecules appear to maintain the microvasculature in a quiescent state (i.e.,
without capillary growth) for prolonged periods which can last for several
years or
even decades. The turnover time for an endothelial cell is about 1.000 days.
Under appropriate conditions, however (e.g., during wound repair), these same
cells can undergo rapid proliferation and turnover within a much shorter
period,
and five days is typical under these circumstances. (Folkman and Shing. J.
Biol.
Chem., 267( 16), 10931-34 ( 1989); Folkman and Klagsbrun, Science, 23 ~, 442-
47
( 1987)).
Although angiogenesis is a highly regulated process under normal
conditions, many diseases (characterized as ''angiogenic diseases";f are
driven by
persistent unregulated angiogenesis. In such disease state, unregulated
angiogenesis can either cause a particular disease directly or exacerbate an
existing pathological condition. For example, ocular neovascularization has
been
implicated as the most common cause of blindness and underlies the pathology
of
approximately 20 eye diseases. In certain previously existing conditions such
as
CA 02410699 2002-12-11
WO 99104806 PCT/US98115228
arthritis, newly formed capillary blood vessels invade the joints and destroy
cartilage. In diabetes. new capillaries formed in the retina invade the
vitreous
humor. causing bleeding and blindness.
Both the growth and metastasis of solid tumors are also angiogenesis-
dependent (Folkman, J. Cancer Res., .~6. 467-73 ( 1986); Folkman, J. Nat.
Cancer
Inst., 82. 4-6 ( 1989); Folkman et al., ''Tumor Angiogenesis," Chapter 10, pp.
206-
32, in The Molecular Busis of C.'ancer, Mendelsohn et al., eds. (W. B.
Saunders,
1995)). It has been shown, for example, that tumors which enlarge to greater
than
2 mm. in diameter must obtain their own blood supply and do so by inducing the
I D growth of new capillary blood vessels. After these new blood vessels
become
embedded in the tumor, they provide nutrients and growth factors essential for
tumor growth as well as a means for tumor cells to enter the circulation and
metastasize to distant sites, such as liver, lung or bone (Weidner, New Eng. J
Med., 324( 1 ), 1-8 ( I 991 )). When used as drugs in tumor-bearing animals,
natural
IS inhibitors of angiogenesis can prevent the growth of small tumors (O'Reilly
et al.,
O'Reilly et al., Cell, 79, 315-28 ( 1994)). Indeed, in some protocols, the
application of such inhibitors leads to tumor regression and dormancy even
after
cessation of treatment (O'Reilly et al., Cell, 88, 277-85 (1997)). Moreover,
supplying inhibitors of angiogenesis to certain tumors can potentiate their
20 response to other therapeutic regimens (e.g., chemotherapy) (see, e.g.,
Teischer et
al., Irtt. J. Cancer, 57, 920-25 ( 1994)).
Although several angiogenesis inhibitors are currently under development
for use in treating angiogenic diseases (Gasparini, Eur. J. Cancer, 32A(14),
2379-
85 ( 1996)), there are disadvantages associated with several of these proposed
25 inhibitory compounds. For example, suramin is a potent angiogenesis
inhibitor,
but, at doses required to reach antitumor activity, causes severe systemic
toxicity
in humans. Other compounds, such as retinoids, interferons and antiestrogens
appear safe for human use but have only a weak anti-angiogenic effect. Still
other
compounds may be difficult or costly to make. In view of these problems, there
30 exists a need for methods and compositions for inhibiting angiogenesis.
BRIEF SUMMARY OF THE INVENTION
The present invention provides a method of inhibiting angiogenesis within
a tissue by providing exogenous SLED (an antiangiogenic protein) to
endothelial
35 cells associated with the tissue. The presence of exogenous SLED will
inhibit
angiogenesis within the tissue, in part by interfering with the ability of
vascular
endothelia to expand within the tissue. 'the invention also provides a method
for
CA 02410699 2002-12-11
.. c~V/JUS ~ ~U L
determining the prognosis c~f~a tumor by assaying for the presence of SLED
within
the tumor. To facilitate the inventive method, the present invention provides
pharmaceutical compositions including sources of SLED.
The methods and compositions of the present invention are clinically
useful for treating a host of diseases associated with angiogenesis, and for
interfering with angiogenesis associated with reproductive functions. The
methods and compositions are also diagnostically useful for assessing the
prognosis of tumors and other disorders associated with angiogenesis.
Furthermore. thc: methods and compositions are useful reagents for
investigation
l0 of angiogenesis in the laboratory setting. These and other advantages of
the
present invention, as well as additional inventive features, will be apparent
from
the accompanying drawings and in the tollowing detailed description.
BRIEF DESCRIPTION OF THE DRAWINGS
IS Figure 1 graphically illustrates the ability of SLED to inhibit the
migration
of endothelial cells.
Figures 2~1-2D demonstrates the specificity of SLED for vascular
endothelia by graphically representing the inability of various doses of SLED
to
inhibit the migration of cells other than vascular endothelial cells. Figure
2A
20 depicts data concerning WI-38 cells. Figure 2B depicts data concerning
human
foreskin fibroblasts. Figure 2C depicts data concerning vascular smooth muscle
cells. Figure 2D depicts data concerning neutrophils.
Figure 3 is a dose-response curve representing the antiangiogenic activity
~~f c~r~: t~.-p a c~~ SI I n p olypentide Mull length I'FTOTO
25 Figure 4 is a dose response curve representing the antiangiogenic activity
of one type of SLED polypeptide (a fragment of PEDF).
DETAILED DESCRIPTION OF THE INVENTION
Within the context of the inventive method, SLED is a protein having
30 potent antiangiogenic properties, and it includes any antiangiogenic
derivative of
pigment epithelium derived factor (PEDF, Steele et al., Proc. Nat. Acad. Sci.
(USA), 90(4), 1526-30 (1993)). One form of SLED polypeptide is set forth at
SEQ ID NO:1; however, the invention is not limited to the use of this
exemplary
sequence. Indeed, other PEDF sequences are known in the art (see, e.g.,
published
35 international patent applications WO 95/33480 and WO 93/24529), and genetic
sequences can vary between different species and individuals, and this natural
scope of allelic variation is included within the scope of the invention.
AMtNt7ED SHEET
CA 02410699 2002-12-11 ~_ ~ ;~~l~~ g g ~ l 5 2 2 8
I~E,AIUS w ~ JUL 1999
Additionally and alternatively, a SLED polypeptide can include one or more
point
mutations from the exemplary sequence or naturally occurring SLED polypeptide.
Thus, a SLED polypeptide is typically at least about 75 % homologous to all or
a
portion of SEQ ID NO:1 and preferably is at least about 80 % homologous to all
or a portion of SEQ ID NO:1 (e.g.. at least about 85 % homologous to SEQ ID
NO: l ); more preferably the SLED polypeptide is at least about 90 %
homologous
to all or a portion of SEQ ID NO:1 (such as at least about 95 % homologous to
all
or a portion of SI:Q ID NO:I), and most preferably the SLED polypeptide is at
least about 97 °ro homologous to all or a portion of SEQ ID NO:1.
Indeed, the
SLED polypeptide can also include other domains, such as epitope tags and His
tags (e.g.. the protein can be a fusion protein).
Within the context of the present invention, a SLED polypeptide can be or
comprise insertion. deletion, or substitution mutants of a known PI:DF
sequence
or derivative thereof. Preferably, any substitution is conservative in that it
minimally disrupts the biochemical properties of the SLED polypeptide. Thus,
where mutations arc introduced to substitute amino acid residues,
positively-charged residues (H, K, and R) preferably are substituted with
positively-charged residues; negatively-charged residues (D and E) preferably
are
substituted with negatively-charged residues; neutral polar residues (C, G, N,
Q, S,
T, and Y) preferably are substituted with neutral polar residues; and neutral
non-polar residues (A, F, I, L, M, P, V, and W) preferably are substituted
with
neutral non-polar residues. Moreover, the SLED polypeptide can be an active
fragment of a known PEDF protein or fragment thereof. Indeed, it has been
found
that truncated fra~n~ents derived from SEQ ID NO:1 are active SL.FD
polypeptides. For example, it is believed that residues 1 through 20 of SEQ ID
NO:1 are cleaved during secretion and thus are dispensable for SLED activity.
Moreover, other active SLED polypeptides comprise sequences derived from
residues 21 through 382 of SEQ ID NO:1, such as residues 44 through 157 of SEQ
ID NO: I (e.g., residues 45 through 121 of SEQ ID NO:1 ). Of course, while
insertion, deletion, or substitution mutations can affect glycosylation of the
protein, a SLED polypeptide need not be glycosylated to possess the requisite
antiangiogenic properties for use in the inventive method.
SLED polypeptides inhibit angiogenesis, in part, by attenuating the
migration of endothelial cells, thus reducing the ability of endothelia to
expand
within the tissue. 'Thus, the invention provides a method of inhibiting
endothelial
cell migration by providing exogenous SLED to such cells. Aside from
attenuating angiogenesis, the method is useful for treating disorders
associated
.AMENDED SHEET
CA 02410699 2002-12-11
WO 99/04806 PCT/US98/15228
with stimulation of endothelial cell migration such as intestinal adhesions,
Crohn's
disease. atherosclerosis. scleroderma and hypertrophic scars (e.g., keloids).
In accordance with the inventive method. SLED is provided to endothelial
cells associated with the tissue of interest. Such cells can be cells
comprising the
tissue of interest, exogenous cells introduced into the tissue, or neighboring
cells
not within the tissue. Thus, for example, the cells can be cells of the
tissue, and
SLED is provided to them in situ such that the SLED contacts the cells.
Alternatively, the cells can be cells introduced into the tissue, in which
case the
SLED can be transferred to the cells before they are so introduced into the
tissue
IO (e.g., in vitro), as well as being transferred in situ after introduction
into the tissue.
The tissue with which the endothelial cells are associated is any tissue in
which it is desired to inhibit the migration or expansion of endothelia,
(e.g., for
inhibiting angiogenesis). In one application, the tissue can be eye tissue, in
which
case the presence of exogenous SLED will inhibit novel angiogenesis associated
l~ with a variety of disorders of the eye. for example. the inventive method
is useful
for treating eye injury, hypoxia, infection, surgery. laser surgery,
diabeties,
retinoblastoma or other diseases or disorders of the eye. In this respect, the
method is useful for preventing blindness or retarding loss of vision
associated
with a variety of eye diseases.
20 In another application, the tissue is skin tissue, in which case the
presence
of exogenous SLED prevents neovascularization associated with several skin
diseases. For example, the inventive method is useful for treating diseases
and
disorders such as psoriasis, sclerodertna, tumors of the skin,
neovascularization as
a consequence of infection (e.g., cat scratch disease. bacterial ulceration,
etc.) or
2~ other skin disorders. Where SI_,ED is provided to the skin, it can be
provided to
the surface of the skin or to skin tissue beneath the skin's surface.
Furthermore,
transfer of SLED to skin of a mammal can also stimulate the growth of hair in
the
skin. Without being bound by any particular theory, it is believed that SLED
affects hair growth by mediating angiogenesis within the hair follicle.
30 In other embodiments, the tissue is a tumor (e.g.. a cancerous tumor), in
which case the inventive method will inhibit the growth of blood vessels
within
and to the tumor. Inhibiting the growth of blood vessels within tumors
prevents
sufficient nutrients and oxygen from being supplied to the tumor to support
growth beyond a given size. Thus, the inventive method can prevent the
35 nucleation of tumors from cancerous cells already present due to genetic
predisposition (e.g., BRCA-1 mutation carriers. L,i Fraumeni patients with p53
mutations, etc.) or the presence of external carcinogens (e.g.. tobacco,
alcohol,
CA 02410699 2002-12-11
WO 99104806 PCT/US98115228
6
industrial solvents, etc.}. Aside from preventing tumerogenesis, the inventive
method can retard the growth of existing tumors, thus rendering them more
easily
contained and excised. This application is highly advantageous for treating
tumors that are difficult to operate on (e.g., brain or prostate tumors).
Moreover,
S minimizing the number of blood vessels within existing tumors lessens the
probability that the tumor will metastasize. In treating tumors, the method
can be
used alone or in conjunction with other treatments. to control the growth of
tumors. Indeed, employing the inventive method can potentiate the response of
some tumors to other therapies. For example, the inventive method optionally
can
be employed as a pretreatment for (e.g., for about a week in advance of), and
continued during, a chemotherapeutic or radiation regimen.
Where the inventive method is applied to other tissues, the prevention of
neovascularization effectively treats a host of disorders. Thus, for example,
the
inventive method can be used as part of a treatment for disorders of blood
vessels
IS (e.g., hemangiomas and capillary proliferation within atherosclerotic
plaques),
muscle diseases (e.g., myocardial angiogenesis or angiogenesis within smooth
muscles), joints (e.g., arthritis, hemophiliac joints, etc.). and other
disorders
associated with angiogenesis (e.g., Osler-Webber Syndrome, plaque
neovascularization, telangiectasia, angiofibroma, wound granularization,
etc.).
Aside from treating disorders and symptoms associated with
neovascularization, the inhibition of angiogenesis can be used to modulate or
prevent the occurrence of normal physiological conditions associated with
neovascularization. Thus, for example the inventive method can be used as a
birth
control. In accordance with the inventive method, the presence of SLED within
the ovaries or endometrium can attenuate neovascularization associated with
ovulation. implantation of an embryo, placenta formation, etc.
Within the context of the inventive method, SLED can be supplied alone or
in conjunction with other known antiangiogenic factors. For example, SLED can
be used in conjunction with antibodies and peptides that block integrin
engagement, proteins and small molecules that inhibit metalloproteinases
(e.g.,
marmistat), agents that block phosphorylation cascades within endothelial
cells
(e.g., herbamycin), dominant negative receptors for known inducers of
angiogenesis, antibodies against inducers of angiogenesis or other compounds
that
block their activity (e.g., suramin), or other compounds (e.g., retinoids, IL-
4,
interferons, etc.) acting by other means. Indeed, as such factors modulate
angiogenesis by different mechanisms, employing SLED in combination with
CA 02410699 2002-12-11 _. ~~~~~~'~.V ~ ~ ~ ~ 5 ~ 2 8
::~~ 4 ~ ~; ~,; ~.. 999
other antiangiogenic agents can potentiate a more potent (and potentially
synergistic) inhibition of angiogenesis within the desired tissue.
As discussed herein, SLED is a proteinatious factor. Thus, in one protocol,
the method involves providing SLED by supplying a SLED polypeptide to the
cells (e.g., within a suitable composition). Any suitable method can be
employed
to obtain a SLED polypeptide for use in the present invention. Many suitable
SLED polypeptides can be purified from tissues which naturally produce SLED or
from media conditioned by a variety of SLED-producing cells (e.g.,
retinoblastoma cell line WERI??). For example, it is known that SLED is
I D produced by all types of muscle, megakaryocytes of the spleen,
tibroblasts, kidney
tubules. cerebellar Purkinje cells. piliosebaceous glands of hair follicles,
and
retinal cells. A particularly good source of~naturally occurring SLED is
vitreous
and aqueous humors extracted from the eye. One protocol for purifying SLED
from protein extracts of these (or other sources) is by concentration/dialysis
using
l5 a 30 kDa ultratiltration membrane followed by protein precipitation in a
range of
about 65% to about 95% ammonium sulfate, followed by a lentil lectin sepharose
column at 0.5 M methyl-a-D-mannopytanoside, followed by gradient/isocratic
elution at 0.5 M NaCI from a PHARMACIA HiTrap heparin column. Other
protocols for purifying SLED polypeptides are known in the art (see, e.g.,
20 published international patent applications WU 95/33480 and WO 93/24529). A
native SLED polypeptide is identified via SDS-PAGE as a protein of about 45
kDa. Other SLED polypeptides can be synthesized using standard direct peptide
synthesizing techniques (e.g., as summarized in Bodanszky, Principles of
Peptide
S~ywthasis~ (Sl;rin~~:~-~'~rlag, 1-Ieidclbvra: 198-~)), such as ~-ia solid-
phase syrth;:~;a
25 (see, e.g., Merritield, J. Am. Chem. Soc., 85, 2149-54 (1963); Barany et
al., Int. J.
Peptide Protein Res., 30, 705-739 (1987); and U.S. Patent 5,424,398). Of
course,
as genes for SLED polypeptides are known (see, e.g., published international
patent applications WO 95/33480 and WO 93/24529); see also GenBanc accession
no. U29953), or can be deduced from the polypeptide sequences discussed
herein,
30 a SLED polypeptide can be produced by standard recombinant methods.
In other protocols, SLED polypeptide can be provided to the tissue of
interest by transferring an expression cassette including a nucleic acid
disclosing
SLED to cells associated with the tissue of interest. 'The cells produce and
secrete
the SLED polypeptide such that it is suitably provided to endothelial cells
within
35 the tissue to inhibit their migration and, thus, to attenuate angiogenesis
within the
tissue of interest. Coding sequences for SLED polypeptides are known (see,
e.g.,
* Trade-mark
~.,,c, , c.: ~ ~r-2-
CA 02410699 2002-12-11
WO 99/04806 PCT/US98/15228
8
published international patent applications WO 9~i33480 and WO 93/24529); see
also GenBanc accession no. U29953), and others can be deduced from the
polypeptide sequences discussed herein. Thus. SLED expression cassettes
typically employ coding sequences homologous to these known sequences, e.g.,
thev will hybridize to at least a fragment of the known sequences under at
least
mild stringency conditions, more preferably under moderate stringency
conditions,
most preferably under high stringency conditions (employing the definitions of
mild, moderate, and high stringency as set forth in Sambrook et al., Molecular
Cloning: A Laboraton~ Manual, 2d edition. Cold Spring Harbor Press ( 1989)).
l D In addition to the SLED coding sequence, an expression cassette includes a
promoter, and, in the context of the present invention, the promoter must be
able
to drive the expression of the SLED gene within the cells. Many viral
promoters
are appropriate for use in such an expression cassette (e.g., retroviral ITRs,
LTRs,
immediate early viral promoters (IEp) (such as herpesvirus IEp (e.g., ICP4-IEp
1~ and ICPO-IEp) and cytomegalovirus (CMV) IEp), and other viral promoters
(e.g.,
late viral promoters, latency-active promoters (LAPs), Rous Sarcoma Virus
(RSV)
promoters, and Murine Leukemia Virus (MLV) promoters)). Other suitable
promoters are eukaryotic promoters, such as enhancers (e.g., the rabbit ~3-
globin
regulatory elements), constitutively active promoters (e.g., the ~-actin
promoter,
20 etc.), signal specific promoters (e.g., inducible and/or repressible
promoters, such
as a promoter responsive to TNF or RU486, the metallothionine promoter, etc.),
and tumor-specific promoters.
Within the expression cassette, the SLED gene and the promoter are
operably linked such that the promoter is able to drive the expression of the
SLED
2~ gene. As long as this operable linkage is maintained, the expression
cassette can
include more than one gene, such as multiple genes separated by ribosome entry
sites. Furthermore, the expression cassette can optionally include other
elements,
such as polyadenylation sequences, transcriptional regulatory elements (e.g.,
enhancers, silencers, etc.), or other sequences.
30 The expression cassette must be introduced into the cells in a manner
suitable for them to express the SLED gene contained therein. Any suitable
vector
can be so employed, many of which are known in the art. Examples of such
vectors include naked DNA vectors (such as oligonucleotides or plasmids),
viral
vectors such as adeno-associated viral vectors (Berns et al., Ann. N. Y. Acad.
Sci.,
35 772, 95-104 (1995)), adenoviral vectors (Bain et al., Gene Therapw, l, S68
(1994)), herpesvirus vectors (Fink et al., Ann. Rev. Neurosci., 19, 265-87
(1996)),
packaged amplicons (Federoff et al., Proc. Nat. Acad. Sci. USA. 89, 1636-40
CA 02410699 2002-12-11
WO 99/04806 PCT/US98/15228
c~
( I 993)), pappiloma virus vectors, picornavirus vectors, polyoma virus
vectors,
retroviral vectors, SV40 viral vectors. vaccinia virus vectors, and other
vectors. In
addition to the expression cassette of interest, the vector can also include
other
genetic elements, such as, for example, genes encoding a selectable marker
(e.g.,
~-gal or a marker conferring resistance to a toxin), a pharmacologically
active
protein, a transcription factor, or other biologically active substance.
Once a given type of vector is selected. its genome must be manipulated
for use as a background vector, after which it must be engineered to
incorporate
exogenous polynucleotides. Methods for manipulating the genomes of vectors are
well known in the art (see, e.g., Sambrook et al., supra) and include direct
cloning,
site specific recombination using recombinases, homologous recombination, and
other suitable methods of constructing a recombinant vector. In this manner,
the
expression cassette can be inserted into anv desirable position of the vector.
The vector harboring the SLED expression cassette is introduced into the
IS cells by any means appropriate for the vector employed. Many such methods
are
well-known in the art (Sambrook et al., supra; see also Watson et al.,
Recombinant
DNA, Chapter 12, 2d edition, Scientific American Books ( 1992)). Thus,
plasmids
are transferred by methods such as calcium phosphate precipitation,
electroporation, liposome-mediated transfection, gene gun, microinjection,
viral
capsid-mediated transfer, polybrene-mediated transfer, protoplast fusion, etc.
Viral vectors are best transferred into the cells by infecting them; however,
the
mode of infection can vary depending on the virus.
Cells into which the SLED gene has been transferred can be used in the
inventive method as transient transformants. Alternatively, where the cells
are
cells in vitro, they can be subjected to several rounds of~ clonal selection
(if the
vector also contains a gene encoding a selectable marker, such as a gene
conferring resistance to a toxin) to select for stable transformants.
Within the cells, the SLED gene is expressed such that the cells express
and secrete the SLED polypeptide. Successful expression of the gene can be
assessed via standard molecular biological techniques (e.g., Northern
hybridization, Western blotting, immunoprecipitation, enzyme immunoassay,
etc.). Reagents for detecting the expression of SLL:D genes and the secretion
of
SLED from transfected cells are known in the art (see, e.g., published
international
patent applications WO 95/33480 and WO 93/24529); Steele et al., supra).
Depending on the location of the tissue of interest, SLED can be supplied
in any manner suitable to provide it to endothelial cells within the tissue of
interest. Thus. for example, a composition containing a source of SLED (i.e.,
a
CA 02410699 2002-12-11
WO 99/04806 PCT/US98I15228
SLED polypeptide or a SLED expression cassette, as described herein) can be
introduced into the systemic circulation. which will distribute the source of
SLED
to the tissue of interest. Alternatively, a composition containing a source of
SLED
can be applied topically to the tissue of interest (e.g.. injected as a bolus
within a
tumor or intercutaneous or subcutaneous site, applied to all or a portion of
the
surface of the skin, dropped onto the surface of the eye, etc.).
Where the source of SLED is a SLED polypeptide (e.g., within a suitable
composition), it is provided in a concentration and for a time sufficient to
inhibit
angiogenesis within the tissue. Where SLED is produced naturally, it can be
IO present in concentrations as high as about 250 nM. Because SLED is non-
toxic, it
can be supplied to tissues in a far more concentrated form. However, given
SLED's potency, it can be employed in the inventive method at far reduced
concentrations, such as about ~0 nM or less (e.g., about 10 nM or less).
Indeed, in
some protocols, about 2 nM SLED or less effectively inhibits angiogenesis and
IS endothelial cell migration. Depending on the formulation of a composition
comprising the protein, it is supplied over a time course sufficient to retard
angiogenesis within the desired tissue. In some protocols (e.g., where the
SLED is
supplied to the surface of skin or to the eye), repeated application enhances
the
antiangiogenic effect and may be required in some applications. Where the
source
of SLED is a SLED expression cassette, the cells expressing the cassette
produce
an effective amount of the protein (i.e., sufficient to inhibit angiogenesis
in the
tissue).
To facilitate the inventive method, the invention provides a
pharmacological composition comprising a source of SLED and a suitable
diluent.
2~ In addition to the source of SLED, the composition includes a diluent,
which
includes one or more pharmacologically-acceptable carriers. Pharmaceutical
compositions for use in accordance with the present invention can be
formulated
in a conventional manner using one or more pharmacologically or
physiologically
acceptable carriers comprising excipients, as well as optional auxiliaries
which
facilitate processing of the active compounds into preparations which can be
used
pharmaceutically. Proper formulation is dependent upon the route of
administration chosen. Thus, for systemic injection, the source of SLED can be
formulated in aqueous solutions, preferably in physiologically compatible
buffers.
For transmucosal administration, penetrants appropriate to the barrier to be
permeated are used in the formulation. Such penetrants are generally known in
the art. For oral administration, the source of SLED can be combined with
carriers suitable for inclusion into tablets, pills, dragees. capsules,
liquids, gels,
CA 02410699 2002-12-11
WO 99104806 PCT/US98115228
syrups, slurries, diposomes, suspensions and the like. For administration by
inhalation, the source of SLED is conveniently delivered in the form of an
aerosol
spray presentation from pressurized packs or a nebuliser, with the use of a
suitable
propellant. The source of SLID can be formulated for parenteral administration
S by injection, e.g., by bolus injection or continuous infusion. Such
compositions
can take such forms as suspensions, solutions or emulsions in oily or aqueous
vehicles. and can contain tormulatory agents such as suspending, stabilizing
and/or dispersing agents. For application to the skin, the source of SLED can
be
formulated into a suitable gel, magma, creme. ointment. or other carrier. For
70 application to the eyes, the source of SLED can be formulated in aqueous
solutions, preferably in physiologically compatible buffers. The source of
SLED
can also be formulated into other pharmaceutical compositions such as those
known in the art.
Because it is known that SLED is absent from some tumors, the invention
15 also provides a method for determining the prognosis of a tumor by assaying
for
the presence of SLED within the tumor. The method involves obtaining tissue or
fluid from the tumor and detecting the presence or absence of SLED within the
tissue or fluid. Greater the SLED concentration within the tumor correlates
with a
lesser likelihood that the tumor is undergoing angiogenesis. Thus, higher SLED
20 concentration within the tumor is indicative of a relatively early stage of
tumerogenesis and is, thus, an optimistic indication. Conversely, the absence
of
SLED within a given tumor is indicative of a more advanced stage of
tumerogenesis. The method can employ an assay for the presence of PEDF gene
expression (e.g., via rtPCR, Northern hybridization, in situ hybridization
etc.).
25 Alternatively, the method can employ an assay for the presence of secreted
SLED
(e.g., immunological assays, SLED purification and PAGE analysis, etc.).
Reagents for detecting the presence of SLED within such tumors are known in
the
art (see, e.g., published international patent applications WO 95/33480 and WO
93/24529).
30 While it is believed that one of skill in the art is fully able to practice
the
invention after reading the foregoing detailed description, the following
examples
further illustrate some of its features. As these examples are included for
purely
illustrative purposes, they should not be construed to limit the scope of the
invention m any respect.
35 The procedures employed in these examples, such as cell culture,
manipulation of protein and DNA, etc. are well known in the art (see generally
Sambrook et al., Moleccslar Cloning, A Lcrboraton~ Manual, Cold Spring Llarbor
CA 02410699 2003-09-15
WO 99/04806 PC'fNS98115228
12
Laboratory, Cold Spring Harbor, NY ( 1989)). Accordingly, in the interest of
brevity, the experimental protocols are not discussed in detail.
EXAMPLE 1
S This example demonstrates that SLED prevents endothelial cell migration.
The migration of different vascular endothelial cell types was determined
by adding SLED to cultured endothelial cells. Specifically, endothelial cells
isolated from bovine adrenal capillaries, human umbilical chords, and human
dermal microvascular tissue.
The cells were plated on gelatinized Nucleopore* membranes (5 pm pores
for bovine capillary cells and 8 pm pares for other cells) in an inverted
modified
Boyden chamber. After two hours, the chamber was reinverted and test
substances added to the top wells of each. Specifically, populations were
exposed
to either culture medium alone (control), 10 nglml bFGF, 2 nM SLED (full
length
IS PEDF), or both 10 ng/ml bFGF (Fibroblast Growth Factor) and 10 nM SLED.
The cells were then permitted to migrate for 3-4 hours. Following this, the
membranes were fixed and stained, and the number of cells that had migrated
were counted.
The results of the assay are presented in Figure 1 as a percentage of
maximal migration (error bars represent standard error measurement, n=4). As
is
depicted. all three types of vascular endothelial cells exhibited nearly 100%
migration in the presence of bFGF. However, in the presence of SLED,
considerably less migration was observed. These results demonstrate that SLED
inhibits endothelial cell migration. These results are surprising, given that
the
PEDF protein is known to induce neural differentiation of cultured
retinoblastoma
tumor cells, to be a neurotrophic factor for cerebellar granular cells and a
cytostatic factor for glial cells (Taniwaki et al., J. Neurochem., 68, 26-32
(1997);
Sugita et al., J Neurosci. Res., 49, 710-18 ( 1997); Tombran-Tink et al., Exp.
Eye
Res., 53, 411-14 (1991); Becerra, "Structure-Function Studies on PEDF,"
Chapter
21, in Chemistry and &iology of Serpins, Church et al., eds. (Plenum Press,
1997)).
EXAMPLE 2
This example demonstrates that the prevention of cell migration by SLED
is specific for endothelial cells.
The ability of SLED to prevent migration of fibroblasts or smooth muscle
was tested using cells obtained from human diploid fibroblast cell line WI-38,
(*) Trade-mark
CA 02410699 2002-12-11
WO 99104806 PCTIUS98/15228
13
human foreskin fibroblasts, vascular smooth muscle, and normal human
neutrophils.
The assay was performed as indicated in Example I, except that the dose of
SLED varied from 0.01 nM to about 50 nM and that the migration assay was
S performed without inverting the chambers. Moreover, the inducer of migration
varied with the cell type (IL-8 was used at 1 ~glml and PDGF was used at 250
pg/ml).
The results of this experiment are presented in Figures 2A-2D. As
indicated in these figures, SLED did not inhibit migration of any of the cell
lines.
!0 This result indicates that the antimigratory activity of SLED is specific
for
vascular endothelial cells.
EXAMPLE 3
This example demonstrates that SLED is among the most potent inhibitors
I~ of endothelial cell migration.
Using a protocol similar to that outlined in Example l, bovine adrenal
capillary endothelial cells were exposed to bFGF, SLED, and several known
antiangiogenic factors. The amount of a given factor necessary to achieve 50%
of
migration was determined and is reported here as EDSO. A smaller EDSo
20 measurement indicates a more potent antiangiogenic factor. The results of
this
experiment, presented in Table l, indicate that SL>=:D is a highly potent
antiangiogenic factor.
Table 1
25 Agent EDSO (nM)
SLED 0.1-0.5
Thrombospondin 0.5
Endostatin 3.0
Angiostatin 3.5
30 Retinoic Acid 15
Tissue Inhibitor of Metalloproteinase-1 3500
Captopril 10,000
EXAMPLE 4
35 This example demonstrates that SLED inhibits the angiogenic activity of
known angiogenic agents.
CA 02410699 2002-12-11
WO 99104806 PCTlLJS98/15228
14
Using a protocol similar to that outlined in Example 1. bovine adrenal
capillary endothelial cells were exposed to five known angiogenic agents alone
or
in combination with 0.1 ~tg/ml SLED. In particular, aFGF was employed at a
concentration of~ ~0 ng/ml, bFGF was employed at a concentration of 10 ng/ml,
IL-8 was employed at a concentration of 40 nglml, PDGF was employed at a
concentration of 250 pg/ml, and VEGF was employed at a concentration of 100
pg/ml.
The results of the assay are presented in Figure 3. As is depicted, the
migration of the cells was considerably inhibited by SL.E;D, regardless of the
angiogenic agent. These results demonstrate that SLED-mediated inhibition of
vascular endothelial migration is not specific for bFGF induction, but that
SLED
acts generally to inhibit migration of these cells.
EXAMPLE 5
IS This example demonstrates that SLED inhibits neovascularization in vivo.
Pellets containing various proteins were implanted in the avascular corneas
of rats. Pellets either contained or lacked bFGF, and the pellets also
contained
either SLED or bovine serum albumin (BSA) as a control. After seven days, the
corneas of the rats were examined to note whether angiogenesis had occurred.
The results of this assay are presented in Table 2. As indicated, no
vascularization was observed from injecting pellets lacking bFGF. However,
vascularization was observed in all eyes implanted with bFGF and BSA. Co-
injection of bFGF and SLEF, however, resulted in no neovascularization in any
cornea. These results indicate that SLED is a potent inhibitor of angiogenesis
in
vivo.
Table 2'
Treatment Without bFGF With bFGF
SLED (8nM) 0/3 0/3
BSA Oi2 4/4
*results expressed as number of corneas with angiogenesis/number of test
animals.
EXAMPLE 6
This example demonstrates that SLED polypeptides other than the full
PEDF protein are active antiangiogenic agents.
_ ". ~ 02410699 2002-12-11
~~A/US ~-~ ~UL 199
~Trypsin digestion of the complete PEDF protein cleaves the protein at
amino acid 352, removing the approximately 3-5 kDa carboxy- terminal portion
of
the protein (Becerra et al., J. Biol. C'hem., 270, 25992-99 ( 1995)). This
procedure
was employed to generate the fragments, and the truncated N-PEDF fragment
5 was purified from trypsin by heparin affinity chromatography.
Using a protocol similar to that outlined above, various concentrations of
either full length PEDF or the truncated peptide were assayed for their
respective
abilities to affect endothelial cell migration. Data generated for the
truncated
peptide are indicated in Figure 4. Comparison of these data with the activity
of
10 the full length PEDF (see Figure 3) reveals both proteins to be similarly
potent at
inhibiting endothelial cell migration. These results indicate that peptides
other
than full length PhDF are active SLED polypeptides.
EXAMPLE 7
15 This example demonstrates that exogenous SLED applied to the skin
promotes the growth of hair therein.
In this example, the ability of SLED to induce hair growth is investigated
using an established mouse model. In particular, in the CS7BL/6 mouse strain,
a
change in skin pigmentation correlates with the physiology of the skin being
in
anagen (growing), catagen (transitional), or telogen (resting) phase (see,
e.g., Jiang
et al., J. Invest. Dermatol., 104, 523-2S (1995); Slominski et al., J. Invest.
Dermatol., 102, 862-69 ( 1994); Paus et al., Lab. Invest., 71, 134-40 ( 1994);
and
Paus et al., Lab. Invest., 60, 365-69 (1989)). Six or seven week old C57BL/6
mice
have pint; skin, indicating telogcn phase. Depilation of these mice triggers
hair
growth and skin darkening.
To test for the effect of SLED on hair growth, six or seven-week-old
C57BL/6 mice are inspected for the absence of skin pigmentation to verify that
their skin is in telogen (resting) stage. Following this, they are
anesthetized and
their hair is removed by clipping (rather than shaving) so as not to trigger
anagen.
A plasmid having a SLED expression cassette is precipitated onto gold
particles.
Similarly, a control plasmid having a ~-galactosidase expression cassette is
also
precipitated onto gold particles. To avoid significant trauma to the skin
(which
could trigger anagen), the plasmids are transferred to the prepared skin of
the mice
at 250 psi using a gene gun (see, e.g., Rakmilevich et al., Proc. Nat. Acad.
Sci.
(USA), 93, 6291-96 (1996)).
AMENDED SHEET
CA 02410699 2002-12-11
WO 99!04806 PCTNS98/15228
16
At weekly intervals following gene transfer, animals are sacrificed and the
presence of circulating levels of administered gene product are assessed by
Western blotting. Additionally, skin from the prepared and transfected skin is
assayed for the presence of gene product within the skin by
immunohistochemistry. The mice are also visually observed weekly for the
presence of coloration within the treated areas of skin.
Results indicate that transfer of the ~i-galactosidase or Sl~ED expression
cassette leads to detectable product in the animals. However, skin transfected
with
the ~-gal expression cassette does not progress to anagen any more rapidly
than
untreated skin. Conversely, skin treated with the SLED expression cassette
becomes pigmented more rapidly than untreated skin. The results indicate that
transfer of exogenous SLED to the skin promotes the growth of hair.
While this invention has been described with an emphasis upon preferred
embodiments, it will be obvious to those of ordinary skill in the art that
variations
of the preferred embodiments may be used and that it is intended that the
invention may be practiced otherwise than as specifically described herein.
Accordingly, this invention includes all modifications encompassed within the
spirit and scope of the invention as defined by the following claims.
CA 02410699 2002-12-11
17
SEQUENCE LISTING
GENERAL INFORMATION
APPLICANT: Northwestern University
TITLE OF INVENTION: Methods and Compositions for Inhibiting Angiogenesis
FILE REFERENCE: 200290.0039/23CN
CURRENT APPLICATION DATA
APPLICATION NUMBER: C~ 2,H~0~ ~qq
FILING DATE: 1998-07-23
PRIOR APPLICATION DATA
APPLICATION NUMBER: PCT/US98/15228
FILING DATE: 1998-07-23
APPLICATION NUMBER: US 08/899,304
FILING DATE: 1997-07-23
PATENT AGENT INFORMATION
NAME: Helene D'Iorio
REGISTRATION NUMBER: 4133
REFERENCE/DOCKET NUMBER: 08-885929CA
TELECOMMUNICATION INFORMATION:
TELEPHONE: (613) 786-0166
TELEFAX: (613) 563-9869
NUMBER OF SEQUENCE ID NOs: 1
COMPUTER-READABLE FORM
MEDIUM TYPE: Diskette
COMPUTER: IBM Compatible
OPERATING SYSTEM: DOS
SOFTWARE: PatentIn Ver. 2.1
INFORMATION FOR SEQ ID NO.: 1
SEQUENCE CHARACTERISTICS
LENGTH: 362
TYPE: PRT
ORGANISM: Homo sapiens
SEQUENCE DESCRIPTION: SEQ ID NO.: 1
Met Gln Ala Leu Val Leu Leu Leu Cys Ile Gly Ala Leu Leu Gly His
1 5 10 15
Ser Ser Cys Gln Asn Pro Ala Ser Pro Pro G1u Glu Gly Ser Pro Asp
20 25 30
Pro Asp Ser Thr Gly Ala Leu Val Glu Glu Glu Asp Pro Phe Phe Lys
35 40 45
Val Pro Val Asn Lys Leu Ala Ala Ala Val Ser Asn Phe Gly Tyr Asp
50 55 60
Leu Tyr Arg Val Arg Ser Ser Met Ser Pro Thr Thr Asn Val Leu Leu
65 70 75 80
Ser Pro Leu Ser Val Ala Thr Ala Leu Ser Ala Leu Ser Leu Gly Ala
85 90 95
Glu Gln Arg Thr Glu Ser Ile Ile His Arg Ala Leu Tyr Tyr Asp Leu
100 I05 110
Ile Ser Ser Pro Asp Ile His Gly Thr Tyr Lys Glu Leu Leu Asp Thr
115 120 125
Val Thr Ala Pro Gln Lys Asn Leu Lys Ser Ala Ser Arg Ile Val Phe
130 135 140
CA 02410699 2002-12-11
18
Glu Lys Lys Leu Arg Ile Lys Ser Ser Phe Val Ala Pro Leu Glu Lys
145 150 155 160
Ser Tyr Gly Thr Arg Pro Arg Val Leu Thr Gly Asn Pro Arg Leu Asp
165 170 175
Leu Gln Glu Ile Asn Asn Trp Val Gln Ala Gln Met Lys Gly Lys Leu
180' 185 190
Ala Arg Ser Thr Lys Glu Ile Pro Asp Glu Ile Ser Ile Leu Leu Leu
195 200 205
Gly Val Ala His Phe Lys Gly Gln Trp Val Thr Lys Phe Asp Ser Arg
210 215 220
Lys Thr Ser Leu Glu Asp Phe Tyr Leu Asp Glu Glu Arg Thr Val Arg
225 230 235 290
Val Pro Met Met 5er Asp Pro Lys Ala Val Leu Arg Tyr Gly Leu Asp
245 250 255
Ser Asp Leu Ser Cys Lys Ile Ala Gln Leu Pro Leu Thr Gly Ser Met
260 265 270
Ser Ile Ile Phe Phe Leu Pro Leu Lys Val Thr Gln Asn Leu Thr Leu
275 280 285
Ile Glu Glu Ser Leu Thr Ser Glu Phe Ile His .Asp Ile Asp Arg Glu
290 295 300
Leu Lys Thr Val Gln Ala Val Leu Thr Val Pro Lys Leu Lys Leu Ser
305 310 315 320
Tyr Glu Gly Glu Val Thr Lys Ser Leu Gln Glu Met Lys Leu Gln Ser
325 330 335
Leu Phe Asp Ser Pro Asp Phe Ser Lys Ile Thr Gly Lys Pro Ile Lys
340 345 350
Leu Thr Gln Gly Gly Thr Pro Gly Trp Leu
355 360
