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Title:
Method for promoting hair growth
United States Patent: 7,556,825
Issued: July 7, 2009
Inventors: Li; Lingna (San
Diego, CA), Lishko; Valeryi (Shaker Heights, OH)
Assignee:
Anticancer, Inc. (San Diego, CA)
Appl. No.: 10/840,908
Filed: May 7, 2004
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Outsourcing Guide
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Abstract
The present invention describes a method
for targeted and specific delivery of beneficial compounds, including hair
dyes, melanin, proteins, and nucleic acids for gene therapy, to hair
follicle cells using liposomes encapsulating the beneficial compound.
Particularly preferred methods describe delivery of hair dyes, melanin or
tyrosinase to the hair follicle for the purpose of improving hair color or
condition, the delivery of compounds which prevent alopecia or stimulate
hair growth, either by encapsulating a compound in liposomes, or by
encapsulating a nucleic acid capable of expressing a protein in liposomes.
Also described are liposome compositions for practicing the methods.
Description of the
Invention
A. Liposome-Mediated Targeted
Delivery of Macromolecules and Nucleic Acids to Hair Follicles
The invention relates to the administration of active compositions directly
and selectively (specifically) to the cells of the hair follicle and to the
hair shaft itself.
Because of the hair follicle specificity for delivery according to the
present invention, the present invention provides the advantage of
specifically delivering beneficial compositions to the hair follicle rather
than generally to the dermis or circulation, thereby allowing the use of
lower amounts of the composition to achieve the desired effect, and thereby
reducing the likelihood of undesirable effects caused by the composition on
the skin generally or to the general circulation.
1. Skin Histoculture Assay
In order to demonstrate that liposomes encapsulating beneficial compounds
are effective at selective delivery, and to provide a means for optimizing
liposome mediated delivery formulations, an in vitro assay has been
developed. Basically, pieces of skin containing hair follicles are
histocultured on collagen-gel-supported sponges as described by Li et al,
Proc. Natl. Acad. Sci. USA, 88:1908-1912 1991); Li et al, Proc. Natl. Acad.
Sci. USA 89:8764-8768, 1992; Li et al., In Vitro Cell. Dev. Biol.
28A:479-481, 1992; Li et al., In Vitro Cell. Dev. Biol. 28A:679-681, 1992;
Li et al., In Vitro Cell. Dev. Biol. 28A:695-698, 1992; Li et al., In Vitro
Cell. Dev. Biol. 29A:192-194, 1993; and Li et al., In Vitro Cell. Dev. Biol.
29A:449-450, 1993, the teachings of which are hereby incorporated by
reference. The system allows the growth of hair shafts in the follicle cells
for periods of at least 10-16 days, and further allows the ability to
evaluate the three-dimensional appearance of the hair follicle and
surrounding tissue by the use of selective dyes and stains in confocal
microscopy, thereby providing a system for evaluating the effectiveness of
the therapeutic reagent being applied. The use of the three-dimensional
histoculture in conjunction with confocal microscopy allows the ability to
follow the fine details of candidate beneficial (therapeutic)
product-delivering liposome interactions with hair-follicles at the cellular
and subcellular level. Therefore, the histoculture system allows the ability
to optimize liposome compositions as well as determine the optimum
conditions for delivery of the liposome contents into the target cell.
Typical skin histoculture preparation methods are also detailed in copending
U.S. patent application of Li et al., Ser. No. 08/129,022, filed Sep. 29,
1993, and assigned to the assignee of this application, which is a
continuation of Ser. No. 07/662,239, filed Feb. 28, 1992, and assigned to
the assignee of this application, and in copending International Patent
Application Serial No. PCT/US92/01571, filed Feb. 28, 1992, and published on
Sep. 17, 1992 as International Publication No. WO92/15700 the teachings of
which are all hereby incorporated by reference.
Native-state histoculturing of a skin sample having hair follicles and
internal and external surfaces comprises placing the skin sample on an
extracellular support matrix immersed in a medium whereby the internal
surface is adjacent to the matrix and the external surface is exposed in the
air above the surface of the medium and maintaining the matrix with the skin
thereon under skin culturing conditions.
Potentially any skin from any animal can be used in this assay. Preferably,
the animal is a mammal. Exemplary mammals are mice, rats, guinea pigs,
hamsters, rabbits, marmosets, monkeys and humans. More preferably, the
animal is a human.
The skin sample having dermal and epidermal layers is typically excised from
an animal. Excess fat, if present, is removed. The sample of skin may be
excised from a hairy animal whose skin is capable of supporting hair growth
or from a hairless animal whose skin is devoid of hair, such as an athymic,
nude animal. Where the skin sample is obtained from a hairy animal, the skin
may be shaved or clipped prior to excision.
The skin sample is defined herein as having internal and external surfaces.
The phrase "internal surface" refers to the dermally-oriented surface; i.e.
the non-exposed surface of the skin as it exists in its native-state in the
animal. The phrase "external surface" refers to the epidermally-oriented
surface: i.e. the exposed surface of the skin as it exists in its
native-state in the animal.
There is no real limitation as to the surface area of a piece of skin used
in the present invention. Typically, the skin sample can range in external
surface area from about 1 to about 10,000 square millimeters (mm.sup.2). A
preferred surface area is from about 4 to about 100 mm.sup.2. A more
preferred surface area is about 10 mm.sup.2. The thickness of the skin is a
function of the animal from which it is obtained. Where the skin sample is
excised from a mouse, a preferred thickness is about 1 to 2 mm.
Skin samples are cultured on a support matrix. A support matrix of this
invention provides a trabecular structure with interstices suited for
capillary action to deliver aqueous nutrients from the medium to the
internal surface (base) the skin as in a native state. Thus, any support
having this capacity is contemplated including synthetic meshes such as
nylon, borosilicate glass fiber, or polypropylene or organic meshes such as
cellulose or collagen. Preferably, the support matrix is an extracellular
support matrix. As used herein, the phrase "extracellular support matrix"
means a solid, such as a gel or sponge, comprising one or more organic
molecules or molecular aggregates, which molecules or aggregates are those
produced and secreted by cells into the extracellular space and which serve,
in vivo, as a support, adhesive and framework for maintaining
three-dimensional tissue organization and function. Exemplary of such
molecules are high-molecular weight proteins and glycoproteins such as
collagen, laminin, fibronectin and the like, complex polysaccharides and the
like molecules.
In a preferred embodiment, the extracellular support matrix is a
collagen-containing gel. Exemplary collagen-containing gels are gelatinized
pig skin such as GELFOAM.TM. (The Upjohn Company, Kalamazoo, Mich.) and a
composition comprising laminin, collagen, proteoglycan and entactin such as
MATRIGEL.TM. (Collaborative Research, Inc., Bedford, Mass.). GELFOAM.TM. is
a patented product described in U.S. Pat. No. 2,465,357, the disclosure of
which is incorporated herein by reference.
In another preferred embodiment, the extracellular support matrix is a
homopolysaccharide sponge (Leighton, J., J. Nat'l Cancer Instit. 12:545-561,
1951). A preferred homopolysaccharide is cellulose. Homopolysaccharide
sponges contemplated by the present invention are not limited as to weave or
net size.
In still another preferred embodiment, the extracellular support matrix
comprises a combination of a collagen-containing gel and a
homopolysaccharide sponge. Preferably, such a combination comprises a top
layer of a collagen-containing gel and a bottom layer of a
homopolysaccharide sponge. The collagen-containing gel is preferably
gelatinized pig skin and the homopolysaccharide is preferably cellulose. In
a particularly preferred embodiment, the support matrix comprises a
combination of a top layer of GELFOAM.TM. and a bottom layer of a cellulose
sponge, which matrix has been shown to be most effective in maintaining
normal hair growth of histocultured skin.
There are no set ratios of skin sample size to size of the extracellular
support matrix. The matrix can be anywhere from a diameter which is
sufficient to support the skin sample to being greater in size and
substantially overlapping the skin sample. Multiple samples can be placed on
the same matrix so long as the skin samples are not actually touching. A
preferred distance between skin samples is about 1 to 2 mm.
The skin sample is placed on the matrix such that the internal surface of
the skin is adjacent to the matrix and the external surface of the skin is
facing away from the matrix. In a preferred embodiment, the internal surface
of the skin is in contact with the matrix. In this arrangement, the external
surface of the skin is available for contacting with toxins or other
compositions to assess their effect on the skin according to the present
methods.
The matrix with the skin sample thereon is immersed in a volume of a medium
sufficient to contact the matrix but not to completely cover the skin; i.e.
the external surface of the skin is not submerged but is exposed above the
surface of the medium. Preferably, the surface of the medium is within 0.5
to 2 mm of the upper surface of the matrix and provides aqueous contact to
the skin sample through a wicking effect. For example, where the skin sample
has a thickness of about 1 to 2 mm, the surface of the medium is preferably
from about 0.5 to about 2 millimeters below the external surface of the
skin.
The extracellular support matrix is typically soft and may indent upon
placement of the skin sample thereon such that the edges of the matrix may
contact the vertical edges of the skin sample.
The extracellular support matrix is pre-treated to equilibrate the matrix
with the medium before the skin sample is placed thereon. Pretreatment of
the matrix comprises cutting the matrix to a predetermined size and soaking
the cut matrix in the medium in a sterile container for a period of time
sufficient to saturate and equilibrate the matrix with the medium. A
preferred soaking time is 4 hours at 37.degree. C.
The medium contemplated by the present invention is an aqueous nutrient
medium designed to promote and maintain viability of the skin sample. A
preferred medium is Eagles Minimum Essential Medium (MEM) supplemented with
10% (v/v) fetal bovine serum (FBS) and an antibiotic. Exemplary antibiotics
are gentamicin, streptomycin, penicillin, kanomycin and the like. A
preferred antibiotic is gentamicin. The final concentration of antibiotic in
the medium depends upon the particular antibiotic used. Where the antibiotic
is gentamicin, a preferred concentration is about 0.2 mgs per ml of medium.
Other media can also be used, preferably involving the use of fetal bovine
serum, or using serum-free defined media as is well known in the art.
The matrix with the skin sample thereon may be maintained in the medium for
indefinite periods of time. Preferably, the medium is changed every 2 to 3
days.
After a suitable histoculturing period, a quantity of liposomes containing
the selected beneficial macromolecular compound is applied to the skin
histoculture. A second histocultured skin sample is treated with the
compound alone as a control. The skin histocultures are then processed and
prepared to asses the viability of the tissues and the skin cell undergoing
the treatment, and to determine the specificity of delivery of the
beneficial compound in the liposomes.
In one embodiment, viability and/or delivery is assessed by measuring the
incorporation into cells of the skin sample of an indicator specific for
viable cells. As used herein, the phrase "specific for viable cells" means
that the indicator is taken up or incorporated into living, but not dead,
cells.
The indicator specific for viable cells may be a metabolic precursor or a
non-metabolite that gains access to living cells. Exemplary metabolic
precursors are ribo- or deoxyribonucleic acid precursors such as purines,
pyrimidines, nucleosides and nucleotides. Preferably, the metabolic
precursor is operatively linked to an indicating means to facilitate
detection. A preferred indicating means for a metabolic-precursor indicator
is a radiolabel such as .sup.35S, .sup.32P, .sup.125I, .sup.3H and the like.
A particularly preferred radiolabeled metabolic-precursor indicator is
.sup.3H-thymidine.
A preferred non-metabolite indicator specific for viable cells is a dye that
is capable of optical detection. Any dye recognized in the art as being
specific for viable cells can be used in accordance with the skin toxicity
assay of this invention. See, e.g., Handbook of Fluorescent Probes and
Research Chemicals, ed. by R. P. Haugland, Molecular Probes, publisher,
Eugene, Oreg. (1989-1991 and 1992-1993).
In a preferred embodiment, the dye is a fluorescent dye. Exemplary
viable-cell-specific fluorescent dyes are BCECF-AM (B-1150), Calcein-AM
(C-1430), CFDA (carboxyfluorescein diacetate; C-195) Acridine orange
(A-1301), Calcein blue (H-1426), Fura-2AM (F-1201), Fluorescein diacetate
(F-1303) or Carboxy analog (C-1431) and the like. Such dyes are well known
in the art and are commercially available (Molecular Probes, Eugene Oreg.).
Particularly preferred are the dyes BCECF-AM or Calcein-AM. The numerals in
the parenthesis indicates the product number for the listed fluorescent dyes
that are available from Molecular Probes.
In one embodiment, the incorporation or uptake of fluorescent dyes specific
for viable cells depends upon metabolic activity of the viable cell. In
accordance with this embodiment, non-flucrescing dyes are taken up by viable
cells and converted to a fluorescing product by an intracellular enzyme such
as an esterase. The presence of intracellular fluorescence indicates
viability.
In another embodiment, viability is assessed by measuring the uptake or
incorporation into cells of the skin sample of an indicator specific for
dead cells. As used herein, the phrase "specific for dead cells" means that
the indicator is taken up or incorporated only into dead, non-viable cells.
Typically, dyes specific for dead cells are compounds with a high ionic
charge and low permeability such that the dyes cannot permeate intact
cellular membranes. When cells die, the membrane is structurally or
functionally ruptured such that dyes specific for dead cells gain access to
the intracellular space where they bind to intracellular components such as
nuclear membranes.
A preferred dead-cell-specific indicator is a dye capable of optical
detection. A preferred dead-cell-specific dye is a fluorescent dye such as
propidium iodide, ethidium bromide, ethidium homodimer
[(5,5'-diazadecamethylene)
bis(3,8-diamino-6-phenylphenanthridium)dichloride, dihydrochloride] and the
like. most preferred is propidium iodide. Propidium iodide (PI) and other
dyes specific for dead cells are well known in the art and commercially
available (Molecular Probes, Eugene, Oreg.).
In still another preferred embodiment, assessing viability is accomplished
by simultaneously measuring the uptake or incorporation of both an indicator
specific for viable cells and an indicator specific for dead cells.
Viability is assessed as the ratio of viable to dead cells. Where both the
indicator specific for viable cells and the indicator specific for dead
cells are fluorescent dyes, such dyes should have different emission spectra
so as to facilitate discrimination between viable and dead cells.
Compositions and methods for determining cell viability by the differential
uptake of indicators specific for viable and dead cells and tissue culture
samples are well known in the art. Haugland, Supra.
Means for detecting the uptake or incorporation of indicators specific for
viable cells are dependent upon the particular indicator used and are well
known to those of skill in the art. A preferred means for detecting
radiolabeled metabolic-precursors is autoradiography of histological
sections of the skin samples that have taken up the precursor.
A preferred means for detecting dyes is microscopic examination. Microscopic
examination can involve the use of any microscope that allows one to
selectively and reproducible evaluate indicator incorporation into specific
cells of the skin sample at varying locations within the three-dimensional,
native-state skin histoculture.
Typically, the microscopic examination requires the capability of optical
sectioning. Optical sectioning is the ability to view preselected depths
within the three-dimensional structure of the skin in the absence of optical
interference provided by the presence in the skin of microsomes, air
bubbles, fat globules and other tissue components, which provide reflection
of light and optical interference.
In addition, optical sectioning allows for viewing a variety of planes
within the three-dimensional skin histoculture. By sequentially sectioning
serial layers of the skin, one can produce a total picture of the skin and
hair follicle or, alternatively, a picture of a region of the skin and the
follicles where a particular cell type of interest is located. Thus,
comparative studies of a plurality of depths or regions of the skin can be
made. In this way, viability can be assessed in surface cells, at cells
underneath the dermal layer, cells inside the epidermal layer, or in other
specific cell types such as nerve cells, oil secreting cells, hair follicle
cells.
The optical section thickness can be varied to accommodate the cell size or
tissue to be observed and can range from about 0.1 to 1000 microns.
Preferred sections are in the range of 0.5 to 10 microns, preferably about 2
to 6 microns.
A preferred microscope that is capable of performing optical sectioning is a
confocal scanning laser microscope such as the MRC-600 CONFOCAL IMAGING
SYSTEM (Bio-Rad, Richmond, Calif.), mounted on a Nikon Optiphot using a
10.times. PlanApo plan objective. Such a confocal scanning microscope has
been successfully used to asses delivery (see the Examples). Other available
methods for optically scanning or sectioning planes of the tissue sample are
also contemplated by the present invention.
Viability is assessed at any particular location within the skin as a ratio
of viable or dead cells to total cells or as a ratio of live to dead cells
on the basis of the uptake of indicators specific for viable and dead cells
respectively. When viability is assessed both before and after contact with
a putative beneficial compound, comparing the ratio of live to dead cells as
assessed before and after contact with the putative beneficial agent
provides an indication of the toxicity or benefit provided by the
administered compound.
The procedure for applying indicators to the skin culture varies with the
particular indicator used. Typically, indicators are added to the medium
about 6 hours and, preferably about 24 hours after placing the skin sample
in the medium. Following addition of the indicator to the medium, the
culture is maintained under culturing conditions for a period time
sufficient to allow the indicator to enter and label the cells of the skin
sample. Preferably, the culture is maintained in the presence of the
indicator for about 5 minutes to about 2 hours and, more preferably for
about 10 to 20 minutes.
The concentration of indicator added to the medium varies with the
particular indicator used. Where the fluorescent dyes PI and BCECF-AM are
used, the dye concentration is from about 1 to about 100 micromolar,
preferably from about 2 to about 50 micromolar, and more preferably about 5
micromolar each.
Exemplary in vitro skin histoculture methods are described in the Examples.
The in vitro histoculture assay can be utilized in a variety of ways. The
assay can be utilized to evaluate and optimize liposome formulations for
enhanced efficacy of delivery of the beneficial compound, or to study other
aspects of the liposomes usefulness in the targeting formulation.
Furthermore, the assay can be used as a screening system to identify
additional beneficial compounds for treating conditions afflicting hair
follicles as described further herein.
In addition, the in vitro histoculture assay methods can be utilized to
determine the effective dosages of beneficial compounds for use in the
present methods.
2. Preparation of Liposomes Encapsulating Beneficial Compounds, and Liposome
Compositions
A beneficial liposome composition of the invention is typically provided in
one or more of a variety of compositional forms suitable for the
contemplated use. Although proteins, nucleic acids or other compounds for
use in a liposome generally retain biological activity in a variety of
buffers and solutions, it is preferred to be formulated in a phospholipid
composition. Particularly preferred are phospholipid compositions which
afford maximum stability and biological activity of the beneficial compound
in the composition. Such phospholipid compositions are preferably formulated
to form liposome compositions, as are generally well known in the art.
Typically, the composition contains an amount of biologically active
beneficial compound suitable for its contemplated use.
The preparation of liposomes, and their use in drug therapy has been
previously described. See, for example, U.S. Pat. Nos. 4,241,046, 4,394,448,
4,529,561, 4,755,388, 4,828,837, 4,925,661, 4,954,345, 4,957,735, 5,043,164,
5,064,655, 5,077,211 and 5,264,618, the disclosures of which are hereby
incorporated by reference. Exemplary methods for the entrapment of nucleic
acids into liposomes are described by Hoffman et al., FEBS Ltrs 93:365-68,
1978 and in U.S. Pat. No. 5,223,263, hereby incorporated by reference
herein.
Preferred and exemplary methods for preparing beneficial
compound-encapsulated liposomes for use in the present methods are described
in the Examples. In particular, the encapsulation of melanin, protein or
nucleic acid, each for delivery to hair follicles as a beneficial compound,
are described herein.
The liposome compositions of the present invention typically comprise about
0.1 mg to about 3 mg of protein, or about 0.1 ug to about 0.5 mg nucleic
acid, per mg of phospholipid mixture.
The ratio of active compound to phospholipid mixture may determine the
sensitivity of the resulting reagent. Thus, use of a ratio of about 1 to 2
mg protein per mg phospholipid mixture may be suitable for a protein reagent
having a International Sensitivity Index ("ISI") of about 1.0. Use of a
ratio of about 0.25 to about 0.5 mg protein per mg phospholipid mixture may
be suitable to prepare a composition having an ISI of about 1.6 to about
2.0.
Preferred are compositions that additionally comprise from about 0.5 to
about 1.5% (w/v) glycine. Where it is desired to be able to lyophilize the
liposome composition to allow storage and later reconstitution, the reagent
preferably includes a cryopreservative, preferably a carbohydrate
preservative, most preferably trehalose.
The lipid bilayer of the liposomes comprises phospholipids, preferably,
phosphoglycerides. Exemplary liposome compositions include
phosphatidylcholine (PC) liposomes, particularly egg PC (EPC) and
dipalmitoyl PC (DPPC). Additional candidate liposome compositions are
prepared according to the teachings of U.S. Pat. No. 4,394,488, the
teachings of which are incorporated by reference, particularly the
descriptions of liposomes comprising phosphotidylethanolamine (PE),
phosphotidylserine (PS), sphingolipids, phosphotidylglycerol (PG),
phosphatidic acid (PA), cholesterol, spingomyelin cardiolipin, various
cationicphospholipids glycolipids, gangliosides, cerebrosides and the like,
used either singularly or in combination.
"Phospholipid" refers to an organic molecule derived from either glycerol
(most commonly) or sphingosine. Phospholipids derived from glycerol (or
phosphoglycerides) comprise a glycerol backbone, two fatty acid chains
esterified to the first and second carbons of the glycerol and phosphoric
acid esterified to the third carbon. Optionally, an alcohol moiety is
esterified to the phosphoric acid.
Suitable phospholipids for use in the liposome compositions of the present
invention include those which contain fatty acids having twelve to twenty
carbon atoms; said fatty acids may be either saturated or unsaturated. The
phospholipids may come from any natural source and the phospholipids, as
such, may be comprised of molecules with differing fatty acids. Phospholipid
mixtures comprising phospholipids from different sources may be used. For
example, PC, PG and PE may be obtained from egg yolk; PS may be obtained
from animal brain or spinal chord. These phospholipids may come from
synthetic sources as well.
Phospholipid (PL) mixtures having a varied ratio of individual PLs may be
used. However, although the phospholipids may be used in varied ratios,
mixtures of phospholipids having preselected amounts of individual
phospholipids result in liposome compositions having advantageous activity
and stability of activity. Thus although a wide range of ratios of
individual phospholipids may be used, for advantageous activity and
stability of the resulting liposome composition, certain phospholipid
compositions are preferred.
The phospholipids are conveniently combined in the appropriate ratios to
provide the PL mixture for use in preparing the liposome composition of the
present invention.
Liposomes are preferably prepared using one or more phospolipids including
(N-(1-(2,3-dioleolyoxy)propyl)-N,N,N-trimethyl ammonium chloride) (DOTMA),
dioleoylphosphatidylethanolamine (DOPE), diolecylphosphatidylcholine (DOPC),
phosphatidylethanolamine (PE), egg PC (EPC), phosphatidylcholine (PC),
dipalmitoyl PC (DPPC), cholesterol and the like phospholipids. Phospholipids
can be obtained from a variety of sources, including Avanti (Birmingham,
Ala.), GIBCO BRL (Gaithersburg, Md.) and Aldrich (Milwaulkee, Wis.), or can
be prepared from available materials, as is well known.
Preferred liposomes comprise PC, EPC, or DPPC homogeneously. Further
preferred liposome compositions comprise a combination of a PC-type
phospholipid (such as PC, EPC, DOPC, DPPC and the like) combined with a
PE-type phospholipid (PE, DOPE and the like) in a molar ratio of from about
2:5 to about 5:2, more preferably about 5:2 PC:PE. A preferred liposome
composition comprises PC:PE:Chol in a molar ratio of 5:2:3.
A preferred liposome for use in the present invention additionally includes
cationic phospholipids. One preferred cationic phospholipid is a
monocationic phospholipid having two identical alkyl side chains.
Preferred cationic phospholipids are also generally available from a variety
of sources, including the above recited sources. Particularly preferred
cationic phospholipids include cationic phospholipids such as D282, D378,
D383, D3886, D3897 and D3899, obtainable from Molecular Probes (Eugene, Oreg.),
the structure and synthesis of which is well known and described in Handbook
of Fluorescent Probes and Research Chemicals, ed. by R. P. Haugland,
Molecular Probes, publisher, Eugene, Oreg. (1989-1991, and 1992-1993). The
structures of cationic phospholipids D282, D378, D383, D3886, D3897 and
D3899 are shown in FIG. 8 (see Original Patent).
D282 is also known as 1,1'-dioctadecyl-3,3,3',3'-tetramethylindocarbocyanine
perchlorate; D378 is also known as 3,3'-diheptyloxacarbocyanine iodide; D383
is also known as 1,1'-didodecyl-3,3,3',3-tetramethylindocarbocyanine
perchlorate; D3886 is also known as
1,1'-dioleyl-3,3,3',3'-tetramethylindocarbocyanine methanesulfonate; D3897
is also known as N-4-(4-dilinoleylaminostyryl)-N-methylpyridinium iodide;
and D3899 is also known as
1,1-dilinoleyl-3,3,3',3'-tetramethylindocarbocyanine perchlorate.
In one embodiment, the liposome composition of this invention contains one
or more of the above cationic phospholipids. Preferably, a liposome
composition of this invention comprises a formulation of phospholipids
comprising a mixture of (a) one or more of the phospholipids PC, EPC, DOPC,
DPPC, PE, DOPE, cholesterol and the like phospholipids, and (b) one or more
of the cationic phospholipids D282, D378, D383, D3886, D3897, D3899 and the
like. A particularly preferred liposome composition comprises a mixture of
phospholipid (a) and cationic phospholipid (b) in a ratio of about 0.5 to
2.0 moles of phospholipid (a) to about 0.5 to 1.5 moles of phospholipid (b),
and more preferably about 1.0-1.2 moles of phospholipid (a) to 0.8 moles of
cationic phospholipid (b). A preferred phospholipid composition in this
embodiment comprises a mixture of DOPC or DOPE with one or more of the above
cationic phospholipids in a ratio of about 0.8 moles to about 1.0-1.2 moles.
In another embodiment, the invention comprises a liposome composition
comprising one or more phospholipids selected from the group consisting of
PC, EPC, DOPC, DPPC, PE, DOPE and cholesterol, combined with one or more
phospholipids to form pH-sensitive liposomes. pH-sensitive liposomes are
generally well known and their preparation has been described by Straubinger
et al., FEBS Letts. 179:148-154, 1985. A preferred pH sensitive liposome
comprises oleic acid (OA) and PE at a molar ratio of 3:7. OA is available
from a variety of commercial sources, including Sigma (St. Louis, Mo.).
Several pH-sensitive liposome systems have been described. There are two
main categories: intrinsically pH-sensitive liposomes and those which
utilize an external non-lipid trigger. Intrinsically pH-sensitive liposomes
are constructed by combining phosphatidylethnolamine (PE) with one of a
number of acidic amphiphiles. Externally triggered pH-sensitive liposomes
combine an otherwise stable liposome with an external soluble component such
as a titratable polymer or a titratable synthetic peptide which undergoes a
conformational change upon acidification. To increase the efficacy of
intracellular delivery, liposomes can be made pH-sensitive and able to fuse
with cellular membrane at decreased pH values (pH drop from 7.4 to 6.5) or
in the presence of polyethylene glycol. Some pH-sensitive liposomes are
composed of DOPE: Cholesterol hemisuccinate at molar ratios 2:1.
The preferential targeting of a liposome composition of this invention to
the hair follicle can be optimized by the choice of phospholipids in the
liposome composition, and may depend additionally on the included beneficial
compound. Optimization can be readily conducted by use of the in vitro
histoculture assay method described herein by preparation and testing of a
panel of preselected liposome formulations according to the phospholipid
parameters described herein.
Particularly preferred parameters for targeting beneficial compounds to hair
follicles include the combined use of liposomes that have both cationic
lipids and are pH-sensitive.
Where the liposome composition will be lyophilized prior to storage for
later use, it is preferred to include a carbohydrate or carbohydrates as
cryopreservative(s) to protect the integrity of liposomes in the resulting
liposome composition during lyophilization and subsequent rehydration.
Cryopreservation relates to preserving the integrity of delicate substances
when liquids containing them are frozen and dehydrated. The use of a
carbohydrate as a cryopreservative of liposome integrity upon freezing and
subsequent lyophilization has been reported (Racker E., Membrane Biol.
10:221-235, 1972; Sreter F. et al., Biochim. Biophys. Acta. 203:254-257,
1970; Crowe et al., Biochem. J. 242:1-10, 1987; Crowe et al., Biochim.
Biophys. Acta. 987:367-384, 1988.
Suitable carbohydrate cryopreservatives include trehalose, maltose, lactose,
glucose and mannitol. According to a preferred aspect of the present
invention, trehalose is included in aqueous buffer solution used in the
preparation of a liposome composition of the present invention (prior to
lyophilization), preferably at a concentration in the range of about 50 mM
to about 250 mM.
The phospholipids, which may be obtained from the manufacturer in an organic
solvent, are mixed together in the appropriate ratios to yield the specified
composition. An antioxidant can also be added to reduce alkyl chain
peroxidation of the fatty acid portions of the phospholipids, and the
organic solvent, if present, is removed by evaporation. One suitable
antioxidant is butyrated hydroxy toluene. Preferably about 0.1% (by weight)
of antioxidant is used.
The dried (evaporated) phospholipid mixture is then redissolved with an
aqueous detergent solution. Suitable detergents include those which have a
relatively high critical micelle concentration (CMC) (Womack et al., Biochim.
Biophys. Acta 733:210, 1983). Such detergents include detergents having a
CMC of greater than approximately 2 mM. Preferred are those detergents
having a CMC of between approximately 2 to 25 mM. Such preferred detergents
include 3-[(3-cholamidopropyl)dimethylammonio]-1-propanesulfonate (CHAPS)
and alkylglucopyranosides such as octyl beta-D-glucopyranoside, octyl
beta-D-thioglucopyranoside and the like. Optionally, the detergent solution
may include other components. These components may include buffer salts such
as HEPES, Tris, phosphate, and the like; various other salts such as NaCl,
KCl, and the like; a carbohydrate cryopreservative such as trehalose,
maltose, glucose, and the like; and glycine.
According to a preferred embodiment of the present invention, the detergent
solution comprises 20 mM Tris, pH 7.5, 150 mM NaCl, (TBS) containing 100 mM
CHAPS, 150 mM trehalose and 0.8% glycine. According to this preferred
embodiment, the phospholipids are redissolved in this solution to give a
final concentration of about 20 mg/ml.
Purified proteins for use in a liposome, together with carrier protein, are
combined with the redissolved phospholipids and the volume of the resulting
mixture is adjusted with a buffer as described above, preferably containing
cryopreservative (most preferably trehalose) and glycine but no detergent.
Protein is admixed with carrier protein, such as bovine gamma globulin, and
sufficient buffer is added to adjust the final concentrations of active
protein to 10 mg/ml, bovine gamma globulin to 1 mg/ml, phospholipid to 4
mg/ml and detergent to 20 mM. Suitable buffers include TBS containing 150 mM
trehalose and 0.8% glycine.
The resulting clear, colorless solution requires no vortexing or sonicating
to ensure co-solubilization.
The detergent in the phospholipid admixture can be removed by a number of
methods resulting in a stable liposome composition having a protein or
nucleic acid associated with and inserted through the lipid bilayer.
Suitable methods of removal of detergent include dialysis, tangential flow
diafiltration, cross flow hollow fiber filtration, treatment with
hydrophobic chromatography resin, and simple dilution.
One preferred method of detergent removal from the phospholipid admixture
utilizes dialysis for at least 30 hours at room temperature in dialysis
membrane tubing against a buffer such as TBS containing 150 mM trehalose,
0.8% glycine and 0.05% NaN.sub.3 to remove the detergent. Another preferred
method of detergent removal utilizes resin treatment. Suitable resins
include hydrophobic chromatographic resins such as Amberlite XAD-2 (Rohm and
Haas Co. in Philadelphia, Pa.) or Bio-Beads SM-2 (BioRad in Richmond,
Calif.). The resins may be used to remove the detergent, either by direct
contact with the phospholipid solution admixture or separated from it by a
dialysis membrane. The rate of removal of detergent from the phospholipid
admixture is proportional to the weight ratio of the detergent in solution
and the chromatographic resin beads.
The liposome solution resulting from the detergent removal step is then made
to 5 mM CaCl.sub.2. According to one preferred aspect, the liposome
composition which contains the fully active compound is diluted to a
concentration of 50 mM Tris, pH 7.5, 75 mM trehalose, 0.8% glycine and 10 to
15 mM CaCl.sub.2 before use. Alternatively, the diluted reagent may be
lyophilized for long term preservation of its biological performance
characteristics and then later reconstituted by suspension in water before
use.
Another preferred method of detergent removal avoids the use of either
dialysis or resin treatment and yet provides for preparation of active
reagent. According to this method, detergent solubilized phospholipid
compositions containing protein or nucleic acids are diluted into a buffer
without detergent to produce mixed micelles containing the beneficial
compound which remain capable of being fully activated by CaCl.sub.2.
According to this aspect of the invention, phospholipids are dissolved to 20
mg/ml in a buffer containing detergent, preferably an alkyl glucopyranoside.
A suitable buffer-detergent solution comprises 20 mM HEPES (pH 6) containing
50 mM octyl beta-D-thioglucopyranoside (OTG) and 150 mM NaCl. Carrier
protein, active protein or nucleic acid, and CaCl.sub.2 are then added and
the mixture diluted further with buffer without detergent, such as 20 mM
HEPES (pH 6) containing 150 mM NaCl, to yield final concentrations of active
protein or nucleic acid at about 10 mg/ml, carrier protein (bovine gamma
globulin) at 1 mg/ml, CaCl.sub.2 at 5 mM, phospholipids at 4 mg/ml, and OTG
at 10 mM. The reagent may be lyophilized for storage as described above, or
diluted as described above before use.
According to another aspect of the present invention, this reagent may be
prepared by following methods for the preparation of vesicles and detergent-phospholipid
mixed micelles from phospholipids by methods based on mechanical means, by
removal of organic solvents, by detergent removal, and by size
transformation as has been described by Lichtenberg, D. and Barenholz, Y.,
Methods of Biochemical Analysis, 33: 337-462 (1988), and the disclosures of
which are incorporated herein by reference.
Incorporation of a beneficial compound is conducted by incorporation of the
compound in the liposome either during liposome formation, or after
formation by combining the liposome with the compound. Methods of
introducing the compound into the liposome can vary, and are not intended to
be limiting. Preferred methods are described in the Examples.
Where nucleic acid is entrapped into a phospholipid composition, a wide
variety of ratios of nucleic acid to phospholipid may be utilized as
discussed earlier. However, it is preferred to use about 100 micrograms (ug)
of nucleic acid (in the form of double-stranded DNA such as plasmid DNA)
with about 0.1 to 10.0 milligram (mg) phospholipid. Where cationic
phospholipids are to be utilized in a phospholipid composition, it is
particularly preferred to use about 100 ug nucleic acid to from 0.2 to 1.2
micromoles (umole) of phospholipid, particularly 100 ug nucleic acid to 0.8
umole.
Preferred liposome compositions of this invention comprise a liposome
containing an effective amount of a beneficial compound of this invention.
Preferred beneficial compounds depend upon the use of the liposome
composition as described further herein, and can include melanin, hair dyes,
tyrosinase, nucleic acids, including sense and antisense nucleic acid
molecules, hair color-restoring agents, hair growth-promoting agents, and
agents which confer chemorestistance to the targeted hair follicle.
3. Hair Follicle-Targeted Drug Therapy
Results of studies herein on liposome-mediated delivery show that the
beneficial macromolecular compound is concentrated at the hair follicles and
has been transported across the cell membrane and through the cytoplasm and
in some cases to the nucleus. The liposome-incorporated material (beneficial
compound) is preferentially delivered to the hair follicle, because the
levels of the beneficial compound in the adjacent skin tissue is
substantially lower than in the hair follicles. Due to the unusual
selectivity of delivery to the hair follicle when using the disclosed
liposome formulations, and based on the degree of selectivity based on the
compound to be delivered and the liposome formulation utilized, this
selectivity is referred herein to as "directed delivery", "preferential
delivery", "selective delivery" and in some cases as "exclusive delivery",
depending upon the relative amount of material delivered to the hair
follicle tissue as compared to the adjacent skin tissue. In addition, the
selectivity can be expressed in terms of the selectivity of pharmaceutical
effect upon the hair follicle tissue as compared to the adjacent skin
tissue.
With the tissue sample treated with the macromolecular compound where the
compound had not been incorporated in liposomes, very little reaches the
follicle cell or follicle cell nuclei. Thus, the liposome-based system
specifically, selectively, and efficiently targets the hair follicles with
compounds that otherwise do not concentrate at the hair follicles.
In one embodiment, the invention describes methods for selective and
beneficial targeting of therapeutic compounds and compositions to the hair
follicle of a mammal.
Based on the present disclosure, it is determined that compounds and
compositions, particularly polymers, dyes, proteins, nucleic acids and
macromolecules, are specifically delivered to hair follicle tissue, so long
as the compounds or compositions are encapsulated in liposomes.
The invention contemplates the delivery of a wide variety of beneficial or
otherwise therapeutic compounds to the hair follicle, with the selectivity
of delivery to the hair follicle over adjacent skin tissue cells being of
particular importance, and the primary result according to the present
methods. Thus, the therapeutic compounds can be nucleic acids, hormones,
proteins, small molecules, enzymes, steroids, vitamins and other biochemical
co-factors deemed to provide a therapeutic effect upon the hair follicle
cell's growth, condition, color and the like.
Thus, a beneficial compound for use in the methods and compositions of this
invention can be any of a variety of molecules including molecules that
would not otherwise be able to reach hair follicles, such as macromolecules
and polymers that are too large to penetrate stratum corneum or lipid
barriers such as cell membranes, and lipophobic molecules that are not able
to penetrate lipid barriers due to their chemical properties. Additional
beneficial compounds for use in the present invention include lipophilic
compounds that do exhibit a capacity to interact with and penetrate lipid
barriers, but which can penetrate other tissue barriers such as dermis where
the compound can exhibit potentially undesirable effects upon cells external
to the hair follicle. Thus, a beneficial compound can be a macromolecule, a
polymer, a lipophobic molecule, a lipophilic molecule having undesirable
effects on cells external to the hair follicles, and the like compounds.
Particularly preferred are agents (beneficial compounds) which improve the
growth of the hair shaft, agents which stimulate the production of hair
coloring pigments in the hair follicle, agents which replace pigment in the
follicle cell or hair shaft or which color (dye) the hair shaft (i.e.,
restore hair color), agents which stimulate hair growth, and agents which
prevent hair loss (alopecia).
Agents useful for restoring or pigmenting hair color include melanin or hair
dyes, which directly color hair as a pigment, the protein tyrosinase, which
is an enzyme which catalyzes the production of melanin pigment precursors
and thereby increases pigment production in hair follicle cells, and nucleic
acids which encode and express tyrosinase and other proteins which stimulate
hair growth or prevent hair loss. By "tyrosinase" is meant the protein
tyrosinase or any derivatives, variants, analogs, or fragments thereof which
are useful in the present invention. Such useful derivatives, variants,
analogs, or fragments are defined by their ability to catalyze the
production of melanin pigment precursors. The term "fragment" includes any
form of tyrosinase that does not include the complete amino acid sequence of
tyrosinase. The term "derivative" as used herein refers to a peptide or
compound produced or modified from another peptide or compound of a similar
structure. This could be produced in one or more steps. The term "modified"
or "modification" as used herein refers to a change in the composition or
structure of the compound or molecule. However, the activity of the
derivative, modified compound, or molecule is retained, enhanced, or
increased relative to the activity of the parent compound or molecule. This
would include the change of one amino acid in the sequence of the peptide or
the introduction of one or more non-naturally occurring amino acids or other
compounds. This includes a change in a chemical body, a change in a hydrogen
placement, or any type of chemical variation. In addition, "analog" as used
herein refers to a compound that resembles another structure. An analog is
not necessarily an isomer. The above are only examples and are not limiting.
As is well known, melanin is a polymer of tyrosine that occurs in a variety
of forms and polymer lengths. Thus, the use of the term "melanin" is
intended to mean melanin in any of its forms which can be utilized in the
present invention. Also contemplated for use in this invention are
derivatized melanin, extracted melanin, modified melanin, and the like
variants of melanin which have the desirable property of providing hair
pigment. Such variants include derivatives of melanin including compounds or
polymers produced from tyrosine or modified from another compound, amino
acid, or polymer of similar structure. The term "modified" or "modification"
as used herein refers to a change in the composition or structure of the
compound or molecule. However, the activity of the derivative, modified
compound, or molecule is retained, enhanced, or increased relative to the
activity of the parent compound or molecule. This includes a change in a
chemical body, a change in a hydrogen placement, or any type of chemical
variation.
Hair dyes are also extremely well known, and can take a wide variety of
forms that need not limit the present invention. In particular, it is noted
that hair dyes are typically aromatic compounds which are incidentally
mutagenic or otherwise exhibit undesirable effects of various tissues of the
body such as cells external to a hair shaft or hair follicle, such as in the
dermis or in the circulation. Therefore it is to be emphasized that the
present invention provides the advantage by virtue of selective delivery to
the hair follicle of reducing the extent of contact of administered hair dye
with dermis and other tissues external to the hair follicle.
Agents useful in conditions of hair loss (alopecia) are those which
stimulate hair growth, those which inhibit the hair loss, and those which
inhibit the conditions that cause hair loss, such as chemotherapeutic
agents.
Hair growth stimulators are generally well known, and include minoxidil,
substance-P, cyclosporin, cyclosporin A, finesteride, and the like known
hair growth stimulators.
Alopecia may be caused by numerous genetic and environmental factors,
including but not limited to, stress, autoimmunity, and androgens. Agents
useful in conditions of stress induced alopecia would be those that inhibit
the delivery, to the cells in the hair follicle, of factors that cause the
stress induced alopecia or those that protect the follicle cells from such
factors. Compounds that would be useful in preventing hair loss caused by
autoimmunity (alopecia areata) would be those that inhibit the response of
cells in the hair follicle to antibodies or other agents of the immune
response (Sundberg et al., J. Invest. Dermatol. 104:32S-33S, 1995; Szafer et
al., J. Invest. Dermatol. 104:22S-24S, 1995). For example, such compounds
would include, but are not limited to, steroids which are known by those of
ordinary skill in the art to suppress the immune response. Another example
of a compound useful in the invention would be a compound that blocks the
receptors on cells in the hair follicle which are targeted by the immune
system in alopecia. Cell cycle inhibitors could also prevent alopecia caused
by such agents or stress by keeping the hair follicle cells in the more
protected G.sub.1-phase of the cell cycle.
An example of alopecia caused by androgens (androgenic alopecia) is typical
male pattern baldness. The invention includes within its scope the
prevention of androgenic alopecia by delivery of compounds that prevent
androgenic alopecia to the hair follicle. Such compounds include, but are
not limited to, compounds that block the androgen receptors on cells in the
hair follicle such as steroids, steroid analogs, androgen receptor
antagonists, proteins, small molecules, or nucleic acid molecules.
In preferred embodiments, the delivered compounds are antisense nucleic acid
molecules which hybridize to an androgen receptor gene, thereby inhibiting
androgen receptor expression. In other preferred embodiments, androgenic
alopecia is prevented by the selective delivery of antiandrogens. By "antiandrogen"
is meant a factor or molecule which interferes with the ability of an
androgen, such as testosterone, to activate an androgen receptor. Such
antiandrogens include, but are not limited to, 5-.alpha.-reductase
inhibitors such as finesteride. 5-.alpha.-reductase inhibitors interfere
with the ability of testosterone to activate androgen receptors by
converting testosterone to dihydrotestosterone. The direct and selective
delivery of antiandrogens and androgen receptor blockers to the hair
follicle of the present invention advantageously avoids the side effects
that may be caused by the presence of such antiandrogens and androgen
receptor blockers in the bloodstream and in non-hair follicle cells.
A preferred embodiment involves the prevention of hair loss (alopecia)
during chemotherapy where a patient experiences chemotherapy-induced hair
loss due to the effect of the chemotherapeutic agent on the hair follicle
and surrounding tissue. Thus the invention contemplates the use of
inhibitors of the deleterious effects of a chemotherapeutic agent. By virtue
of the selective application of the inhibitor to the hair follicle by the
liposome-mediated delivery methods of the present invention, inhibition of a
chemotherapeutic agent is localized to the hair follicle and therefore does
not interfere with the intended systemic activity of the administered
chemotherapeutic agent. In this embodiment, a preferred inhibitor of
chemotherapy-induced alopecia is a gene product of the multiple drug
resistance (MDR) gene, preferably the p-glycoprotein expressed by the human
MDR-1 gene. Administration of a nucleic acid comprising an expression vector
capable of expressing human p-glycoprotein via liposomes to the hair
follicle provides intracellular human p-glycoprotein, and reduces the toxic
effects of the chemotherapy upon the hair follicle, thereby reducing
alopecia induced by the chemotherapy.
Another embodiment of the invention is an in vitro model of chemotherapy
induced alopecia. The in vitro model may be used to screen for compounds
which may prevent chemotherapy induced alopecia. Such an in vitro system may
also be used to screen for chemotherapeutics which do not cause alopecia.
Thus, one aspect of the invention includes a method for inhibiting alopecia
in a mammal comprising applying a therapeutically effective amount of a
liposome composition to a skin area on a mammal having a plurality of hair
follicles, said liposome composition comprising a liposome containing a
therapeutically effective amount of a compound capable of inhibiting
alopecia when delivered to said hair follicles and said liposome is capable
of selectively delivering said compound to said hair follicles.
In one aspect, the alopecia is androgenic. In another aspect, the alopecia
is alopecia areata. In a preferred aspect, the compound is a steroid or a
steroid analog.
In another aspect, the alopecia is induced by stress. Therapeutic compounds
useful for inhibiting stress-induced alopecia include, for example, cell
cycle inhibitors as described herein.
In one aspect, the alopecia-inhibiting compound delivered to the hair
follicles is a protein. In another aspect the alopecia-inhibiting compound
delivered to the hair follicles is a nucleic acid capable of expressing in
cells of said hair follicles a protein that inhibits alopecia.
Another embodiment contemplates the use of the human transformation growth
factor-alpha (TGF-.alpha.) gene to reverse the "wavy" hair phenotype. See
for example, Mann et al., Cell 73:249-261, 1993, and Luetteke et al., Cell
73:263-278 1993. Therefore the invention contemplates the use of a cDNA
expression vector that expresses the TGF-.alpha. gene as a beneficial
compound to reduce the incidence of wavy hair where the deficiency of TGF-.alpha.
gene is the cause of the wavy hair phenotype.
The invention additionally contemplates the administration of any gene
beneficial to hair follicles. A gene is beneficial to hair follicles where
it confers, upon selective delivery to the hair follicles by the present
methods, a beneficial effect upon the hair follicle. Exemplary beneficial
genes include genes normally and preferentially expressed in hair follicle,
and therefore important for normal gene function. Beneficial genes can be
identified by any of a variety of molecular biological methods. For example,
a cDNA library of expressed genes can be prepared from hair follicle tissue
supporting healthy hair, and can be enriched by subtractive hybridization
against a cDNA library derived from a non-hair-producing or vellus-hair-producing
follicle tissue, thereby producing a library of cDNA molecules whose
expression is specific to hair follicles. Individual cDNA molecules from the
hair specific cDNA library can be further screened for therapeutic
effectiveness using the skin histoculture assay described herein.
Particularly preferred is a gene capable of stimulating hair growth,
referred to as a hair growth stimulating gene. A hair growth stimulating
gene is any nucleic acid which stimulates hair growth upon administration of
the gene to hair follicles of skin according to the present
liposome-mediated delivery methods. A hair growth stimulating gene can be
prepared from the hair specific cDNA library described above. The hair
growth stimulating gene can be selected from the hair specific cDNA library
by a variety of methods. The gene can be identified by subtractive
hybridization using a cDNA library prepared from skin tissue which has
vigorous hair shaft production against a cDNA library prepared from skin
tissue which is deficient in vigorous hair shaft production, such as patches
of skin where hair is absent or thinning. Such areas of skin have hair
follicles but the follicle cells are experiencing changes in gene expression
which affect the condition of the hair, particularly the rate of hair shaft
growth. The resulting cDNA library following subtractive hybridization
against the hair growth deficient cDNA library is further screened in the in
vitro skin histoculture assay for cDNA molecules capable of stimulating hair
growth to identify hair growth stimulating genes. Methods for isolating cDNA
libraries and for conducting subtractive hybridization a well known in the
art, and are not to be considered as limiting to the present invention.
Agents that may be useful for regulation of hair growth, either delivered
directly or in the form of a nucleic acid which encodes an agent and is
capable of expressing the agent in hair follicle cells include, for example,
parathyroid hormone-related protein and Bcl-2 (Wysolmerski et al., Proc.
Nat'l Acad. Sci. USA 91:1133-37, 1994; Holick et al., Proc. Nat'l Acad. Sci
USA 91:8014-16, 1994; Hayman, et al., J. Pathol. 158:293-96, 1989; and Veis
et al., Cell 75:229-40, 1993). Other such agents are known to those of
ordinary skill in the art. Examples included by way of example only are
reviewed in Messenger, J. Investigative Dermatol. 101:4S-9S, 1993. An
antisense nucleic acid molecule against a gene that encodes a protein that
inhibits hair growth, such as fibroblast growth factor-5 (FGF-5) is another
example of a potential selective liposome-mediated hair follicle therapy
(Hebert et al., Cell 78:1017-25, 1994), hereby incorporated by reference
herein. Thus, in an aspect of the present invention, a liposome composition
comprising an antisense nucleic acid molecule against a hair
growth-inhibiting factor is provided, as well as a method using such a
liposome composition to regulate or stimulate hair growth. In preferred
embodiments, the antisense nucleic acid molecule is directed against
fibroblast growth factor-5.
The therapeutic agent can be delivered to the hair follicle in the form of
an active formulation, such as the pigmentation protein or enzyme itself, or
can be provided through gene replacement therapy, where a nucleic acid is
introduced that expresses the protein to be delivered. In this mode, also
referred to as gene therapy, a replacement therapy protein is provided which
exerts a beneficial effect. The protein is referred to as a "replacement
therapy" protein to connote that the therapy administered is to reconstitute
(replace) into the tissue a protein-based function not previously present.
It does not mean that a gene or protein was first deliberately removed, and
then replaced.
Again, some beneficial compounds may have the ability to exhibit undesirable
effects on tissues or cells external to the hair follicle, such as the
dermis or other tissues accessed by the general circulation. Therefore it is
noted that the selectivity provided by the present invention provides the
advantage of reducing toxicity or undesirable effects of certain beneficial
compounds. This is particularly important for cyclosporins useful as hair
growth stimulators but which can suppress the immune system is contacted
with the circulation, and for agents which confer chemoresistance in tissues
where it is undesirable to provide such resistance such as in the
circulation.
A therapeutic amount of a therapeutic protein in a liposome composition of
this invention is an amount sufficient to produce the desired result, and
can vary widely depending upon the disease condition and the potency of the
therapeutic compound.
Thus, in one embodiment, the invention contemplates a method for directly
and selectively delivering a beneficial compound to the hair follicles of a
mammal comprising the steps of: a) incorporating an effective amount of at
least one selected beneficial compound into a liposome; and b) applying said
liposomes to skin areas of the mammal having a plurality of hair follicles;
whereby said beneficial compound is preferentially transmitted to said hair
follicles and enters into said hair follicles.
In a related embodiment, the invention describes a method of directly and
selectively delivering a beneficial compound to hair follicles of a mammal
comprising the step of applying a liposome composition of this invention
topically to skin areas of a mammal having a plurality of hair follicles.
The liposome composition comprises a liposome containing an effective amount
of at least one selected beneficial compound wherein the liposome is capable
of selectively delivering the beneficial compound to the hair follicles and
whereby the beneficial compound is preferentially transmitted to the hair
follicles and enters into the hair follicles.
As described, the beneficial compound can be a protein, a nucleic acid or
other molecule having desirable properties upon delivery to the hair
follicle cell. Where the compound is a pigment such as melanin or hair dye,
or is a protein, such as tyrosinase, the objective is to restore hair color
in hair as demonstrated herein. Alternatively, the compound can be aromitase
or cyclosporin where the objective is to stimulate hair growth.
Alternatively, the compound can be a nucleic acid encoding tyrosinase,
aromitase, p-glycoprotein, TGF-.alpha., a hair growth stimulating gene or
other beneficial proteins, or can encode and express an antisense or
ribozyme nucleic acid as discussed herein.
Thus, in a related embodiment, the invention contemplates a method for
restoring hair color to the hair of a mammal comprising applying a
therapeutically effective amount of a liposome composition to a skin area on
the mammal populated with hair follicles. The liposome composition contains
an effective amount of a beneficial compound capable of restoring hair color
(a hair color-restoring agent). The hair color-restoring agent can be any of
a variety of hair dyes, the pigment melanin, the protein tyrosinase, or a
nucleic acid capable of expressing a tyrosinase cDNA as described herein.
In a related embodiment, the invention contemplates a method for inhibiting
chemotherapy-induced alopecia in a mammal undergoing chemotherapy comprising
applying a therapeutically effective amount of a liposome composition to a
skin area on the mammal populated with hair follicles. The liposome
composition contains an effective amount of a beneficial compound capable of
inhibiting within the follicle cell environment the toxic effects of the
chemotherapy, e.g., a protein that confers chemoresistance to hair follicle
cells and hair follicles. Any compound that inhibits chemotherapy toxicity
is contemplated, although the MDR-1 gene product (p-glycoprotein), or the
MDR gene itself, is particularly preferred.
In a related embodiment, a method is provided for inhibiting
chemotherapy-induced alopecia in a mammal, comprising applying a
therapeutically effective amount of a liposome composition to a skin are on
the mammal having a plurality of hair follicles, wherein the liposome
composition comprises a liposome containing a cell cycle inhibitor, and the
liposome is capable of selectively delivering the cell cycle inhibitor to
the hair follicles. In a related aspect, the liposome contains a nucleic
acid capable of expressing in the cells of the hair follicles a cell cycle
inhibitor.
The introduction of chemotherapeutic agents has made a major impact on the
survival of patients with leukemia, lymphoma, and testicular cancer. Among
the more common malignancies of adults, carcinoma of the breast had been the
most responsive to a wide variety of single agents and combination programs
(Harris et al., in Cancer: Principles & Practice of Oncology (Devita et al.,
Eds.) pp. 1119-1167, 1992).
Doxorubicin is one of the most commonly used drugs for breast cancer
treatment and also the most alopeciagenic among the anticancer drugs
(Hussein et al., Science, 249:1564-1566, 1990; Haynes et al., in Cancer
Medicine, (Holland, Ed.) pp. 2286-2290, 1993; Harris et al., in Cancer:
Principles & Practice of Oncology (Devita et al., Eds.) pp. 1119-1167, 1992;
Weiss Semin. Oncol., 19:670-86, 1992). The mode of action for its
anti-cancer effect is still not certain. As a DNA intercalator, it has been
shown to induce topoisomerase II mediated DNA cleavages (Tewey et al.,
Science 226:466-468, 1984). Generation of free radicals has also been
proposed (Benchekroun et al., FEBS Ltrs. 326:302-305, 1993).
Cyclophosphamide (cytoxan), methotrexate (MTX), and 5-fluorouracil (5-FU)
compose a combination (CMF) that is the most commonly used for breast
cancer. Cytoxan is an alkylating agent (Harris et al., in Cancer: Principles
& Practice of Oncology (Devita et al., Eds.) pp. 1119-1167, 1992). MTX is an
antifolate; it is a competitive inhibitor of dihydrofolate reductase (DHFR),
the enzyme for maintenance of intracellular reduced folate pools. Depletion
of reduced folate pools results in cessation of DNA synthesis caused by lack
of sufficient dTMP and purines (Fleming et al., Semin. Oncol. 19:707-719,
1992). 5-FU is an antimetabolite which blocks DNA precursor synthesis, and
acts against DNA and RNA (Cheson et al., Semin. Oncol. 19:695-706, 1992).
Alopecia is a common yet distressing side effect of many cancer
chemotherapeutic agents and radiation therapy (Seipp, C A in Cancer:
Principles & Practice of Oncology (DeVita et al., Eds.) pp. 2135-2136, 1992;
Cline, Cancer Nurs. 221-227, 1984; Merk et al., in Hair and Hair Diseases
(Orfanos et al., Eds) pp. 601-609, 1990). As patients embark on new
therapies, hair loss can induce a negative body image, altered interpersonal
relationships, and often cause patients to reject potentially curative
therapy (Hussein et al., Science, 249:1564-1566, 1990; Cline, Cancer Nurs.,
221-227, 1984).
The degree of hair loss is drug type dependent. Some agents are more
causative than others. Doxorubicin and cyclophosphamide, commonly used for
breast cancer treatment are among the worst (Haynes et al., in Cancer
Medicine (Holland, Ed) pp. 2286-2290, 1993). Clinical trials document a
consistent 85-100% hair loss in patients receiving doxorubicin (Blum et al.,
Ann. Intern. Med., 80:249-259, 1974; O'Bryan et al., Cancer, 1-8, 1973).
Severe alopecia occurs in 75-90% of patients treated with intravenous
cyclophosphamide (Cline, Cancer Nurs. 221-227, 1984). A large single dose of
chemotherapeutic agent may cause hair loss immediately or after 1 to 2
weeks. Smaller, multiple doses can cause hair loss in 6-8 weeks. Radiation
(>500 rad) also causes hair loss (Seipp, in Cancer: Principles & Practice of
Oncology (DeVita et al., Eds.) pp. 2135-2136, 1992; Haynes et al., in Cancer
Medicine (Holland, Ed.) pp. 2286-2290, 1993). The severity of hair loss is
dose dependent. Generally, the higher the dose, the better the therapeutic
effect, and the greater the alopecia. This process is usually reversible and
usually recovery is in one month after cessation of treatment (Seipp, in
Cancer: Principles & Practice of Oncology (DeVita et al., Eds. pp.
2135-2136, 1992; Haynes et al., in Cancer Medicine (Holland, Ed.) pp.
2286-2290, 1993).
Several preventative methods have been proposed. Those include scalp
tourniquet, scalp hypothermia, or a combination of both, the rationale of
which is to reduce the blood circulation during chemotherapy (Cline, Cancer
Nurs. 221-227, 19814; Dean et al., N. Engl. J. Med. 301:1427-1429, 1979;
O'Brien et al., N. Engl. J. Med. 283:1469, 1970). None of them have been
shown to have a definite protective effect, although undesirable effects,
such as headaches, may arise (Hussein, Science 249:1564-1566, 1990; Cline,
Cancer Nurs. 221-227, 1984).
Hair follicles have a quite complex anatomical and differentiating system.
Matrix cells near the bottom of the follicle proliferate rapidly and
differentiate to become parts of the growing hair shaft. They are
regenerated periodically from stem cells located in a bulge surrounding the
middle of the follicle. Also the system contains dermal papilla cells at the
base of the bulb and mesenchymal cells outside the follicle which provide
necessary factors for hair growth. Additionally, inner and outer root sheath
cells connect hair follicle to the skin, and sebaceous cells provide
lubrication (Colasarelis et al., Cell 61:1329-1337, 1990; Messenger, J.
Invest. Derm 101:2s, 1993; Lavker et al., J. Invest. Derm. 101:16s., 1993).
Mammalian hair follicles undergo a life cycle. When they are producing hair
they are in anagen (=growing phase of hair) and the matrix cells proliferate
rapidly. Then the follicle converts through catagen phase to telogen which
is a resting state. After a month or so they are reactivated to start anagen
again (Colasarelis et al., Cell 61:1329-1337, 1990; Messenger J. Invest.
Derm 101:2s, 1993; Lavker et al., J. Invest. Derm. 101:16s, 1993). It is
well recognized that the hair follicle cycle is inherently programmed but
can also be influenced by systemic factors that have yet to be identified (Lavker
et al., J. Invest. Derm. 101:16s, 1993; Yuspa et al., J. Invest. Derm. 101:
27s, 1993).
Living cells in hair matrix multiply more rapidly than those in any other
normal human tissue (Haynes, et al., in Cancer Medicine (Holland, Ed.) pp.
2286-2290, PA 1993). Dermal papilla cell lines have been established (Lichti
et al., J. Invest. Derm. 101:124s, 1993). Hair matrix cells have been
isolated and cultured in vitro (Reynolds et al., J. Invest. Derm.
101:634-638, 1993). They are sensitive to cancer chemotherapeutic agents.
Two mechanisms of alopecia caused by cancer chemotherapy have been
recognized. The main one is that cytotoxic agents inhibit a specific phase
of the matrix cell to cause "anagen effluvium". Scalp hair is particularly
sensitive because of rapid replication in anagen of about 85% of cells,
especially those on the lower matrix. A reduction in matrix volume and
mitotic rate in the hair bulb after cyclophosphamide leads to a zone of
diminished caliber in the hair, which then fractures easily. This process is
dose dependent. At high doses there is also telogen effluvium, a cessation
of cell growth caused by damage to other follicle cells. Radiation, for
example, causes both (Merk in Hair and Hair Diseases (C E. Orfanos et al.,
Eds.) pp. 601-609, 1990; Tiemey et al., Br. J. Cancer 62:527-528, 1990).
Much less research effort has been spent on prevention of alopecia than on
protection from adverse effects on bone marrow and gastrointestinal toxicity
induced by antitumor agents (Hussein et al., Science 249:1564-1566, 1990.
Schuchter et al., Semin. Oncol. 19:742-751, 1992; Wood, N. Engl. J. Med.,
312:1060, 1985). None of the current treatments for drug induced alopecia
based on reducing blood circulation in the scalp have been shown to give
definite protective effects in breast cancer therapy besides having
undesirable effects (Hussein et al., Science 249:1564-1566, 1990; Seipp, in
Cancer: Principles & Practice of Oncology (DeVita, et al., Eds.) pp.
2135-2136, 1992; Cline, Cancer Nurs. 221-227, 1984; Merk, in Hair and Hair
Diseases (Orfanos et al., Eds) pp. 601-609, 1990; Jimenez, et al., Cancer
Res. 2:5123-5125, 1992). This invention represents a novel approach to this
alopecia problem. The expected advantages of this approach are as follows:
no interruption of scalp blood circulation. The undesirable effects with the
current treatment, such as headache (Cline, Cancer Nurs. 221-227, 1984)
should be eliminated and the current treatments will therefore be more
effective. There is a limit to the modulation of blood supply to the scalp
from the outside. And a complete cutoff of blood supply could potentially
cause ischemia-reperfusion toxicity. In contrast, one can use a potent
antidote as desired and it can be kept on the scalp for several hours.
The present invention provides an in vitro and an in vivo model for
chemotherapy-induced alopecia. An animal model for drug induced alopecia is
indispensable to search for therapy. Experimental models in mice and monkeys
for hair disease are available (Malkinson et al., J. Invest. Derm.
101:135s-137s, 1993; Bazzano et al., J. Invest. Derm. 101:138s-142s, 1993;
Uno et al., J. Invest. Derm. 101:143s, 1993). Young Fischer or Sprague-Dawley
rats develop alopecia, starting from the head, in around one to two weeks
after treatment with ara-C, doxorubicin, or cytoxan (Hussein et al., Science
249:1564-1566, 1990; Jimenez et al., FASEB 6:911-913, 1992; Jimenez et al.,
Cancer Res. 2:5123-5125, 1992). Alopecia induced by ara-C or doxorubicin was
protected by systemic administration of ImuVert, a biological response
modifier and a membrane vesicle-ribosome preparation derived from the
bacterium Serratia marcescens by a series of lytic and centrifugal steps
(Hussein et al., Science 249:1564-1566, 1990). Topical 1,25-dihydroxyvitamin
D3 prevents alopecia induced by cytoxan or etoposide (Jimenez et al., Cancer
Res. 2:5123-5125, 1992).
The present invention provides a method of preventing chemotherapy-induced
alopecia by delivering beneficial compounds, such as cell cycle inhibitors,
to the hair follicle. By temporarily stopping the growth of cells in the
hair follicle causing the cells to convert from anagen to telogen, during
the duration of chemotherapy, those of ordinary skill in the art will
recognize that the cells in the hair follicle will not be targeted by the
chemotherapeutic, and hair loss will thus be prevented. Cell cycle
inhibitors known to those of ordinary skill in the art may be used to
temporarily stop the growth of cells in the hair follicle during the
duration of chemotherapy. Cell cycle inhibitors known to those of ordinary
skill in the art include, for example, but are not limited to, p16, p15,
p21, p27, and p28 (reviewed by Karp & Broder, Nature Medicine 1:309-320,
1995). At least one cell cycle inhibitor, p21, has been cloned and sequenced
(Noda et al., Expt'l Cell Res. 211, 1994). Other cell cycle inhibitors are
described in, for example, Paus et al., Brit J. Dermatol. 122:777-84, 1990;
Chang et al., Science 267:518-22, 1995; and Bertelsen et al., BIO/TECHNOLOGY
13:127-131, 1995. Preferably, a nucleic acid molecule coding for a cell
cycle inhibitor, in an expression vector capable of being expressed in hair
follicle cells, is delivered to the hair follicle cells using the methods of
the present invention.
Another aspect of the invention provides a method of screening for compounds
which increase or decrease chemotherapy induced alopecia, comprising the
steps of explanting skin tissue into skin histoculture as described herein,
treating the skin histoculture with a liposome composition comprising the
compound to be screened, having a control skin histoculture, or treating the
skin histoculture with a placebo, treating the skin histoculture with an
alopecia-inducing chemotherapeutic drug, measuring alopecia in the skin
histoculture by physically detectable means, and comparing the skin
histoculture treated with the compound to the skin histoculture treated with
the placebo. The placebo may be, for example, either no treatment at all, a
buffer used for the screened compound, or a compound known to not have any
effect on chemotherapy-induced alopecia. The histoculture may be treated
with the screened compound either before or after treatment with the
chemotherapeutic drug. A preferred method of screening in vitro is set out
in the examples.
In another aspect of the invention is provided a method of screening for
compounds which increase or decrease chemotherapy induced alopecia in vivo.
This method comprises the steps of treating mammalian skin tissue with a
liposome composition comprising the compound to be screened or with a
placebo, treating the skin tissue with an alopecia-inducing chemotherapeutic
drug, measuring alopecia in the skin tissue by physically detectable means,
and comparing the skin tissue treated with the compound to the skin tissue
treated with the placebo. A preferred method of screening in vivo is set out
in the Examples.
The method can be practiced on a variety of mammals, including agricultural
stock such as cow, sheep, horse, goat, pig, and the like, pets such as cats,
dogs or other domesticated mammals, and humans. Typically, the hair follicle
is present in the skin of a mammal, and the method is practiced in vivo on a
living mammal for the purpose of benefitting the condition of the hair
follicle or hair shaft of the mammal.
In another embodiment, the compound delivered may be a chemotherapeutic
drug. Those of ordinary skill in the art are aware that certain types of
cancers, such as basal cell carcinomas, are caused by keratinocytes (Cotsarelis
et al., Cell 61:1329-37, 1990). Thus, the present invention provides a means
of directly and selectively delivering chemotherapeutic drugs to treat the
cancerous condition by delivering the drugs directly to the keratinocytes in
the hair follicle.
In another embodiment, the invention provides a method of directly and
selectively delivering a compound comprising an agent that reduces skin
wrinkles. Such agents may include, for example, collagen or elastic
proteins. Such agents may be used to firm the skin and provide more support
to the skin by strengthening the hair follicles.
In one embodiment, the selected beneficial compound is a protein which
affects hair growth, alopecia, hair color or hair condition. Preferred are
the proteins tyrosinase or aromitase, as well as nucleic acids coding for
hair modifying proteins. In a related embodiment, the selected beneficial
compound is a pigment, such a melanin.
Melanin, hair dyes and tyrosinase are preferred for their role in coloring
hair. Aromitase, minoxidil and cyclosporin-A are preferred for their role in
stimulating hair growth. Other therapeutic compounds suitable for use in
stimulating hair growth in conditions of alopecia include cyclosporin
analogs, substance P, estrogen analogs and anti-androgens. Therapeutic
compounds suitable for use in preventing hair growth, such as facial or
pubic hair, include alopecia inducers, catagen inducers, epidermal growth
factor, and the like inhibitors of hair growth.
In another embodiment, the selected beneficial compound is a nucleic acid
capable of expressing a beneficial protein which affects hair growth,
alopecia, hair color or hair condition as described earlier. Preferred are
the nucleic acids that express the proteins tyrosinase, aromitase, or other
hair-growth stimulators, the protein products of the MDR-1 gene (i.e.,
p-glycoprotein) to prevent chemotherapy-induced alopecia, or enzymes which
synthesize those proteins. Antisense nucleic acid molecules which target
hair growth inhibitor genes such as fibroblast growth factor-5 may also be
used (Hebert et al., Cell 78:1017-25, 1994).
In one preferred embodiment, the invention contemplates a method for
restoring hair color in mammals, particularly man, in which the hair color
is greying for any of a variety of reasons, including age. The method
comprises applying a therapeutically effective amount of a liposome
composition of this invention to a skin area on the mammal having a
plurality of hair follicles which exhibit fading or greying hair color. The
liposome composition preferably contains an effective amount of a hair
color-restoring agent of this invention, such as a hair dye, melanin,
tyrosinase or a nucleic acid capable of expressing human tyrosinase in the
cells of the hair follicles. Preferably, the nucleic acid encodes a human
tyrosinase gene including the nucleotide sequence characteristics of the
tyrosinase gene sequence shown in SEQ ID NO 1.
In one embodiment, the application of the liposome composition can be
repeated at defined intervals to provide prolonged effectiveness, such as
prolonged hair color-restoration or prolonged chemoresistance depending on
the treatment, as needed.
Insofar as a liposome composition of this invention is used therapeutically,
the liposome composition is itself a therapeutic composition, and as such
may also contain additional components.
Therapeutic compositions of the present invention contain a physiologically
tolerable carrier together with at least one species of liposome composition
of this invention as described herein, dispersed therein as an active
ingredient. In a preferred embodiment, the therapeutic composition is not
immunogenic when administered to a human patient for therapeutic purposes.
As used herein, the terms "pharmaceutically acceptable", "physiologically
tolerable" and grammatical variations thereof, as they refer to
compositions, carriers, diluents and reagents, are used interchangeably and
represent that the materials are capable of administration upon a mammal or
human without the production of undesirable physiological effects such as
nausea, dizziness, gastric upset and the like.
The preparation of a pharmacological composition that contains active
ingredients dispersed therein is well understood in the art. Typically such
compositions are prepared as sterile compositions either as liquid solutions
or suspensions, aqueous or non-aqueous, however, suspensions in liquid prior
to use can also be prepared.
The active ingredient can be mixed with excipient which are pharmaceutically
acceptable and compatible with the active ingredient and in amounts suitable
for use in the therapeutic methods described herein. Suitable excipient are,
for example, water, saline, dextrose, glycerol, ethanol or the like and
combinations thereof. In addition, if desired, the composition can contain
minor amounts of auxiliary substances such as wetting or emulsifying agents,
pH buffering agents and the like which enhance the effectiveness of the
active ingredient.
The therapeutic composition of the present invention can include
pharmaceutically acceptable salts of the components therein (e.g., protein,
nucleic acid or other compounds). Pharmaceutically acceptable salts include
the acid addition salts (formed with the free amino groups of the
polypeptide) that are formed with inorganic acids such as, for example,
hydrochloric or phosphoric acids, or such organic acids as acetic, tartaric,
mandelic and the like. Salts formed with the free carboxyl groups can also
be derived from inorganic bases such as, for example, sodium, potassium,
ammonium, calcium or ferric hydroxides, and such organic bases as
isopropylamine, trimethylamine, 2-ethylamino ethanol, histidine, procaine
and the like.
Physiologically tolerable carriers are well known in the art. Exemplary of
liquid carriers are sterile aqueous solutions that contain no materials in
addition to the active ingredients and water, or contain a buffer such as
sodium phosphate at physiological pH value, physiological saline or both,
such as phosphate-buffered saline. Still further, aqueous carriers can
contain more than one buffer salt, as well as salts such as sodium and
potassium chlorides, dextrose, propylene glycol, polyethylene glycol and
other solutes.
Liquid compositions can also contain liquid phases in addition to and to the
exclusion of water. Exemplary of such additional liquid phases are glycerin,
vegetable oils such as cottonseed oil, organic esters such as ethyl oleate,
and water-oil emulsions.
A therapeutic composition contains a liposome composition of the present
invention, typically an amount of at least 0.1 weight percent of liposome
composition per weight of total therapeutic composition. A weight percent is
a ratio by weight of liposome composition to total composition. Thus, for
example, 0.1 weight percent is 0.1 grams of liposome composition per 100
grams of total composition.
A therapeutically effective amount of a liposome composition, or beneficial
compound therein, is a predetermined amount calculated to achieve the
desired effect, i.e., to effectively benefit the targeted hair follicle,
depending upon the benefit to be conferred. Thus, an effective amount can be
measured by improvements in one or more symptoms associated with the
condition of the hair follicle or hair follicle shaft occurring in the
patient.
Thus, the dosage ranges for the administration of the liposome composition
of the invention are those large enough to produce the desired effect in
which the condition in the hair follicle to be treated is ameliorated. The
dosage should not be so large as to cause adverse side effects. Generally,
the dosage will vary with the age, condition, sex and extent of the disease
in the patient and can be determined by one of skill in the art.
The dosage can be adjusted by the individual physician in the event of any
complication.
The compositions are administered in a manner compatible with the dosage
formulation, and in a therapeutically effective amount. The quantity to be
administered depends on the subject to be treated, capacity of the subject's
system to utilize the active ingredient, and degree of therapeutic effect
desired. Precise amounts of active ingredient required to be administered
depend on the judgement of the practitioner and are peculiar to each
individual. Typical dosage ranges are between 50 .mu.l to 200 .mu.l/cm.sup.2
skin surface area, preferably 100 .mu.l/cm.sup.2, of liposome composition,
prepared using a ratio of liposome: therapeutic compound between 1:1 and
500:1, preferably about 4:1 to 10:1, more preferably about 8:1 to 10:1.
However, suitable dosage ranges for systemic application are disclosed
herein and depend on the conditions of administration. Other regimes for
administration are also variable, but may be typified by an initial
administration followed by repeated doses at one or more hour intervals by a
subsequent administration. Regimes for administration of the liposome
composition will depend on the rate of hair growth and may vary according to
the individual patient. These periods may easily be adjusted by the
patient's physician. Typical periods of administration range from once a day
to once every two weeks. Preferably, the liposome composition will be
administered from twice a week to once a week.
4. Nucleic Acid Expression Vectors for Gene Therapy
In a particularly preferred embodiment, the invention contemplates the use
of recombinant DNA molecules that can function as expression vectors for
expressing a beneficial protein via a liposome-mediated targeting method of
this invention.
"Recombinant DNA (rDNA) molecule" refers to a DNA molecule produced by
operatively linking two DNA segments. Thus, a recombinant DNA molecule is a
hybrid DNA molecule comprising at least two nucleotide sequences not
normally found together in nature. rDNA's not having a common biological
origin, i.e., evolutionarily different, are said to be "heterologous".
In living organisms, the amino acid residue sequence of a protein or
polypeptide is directly related via the genetic code to the deoxyribonucleic
acid (DNA) sequence of the structural gene that codes for the protein. Thus,
a structural gene or DNA segment can be defined in terms of the amino acid
residue sequence, i.e., protein or polypeptide, for which it codes.
An important and well known feature of the genetic code is its redundancy.
That is, for most of the amino acids used to make proteins, more than one
coding nucleotide triplet (codon) can code for or designate a particular
amino acid residue. Therefore, a number of different nucleotide sequences
may code for a particular amino acid residue sequence. Such nucleotide
sequences are considered functionally equivalent since they can result in
the production of the same amino acid residue sequence in all organisms.
Occasionally, a methylated variant of a purine or pyrimidine may be
incorporated into a given nucleotide sequence. However, such methylations do
not affect the coding relationship in any way.
The DNA segments for use in the present invention are characterized as
including a DNA sequence that encodes a beneficial protein as described
herein. Particularly preferred segments encode tyrosinase, aromitase, other
hair-growth stimulating proteins, melanin, p-glycoprotein, TGF-.alpha., or
enzymes that synthesize those proteins. That is, the DNA segments of the
present invention are characterized by the presence of a structural gene
encoding one or more of the recited beneficial proteins. Preferably the gene
is present as an uninterrupted linear series of codons where each codon
codes for an amino acid residue found in the beneficial protein, i.e., a
gene free of introns.
One preferred embodiment is a DNA segment that codes for an amino acid
residue sequence that defines a tyrosinase protein corresponding in sequence
to a wild type tyrosinase protein and the DNA segment is capable of
expressing tyrosinase. A preferred DNA segment codes for an amino acid
residue sequence consisting essentially of the tyrosinase encoding nucleic
acid sequence. Human tyrosinase gene and its nucleotide sequence is well
known including the cDNA sequence for expressing human tyrosinase, and has
been described by Tamate et al., J. Exp. Zool., 250:304-311, (1980);
Shibahara et al., J. Exp. Med., 156:403-414 (1989); Takeda et al., Biochem.
Biophys. Res. Comm., 162:984-990 (1989); Bouchard et al., J. Exp. Med.,
169:2029-2042 (1989); and Brichard, J. Exp. Med., 178:489-495 (1993).
Insofar as there is redundancy in the genetic code, it is understood that a
variety of nucleotide sequences may be utilized to express a particular
amino acid residue sequence. Therefore, in one embodiment, the invention
contemplates the use of a nucleotide sequence that encodes a human
tyrosinase protein, preferably having the amino acid residue sequence
characteristics of the amino acid residue sequence shown in SEQ ID NO 1. A
particularly preferred nucleotide sequence for expressing human tyrosinase
according to the present invention has the nucleotide sequence
characteristics of the nucleotide sequence shown in SEQ ID NO 1.
For expression of the human tyrosinase gene, any of a variety of expression
vectors may be utilized so long as the vector is compatible with expression
in mammalian cells, particularly human cells. Suitable vectors are well
known. A preferred vector is the pRHOHT2 vector described in the Examples,
although other mammalian expression vectors are suitable.
Another preferred embodiment is a DNA segment that codes an amino acid
residue sequence that defines a multiple drug resistance (MDR) gene product,
preferably the MDR-1 gene product designated p-glycoprotein, corresponding
in sequence to a wild type p-glycoprotein and the DNA segment is capable of
expressing p-glycoprotein. A preferred DNA segment codes for an amino acid
residue sequence consisting essentially of the p-glycoprotein encoding
nucleic acid sequence. Human p-glycoprotein, the MDR-1 gene and the MDR-1
nucleotide sequence are well known including the cDNA sequence for
expressing human p-glycoprotein, and has been described by Chen et al., Cell
47:381-389, 1986; Ueda et al., J. Biol. Chem. 262:505-508-, 1987; and Kioka
et al., Biochem. Biophys. Res. Comm. 162:224-231, 1989.
Insofar as there is redundancy in the genetic code, it is understood that
the invention contemplates the use of a nucleotide sequence that encodes a
human p-glycoprotein, preferably having the amino acid residue sequence
characteristics of the amino acid residue sequence shown in SEQ ID NO 2. A
particularly preferred nucleotide sequence for expressing human
p-glycoprotein according to the present invention has the nucleotide
sequence characteristics of the nucleotide sequence shown in SEQ ID NO 2.
Another preferred embodiment is a DNA segment that codes an amino acid
residue sequence that defines a transforming growth factor-alpha (TGF-.alpha.)
protein corresponding in sequence to a wild type TGF-.alpha. protein and the
DNA segment is capable of expressing tyrosinase. A preferred DNA segment
codes for an amino acid residue sequence consisting essentially of the TGF-.alpha.
encoding nucleic acid sequence. Human TGF-.alpha. gene and its nucleotide
sequence is well known including the cDNA sequence for expressing human TGF-.alpha.,
and has been described by Jakowlew et al., Mol. Endocrinol. 2:1056-1063,
1988.
Insofar as there is redundancy in the genetic code, it is understood that
the invention contemplates the use of a nucleotide sequence that encodes a
human TGF-.alpha. protein, preferably having the amino acid residue sequence
characteristics of the amino acid residue sequence shown in SEQ ID NO 3. A
particularly preferred nucleotide sequence for expressing human TGF-.alpha.
according to the present invention has the nucleotide sequence
characteristics of the nucleotide sequence shown in SEQ ID NO 3.
Homologous DNA and RNA sequences that encode the above beneficial proteins
are also contemplated.
In another embodiment, the invention contemplates the delivery of antisense
or ribozyme nucleic acids to hair follicle cells for the purpose of
selectively inhibiting hair follicle gene expression, and control aspects of
hair follicle cell function.
Antisense nucleic acids are generally well known in the art and function to
hybridize with sense strands of messenger RNA (mRNA), thereby interfering
with the normal expression of the hybridized mRNA molecule. The sequence of
the antisense nucleic acid depends, as is well known, upon the nucleotide
sequence of the mRNA to be hybridized. See for example, Stein et al.,
Science 261:1004-1012, 1993.
Ribozyme nucleic acids are also generally well known in the art as
single-stranded (ss) RNA molecules that are capable of selectively cleaving
ssRNA and ssDNA. The ribozyme is useful to selectively inhibit gene
expression by cleavage of a target ssRNA or ssDNA molecule in a hair
follicle cell.
Representative targets for antisense or ribozyme nucleic acids are
deleterious genes in hair follicle cells, such as the genes responsible for
baldness, hair loss, loss of hair color, strength or condition, and the like
undesirable features of hair follicles and hair shafts. In a preferred
embodiment, the invention contemplates liposome-mediated delivery of an
antisense or ribozyme nucleic acid capable of inhibiting expression of the
gene that produces androgen receptor, thereby inhibiting follicle cell
production of the receptor, thereby reducing hair loss. Antisense nucleic
acid molecules which target hair growth inhibitors such as fibroblast growth
factor-5 may also be used (Hebert et al., Cell 78:1017-25, 1994).
The preparation and use of antisense or ribozyme nucleic acids is well known
in the art, and the design of particular antisense or ribozyme nucleic acids
are not themselves considered to be part of the present invention. However,
insofar as the invention contemplates methods for liposome-mediated delivery
of antisense or ribozyme nucleic acids to hair follicles for the purpose of
improving delivery and selectivity of the effect exerted by the delivered
nucleic acid, the present invention is not to be limited to any particular
species thereof but rather describes general methods of their delivery as a
beneficial compound.
DNA segments (i.e., synthetic oligonucleotides) used to produce a larger DNA
segment that encodes a beneficial protein can easily be synthesized by
chemical techniques, for example, the phosphotriester method of Matteucci et
al., (J. Am. Chem. Soc. 103:3185-3191, 1981, or using automated synthesis
methods. In addition, larger DNA segments can readily be prepared from
smaller DNA segments by well known methods, such as synthesis of a group of
oligonucleotides that define the DNA segment, followed by hybridization and
ligation of oligonucleotides to build the complete segment.
Furthermore, DNA segments consisting essentially of structural genes
encoding a beneficial protein can be obtained from recombinant DNA molecules
containing a gene that defines the beneficial protein isolated from natural
sources. Exemplary natural sources are described in the references cited
herein where the cDNA sequences are described.
In addition, the invention contemplates the use of a recombinant DNA
molecule (rDNA) containing a DNA segment of this invention. A rDNA can be
produced by operatively linking a vector to a DNA segment of the present
invention.
As used herein, the term "vector" refers to a DNA molecule capable of
autonomous replication in a cell and to which another DNA segment can be
operatively linked so as to bring about replication of the attached segment.
A vector capable of directing the expression of a gene that encodes a
beneficial protein is referred to herein as an "expression vector". Thus, a
recombinant DNA molecule is a hybrid DNA molecule comprising at least two
nucleotide sequences not normally found together in nature.
The choice of vector to which a DNA segment of the present invention is
operatively linked depends directly, as is well known in the art, on the
functional properties desired, e.g., protein expression, and the host cell
to be transformed, these being limitations inherent in the art of
constructing recombinant DNA molecules. However, a vector contemplated by
the present invention is at least capable of directing the replication, and
preferably also expression, of the beneficial protein structural gene
included in DNA segments to which it is operatively linked.
In preferred embodiments, a vector contemplated by the present invention
includes a procaryotic replicon, i.e., a DNA sequence having the ability to
direct autonomous replication and maintenance of the recombinant DNA
molecule extrachromosomally in a procaryotic host cell, such as a bacterial
host cell, transformed therewith. Such replicons are well known in the art.
In addition, those embodiments that include a procaryotic replicon also
include a gene whose expression confers drug resistance to a bacterial host
transformed therewith. Typical bacterial drug resistance genes are those
that confer resistance to ampicillin or tetracycline.
Those vectors that include a procaryotic replicon can also include a
procaryotic promoter capable of directing the expression (transcription and
translation) of the beneficial protein gene in a bacterial host cell, such
as E. coli, transformed therewith. A promoter is an expression control
element formed by a DNA sequence that permits binding of RNA polymerase and
transcription to occur. Promoter sequences compatible with bacterial hosts
are typically provided in plasmid vectors containing convenient restriction
sites for insertion of a DNA segment of the present invention. Typical of
such vector plasmid are pUC8, pUC9, pBR322 and pBR329 available from Biorad
Laboratories, (Richmond, Calif.) and pPL and pKK223 available from
Pharmacia, Piscataway, N.J.
Expression vectors compatible with eucaryotic cells, preferably those
compatible with mammalian cells, and particularly hair follicle cells, can
also be used to form the recombinant DNA molecules for use in the present
invention. Mammalian cell expression vectors are well known in the art and
are available from several commercial sources. Typically, such vectors are
provided containing convenient restriction sites for insertion of the
desired DNA segment, and provide the signals required for gene expression in
a mammalian cell. Typical of such vectors are the pREP series vectors and
pEBVhis available from invitrogen (San Diego, Calif.), the vectors pTDT1 (ATCC
#31255), pCP1 (ATCC #37351) and pJ4W (ATCC #37720) available from the
American Type Culture Collection (ATCC) and the like mammalian expression
vectors.
Particularly preferred are mammalian expression vectors which allow the
expression of the gene in a tissue-specific manner, in this case by the
action of a regulatory promotor that will limit gene expression to hair
follicle cells.
Successfully transformed hair follicle cells, i.e., follicle cells that
contain a rDNA molecule of the present invention, can be identified by well
known techniques. For example, cells resulting from the introduction of an
rDNA of the present invention can be subjected to assays for detecting the
presence of specific rDNA using a nucleic acid hybridization method such as
that described by Southern, J. Mol. Biol. 98:503, 1975, or Berent et al.,
Biotech. 3:208, 1985, or by in situ hybridization techniques well known to
those of ordinary skill in the art.
In addition to directly assaying for the presence of rDNA, successful
transformation can be confirmed by well known immunological methods for the
presence of expressed protein. For example, follicle cells successfully
transformed with an expression vector produce proteins displaying beneficial
protein, which then can be assayed directly by immunological methods.
Alternatively, successful transformation of the target tissue can be
confirmed by evaluation of the target tissue for indicia of function exerted
by the administered beneficial compound. For example, where the compound is
a nucleic acid expressing tyrosinase, as described in the Examples, the
exerted function of pigmentation, or the presence of tyrosinase activity or
enzymatic conversion of L-dopa to product can be detected directly in the
target tissue.
B. Methods for identifying Genes That Encode Proteins Beneficial to Hair
Follicles
In another embodiment, the invention provides a method for identifying a
gene that encodes a protein that can exhibit a beneficial effect upon a hair
follicle. The method comprises the steps of (1) encapsulating a nucleic acid
molecule containing the gene of interest into a liposome composition of this
invention, (2) contacting the nucleic acid-containing (encapsulated)
liposome with a skin sample histoculture as described herein and having at
least one hair follicle, thereby delivering the nucleic acid to the
follicle, and (3) observing whether the delivered nucleic acid, upon
expression of any protein encoded thereon, exhibits a beneficial effect on
the hair follicle. The effect observed can be changes in hair color,
condition, growth rate, viability, condition of the associated hair follicle
cell structures, and the like indicia of cellular response.
In one embodiment, the present method is well suited to screening gene
libraries for the presence of a gene capable of expressing a protein that
exhibits a beneficial effect on a hair follicle. Gene libraries can be in
the form of cDNA libraries or genomic DNA libraries as is well known. The
beneficial effect to be induced depends on the screening method to detect
the effect, as described further herein.
Claim 1 of 3 Claims
1. A method of directly and selectively
delivering a beneficial compound to hair follicles of a mammal comprising
the step of applying a liposome composition topically to skin areas of a
mammal having a plurality of hair follicles, said liposome composition
comprising a liposome containing an effective amount of at least one
selected beneficial compound, wherein said composition has been treated so
as to remove any unencapsulated compound and wherein said compound is
delivered into the hair follicle directly and selectively and not
delivered into the circulation or into cells that are not hair follicle
cells, whereby said beneficial compound is transmitted to said hair
follicles and enters into said hair follicles.
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