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Title: Antiviral proteins and
peptides, DNA coding sequences therefor, and uses thereof
United States Patent: 6,987,096
Issued: January 17, 2006
Inventors: Boyd; Michael R. (Ijamsville,
MD); Gustafson; Kirk R. (Frederick, MD); Shoemaker; Robert H. (Frederick,
MD); McMahon; James B. (Frederick, MD)
Assignee: The United States of America as
represented by the Department of Health and Human Services (Washington,
DC)
Appl. No.: 969689
Filed: November 13, 1997
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Executive MBA in Pharmaceutical Management, U. Colorado
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Abstract
The present invention provides antiviral
proteins (collectively referred to as cyanovirins), conjugates thereof,
DNA sequences encoding such agents, host cells containing such DNA
sequences, antibodies directed to such agents, compositions comprising
such agents, and methods of obtaining and using such agents.
DESCRIPTION OF THE
PREFERRED EMBODIMENTS
The present invention is predicated, at
least in part, on the observation that certain extracts from cultured
cyanobacteria (blue-green algae) exhibited antiviral activity in an
anti-HIV screen. The anti-HIV screen was conceived in 1986 (by M. R. Boyd
of the National Institutes of Health) and has been developed and operated
at the U.S. National Cancer Institute (NCI) since 1988 (see Boyd, in
AIDS, Etiology, Diagnosis, Treatment and Prevention, DeVita et al.,
eds., Philadelphia: Lippincott, 1988, pp. 305-317).
Cyanobacteria (blue-green algae) were specifically chosen for anti-HIV
screening because they had been known to produce a wide variety of
structurally unique and-biologically active non-nitrogenous and amino
acid-derived natural products (Faulkner, Nat. Prod. Rep. 11,
355-394, 1994; Glombitza et al., in Algal and Cyanobacterial
Biotechnology, Cresswell, R. C., et al. eds., 1989, pp. 211-218).
These photosynthetic procaryotic organisms are significant producers of
cyclic and linear peptides (molecular weight generally <3 kDa), which
often exhibit hepatotoxic or antimicrobial properties (Okino et al.,
Tetrahedron Lett. 34, 501-504, 1993; Krishnamurthy et al., PNAS USA
86, 770 774, 1989; Sivonen et al., Chem. Res. Toxicol. 5,
464-469, 1992; Carter et al., J. Org. Chem. 49, 236-241, 1984;
Frankmolle et al., J. Antibiot. 45, 1451-1457, 1992). Sequencing
studies of higher molecular weight cyanobacterial proteins have generally
focused on those associated with primary metabolic processes or ones that
can serve as phylogenetic markers (Suter et al., FEBS Lett. 217,
279-282, 1987; Rumbeli et al., FEBS Lett. 221, 1-2, 1987; Swanson
et al., J. Biol. Chem. 267, 16146-16154, 1992; Michalowski et al.,
Nucleic Acids Res. 18, 2186, 1990; Sherman et al., in The
Cyanobacteria, Fay et al., eds., Elsevier: New York, 1987, pp. 1-33;
Rogers, in The Cyanobacteria, Fay et al., eds., Elsevier: New York,
1987, pp. 35-67). In general, proteins with antiviral properties have not
been associated with cyanobacterial sources.
The cyanobacterial extract leading to the present invention was among many
thousands of different extracts initially selected randomly and tested
blindly in the anti-HIV screen described above. A number of these extracts
had been determined preliminarily to show anti-HIV activity in-the NCI
screen (Patterson et al., J. Phycol. 29, 125-130, 1993). From this
group, an aqueous extract from Nostoc ellipsosporum, which had been
prepared as described (Patterson, 1993, supra) and which showed an
unusually high anti-HIV potency and in vitro "therapeutic index" in the
NCI primary screen, was selected for detailed investigation. A specific
bioassay-guided strategy was used to isolate and purify a homogenous
protein highly active against HIV.
In the bioassay-guided strategy, initial selection of the extract for
fractionation, as well as the decisions concerning the overall chemical
isolation method to be applied, and the nature of the individual steps
therein, were determined by interpretation of biological testing data. The
anti-HIV screening assay (see, e.g., Boyd, 1988, supra; Weislow et al.,
J. Natl. Cancer Inst. 81, 577-586, 1989), which was used to guide the
isolation and purification process, measures the degree of protection of
human T-lymphoblastoid cells from the cytopathic effects of HIV. Fractions
of the extract of interest are prepared using a variety of chemical means
and are tested blindly in the primary screen. Active fractions are
separated. further, and the resulting subfractions are likewise tested
blindly in the screen. This process is repeated as many times as necessary
in order to obtain the active compound(s), i.e., antiviral fraction(s)
representing pure compound(s), which then can be subjected to detailed
chemical analysis and structural elucidation.
Using this strategy, aqueous extracts of Nostoc ellipsosporum were
discovered to contain an antiviral protein. It should be noted that the
term "protein" as used herein to describe the present invention is not
restricted to an amino acid sequence of any particular length and includes
molecules comprising 100 or more amino acids, as well as molecules
comprising less than 100 amino acids (which are sometimes referred to as
"peptides").
The present invention accordingly provides an isolated and purified
antiviral protein from Nostoc ellipsosporum, specifically an
isolated and purified antiviral protein known as cyanovirin-N. The present
invention-also provides other cyanovirins. The term "cyanovirin" is used
herein to generically refer to a native antiviral protein isolated from
Nostoc ellipsosporum ("native cyanovirin") and any functionally
equivalent protein or derivative thereof.
In the context of the present invention, such a functionally equivalent
protein or derivative thereof (a) contains a sequence of at least nine
(preferably at least twenty, more preferably at least thirty, and most
preferably at least fifty) amino acids directly homologous with
(preferably the same as) any subsequence of nine contiguous amino acids
contained within a native cyanovirin (especially cyanovirin-N), and (b) is
antiviral, in particular capable of specifically binding to a virus, more
specifically a primate immunodeficiency virus, more specifically HIV-1,
HIV-2, or SIV, or to an infected host cell expressing one or more viral
antigen(s), more specifically an envelope glycoprotein, such as gp120, of
the respective virus. In addition, such a functionally equivalent protein
or derivative thereof can comprise the amino acid sequence of a native
cyanovirin, particularly cyanovirin-N (see SEQ ID NO:2), in which 1-20,
preferably 1-10, more preferably 1, 2, 3, 4, or 5, and most preferably 1
or 2, amino acids have been removed from one or both ends, preferably from
only one end, and most preferably from the amino-terminal end, of the
native cyanovirin.
The present inventive cyanovirin preferably comprises an amino acid
sequence that is substantially homologous to that of an antiviral protein
from Nostoc ellipsosporum, specifically a native cyanovirin,
particularly cyanovirin-N. In the context of the cyanovirins of the
present invention, the term "substantially homologous" means sufficient
homology to render the cyanovirin antiviral, preferably with antiviral
activity characteristic of an antiviral protein isolated from Nostoc
ellipsosporum. There preferably exists at least about 50% homology,
more preferably at least about 75% homology, and most preferably at least
about 90% homology.
Thus, the present invention provides an isolated and purified protein
encoded by a nucleic acid molecule comprising a coding sequence for a
cyanovirin, such as particularly an isolated and purified protein encoded
by a nucleic acid molecule comprising a sequence of SEQ ID No:1, a nucleic
acid molecule comprising a sequence of SEQ ID NO:3, a nucleic acid
molecule encoding an amino acid sequence of SEQ ID NO:2, or a nucleic acid
molecule encoding an amino acid sequence of SEQ ID NO:4.
The present invention further provides a cyanovirin conjugate, which
comprises a cyanovirin coupled to one or more selected effector molecule(s),
such as a toxin or immunological reagent. The term "immunological reagent"
is used herein to refer to an antibody, an immunoglobulin, and an
immunological recognition element. An immunological recognition element is
an element, such as a peptide, e.g., the FLAG sequence of the recombinant
cyanovirin-FLAG fusion protein, which facilitates, through immunological
recognition, isolation and/or purification and/or analysis of the protein
to which it is attached. A cyanovirin fusion protein is a type of
cyanovirin conjugate, wherein a cyanovirin is coupled to one or more other
protein(s) having any desired properties or effector functions, such as
cytotoxic or immunological properties, or other desired properties, such
as to facilitate isolation, purification, or analysis of the fusion
protein.
The present invention also provides a method of obtaining a cyanovirin
from Nostoc ellipsosporum. The present inventive method comprises
(a) identifying an extract of Nostoc ellipsosporum containing
antiviral activity, (b) optionally removing high molecular weight
biopolymers from the extract, (c) antiviral bioassay-guided fractionating
the extract to obtain a partially purified extract of cyanovirin, and (d)
further purifying the partially purified extract by reverse-phase HPLC to
obtain a cyanovirin. The method preferably involves the use of ethanol to
remove high molecular weight biopolymers from the extract and the use of
an anti-HIV bioassay to guide fractionation of the extract.
The cyanovirin isolated and purified in accordance with the present
inventive method, such as cyanovirin-N (CV-N), can be subjected to
conventional procedures typically used to determine the amino acid
sequence of a given pure protein. Thus, the cyanovirin can be sequenced by
N-terminal Edman degradation of intact protein and overlapping peptide
fragments generated by endoproteinase digestion. Amino acid analysis
desirably will be in agreement with the deduced sequence. Similarly, ESI
mass spectrometry of reduced, HPLC-purified cyanovirin-N desirably will
show a molecular ion value consistent with the calculated value.
These studies indicated that cyanovirin-N from Nostoc ellipsosporum
comprises a unique sequence of 101 amino acids having little or no
significant homology to previously described proteins or transcription
products of known nucleotide sequences. No more than eight contiguous
amino acids from cyanovirin are found in any amino acid sequences from
known proteins, nor are there any known proteins from any source
containing greater than 13% sequence homology with cyanovirin-N. Given the
chemically deduced amino acid sequence of cyanovirin-N, a corresponding
recombinant cyanovirin-N (r-cyanovirin-N, or r-CV-N) was created and used
to definitively establish that the deduced amino acid sequence is, indeed,
active against viruses, such as HIV.
The present invention further provides an isolated and purified nucleic
acid molecule and synthetic nucleic acid molecule, which comprises a
coding sequence for a cyanovirin (particularly a native cyanovirin,
especially cyanovirin-N). Such a nucleic acid molecule includes an
isolated and purified nucleic acid molecule comprising a sequence of SEQ
ID No:1, an isolated and purified nucleic acid molecule comprising a
sequence of SEQ ID NO:3, an isolated and purified nucleic acid molecule
encoding an amino acid sequence of SEQ ID NO:2, an isolated and purified
nucleic acid molecule encoding an amino acid sequence of SEQ ID NO:4, and
a nucleic acid molecule that is substantially homologous to any one or
more of the aforementioned nucleic acid molecules. In the context of the
nucleic acid molecule of the present invention, the term "substantially
homologous" means sufficient homology to render the protein encoded by the
nucleic acid molecule antiviral, preferably with antiviral activity
characteristic of an antiviral protein isolated from Nostoc
ellipsosporum. There preferably exists at least about 50% homology,
more preferably at least about 75% homology, and most preferably at least
about 90% homology.
The present inventive nucleic acid molecule desirably comprises a nucleic
acid sequence encoding at least nine (preferably at least twenty, more
preferably at least thirty, and most preferably at least fifty) contiguous
amino acids of the amino acid sequence of SEQ ID NO:2. The present
inventive nucleic acid molecule also desirably comprises a nucleic acid
sequence encoding a protein comprising the amino acid sequence of a native
cyanovirin, particularly cyanovirin-N, in which 1-20, preferably 1-10,
more preferably 1, 2, 3, 4, or 5, and most preferably 1 or 2, amino acids
have been removed from one or both ends, preferably from only one end, and
most preferably from the amino-terminal end, of the native cyanovirin.
Given the present disclosure, it will be apparent to one skilled in the
art that a partial cyanovirin-N gene codon sequence will likely suffice to
code for a fully functional, i.e., antiviral, such as anti-HIV, cyanovirin.
A minimum essential DNA coding sequence(s) for a functional cyanovirin can
readily be determined by one skilled in the art, for example, by synthesis
and evaluation of sub-sequences comprising the native cyanovirin, and by
site-directed mutagenesis studies of the cyanovirin-N DNA coding sequence.
Using an appropriate DNA coding sequence, a recombinant cyanovirin can be
made by genetic engineering techniques (see, e.g., for general background,
Nicholl, in An Introduction to Genetic Engineering, Cambridge
University Press: Cambridge, 1994, pp. 1-5 & 127-130; Steinberg et al.,
in Recombinant DNA Technology Concepts and Biomedical Applications,
Prentice Hall: Englewood Cliffs, N.J., 1993, pp. 81-124 & 150-162; Sofer
in Introduction to Genetic Engineering, Butterworth-Heinemann,
Stoneham, Mass., 1991, pp. 1-21 & 103-126; Old et al., in Principles of
Gene Manipulation, Blackwell Scientific Publishers: London, 1992, pp.
1-13 & 108-221; Emtage, in Delivery Systems for Peptide Drugs,
Davis et al., eds., Plenum Press: New York, 1986, pp. 23-33). For example,
a Nostoc ellipsosporum gene or cDNA encoding a cyanovirin can be
identified and subcloned. The gene or cDNA can then be incorporated into
an appropriate expression vector and delivered into an appropriate
protein-synthesizing organism (e.g., E. coli, S. cerevisiae, P.
pastoris, or other bacterial, yeast, insect, or mammalian cell), where
the gene, under the control of an endogenous or exogenous promoter, can be
appropriately transcribed and translated. Such expression vectors
(including, but not limited to, phage, cosmid, viral, and plasmid vectors)
are known to those skilled in the art, as are reagents and techniques
appropriate for gene transfer (e.g., transfection, electroporation,
transduction, micro-injection, transformation, etc.). Subsequently, the
recombinantly produced protein can be isolated and purified using standard
techniques known in the art (e.g., chromatography, centrifugation,
differential solubility, isoelectric focusing, etc.), and assayed for
antiviral activity.
Alternatively, a native cyanovirin can be obtained from Nostoc
ellipsosporum by non-recombinant methods and sequenced by conventional
techniques. The sequence can then be used to synthesize the corresponding
DNA, which can be subcloned into an appropriate expression vector and
delivered into a protein-producing cell for en mass recombinant production
of the desired protein.
In this regard, the present invention also provides a vector comprising
the present inventive nucleic acid molecule, e.g., a DNA sequence such as
a Nostoc ellipsosporum gene sequence for cyanovirin, a cDNA
encoding a cyanovirin, or a synthetic DNA sequence encoding a cyanovirin.
The present invention also provides a host cell comprising present
inventive nucleic acid molecule or vector, as well as a method of using
such a host cell to produce a cyanovirin.
The DNA, whether isolated and purified or synthetic, or cDNA encoding a
cyanovirin can encode for either the entire cyanovirin or a portion
thereof (desirably an antivirally active portion thereof). Where the DNA
or cDNA does not comprise the entire coding sequence of the native
cyanovirin, the DNA or cDNA can be subcloned as part of a gene fusion. In
a transcriptional gene fusion, the DNA or-cDNA will contain its own
control sequence directing appropriate production of protein (e.g.,
ribosome binding site, translation initiation codon, etc.), and the
transcriptional control sequences (e.g., promoter elements and/or
enhancers) will be provided by the vector. In a translational gene fusion,
transcriptional control sequences as well as at least some of the
translational control sequences (i.e., the translational initiation codon)
will be provided by the vector. In the case of a translational gene
fusion, a chimeric protein will be produced.
Genes also can be constructed for specific fusion proteins containing a
functional cyanovirin component plus a fusion component conferring
additional desired attribute(s) to the composite protein. For example, a
fusion sequence for a toxin or immunological reagent, as defined above,
can be added to facilitate purification and analysis of the functional
protein.
Genes can be specifically constructed to code for fusion proteins, which
contain a cyanovirin coupled to an effector protein, such as a toxin or
immunological reagent, for specific targeting to viral-infected, e.g., HIV
and/or HIV-infected, cells. In these instances, the cyanovirin moiety
serves not only as a neutralizing agent but also as a targeting agent to
direct the effector activities of these molecules selectively against a
given virus, such as HIV. Thus, for example, a therapeutic agent can be
obtained by combining the HIV-targeting function of a functional
cyanovirin with a toxin aimed at neutralizing infectious virus and/or by
destroying cells producing infectious virus, such as HIV. Similarly, a
therapeutic agent can be obtained, which combines the viral-targeting
function of a cyanovirin with the multivalency and effector functions of
various immunoglobulin subclasses.
Similar rationales underlie extensive developmental therapeutic efforts
exploiting the HIV gp120-targeting properties of sCD4. For example,
sCD4-toxin conjugates have been prepared in which sCD4 is coupled to a
Pseudomonas exotoxin component (Chaudhary et al., in The Human
Retrovirus, Gallo et al., eds., Academic Press: San Diego, 1991, pp.
379-387; Chaudhary et al., Nature 335, 369-372, 1988), a diphtheria
toxin component (Aullo et al., EMBO J. 11, 575-583, 1992), or a
ricin A-chain component (Till et al., Science 242, 1166-1167,
1988). Likewise, sCD4-immunoglobulin conjugates have been prepared in
attempts to decrease the rate of in vivo clearance of functional sCD4
activity, to enhance placental transfer, and to effect a targeted
recruitment of immunological mechanisms of pathogen elimination, such as
phagocytic engulfment and killing by antibody-dependent cell-mediated
cytotoxicity, to kill and/or remove HIV-infected cells and virus (Capon et
al., Nature 337, 525-531, 1989; Traunecker et al., Nature
339, 68-70, 1989; Langner et al., 1993, supra). While such
CD4-immunoglobulin conjugates -(sometimes called "immunoadhesins") have,
indeed, shown advantageous pharmacokinetic and distributional attributes
in vivo, and anti-HIV effects in vitro, clinical results have been
discouraging (Schooley et al., 1990, supra; Husson et al., 1992, supra;
Langner et al., 1993, supra). This is not surprising since clinical
isolates of HIV, as opposed to laboratory strains, are highly resistant to
binding and neutralization by sCD4 (Orloff et al., 1995, supra; Moore et
al., 1992, supra). Therefore, the extraordinarily broad antiviral activity
and targeting properties of a functional cyanovirin to viruses, e.g.,
primate retroviruses, in general, and clinical and laboratory strains, in
particular, are especially advantageous for combining with toxins,
immunoglobulins, and other selected effector proteins.
Viral-targeted conjugates can be prepared either by genetic engineering
techniques (see, for example, Chaudhary et al., 1988, supra) or by
chemical coupling of the targeting component with an effector component.
The most feasible or appropriate technique to be used to construct a given
cyanovirin conjugate or fusion protein will be selected based upon
consideration of the characteristics of the particular effector molecule
selected for coupling to a cyanovirin. For example, with a selected non-proteinaceous
effector molecule, chemical coupling, rather than genetic engineering
techniques, represents the most feasible option for creating the desired
cyanovirin conjugate.
The present invention accordingly provides nucleic acid molecules encoding
cyanovirin fusion proteins, in addition to the cyanovirin fusion proteins
themselves. In particular, the present invention provides a nucleic acid
molecule comprising SEQ ID NO:3 and substantially homologous sequences
thereof. The present invention also provides a vector comprising a nucleic
acid sequence encoding a cyanovirin fusion protein and a method of
obtaining a cyanovirin fusion protein by expression of the vector encoding
a cyanovirin fusion protein in a protein-synthesizing organism as
described above.
The present invention further provides an isolated and purified nucleic
acid molecule comprising a first nucleic acid sequence which encodes a
protein of the present invention, e.g., a cyanovirin coding sequence such
as one of the aforementioned nucleic acids of the present invention,
coupled to a second nucleic acid encoding an effector protein, such as a
toxin or immunological reagent as described above. The present invention
also further provides an isolated and purified protein encoded by such a
nucleic acid molecule.
The coupled molecule (conjugate) desirably targets a virus, more
preferably HIV, and most preferably glycoprotein gp120. The coupling can
be effected at the DNA level or by chemical coupling as described above.
For example, a cyanovirin-effector protein conjugate of the present
invention can be obtained by (a) selecting a desired effector protein, (b)
synthesizing a composite DNA coding sequence comprising a first DNA coding
sequence comprising one of the aforementioned nucleic acid sequences,
which codes for a functional cyanovirin, coupled to a second DNA coding
sequence for an effector protein, e.g., a toxin or immunological reagent,
(c) expressing the composite DNA coding sequence in an appropriate
protein-synthesizing organism, and (d) purifying the desired fusion
protein to substantially pure form. Alternatively, a cyanovirin-effector
molecule conjugate of the present invention can be obtained by (a)
selecting a desired effector molecule and a cyanovirin or cyanovirin
fusion protein, (b) chemically coupling the cyanovirin or cyanovirin
fusion protein to the effector molecule, and (c) isolating the desired
cyanovirin-effector molecule conjugate in substantially pure form.
Conjugates containing a functional cyanovirin coupled to a desired
effector component, such as a toxin, immunological reagent, or other
functional reagent, can be designed even more specifically to exploit the
unique gp120-targeting properties of a cyanovirin, in accord with the
following observations.
Example 6 (see Original Patent) reveals novel gp120-directed effects of a
cyanovirin. Additional insights can be gained from solid-phase ELISA
experiments (Boyd et al., 1996, unpublished). For example, both C-terminal
gp120-epitope-specific capture or CD4-receptor capture of gp120, when
detected either with polyclonal HIV-1-Ig or with mouse MAb to the
immunodominant, third hypervariable (V3) epitope (Matsushita et al., J.
Virol. 62, 2107-2114, 1988), can be shown to be strikingly inhibited
by cyanovirin-N. Generally, engagement of the CD4 receptor does not
interfere with antibody recognition of the V3 epitope, and vice versa
(Moore et al., AIDS Res. Hum. Retrovir. 4, 369-379, 1988;
Matsushita et al., 1988, supra). However, cyanovirin-N apparently is
capable of more global conformational effects on gp120, as can be
demonstrated by loss of immunoreactivity at multiple, distinct,
non-overlapping epitopes.
The range of antiviral activity (Boyd et al., 1996, supra) of cyanovirin-N
against diverse CD4+-tropic immunodeficiency virus strains in
various target cells is remarkable; diverse strains of HIV-1, HIV-2, and
SIV can be shown to be similarly sensitive to cyanovirin; clinical
isolates and laboratory strains typically will show essentially equivalent
sensitivity. Cocultivation of chronically infected and uninfected CEM-SS
cells with cyanovirin-N will show that the protein will not inhibit viral
replication, but will cause a concentration-dependent inhibition of
cell-to-cell fusion and virus transmission; similar results from binding
and fusion inhibition assays employing HeLa-CD4-LTR-b-galactosidase cells
can be shown consistent with cyanovirin-N inhibition of virus-cell and/or
cell-cell binding (Boyd, et al., 1996, supra). Example 8 (see Original
Patent), illustrates the construction of a conjugate DNA coding sequence
and expression thereof to provide a cyanovirin-toxin conjugate that
selectively targets and kills HIV-infected cells.
The antiviral, e.g., anti-HIV, activity of the cyanovirins and conjugates
thereof of the present invention can be further demonstrated in a series
of interrelated in vitro antiviral assays (Gulakowski et al., J. Virol.
Methods 33, 87-100, 1991), which reasonably predict antiviral activity
in humans. These assays measure the ability of compounds to prevent the
replication of HIV and/or the cytopathic effects of HIV on human target
cells. These measurements directly correlate with the pathogenesis of
HIV-induced disease in vivo. The results of the analysis of the antiviral
activity of cyanovirins or conjugates, as set forth in Example 5 and as
illustrated in FIGS. 8, 9 and 10 (see Original Patent),
predict antiviral activity of these products in vivo in humans and,
therefore, further establish the utility of the present invention. Also,
since the present invention provides methods of ex vivo use of cyanovirins
and conjugates, the cyanovirins and conjugates thereof have even a broader
utility.
The present inventive cyanovirins and conjugates thereof can be shown to
inhibit a virus, specifically a retrovirus, such as the human
immunodeficiency virus, i.e., HIV-1 or HIV-2. The cyanovirins and
conjugates of the present invention can be used to inhibit other
retroviruses as well as other viruses. Examples of viruses that can be
treated in accordance with the present invention include, but are not
limited to, Type C and Type D retroviruses, HTLV-1, HTLV-2, HIV, FLV, SIV,
MLV, BLV, BIV, equine infectious virus, anemia virus, avian sarcoma
viruses, such as Rous sarcoma virus (RSV), hepatitis type A, B, non-A and
non-B viruses, arboviruses, varicella viruses, measles, mumps and rubella
viruses.
Cyanovirins and conjugates thereof comprise proteins and, as such, are
particularly susceptible to hydrolysis of amide bonds (e.g., catalyzed by
peptidases) and disruption of essential disulfide bonds or formation of
inactivating or unwanted disulfide linkages (Carone et al., J. Lab.
Clin. Med. 100, 1-14, 1982). There are various ways to alter molecular
structure, if necessary, to provide enhanced stability to the cyanovirin
or conjugate thereof (Wunsch, Biopolymers 22, 493-505, 1983;
Samanen, in Polymeric Materials in Medication, Gebelein et al.,
eds., Plenum Press: New York, 1985, pp. 227-242), which, in some
circumstances, may be essential for preparation and use of pharmaceutical
compositions containing cyanovirins or conjugates thereof for therapeutic
or prophylactic applications against viruses, e.g., HIV. Possible options
for useful chemical modifications of a cyanovirin or conjugate thereof
include, but are not limited to, the following (adapted from Samanen, J.
M., 1985, supra): (a) olefin substitution, (b) carbonyl reduction, (c)
D-amino acid substitution, (d) N α-methyl substitution, (e) C α-methyl
substitution, (f) C α-C′-methylene insertion, (g) dehydro amino acid
insertion, (h) retro-inverso modification, (i) N-terminal to C-terminal
cyclization, and (j) thiomethylene modification. Cyanovirins and
conjugates thereof also can be modified by covalent attachment of
carbohydrate and polyoxyethylene derivatives, which are expected to
enhance stability and resistance to proteolysis (Abuchowski et al., in
Enzymes as Drugs, Holcenberg et al., eds., John Wiley: New York, 1981,
pp. 367-378).
Other important general considerations for design of delivery systems and
compositions, and for routes of administration, for protein drugs, such as
cyanovirins and conjugates thereof (Eppstein, CRC Crit. Rev.
Therapeutic Drug Carrier Systems 5, 99-139, 1988; Siddiqui et al.,
CRC Crit. Rev. Therapeutic Drug Carrier Systems 3, 195-208, 1987);
Banga et al., Int. J. Pharmaceutics 48, 15-50, 1988; Sanders,
Eur. J. Drug Metab. Pharmacokinetics 15, 95-102, 1990; Verhoef, Eur.
J. Drug Metab. Pharmacokinetics 15, 83-93, 1990), also apply. The
appropriate delivery system for a given cyanovirin or conjugate thereof
will depend upon its particular nature, the particular clinical
application, and the site of drug action. As with any protein drug, oral
delivery of a cyanovirin or a conjugate thereof will likely present
special problems, due primarily to instability in the gastrointestinal
tract and poor absorption and bioavailability of intact, bioactive drug
therefrom. Therefore, especially in the case of oral delivery, but also
possibly in conjunction with other routes of delivery, it will be
necessary to use an absorption-enhancing agent in combination with a given
cyanovirin or conjugate thereof. A wide variety of absorption-enhancing
agents have been investigated and/or applied in combination with protein
drugs for oral delivery and for delivery by other routes (Verhoef, 1990,
supra; van Hoogdalem, Pharmac. Ther. 44, 407-443, 1989; Davis,
J. Pharm. Pharmacol. 44(Suppl. 1), 186-190, 1992). Most commonly,
typical enhancers fall into the general categories of (a) chelators, such
as EDTA, salicylates, and N-acyl derivatives of collagen, (b) surfactants,
such as lauryl sulfate and polyoxyethylene-9-lauryl ether, (c) bile salts,
such as glycholate and taurocholate, and derivatives, such as
taurodihydrofusidate, (d) fatty acids, such as oleic acid and capric acid,
and their derivatives, such as acylcarnitines, monoglycerides, and
diglycerides, (e) non-surfactants, such as unsaturated cyclic ureas, (f)
saponins, (g) cyclodextrins, and (h) phospholipids.
Other approaches to enhancing oral delivery of protein drugs, such as the
cyanovirins and conjugates thereof of the present invention, can include
the aforementioned chemical modifications to enhance stability to
gastrointestinal enzymes and/or increased lipophilicity. Alternatively,
the protein drug can be administered in combination with other drugs or
substances which directly inhibit proteases and/or other potential sources
of enzymatic degradation of proteins. Yet another alternative approach to
prevent or delay gastrointestinal absorption of protein drugs, such as
cyanovirins or conjugates, is to incorporate them into a delivery system
that is designed to protect the protein from contact with the proteolytic
enzymes in the intestinal lumen and to release the intact protein only
upon reaching an area favorable for its absorption. A more specific
example of this strategy is the use of biodegradable microcapsules or
microspheres, both to protect vulnerable drugs from degradation, as well
as to effect a prolonged release of active drug (Deasy, in
Microencapsulation and Related Processes, Swarbrick, ed., Marcell
Dekker, Inc.: New York, 1984, pp. 1-60, 88-89, 208-211). Microcapsules
also can provide a useful way to effect a prolonged delivery of a protein
drug, such as a cyanovirin or conjugate thereof, after injection (Maulding,
J. Controlled Release 6, 167-176, 1987).
Given the aforementioned potential complexities of successful oral
delivery of a protein drug, it is preferred in many situations that the
present inventive cyanovirins and conjugates thereof be delivered by one
of the numerous other potential routes of delivery of a protein drug.
These routes include intravenous, intraarterial, intrathecal,
intracisternal, buccal, rectal, nasal, pulmonary, transdermal, vaginal,
ocular, and the like (Eppstein, 1988, supra; Siddiqui et al., 1987, supra;
Banga et al., 1988, supra; Sanders, 1990, supra; Verhoef, 1990, supra;
Barry, in Delivery Systems for Peptide Drugs, Davis et al., eds.,
Plenum Press: New York, 1986, pp. 265-275; Patton et al., Adv. Drug
Delivery Rev. 8, 179-196, 1992). With any of these routes, or, indeed,
with any other route of administration or application, a protein drug,
such as a cyanovirin or conjugate thereof, may initiate an immunogenic
reaction. In such situations it may be necessary to modify the molecule in
order to mask immunogenic groups. It also can be possible to protect
against undesired immune responses by judicious choice of method of
formulation and/or administration. For example, site-specific delivery can
be employed, as well as masking of recognition sites from the immune
system by use or attachment of a so-called tolerogen, such as polyethylene
glycol, dextran, albumin, and the like (Abuchowski et al., 1981, supra;
Abuchowski et al., J. Biol. Chem. 252, 3578-3581, 1977; Lisi et
al., J. Appl. Biochem. 4, 19-33, 1982; Wileman et al., J. Pharm.
Pharmacol. 38, 264-271, 1986). Such modifications also can have
advantageous effects on stability and half-life both in vivo and ex vivo.
Other strategies to avoid untoward immune reactions also can include the
induction of tolerance by administration initially of only low doses. In
any event, it will be apparent from the present disclosure to one skilled
in the art that for any particular desired medical application or use of a
cyanovirin or conjugate thereof, the skilled artisan can select from any
of a wide variety of possible compositions, routes of administration, or
sites of application, whatever is advantageous.
Accordingly, the antiviral cyanovirins and conjugates thereof of the
present invention can be formulated into various compositions for use
either in therapeutic treatment methods for virally, e.g., HIV, infected
individuals, or in prophylactic methods against viral, e.g., HIV,
infection of uninfected individuals.
Thus, the present invention provides a composition comprising the present
inventive cyanovirin or cyanovirin conjugate, especially a pharmaceutical
composition comprising an antiviral effective amount of an isolated and
purified cyanovirin or cyanovirin conjugate and a pharmaceutically
acceptable carrier. Instead of, or in addition to, the aforementioned
isolated and purified cyanovirin or cyanovirin conjugate, the composition
can comprise viable host cells transformed to directly express a
cyanovirin or conjugate thereof in vivo. The composition further can
comprise an antiviral effective amount of at least one additional
antiviral compound other than a cyanovirin or conjugate thereof. Suitable
antiviral compounds include AZT, ddI, ddC, gancyclovir, fluorinated
dideoxynucleosides, nevirapine, R82913, Ro 31-8959, BI-RJ-70, acyclovir,
α-interferon, recombinant sCD4, michellamines, calanolides, nonoxynol-9,
gossypol and derivatives thereof, and gramicidin. The cyanovirin used in
the pharmaceutical composition can be isolated and purified from naturally
occurring organisms or from genetically engineered organisms. Similarly,
cyanovirin conjugates can be derived from genetically engineered organisms
or from chemical coupling.
The present inventive compositions can be used to treat a virally infected
animal, such as a human. The compositions of the present invention are
particularly useful for inhibiting the growth or replication of a virus,
such as a retrovirus, in particular a human immunodeficiency virus,
specifically HIV-1 and HIV-2. The compositions are useful in the
therapeutic or prophylactic treatment of animals, such as humans, who are
infected with a virus or who are at risk for. viral infection,
respectively. The compositions also can be used to treat objects or
materials, such as medical equipment, supplies, or fluids, including
biological fluids, such as blood, blood products, and tissues, to prevent
viral infection of an animal, such as a human. Such compositions also are
useful to prevent sexual transmission of viral infections, e.g., HIV,
which is the primary way in which the world's AIDS cases are contracted (Merson,
1993, supra).
Potential virucides used or being considered for application against
sexual transmission of HIV are very. limited; present agents in this
category include, for example, nonoxynol-9 (Bird, AIDS 5, 791-796,
1991), gossypol and derivatives (Polsky et al., Contraception 39,
579-587, 1989; Lin, Antimicrob. Agents Chemother. 33, 2149-2151,
1989; Royer, Pharmacol. Res. 24, 407-412, 1991), and gramicidin (Bourinbair,
Life Sci./Pharmacol. Lett. 54, PLS-9, 1994; Bourinbair et al.,
Contraception 49, 131-137, 1994).
In a novel approach to anti-HIV prophylaxis currently being initiated
under the auspices of the U.S. National Institute of Allergy and
Infectious Diseases (NIAID) (e.g., as conveyed by Painter, USA Today,
Feb. 13, 1996), the vaginal suppository instillation of live cultures
of lactobacilli is being evaluated in a 900-woman study. This study is
based especially upon observations of anti-HIV effects of certain H2O2-producing
lactobacilli in vitro (e.g., see published abstract by Hilier, from NIAID-sponsored
Conference on "Advances in AIDS Vaccine Development", Bethesda, Md., Feb.
11-15, 1996). Lactobacilli readily populate the vagina, and indeed are a
predominant bacterial population in most healthy women (Redondo-Lopez et
al., Rev. Infect. Dis. 12, 856-872, 1990; Reid et al., Clin.
Microbiol. Rev. 3, 335-344, 1990; Bruce and Reid, Can. J. Microbiol.
34, 339-343, 1988;reu et al., J. Infect. Dis. 171, 1237-1243,
1995; Hilier et al., Clin. Infect. Dis. 16(Suppl 4), S273-S281;
Agnew et al., Sex. Transm. Dis. 22, 269-273, 1995). Lactobacilli
are also prominent, nonpathogenic inhabitants of other body cavities such
as the mouth, nasopharynx, upper and lower gastrointestinal tracts, and
rectum.
It is well-established that lactobacilli can be readily transformed using
available genetic engineering techniques to incorporate a desired foreign
DNA coding sequence, and that such lactobacilli can be made to express a
corresponding desired foreign protein (see, e.g., Hols et al., Appl.
and Environ. Microbiol. 60, 1401-1413, 1994). Therefore, within the
context of the present disclosure, it will be appreciated by one skilled
in the art that viable host cells containing a DNA sequence or vector of
the present invention, and expressing a protein of the present invention,
can be used directly as the delivery vehicle for a cyanovirin or conjugate
thereof to the desired site(s) in vivo. Preferred host cells for such
delivery of cyanovirins or conjugates thereof directly to desired site(s),
such as, for example, to a selected body cavity, can comprise bacteria.
More specifically, such host cells can comprise suitably engineered
strain(s) of lactobacilli, enterococci, or other common bacteria, such as
E. coli, normal strains of which are known to commonly populate
body cavities. More specifically yet, such host cells can comprise one or
more selected nonpathogenic strains of lactobacilli, such as those
described by Andreu et al. (1995, supra), especially those having high
adherence properties to epithelial cells, such as, for example, adherence
to vaginal epithelial cells, and suitably transformed using the DNA
sequences of the present invention.
As reviewed by McGroarty (FEMS Immunol. Med. Microbiol. 6, 251-264,
1993) the "probiotic" or direct therapeutic application of live bacteria,
particularly bacteria that occur normally in nature, more particularly
lactobacilli, for treatment or prophylaxis against pathogenic bacterial or
yeast infections of the urogenital tract, in particular the female
urogenital tract, is a well-established concept. Recently, the use of a
conventional probiotic strategy, in particular the use of live
lactobacilli, to inhibit sexual transmission of HIV has been suggested,
based specifically upon the normal, endogenous production of virucidal
levels of H2O2 and/or lactic acid and/or other
potentially virucidal substances by certain normal strains of lactobacilli
(e.g., Hilier, 1996, supra). However, the present inventive use of
non-mammalian cells, particularly bacteria, more particularly
lactobacilli, specifically engineered with a foreign gene, more
specifically a cyanovirin gene, to express an antiviral substance, more
specifically a protein, and even more specifically a cyanovirin, is
heretofore unprecedented as a method of treatment of an animal,
specifically a human, to prevent infection by a virus, specifically a
retrovirus, more specifically HIV-1 or HIV-2.
Elmer et al. (JAMA 275, 870-876, 1996) have recently speculated
that "genetic engineering offers the possibility of using microbes to
deliver specific actions or products to the colon or other mucosal
surfaces . . . other fertile areas for future study include defining the
mechanisms of action of various biotherapeutic agents with the possibility
of applying genetic engineering to enhance activities." Elmer et al.
(1996, supra) further point out that the terms "probiotic" and "biotherapeutic
agent" have been used in the literature to describe microorganisms that
have antagonistic activity toward pathogens in vivo; those authors more
specifically prefer the term "biotherapeutic agent" to denote
"microorganisms having specific therapeutic properties".
In view of the present disclosure, one skilled in the art will appreciate
that the present invention teaches an entirely novel type of "probiotic"
or "biotherapeutic" treatment using specifically engineered strains of
microorganisms provided herein which do not occur in nature. Nonetheless,
available teachings concerning selection of optimal microbial strains, in
particular bacterial strains, for conventional probiotic or biotherapeutic
applications can be employed in the context of the present invention. For
example, selection of optimal lactobacillus strains for genetic
engineering, transformation, direct expression of cyanovirins or
conjugates thereof, and direct probiotic or biotherapeutic applications,
to treat or prevent HIV infection, can be based upon the same or similar
criteria, such as those described by Elmer et al. (1996, supra), typically
used to select normal, endogenous or "nonengineered" bacterial strains for
conventional probiotic or biotherapeutic therapy. Furthermore, the
recommendations and characteristics taught by McGroarty, particularly for
selection of optimal lactobacillus strains for conventional probiotic use
against female urogenital infections, are pertinent to the present
invention: ". . . lactobacilli chosen for incorporation into probiotic
preparations should be easy and, if possible, inexpensive to cultivate . .
. strains should be stable, retain viability following freeze-drying and,
of course, be non-pathogenic to the host . . . it is essential that
lactobacilli chosen for use in probiotic preparations should adhere well
to the vaginal epithelium . . . ideally, artificially implanted
lactobacilli should adhere to the vaginal epithelium, integrate-with the
indigenous microorganisms present, and proliferate" (McGroarty, 1993
supra). While McGroarty's teachings specifically address selections of
"normal" lactobacillus strains for probiotic uses against pathogenic
bacterial or yeast infections of the female urogenital tract, similar
considerations will apply to the selection of optimal bacterial strains
for genetic engineering and "probiotic" or "biotherapeutic" application
against viral infections as particularly encompassed by the present
invention.
Accordingly, the method of the present invention for the prevention of
sexual transmission of viral infection, e.g., HIV infection, comprises
vaginal, rectal, oral, penile, or other topical, insertional, or
instillational treatment with an antiviral effective amount of a
cyanovirin and/or cyanovirin conjugate, and/or viable host cells
transformed to express a cyanovirin or conjugate thereof, alone or in
combination with another antiviral compound (e.g., as described above).
The inventive compositions herein for use in the prophylactic or
therapeutic treatment methods of the present invention can comprise one or
more cyanovirin(s), conjugate(s) thereof, or host cell(s) transformed to
express a cyanovirin or conjugate thereof, and a pharmaceutically
acceptable carrier. Pharmaceutically acceptable carriers are well-known to
those skilled in the art, as are suitable methods of administration. The
choice of carrier will be determined in part by the particular cyanovirin,
or conjugate thereof, or host cell(s), as well as by the particular method
used to administer the composition.
One skilled in the art will appreciate that various routes of
administering a drug are available, and, although more than one route may
be used to administer a particular drug, a particular route may provide a
more immediate and more effective response than by another route.
Furthermore, one skilled in the art will appreciate that the particular
pharmaceutical carrier employed will depend, in part, upon the particular
cyanovirin, conjugate thereof, or host cell employed, and the chosen route
of administration. Accordingly, there is a wide variety of suitable
formulations of the composition of the present invention.
Formulations suitable for oral, rectal, or vaginal administration can
consist of, for example, (a) liquid solutions or suspensions, such as an
effective amount of the pure compound(s), and/or host cell(s) engineered
to produce directly a cyanovirin or conjugate thereof, dissolved or
suspended in diluents, such as water, culture medium, or saline, (b)
capsules, suppositories, sachets, tablets, lozenges, or pastilles, each
containing a predetermined amount of the active ingredient(s), as solids,
granules, or freeze-dried cells, and (c) oil-in-water emulsions or
water-in-oil emulsions. Tablet forms can include one or more of lactose,
mannitol, corn starch, potato starch, microcrystalline cellulose, acacia,
gelatin, colloidal silicon dioxide, croscarmellose sodium, talc, magnesium
stearate, stearic acid, and other excipients, colorants, diluents,
buffering agents, moistening agents, preservatives, flavoring agents, and
pharmacologically compatible carriers. Lozenges can comprise the active
ingredient in a flavor, for example sucrose and acacia or tragacanth,
while pastilles can comprise the active ingredient in an inert base, such
as gelatin and glycerin, or sucrose and acacia. Suitable formulations for
oral or rectal delivery also can be incorporated into synthetic and
natural polymeric microspheres, or other means to protect the agents of
the present invention from degradation within the gastrointestinal tract
(see, for example, Wallace et al., Science 260, 912-915, 1993).
Formulations for rectal or vaginal administration can be presented as a
suppository with a suitable aqueous or nonaqueous base; the latter can
comprise, for example, cocoa butter or a salicylate. Furthermore,
formulations suitable for vaginal administration can be presented as
pessaries, suppositories, tampons, creams, gels, pastes, foams, or spray
formulas containing, in addition to the active ingredient, such as, for
example, freeze-dried lactobacilli genetically engineered to directly
produce a cyanovirin or conjugate thereof of the present invention, such
carriers as are known in the art to be appropriate. Similarly, the active
ingredient can be combined with a lubricant as a coating on a condom.
The cyanovirins, conjugates thereof, or host cells expressing cyanovirins
or conjugates thereof, alone or in combination with other antiviral
compounds, can be made into aerosol formulations to be administered via
inhalation. These aerosol formulations can be placed into pressurized
acceptable propellants, such as dichlorodifluoromethane,. propane,
nitrogen and the like.
The cyanovirins or conjugates thereof, alone or in combinations with other
antiviral compounds or absorption modulators, can be made into suitable
formulations for dermal application and absorption (Wallace et al., 1993,
supra). Transdermal electroporation or iontophoresis also can be used to
promote and/or control the systemic delivery of the compounds and/or
compositions of the present invention through the skin (see, e.g., Theiss
et al., Meth. Find. Exp. Clin. Pharmacol. 13, 353-359, 1991).
Formulations suitable for topical administration include creams,
emulsions, gels, and the like containing, in addition to the active
ingredient, such carriers as are known in the art, as well as mouthwashes
comprising the active ingredient in a suitable liquid carrier.
Formulations suitable for parenteral administration include aqueous and
nonaqueous, isotonic sterile injection solutions, which can contain
anti-oxidants, buffers, bacteriostats, and solutes that render the
formulation isotonic with the blood of the intended recipient, and aqueous
and nonaqueous sterile suspensions that can include suspending agents,
solubilizers, thickening agents, stabilizers, and preservatives. The
formulations can be presented in unit-dose or multi-dose sealed
containers, such as ampules and vials, and can be stored in a freeze-dried
(lyophilized) condition requiring only the addition of the sterile liquid
carrier, for example, water, for injections, immediately prior to use.
Extemporaneous injection solutions and suspensions can be prepared from
sterile powders, granules, and tablets of the kind previously described.
Formulations comprising a cyanovirin or cyanovirin conjugate suitable for
virucidal (e.g., against HIV) sterilization of inanimate objects, such as
medical supplies or equipment, laboratory equipment and supplies,
instruments, devices, and the like, can be, for example, selected or
adapted as appropriate, by one skilled in the art, from any of the
aforementioned compositions or formulations. The cyanovirin or conjugate
thereof can be produced by recombinant DNA technology or by chemical
coupling of a cyanovirin with an effector molecule as described above.
Preferably, the cyanovirin, or conjugate thereof, is produced by
recombinant DNA technology. Similarly, formulations of cyanovirins and/or
conjugates thereof, suitable for ex vivo virucidal sterilization of blood,
blood products, sperm, or other bodily products or tissues, or any other
solution, suspension, emulsion, or any other material which can be
administered to a patient in a medical procedure, can be selected or
adapted as appropriate by one skilled in the art, from any of the
aforementioned compositions or formulations. However, suitable
formulations for such ex vivo applications or for virucidal treatment of
inanimate objects are by no means limited to any of the aforementioned
formulations or compositions. One skilled in the art will appreciate that
a suitable or appropriate formulation can be selected, adapted, or
developed based upon the particular application at hand.
For ex vivo uses, such as virucidal treatments of inanimate objects or
materials, blood or blood products, or tissues, the amount of cyanovirin,
or conjugate or composition thereof, to be employed should be sufficient
that any virus or virus-producing cells present will be rendered
noninfectious or will be destroyed. For example, for HIV, this would
require that the virus and/or the virus-producing cells be exposed to
concentrations of cyanovirin-N in the range of 0.1-1000 nM. Similar
considerations apply to in vivo applications. Therefore, the phrase
"antiviral effective amount" or "virucidal effective amount" is used
generally to describe the amount of a particular cyanovirin, conjugate
thereof, or composition thereof required for antiviral efficacy in any
given application.
For in vivo uses, the dose of a cyanovirin, conjugate thereof, host cells
producing a cyanovirin or conjugate thereof, or composition thereof,
administered to an animal, particularly a human, in the context of the
present invention should be sufficient to effect a prophylactic and/or
therapeutic response in the individual over a reasonable time-frame. The
dose used to achieve a desired virucidal concentration in viva (e.g.,
0.1-1000 nM) will be determined by the potency of the particular
cyanovirin or conjugate thereof, or of the cyanovirin and/or conjugate
production of the host cells employed, the severity of the disease state
of infected individuals, as well as, in the case of systemic
administration, the body weight and age of the infected individual. The
effective or virucidal dose also will be determined by the existence of
any adverse side-effects that may accompany the administration of the
particular cyanovirin, conjugate thereof, host cells producing a
cyanovirin or conjugate thereof, or composition thereof, employed. It is
always desirable, whenever possible, to keep adverse side effects to a
minimum.
The dosage can be in unit dosage form, such as a tablet or capsule. The
term "unit dosage form" as used herein refers to physically discrete units
suitable as unitary dosages for human and animal subjects, each unit
containing a predetermined quantity of a cyanovirin, conjugate thereof, or
amount of host cells producing a cyanovirin or conjugate thereof, alone or
in combination with other antiviral agents, calculated in a quantity
sufficient to produce the desired effect in association with a
pharmaceutically acceptable carrier, diluent, or vehicle.
The specifications for the unit dosage forms of the present invention
depend on the particular cyanovirin, conjugate, host cells, or composition
thereof employed, and the effect to be achieved, as well as the
pharmacodynamics associated with each cyanovirin, conjugate, host cells,
or composition thereof in the treated animal. The dose administered should
be an "anitiviral effective amount" or "virucidal effective amount" or an
amount necessary to achieve an "effective virucidal level" in the
individual animal, e.g., the human patient.
Since the "effective virucidal level" is used as the preferred endpoint
for dosing, the actual dose and schedule can vary, depending upon
interindividual differences in pharmacokinetics, drug distribution, and
metabolism. The "effective virucidal level" can be defined, for example,
as the blood or tissue level (e.g., 0.1-1000 nM) desired in the patient
that corresponds to a concentration of one or more cyanovirins or
conjugates thereof, which inhibits a virus, such as HIV-1 and/or HIV-2, in
an assay known to predict for clinical antiviral activity of chemical
compounds and biological agents. The "effective virucidal level" for
agents of the present invention also can vary when the cyanovirin,
conjugate, or composition thereof, is used in combination with AZT or
other known antiviral compounds or combinations thereof.
One skilled in the art can easily determine the appropriate dose,
schedule, and method of administration for the exact formulation of the
composition being used, in order to achieve the desired "effective
virucidal level" in the individual patient. One skilled in the art also
can readily determine and use an appropriate indicator of the "effector
concentration" of the compounds of the present invention by a direct
(e.g., analytical chemical analysis) or indirect (e.g., with surrogate
indicators such as p24 or RT) analysis of appropriate patient samples
(e.g., blood and/or tissues).
In the treatment of some virally infected individuals, it may be desirable
to utilize a "mega-dosing" regimen, wherein a large dose of a selected
cyanovirin or conjugate thereof is administered, and time thereafter is
allowed for the drug to act, and then a suitable reagent is administered
to the individual to inactivate the drug.
The pharmaceutical composition can contain other pharmaceuticals, in
conjunction with the cyanovirin, conjugate thereof, or host cells
producing a cyanovirin or conjugate thereof, when used to therapeutically
treat a viral infection, such as that which causes AIDS. Representative
examples of these additional pharmaceuticals include antiviral compounds,
virucides, immunomodulators, immunostimulants, antibiotics, and absorption
enhancers. Exemplary antiviral compounds include AZT, ddI, ddC,
gancylclovir, fluorinated dideoxynucleosides, nonnucleoside analog
compounds, such as nevirapine (Shih et al., PNAS 88, 9878-9882,
1991), TIBO derivatives, such as R82913 (White et al., Antiviral Res.
16, 257-266, 1991), BI-RJ-70 (Merigan, Am. J. Med. 90
(Suppl.4A), 8S-17S, 1991), michellamines (Boyd et al., J. Med. Chem.
37, 1740-1745, 1994), and calanolides (Kashman et al., J. Med.
Chem. 35, 2735-2743, 1992), nonoxynol-9, gossypol and derivatives, and
gramicidin (Bourinbair et al., 1994, supra). Exemplary immunomodulators
and immunostimulants include various interleukins, sCD4, cytokines,
antibody preparations, blood transfusions, and cell transfusions.
Exemplary antibiotics include antifungal agents, antibacterial agents, and
anti-Pneumocystitis carnii agents. Exemplary absorption enhancers
include bile salts and other surfactants, saponins, cyclodextrins, and
phospholipids (Davis, 1992, supra).
The administration of a cyanovirin or conjugate thereof with other
antiretroviral agents and particularly with known RT inhibitors, such as
ddC, AZT, ddI, ddA, or other inhibitors that act against other HIV
proteins, such as anti-TAT agents, is expected to inhibit most or all
replicative stages of the viral life cycle. The dosages of ddC and AZT
used in AIDS or ARC patients have been published. A virustatic range of
ddC is generally between 0.05 μM to 1.0 μM. A range of about 0.005-0.25
mg/kg body weight is virustatic in most patients. The preliminary dose
ranges for oral administration are somewhat broader, for example 0.001 to
0.25 mg/kg given in one or more doses at intervals of 2, 4, 6, 8, 12, etc.
hours. Currently, 0.01 mg/kg body weight ddC given every 8 hrs, is
preferred. When given in combined therapy, the other antiviral compound,
for example, can be given at the same time as the cyanovirin, or conjugate
thereof, or the dosing can be staggered as desired. The different drugs
also can be combined in a composition. Doses of each can be less when used
in combination than when either is used alone.
It also will be appreciated by one skilled in the art that a DNA sequence
of a cyanovirin or conjugate thereof of the present invention can be
inserted ex vivo into mammalian cells previously removed from a given
animal, in particular a human. Such transformed autologous or homologous
host cells, reintroduced into the animal or human, will express directly
the corresponding cyanovirin or conjugate in vivo. The feasibility of such
a therapeutic strategy to deliver a therapeutic amount of an agent in
close proximity to the desired target cells and pathogens (e.g., to the
virus, more particularly to the retrovirus, specifically to HIV and its
envelope glycoprotein gp120), has been demonstrated in studies with cells
engineered ex vivo to express sCD4 (Morgan et al., 1994, supra). As an
alternative to ex vivo insertion of the DNA sequences of the present
invention, such sequences can be inserted into cells directly in vivo,
such as by use of an appropriate viral or other suitable vector. Such
cells transfected in vivo may be expected to produce antiviral amounts of
cyanovirin or conjugate thereof directly in vivo. Example 9 illustrates
the transformation and expression of a cyanovirin by a mammalian cell.
Given the present disclosure, it will be additionally appreciated that a
DNA sequence corresponding to a cyanovirin or conjugate thereof can be
inserted into suitable nonmammalian host cells, and that such host cells
will express therapeutic or prophylactic amounts of a cyanovirin or
conjugate thereof directly in vivo within a desired body compartment of an
animal, in particular a human. Example 3 illustrates the transformation
and expression of effective virucidal amounts of a cyanovirin in a
non-mammalian cell, more specifically a bacterial cell.
In a preferred embodiment of the present invention, a method of
female-controllable prophylaxis against HIV infection comprises the
intravaginal administration and/or establishment of, in a female human, a
persistent intravaginal population of lactobacilli that have been
transformed with a coding sequence of the present invention to produce,
over a prolonged time, effective virucidal levels of a cyanovirin or
conjugate thereof, directly on or within the vaginal and/or cervical
and/or uterine mucosa. It is noteworthy that both the World Health
Organization (WHO), as well as the U.S. National Institute of Allergy and
Infectious Diseases, have pointed to the need for development of
female-controlled topical microbicides, suitable for blocking the.
transmission of HIV, as an urgent global priority (Lange et al., Lancet
341, 1356, 1993; Fauci, NIAID News, Apr. 27, 1995).
The present invention also provides antibodies directed to the proteins of
the present invention. The availability of antibodies to any given protein
is highly advantageous, as it provides the basis for a wide variety of
qualitative and quantitative analytical methods, separation and
purification methods, and other useful applications directed to the
subject proteins. Accordingly, given the present disclosure and the
proteins of the present invention, it will be readily apparent to one
skilled in the art that antibodies, in particular antibodies specifically
binding to a protein of the present invention, can be prepared using
well-established methodologies (e.g., such as the methodologies described
in detail by Harlow and Lane, in Antibodies. A Laboratory Manual,
Cold Spring Harbor Laboratory, Cold Spring Harbor, 1988, pp. 1-725). Such
antibodies can comprise both polyclonal and monoclonal antibodies.
Furthermore, such antibodies can be obtained and employed either in
solution-phase or coupled to a desired solid-phase matrix. Having in hand
such antibodies as provided by the present invention, one skilled in the
art will further appreciate that such antibodies, in conjunction with
well-established procedures (e.g., such as described by Harlow and Lane
(1988, supra) comprise useful methods for the detection, quantification,
or purification of a cyanovirin, conjugate thereof, or host cell
transformed to produce a cyanovirin or conjugate thereof.
Claim 1 of 7 Claims
1. A method of inhibiting a
viral infection of an animal, which method comprises transforming in vivo
host cells with a nucleic acid molecule selected from the group consisting
of a nucleic acid molecule encoding at least nine contiguous amino acids of
SEQ ID NO:2, wherein said at least nine contiguous amino acids has antiviral
activity, a nucleic acid molecule encoding the amino acid sequence of SEQ ID
NO:4, a nucleic acid molecule of SEQ ID NO: 1, and a nucleic acid molecule
of SEQ ID NO:3, to express an antiviral protein or an antiviral peptide
encoded by said nucleic acid molecule in vivo, whereupon the expression of
said antiviral protein or said antiviral peptide inhibits infection of the
animal with a virus that can be inhibited by said antiviral protein or said
antiviral peptide.
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