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Title:
Methods and compositions for the treatment and prevention of
staphylococcal infections
United States Patent: 7,534,857
Issued: May 19, 2009
Inventors: Balaban; Naomi
(Hopkinton, MA)
Assignee: Centegen, Inc.
(Pikesville, MD)
Appl. No.: 11/414,350
Filed: May 1, 2006
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George Washington University's Healthcare MBA
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Abstract
A biologically pure RNAIII inhibiting
peptide (RIP), that includes five contiguous amino acids of the sequence
YX.sub.2PX.sub.1TNF, where X.sub.1 is C, W, I or a modified amino acid,
and X.sub.2 is K or S is provided. The RIP further includes amino acids
having a sequence that differs from the sequence YX.sub.2PX.sub.1TNF by
two substitutions or deletions, where X.sub.1 is C, W, I or a modified
amino acid, and X.sub.2 is K or S. This agent offers improved protection
against and treatment of staphylococcal infections, and related bacteria
infections, in mammals.
Description of the
Invention
SUMMARY OF THE INVENTION
One aspect of the invention is a composition comprising a polypeptide
comprising an amino acid sequence comprising the general formula Y(K or S)
PXTNF (SEQ ID NOS:1 and 2), where X is C, W, or I. Pharmaceutical
compositions are also provided in some embodiments.
A further aspect of the invention is a composition of claim 1, wherein the
polypeptide comprises an amino acid sequence comprising the general formula
IKKY(K or S) PXTNF (SEQ ID NOS:3 and 4), where X is C, W, or I.
A further aspect of the invention is a method for treating a host for a
staphylococcal infection, wherein the composition of claim 1 is administered
to the host. In some embodiments the host is a human patient. In further
embodiments the host is an animal, such as but not limited to an
experimental animal.
A further aspect of the invention is a method for treating a host for a
staphylococcal infection, wherein an antagonist of the RAP receptor is
administered to the host. In some embodiments the host is a human patient.
In further embodiments the host is an animal, such as but not limited to an
experimental animal. In some embodiments the antagonist is a polypeptide, a
peptidomimetic, or an antibody.
A further aspect of the invention is a nucleic acid molecule encoding a
polypeptide of the invention. The nucleic acid molecule can be RNA or DNA or
an antisense nucleic acid molecule. In an embodiment, the nucleic acid
molecule comprises the nucleotide sequence TAT TCG CCG TGG ACC AAT TTT (SEQ
ID NO:5).
DETAILED DESCRIPTION OF THE INVENTION
The instant invention provides polypeptides for the prevention and treatment
of S. aureus infections. These polypeptides comprise the general formula Y(K
or S) PXTNF (SEQ ID NOS:1 and 2), where X is C, W, or I, preferably W. In a
further embodiment, the polypeptides may have the general formula IKKY(K or
S) PXTNF (SEQ ID NOS:3 and 4), where X is C, W, or I, preferably W. The
polypeptides are preferably at least amino acids in length, more preferably
at least seven amino acids in length.
Nucleic acids encoding the polypeptides of the invention are also included
in the scope of the invention. Such nucleic acids may be DNA, RNA, or
antisense nucleic acids. In an embodiment an isolated DNA molecule of the
invention comprises the sequence TAT TCG CCG TGG ACC AAT TTT (SEQ ID NO:5).
The nucleic acid molecules of the invention may be provided as synthetic or
purified, isolated molecules, including but not limited to "naked DNA"; in
vectors such as but not limited to plasmids or viruses, including expression
vectors, or complexed to other compounds for administration. Such techniques
are well known in the art.
The polypeptides of the invention are preferably synthesized de novo by any
technique commonly known in the art or may be encoded by nucleic acid, such
as RNA or DNA, delivered to the host. Purification from cultures of S.
aureus bacteria is discussed in the Experimental section below.
The polypeptides of the invention are typically administered to hosts having
or at risk of having a staphylococcal infection such as an S. aureus
infection. The hosts are typically human patients. Animals may also be
treated with the compositions of the invention, including but not limited to
animals of commercial or veterinary importance such as cows, sheep, and
pigs, and experimental animals such as rats, mice, or guinea pigs.
Typically, the compositions of the invention are administered on a daily
basis for at least a period of 1-5 days. As used herein, "therapeutic dose"
is a dose which prevents, alleviates, abates, or otherwise reduces the
severity of symptoms in a patient. The compositions of the invention may be
used prophylactically to prevent staphylococcal infections or may be
therapeutically used after the onset of symptoms. In some embodiments,
induction of the formation of antibodies to the administered compound is
desirable. In such instances, standard immunization protocols used in the
art are preferred. The compositions administered for immunization may
optionally include adjuvants.
In some embodiments of the invention, antagonists of the RAP receptor are
provided. Without being limited to any one theory, RIP may function by
competing with RAP for binding to the RAP receptor, thus acting as an
antagonist of the RAP receptor. Such antagonists include but are not limited
to antibodies which specifically bind to RAP; antibodies which specifically
bind to a RAP ligand; ligands for RAP or RIP; antisense nucleic acids; and
peptide, non-peptide, and peptidomimetic analogs of RAP, RIP, and their
ligands.
Antibodies can be synthetic, monoclonal, or polyclonal and can be made by
techniques well known in the art. For therapeutic applications, "human"
monoclonal antibodies having human constant and variable regions are often
preferred so as to minimize the immune response of a patient against the
antibody. Such antibodies can be generated by immunizing transgenic animals
which contain human immunoglobulin genes. See Jakobovits et al. Ann NY Acad
Sci 764:525-535 (1995). In connection with synthetic and semi-synthetic
antibodies, such terms are intended to cover but are not limited to antibody
fragments, isotype switched antibodies, humanized antibodies (e.g.,
mouse-human, human-mouse, and the like), hybrids, antibodies having plural
specificities, filly synthetic antibody-like molecules, and the like.
As discussed below, antibodies can be screened for the ability to block the
binding of a ligand to RAP or RIP and/or for other properties, such as the
ability to protect in vivo against S. aureus infection.
In some embodiments of the invention, antisense nucleic acid molecules are
used as antagonists of RAP. Antisense nucleic acid molecules are
complementary oligonucleotide strands of nucleic acids designed to bind to a
specific sequence of nucleotides to inhibit production of a targeted
protein. These agents may be used alone or in combination with other
antagonists. The antisense antagonist may be provided as an antisense
oligonucleotide such as RNA (see, for example, Murayama et al. Antisense
Nucleic Acid Drug Dev. 7:109-114(1997)). Antisense genes may also be
provided in a viral vector, such as, for example, in hepatitis B virus (see,
for example, Ji et al., J. Viral Hepat. 4:167-173 (997)); in adeno-associated
virus (see, for example, Xiao et al. Brain Res. 756:76-83 (1997)); or in
other systems including but not limited to an HVJ(Sendai virus)-liposome
gene delivery system (see, for example, Kaneda et at. Ann. N.Y. Acad. Sci.
811:299-308 (1997)); a "peptide vector" (see, for example, Vidal et al. CR
Acad. Sci III 32): 279-287 (1997)); as a gene in an episomal or plasmid
vector (see, for example, Cooper et al. Proc. Natl. Acad. Sci. U.S.A.
94:6450-6455 (1997), Yew et al. Hum Gene Ther. 8:575-584 (1997)); as a gene
in a peptide-DNA aggregate (see, for example, Nildome et al. J. Biol. Chem.
272:15307-15312 (1997)); as "naked DNA" (see, for example, U.S. Pat. Nos.
5,580,859 and 5,589,466); and in lipidic vector systems (see, for example,
Lee et al. Crit Rev Ther Drug Carrier Syst. 14:173-206 (1997)).
Candidate antagonists of the RAP receptor can be screened for function by a
variety of techniques known in the art and/or disclosed within the instant
application, such as protection against S. aureus infection in a mouse
model.
A multitude of appropriate formulations of the antagonists of the invention
can be found in the formulary known to all pharmaceutical chemists:
Remington's Pharmaceutical Sciences, (15th Edition, Mack Publishing Company,
Easton, Pa. (1975)), particularly Chapter 87, by Blaug, Seymour, therein.
These formulations include for example, powders, pastes, ointments, jelly,
waxes, oils, lipids, anhydrous absorption bases, oil-in-water or
water-in-oil emulsions, emulsions carbowax (polyethylene glycols of a
variety of molecular weights), semi-solid gels, and semi-solid mixtures
containing carbowax.
The quantities of active ingredient necessary for effective therapy will
depend on many different factors, including means of administration, target
site, physiological state of the patient, and other medicaments
administered. Thus, treatment dosages should be titrated to optimize safety
and efficacy. Typically, dosages used in vitro may provide useful guidance
in the amounts useful for in situ administration of the active ingredients.
Animal testing of effective doses for treatment of particular disorders will
provide further predictive indication of human dosage. Various
considerations are described, for example, in Goodman and Gilman's The
Pharmacological Basis of Therapeutics, 7th Edition (1985), MacMillan
Publishing Company, New York, and Remington's Pharmaceutical Sciences 18th
Edition, (1990) Mack Publishing Co, Easton, Pa. Methods for administration
are discussed therein, including oral, intravenous, intraperitoneal,
intramuscular, transdermal, nasal, iontophoretic administration, and the
like.
The compositions of the invention may be administered in a variety of unit
dosage forms depending on the method of administration. For example, unit
dosage forms suitable for oral administration include solid dosage forms
such as powder, tablets, pills, capsules, and dragees, and liquid dosage
forms, such as elixirs, syrups, and suspensions. The active ingredients may
also be administered parenterally in sterile liquid dosage forms. Gelatin
capsules contain the active ingredient and as inactive ingredients powdered
carriers, such as glucose, lactose, sucrose, mannitol, starch, cellulose or
cellulose derivatives, magnesium stearate, stearic acid, sodium saccharin,
talcum, magnesium carbonate and the like. Examples of additional inactive
ingredients that may be added to provide desirable color, taste, stability,
buffering capacity, dispersion or other known desirable features are red
iron oxide, silica gel, sodium lauryl sulfate, titanium dioxide, edible
white ink and the like. Similar diluents can be used to make compressed
tablets. Both tablets and capsules can be manufactured as sustained release
products to provide for continuous release of medication over a period of
hours. Compressed tablets can be sugar coated or film coated to mask any
unpleasant taste and protect the tablet from the atmosphere, or
enteric-coated for selective disintegration in the gastrointestinal tract.
Liquid dosage forms for oral administration can contain coloring and
flavoring to increase patient acceptance.
The concentration of the compositions of the invention in the pharmaceutical
formulations can vary widely, i.e., from less than about 0.1%, usually at or
at least about 2% to as much as 20% to 50% or more by weight, and will be
selected primarily by fluid volumes, viscosities, etc., in accordance with
the particular mode of administration selected.
The compositions of the invention may also be administered via liposomes.
Liposomes include emulsions, foams, micelles, insoluble monolayers, liquid
crystals, phospholipid dispersions, lamellar layers and the like. In these
preparations the composition of the invention to be delivered is
incorporated as part of a liposome, alone or in conjunction with a molecule
which binds to a desired target, such as antibody, or with other therapeutic
or immunogenic compositions. Thus, liposomes either filled or decorated with
a desired composition of the invention of the invention can delivered
systemically, or can be directed to a tissue of interest, where the
liposomes then deliver the selected therapeutic/immunogenic polypeptide
compositions.
Liposomes for use in the invention are formed from standard vesicle-forming
lipids, which generally include neutral and negatively charged phospholipids
and a sterol, such as cholesterol. The selection of lipids is generally
guided by consideration of, e.g., liposome size, acid lability and stability
of the liposomes in the blood stream. A variety of methods are available for
preparing liposomes, as described in, e.g., Szoka et al. Ann. Rev. Biophys.
Bioeng. 9:467 (1980), U.S. Pat. Nos. 4,235,871, 4,501,728, 4,837,028, and
5,019,369, incorporated herein by reference.
A liposome suspension containing a composition of the invention may be
administered intravenously, locally, topically, etc. in a dose which varies
according to, inter alia, the manner of administration, the composition of
the invention being delivered, and the stage of the disease being treated.
For solid compositions, conventional nontoxic solid carriers may be used
which include, for example, pharmaceutical grades of mannitol, lactose,
starch, magnesium stearate, sodium saccharin, talcum, cellulose, glucose,
sucrose, magnesium carbonate, and the like. For oral administration, a
pharmaceutically acceptable nontoxic composition is formed by incorporating
any of the normally employed excipients, such as those carriers previously
listed, and generally 10-95% of active ingredient, that is, one or more
compositions of the invention of the invention, and more preferably at a
concentration of 25%-75%.
For aerosol administration, the compositions of the invention are preferably
supplied in finely divided form along with a surfactant and propellant.
Typical percentages of compositions of the invention are 0.01%-20% by
weight, preferably 1%-10%. The surfactant must, of course, be nontoxic, and
preferably soluble in the propellant. Representative of such agents are the
esters or partial esters of fatty acids containing from 6 to 22 carbon
atoms, such as caproic, octanoic, lauric, palmitic, stearic, linoleic,
linolenic, olesteric and oleic acids with an aliphatic polyhydric alcohol or
its cyclic anhydride. Mixed esters, such as mixed or natural glycerides may
be employed. The surfactant may constitute 0.1%-20% by weight of the
composition, preferably 0.25-5%. The balance of the composition is
ordinarily propellant. A carrier can also be included, as desired, as with,
e.g., lecithin for intranasal delivery.
The constructs of the invention can additionally be delivered in a
depot-type system, an encapsulated form, or an implant by techniques
well-known in the art. Similarly, the constructs can be delivered via a pump
to a tissue of interest.
Any of the foregoing formulations may be appropriate in treatments and
therapies in accordance with the present invention, provided that the active
agent in the formulation is not inactivated by the formulation and the
formulation is physiologically compatible.
Polyclonal and/or monoclonal antibodies to the polypeptides of the present
invention may be prepared. The polypeptides of the invention thereof may be
prepared as described herein, and coupled to a carrier molecule, for example
keyhole limpet hemocyanin, and injected into rabbits at selected times over
several months. The rabbit sera may be tested for immunoreactivity to the
polypeptides thereof. Monoclonal antibodies may be made by injecting mice
with the polypeptides. Monoclonal antibodies may be screened by methods
known in the art, as are described, for example, in Harlow and Lane (1988)
Antibodies: A laboratory manual, Cold Spring Harbor Press, New York, and
Goding (1986) Monoclonal antibodies: Principles and Practice (2d ed.)
Academic Press, New York. The antibodies will be tested for specific
immunoreactivity with an epitope of the polypeptides. These antibodies will
find use in diagnostic assays or as an active ingredient in a pharmaceutical
composition.
For production of polyclonal antibodies, an appropriate target immune system
is selected, typically a mouse or rabbit, although other species such as
goats, sheep, cows, guinea pigs, and rats may be used. The substantially
purified antigen is presented to the immune system according to methods
known in the art. The immunological response is typically assayed by an
immunoassay. Suitable examples include ELISA, RIA, fluorescent assay, or the
like. These antibodies will find use in diagnostic assays or as an active
ingredient in a pharmaceutical composition.
Claim 1 of 6 Claims
1. A biologically pure RNAIII inhibiting
peptide (RIP), comprising: (a) five contiguous amino acids of the sequence
YX.sub.2PX.sub.1TNF, where X.sub.1 is C, W, I or a modified amino acid,
and X.sub.2 is K (SEQ ID NO: 1) or S (SEQ ID NO: 2); or (b) an amino acid
sequence that differs from the sequence YX.sub.2PX.sub.1TNF by two
substitutions or deletions, where X.sub.1 is C, W, I or a modified amino
acid, and X.sub.2 is K or S, wherein the RIP does not consist of the
sequence YSPX.sub.1TNF where X.sub.1 is C, W, I, or a modified amino acid,
wherein the RIP comprises the amino acid sequence YKPX.sub.1TNF. ____________________________________________
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