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Title:
Irreversibly-inactivated pepsinogen fragment and pharmaceutical
compositions comprising the same for detecting, preventing, and treating
HIV
United States Patent: 7,479,538
Issued: January 20, 2009
Inventors: Zhabilov; Harry
H. (San Marino, CA)
Assignee: The Zhabilov
Trust (San Marino, CA)
Appl. No.: 11/177,427
Filed: July 11, 2005
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Pharm/Biotech Jobs
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Abstract
An isolated antiviral peptide is
characterized by the amino acid sequence GDEPLENYLDTEYF and a significant
in vitro binding affinity for HIV-1 gp 120 and gp 41, and human CD4 cells.
The peptide exhibits anti-retroviral activity in vivo, particularly
anti-HIV-1 activity.
Description of the
Invention
BACKGROUND OF THE INVENTION
Typically, infection with the human immunodeficiency virus, HIV-1,
eventually causes acquired immunodeficiency syndrome (AIDS) and an
associated syndrome, AIDS-related complex (ARC). Neutralizing this virus
has proved difficult, largely because its structure obstructs immune
system access to viral epitopes and its genetic material is highly
variable. Accordingly, researchers have been seeking prophylactic and
therapeutic methods for preventing or controlling HIV which are not
dependent upon antibody-mediated immunity.
The HIV retrovirus replicates in certain immune system cells, specifically
the CD4+ subset of T-lymphocytes (pre-Th cells arising in the thymus). In
the usual course of a cell-mediated immune response to an intracellular
pathogen such as a virus, dendritic cells (antigen-presenting cells)
carrying antigen fragments and secreted cytokines activate these CD4+
T-cells. Activated cells, called T-helper or Th cells, in turn secrete
their own cytokines and stimulate macrophages. CD4+Th cells also propagate
cellular immune response by binding chemotactic cytokines (chemokines,
CCs) to their CC surface receptors. It is by this route that HIV-1
infection of these cells is enabled because, in addition to binding
chemokines, these CC receptors act together with the CD4+ surface
glycoprotein as coreceptors for HIV-1 and mediate entry of the virus into
the CD4+Th cell. There, the virus usurps the native genetic material for
viral replication while destroying cell functions essential for building
immunity; the increasing destruction of these cells appears to be
responsible for the eventual collapse of the cell-mediated immune system
often seen in terminal AIDS patients.
It has been recognized that denying entry into CD4+ cells to the HIV-1
virus could at least slow the progress of the infection and alleviate, if
not cure, the disease and/or its symptoms. The complex mechanism by which
the virus crosses the cell membrane has been widely investigated. Broadly,
the entry of human immunodeficiency virus into, for example, CD4+ Th1
cells (T-helper type 1 cells, is dependent upon a sequential interaction
of the gp120/gp41 subunits of the viral envelope glycoprotein gp160 with
the CD4+Th1 cell surface glycoprotein and the cell surface receptor CCR5.
On binding of gp120 with its cell surface binding sites, a conformational
change in the latent gp41 subunit through an intermediate state to an
active state is initiated, inducing fusion of the viral and cellular
membranes and transport of the virus into the cell (Nature 387:426-30,
1997).
Accordingly, numerous binding experiments have been conducted in an effort
to find antiviral ligands that will effectively compete with the HIV-1 for
CD4+ gp and/or CCR5 binding sites, or that will preferentially block gp120
and/or gp41 binding domains. In one example, a reported structure (X-ray
crystallography) comprising a HIV-1 gp120 core complexed with a two-domain
fragment of human CD4 and an antigen-binding fragment of a neutralizing
antibody that blocks chemokine-receptor binding, is said to reveal a
CD4-gp120 interface, a conserved binding site for the chemokine receptor,
evidence for a conformational change on CD4 binding, the nature of a
CD4-induced antibody epitope, and specific mechanisms for viral immune
evasion, "which should guide efforts to intervene" (Nature 393
(6686):632-1, 1998). Also, it has been shown that inhibition of the change
in structure of gp41 from its intermediate to active state with peptides
used as competitors for critical cell receptors may reduce viral load, and
that while gp120 masks epitopes on the gp41 subunit in its latent state,
gp41 may be vulnerable to neutralizing antibodies in its transient or
intermediate state (Molecular Membrane Biology 16:3-9, 1999). In another
study, disclosed in US Patent Application Publication US 2004/0018639 A1,
filed Jan. 3, 2003, published Jan. 29, 2004, by Zhabilov et al., the
content of which is incorporated herein in its entirety by reference, a
protein designated "Thymus Factor" ("TF") is stated to have the ability to
bind to a fragment of HIV-1 gp41 in gel electrophoresis, and that this
binding property can be used to assay TF activity or in the treatment of
HIV.
SUMMARY OF THE DISCLOSURE
Some embodiments of the present invention are generally directed to
providing an isolated antiviral peptide characterized by the amino acid
sequence GDEPLENYLDTEYF (SEQ ID:NO 1) and a significant in vitro binding
affinity for HIV-1 gp 120, gp 41 and human CD4 cells. The peptide has
anti-retroviral activity in vivo, particularly anti-HIV-1 activity. The
peptide, referred to herein as IPF (Inactivated Pepsinogen Fragment), was
isolated from porcine pepsinogen, purified, and irreversibly inactivated
for use in HIV-1 prophylactic, therapeutic and diagnostic procedures.
Other embodiments of the present invention are generally directed to
providing pharmaceutical compositions comprising IPF and methods for
preventing, treating, and diagnosing HIV-1 infections and HIV-1 related
conditions such as AIDS (Acquired Immune Deficiency Syndrome) and ARC
(AIDS Related Complex) with these compositions.
DETAILED DESCRIPTION OF THE INVENTION
Pepsins (of which there are several isozymes) are the principal proteases
in gastric secretions of adult mammals. They belong to the family of
aspartic proteases and are synthesized and secreted by cells in the
gastric mucosa as inactive enzyme-precursors consisting of a signal
peptide, an activation peptide and an occluded active enzyme. En route to
the lumen of the stomach for protein digestion, the signal peptide is
cleaved to yield the inactive proenzyme pepsinogen, which, on exposure to
a low gastric pH (<4), cleaves in turn to yield mature, catalytically
active pepsin.
Porcine pepsin was one of the first enzymes to be studied, and is perhaps
the best-understood aspartic protease. It has 327 amino acid (aa)
residues, and a molecular mass of 34kDa (PNAS (U.S.) 70:3437-39 1973).
Proteolytic activity of pepsin is at its highest at a pH of about 1.8 to
3.5; it is inactivated at a pH of about 5 and irreversibly inactivated
(denatured) at a pH of about 6-7. Owing to their importance, amino acid
residues associated with the substrate binding (active) site have been a
research focal point. However, it is apparently still not clear how much
functional activity, if any, is influenced by the remainder of the
peptide.
The family of aspartic proteases (aspartases) is characterized by aspartic
acid residues at their active (catalytic) sites. Human pepsin, for
example, has two active site aspartate residues (coded "D" or "Asp"). This
family also includes the HIV protease (and its numerous variants),
comprising two identical chains each having a single active-site aspartate
residue. Essential for maturation of the newly synthesized virus, which is
expressed as a polyprotein, this protease has become a popular target for
researchers attempting to block HIV replication.
The peptide of the present invention, characterized by the amino acid
sequence GDEPLENYLDTEYF (-Gly-Asp-Glu-Pro-Leu-Glu-Asn-Tyr-Leu-Asp-Thr-Glu-Tyr-Phe-),
has been shown to bind in vitro with the gp41 and gp120 subunits of HIV-1
and human CD4 cells, and is expected to have anti-retroviral activity in
vivo, particularly inhibition of HIV-1 entry into human CD4+ cells.
The exemplified peptide was obtained from porcine pepsinogen (FIG. 1, see Original Patent)
by isolation from a 45 kDa band of IPF preparation under gel
electrophoresis (FIG. 2, Examples hereinbelow, see Original Patent). It
can also be derived from pepsinogen from any other source containing this
sequence, or from any other peptides or proteins containing this sequence
whereby suitable source pepsinogens are readily available commercially.
Common laboratory methods and reagents for selectively cleaving intact
proteins and for isolating and sequencing the cleaved peptides, such as
the Erdman degradation process, may be used. The peptide may also be
produced by peptide synthesis, using conventional methods. Moreover,
genetically engineered constructs expressing the sequence of interest are
generally preferred, although chemical syntheses may also be used. The
peptides in the IPF fractions may be isolated and concentrated by any one
of several techniques well-known to those skilled in the art, such as
ammonium sulfate precipitation. The produced peptide isolate may be
purified by standard processes such as gel filtration and RP-HPLC, and
inactivated, as discussed supra, by exposure to a neutral-to-alkaline
environment of about pH 6.5 or greater or as otherwise known in the art.
The peptide may also be alkylated to increase immunogenicity if desired,
for example, by the process described for methylation of TF in U.S. Patent
Application Publication US 2004/0018639 A1, supra. A HPLC chromatogram of
the purified, inactivated IPF product of the invention is shown in FIG. 3 (see Original Patent).
Homologues or analogues of the sequence which conserve at least critical
binding site amino acid structures and functions and also conserve any
distal structural/functional residues essential for binding activity, as
described herein, may be substituted for the IPF of SEQ ID:NO 1. Variants
of the sequence, including chemically modified derivatives, having a high
sequence similarity will be generally preferred, provided that binding
activity is not significantly adversely affected. Residues superfluous to
the disclosed function of the peptide of the invention may be deleted or
added with the same proviso. Modified sequences may be evaluated for
conserved binding activity by, for example, following the binding assays
described herein or in the literature. Numerous databanks are accessible
for protein sequence analysis, such as those which combine sequence
similarity with fold recognition to predict functional equivalents.
Binding properties (affinity, specificity, etc.) may also be evaluated by
the binding assays described below or other conventional assays, as known
in the art.
IPF demonstrates binding in vitro with nonglycolysed fragment 579-601 of
the HIV-1 envelope protein gp41 subunit (FIGS. 4 and 8, see Original Patent),
with gp120 HIV-1 subunit (FIG. 5, see Original Patent), with human CD4+
cells (FIG. 6, see Original Patent), and with human serum (FIG. 7, see Original Patent)
under gel electrophoresis. The spontaneous binding of IPF with the gp41
subunit is a particularly important biological property. Separately, under
simple agarose electrophoresis, IPF and gp41 move in opposite directions.
However, when they are mixed prior to electrophoresis, gp41 changes
direction and takes the direction of IPF. Quantitative analysis showed
that the binding capacity ratio of IPF to gp41 was 1:0.66. That is, three
molecules of IPF bound two molecules of gp41 to form a complex which may
function in vivo as, for example, a superantigen with significant
anti-HIV-1 biological activity. Such antigen can be used as a bioassay
reagent, in the production of mono- or polyclonal antibodies, in the
manufacture of vaccines, and in other applications wherein antigens are
conventionally employed. While the mechanism of these binding events is
not completely understood at this time, it is contemplated that exposure
of HIV-1 to the IPF of the present invention will effectively block gp41
and gp120 domains essential for viral entry into CD4+ cells and inhibit
viral infection, in vivo and in vitro. It is also contemplated that the
IPF of the present invention will effectively compete with HIV-1 for its
CD4+ cell surface binding sites and inhibit virus entry into these cells,
in vivo and in vitro. Various in vitro protocols are known in the art for
predicting in vivo antiviral activity of compounds for inhibiting
replication of HIV, and these protocols may be used in connection with the
practice of the present invention. Exemplary art-recognized anti-HIV
screening assays are cited in U.S. Pat. No. 5,869,522, issued 9 Feb. 1999
to Boyd et al., including those described in J.Virol.Methods,
33:87-100,1991; J.Natl.Cancer Inst., 81:577-586, 1992; and J.Med.Chem.
35:1978-1986, 1992, and Boyd, M. R., in AIDS Etiology: Diagnosis,
Treatment, and Prevention, pp305-319 (Lippincott, 1988, DeVita, V. T.,
Jr., et al., eds). In accordance with one aspect of the present invention,
IPF is used to diagnose viral infection, particularly HIV-1 infection.
Bioassays suitable for this purpose are well-known and routine. Typical of
these are assays based on competitive binding between, for example, a
known amount of a viral protein and a biological sample to be tested for
the same viral protein, using an excess of antiviral reagent capable of
specifically binding with the known protein, such as an antibody. A
mixture of these is incubated and the amount of bound complex calculated
and compared to that in a control mixture lacking the sample. The
presence, if any, and amount of the viral protein in the sample can then
be determined. There are numerous variations on this process, such as
sandwich assays, assays with immobilized reagent, assays using labeled
reagent (e.g., ELISA, RIA, FIA), and so on. Whatever the variation,
whether for detecting or quantifying complex, or for additional reagents,
or other modification, they all require a binding agent for the unknown
sample. Any of these routine binding assays for quantifying or identifying
an unknown sample may thus be used in the practice of the present
invention by substituting IPF as the antiviral binding agent for samples
to be tested for HIV-1 gp120, gp41, or infected CD4+T- cells.
In accordance with another aspect of the present invention, IPF is used as
a prophylactic or therapeutic to prevent or to treat HIV infections.
(Herein the term "HIV infections" refers to AIDS and ARC in addition to
viral infection per se unless otherwise noted). For in vivo use, IPF may
be prepared for administration by mixing it at the desired degree of
purity with a pharmaceutically-acceptable carrier suitable for the route
of administration, as well-known in the art. Although IPF is desirably
administered with an adjuvant in some applications, in situations where a
series of IPF doses are administered, boosters with IPF may not require
adjuvant. Intramuscular or subcutaneous injections are presently the
contemplated route for both therapeutic and prophylactic administration of
IPF. However, intravenous delivery, delivery via catheter or other
surgical tubing, or other parenteral route may also be used. Alternative
routes include oral routes for administering tablets, liquid formulations
and the like, as well as inhalation routes. Liquid formulations
reconstituted from powder formulations may be utilized. IPF may also be
administered via microspheres, liposomes, or other microparticulates, and
via delivery systems or sustained release formulations dispersed in
certain tissues including blood.
The dosage of IPF administered will depend upon the properties of the
formulation employed, e.g., its binding activity and in vivo plasma
half-life, the concentration of IPF in the formulation, the administration
route, the site and rate of dosage, the clinical tolerance of the patient
involved, the patient's condition, and other considerations, as known in
the art. Different dosages may be utilized during a series of sequential
treatments. The practitioner may administer an initial dose and then boost
with relatively smaller doses of IPF. The dosages of IPF may be combined
with other HIV antivirals, such as AZT.
The following is an example of a contemplated IPF formulation, dosage and
administration schedule:
The patient is administered an intramuscular injection containing 8 mg of
IPF (preferably 2 ml of a formulation containing 6 mg/ral of IPF in a
pharmaceutically acceptable solution) or 57 .mu.g of IPF protein per kg
body weight of the patient. Each treatment course consists of 16
injections, with two injections on consecutive days per week for 8 weeks.
Three months after the last injection, if the patient's condition
warrants, the treatment regimen is repeated. The treatment regimen may be
repeated until satisfactory results are obtained, e.g., a halt or delay in
the progress of the infection or disease, an alleviation of the infection
or disease, or a cure is obtained. Preferably, in this application, IPF
will be formulated with an aluminum hydroxide (Al(OH)3) adjuvant. Aluminum
hydroxide is a widely used adjuvant, especially in commercial products
such as vaccines. It is well suited for strong antigens. Many sources of
aluminum hydroxide are available. The adjuvant is commercially available
under the trade name Alhydrogel.RTM. by Accurate Chemical & Scientific Co.
of Westbury, N.Y. In one example, the final 1 ml of the final IPF
formulation may contain: 4 mg IPF (purity > 96% .+-.0.290); 2.26 mg 0.016M
AlPO.sub.4 (or 0.5 mg A1.sup.+3); 4.1 mg 0.004M CH.sub.3COONa; and 12.9 mg
C.sub.6H.sub.5O.sub.7 (sodium citrate); pH 6.2. In one regimen, 2 ml of
this formulation makes up one vial with the dosage per patient per day
being 16 vials. During the regimen, the patient should be monitored to
assess the effectiveness of the regimen. CD+4 cell counts are useful and
common methodology for evaluating HIV infection, as are assays for
antibody or T-cell titers.
Claim 1 of 7 Claims
1. An isolated peptide with antiviral
efficacy consisting of the amino acid sequence of SEQ ID NO: 1, said
peptide having substantial in vitro binding affinity for human
immunodeficiency virus type-1 (HIV-1), gp 120, HIV-1 gp 41 and HIV-1
infected human CD4 cells. ____________________________________________
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